Preliminary Meeting Items
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1 GROUP: CHSDA Executive Committee DATE: January 5, 2011 TIME: 1:00 PM LOCATION: Center Point Arapaho County Facilitator(s): Attendees: Donna Rohde, Chuck Lemoine, Cheryl Ternes, Cindy Dicken, Catherine Robinson, Don Cassata, Jose Mondragon, Marie Peer, Maria Garcia, By Phone: Lynn Johnson, Larry Henderson, Lezlie Mayer, Kendra Mulch Excused: Unexcused: Preliminary Meeting Items 1 2 Approval of the Agenda Request to add Finance issues to the Agenda Approval of the December CCI/CHSDA Meeting Minutes and December Executive Committee Minutes Motion to approve the minutes by Donna Rohde. Catherine Robinson seconds the motion. All voting members are in favor. Group Group 1 Treasurers Report Calendar year closeout: The billing to Casey for the $35k awarded to CHSDA for calendar year 2010 is due. The funds will cover all startup costs for the website, costs associated with Jennifer Poiliti s hiring and her position to date, office equipment and supplies as well as scholarship funds for the CCI/CHSDA conference in December. Also budgeted for within the $35k grant; a portion of CHSDA Dues for those counties who requested mitigation. CHSDA is doing very well financially. reviewed the 2011 Casey Contract documents with the Executive Committee. described the anticipated outcomes that have been determined for Casey s investment. Funding has been provided in order to help achieve the goal of reducing of OOH placement in Colorado by 50% by 2020 and how we will achieve those goals. asked the Directors to review the document and allow him to execute the contract on behalf of CHSDA. Casey awarded CHSDA $41,450 for this year. Directors who are not in receipt of the contract may contact Jennifer Politi for a copy. Motion to approve the Casey Contract and to give the authority to sign said contract was made by Cheryl Ternes. Donna Rhode seconds the motion. All voting members are in favor. Larry Henderson Executive Committee Minutes - 1/10/11 Draft Page 1 of 6
2 2 Agenda Item #9 CHSDA Brochure Agenda Item #9: CHSDA Brochure: Lezlie Mayer and the Internal Committee have reviewed the brochure and have determined all of the needed information is included. suggested adding graphics, art work, pictures to enhance the design. CHSDA Goals are listed on the brochure. The Goals will be addressed and changed each year and reflected on the brochure. Directors requested the new CHSDA website be highlighted with the website address listed in a couple of places. The Directors indicated to the Internal Committee an overall consensus of a good job so far Lezlie Mayer 3 Agenda Item #7: Federal Healthcare Reform Two documents have been developed by CHSDA. The first document/letter went directly to the Health Reform Implementation Board and Lorez Meinhold. The document/letter requests, cooperation in providing out (the three) agencies with a stronger, more formal role in health reform implementation in Colorado.) May prove to be the beginning of strong collaborations between CHSDA, CALPHO, and CBHC since this collaboration was unprecedented. All three Association Directors signed the document. There are parts of Colorado where these three associations already have strong partnerships. It was noted some mental health centers in the state did not support the counties resistance to regionalization because those centers actually believed it might be a good idea for regionalization to occur. told the Executive Committee there is hope this new relationship will help CHSDA to continue to strengthen that position and partnership with CALPHO and CBHC. Relationships were strained at times after managed care became a reality. It is imperative we strengthen the coalition so that we have a meaningful place at the table when we get down to health care reform. Lorez offered a biweekly meeting with the parties after she received the joint letter Executive Committee Minutes - 1/10/11 Draft Page 2 of 6
3 4 Agenda Item #6 CBMS: Steve Fowler, Michael Brown, Jack Rudd, and Sonjay Shaw IDE (Intelligent Data Entry) will go live January 30 th. CBMS continues to do intensive testing as well as user testing in preparation of the system change. Steve told the Executive Committee he is getting a great deal of feedback during the testing phase as CBMS is starting to move to a new approach. Steve acknowledged the change is scaring people because it is change, however change is good and necessary since CBMS is not hampered by any recent successes. This environment of change is not ideal for new users. In order to focus on what is new to IDE, CBMS will open up the user practice area and UPA. Pilot training will begin next week. CBMS conducted sessions with county representatives during the design sessions. IDE is a compilation from all the sessions/input. The last week of January will be devoted to live webinars so that staff will actually get a live person to sit and interact with them. Steve told the Executive Committee it will not be perfect this first time, however his team knows the difference between what is debilitating to the system and what is personal preference. The long term care window has been redesigned; unearned income has had defaults sets. Two weeks prior to release there will be another debrief to make final decisions. From now on counties will be informed in a timely fashion when the system becomes slow etc. to formally recognize the State knows there is an issue. System sluggishness has everything to do with the Tuxedo environment. CBMS continues to try to stabilize the environment, and the team is getting closer to a base line of what is needed to keep the environment stable. PEAK: Will roll out on Feb 20 th on the State infrastructure system rather than the worldwide web. This decision was made in an effort to control volume and the impact to the counties. No one knows what the impact will be to counties, the help desk, etc. The team has been making changes to PEAK as a result of focus groups. By Feb 20 th those changes will have been implemented. PEAK will change (a lot) over time. The State is looking at a consulting group to help work out the issues with the call center. Steve wants to offer counties the ability to determine how they would like to handle questions that come from the call center. More thought should be given to how to promote PEAK rather than how to control PEAK. PEAK will eventually go to the web. Steve and his team are working on a system change process not only for state systems, but for PEAK as well. No decision has been made regarding piloting PEAK. CBMS has a full on goal to work with Cognos, making it county centric. Approximately 46 weeks of development work have been paid for through collaborative funding. The team is beginning to have a more futuristic view of CBMS rather than a historical view of the system which helps to support his eighteen month plan. Imaging, security redesign, eligibility rules/rules engine, adult protection (based on the IDE structure) are all on the horizon. Program is sitting on enough money to do a lot of the work that needs to be done within the system. Program just does not know how to get the money/work out and done. Senate Bill 68 is concerning to the CBMS Team. County workarounds are the bane of CBMS and the issues that make us nuts. There must be a better coordination between program and IT. Steve will go back and do an analysis of this bill. In reality, it will take 12 months to get done what needs to be done with the rules rewrite. Counties have grown up in the environment of workarounds. CHSDA Executive Committee Minutes - 1/10/11 Draft Page 3 of 6
4 has a formal IT subcommittee. How can CHSDA provide input to CBMS through program, policy, so that counties have seats at the table, Steve believes nothing effective will happen for the counties without the Executive Committee. He believes CHSDA must be the primary point of contact. CBMS needs CHSDA in fact; he believes CHSDA needs his team. 5 Agenda Item #8 Organizational Structure of CHSDA Attorneys Matt Gray and Joe Davis Matt and Joe have an ongoing relationship with Adams County through the Adams County Youth Initiative. The organizational structure of the Youth Initiative seems to be similar to that of CHSDA. Legal status of CHSDA has not been clearly defined. There are legal consequences for each of the possible decisions made for each formalized status the Association might evolve into. CSSDA/CHSDA/Colorado Welfare Directors Association does have an EIN number. Donna Rhode discussed concerns that have been brought to her attention regarding consequences that may occur should the association move forward with some types of formalization. Matt and Joe would like to get more information regarding CHSDA s reorganization as well as the plans moving forward. CHSDA has revenue and expenditures and no insurance. CHSDA works on a professional level. Discussion regarding liability insurance paid for each director by their respective county including questions whether or not the county insurance would protect each director as he/she participates on this board. A discussion of a potential, perhaps necessary, contract between Boulder County and CHSDA for reimbursement of costs associated with Jennifer Poiliti s employment. There are liability issues surrounding an employee who is doing the work of the association while employed by a county hosting the employee. CHSDA is not comfortable with our current status. A member of the Finance Committee is researching the status of the California and Minnesota Directors Associations to determine the legal status of each organization. Joe and Matt will also continue to do research. Donna Rhode will coordinate with them. Don Cassata Finance Sub- Committee Matt Gray Joe David Donna Rhode 6 Agenda Item #11: New Administration The Executive Committee believes the PAC should continue after the new Executive Director assumes responsibility, and would encourage the new Executive Director to be the person in charge of the meeting and set the tone of each meeting. She/He should attend, not their Deputies. The PAC offers the possibility of a clear and formal process for making policy. There must be a true partnership between the State and the Counties. Part of the formal process should be to develop the position that PAC is the only formal body of interface between CDHS and CHSDA. Executive Committee Minutes - 1/10/11 Draft Page 4 of 6
5 7 The Executive Committee supports inviting the new directors of HCPF and CDHS to a meeting before or immediately following the Jan 21 st CCI/HHS meeting. The new Executive Director of CDHS will start on January 16 th. The Executive Committee would like for both new Directors to speak to the group and would like to hear background information by way of an introduction. The Executive Committee asks to invite the Sue Birch and Reggie Bicha to an informal gathering at either the Burnsley or the Warwick Hotel. Friday afternoon, 2 PM January 21 st. Agenda Item #14: March Conference The Executive Committee approved a one and one half day meeting beginning March 10 th. Kendra Mulch will work with Jennifer Poiliti regarding the choice for the conference hotel Kindra Mulch and Jennifer Poiliti 8 Child Welfare Subcommittee Report CW Subcommittee: The Subcommittee reported to the Executive Committee their concerns surrounding fatality reviews and the proposed legislation. The committee commented on the spirit of the language: it is not collegial rather it feels more like finger pointing. Committee members remarked the State has recently worked diligently with the counties regarding this issue. Currently, only one county person is involved. Representative Cothalis is driving this legislation. The Executive Committee recommended Carla Finch and Pat Wilson Pheanious work with Pat Ratliff and then come back to the Executive Committee. The Executive Committee was told Representative Cothalis issue is with the State and how they previously completed their reviews. CHSDA should work with the Representative to help draft this legislation. This is a community process. CW Administrators who have worked on this process should also be part of this discussion. Marie Peer and Catherine Robinson Carla Finch, Pat Wilson Pheanious, Executive Committee Minutes - 1/10/11 Draft Page 5 of 6
6 Meeting Closure 1 Adjournment Don Cassata 2 Executive Committee Minutes - 1/10/11 Draft Page 6 of 6
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