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Page 1 of 7 1867 West Market Street, Suite B2 Akron, Ohio 44313-6914 330-762-3500 Fax: 330-252-3024 Ohio Relay: 800-750-0750 www.admboard.org Recovery Starts Here MEETING NOTICE September 19, 2017 TO: CC: FROM: Board of Directors ADM Board Staff, Provider Directors, Other Interested Parties Joseph P. Saporito, Board Chair SUBJECT: Notice of Regular Monthly Board Meeting MEETING DATE: Tuesday, September 26, 2017 SCHEDULED TIME: 5:30 p.m. (5:00 p.m. for anyone wanting a tour- please RSVP to Fran Rudell) Community Health Center MEETING LOCATION: Please note off-site 702 East Market Street Agency location Akron, OH 44305 AGENDA: I. Call to Order II. Approval of minutes from Pg. 3 III. IV. Board Education TOPIC: Update on Quick Response Teams (QRT) and ADM Addiction Helpline Ownership Linkage & Accountability A. Chair Report B. Executive Director Report V. Comments from the Public and Announcements VI. Consent Agenda A. ADM Funding Awards Report B. New Contracts & Authorization to Sign ADM Board Contract Provider Agencies ADM Crisis Center Akron-UMADAOP Alliance for Healthy Youth Asian Services in Action The Blick Center Catholic Charities Child Guidance & Family Solutions CHOICES Social Center Cleveland Clinic Akron General-Edwin Shaw Rehabilitation Institute Coleman Behavioral Health Community Health Center Community Partnership of Summit County Community Support Services Greenleaf Family Center IBH Addiction Recovery Center Mature Services Minority Behavioral Health Group North Coast Community Homes Ohio Guidestone Oriana House Portage Path Behavioral Health Psycho-Diagnostic Clinic Shelter Care Summit County Public Health Summit County Sheriff s D.A.R.E. Program Summit Psychological Associates Tarry House

County of Summit Alcohol, Drug Addiction and Mental Health Services Board Board of Directors Regular Meeting Agenda Tuesday, September 26, 2017 Page 2 Page 2 of 7 VII. New Business A. Calendar Year 2018 Meeting Schedule (proposed- attached) B. Committee Reports 1. Assurance Committee (meeting on 9/18) 2. Executive Director Evaluation/Contract (report deferred to Executive Session) 3. ADM Support Committee (meeting 9/22) C. September Executive Limitations & Board Self-Monitoring Reports 1. Policy 3.9 Assessment of Board Performance a. Proposed revision to Address Monitoring Schedule b. Grievance Procedure 2. Policy 4.0 Board Management Connection Direct Inspection 3. Policy 2.5 Financial Condition & Activities Internal Inspection a. Vote on Compliance 4. Policy 2.6 Asset Protection Internal Inspection a. Vote on Compliance D. Meeting Assessment VIII. Executive Session to discuss the investigation of complaint against a public employee IX. Adjournment X. Next Regular Meeting Scheduled: Tuesday, October 24, 2017-5:30 p.m. Board Room Summit County Public Health

County of Summit Alcohol, Drug Addiction and Mental Health Services Board Page 3 of 7 BOARD OF DIRECTORS REGULAR MONTHLY MEETING Summit County Public Health Board Room Minutes DRAFT Board Members Present: Joseph P. Saporito, Board Chair; Deanna Horrigan, Board Vice Chair; John M. Williams, Secretary; Lucas M. Blower, Vivianne W. Duffrin; Elizabeth A. England; Daniel R. Flowers; Reneé Greene; Russell T. Ham; Todd M. Ivan, M.D.; Kathlin McCann; André Thornton, Jr.; Christine Myers (shadow) Board Members Absent: Peter Goheen, Melissa Mellinger. ADM Board Staff Present: Jerry Craig, Executive Director; Jennifer Peveich; Douglas A. Smith, M.D.; Aimee Wade; Fran Rudell Other Interested Parties Present: Michelle Marshall, North Coast Community Homes; Tracy Yaeger, Ph.D., Portage Path Behavioral Health. I. Call to Order Board Chair Joseph P. Saporito (hereafter referred to as Chair Saporito ) called the meeting to order at 5:34 p.m. II. Approval of minutes from June 27, 2017, meeting. After review, a MOTION was made by Reneé Greene, and SECONDED by André Thornton, Jr., To approve the minutes of the June 27, 2017 meeting of the Board of Directors as presented. VOTE: Yes ALL; none opposed; no abstentions. RESOLUTION: 07-17-01 III. Board Education Board Chair introduced Darryl A. Brake, Executive Director of the Summit County Community Partnership, who presented an update on the medical marijuana issues in the nation and state, and addressed concerns regarding the Akron and other communities in Summit County, with an explanation of the process timeline and restrictions and safeguards being adopted in Ohio. Members discussed similarity with start of opiate epidemic and way medical marijuana will be dispensed. IV. Ownership Linkage & Accountability A. Chair Report Chair Saporito reported on: Board s Annual training on evening of August 11 th (5 7:30 pm) for newer members, and on August 12 th (9 am 2 pm) for full Board. Thanked members for completing Charney survey to inform the Saturday agenda. September Board meeting is scheduled to be held at Community Health Center, but space limitations and HIPAA concerns may require change, with individual tours available for interested Board members at other times. Topics schedule for second half of the year will need to be reconsidered due to deferment or change of topics in earlier months. Executive Director will send members survey with topics still to be covered. Page 1 of 4

B. Executive Director Report Mr. Craig reported: Breaking news on Senate vote regarding Affordable Care Act (ACA) repeal. Disappointment noted that Senator Portman voted to allow debate to continue. ADM Addiction Helpline now has signed agreement with Summa to begin accepting referrals in August. Reported on current figures regarding calls to date, length of calls, wait time for services and number of appointments. Helpline is now scheduling for next level of care after residential, detox, etc. Detox wait now 0-3 days for admission, and dependent on circumstances, i.e., male/female, bed availability. Access has been adjusted to accommodate walk ins. All 28 beds open. Wait List Quarterly Report delayed due to conflicting data. Board wants to be confident it has accurate data. Point in Time Access to Mental Health Services data contrasted with same time in 2016. Community Plan has been submitted. Electronic version emailed to Board members showing links between content in the Plan and Ends. Agency Budgets are complete; summaries included in Board members policy manual. Board is focusing on programs rather than services to lay groundwork for managed care and value-based purchasing. State Funding - Summary of state budget items affecting ADM Board provided. Behavioral Health (BH) Redesign has been delayed until January 2018, when Medicaid Managed Care will also go into effect. Summary of details and issues provided. Affordable Care Act (ACA) repeal Advocacy Subcommittee of the Opiate Task Force has shifted from state to federal advocacy to protect Medicaid. Ends Reporting Data summarization grid of first six months of 2017 provided. Full 2017 summary grid will be provided in December. V. Comments from the Public and Announcements None. Mr. Craig invited board members to contact him if interested in attending a presentation of the (In)Dependent: The Heroin Project to be presented at Civic Theatre by Millennial Theatre Project on August 4 th. VI. Consent Agenda A. ADM Funding Awards Report for July B. New Contracts & Authorization to sign Mr. Craig provided listing and explanation of July funding awards and contracts which contained contracts for provider agencies. After addressing questions, a MOTION was made by John Williams and SECONDED by Reneé Greene, That the ADM Board of Directors approve the contracts for July, and, having funds available and certified by the Fiscal Officer as required by ORC 5705.41(D), the Board authorizes the Executive Director, Gerald Craig, to sign the contracts presented in the attached list on behalf of the ADM Board, in accordance with the requirements contained within ORC 340. VOTE: Yes ALL; none opposed; no abstentions. RESOLUTION: 07-17-02 Page 4 of 7 VII. New Business A. Calendar Year 2018 Budget Presentation Jennifer Peveich, ADM Board Associate Director of Operations, presented the ADM Board s 2018 Budget. After discussion and clarification of Social Services Advisory Board (SSAB) and County review process, a MOTION was made by Daniel Flowers, and SECONDED by Reneé Greene, Page 2 of 4

That the ADM Board of Directors approve the County of Summit ADM Board s 2018 Budget, as presented. VOTE: Yes ALL; none opposed; no abstentions. RESOLUTION: 07-17-03 B. Committee Reports 1. Board Development Committee Committee Chair John Williams presented committee s recommended slate of officers for 2017-2018 (July 1 June 30) Joseph P. Saporito Board Chair Deanna Horrigan Vice Chair John M. Williams Secretary Mr. Williams then called for: Nominations from the floor for Board Chair. None presented. Nominations from the floor for Board Vice Chair. None presented. Nominations from the floor for Board Secretary. None presented. In accordance with Board policy, Mr. Williams noted need for Board to waive a paper ballot; with no objection, Mr. Williams called for an open voice vote for the slate of officers for 2017-2018, as follows: Joseph P. Saporito, for the office of Board Chair - Vote: Yes ALL; none opposed. Deanna Horrigan, for the office of Board Vice Chair - Vote: Yes ALL; none opposed. John M. Williams, for the office of Board Secretary - Vote: Yes ALL; none opposed. A MOTION was then made by Reneé Greene, and SECONDED by André Thornton, Jr., To confirm the election of the slate of officers for 2017-2018, as presented. VOTE: Yes ALL; none opposed. RESOLUTION: 07-17-04 Committee Chair Williams also presented recommendations from committee to address the issue of stated quorums for both committee meetings and Board of Directors meetings. After discussion, a MOTION was made by Reneé Greene, and SECONDED by Elizabeth England. That the ADM Board of Directors approve a quorum for Board of Directors meetings to be 50% of total number of current appointed members. VOTE: Yes ALL; none opposed. RESOLUTION: 07-17-05 Page 5 of 7 Page 3 of 4

With regard to Committee meetings, in response to inquiry, and acknowledging need to conform to the Ohio Open Meetings Act requirements for public entities, Mr. Craig will clarify status of presence at Committee meetings via teleconference. Discussion of committee quorum to be TABLED. 2. Summit County ADM Support Committee No report; next meeting is September 22, 2017. C. July Executive Limitations & Board Self-Monitoring Reports: 1. Policy 4.5 Executive Director Employment & Compensation DIRECT INSPECTION After discussion of response on monitoring survey, a MOTION was made by Todd M. Ivan, and SECONDED by John Williams, That the Board of Directors amend Policy 4.5.2, Executive Director Employment and Compensation, to reflect renumbering of Ohio Revised Code citation from ORC 340.032, to ORC 340.04, effective 7/1/17, and to approve administrative change in Item 4.5.3.E, to remove redundant wording. VOTE: Yes ALL RESOLUTION: 07-17-06 2. Policy 2.4 Financial Planning & Budgeting Internal Inspection With no comments or concerns, a MOTION was made by Reneé Greene and SECONDED by André Thornton, Jr., That the ADM Board of Directors find the Executive Director in Compliance with Policy 2.4, Financial Planning & Budgeting. VOTE: Yes ALL RESOLUTION: 07-17-07 D. Meeting Assessment Chair requested members complete and return the assessment before departure. VIII. Adjournment With no additional business to come before the Board, a MOTION was made by Joseph Saporito, and SECONDED by André Thornton, Jr., To adjourn the meeting. VOTE: Yes All RESOLUTION: 07-17-08 Chair Saporito adjourned the meeting at 7:35 p.m. IX. Next regular meeting scheduled: Tuesday, September 26, 2017. Minutes as approved Page 6 of 7 Bd. Resolution: 09-17-01 John M. Williams, Board Secretary Page 4 of 4

Page 7 of 7 1867 West Market Street, Suite B2 Akron, Ohio 44313 330-762-3500 Fax: 330-252-3024 Ohio Relay: 800-750-0750 www.admboard.org Recovery Starts Here 2018 Board of Directors Meeting Schedule Draft to be presented to Board of Directors at September 26, 2017meeting. (All dates on 4 th Tuesday of the month, with exception of December.) Time: 5:30 p.m. Fairway Center: Summit County Public Health Board Room 1867 West Market Street, Building A, Akron, Ohio 44313 Location subject to change; will be noted on Notice/Agenda sent out one week prior. Monitoring Reports are due each month with the exception of August and November. January 23 rd February 27 th March 27 th April 24 th May 22 nd June 26 th July 24 th August 28 th (Reserved for Annual Board Training) September 25 th October 23 rd Board does not meet in November December 11 th ADM Board Contract Provider Agencies ADM Crisis Center Akron-UMADAOP Alliance for Healthy Youth Asian Services in Action The Blick Center Catholic Charities Child Guidance & Family Solutions CHOICES A Community Social Center Cleveland Clinic Akron General-Edwin Shaw Rehabilitation Institute Coleman Behavioral Health Community Health Center Community Partnership of Summit County Community Support Services Greenleaf Family Center IBH Addiction Recovery Center Mature Services Minority Behavioral Health Group North Coast Community Homes Ohio Guidestone Oriana House Pastoral Counseling Service Portage Path Behavioral Health Psycho-Diagnostic Clinic Shelter Care Summit County Public Health Summit County Sheriff s D.A.R.E. Program Summit Psychological Associates Tarry House Rev.6/2017