MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING August 26, :00 p.m. Draft Agenda

Transcription

1 MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING August 26, :00 p.m. Draft Agenda MISSION STATEMENT: The mission of the Monroe Community Mental Health Authority is to provide quality mental health care in partnership with consumers and our community to enrich lives and promote wellness. Guide I. Call to Order 1 min II. Roll Call 2 min III. Pledge of Allegiance 2 min IV. Consideration to Adopt the Agenda as Presented 2 min V. Consideration to Approve the Minutes of the July 22, 2015 Regular Meeting 2 min and Waive the Reading Thereof VI. Feedback Summary (handout) 5 min VII. Citizen Comments 3 min/person The Board will listen respectfully to any comments you would like to make, but will not respond directly tonight. You can expect a follow up contact from the Executive Director or her representative within 24 hours if your comment is about a specific problem or complaint. Comments shall be limited to 3 minutes. VIII. Purpose of the Monroe Community Mental Health Authority 2 min (Vision: That people are empowered and supported to reach their maximum potential) Rules of Conduct a. Speak only after being acknowledged by the Chair and only to the Chair. b. Keep deliberation focused on the issue and don t make it personal. c. Divulge all pertinent information on an issue before action is taken. d. Seek to understand before becoming understood. e. Seek to do no harm. IX. Presentations, Recognitions, and Celebrations 20 min a. Recognition of Certifications i. Crisis Prevention Intervention (CPI) Instructor ii. Parent Management Training of Oregon (PMTO) iii. Mental Health First Aid (MHFA) for Youth b. Salary Analysis Survey Results Mark Nottley X. Board Committee Reports 2 min a. Consideration to Place on File All Written Committee Reports i. Executive Written Minutes ii. Finance & Facilities Written Minutes iii. Program & Planning Written Minutes XI. Items for Board Action 10 min a. Consideration to Approve the Consent Agenda Less Item i. Administrative Contracts as presented ii. Service Contracts as presented b. Consideration to Establish an Ad-hoc Workgroup to Develop a Plan and Timeline for an Executive Director Search Committee Page 1 of 36 JST/dep

2 XII. Relationship with the Region, County, and Others 2 min/person a. Regional Reports i. Regional PIHP Board Meeting Written Minutes b. Board Association Reports i. Executive Board Jane Terwilliger XIII. Items from the Executive Director 10 min a. Financial Report b. Executive Director s Report (handout) XIV. New Business 2 min XV. Citizen Comments 3 min/person XVI. Announcements by Board Members 12 min XVII. Adjournment 1 min The next scheduled Regular Meeting is 6:00pm, Wednesday, September 23, 2015 in the Monroe Community Mental Health Authority Aspen Room. 8/20/15, 11:10 a.m. Page 2 of 36 JST/dep

3 BOARD OF DIRECTORS REGULAR MEETING MINUTES July 22, 2015 Present: Excused: Greg Lane, Chairperson (arrived at 6:11pm); Sandy Libstorff, Vice Chairperson; Bill Henning, Secretary (arrived at 6:10pm); Susan Fortney; Rusty Shorter; Pam Ray; Charles Londo; LaMar Frederick; and Gloria Rafko Christine Butler, Mark Vinciguerra and Nancy Wain Unexcused: Staff: Guests: Jane Terwilliger 2 guests were present I. CALL TO ORDER The Board Vice Chairperson, Sandy Libstorff, called the meeting to order at 6:00 p.m. II. ROLL CALL The Roll Call confirmed a quorum existed. III. PLEDGE OF ALLEGIANCE The Pledge of Allegiance was led by LaMar Frederick. IV. CONSIDERATION TO ADOPT THE DRAFT AGENDA AS PRESENTED Susan Fortney moved to adopt the draft agenda as presented. Gloria Rafko supported. Motion carried unanimously. V. CONSIDERATION TO APPROVE MINUTES LaMar Frederick moved to approve the minutes of the June 24, 2015 Regular Meeting and waive the reading thereof. Susan Fortney supported. Motion carried unanimously. VI. FEEDBACK SUMMARY Sandy Libstorff reviewed the June Board Feedback Summary. VII. CITIZEN COMMENTS There were no citizen comments. VIII. PURPOSE (VISION) OF THE MONROE COMMUNITY MENTAL HEALTH AUTHORITY Page 3 of 36

4 Monroe Community Mental Health Authority Board Meeting Minutes July 22, 2015 IX. PRESENTATIONS, RECOGNITIONS, AND CELEBRATIONS X. BOARD COMMITTEE REPORTS a. Consideration to Place on File Written Committee Reports Pam Ray moved to place on file all written committee reports. LaMar Frederick supported. Motion carried unanimously. Written Minutes placed on file were: Bylaws & Policy July 7, 2015; Executive July 9, 2015; Finance & Facilities July 15, 2015; and Program & Planning July 1, b. Consideration to Approve the Board Committees and Scope Pam Ray moved to approve the Board Committees and Scope. Rusty Shorter supported. Motion carried unanimously. XI. ITEMS FOR BOARD ACTION a. Consideration to Approve the Consent Agenda Less Item Pam Ray moved to approve the Consent Agenda as presented. Rusty Shorter supported. Roll call: In favor: Libstorff, Frederick, Ray, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. Items approved: i. Administrative Contracts ii. Service Contracts b. Consideration to Adopt the Amended Bylaws as Presented (2/3 vote) LaMar Frederick moved to adopt the amended Bylaws as presented. Pam Ray supported. Roll call: In favor: Libstorff, Frederick, Ray, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. c. Consideration to Adopt the Amended Board Governance Policy Manual as Presented LaMar Frederick moved to adopt the amended Board Governance Policy Manual as presented. Gloria Rafko supported. Discussion followed. Roll call: In favor: Libstorff, Frederick, Ray, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. XII. RELATIONSHIP WITH THE REGION, COUNTY, AND OTHERS a. Regional Reports i. Regional PIHP Board Meeting Written Minutes available in August. b. Board Association Reports i. Executive Board Did not meet. Bill Henning arrived at 6:10pm. Page 4 of 36

5 Monroe Community Mental Health Authority Board Meeting Minutes July 22, 2015 Sandy Libstorff reminded the Board that the Regional Board Meeting will be held on July 29, 2015 beginning at 6pm in the Aspen Room at Monroe CMH Authority. Greg Lane arrived at 6:11pm. XIII. ITEMS FROM THE EXECUTIVE DIRECTOR a. Financial Report Vickie Bagherzadeh was available for questions regarding the Financial Report. b. Executive Director s Report Joint Labor/Management Committee Ryan Nelson, Committee Chair and President of AFSCME Local 2529, commented on the completed time study. The Joint Labor/Management Committee will discuss: travel arrangements unique to each department; how to change the culture of the agency to do consumer groups as a treatment model; and transition training to help better utilize non-billable time. Jane Terwilliger commented on: a notice to be posted in the Monroe Evening News stating that the Medicare/Medicaid Services (CMS) has discontinued the CMS Certification Number (CCN) for Monroe CMHA; and the Pre-paid Inpatient Health Plan (PIHP) Plan for Substance Use Disorder (SUD) Services in Monroe. XIV. NEW BUSINESS XV. CITIZEN COMMENTS There were no citizen comments. XVI. ANNOUNCEMENTS BY BOARD MEMBERS Board members sang Happy Birthday to Jane Terwilliger collectively. Sandy Libstorff commented there is a new Autism Group, their 2 nd Annual Walk will be held on August 16, 2015 at Monroe High School beginning at 11am. XVII. ADJOURNMENT Gloria Rafko moved to adjourn at 6:45pm. LaMar Frederick supported. Motion carried unanimously. Submitted by, Bill Henning Secretary JST/dp 8/3/15 Page 5 of 36

6 BOARD EXECUTIVE COMMITTEE Thursday, August 13, :30pm / Aspen MAJOR COMMITTEE RESPONSIBILITIES 1. Form agenda for monthly meetings. 2. Monitor long term effectiveness of the Board and Board Committees. COMMITTEE MEMBERS Bill Henning Sandy Libstorff Greg Lane, Chair DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 4:39pm by Greg Lane. Sandy Libstorff, Greg Lane, Bill Henning (arrived at 4:54pm) and Jane Terwilliger were present. II. REVIEW OF THIS MONTH S BOARD MEETING a. Board Agenda Reviewed b. Committee Reports Reviewed c. Presentation Salary Analysis Survey Results III. ITEMS FOR DISCUSSION a. Executive Director Update Jane Terwilliger commented: that a balanced budget will be presented in September; and that a State level presentation given by Geralyn Harris and Major Troy Goodnough on the Jail Diversion Grant was a huge success. The Jail Diversion Grant has been extended. b. The committee discussed establishing an ad-hoc workgroup to develop a plan and timeline for an Executive Director Search Committee. Greg Lane specified the first meeting will be held on September 2 nd. IV. ITEMS FOR FUTURE BOARD MEETING AGENDA a. Board Workshop V. AJOURNMENT The meeting adjourned at 5:43pm. VI. NEXT MEETING The Next Meeting of the Executive Committee is scheduled for Thursday, September at 4:30pm in the Aspen Room. Respectfully submitted, Greg Lane 8/20/2015 Board Chair Page 6 of 36

7 BOARD FINANCE & FACILITIES COMMITTEE Wednesday, August 19, :00pm MAJOR COMMITTEE RESPONSIBILITIES 1. Monitor the Organization s Finances and Facilities. 2. Review and Recommend to the Full Board Contracts and Budgets. 3. Review and Recommend to the Full Board Budget Strategies for Managing Overages and Shortfalls. COMMITTEE MEMBERS Christine Butler Rusty Shorter Susan Fortney Pam Ray Bill Henning Mark Vinciguerra Sandy Libstorff Nancy Wain Charles Londo, Chair Greg Lane (Ex-Officio) DRAFT MINUTES. I. CALL TO ORDER The meeting was called to order at 6:00pm by Charles Londo. Charles Londo, Sandy Libstorff, Bill Henning (arrived at 6:16pm), Rusty Shorter, Pam Ray, Gloria Rafko, Jane Terwilliger, Vickie Bagherzadeh, Renee Petkovich and Jeff Koras were present. Susan Fortney, Christine Butler and Nancy Wain were excused. Mark Vinciguerra was absent. II. ITEMS FOR BOARD ACTION (Consent Agenda) a. Administrative Contracts CMHSP, Tyler Tech, and Dr. Newell s contracts were presented by Renee Petkovich (handout). Recommend Board Approval. b. Service Contracts BCA Hospital, Youth Center, Serenity Services, Jana Penrod and Watson Health Care were presented by Renee Petkovich (handout). Recommend Board Approval. III. FACILITIES UPDATE a. Jeff Koras reported that the parking lights have all been replaced and that the dead trees have been removed from the front of the property. IV. FINANCIAL REPORTS The following FY Budget Reports were presented by Vickie Bagherzadeh: Budget-to-Actual, Balance Sheet, Cash Flow, Investments, Affiliation Report, Board Budget and Grants. Recommend Board Approval. V. PARKING LOT VI. INFORMATIONAL ITEMS a. Group Home Lease Update Vickie Bagherzadeh commented that a market analysis has been conducted and the fair market value will be offered. Negotiations with the Landlord are in progress. b. Budget On behalf of Greg Lane, Jane Terwilliger commented on Medicaid, General Fund and Healthy Michigan. The rates have not yet been certified by the State in order to move forward with the budget process. Amendments may need to be made to the budget throughout the year. The Executive Leadership Team (ELT) have been working with Department Heads to reduce the deficit of $869,000. The cuts have been identified and the preliminary budget is balanced pending anything from the State as allocations to CMHs is not available yet. VII. PUBLIC COMMENTARY There were no comments. VIII. ADJOURNMENT The meeting adjourned at 6:35pm. The next meeting of the Finance & Facilities Committee is scheduled for Wednesday, September 10, 2015 at 6pm in the Aspen Room. Respectfully submitted, Charles Londo CL/dp 8/20/15 Committee Chair Page 7 of 36

8 BOARD PROGRAM & PLANNING COMMITTEE Wednesday, August 5, :00pm MAJOR COMMITTEE RESPONSIBILITIES I. Ensure supports and services needed for consumers to achieve their outcomes are available and accessible. II. Monitor MCMHA programs and services for effectiveness, quality, and consumer satisfaction within the scope of the mission of the organization. COMMITTEE MEMBERS Christine Butler Ray, Pam, Chair Fortney, Susan Shorter, Rusty Libstorff, Sandy Vinciguerra, Mark Rafko, Gloria Greg Lane (Ex-Officio) DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 6:00pm by Pam Ray. Sandy Libstorff, Christine Butler (arrived at 6:10pm), Susan Fortney, Pam Ray, Rusty Shorter, Jane Terwilliger and Geralyn Harris were present. Mark Vinciguerra and Greg Lane were excused. Bill Henning and Gloria Rafko were absent. II. PROGRAM & PLANNING REPORTS a. Program and Planning Indicators 1. DLA-20 Implementation Jane Terwilliger presented the DLA-20 graphs that showed an aggregate level of all 20 dimensions scored for 178 consumers who all had DLA-20 entries for three years. The consumer outcome goal is to maintain functioning and see improvement. 85% of all scanned DLA-20s have been inputted into the system and will begin sorting through data next month to see what reports can be provided for consumer outcomes. 2. CAFAS The State requires 50% of your cases to be 20 points movement or more. Around 70% of our cases are better than what the State is requiring. 3. MDHHS Indicators Jane Terwilliger presented the 2 nd quarter MDHHS Indicators. III. INFORMATIONAL ITEMS a. Jail Diversion Indicators Geralyn Harris and Major Troy Goodnough will be presenting at the Jail Diversion Summit in Lansing next week. It is an opportunity to see what the other CMHs are doing that received the Jail Diversion Grant. Geralyn commented that with this grant we are decreasing ER visits and recidivism along with a cost savings to the Jail for the amount of hours decreased for the Sherriff s time spent at the ER. There may be enough savings to continue this program moving forward once the grant is completed. IV. PARKING LOT a. How to Get More Programs and Expand Opportunities b. CMS Rules on Community Inclusion for Homes & Community Based Waiver c. Committee Indicators Reported Quarterly (Jan, Apr, Jul, Oct) d. Quarterly Report on 5 Goals from FY2014 Annual Submission (Jul, Oct, Jan) e. Psychiatric Beds for Child & Adolescents MDCH Survey results when available V. POSITIVE/NEGATIVE a. Positive b. Negative VI. ADJOURNMENT/NEXT MEETING The meeting adjourned at 6:55pm. The next meeting of the Program & Planning Committee will be held on Wednesday, September 2, 2015 beginning at 6pm in the Aspen Room. Respectfully submitted, Pam Ray Program & Planning Committee Member PR/dp 8/10/15 Page 8 of 36

9 Page 9 of 36

10 Page 10 of 36

11 Improvement Total Score 20 Points or Greater Percent of cases Q1 Q2 Q3 Q4 CAFAS 2015 MCMHA Percent State Target Percentage Page 11 of 36

12 MDCH INDICATORS QUARTERLY REPORTING CMHSP DATA (Medicaid and GF) FOR THE PERIOD OF 2nd Qtr. FY 2015 Indicator #1: Inpatient Screening within 3 hours Target: 95% CMHSP Population CMHSP Percent In Compliance (Y or N) a. Children 100% Y b. Adults 100% Y Indicator #2: Initial Assessments within 14 days of First Request Target: 95% CMHSP Population CMHSP Percent In Compliance (Y or N) a. MI Child 100% Y b. MI Adult 100% Y c. DD Children 100% Y d. DD Adult 100% Y Indicator #3: Started Service within 14 days of Initial Assessment Target: 95% CMHSP Population CMHSP Percent In Compliance (Y or N) a. MI Child 94.44% N b. MI Adult 100% Y c. DD Children 100% Y d. DD Adult 100% Y Indicator #4: Discharges from Psychiatric Inpatient seen within 7 days Target: 95% CMHSP Population CMHSP Percent In Compliance (Y or N) a. Children 100% Y b. Adults 93.33% N Page 12 of 36

13 Indicator #10: Discharges from Psychiatric Inpatient Readmitted within 30 days Target: 15% or less CMHSP Population CMHSP Percent In Compliance (Y or N) a. Children 0.00% Y b. Adults 10.41% Y Compliance: MCMHA was out of compliance with the 95% target for indicators #3a and #4b. All other targets were met. For indicator #3a MI Child KC # /26/ /16/2015 SAL Elapsed Time: 51 Days COFR with Washtenaw took awhile for Washtenaw to ascertain/approve what services they would provide. For indicator #4b MI Adult appt schedule for 3/2 at 8:30 but consumer no showed. Was seen on 3/9 for screening appt scheduled for 2/19 at 10 with consumer but consumer n/s - multiple contacts by access to reschedule appt scheduled for 1/28 at 9am but was a no show. Access called to follow up and consumer had relocated to Lansing appt scheduled for 1/12 at 10am but was a no show. Access called to follow up, left voice mail to call us back. No response appt scheduled at 3/10 at 9am but was a no show. Access called and sent letter to consumer appt scheduled at 3/27 at 8:30 but consumer was a no show. Access called appt scheduled for 2/23 at 10am but consumer was a no show. Access followed up with call appt schedule 3/18 at 8:30 but consumer was a no show. Access followed up w/phone contact appt schedule 1/21 at 9am consumer was a no show. Access followed up w/phone contact consumer was to walk in Monday after discharge. Access followed up with phone contact appt scheduled 3/17 at 9:30 but was a no show. Access followed up with letter as there was no phone Stephanie at progressive guidance 3/30/15 at 1830, Follow up call from access. Consumer attending and happy with services Access on 2/12/2015 at 9am consumer was a no show. Letter sent by access appt 2/6 at 9am with access but was n/s. Letter sent to consumer Page 13 of 36

14 Page 14 of 36

15 Page 15 of 36

16 Attachment #1 August 2015 COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN REGULAR BOARD MEETING MINUTES August 12, 2015 Members Present: Members Absent: Staff Present: Others Present: Ralph Tillotson, Greg Lane, Peg Ball (phone), Charles Londo, Jan Plas, Sandra Libstorff, Judy Ackley, Bob Wilson, Dave Neal Charles Coleman, Lisa Berry-Bobovski, Barb Cox, Tom Biggs Mary O Hare, Connie Conklin, Sandy Keener, Stephannie Weary, Marci Scalera, Marie Irwin, Jane Terwilliger, Nicole Phelps, Steve Holda, Shane Ray, Jane Goerge, Suzanne Gondek, James Colaianne, Katie Postmus, Kristen Ora, Matt McDaniels, CJ Witherow John Wilson, Lori Lutomski I. Call to Order Meeting called to order at 5:00 p.m. by Board Chair G. Lane II. III. Roll Call Consideration to Adopt the Agenda as Presented Motion by R. Tillotson, supported by P. Ball, to approve the agenda Motion carried IV. Consideration to Approve the Minutes of the July 8, 2015 Regular Meeting and Waive the Reading Thereof Motion by J. Ackley, supported by S. Libstorff, to approve the minutes of July 8, 2015 Regular Meeting and waive the reading thereof Motion carried V. Audience Participation VI. PIHP Managing Director Report to the Board a. June Finance Report Some key points: Medicaid revenue for June is higher than the May revenue, but continues to run under budget. Healthy Michigan continues to trend over budget. Health Home revenue for Washtenaw continues to be under budget. SUD services for Monroe and Washtenaw continue to run over budget due to fee for service claims. No action is being recommended at this time. CMHPSM administrative expenses are running under budget through June. b. Financial Strategy Update Traditional Medicaid funding provided by the CMHPSM to the CMHSPs is sufficient except for WCHO which through June 2015 is reporting a deficit of $2.0 million. Page 16 of 36

17 Attachment #1 August 2015 Surpluses at Lenawee, Livingston and Monroe cover the WCHO deficit with an additional surplus of $1.5 million remaining. It does not appear at this time that funding from the ISF will be required for FY Healthy Michigan Plan Medicaid funding provided by the CMHPSM to the CMHSPs is sufficient except for WCHO which through June 2015 is reporting a deficit of $ Surpluses at Lenawee, Livingston and Monroe cover the WCHO deficit with an additional surplus of $900,000 remaining. In order to more closely monitor the statuses of the CMHSPs as we approach FYE 2015, the Funding vs. Expenditures report will be reported to the board on a monthly basis, rather than quarterly. c. WCHO Update on Budget S. Libstorff expressed concern that Washtenaw hasn t made the cuts that were promised. M. O Hare advised that while Washtenaw has made substantial cuts, they will not realize the final $2 million in savings. Services still need to be provided for medically necessary services. N. Phelps reported that Washtenaw has used skill-building for developmentally disabled consumers, as opposed to using additional CLS hours. The plan was to use skill-building in-house for the extra hours, but that isn t being realized because of capacity, so the additional service has had to be contracted out. M. O Hare will meet with Washtenaw interim director S. Amos O Neal and her team to find out which areas of the budget are going over and why, and what corrective actions they re taking. For the September regional board meeting the board will review the financial policy, and ask the Washtenaw director to explain in detail the budget items that have gone in the wrong direction in recent months. S. Ray noted that Washtenaw has made some plans for significant cuts as recently as this week, which will come to the regional board once they re finalized. VII. VIII. Old Business New Business a. PIHP Draft Budget The final budget will come to the regional board in September for adoption. G. Lane requested to see FY 15 summary of revenues and expenses to compare to FY 2016 proposed budget b. CEO Candidate Interviews The regional board interviewed the final 3 candidates for the CMHPSM CEO position: o Marci Scalera o Jane Terwilliger o John Wilson Motion by C. Londo, supported by B. Wilson, to offer the CEO position to J. Terwilliger and to authorize board chair G. Lane to enter into negotiations for wages and benefits, and bring the draft agreement to the board in September. Friendly amendment by J. Plas to the above motion to authorize a negotiated salary amount not to exceed the amount of the current managing director s salary Motion carried as amended Page 17 of 36

18 Attachment #1 August 2015 Ackley Y Libstorff Y Ball Y Londo Y Berry-Bobovski Absent Neal Y Biggs Absent Plas Y Coleman Absent Tillotson Y Cox Absent Wilson Y Lane Y IX. Adjournment Motion by R. Tillotson, supported by J. Plas, to adjourn the meeting Motion carried Meeting adjourned at 8:30 p.m. Lisa Berry-Bobovski, CMHPSM Board Secretary Page 18 of 36

19 Attachment #1 August 2015 COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN REGULAR BOARD MEETING MINUTES July 8, 2015 Members Present: Members Absent: Staff Present: Barbara Cox, Ralph Tillotson, Greg Lane, Peg Ball (phone), Charles Londo, Sandra Libstorff, Tom Biggs, Judy Ackley, Bob Wilson, Jan Plas Charles Coleman, Dave Neal, Lisa Berry-Bobovski Connie Conklin, Sandy Keener, Stephannie Weary, Marci Scalera, Marie Irwin, Nicole Phelps, Steve Holda, Diane Heidt, Mary O Hare Others Present: I. Call to Order Meeting called to order at 6:00 p.m. by Board Chair G. Lane II. III. Roll Call Consideration to Adopt the Agenda as Presented Motion by T. Biggs, supported by J. Plas, to approve the agenda Motion carried IV. Consideration to Approve the Minutes of the June 10, 2015 Regular Meeting and Waive the Reading Thereof Motion by J. Plas, supported by T. Biggs, to approve the minutes of June 10, 2015 Regular Meeting and waive the reading thereof Motion carried V. Audience Participation VI. VII. Communication to the Regional Board M. O Hare thanked the regional board recognizing her recent loss with a floral arrangement, and also thanked the board for allowing her to build the staff that was able to manage the organization while she away. PIHP Report to the Board a. May Finance Report S. Holda presented the May finance report. Medicaid revenue for May is higher than the April revenue received, but continues to run under budget. Medicaid capitation and Healthy Michigan have leveled off. b. Contract Negotiations and other MDHHS information PIHP contract negotiations are almost done. Administrative responsibilities for verifying Medicaid services being provided are being increased. This won t lead to extra burden for CMHSPs, but will add to the PIHP s workload. Page 19 of 36

20 Attachment #1 August 2015 c. EQR Compliance upcoming changes External Quality Review (EQR) conducted its compliance review on June 4 th and 5 th. The PIHP did well in almost all areas. One area that needs improvement: capturing the information about provider and board control ownership for anyone handling Medicaid. Social security numbers and other information will need to be collected. A 3 rd party provider/technology solution will be used to collect the information for security purposes. J. Plas expressed concern with giving a 3 rd party provider access to personal information. More information will come to the board as it becomes available. d. Financial Strategy Update M. O Hare presented the updated financial strategy. S. Libstorff expressed concern that the root cause for the financial trouble in Washtenaw County (WCHO/CSTS) has never been explained to the regional board. M. O Hare advised that a root cause analysis was presented to the regional board several months ago, the slides can be made available again. G. Lane noted that the auditors responsibility was to verify that the methodology being used in Washtenaw County is correct and valid, which the auditors did. e. WCHO Update on Budget S. O Neal presented WCHO s budget status report. Health Home projections had to be revised. WCHO continues to make adjustments to CLS cases. Clinical staff is now into the more complicated cases, which slows the process of savings because of the process that happens after a decision, including notice to consumers, further investigations, appeals and fair hearings. Rates must be frozen while appeals/investigations happen. T. Biggs advised that it would be helpful to see the variances that are captured on WCHO s local statements. Washtenaw CMH D. Heidt provided an update on Washtenaw s CMH transition. The Taskforce narrowed its executive director search to 1 candidate. The Ways and Means Committee of the Board of Commissions approved Trish Cortes on July 1. The full board is expected to approve her on August 5. The new CMH board will be seated on August 5. Washtenaw CMH will go through a recertification process, rather than a full certification process, because CSTS has deemed status as a Joint Commission accredited service provider. They are on track for an October 1 start-date for the new CMH. VIII. Old Business a. Financial Stability and Risk Reserve Management Policy Page 20 of 36

21 Attachment #1 August 2015 Motion by T. Biggs, supported by J. Plas, to approve the Financial Stability and Risk Reserve Management Policy Motion carried Ackley Y Libstorff Y Ball Y Londo Y Berry-Bobovski Absent Neal Absent Biggs Y Plas Y Coleman Absent Tillotson Y Cox Y Wilson Y Lane Y b. CEO Search committee interview schedule There are 8 applicants. The search committee will decide tonight if they want to interview all 8. Interviews are scheduled for 7/13 and 7/20 from 2:00 7:00. c. All Board Meeting (July 29) at Monroe CMHA agenda The board reviewed the meeting s agenda. d. MACMHB PIHP representatives Motion by T. Biggs, supported by J. Ackley, to approve the process for submitting names of Regional board members interested in serving on the Executive or Steering Committee of the MACMHB as recommended by the Regional Board Officers. Motion carried Ackley Y Libstorff Y Ball Y Londo Y Berry-Bobovski Absent Neal Absent Biggs Y Plas Y Coleman Absent Tillotson Y Cox Y Wilson Y Lane Y Page 21 of 36

22 Attachment #1 August 2015 IX. New Business a. PIHP Draft Administration Budget S. Holda presented the draft administration budget. The full budget will come to the board in August for review, and in September for approval. 8a: J. Plas requested that the FY 2015 amended budget be projected for the full year, to help with comparisons. S. Holda requested feedback on the draft administration budget by the end of this month. b. Draft Operating Agreement Changes The board won t be able to vote on the operating agreement until the new Washtenaw CMH board has been installed. Any draft feedback should be given by the end of the month. c. OPB Member Confirmation Motion by J. Plas, supported by T. Biggs, to approve the Appointments to the SUD Oversight Policy Board listed below, as submitted by the Monroe CMHSP Board Motion carried X. Adjournment T. Biggs appreciated getting the draft budget so early in the process. P. Ball advised that the phone conference line wasn t consistent; the conversation would sometimes fade out. Motion by R. Tillotson, supported by T. Biggs, to adjourn the meeting Motion carried Meeting adjourned at 7:40 p.m. Lisa Berry-Bobovski, CMHPSM Board Secretary Page 22 of 36

23 Page 23 of 36

24 Page 24 of 36

25 Page 25 of 36

26 Page 26 of 36

27 Page 27 of 36

28 Page 28 of 36

29 Page 29 of 36

30 Page 30 of 36

31 Page 31 of 36

32 Page 32 of 36

33 Page 33 of 36

34 Page 34 of 36

35 Page 35 of 36

36 Page 36 of 36