I. BOARD NOTIFICATION & COMPLIANCE WITH SUNSHINE LAW:
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1 MENTAL HEALTH & RECOVERY SERVICES (MHRS) BOARD Serving Coshocton, Guernsey, Morgan, Muskingum, Noble & Perry Counties 1205 Newark Road Zanesville, OH, OFFICIAL MINUTES 1 (Regular Board Meeting, May 11, 2017) Advanced Science & Technology Center Zane State College Zanesville, Ohio I. BOARD NOTIFICATION & COMPLIANCE WITH SUNSHINE LAW: On May 1, 2017, board members, contract organization directors, service area news media, county boards of commissioners, and state legislators were notified the Board of Directors would meet in regular session on Thursday, May 11, 2017, at Zane State College s Advanced Science & Technology Center (Rooms 208 and 210) on Newark Road in Zanesville with the schedule of activities to include: 6:00 p.m., meeting of Finance/Audit Committee; 6:00 p.m., meeting of Partners Workgroup; and 7:00 p.m., regular board meeting. II. III. CALL TO ORDER: President Pro-Tem Dr. Dan Scheerer called the regular board meeting to order at 6:55 p.m. ROLL CALL: Board members present: Lana Carney (Perry County) Diane Danaher (Noble County) William Johnson (Coshocton County) Kathy Kehl (Muskingum County) Dee Kinsel (Perry County) Pamela Kirst (Muskingum County) Jeff LeCocq (Muskingum County) Jim McVey (Coshocton County) Dan Scheerer, M.D. (Muskingum County) Bev Steinbrecher (Morgan County) Board members excused: Kelly Lynch, Board President (Guernsey County) Desireaux Smock, Board Vice President (Muskingum County) The Honorable Eric Martin (Muskingum County) Joyce Thompson (Guernsey County) There being ten (10) board members present, a quorum was constituted and official business was transacted. Staff present: Misty Cromwell, Associate Director Ralph Beegan, Network Systems Coordinator Roger Birch, Youth & Family Services Coordinator Melanie Smith, Fiscal Operations Director Linda Hand, Administrative Coordinator Dr. Scheerer noted that MHRS Board Executive Director Vickie Hare was excused from this board meeting, so that she could receive an Honorary Associates Degree that was being bestowed upon her by Zane State College.
2 IV. INTRODUCTION OF GUESTS: No guests were present. 2 V. AGENDA: Dr. Scheerer noted there were no changes to the pr ed agenda. JIM McVEY MOVED THAT THE BOARD APPROVE THE AGENDA FOR THE MAY 11, 2017, BOARD MEETING AS MAILED. THE MOTION WAS SECONDED BY PAMELA KIRST AND UNANIMOUSLY APPROVED. VI. VII. REVIEW OF MEETING MINUTES: PAMELA KIRST MOVED THAT THE BOARD APPROVE THE MINUTES OF THE APRIL 13, 2017, MEETING AS SUBMITTED. THE MOTION WAS SECONDED BY DEE KINSEL AND A ROLL CALL VOTE WAS TAKEN AS FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM JOHNSON, YEA; KATHY KEHL, ABSTAIN; DEE KINSEL, YEA; PAMELA KIRST, YEA; MOTION WAS APPROVED RECEIVING EIGHT (8) POSITIVE VOTES AND ONE (1) ABSTENTION. EXECUTIVE DIRECTOR S REPORT: Associate Director Misty Cromwell reviewed Director Hare s Board Report that was sent to board members on May 4, 2017, and is included as a part of the minutes (Exhibit A). The following items were highlighted: Guernsey County Recovery House: The recovery house of Alcohol & Drug Services of Guernsey County is slated for opening in June of It was noted that the Ohio Department of Mental Health & Addiction Services (OhioMHAS) is very pleased with the manner in which the capital project is progressing. Behavioral Health Redesign: Even though a possible 6-month delay in BH Redesign implementation has been proposed by the Ohio House of Representatives, Director Hare is urging the network s contract service providers to be ready to roll on July 1, The state is currently planning another regional readiness training (BH Redesign 401 ) to be offered to service providers. Meet N Greets: MHRS Board-sponsored Meet N Greets have been held in each service area county. The goal of these events was to provide an opportunity for employees of Allwell Behavioral Health Services and the six alcohol/drug recovery contract organizations to better know each other and learn more about services offered in the network. Annual Suicide Awareness Banquet: (Summarized in Board Meeting Highlights attached to the minutes.) Client Graduation: (Summarized in Board Meeting Highlights attached to the minutes.) Adam-Amanda Mental Health Rehab Center: NAMI Ohio is hosting a groundbreaking ceremony for the Adam-Amanda Mental Health Rehab Center at 11:00 a.m. on Saturday, May 20, at 7990 Dairy Lane in Athens. This 16-bed facility will give people leaving the Athens State Hospital time to stabilize under supervised care before re-entering the community. Project DAWN: Through Project DAWN initiatives at service area Health Departments (partially funded by the MHRS Board), 191 Naloxone kits have been dispensed to family and friends with three reported reversals, and 54 kits have been dispensed to first responders with 19 reported reversals. Misty Cromwell shared a recent success story, noting that one individual whose overdose was reversed with Naloxone is now in treatment, on Vivitrol, and working to stay clean. Allwell Merger Update: The organization is making improvements to their communications with clients and families in areas where services are now being offered at different sites. Facility expansion renovations are underway at the Allwell site in Perry County on Commerce Drive in New Lexington with the project to be completed by December of The construction of a new
3 Allwell service site in Coshocton will not begin until the summer of Medicaid Rule Will Expand Mental Health Care: (Summarized in Board Meeting Highlights attached to the minutes.) 21 st Century Cures Federal Grant: Misty Cromwell announced that the MHRS Board just received word from OhioMHAS that the organization s 21 st Century Cures Federal Grant has been approved in the amount of $140,000. These funds will be passed on to the Guernsey County Health Department and the Muskingum County Health Department for embedding two maternal health nurse navigators to assist addicted pregnant women with receiving needed care and treatment. 3 VIII. FINANCE/AUDIT COMMITTEE REPORT: (Dan Scheerer, M.D., Chair) 1. Ratification of Accounts Payable Dated April 17, 2017: (Exhibit B) Committee Recommendation: William Johnson moved that the Finance/Audit Committee recommend to the full Board ratification of the Executive Director s action to approve an accounts payable on April 17, The motion was seconded by Jim McVey and unanimously approved. WILLIAM JOHNSON MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON APRIL 17, THE MOTION WAS SECONDED BY JEFF LeCOCQ. Dr. Scheerer guided a thorough review of the accounts payable that included: FUNDING FOR IN-NETWORK PROVIDERS OF MENTAL HEALTH AND ALCOHOL/DRUG RECOVERY SERVICES ($905,238.96) Includes $460,000 payment to Allwell Behavioral Health Services for assistance in paying a small percentage of merger expenses (as approved at the MHRS Board s April 13, 2017, board meeting). MHRS BOARD OPERATING EXPENSES ($4,330.95) Clarification of Specific Payments: Staples Credit Plan ($944.25) For printer toners, copy paper, and miscellaneous office supplies. Supplies for Service Area Meet N Greets ($404.42) Perry County meeting - $ to Dodson s on Broadway; Guernsey County meeting - $39.42 to Wal-Mart. 2. Ratification of Accounts Payable Dated April 24, 2017: (Exhibit C) Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full Board ratification of the action of the Executive Director to approve an accounts payable on April 24, The motion was seconded by Dee Kinsel and unanimously approved. JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON APRIL 24,
4 2017. THE MOTION WAS SECONDED BY DEE KINSEL. It was noted this accounts payable was for the payment of May 2017 health insurance premiums for MHRS Board employees in the amount of $6, Ratification of Accounts Payable Dated May 1, 2017: (Exhibit D) Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full Board ratification of the action of the Executive Director to approve an accounts payable on May 1, The motion was seconded by William Johnson and unanimously approved. JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON MAY 1, THE MOTION WAS SECONDED BY JEFF LeCOCQ. The review of payments included: FUNDING FOR IN-NETWORK PROVIDERS OF MENTAL HEALTH & ALCOHOL/DRUG RECOVERY SERVICES ($357,643.76) OUT-OF-NETWORK MENTAL HEALTH CRISIS SERVICES AT NEW HORIZONS IN LANCASTER, OHIO ($293.26) 4. Ratification of Accounts Payable Dated May 8, 2017: (Exhibit E) Committee Recommendation: William Johnson moved that the Finance/Audit Committee recommend to the full Board ratification of the action of the Executive Director to approve an accounts payable on May 8, The motion was seconded by Jim McVey and unanimously approved. WILLIAM JOHNSON MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON MAY 8, THE MOTION WAS SECONDED BY BEV STEINBRECHER. The review of payments included: PAYMENT OF $2, TO CONSULTANT DAVID GROVE FOR PROVIDING AN I-FAST TRAINING ASSOCIATED WITH THE MHRS BOARD S STRONG FAMILIES SAFE COMMUNITIES GRANT. MHRS BOARD OPERATING EXPENSES ($22,495.31) 4
5 Clarification of Specific Payments: BELMONT-HARRISON-MONROE MHRS BOARD ($10,926.96) Payment for use of 1 bed at Liberty Manor for the months of January, February and March of HOUSE OF HOPE CONSUMER DROP-IN CENTER IN MARIETTA ($600.00) Our MHRS Board s share of meal/facility expenses related to the 17 th Annual Local Recovery Summit to be held at the Hallowed Hills Conference Center in Zanesville on August 4, RICHLAND COUNTY MHRS BOARD ($6,027.50) Support services provided related to the GOSH billing system. 5. Calendar Year 2017 Revenue Adjustment: Committee Recommendation: Dee Kinsel moved that the Finance Audit Committee recommend to the full Board approval of the following CY 2017 revenue adjustments: Strong Families Safe Communities Grant, $70,000; and Other Reimbursement, $11,000. The motion was seconded by William Johnson and unanimously approved. DEE KINSEL MOVED THAT THE FULL BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO APPROVE THE FOLLOWING CALENDAR YEAR 2017 REVENUE ADJUSTMENTS: Revenue Code Description Amount Strong Families Safe Communities Grant 5 $70, Other Reimbursement $11,000 THE MOTION WAS SECONDED BY WILLIAM JOHNSON AND A ROLL CALL VOTE WAS THEN TAKEN AS FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA; JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE 6. Calendar Year 2018 Budget for the MHRS Board s Entire Network of Care: (Exhibit F) Dr. Scheerer noted that the Board s review of this agenda item would be officially considered an open budget hearing (with legal notice of such hearing being published in the Zanesville Times Recorder on April 30, 2017). Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full Board approval of the Calendar Year 2018 Budget for the MHRS Board s Network of Care in the amount of
6 $8,539,748. The motion was seconded by Dee Kinsel and unanimously approved. JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO APPROVE THE MHRS BOARD S CALENDAR YEAR 2018 BUDGET FOR THE ENTIRE NETWORK OF CARE IN THE AMOUNT OF $8,539,748. THE MOTION WAS SECONDED BY DEE KINSEL. Chairman Scheerer noted that this budget is required by law and is prepared for the six sets of County Commissioners and County Auditors in the MHRS Board s service area. It was explained that the expenditures in the budget combine the MHRS Board s Calendar Year 2018 Operating Budget with FY 2018 Contract Service Provider Allocations and miscellaneous adjustments. Dr. Scheerer noted that the majority of the budget ($7,486,710) is for payments to contract organizations for the provision of mental illness and addiction recovery treatment and support services. It was also pointed out there are many unknowns, so revenue and expenses have been conservatively planned. Should the state s final biennial budget include any additional funding for mental health and addiction services, the budget will be revised. IX. PARTNERS WORKGROUP: (Jeff LeCocq, Chair) 1. Service Area Statistics Deaths by Suicide: Chairman LeCocq reported that committee members had reviewed detailed information (Exhibit G) regarding deaths by suicide in the six-county service area and the many prevention/awareness efforts that are being implemented by local Suicide Prevention Coalitions. (Summary of report is included in the Board Meeting Highlights attached to the minutes.) X. NOMINATING COMMITTEE REPORT: (Dee Kinsel, Chair) This year s Nominating Committee consisted of board members Dee Kinsel and Kathy Kehl. Dee Kinsel presented the following slate of nominees to fill MHRS Board offices in FY 2018: Board President: Board Vice President: Pamela Kirst Jeff LeCocq It was noted the election of officers will take place at the June 8 th board meeting. 6 XI. OLD BUSINESS: 1. Quarterly Report Strategic Plan: (Exhibit H) Misty Cromwell provided an update regarding progress in implementing the organization s Strategic Plan. (A summary of this report is included in the Board Meeting Highlights attached to the minutes.) Board members expressed appreciation for the strategic plan updates, noting that such
7 7 reporting will ensure that the Plan remains a live document that is guiding the work to maintain/improve the system of care. XII. XIII. NEW BUSINESS: 1. Required Resolution in Support of Capital Project Evolution Residential Center for Men: JIM McVEY MOVED THAT THE BOARD APPROVE THE FOLLOWING RESOLUTION: THE MUSKINGUM AREA MENTAL HEALTH & RECOVERY SERVICES BOARD HEREBY RESOLVES TO SUPPORT THE EVOLUTION RESIDENTIAL CENTER FOR MEN CAPITAL PROJECT OF PERRY BEHAVIORAL HEALTH CHOICES WITH AN ASSURANCE TO SUPPORT APPLICANT S PROGRAM CONSISTENT WITH THEIR APPLICATION AND, IN ADDITION, TO ANNUALLY MONITOR THE PROGRAMS AND OPERATIONS OF THE FACILITY TO ASSURE COMPLIANCE. THE MOTION WAS SECONDED BY BEV STEINBRECHER. Misty noted that OhioMHAS requires resolutions of MHRS Board support for any capital funds that are awarded to contract service providers. This resolution of support is related to an extra $50,000 that was awarded to Perry Behavioral Health Choices to assist with getting the Evolution Residential Center for Men operational. All other capital expenses on this project were covered by Perry Behavioral Health Choices. 2. Next Meeting: The MHRS Board s Annual Meeting will be held on Thursday, June 8, 2017, at the Rolling Plains United Methodist Church in Zanesville. No committee meetings will be held that night. Dinner will be served at 6:30 p.m., followed at 7:00 p.m. by recognition of departing board members and a special client-centered presentation about Recovery, Advocacy and Empowerment, and regular board meeting at approximately 7:30 p.m. Board members were asked to begin thinking about the summer meeting schedule. Board members who would be unable to meet on July 13 or August 10, should let Linda Hand know. The summer schedule will be planned based on the best availability for a quorum. It was pointed out that, if it is possible to meet in both months, it would help to alleviate extremely heavy agendas at subsequent meetings. COMMENTS FOR THE GOOD OF THE ORDER: Coshocton s Annual Youth Health Day: William Johnson reported on the extremely successful Annual Youth Health Day that was held in Coshocton on May 11. Over 400 seventh graders were brought together to learn about suicide prevention, addiction awareness and prevention, the dangers associated with bullying, sexting, and texting, and the importance of summer safety habits.
8 Request for Advocacy: Board members were given a packet of information to assist in advocating with: 1. Service area Ohio Senators regarding support for the asks in the State s Biennial Budget to fund regional addiction withdrawal centers and mental health crisis stabilization centers, as well as increased funds for community outpatient treatment. 2. United States Senators Sherrod Brown and Rob Portman, asking them to consider the needs of Ohioans suffering from severe mental illnesses and addictions as they deliberate on the American Health Care Act. 8 XIV. ADJOURNMENT: The meeting adjourned at 8:20 p.m. SUBMITTED BY: APPROVED BY: Linda Hand, Administrative Coordinator Misty Cromwell, Associate Director Dan Scheerer, M.D., President Pro-Tem
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