MEETING MINUTES (Proposed) LAKESHORE REGIONAL PARTNERS EXECUTIVE BOARD HealthWest, 376 E. Apple Avenue, Muskegon May 21, :00 PM

Size: px

Start display at page:

Download "MEETING MINUTES (Proposed) LAKESHORE REGIONAL PARTNERS EXECUTIVE BOARD HealthWest, 376 E. Apple Avenue, Muskegon May 21, :00 PM"

Kenneth Powers
5 years ago
Views:

1 ATTACHMENT 2 MEETING MINUTES (Proposed) LAKESHORE REGIONAL PARTNERS EXECUTIVE BOARD HealthWest, 376 E. Apple Avenue, Muskegon May 21, :00 PM WELCOME AND INTRODUCTIONS Mr. Snider call the May 21, 2015 LRP Executive Board meeting to order at 1:00 pm. ROLL CALL Present at Roll Call: Mr. Belco, Ms. Bird, Mr. Disselkoen, Ms. Gonzalez, Ms. Kehrwecker, Mr. Oberst, Mr. Prince, Mr. Sanders, Mr. Stek, Mr. Snider CONFLICT OF INTEREST Mr. Snider No Conflict were declared PUBLIC COMMENT (at the discretion of the Chair) No public comment. CONSENT ITEMS: LRP Motion: To approve by consent the following items. a. May 21, 2015 LRP Board of Directors meeting agenda b. April 16, 2015 LRP Board of Directors meeting minutes Moved by: Prince Support: Sanders FY2014 FINANCIAL AUDIT Derek Miller, RPC (Attachment 3) Mr. Miller reviewed the LRP audit findings for FY2014. He reported that no material weaknesses in internal controls nor instances of non-compliance were discovered. He noted that there were no challenges during the audit process and staff were very cooperative during the process. REPORT FROM LRP EXECUTIVE BOARD RETREAT Mr. Snider Mr. Snider reported that there was extensive discussion related to the current financial situation of the LRP and attendees discussed plans moving forward. Participants were engaged in the process and Mr. Snider indicated that he found the process to be helpful. LRP EXECUTIVE COMMITTEE REPORT - Mr. Snider Board Resolution Creation of the Executive Committee (Attachment 4) LRP Motion: To adopt the resolution creating the Lakeshore Regional Partners Executive Committee as amended. Moved by: Sanders Support: Disselkoen Mr. Stek inquired as to the language related to allocation of responsibilities or powers to the Executive Committee being by resolution, and he suggested that those powers be granted either by resolution or motion. Ms. Parmenter noted that language can be added to the resolution to allow

2 for motion as well as resolution. The language noting that the resolution ratifies all action taken by the Executive Board to date will be changed to reflect Executive Committee. CEO Contract Status Mr. Snider reported that the Executive committee met on May 12, with all Committee members participating. At the direction of the Board, Committee members attempted to come to resolution around renewal of the CEO contract. Committee members were unable to come to consensus on a recommendation to the Board on how to proceed, ultimately leaving the decision to the full Board. The current contract term ends on August 30, The options available to the Board are to renew the contract, terminate the contract, or extend the contract. It was noted that should the contract be allowed to lapse, the Board would need to consider options with regard to future leadership of the organization. Ms. Bird suggested that the issue be returned to the Executive Committee to explore options and make recommendations should the Board decide to let the contract lapse. LRP Motion: The Executive Committee will meet to discuss renewal of the CEO Contract. In the event that the contract is not renewed, the Committee will also discuss options for recommendation to the full board should the current contract lapse. Moved by: Bird Support: Stek Opposed: Sanders, Gonzalez Mr. Snider will convene a special meeting of the Executive Committee. LRP LEGISLATION ADVOCACY COMMITTEE Ms. Gonzalez (Attachment 5) Ms. Gonzalez reported on the May 8, 2015 meeting of the LRP Legislation Advocacy Committee. Ms. Peg Driesenga has joined the committee. Minutes of the proceedings were included in the Board Packet. Regional Advocacy Plan Policy 6.4 Consumer Involvement The Committee reviewed the Regional Advocacy Plan as well as the Consumer Involvement Policy, which was forwarded to the full board with a recommendation for approval. LRP Motion: To approve Policy 6.4 Consumer Involvement as presented Moved by: Gonzalez Support: Stek LRP OPERATIONS COMMITTEE REPORT Ms. Rupp DRAFT Regional Training Project Plan (Attachment 8) Ms. Rupp provided the following updates: The Committee met on May 14, 2015 and it was agreed that the LRP would explore using the project management tool currently being utilized by network180. The tool should prove to be beneficial in moving projects forward by enhancing communication, clearly defining project scope, and identify who should be involved in the process. Network180 staff will train LRP and member CMH partners how to use the tool. Projects currently in process include the regional training plan Meeting Minutes Page 2 of 5

3 (presented in draft form to the Board for information), CLS/Skill Building level of care tool, and development of a common regional contract. CIO REPORT Mr. VandenHeuvel provided updates in Mr. Goodrich s absence. Mr. Duff has been facilitating the Utilization Management ROAT, which is currently looking at a consistent regional benefit as outlined in the Board approved LRP business plan and further addressed in the LRP Financial Plan. Although members have adopted consistent service selection guidelines, there is no consistency for defining amount, scope, and duration of services. There is urgency attached to adopting a consistent benefit due to the current financial situation. Mr. Duff continues to work with members on how to consistently determine eligibility. During the MACMHB Conference, Ms. Zeller highlighted the work that is being done by the four regions with regard to Data Analytics. COO REPORT Mr. Hofman Quality/Compliance/Network: The Training Reciprocity Workgroup has been moving forward with representation from member CMH s. Trainers are reviewing content of curriculums and frequency of trainings along with acceptable modes for delivery of trainings. Mr. Hofman has interviewed Ms. Lisa Morse to serve as the LRP Compliance Officer. Ms. Morse has extensive background in administration and contract compliance, as well as legal expertise. A fourmonth contract with Ms. Morse will be developed and an assessment will be done after that time to determine if these services meet the LRP compliance needs. Member compliance staff are in support of this approach. The result will be an approximate administrative savings of $40 thousand. The site review of Allegan CMH has been complete. Mr. Hofman expressed his appreciation to Allegan staff and administration for their cooperation. The final review for the year will be at network180 in June. Upon completion of all reviews, QI staff will meet to look at the tools and process to determine where improvements can be made. CFO REPORT Mr. Labun FY2015 April Funds Distribution LRP Motion: To approve the FY2015 April Funds Distribution as presented Moved by: Gonzalez Support: Disselkoen Statement of Activities as of March 31, 2015 Mr. Labun reviewed the March 2015 Statement of Activities. Medicaid revenue is down due to the TANF issue. From the rate setting meeting on May 15, it was reported that Milliman has conducted an analysis and has minimally adjusted the rates for the first quarter, which has resulted in an additional $345 thousand for the region. During the June meeting it is expected that they will report on next steps and whether they will adjust the morbidity factor. The Finance ROAT has been working on consistent standards for managed care administration rates. Members have been working on the administration rate and it appears that the region will Meeting Minutes Page 3 of 5

4 be below the 6.75 percent regional goal. There is a statewide workgroup that is also looking at administration rates. Member Bucket Report as of March 31, 2015 The full-year projection is reflecting a $16.2 million deficit. However, the current information does not include the impact of member budget reduction plans. The April report will likely begin to reflect the impact of those changes. SUD IMPLEMENTATION UPDATE Mark Witte Oversight Policy Board The Oversight Policy Board will review and take action on the revised bylaws, which will then be presented to the LRP Executive Board for review and approval. CEO REPORT Mr. VandenHeuvel Summary/Recap of Progress on Regional Financial Plan i. Actuarial Consult Regarding Regional Funding Distribution Update The target for completion of the study and delivery of the recommendation is early June. The report will be shared with the Board during the June meeting. ii. Rate Setting Update iii. Legislative Advocacy Update Strategy is focused on bringing lower funding up rather than divvying the pie differently don t anticipate any significant change in rates first priority is to address the 7 million funding gap. c. State Update i. Rate Setting Update ii. MHP Rebid The RFP for the Medicaid Health Plan Rebid has been issued. Highlights from the RFP are included for Board member information in the Board Packet. There is a heavy emphasis on health care integration. The LRP is working with Midstate Health Network to craft a proposal for how the PIHP s and Health Plans can work together. iii. SUD Administrative Integration iv. MDCH Draft Appropriations Boilerplate Section 508 v. MACMHB Spring Conference d. Updates from PIHP Monthly Meetings There is no substantial update from MDCH regarding progress on waiver renewal. PIHPs have been told it is a reasonable to assume that the application of Home and Community Based standards will expand. No definitive answers on Conflict Free Case Management standards plan from MDCH, or what waiver structure will be used. Department is receiving technical assistance from CMS. Renewal is due by January 1, e. Coordination of Care with Medicaid Health Plans see above RE: Collaboration with Mid State Health Network. f. Other Meeting Minutes Page 4 of 5

5 BOARD MEMBER COMMENTS Mr. Stek commented on the responsibility of the Board to educate legislators with regard to the current budget difficulties and he encouraged members to look for opportunities to do so. Mr. VandenHeuvel reported that Ms. Doyle is working to organize a legislative breakfast in Lansing with all regional representatives to educate them about current issues and concerns. UPCOMING MEETINGS June 9, 2015 LRP Executive Committee - HealthWest June 18, 2015 LRP Executive Board network180 ADJOURN Mr. Snider adjourned the May 21, 2015 LRP Board of Directors meeting at 2:58 PM I. John Snider, Board Chair Rita Bird, Secretary Meeting Minutes Page 5 of 5

WELCOME AND INTRODUCTIONS Mr. Snider called the meeting to order at 1:00 p.m. He welcomed Mr. Grit, serving as alternate from Network180

- Proposed Lakeshore Regional Partners Executive Board Community Mental Health of Ottawa County 12265 James Street, Holland, MI June 26, 2014 1:00 PM WELCOME AND INTRODUCTIONS Mr. Snider called the meeting