MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING February 22, :00 p.m. Draft Agenda

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1 MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING February 22, :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 January 25, 2017 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. Board Concerns a. Executive Director and Organization Evaluation b. Organizational Sustain Stability and Budget Funding c. Sustain Deliver of High Quality Service IX. Presentations, Recognitions, and Celebrations a. FY2016 Annual Submission (handout) 10 min b. State of Michigan Good Government Award Virginia Hummel 5 min c. Recognition of Administrative Services X. Board Committee Reports 2 min a. Consideration to Place on File All Written Committee Reports i. Finance & Facilities Written Minutes ii. Performance Evaluation Written Minutes iii. Program & Planning Written Minutes XI. Items for Board Action 10 min a. Consideration to Approve the Consent Agenda Less Item i. Service Contracts as Presented Page 1 of 26 LJ/dp

2 XII. Relationship with the Region, County, and Others 2 min a. Regional Reports i. Regional PIHP Board Meeting Written Minutes XIII. Items from the Executive Director 10 min a. Financial Report b. Executive Director s Report (handout) XIV. New Business 5 min XV. Citizen Comments 3 min/person XVI. Announcements by Board Members 12 min XVII. Adjournment 1 min The next scheduled Regular Meeting is 5:30pm, Wednesday, March 22, 2017 in the Monroe Community Mental Health Authority Aspen Room. 2/15/17, 4:20 p.m. Page 2 of 26 LJ/dp

3 BOARD OF DIRECTORS REGULAR MEETING MINUTES January 25, 2017 Present: Excused: Greg Lane, Chairperson; Sandy Libstorff, Vice Chairperson; Bill Henning, Secretary (arrived at 6:11pm); Nicole Cronenwett; David Stephens; Jim Neumann; LaMar Frederick; Charles Londo; Rusty Shorter; and Gloria Rafko Pam Ray and Susan Fortney Unexcused: Staff: Guests: Lisa Jennings 8 guests were present I. CALL TO ORDER The Board Chairperson, Greg Lane, called the meeting to order at 6:00 p.m. Greg Lane appointed LaMar Frederick as the Secretary Pro-tem. II. ROLL CALL The Roll Call confirmed a quorum existed. III. PLEDGE OF ALLEGIANCE The Pledge of Allegiance was led by Jim Neumann. IV. CONSIDERATION TO ADOPT THE DRAFT AGENDA AS PRESENTED Charles Londo requested to add under Item XIV: New Business the topic of Meeting Time Greg Lane requested to add under Item XIV: New Business the topic of Political Action Committee (PAC) LaMar Frederick moved to adopt the draft amended agenda as presented. Nicole Cronenwett supported. Motion carried unanimously. V. CONSIDERATION TO APPROVE MINUTES LaMar Frederick moved to approve the minutes of the December 21, 2016 Regular Meeting and waive the reading thereof. Nicole Cronenwett supported. Motion carried unanimously. VI. FEEDBACK SUMMARY Greg Lane reviewed the December Board Feedback Summary. VII. CITIZEN COMMENTS There were no citizen comments. Page 3 of 26

4 Monroe Community Mental Health Authority Board Meeting Minutes January 25, 2017 VIII. PURPOSE (VISION) OF THE MONROE COMMUNITY MENTAL HEALTH AUTHORITY a. The next Board Workshop is scheduled for Saturday, February 18, 2017 from 9:00am to 2:00pm. Bill Henning arrived at 6:11pm. IX. PRESENTATIONS, RECOGNITIONS, AND CELEBRATIONS a. Office of Recipient Rights Annual Report Lisa Jennings introduced Shelly Koyl and Coy Hernandez, Recipient Rights Officers who presented the Office of Recipient Rights Annual Summary and Recommendations. b. New Directions Presentation Lisa Jennings introduced Jim Rye, Supervisor for New Directions. New Directions will become an independent agency as of March 1, 2017 and Mr. Rye will become the Director. Mr. Rye presented on their progress and vision for the future of New Directions to help serve those in Monroe County. X. BOARD COMMITTEE REPORTS a. Consideration to Place on File Written Committee Reports LaMar Frederick moved to place on file all written committee reports. Gloria Rafko supported. Motion carried unanimously. Written Minutes placed on file were: Finance & Facilities January 18, XI. ITEMS FOR BOARD ACTION a. Consideration to Approve the Consent Agenda Less Item Sandy Libstorff moved to approve the Consent Agenda. David Stephens supported. Roll call: In favor: Henning, Cronenwett, Stephens, Neumann, Frederick, Libstorff, Lane, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. Items approved: Administrative and Service Contracts as presented. b. Consideration to Approve the Purchase of Nine Chevrolet Cruzes Totaling $164,691 for the MCMHA Fleet Rusty Shorter moved to approve the purchase of nine Chevrolet Cruzes totaling $164,691 for the MCMHA Fleet. Sandy Libstorff supported. Roll call: In favor: Henning, Cronenwett, Stephens, Neumann, Frederick, Libstorff, Lane, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. c. Consideration to Approve Bill Henning, Sandy Libstorff, and Jim Neumann to Attend the NCCBH Conference in Seattle, WA Beginning April 2, 2017 through April 5, 2017 Gloria Rafko moved to approve Bill Henning, Sandy Libstorff, and Jim Neumann to attend the NCCBH Conference in Seattle, WA beginning April 2, 2017 through April 5, Rusty Shorter supported. Discussion followed. Roll call: In favor: Henning, Cronenwett, Stephens, Neumann, Frederick, Libstorff, Lane, Londo, Shorter, Rafko, and Fortney; opposed: none, motion carried unanimously. d. Consideration to Approve up to Two Board Members to Attend the MACMHB Winter Conference in Kalamazoo, MI Beginning February 6, 2017 through February 8, 2017 Sandy Libstorff moved to approve up to two Board Members and an alternate to attend the MACMHB Winter Conference in Kalamazoo, MI beginning February 6, 2017 through February 8, Jim Neumann supported. Roll call: In favor: Henning, Cronenwett, Stephens, Neumann, Frederick, Libstorff, Page 4 of 26

5 Monroe Community Mental Health Authority Board Meeting Minutes January 25, 2017 Lane, 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. XIII. ITEMS FROM THE EXECUTIVE DIRECTOR a. Financial Report Jeff Koras was available for questions regarding the Financial Report. b. Executive Director s Report Lisa Jennings commented on: Crossroads Clubhouse grant for training; a staffing update; Section 298; Medicaid Block Grants; the University of Michigan TRAILS program; and medication review clinic times on site at the Intermediate School District (ISD). XIV. NEW BUSINESS a. Meeting Time Charles Londo requested that the Board Meeting begin at 5:30pm beginning with the February 22, 2017 meeting. Discussion followed. Charles Londo moved to adjust the monthly Board Meeting from 6pm to begin at 5:30pm beginning with the February 22, 2017 meeting. Jim Neumann supported. Motion carried unanimously. b. Political Action Committee (PAC) Greg Lane stated there is a contest between different Board of Directors to raise money for a political action group for the Michigan Association of Community Mental Health Boards (MACMHB). There is a certain amount of Board Members that need to donate to be considered for the grand prize of Detroit Tiger tickets. Greg Lane asked Board Members if they had interest in participating as a full Board. The full Board agreed they would not participate but may donate as an individual. XV. CITIZEN COMMENTS There were no citizen comments. XVI. ANNOUNCEMENTS BY BOARD MEMBERS Board Members wished everyone a Happy Valentine s Day. Nicole Cronenwett commented that Trinity is excited to partner with the Chamber of Commerce and Monroe Bank & Trust to have Dr. Timbers provide Leadership Development for youth ages Saturday, January 28 th beginning at 7pm in the La-Z-Boy Center/Meyer Theater there will be three sessions on how to better interact with children and develop them into leaders. Nicole invited Board Members to attend and provided a brochure and tickets. Jim Neumann commented on Section 298. XVII. ADJOURNMENT David Stephens moved to adjourn at 7:33pm. Rusty Shorter supported. Motion carried unanimously. Submitted by, LaMar Frederick Secretary Pro-tem LJ/dp 1/31/17 Page 5 of 26

6 BOARD FINANCE & FACILITIES COMMITTEE Wednesday, February 15, :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 Pam Ray Rusty Shorter Susan Fortney Gloria Rafko Bill Henning David Stephens Sandy Libstorff Jim Neumann Charles Londo, Chair Greg Lane (Ex-Officio) DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 5:00pm by Charles Londo. Charles Londo, Bill Henning, Susan Fortney, Gloria Rafko, Jim Neumann, Rusty Shorter, David Stephens, Sandy Libstorff, Lisa Jennings, Jeff Koras, and Beth Didario were present. Pam Ray and Greg Lane were excused. II. ITEMS FOR BOARD ACTION (Consent Agenda) a. Administrative Contracts n/a b. Service Contracts Amend contract for the Comprehensive Services for the Developmentally Disabled, Inc. was presented by Beth Didario (recommend approval). III. FACILITIES UPDATE IV. FINANCIAL REPORTS a. Finance Committee Indicators 1 st Quarter - Jeff Koras presented the 1 st Quarter Indicators. The Average Cost Per Case and General Fund Indicators cannot be reported on due to the State CHAMPs system crash as data is currently unavailable. i. Administrative Cost ii. Cost Per Case iii. Fund Balance iv. General Fund b. The following FY Budget Reports were presented by Jeff Koras: Budget-to-Actual, Balance Sheet, Cash Flow, Investments, and Board Budget. Recommend Board Approval. Jeff Koras commented that the State CHAMPs system should be up and running by March 6, The CHAMPs system crash has been effecting accurate budget reporting for Medicaid and General Fund consumers. V. PARKING LOT VI. INFORMATIONAL ITEMS a. RFP for County Retiree Health Jeff Koras commented that the Retiree Health Board has sent out the RFP to reevaluate retiree funds. VII. PUBLIC COMMENTARY VIII. ADJOURNMENT The meeting adjourned at 5:39pm. The next meeting of the Finance & Facilities Committee is scheduled for Wednesday, March 15, 2017 at 5pm in the Aspen Room. Respectfully submitted, Charles Londo dp 2/16/17 Committee Chair Page 6 of 26

7 BOARD PERFORMANCE EVALUATION COMMITTEE Tuesday, February 14, :00pm MAJOR COMMITTEE RESPONSIBILITIES 1. Compile quarterly performance measures for Executive Director. 2. Compile quarterly performance measures for the Board. COMMITTEE MEMBERS Board Chair Bylaws/Policies Chair Finance/Facilities Chair Program & Planning Chair DRAFT MINUTES I. CALL TO ORDER The meeting was called to order by Greg Lane at 5:00pm. Greg Lane, Charles Londo, Bill Henning, Susan Fortney, and Lisa Jennings were present. II. REVIEW PERFORMANCE EVALUATION TOOL a. The Executive Director Performance Evaluation Tool was updated to reflect the goals against the current Strategic Plan as requested by the Committee at their last meeting. The Committee reviewed the updates and with a few tweaks to the Performance Factor definitions the committee agreed in consensus to move forward. b. The Committee reviewed the Performance Factor definitions and made recommendations c. The Committee reviewed the activity timeline and will set dates at their next meeting. d. The Evaluation Tool will be brought to the full Board for approval once updated and the timeline is set. III. ADJOURNMENT The meeting adjourned at 7:03pm. Next Meeting is scheduled for March 14, 2017 beginning at 5:00pm in the Aspen Room. Respectfully submitted, Greg Lane Performance Evaluation Committee 2/16/17 Page 7 of 26

8 BOARD PROGRAM & PLANNING COMMITTEE Wednesday, February 1, :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 Ray, Pam Lane, Greg (Ex-Officio) Fortney, Susan, Chair Shorter, Rusty Libstorff, Sandy Henning, Bill Rafko, Gloria Stephens, David Neumann, Jim Cronenwett, Nicole DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 5:00pm by Susan Fortney. Greg Lane, Gloria Rafko, Bill Henning, Susan Fortney, Sandy Libstorff, Jim Neumann, Nicole Cronenwett, Pam Ray, David Stephens, and Lisa Jennings were present. Rusty Shorter was excused. II. PROGRAM & PLANNING REPORTS a. Program and Planning Indicators 1 st Quarter Lisa Jennings presented the 1 st Quarter Indicators. 1. Number of Individuals Served The committee agreed they would like to continue to see this Indicator as information only and not part of the Strategic Plan. 2. UM/UR Peer Review The committee suggested Lisa to take this indicator back to the Executive Leadership Team to discuss further. Suggestion: total number of services verse actual services provided by quarter. 3. CAFAS, DLA-20, and Consumer Satisfaction Survey Committee is interested in the number of discharges who has completed services and of those discharged what is the drop-out rate for DLA Wellness Exams and Physical Health Needs Lisa commented that she has requested the UM/UR Department to create a local indicator to show health needs are addressed. 5. Community Survey and Community Workgroups Lisa commented that community workgroups will be reviewed at the next meeting. The committee will give priority to which they want CMH staff to attend and track attendance. 6. Face to Face Time, SALs, and IPOS Timeliness reviewed. 7. Staff Retention reviewed. The committee would like to review the Indicators at the next meeting for further discussion. III. INFORMATIONAL ITEMS IV. PARKING LOT a. Local Consumer Satisfaction Survey (Jul) b. Regional Consumer Satisfaction Survey (Oct) V. ADJOURNMENT/NEXT MEETING The meeting adjourned at 7:09pm. The next meeting of the Program & Planning Committee will be held on Wednesday, March 1, 2017 beginning at 5pm in the Aspen Room. Respectfully submitted, Susan Fortney Program & Planning Chair dp 2/3/17 Page 8 of 26

9 MCMHA Strategic Plan: Consumer/Customer Perspectives PRIORITY: ACCESSIBLE Goal: Community Members will Readily Access Services Measure: Number of Individuals Served Initial Assessments within 14 Days of First Request Number of Intakes Completed Total Number of Individuals that Received Any Service Report: Program & Planning Committee, Quarterly Increase # of Individuals Served Q Q Q Q Q Intakes Completed Individuals Served Initial Assessment within 14 Days of First Request 1.07 Q Q Q Q Q CMH Average Days State Target 14 Days CMH Target 5 Days Page 9 of 26 2

10 MCMHA Strategic Plan: Consumer/Customer Perspectives (Continued) PRIORITY: SERVICE Goal: Consumers will Receive Medically Necessary Services for which they are Authorized Measure: UM/UR Peer Review Services are Provided According to IPOS Started Service within 14 Days of Initial Assessment Discharges from Psychiatric Inpatient seen within 7 days Report: Program & Planning Committee, Quarterly 100% 80% 60% 40% 20% 0% UM/UR 1Q Q Q Q 2017 Services According to IPOS CMH Target 95% Started Service Within 14 Days of Initial Assessment Q Q Q Q Q 2017 CMH Average Days CMH Target 5 Days State Target 14 Days Page 10 of Discharges from Psychiatric Inpatient Seen Within 7 Days Q Q Q Q Q 2017 CMH Average Days CMH Target 5 Days State Target 7 Days 3

11 MCMHA Strategic Plan: Consumer/Customer Perspectives (Continued) PRIORITY: OUTCOMES Goal: Consumers Shall Achieve their Desired Outcomes Measure: CAFAS, DLA-20, and Consumer Satisfaction Survey Report: Program & Planning Committee, Quarterly 100% 80% 60% 40% 20% 0% CAFAS 58% 4Q Q Q Q Q 2017 CAFAS State Threshold 100% 50% 62.50% DLA-20 (Discharged with Increase in Score) 52.17% 100% Consumer Satisfaction Survey (Overall Average % on Questions/Sample Size 30) 94.09% 96.82% 93.80% 95.98% 94.75% 83.51% 88.07% 62.50% 0% 4Q16 1Q17 2Q17 3Q17 4Q17 Total % DLA-20 Score Increase Page 11 of 26 0% FY2015 FY2106 FY2017 DD Guardians DD Consumer MI Adult Child 4

12 MCMHA Strategic Plan: Consumer/Customer Perspectives (Continued) PRIORITY: INTEGRATED HEALTH Goal: Consumers Health Needs are Addressed as Part of Treatment Measure: Year 1 Develop a System to Track Wellness Exams Year 2 Set Consumer Goal and Measure Measure: Peer Review Indicator Report: Program & Planning Committee, Quarterly 100% 80% 60% 40% 20% 0% Track Wellness Exams 50% 1Q Q Q Q 2017 Development Target 100% 80% 60% 40% 20% 0% Physical Health Needs Addressed 1Q Q Q Q 2017 Peer Review Language Local Target 95% Page 12 of 26 5

13 MCMHA Strategic Plan: Consumer/Customer Perspectives (Continued) PRIORITY: COMMUNITY PARTNERSHIPS Goal: Recognized by Community as a Trusted and Competent Behavioral Health Organization (BHO) Measure: Year 1 Develop and Implement a Community Survey Targeting Stakeholders Year 2 Survey - Annually Measure: Year 1 Determine Community Workgroups that are Priority for MCMHA Participation Goal 80% Attendance Year 2 Actual Attendance - Quarterly Report: Program & Planning Committee, Quarterly 100% 80% 60% 40% 20% 0% Community Survey 1Q Q Q Q % 80% 60% 40% 20% 0% Community Workgroups 85% 1Q Q Q Q 2017 Development Target Actual Attendance Target 80% Page 13 of 26 6

14 MCMHA Strategic Plan: Internal Processes Perspectives PRIORITY: STANDARDIZED AND EFFICIENT INTERNAL PROCESSES Goal: Internal Processes Support Staff Measure: Face to Face Time, SAL Timeliness, and IPOS Timeliness Report: Program & Planning Committee, Quarterly 50% 40% 30% 20% 10% 0% Face to Face Time (By Quarter, Not Rolling Total) 20.79% 21.14% 4Q Q Q Q Q 2017 Agency Overall Average Target SALs (By Quarter Only, Not Rolling Total) Q Q Q Q Q % 80% 60% 40% 20% 0% IPOS Timeliness 78% 89% 4Q Q Q Q Q 2017 CMH Average Days CMH Target 1 day Page 14 of 26 IPOS CMH Target 100% 7

15 MCMHA Strategic Plan: Staff Perspectives PRIORITY: STAFF RETENTION Goal: MCMHA will Recruit and Retain Competent Staff Measure: Staff Retention Target Benchmark and Compare Responses from Annual Employee Satisfaction Survey Measure: Staff Turnover Report: Program & Planning Committee, Annually Employee Satisfaction Survey: Key Questions Turnover % Q.72. I have thought of resigning in the last six months. Q.3 I look forward to coming to work each day. * Q.1 All in all, I am satisfied with my job. * 38% 51% 75% 59% 84% 73% 30% 25% 20% 15% 10% 5% 0% 20.60% 19.30% 9.00% % 20% 40% 60% 80% 100% CMH Turnover CMH Turnover Target 15% Page 15 of 26 8

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17 Attachment #1 March 2017 COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN REGULAR BOARD MEETING MINUTES February 8, 2017 Members Present: Members Absent: Staff Present: Charles Londo, Ralph Tillotson, Sharon Slaton, Lisa Berry-Bobovski, Sandra Libstorff, Barb Cox, Greg Lane, Kent Martinez-Kratz, Judy Ackley Bob Wilson, Charles Coleman, Martha Bloom Connie Conklin, Jane Terwilliger, Katherine Szewczuk, Stephannie Weary, Marci Scalera, Lisa Jennings, Trish Cortes, Suzanne Stolz, James Colaianne, Matt McDaniels, Kristen Ora Others Present: I. Call to Order Meeting called to order at 6:00 p.m. by Board Chair Ralph Tillotson II. III. Roll Call A quorum of members present was confirmed. J. Ackley arrived after roll call, at 6:10. G. Lane attended by phone until his arrival in person at 6:35. Consideration to Adopt the Agenda as Presented Motion by S. Slaton, supported by B. Cox, to approve the agenda Motion carried IV. Consideration to Approve the Minutes of the January 11, 2017 Regular Meeting and Waive the Reading Thereof Motion by L. Berry-Bobovski, supported by S. Slaton, to approve the minutes of January 11, 2017 Regular Meeting and waive the reading thereof Motion carried V. Audience Participation None VI. Old Business a. February Finance Report S. Stolz presented the report. Discussion followed. G. Lane requested a brief memo that outlines the specific challenges with the CHAMPS system, the possible impacts of these challenges, and the state departments that are involved. J. Terwilliger agreed to provide this information. b. Annual CEO Performance Review Update L. Berry-Bobovski provided an update on the CEO evaluation. Page 17 of 26

18 Attachment #1 March 2017 Motion by L. Berry-Bobovski, supported by S. Libstorff, to accept CEO J. Terwilliger s evaluation results for the 2016 objectives, with an overall satisfactory score of 94.4% Motion carried The CEO Evaluation Committee would like to continue and proposes to put together a revised evaluation system over the next 2 months. The proposed changes will include scoring, an area for comments, and possibly the inclusion of others, in addition to board members. Motion by S. Slaton, supported by S. Libstorff, to approve the continuation of the CEO Evaluation Committee for the purpose of revising the CEO evaluation process Motion carried VII. New Business, a. Board Action Request i. Consideration to approve the amendment to the Hegira contract for SBIRT case manager and peer services at Hope Clinic ii. Consideration to approve the amendment to the Home of New Vision Contract for the implementation of a Recovery Community Organization (RCO) iii. Consideration to approve the amendment to the Catholic Charities of Southeast Michigan contract for the Enhancement Treatment Services to Pregnant Women program Motion by J. Ackley, supported by L. Berry-Bobovski to approve all 3 contract amendments listed above (agenda items i, ii, and iii) Motion carried Ackley Y Libstorff N Berry-Bobovski Y Londo Y Bloom Absent Martinez-Kratz Y Coleman Absent Slaton Y Cox Y Tillotson Y Lane Y Wilson Absent VIII. IX. PIHP CEO Report to the Board S. Slaton suggested having additional education for board members in such areas as the budget. G. Lane requested more budget education, particularly for the SUD side of the agency. Adjournment Page 18 of 26

19 Attachment #1 March 2017 Motion by G. Lane, supported by K. Martinez-Kratz, to adjourn the meeting Motion carried Meeting adjourned at 7:50 p.m. Barbara Cox, CMHPSM Board Secretary Page 19 of 26

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