COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES BOARD Wednesday, January 30, 2013 6:00 PM MINUTES Rice Memorial Center 901 W. Memorial Drive Houghton, MI 49931 CALL TO ORDER: The meeting began at 6:01 PM. ROLL CALL: Board Members Present Randy Eckloff, Carol Evers, James Fyfe, Albert Koskela, Michael Koskinen, Nancy Middleton, Patrick Rozich, and James Tervo. ABSENT: Dyann Edgerton, Gerald Johnson, and Hubert Lukkari. OTHERS: Vicki Mikkola, Susan Serafini, Cari Raboin, Alice Reynolds, and Sue Nutini. Mr. Tervo, Board Chairperson, introduced Albert Koskela to the Board Members and the Board welcomed Mr. Koskela to the meeting. Mr. Koskela is the new Houghton County Commissioner replacing Mr. Barrette who resigned. APPROVAL OF AGENDA MOTION by Mr. Koskinen, seconded by Mr. Tervo, to approve the Agenda of the January 30, 2013 meeting with the addition of the approval of the Minutes of the Closed Session Meeting on December 12, 2012. Motion carried The Closed Session Meeting Minutes were distributed to those Board Members in attendance of the December 12, 2012 meeting in a sealed envelope. The Board Members reviewed the minutes and then turned them back in to the Executive Secretary. MOTION by Mr. Koskinen, seconded by Mr. Eckloff, that the Board approves the Closed Session Meeting Minutes dated December 12, 2012 as presented. Motion carried APPROVAL OF MINUTES OF DECEMBER 12, 2012 MEETING MOTION by Ms. Evers, seconded by Mr. Rozich, that the Minutes of the December 12, 2012 meeting be approved as presented. Motion carried TREASURER S REPORT FOR DECEMBER, 2012 MOTION by Mr. Rozich, seconded by Ms. Middleton, that checks numbered 34108 through 34375 for a total of $1,452,365.78, and Combined Cash Investments Report dated December, 2012 for a total of $7,611,612.06 is accepted and placed on file. YES: Rozich, Middleton, Eckloff, Evers, Fyfe, Koskinen, Koskela, and Tervo. Motion carried
MINUTES OF MEETING 1/30/13 Page 2 COMMENTS FROM THE PUBLIC: There were no comments from the public. CHAIRPERSON S REPORT: Mr. Tervo, Board Chairperson, presented the Chairperson s Report. Memorandum from the CMH Political Action Committee dated January 9, 2013, requesting participation in this year s 2013 Annual CMH-PAC campaign. Mr. Tervo stated the donations help support candidates who are supportive of our efforts at MACMHB and helps raise awareness of our issues. DIRECTOR S REPORT: Vicki Mikkola, Executive Director, presented the Director s Report. QI Quarterly Report 4 th Quarter FY12 Ms. Evers presented the highlights of the QI Program 4 th Quarter FY 2012 Report for July through September, 2012. The Quality Improvement Committee reviewed Performance Indicators, and Ms. Evers noted we are in compliance with the exception of one indicator, the number of adults re-admitted within 30 days. It was noted that 2 out of 12 consumers were actually re-admitted for the reporting period. The Agency Incident Reports and vehicle accidents were reviewed through the Safety Committee. The Agency is purchasing some smaller SUV s rather than minivans and hopefully there will be fewer accidents. Consumer Satisfaction Survey Report Ms. Evers reviewed the 2012 Consumer Satisfaction Survey Report. The overall satisfaction rate is 93.14%. Of the 918 questionnaires provided to consumers during the 2012 fiscal year, 252 were returned, yielding a response rate of 27.45%. Ms. Evers stated question #2 on the survey is used by the Rights Office, question #10 is a measure of satisfaction and question #9 relates to after hours crisis services. Ms. Evers noted question #9 always has the lowest satisfaction rate, but this year, it was even lower. There will be efforts from NorthCare to look into this to see why the satisfaction rate is dropping. Annual Report Tami Anderson reviewed with the Board, the Annual Report for FY 2012. The report includes a message from the Board Chair, financial data prepared by Susan Serafini, a breakdown of the consumers served by race/ethnicity and age group, and Consumer Satisfaction Survey Data, which includes some comments from our consumers. The Annual Report also includes Agency Highlights about the programming we have, talks about the Annual Recovery Lecture Series and featured speaker, has an article that highlights the Baraga & Ontonagon RICC Members trip to Lansing, presents Institute Highlights, shows the CCMHS Programs and Service Array, Code of Ethics, and lists the Board of Directors. Tami Anderson stated the Annual Report gets mailed out to some of our Stakeholders and Vicki Mikkola will present it to the Rice Memorial Clinic Foundation Board at their next meeting. If anyone would like additional copies, they can contact Sue Nutini. Board Members thanked Tami Anderson for the Annual Report and said it was well done.
MINUTES OF MEETING 1/30/13 Page 3 MACMHB Winter Conference Vicki Mikkola stated the MACMHB winter conference is set for February 12 and 13, 2013 at the Best Western Plus Lansing Hotel & Convention Center in Lansing, MI. Vicki Mikkola noted that she would be attending the conference and if anyone else would like to attend, they should contact Sue Nutini. SNB Safety Deposit Box Authorization Vicki Mikkola stated the Agency leases two safety deposit boxes at the Superior National Bank Razorback Drive location for storing back-up data tapes and external hard drives for data recovery. We are requesting an update of the following authorized employees to access the safety deposit boxes: Vicki Mikkola, Susan Serafini, Aric Asti, John Smith, and Tammy Nutini. MOTION by Ms. Middleton, seconded by Mr. Koskinen, that the Board grants permission to access the two Safety Deposit Boxes to the five Agency staff listed above as presented. Motion carried Contracts for FY 13 Vicki Mikkola reviewed the contracts listed on the January, 2013 Action Item that are renewals of existing agreements to provide services to consumers who are the responsibility of the Board. There was no change to the Oak House and Carmel s AFC contracts and Prader-Willi, Wakeham Foster Care, and Westside Home all had a slight increase due to Social Security and SSI increases. MOTION by Mr. Fyfe, seconded by Mr. Koskela, that the Board recommends approval of the Contracts with Oak House, Prader-Willi Home of Oconomowoc, Wakeham Foster Care, Westside Home, Inc, and Carmel s AFC as presented on the January 2013 Action Item. Motion carried CMH Updates Updates on Legal Issues - Vicki Mikkola stated she would like to present the updates she has on the local, regional and State levels. First off, Alice Reynolds will update the Board regarding legal issues with two people that previously worked in Ontonagon. Alice Reynolds stated both people rejected our offer for settlement of their cases, and she noted that we will need to schedule another Board meeting in early February to discuss a plan of action with our attorney via telephone conference. The Board was offered three dates to meet and decided to set a meeting for Wednesday, February 6, 2013 at 7:00 PM in the Boardroom at the Rice Memorial Center in Houghton, MI. Alice Reynolds stated she will confirm this date and time with our attorney Greg Grant, and Sue Nutini will notify the Board Members.
MINUTES OF MEETING 1/30/13 Page 4 Additionally, Alice Reynolds stated the embezzlement case in Ontonagon is currently at a stand still. The case was canceled through Circuit Court in January and we have not yet been notified regarding a reschedule date. Board Replacement - Vicki Mikkola stated the Board needs to find a replacement representing Houghton County. We will run an advertisement in the local Daily Mining Gazette. The Executive Committee of the Board will interview the interested candidates and then make a recommendation to the Houghton County Commissioners, who are responsible for making the appointment. NOIA - Vicki Mikkola discussed the Notice of Intent to Apply as Michigan PIHP. The target start date for this renewal of the Waiver is January 1, 2014. This is the first step that signifies understanding of the concepts and intent to participate in the joint governance of the new legal entity. New NorthCare Vicki Mikkola stated there continue to be meetings and discussions on the formation of NorthCare in its new form the New NorthCare. They are planning to keep the name the same as the new entity is formed to try to keep down some level of confusion. There was a presentation on December 18, 2012 by Bonnie Toskey explaining the pros and cons of this initiative. Included in the Board packet are answers to some of the questions that were asked on December 18 th. The first step in creating the New NorthCare is to begin to formulate by-laws. The plan is to use by-laws that have already been developed by the West Michigan region. Bonnie Toskey has looked at these and agreed they were a good place for us to start. The U.P. CMH Directors will work on drafts and bring in to their staff for specialized help in areas like Finance; and then bring drafts to each of the Boards for direction and approval as needed. There was a NorthCare Advisory Council meeting on January 21, 2013, but we were having internet connection problems and no one attended from our CMH. Vicki Mikkola discussed representation on this Board for the New NorthCare. Some of the suggestions that have come up so far are: 1 representative from each county appointed by CMH Board; or 3 from each CMH Board; or 2 from each CMH with an alternate. Discussion followed and Vicki asked the Board Members to think about this. The next meeting of the Directors to discuss this issue is tomorrow. The target date to have the By-Laws finalized is April and the target date for the New NorthCare to be up and running is January, 2014. Dual Eligible Vicki Mikkola stated another item to discuss is Michigan s Proposed Initiative for Persons with Dual Eligibility. Several months ago, the issue of how to blend the funding streams for people who are eligible for both Medicaid and Medicare and to provide services in a more integrated way was discussed. The UP has been designated as one of four regions for this demonstration project. The others are Wayne County, Macomb County and Southwest Michigan. The state has decided to do this with demonstration projects rather than rolling it out across the entire state at one time. This is intended to be a 3-year demonstration project with an effective date of January 1, 2014.
MINUTES OF MEETING 1/30/13 Page 5 Other State Updates Vicki Mikkola stated there is no decision yet from the Governor regarding Medicaid expansion. We are expecting the decision when Governor Snyder proposes his budget on February 7, 2013. The MACMHB has sent a letter to the Governor urging him to accept the Medicaid expansion opportunity. FINANCE DIRECTOR S REPORT FOR NOVEMBER & DECEMBER 2012: Susan Serafini, Finance Director, presented the Finance Director s Report. Susan Serafini reviewed the November and December, 2013 financial statements. In November the total cash was approximately $7,500,000 and about $7,600,000 in December. This was a significant increase as compared to October, 2013, due to the Medicaid cost settlement of FY 2011 from NorthCare of approximately $1,100,000. The total of all funds are at a loss of about $147,000, versus a loss of $174,000 in November. Overall, we are about $360,000 better than last year at this time due to cost reductions that had the greatest impact on Medicaid. There is pressure on the State General Fund with State Facility and Inpatient expenses. The General Fund Income Statement revenues are under budget by 1 ½% and expenditures are ½ of 1% under budget. The Board Managed Local Inpatient has used one-half of the budget already. The employees have contributed about $102,000 or an overall contribution of 19% for health benefits to the Agency. Dental and vision expenses are covered 100% by the Agency and are not part of the State mandate. The overall contribution by employees will be about $408,000 annualized. APPROVAL OF PERSONNEL COMMITTEE MEETING REPORT 12/12/12 MOTION by Mr. Koskinen, seconded by Mr. Eckloff, that the Board approves the Personnel Committee Meeting Report dated December 12, 2012 as presented. Motion carried PROGRAM COMMITTEE MEETING REPORT 1/28/13: Mr. Koskinen, Committee Chairperson, presented the Program Committee Meeting Report. Mr. Koskinen stated the purpose of the meeting was to review the 2012 Annual Community Needs Assessment Survey Report. The committee reviewed a summary of the survey responses for the three questions addressed. Five of the most significant concerns of the consumers were presented, and staff discussed some of the ways Copper Country Mental Health is addressing the concerns. MOTION by Mr. Koskinen, seconded by Mr. Fyfe, that the Board approves the Annual Community Needs Assessment Report as presented. Motion carried MOTION by Mr. Rozich, seconded by Ms. Evers, that the Board approves the Program Committee Meeting Minutes of January 28, 2013 as presented. Motion carried CORPORATE COMPLIANCE COMMITTEE MEETING REPORT 1/30/13: Mr. Rozich, Committee Chairperson, presented the Corporate Compliance Committee Meeting Report.
MINUTES OF MEETING 1/30/13 Page 6 The Corporate Compliance Sub Committee of the Board met this evening to review the 2012 Corporate Compliance Plan Annual Report, and to review the 2013 Annual Corporate Compliance Plan. MOTION by Mr. Koskela, seconded by Mr. Eckloff, that the Board accepts the committee s recommendation to approve the Corporate Compliance Plan for 2013 as presented. Motion carried OLD/NEW BUSINESS Reminder that the Board will meet on Wednesday, February 6, 2013 at 7:00 PM in the Boardroom at the Rice Memorial Center in Houghton for a Special meeting. Sue Nutini will notify Board Members if this date does not work out. ADJOURN MOTION by Mr. Rozich, seconded by Mr. Fyfe, that the meeting be adjourned. The meeting adjourned at 7:23 PM. Submitted by, Michael Koskinen, Board Secretary James Tervo, Board Chairperson