Board of Directors Meeting Hosted by: Selfhelp Family Home Care th Avenue, 5 th Floor New York, NY April 14, :00am 3:00pm AGENDA
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1 Board of Directors Meeting Hosted by: Selfhelp Family Home Care th Avenue, 5 th Floor New York, NY April 14, :00am 3:00pm AGENDA 10:00am 10:02am Welcome Ms. Joachim, Chairperson 10:02am 10:05am Review Board of Directors Meeting Minutes of February 2 and March 3, 2016 Motion to approve meeting minutes of February 2 and March 3, :05am 10:20 Chair s Report Ms. Joachim Annual Membership Conference & Board Meeting HCA PAC Reception Annual Award Selections Board Retreat 10:20am 10:45am Treasurer s Report Review Meeting Minutes of March 30, 2016 Finance and Investment Committee Motion to accept the March 30, 2016 Finance and Investment Committee Meeting Minutes Review Year-to-Date Financials for month ending March 2016 Motion to approve the 2016 Year-t0-Date Financials Review of 2015 Audited Financials and IRS 990 Filings Motion to approve the 2015 Audited Financials and IRS 990 Filings as recommended by the Finance Committee Update on 2016 Membership 10:45am 11:30am Political Update and State Budget Discussion Caron O Brien Crummey and Sean Doolan Hinman Straub, PC 11:30am 2:45pm President s Report Ms. Cunningham HCA State Budget Analysis and Next Steps Additional Session Priorities HCA Federal Agenda Other Policy Issues Fair Labor Standard Act (FLSA) Issues Related to CON/Approval of LHCSA Article 36 Issues LTHHCP DOH Options Community Paramedicine Issue MLTC Workforce Funds Other
2 11:30am 2:45pm President s Report continued Other HCA Priorities Quality Tool Falls Grant and Initiatives 2:45 3:00pm Conclusion and Next Steps The next HCA Board of Directors Meeting will be held on Wednesday, May 4 th at the Saratoga Hilton during HCA s Annual Conference.
3 HCA Board of Directors Meeting HCA Advocacy Day February 2, A Legislative Office Building Albany, New York Meeting Minutes Present: Pamela Joachim, Chair Sue Brett Anne Calvo June Castle Shelly Eggleton Bridget Gallagher Ginger Hall Walter Kaltenbach Kenneth Kilroy Sue Larman Russell Lusak Sandy Merlino Karen O Kane Michele Quirolo Brian Schiel Jane Shukitis Mary Wagner Mary Zagajeski Absent: Marie Andreacchio Michael Feinman Sylvia McTigue Irina Mitzner Paul Rosenfeld Joe Twardy Elizabeth Zicari Ms. Joachim thanked the Board for attending the HCA Board Meeting and Advocacy Day. She introduced Frank Fanshawe, Esq., Legal Counsel, WEMED and asked him to provide an update on the NAHC Litigation. Mr. Fanshawe described the status of the lawsuit, providing details regarding the complaint and timeframes of the likely sequence of events regarding the litigation. In response to a question raised by Ms. Calvo, Mr. Fanshawe noted that there is no further action necessary by HCA at this particular time. When necessary regarding any decisions about next steps, Ms. Cunningham will convene HCA s Executive Committee to discuss with Mr. Fanshawe any necessary actions. Ms. Cunningham noted that she and Mr. Fanshawe have met with Roger Noyes, HCA s Director of Communications, and have developed a communication to members which was released last week and resulted in only one member requesting a copy of the complaint. Ms. Joachim thanked Mr. Fanshawe for his update. Ms. Joachim referred to the meeting minutes of December 3, December 22 and January 8 th and asked for a motion to approve. On a motion made by Ms. Brett and seconded by Ms. Larman, the minutes were approved as submitted. Treasurer s Report Ms. Larman reviewed the membership update provided in the meeting material and noted the improved and streamlined electronic renewal which is now available online. Ms. Constable reviewed the dues revenue and
4 renewals and noted that there has been significant additional dues revenue realized since the posting of the enclosed financial report. Ms. Larman reviewed the unaudited year-end 2015 financials and noted that HCA was running on target with budget and consistent with the previous year with only a few slight variances in some categories, which were offset by membership dues. She reviewed some of these variances including consulting which was slightly higher than budget, as well as advocacy, programming and conference expenses, but also noted that these were offset by increased education revenue. The Board reviewed the variances and noted that in spite of some challenges, they were pleased with the year-end finances. Ms. Cunningham noted that the audit was completed successfully and will be reviewed at the Finance Committee and with the Board at the regularly scheduled meetings in March and April. On a motion made by Ms. Quirolo and seconded by Ms. Eggleton, the Treasurer s Report was approved as submitted. Nominating Committee Update Ms. Cunningham informed the Board that Mr. Twardy had taken a leadership role at Fidelis and would therefore not be able to attend today s Board Meeting. In his absence, Ms. Cunningham presented the report and recommendations from the Nominating Committee. She referred to the list of reappointments and noted that the Committee was enthusiastically recommending reappointment of the following eligible Board Members: Shelly Eggleton 2 nd Term Kenneth Kilroy 3 rd Term Russell Lusak 4 th Term 2 nd Term Paul Rosenfeld 2 nd Term Mary Wagner 2 nd Term Elizabeth Zicari 2 nd Term In addition, Ms. Cunningham reviewed the applications received for Board Membership including: Michelle Mazzacco, The Eddy Tim Leddy, VNS Westchester Mark Tsiames, Simione Dennis Liavas, Jewish Home Lifecare She noted that Ms. Mazzacco s application received overwhelming support from committee since she is wellknown to them and is not only a past Board member; but a recipient of HCA s highest honor the Ruth F. Wilson Award. She noted that the Committee was also very supportive of Mr. Leddy s application, since he is well-known by HCA as being a very engaged member and an outstanding resource on industry finances. She noted that the Committee was recommending both Ms. Mazzacco and Mr. Leddy for appointment to the HCA Board. She noted that the Committee discussed Mr. Tsiames application but felt that the bylaws clearly exclude Associate Members from Board eligibility. The committee discussed the trend toward a more diverse category of membership that encompasses vendor members; and suggested future discussion and consideration of the issue. She then referred to Mr. Liavas application and noted that the Committee was unfamiliar with him or his work at Jewish Home Lifecare, and therefore, was recommending him for appointment to the Policy Council as a vetting period. Ms. Cunningham then noted that she would be reaching out to the hospice director at Lifetime Care as a future potential Board candidate. The Board thanked Ms. Cunningham for the update. The Board also suggested that the Board application criteria include participation in a committee as a prerequisite to board appointment. Ms. Cunningham noted that she
5 would schedule a special Nominating and Governance call later in the summer with Mr. Fanshawe s oversight of the bylaw discussion. With no further business to report, on a motion made by Ms. Neander and seconded by Mr. Lusak, the Board voted to approve the slate of Reappointments and Board Candidates as recommended by the Nominating Committee. It was noted that those Board Members present and eligible for Reappointment, abstained from vote on their own nomination. President s Report Ms. Cunningham announced that the new HCA lobby team from Hinman Straub was present and introduced the team to the Board. It was noted that HCA has tremendous experience working with members of the Hinman team and is pleased with their ability to immediately understand HCA s issues and determine a strategy for success and positive progress in the budget process. The Hinman team including Sean Doolan, Caron O Brien Crummey, Megan McNamara and Don Robbins all introduced themselves to the Board and briefly described their background and experience. Mr. Doolan provided a brief overview of the state budget environment, describing some of the political dynamics and policy issues of importance. Ms. Cunningham welcomed the team and thanked them for being present and for their assistance in scheduling the legislative meetings. At this point, the Board welcomed scheduled legislators including Senators Seward and Hannon, and Assemblymembers Richard Gottfried and Kevin Cahill. The Board also welcomed Dan Sheppard from the Office of Primary Care and Health Systems Management at DOH, and Paul Francis, Health Secretary in the Executive Office of the Governor. Each of the Legislators and policymakers provided their insight on home care, legislation impacting the industry, and expressed their desire to work with HCA to solidify and improve the important role home care plays in the new vision for improved health care for New Yorkers. Board members asked questions of the policy and lawmakers and further dialogue ensued regarding some of the unique challenges facing New York s home care community and how state policymakers can assist in solving problems and providing solutions. Ms. Cunningham thanked the invited legislators and policymakers, the HCA Board, and visiting provider Members for participating in this unique and informative conversation as the kick-0ff for HCA s Advocacy Day. With no further business, the meeting was adjourned and Mr. Sean Doolan of Hinman Straub provided helpful insight to HCA Board Members and staff in regard to the scheduled afternoon legislative appointments. Respectfully submitted, Secretary
6 HCA Board of Directors Special Conference Call March 3, :30pm Meeting Minutes Present: Pam Joachim, Chairperson Marie Andreacchio Sue Brett Anne Calvo June Castle Shelly Eggleton Michael Feinman Bridget Gallagher Ginger Hall Walter Kaltenbach Kenneth Kilroy Sue Larman Russell Lusak Sandy Merlino Irina Mitzner Paul Rosenfeld Brian Schiel Jane Shukitis Joe Twardy Mary Wagner Mary Zagajeski Elizabeth Zicari Absent: Sylvia McTigue Karen O Kane Mary Queally Michele Quirolo Guests: Caron O Brien Crummey Don Robbins Ms. Cunningham thanked everyone for joining this budget priority update call. She announced that Ms. Caron O Brien Crummey and Mr. Don Robbins from Hinman Straub, HCA s lobby team were also joining the call. Ms. Crummey provided an update on the Assembly and Senate budget discussions, providing details regarding the anticipated positions of the Assembly and Senate and also the advocacy and policy efforts underway by HCA policy staff and the Hinman lobbying team. Ms. Cunningham noted that Article 7 language drafted by HCA was presented to both houses which contained payment adequacy for home care and MLTC as well as infrastructure fixes. Both initiatives were presented with recommended funding allocations. She commented that the Legislature seems to receive the message that home care needs investment and assistance and there appears to be building support for this position. HCA s lobby team continues to press hard for the inclusion of language in both budget bills reflecting HCA s advocacy position. Ms. Cunningham informed the group that HCA s Communications Director, Roger Noyes, has launched an advocacy strategy to increase the volume of messages sent to the Legislature and that the
7 membership was responding and just the last alert sent by HCA had generated more than 600 messages to legislators. The other area of strong advocacy by HCA has focused on the proposed minimum wage hike to $15/hour. Ms. Cunningham expressed that this is a very political issue in Albany with this issue remaining a top and very important priority of the Governor s. HCA has been working for months with a coalition of health care organizations to jointly advocate for full funding for the health care sector. HCA s efforts have generated data analysis and communications efforts utilizing earned media opportunities that have all focused on the need for the minimum wage to be fully funded or rejected. Ms. Brett expressed appreciation for HCA s active communications and the strategy for working closely with other partners to ensure consistency of message. Ms. Cunningham informed the Board that while the wage increase has been the Governor s priority, HCA also continues to push hard for investment in home care infrastructure; and resolution that would specifically name home care in managed care since it plays a key role in the success of the overall healthcare system. Mr. Cardillo commented on the work that HCA is doing related to organizations or individuals that are constructing home care models outside the bounds and rules articulated in Article 36 of the Public Health law. Mr. Cardillo and Ms. Cunningham are in active discussions with Health Department representatives to discuss this issue and to encourage the Department to formulate a plan of action on this important issue. Mr. Cardillo expressed appreciation for the work of the HCA Board Members for providing concrete examples of activity in their regions regarding the problems of organizations conducting business outside current regulations governing Article 36 organizations. Ms. Constable provided a brief membership renewal update noting that, to date, renewals are at about 85% across the membership or $1.35 million in renewals compared to budget of $1.55. Dues are just shy of the budget goal and Ms. Constable is confident that dues will reach budget soon. Ms. Cunningham encouraged Board Members to renew as soon as possible and to contact Ms. Constable if they had any questions. Ms. Cunningham noted that Award Nominations are due by March 18 th. She encouraged Board Members to submit a nomination for consideration in any category. The Annual Membership Conference is May 4-6 and a save the date has been mailed. She encouraged full board participation, as well as sponsorship. Lastly, Ms. Cunningham noted that the Federal Advocacy Day is scheduled for July in Washington DC and that she d like to see good participation from New York s home care community. There being no further business, the call adjourned at 3:10pm. Respectfully submitted, Secretary
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