Alexis Kaczynski, David Schneider, Joan Booth, Donna Wheeler. Jim Haveman and Mark Miller, Michigan Department of Community Health, Linda Boyd

Transcription

1 MINUTES OF THE BOARD April 18, 2013 North Country Community Mental Health Board Room 1420 Plaza Drive Petoskey, Michigan BOARD MEMBERS PRESENT: Sue Allor, George Anthony, Bob Boyd, Debra Kimball, Paul Liss, Dan Plasencia, Louis Scholl, Sr. Augusta Stratz, Karla Sherman, Christian Marcus, Dennis Priess BOARD MEMBERS ABSENT: Joel Evans, Ed Ginop STAFF: GUESTS: Alexis Kaczynski, David Schneider, Joan Booth, Donna Wheeler Jim Haveman and Mark Miller, Michigan Department of Community Health, Linda Boyd Ms. Sherman called the meeting to order at 4:30 p.m. ROLL CALL Ms. Sherman welcomed the Board members and staff to the meeting and introduced Jim Haveman and Mark Miller. The staff and board members introduced themselves. Ms. Sherman mentioned her previous role as Chair of the Developmental Disabilities Council. PUBLIC COMMENT There was no public comment. CONSENT AGENDA Financial Statement Provider Operations North Country CMH: Balance on Hand, Feb. 28, 2013 $6,688, Receipts, Adjustments & Transfer, March $3,403, Total Disbursements & Adjustments, March $3,706, Decrease in Cash Balance $ 302, Balance, March 31, 2013 $6,385, * Approximately $3,683,511 has been advanced from the State of Michigan and has been encumbered for outstanding bills.

2 Financial Statement Managed Care Operations North Country CMH: Balance on Hand, Feb. 28, 2013 $9,619, Receipts, Adjustments & Transfer, March $6,311, Total Disbursements & Adjustments, March $6, Decrease in Cash Balance $ 580, Balance, March 31, 2013 $9,038, * Included in the balance is the Medicaid Internal Service Fund Balance of $5,336,379. MOTION BY LOUIS SCHOLL, SECOND BY ROBERT BOYD, TO APPROVE THE CONSENT AGENDA. MOTION CARRIED. Information (I) Items from Committee Reports Information items were included in the committee minutes. Privileging Recommendations There was one privileging item to be approved by the Board. COMMITTEE RECOMMENDATIONS BOARD ACTION Program Committee Ms. Sherman reviewed the Risk Management Report. Ms. Sherman reviewed the Annual Needs Assessment which is submitted to the Department of Community Health. Ms. Kaczynski reviewed the final draft of the Operating Agreement for the new regional entity for the benefit of the Board members. She explained the four documents that will form the foundation of the new regional entity/pihp. She reviewed the composition of the Governing Board of the Regional Entity and explained that it is comprised of three members of each of the five CMH boards. The Operating Agreement requires the approval of all five boards because it is appended to the bylaws. She discussed it in Operations Committee and with the Program Committee. A question was asked about the number of staff that will be utilized and how would they be housed and supervised. Ms. Kaczynski explained that at this time this is not finalized. MOTION BY KARLA SHERMAN TO APPROVE THE FINAL DRAFT OF THE OPERATING AGREEMENT FOR THE NEW REGIONAL ENTITY. MOTION CARRIED. Ms. Sherman referred to the Application for Participation (AFP). Ms. Kaczynski indicated that Mr. Schneider prepared an executive summary and he reviewed it for the board. He explained that at this time North Country CMH is the hub of the affiliation and Northern Lakes is the hub of their Affiliation. There are five boards and he explained how, without staff on board, they proceeded to develop this AFP.

3 It was submitted to the Department on April 1. He explained what was contained within this document and why it was written the way it was. There will be additions to the contract and there is a clear move to make the PIHP s like the Medicaid Health Plans. There will be sanctions in the contract and they are stronger than what has existed previously and will be enforced. He reviewed each section of the application. A flow chart had to be submitted from the PIHP to the CMH s. He discussed the administration functions and explained the external quality review. He discussed the crisis response system and reviewed the policy initiatives of health and welfare. The final section is about recovery. A question was asked by Mr. Marcus about block grant applications and Mr. Schneider said that they are submitting a grant. MOTION BY KARLA SHERMAN TO APPROVE THE APPLICATION FOR PARTICIPATION (AFP) AND ITS SUBMISSION. MOTION CARRIED. Finance Committee Mr. Plasencia reviewed the Deficit Elimination Plan for the Affiliation Fund. MOTION BY DAN PLASENCIA TO APPROVE THE DEFICIT ELIMINATION PLAN FOR THE AFFILIATION FUND. MOTION CARRIED. Mr. Plasencia reviewed the request for the purchase of an ARJO lift for Gaylord Alpine Workshop. MOTION BY DAN PLASENCIA TO APPROVE THE PURCHASE OF AN ARJO LIFT IN THE AMOUNT OF $7, MOTION CARRIED. Mr. Plasencia reviewed the updates to two finance policies: Insurance Policy and Internal Service Funds Policy. MOTION BY DAN PLASENCIA TO APPROVE THE INSURANCE POLICY AND INTERNAL SERVICE FUNDS POLICY CHANGES. MOTION CARRIED. Mr. Plasencia reviewed and explained the need for the purchase of the Transaction Validation Manager Tool that will assist in following the requirements by MDCH for reporting encounter data. MOTION BY DEBRA KIMBALL, SECOND BY ROBERT BOYD TO PURCHASE THE TRANSACTION VALIDATION MANAGER TOOL NOT TO EXCEED $106,187 OVER A PERIOD OF THREE YEARS. MOTION CARRIED WITH TWO OPPOSED (CHRISTIAN MARCUS, SUE ALLOR). Mr. Plasencia reviewed the information regarding the purchase of a copy machine. MOTION BY DAN PLASENCIA TO APPROVE THE PURCHASE OF A COPY MACHINE FOR THE BELLAIRE OFFICE IN THE AMOUNT OF $6,837. MOTION CARRIED. Nominating Committee Mr. Scholl reported that the Nominating Committee recommended officers as follows: Ed Ginop, Chair Karla Sherman, Vice Chair Sr. Augusta Stratz, Secretary

4 The nominations were called three times. MOTION BY LOUIS SCHOLL, SECOND BY DAN PLASENCIA, TO APPROVE THE SLATE OF OFFICERS. MOTION CARRIED. ACTION ITEMS WITHOUT COMMITTEE REVIEW There were no action items this month. PRESENTATION News from Lansing Jim Haveman, Director, Michigan Department of Community Health Mr. Haveman introduced Mark Miller, Director of Public Health, and explained that he is the liaison to all the local health departments for the state. He indicated that he and Ms. Kaczynski are longtime friends and he likes what she does up here. He reviewed the background of the battles they were fighting in their earlier years and indicated how well this Board has come along. He feels it is wholesome and healthy and this is a landmark day to act on the Northern Michigan Regional Entity and the AFP. It shows the trust level and is a major achievement. The state is in a period of significant change and it is what brought him back to the Department. The Governor called him back and he is very persuasive. He was very complimentary of Governor Snyder and his management style. He discussed what can be done for people to help keep them from hospitals. He is committed to local input and consumer involvement. When the AFP was put together he insisted that the bar be raised. Data systems will be very important. He feels there has to be an expansion of services. Mr. Haveman indicated that he has known Ms. Sherman for a long time and he likes to keep the historical knowledge which has been lost in the legislature because of time limits. When he worked in Iraq the total budget for a year for health was $16 million and that much is spent each day in Michigan. He wants standardization and he explained where the state is heading with Medicaid to establish some equity. He feels that there is more support for urban areas than there is for rural areas and he is committed to and supportive of rural areas. He provided a handout on Medicaid Expansion. He explained how 20% of businesses have dropped health care for their employees in the last 10 years. He referred to the handout and described services that are being given. He referred to the chart on Medicaid. He described the politics of the affordable care act and how help can be given to persons without insurance. He explained that there is limited support in the legislature to expand Medicaid so they are working on designing a Michigan plan called the Healthy Michigan plan that will have some clear contracts for pre-existing conditions. If a person is compliant they will get a reduction in their premium and if they are compliant for a full year they may receive a little bonus in the mail. This will not be voted on until the end of May. It will help get people early on before they get into the sickest mode. Ms. Sherman indicated that the most profound issue was how a person identified what was wrong and how he/she could help in his/her own care. He referred to the autism benefit and how that is helping. He also indicated that there is money put aside for children who do not fit into the slots like those who are in the juvenile justice system. Mr. Scholl felt it was a very encouraging report. Ms. Kaczynski indicated that she discussed Healthy Michigan last month and board and staff members have been advocating for support in the legislature. She did write legislators and has heard from Senators Howard Walker and John Moolenaar.

5 Mr. Miller introduced himself and gave a history of his professional background. He is impressed with how well community mental health boards integrate and work together to develop services. OLD BUSINESS Ms. Sherman reminded the Board members about the Michigan Association of Community Mental Health Boards conference to be held in Grand Rapids and indicated they have asked for a list of voting delegates. Sr. Augusta Stratz and Karla Sherman will be the delegates representing North Country CMH. Ms. Kaczynski talked about the CMH PAC and is gratefully accepting more donations. She also reiterated that she will match any donation that is made. NEW BUSINESS There was no new business. DIRECTOR S REPORT/COMMUNICATIONS This was included in the packet. She visited the Antrim County Board of Commissioners and filled them in on the new regional entity. She would like to visit each county to explain the new entity and hoped that the commissioner members take this information back to their commission meetings. Every May the agency celebrates Mental Health Month and Ms. Kaczynski referred to the poster of what activities are held for that event. It is a fun day and Ms. Sherman encouraged people to attend. AFFILIATION (MANAGED CARE OPERATIONS) REPORT Mr. Schneider provided an update to the Board on the functions of the PIHP. He indicated that everything he had to report was included in the packet and he had no more information at this time. LONG RANGE PLAN/QUALITY IMPROVEMENT UPDATES Ms. Gebhard was not in attendance and there was no report. Ms. Kaczynski asked the Board about Mr. Haveman s visit. The comments were all positive and the board members were very impressed with his manner and his credentials. It is hope he will visit in the future. MOTION BY, CHRISTIAN MARCUS, SECOND BY LOUIS SCHOLL, TO ADJOURN THE MEETING AT 6:15 P.M. MOTION CARRIED. Karla Sherman, Vice-Chair