| Board Meeting Minutes-Feb. 10, 2003 |  |
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Meeting Held at Members Absent Others Present Dr. Sheras, chairman, called the meeting to order at 6:13 p.m.
Dr. Sheras reported that Ms. Johnston and Ms. Garrett are out of town, Ms. White is attending another meeting, and Mr. Murphy will be late and may not be able to attend.
Dr. Sheras asked if there were any comments from the public. Hearing none, he proceeded to the next agenda item.
Dr. Sheras asked if there were other items to add to the agenda. No items were added to the agenda.
Dr. Sheras thanked Ms. Garrett in her absence for so ably running the meeting last month when he was out of the country. He said there are so many wonderful and competent people on the board. He added that he had a fabulous trip and at some point would like to talk about the holistic approach followed in India where the mental health component is completely integrated into everything, and how we could take a lesson from their approach.
ON A MOTION BY MS. BARRETT, SECONDED BY MS. REBHOLZ, THE MINUTES OF THE JANUARY 13, 2003, BOARD MEETING WERE UNANIMOUSLY APPROVED AS DISTRIBUTED.
Dr. Sheras announced that the item shown on the agenda--a presentation on Western State Hospital by Mr. John Beghtol--has been rescheduled for the April board meeting. Ms. Rebholz asked if there were also non-PACT consumers who also do not participate in BRH. Mr. Banks responded that there are a few consumers who choose to not come to BRH, and that it is not a requirement to be a BRH member. Ms. Wernstrom asked how the PACT services can be put together with employment services given the intense level of treatment required for PACT participants, by definition they would not be functional enough to be employed. Ms. Murray replied that participation in PACT is ongoing, so after three years of program operation with intensive treatment, some consumers have progressed far enough to get employment, and that is why the job support component is so important. There are little triggers that can throw the consumer off such as transportation problems and even in one case, help with how to handle the free time during breaks at the consumer’s job site. She described one consumer who is employed at Harris Teeter as “a superstar at his job.” Dr. Sheras asked about the current census in the PACT program, and Mr. Banks said there are 80 of which 17 are engaged in work or work-like activity.
Dr. Sheras said that the minutes of the meeting were on the table, and that the brief meeting primarily addressed final arrangements for the upcoming CARF visit.
Mr. Wunsh said that the FY 2002 audit report presented and accepted at last months meeting was placed back on the agenda for this evening in case anyone had any more questions or comments on the FY 2002 audit report. Dr. Sheras asked for questions and there were none.
Dr. Sheras said the CARF survey orientation session will be held at 8:30 on Monday, February 24, at Blue Ridge House, and encouraged all board members whose schedules would permit to attend the orientation session. The CARF surveyor will then interview Dr. Sheras followed by an interview of board members. Ms. Garrett, Mr. Murphy and Ms. Rebholz will participate in this. The CARF visit will wind up the next day at 2:00 with an exit meeting at BRH at which time the surveyors will provide feedback on their experience over the two days. This session is open to anyone who would like to attend.
Mr. Trippel reported for the Personnel Committee and reviewed the minutes of the meeting. The committee approved the revisions to the OSHA exposure plan and then heard from Ms. Jane Lewis, director of human resources, on the process and schedule for the selection of next years health insurance contract. It is likely that there will be significant increases in premiums, possibly ranging from 18 to 25 percent. The committee will probably revisit the issue of single employees’ paying zero toward their coverage given the anticipated increases. The insurance subcommittee will look at all aspects so that a selection can be made in time for the new contract to be implemented in September. Mr. Peterson called the members attention to the chart of scenarios showing the total costs to the board and employees if rates were to increase as Mr. Trippel had described. The board had included an increase (on an annualized basis) of $168,000 in the initial proposed FY 2004 budget in anticipation of increased premiums. The cost to the board for the various scenarios ranges from $210,000 to $292,000. Mr. Trippel described the process for the annual performance evaluation of the executive director, and how the committee reviewed and revised the performance survey forms and have sent them out to board members and staff directors. He said that the comments respondents make on the forms are more helpful than the numerical ratings although the latter does provide a mechanism for the board to aggregate responses. The committee may need to schedule an extra meeting in March in order to complete the process in time for the April board meeting.
Mr. Peterson called the members’ attention to the strategic plan update which incorporated the formatting changes for objectives including their current status. Mr. Peterson noted that the process for updating the State Comprehensive Plan and incorporating new local strategic planning and input will begin at next month’s board meeting. Ms. Wernstrom said that given there were some board members absent, she thought any action on the revisions should be postponed until next month. After some discussion that the revisions were not substantive, Dr. Sheras asked if the board were ready to vote. ON A MOTION BY MS. BARRETT, SECONDED BY MR. BELAIR, THE REVISED STRATEGIC PLAN WAS APPROVED AS DISTRIBUTED, NINE AYES, MS. WERNSTROM, NAY.
No report. The committee did not meet.
Dr. Sheras reported that three board members (Barrett, Sheras, and Wernstrom) attended the two hour Web-Ex and telephone conference data consultation presented by David Lloyd to Region Ten’s directors. The presentation was incredibly interesting in two ways, the extent of the actual information shown through the use of the data, and second, it demonstrated the importance of submitting and coding accurate data. In the not too distant future, Region Ten will be able to see the benefit of this process and help staff to focus in on what programs and staff are doing, and the extent to which Medicaid is playing into the mix. Ms. Miller reported that Region Ten’s new system of utilization
management is now recording the number of authorized visits, and
is reauthorizing additional service in a timely manner. There remains
a great deal to do, but progress is continually being made. Mr. Wunsh noted that the financial reports included in the board packet showed a decline in fees, but he has subsequently learned that this was due to a posting that occurred after the cutoff date and that in actuality, the fees remain on target and this will be reflected in the January report. Mr. Pezzoli said that the organization continues to move toward full integration of all services, and that the name that best reflects the overall range of services in the new combined services division is Behavioral Health Services Division. This is the official name of the Community Services Boards which have been converted to authorities (e.g., the Richmond Behavioral Health Authority), and is also the most prevalent name adopted nationwide for similar programs. Mr. Pezzoli said that applications for the new Meadowcreek director position closed today, and the Ms. Barrett will join with him to serve on a small committee to interview applicants. Mr. Pezzoli also observed that the month of January has seen lots of change and confusion with all of the new forms, procedures, etc., with lots of stress and staff anxiety over the new ways of performance measuring, and all of this is going on at the same time that regular business must be maintained in order to achieve service and revenue targets. Although management and staff are continually seeking to work things out, Mr. Pezzoli now sees that it will likely take a full year of process to achieve the promise of the new approach.
Ms. Rebholz was unable to attend the Executive Committee meeting because she had scheduled to take two members of the Fluvanna County Board of Supervisors on a tour of Friendly Oaks in Mineral. She said it was a real eye-opener for them, and that one of her guests thanked her because she hadn’t understood the vast extent of what Region Ten does. Ms. Rebholz followed up the visits with a letters. Mr. Banks invited board members to visit the Dual Recover Center (DRC) noting that one of the HUD (Department of Housing and Urban Development) requirements for the grant support is to allow for board members to interact with homeless persons. Region Ten has held a board meeting at the DRC in the past and will hold another there soon, but the board members should also visit during program hours and the morning is the best for that. Mr. Pezzoli invited board members to call him (972-1833) and he would set up visits that are convenient for all. Rev. Cameron reported that one of the members of Horizon House in Lovingston passed away. The deceased did not have any family or assets, and so the husband of Ms. Marcia Becker (director of Horizon House), held a service at the cemetery. The members then went to Horizon house where they were able to say what they felt about how the community celebrates both life and death. Ms. Rebholz reminded the board members about the upcoming trial of the Mohr Center staff member to be held on February 27, and how they should attend to show support. Mr. Peterson will send out a written reminder as the date approaches.
Ms. Wernstrom said that it is her experience from Working in the UVa psychiatric inpatient service, that one-half of the persons referred from UVa do not keep their follow up appointment at Region Ten. Ms. Wernstrom has some ideas about this situation, and after seeing the David Lloyd Web-Ex presentation, she sees how data could be accumulated and she will talk with Ms. Miller about this. Mr. Wunsh reminded the board members of the recognition for Ann White to be held on February 20 at 4:00 p.m. at the Meadowcreek Center. The meeting was adjourned at 7:41 p.m.
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