MINUTES OF THE BOARD September 19, 2013 North Country Community Mental Health Board Room 1420 Plaza Drive Petoskey, Michigan BOARD MEMBERS PRESENT: Ed Ginop, Debra Kimball, George Anthony, Sr. Augusta Stratz, Dan Plasencia, Paul Liss, Sue Allor, Bob Boyd, Karla Sherman, Joel Evans, Christian Marcus, Dennis Priess, Gary Averill BOARD MEMBERS ABSENT: STAFF: GUESTS: Louis Scholl Alexis Kaczynski, David Schneider, Donna Wheeler, Joan Booth, Michael Lucido Lisa Clavier, Linda Boyd Mr. Ginop called the meeting to order at 4:30 p.m. ROLL CALL Mr. Ginop welcomed everyone and introduced Gary Averill who is a new Board Member and asked everyone to introduce themselves PUBLIC COMMENT Ms. Clavier made a report on the Kiersten s Ride fundraiser for suicide prevention in honor of her daughter who died a year ago. Mr. Lucido and Ms. Clavier are part of the suicide prevention group in Emmet and Charlevoix Counties. Mr. Lucido talked about the Teen Team Group and the Yellow Ribbon and Red Flags mental health awareness programs. Discussion was held about suicide prevention groups. CONSENT AGENDA Financial Statement Provider Operations - North Country CMH: Balance on Hand, July 31, 2013 $6,851,339.14 Receipts, Adjustments & Transfers, Aug. $3,626,431.56 Total Disbursements & Adjustments, Aug. $3,310,906.91 Increase in Cash Balance $ 315,524.65 Balance, August 31, 2013 $7,166,863.79 *Approximately $4,464,910 has been advanced from the State of Michigan and has been encumbered for outstanding bills.
Financial Statement Managed Care Operations - North Country CMH: Balance on Hand, July 31, 2013 $7,641,621.99 Receipts, Adjustments & Transfers, Aug. $6,382,656.51 Total Disbursements& Transfers, Aug. $6,600,769.91 Decrease in Cash Balance $ 218,113.40 Balance, August 31, 2013 $7,423,508.59 *Included in the balance is the Medicaid Internal Service Fund balance of $5,640,352. MOTION BY JOEL EVANS, SECOND BY SUE ALLOR, TO APPROVE THE CONSENT AGENDA. MOTION CARRIED. Information (I) Items from Committee Reports Information items were included in the committee minutes. Privileging Recommendations There was one privileging recommendation this month. COMMITTEE RECOMMENDATIONS BOARD ACTION Finance Committee Mr. Plasencia reviewed the Initial Budget for FY2014. MOTION BY DAN PLASENCIA TO APPROVE THE INITIAL BUDGET FOR FY2014. MOTION CARRIED. Mr. Plasencia reviewed the remodeling of the office at North Country Residential. MOTION BY DAN PLASENCIA TO APPROVE THE PURCHASE OF WORK STATIONS, ETC. FROM WORK SQUARED FOR $7,399.43 FOR NORTH COUNTRY RESIDENTIAL. MOTION CARRIED. Mr. Plasencia reviewed the request for replacement windows at Pinehaven Red AFC home. MOTION BY DAN PLASENCIA TO APPROVE THE PURCHASE OF WINDOWS AT THE PINEHAVEN RED AFC HOME FROM GOTTSCHALK CONSTRUCTION IN THE AMOUNT OF $13,950. MOTION CARRIED. Personnel Committee Mr. Scholl reviewed the results of the Director s evaluation. He complimented the Board members about the number of evaluations received. The evaluation was excellent and complimentary and he reviewed the comments.
Mr. Scholl referred to the comparative salary chart that was reviewed by the committee members for CMH boards in the northern region. As a result of this review the committee unanimously voted to provide Ms. Kaczynski a 3% COLA and 2% merit raise. MOTION BY LOUIS SCHOLL, SECOND BY ROBERT BOYD, TO PROVIDE MS. KACZYNSKI WITH A 3% COLA AND A 2% MERIT RAISE. MOTION CARRIED. Ms. Kaczynski thanked the board for the complimentary performance evaluation and their kind wishes regarding her compensation. She stated, however, that she couldn t consider a salary increase until it was known what would be available in the budget for the staff. The Motion was tabled to be reviewed at a later date once it is determined that the budget will support salary increases for the remainder of staff. The motion was withdrawn at this time with the understanding that any salary changes will be retroactive back to October 1 st. Ms. Kaczynski also mentioned that a review of administrative staff compensation in the region has indicated that North Country is not competitive for some positions and complimented Donna Wheeler on her level of skill, ability and performance. ACTION ITEMS WITHOUT COMMITTEE REVIEW There were no action items. PRESENTATION Accreditation and CARF Christine Gebhard was called away unexpectedly for a funeral so Ms. Kaczynski presented on accreditation and the accreditation organization: the Commission on Accreditation of Rehabilitation Facilities (CARF). She described what it is, what it does and that it is a national organization. The CARF standards are national standards and the results will tell how the agency stands compared to other agencies. CARF and North Country CMH have similarities in their missions. NCCMH has been accredited by CARF since 2007 and prior to that was accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) since 1996. When CARF comes to the agency they will evaluate leadership; strategic planning; input from persons served and other stakeholders; performance measurement and management; performance improvement and legal requirements; financial planning and management; risk management; health and safety; human resources; technology; rights of persons served; and accessibility. In addition to administrative standards there are program standards. General program standards apply to all programs and there are additional standards for specific programs. The maximum award from CARF is a three year accreditation and every three years there is an onsite review. During the intervening years, there still is contact, with the submission of documents and plans. She reviewed the itinerary for the three days of the survey. Ed Ginop will be interviewed on the first day as Chairman of the Board, but all board members are cordially invited to the exit interview.
NORTHERN MICHIGAN REGIONAL ENTITY Mr. Priess indicated that the Board meeting was held yesterday at the Alpine University Center in Gaylord and there was good attendance considering the distances people have to travel. One important item of correspondence was that Mr. Schneider received information that the Department is switching gears regarding the composition of the Board and Mr. Schneider challenged that and the Department rescinded this change. The NMRE Substance Abuse Services Committee had its first meeting. Mr. Schneider will be able to put together the plan for integration of PIHP and Coordinating Agency services, which is due October 1st. He gave a thorough report and the transition plan was approved. The job description for the Chief Financial Officer was also approved. There will be a PIHP meeting held at the Association Conference. OLD BUSINESS There was no old business this month. NEW BUSINESS Mr. Boyd reported on the MACMHB Policy Committee meeting held yesterday in Lansing. He reviewed the agenda which included updates on site visits, autism requirements, 490 Workgroup, 494 Workgroup, Leadership/Visioning regarding healthcare reform planning efforts, TSG update and the transitioning Policy Committee Chair. The next meeting will be on November 20, 2013 in Lansing. Ms. Kaczynski is a member of the Legislation Committee that meets at the same time as Policy Committee. DIRECTOR S REPORT/COMMUNICATIONS Ms. Kaczynski discussed and reviewed the fact that 82% of the agency s funding is through Medicaid 1915b, 1915b3 and 1915c waivers to the State Medicaid plan and she described the services provided through these waivers. The Centers for Medicare and Medicaid Services (CMS) has consistently expressed concern about the growth in 1915b3 services and the distribution of c waiver slots. North Country CMH, for example, has 436 slots. The Department is submitting its waiver application and decided to submit a 1915 i state plan amendment for services to persons with developmental disabilities in lieu of the 1915b3 and c waivers. This is a huge change, but it is not known what the implications will be. CMS may require a fire wall between service eligibility determination and actual service provision that might involve a qualifying process similar to that required for the autism benefit. It is not anticipated that there will be changes to mental health services, although now there will be a definite separation between DD and MI services. Ms. Kaczynski referred to the book Annie s Ghosts and the Great Michigan Read program. The agency has received 30 copies of the book and she brought some for Board members to read and return. Ms. Kaczynski summarized the book.
AFFILIATION (MANAGED CARE OPERATIONS) REPORT Mr. Schneider indicated that he is a shared employee at this time, between the Northern Affiliation (North Country) and the NMRE. Medicaid revenue for the year is over projections but it is not known what will happen next year. ABW has dwindled the first half of the year. Northeast Michigan CMH will over expend ABW revenue and this will decrease the carry forward from North Country CMH and AuSable Valley CMH, as ABW revenue comes to the PIHP and must be managed regionally. There will be a $25,000 shortfall from Northeast Michigan CMH. There are no rates for FY 14 yet and a 1½% increase is expected. The existing region has made a commitment to go paperless by November 1 st and he explained what this means. The Data Analytics pilot is progressing slowly. The state group is working on state capacity and they will roll out the pilot on October 2 nd. The External Quality Review occurred and the Affiliation did well with 118 elements reviewed. The NMRE substance use disorder transition is a challenge and the state has not been very helpful. He hopes to submit the required plan to the state by Monday. NMSAS will remain as a provider entity. LONG RANGE PLAN/QUALITY IMPROVEMENT UPDATES Ms. Kaczynski indicated that because Ms. Gebhard is not here today there will not be a report. Sr. Augusta asked for an updated Acronym list. MOTION BY KARLA SHERMAN, SECOND BY BOB BOYD, TO ADJOURN THE MEETING AT 5:55 P.M. MOTION CARRIED. Ed Ginop, Board Chair