Eric M cbride Joseph Schnapp, Jr. Member Mobeen Rathore, M.D. Present: Patrick Flaherty Absent: Tyrone Nolan

Transcription

1 METROPOLITAN JACKSONVILLE AREA HIV HEALTH SERVICES PLANNING COUNCIL Minutes Ryan White Title I Program Norwood Avenue Jacksonville, FL (904) :00 p.m. Present: Deadra Green, Co-Chairperson Ken Fields Richard Niemann, Parliamentarian Allen Freeman Curtis Montgomery, PLWHA Representative Antoinette Turner Juanita Parker-Trice, Secretary David Andress Robert Nichelson Sue Osborne Mark Cleveland Michael Cochran Terri Poster-Taylor Patricia Sampson Rev. Leon Seymore Tony Davis Reginald Gaffney Michael Sands, M.D. Excused: Frank Emanuel, Co-Chairperson Dottie Hudson Elizabeth Means Jacqueline Nash Gilbert Owens Diane Leonard Eric M cbride Joseph Schnapp, Jr. Member Absent: Mobeen Rathore, M.D. Patricia Smith Jean Pettis Andrew Richie Connie Tharp Marie Riley Derya Williams Mary Stokes-Outing Proxy Proxy Present: Patrick Flaherty Absent: Tyrone Nolan Proxy Excused: Ulysses Milledge Staff Present: Pat Alexander Dee Kelley Mary Martinez Richard Dorman Tom Joyner, Acting Chief I. Meeting Called to Order...Deadra Green The meeting was called to order by the presiding co-chairperson at 4:15 p.m. II. Roll Call...Juanita Parker-Trice Ms. Juanita Parker-Trice called roll and a quorum was declared. Proxy member Patrick Flaherty was called to the table.

2 III. IV. Moment of Silence... Public/ Ms. Green asked members to observe a moment of silence for individuals who have died of HIV and for those living with and affected by the disease. Approval of the August 28, 2003 minutes... Ms. Green asked for a motion to approve the August minutes as presented. There being no corrections or discussion, the minutes were unanimously approved. V. Public Comments...Public Mr. Lynn Selzer reminded members about the World AIDS Day Luncheon to be held December 5, 2003 at the Schultz Center at 11:30 a.m. There will also be awards given to individuals from different categories. Ballots are available and should be faxed to Lynn Selzer at (904) or drop off to Angela Garner at the Riverside Health Care Center, 2160 Park Street or Nia Rose at Boulevard Comprehensive Care Center. For information, please call (904) VI. Administrative Agency Report...Dee Kelley Ms. Kelley introduced the new chief of the Mental Health and Welfare Division, Tom Joyner. She also stated that the contact for the Mayor is Ms. Kerri Stewart, Staff Director. She introduced Ernestine Pemberton who will be replacing Glenda Dennis effective October 6 th. Mr. Joyner took the opportunity to say a few words to the council and gave them a brief background about himself. Ms. Kelley stated that with the upcoming recommendations for reauthorization, included in the council packet is the information to our US Congressmen and Congresswomen. She urges everyone to use the information for any questions pertaining to the funding. The results of the Administrative Agency evaluation will be presented at the next meeting. The request for renewal proposals for Title I/MAI and Title II/GR funds will be sent out next week for service providers to respond to by November 21. Finally, there will be no Planning Council or Provider meetings in the month of October because staff will be busy writing the Title I grant application, which is due in Washington on October 24 th. Meetings will resume the first week in November. VII. Committee Reports Technical Committee...Dick Niemann The committee met on September 11, At the meeting, Ms. Kelley presented members with a recommendation to reallocate $160,000 in FY 2003 funds from Outpatient Medical, Oral Health, Early Intervention and Nutrition to Medications, Home Health, and Transportation. Mr. David Andress requested that the committee reconsider the recommendations of staff in light of the fact that BCCC is facing a budget shortfall. However, if the health department could not get the remaining $200,000 from another funding source, BCCC would have to take some drastic measures to cut this amount from their budget. At this time, the committee agreed to table the recommendation to reallocate and they scheduled another meeting for September 22 nd. The committee met again on September 22, Ms. Kelley stated that she had spoken with David Andress and Selina Agnew, both of the Health Department, and revised the recommendation for reallocating FY 2003 funds. The new recommendation is to reallocate $130,000 from Oral Health, Early Intervention, and Nutrition to Outpatient Medical. There 2

3 is also, $70,000 in unexpended Outpatient Medical funds that will be reallocated from one provider to another and does not require action by the Planning Council. Dr. Michael Sands provided a presentation to the committee that included funding across Ryan White funded medical providers, including the current budget situation at Boulevard Comprehensive Care Center (BCCC). See attached a copy of the presentation. The committee requested assurance that if the Planning Council approved the health department s request for additional funding, that BCCC will be able to balance its budget for the remainder of the RFP period, which is 2 ½ years. Duval County Health Department will be required to submit a revised budget for FY 2003 and proposed balance budgets for FY 2004 and FY There was discussion regarding the estimated shortfall in funding for medications of $123,000. Ms. Kelley stated that there were several options to resolve the problem. There are always funds remaining at the end of the fiscal year that the Planning Council allocates to medications and there is the possibility that Title II/GR will have unexpended funds to allocate to medications. There is also a need for the Eligibility Committee to take a look at the drug formulary as well as the medications that Ryan White is currently purchasing. The Technical Committee approved staff s recommendation to reallocate $130,000 from Oral Health, Early Intervention, and Nutrition to Outpatient Medical. Mr. David Andress abstained from voting. The committee is requesting Planning Council approval to reallocate FY 2003 funds as presented. Mr. Mark Cleveland made the motion to accept the recommendation as presented, Ms. Sue Osborne seconded, there was no discussion and the motion was approved. Dr. Michael Sands abstained. Nominating Committee... Derya Williams The committee met on September 5 th. Ms. Williams stated the committee interviewed Mr. M. Lynn Selzer and Ms. Toni Pryor. The committee unanimously approved Lynn Selzer for membership to the Planning Council and recommends him for Council approval. A motion was made, and seconded approving Lynn Selzer for membership to the Planning Council. The committee also recommends Ms. Toni Pryor for membership to the Planning Council proxy pool. A motion was made, and seconded approving Toni Pryor for membership to the Planning Council proxy pool. Mr. Selzer s application and council recommendations will be forwarded to the Mayor for consideration and subsequent appointment. Ms. Connie Tharp of Clay County Public Health Department has resigned. Ms. Williams said the committee developed and recommends the 2004 Slate of Officer s to the Planning Council. Nominations will be accepted from the floor as the Slate is being read. Co-Chairpersons vote for 2 candidates Frank Emanuel Gilbert Owens Curtis Montgomery Joe Schnapp, Jr. (self nominated) Dick Niemann (nominated from the floor) Write-in Secretary vote for 1 candidate Juanita Parker-Trice Derya Williams Write-in 3

4 Treasurer-vote for l candidate Jackie Nash Mark Cleveland (nominated from the floor Write-in PLWH Representative-vote for 1 candidate Curtis Montgomery Patrick Flaherty (nominated from the floor) Mark Cleveland (nominated from the floor) Eric Bride (nominated from the floor) Write-in A member asked if someone would explain the selection process. Following discussion, the chair stated that the 2004 Slate of Officers would represent the first reading. The committee reviewed the Planning Council membership roster and recommends the following members to serve an additional term on the Planning Council. Dottie Hudson- St. Johns County Public Health Rep. Jackie Nash- Prevention Representative Elizabeth Means-Hospital Representative Joseph Schnapp, Jr.-Affected Community Rep. Curtis Montgomery- Affected Community Rep. The Planning Council discussed each member separately and all were approved as recommended by the committee. The recommendations will be forwarded to the Mayor for final consideration and re-appointment. Finally, the committee announced that Ms. Mary Stokes-Outing, a member of the Planning Council since 1994 has resigned to allow other PLWAHs an opportunity to serve. Her resignation was accepted. unanimously approved Ms. Stokes to serve as an Ex- Officio member to the Planning Council. Formula Committee Deadra Green No action required. See committee report attached. By-laws Committee Sue Osborne The committee met on September 4, The committee will be reviewing every Section of the Bylaws over the next 6-8 months to bring it in line with our current practices. Because of a need, the grievance procedure was reviewed first. The committee recommends deleting current language in Article XIV Grievance Procedures- Sections I-VI and replace it with new Sections I-III as listed below. This represents the first reading. Section I. In accordance with the Care Act, the council has procedures for addressing grievances, including procedures for submitting grievances and successive stage of the process, up to binding arbitration. These procedures are consistent with state and local laws. 4

5 Section II: Section III: For purposes of these by-laws, a grievance is a formal expression of dissatisfaction about some aspect of the Ryan White Care Act program as implemented, or council action, which is brought to the attention of the planning staff who will refer it to the appropriate reviewing body. It is the intent of the planning council to provide fair and impartial assessment and decision regarding grievances. Therefore the council has developed a structured process for grievance procedures, which enables an individual or entity to express dissatisfaction about some aspect of the Ryan White Care Act Program as implemented, or a council action or a decision, to a responsible entity in accordance with approved grievance procedures. Section I detail the types of grievances covered under these procedures. Section II describes who may file a grievance, and Section III describes the intent of the planning council to provide a fair and impartial assessments and decisions. The committee developed a timetable to review the remaining Sections within the bylaws over the next 6 months. The Bylaws amendments as recommended by the committee represents the first reading. VIII. PLWHA...Mark Cleveland/Eric McBride There was none. IX. Unfinished Business... There was none. X. New Business... /Public There was none. XI. XII. Special Presentation... Michael Sands, M.D. Services and New Initiatives at BCCC Due to the lengthy meeting and lateness of the day, Dr. Sands suggested postponing his presentation. agreed and the meeting was postponed until further notice. Announcements/Comments... Ms. Deadra Green stated there is a lack of ADAP funding in some states. As a result, some HIV positive persons are dying. Many states are experiencing long waiting list due to funding shortages. We need to take heed to the encouraging us to respond to Washington concerning flat funding. Ms. Juanita Parker-Trice said the needs assessment was distributed among members. She also thanked all who expressed care during her hospitalization. Mr. Dick Niemann expressed concern over how services for infected persons are being affected. He suggested that it is imperative for clients and patients to stay in care for economical purposes. Ms. Sue Osborne introduced the new executive director of the Rainbow Clinic, Dr. Dell Turner Lewis to the council. Dr Lewis received a warm welcome from members of the Planning Council. 5

6 Mr. David Andreas stated there would be no braids Grant available this year. The STD Clinic has relocated from 5206 Pearl Street to 1833 Boulevard, Suite 500. STD services are also being expanded into other clinics throughout the city of Jacksonville. XIII. Adjournment...Deadra Green As there was no additional business, the meeting was adjourned at 5:30 p.m. Respectfully submitted, Juanita Parker-Trice, Secretary Deadra Green, Co-Chairperson JPT:DG/ewp 6