| Board Meeting Minutes - October 8, 2007 |  |
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Members Present Mike Kelley, Chair Members Absent Pat Morris Others Present Robert Johnson, Executive Director I. Call to Order II. Welcome III. Comments from Public IV. Specification of Other Items to be added to the Agenda V. Approval of September 10, 2007 Board Meeting Minutes Mr. Kelley asked for approval of the September 10, 2007 Board Meeting Minutes. There were two corrections to be made to the minutes. On page two, “Kane” should be spelled “Kaine”. On page three “Ms. Emery” should be “Elizabeth Emery”. On a motion made by Ms. Barrett and seconded by Mr. Szakos, the September 10, 2007 minutes were approved with the corrections. There was one abstention from Mr. Walters. VI. Executive Director’s Report Mr. Johnson discussed the VACSB Conference held at the beginning of October in Wintergreen. Several areas were discussed that effect the current status of the community services boards, our systems of care, and other future areas. He noted that the General Assembly Session begins in late January. There was good board representation at the conference. Mr. Johnson noted the VACSB Public Policy Brochures that Region Ten recently received. The VACSB is asking each board to distribute the brochures to public stakeholders, such as the local and state legislative representatives, prior to the GA session. He stated that 8 ½ x 11 cards would be placed inside the brochures outlining the board’s position on key legislative issues and the exemplary services provided as well as service delivery challenges we face. He noted that Ms. Maltais would be the lead on completion of the brochures. Mr. Johnson stated that on the first day of the conference, the Inspector General addressed the current state of MR Case Management. During the conference a presentation on Outpatient Capacity was given. There is a strong push from the General Assembly to require attendance at all outpatient hearings as a partial response to the VA Tech tragedy. There is also an expectation that the commitment law will be rewritten to broaden the scope of its reach even though this may further limit individual’s freedoms. Regulations will likely be written requiring CSB attendance at all commitment hearings. This may require creating an hourly position just for coverage at the hearings. This may cause a burden on Regional Boards as it is not unusual for a consumer to be committed away from their catchments area. Mr. Johnson stated that during the seminar themes of the conference revolved around environments of change, opportunity and prevention. Mr. Johnson stated that the MR Seminar was hosted by Ms. Maltais. Ms. Maltais stated that Ms. Karen Lawson, from the Department of Medical Assistance Services, covered the Systems Transformation Grant. She noted that Ms. Lawson discussed money following the person, an initiative to move 1,000 people from state care facilities to community based care. Federal funding currently matches 50/50 with the state. That percent would change to 75% Federal, 25% State. The goal is to have 1,000 people moved into community-based care by September 2011. Mr. Johnson further discussed the VACSB Conference by moving into details about Public Policy. During the Executive Directors Forum and Council core standards were discussed. Topics included Emergency Services, Case Management, Pre-admission screeners and eligibility. At the May conference the Executive Directors voted to require masters level minimums for emergency services prescreeners. Many rural boards noted they are unable to hire this level of staffing and as such will be operating in non-compliance. Region Ten has met the standard for several years. Mr. Johnson noted the 2008-10 Budget Priorities under the legislative agenda. He pointed out item II under Crisis Stabilization, which will be a priority modality that is expected to receive statewide funding by the General Assembly this year. Rapid/Urgent Care Triage was discussed as well as Crisis Stabilization, which are good areas to ask for additional funding. By code we are required to provide Emergency Services and Case Management Services, pending the resources of the board. There is an expectation of new requirements. He went on by saying that the 1600 MR waivers were discussed, as well as other areas in the developmental disability areas that need funding. He then indicated other areas that are being looked at such as prevention of underage alcohol consumption, jail diversion and geriatric services. Reed Banks reported on the CIT project which provides training to police officers on recognizing and responding appropriately to individuals with mental disorders. Through observation they determine if the person in question should be taken to jail for incarceration or dropped off at a center for mental health evaluation. Region Ten does not currently have a drop off center for officers to bring potential consumers. Mr. Szakos stated that in Richmond, 30% of those in jail should really be receiving mental health help, instead of receiving incarceration. Mr. Johnson went on to list other areas being looked at such as Child and Family Services, children and adults who are deaf, blind, deaf and blind who have MR, MI, or Substance Use Disorders. He stated that the VACSB didn’t ask for dollar amounts on the big ticket items as front line services seemed to be where the focus is directed at. A 5% cut at the department of 29 million dollars at DMHMRSAS has resulted in the loss of 74 positions. None of these positions provide direct services to consumers. The Governor’s budget comes out on the 17th or 18th of December and the hope is there will be additional dollars for CSBs despite the budget shortfall.. An area that needs improvement is SA Medicaid Billing. Discussion was based on revenues from MH and MR billed Medicaid services. Mr. Johnson indicated that reimbursement rates for SA Medicaid was much lower than expected. Boards complained that reimbursement rates were too low. The hope is for the rates to become more aligned with MH and MR. Mr. Johnson went on to say another big area was CSA and Foster Care. The General Assembly and Legislators, after the report from the commission on law reform, will talk about CSBs having a stronger role in the CSA arena. CSA gets an inordinate amount of money to handle services for the eligible population. Many of these children and youth have serious emotional problems and would be better served in the CSB system. Currently these children come under the Department of Social Services. There is an over prescription for expensive residential care by the CSA teams. Legislators are discussing changes in the CSA regulations. Mr. Johnson then noted a change in the HIV set aside. Virginia was always a designated state, 10 AIDS cases per 100,000 population. In the most recent population study, Virginia had fallen to 7.6%, which is good in one respect, but Region Ten will likely lose about $74,000 in funding due to being a non-designated state. We have selected a vendor, which will put Region Ten in position to have the required consumer electronic health record long before the state requirement of 2011. Mr. Johnson stated that VOCAL and the advocacy training for consumers is on October 29, 2007. He reported Barbara Barrett has a great idea to provided advocacy training to HPR 1 consumer and board members. Ms. Barrett is currently talking to Valley CSB to use a large room for this training. A tentative date has been set for Saturday, November 3rd. More information will be provided. VII. Quarterly Action Committee Reports The five action committees have each met several times to prioritize their objectives and to begin building action plans. The Workforce Action Committee, lead by Ms. Lewis, will begin working on the objective: Becoming the employer of choice. The Advocacy Action Committee, lead by Dr. Moody and Mr. Moore, will begin working on the objective: To support and be informed by consumer advocates. The Services Action Committee, lead by Ms. Davis and Ms. Maltais, will begin working on the objective: Create a Person-Centered Culture. The Partnership Action Committee, lead by Mr. Banks and Ms. Becker, will begin working on the objective: Expand access to mainstream services and other community resources. The Organizational Effectiveness Action Committee, lead by Mr. Brown, will begin working on the objective: Collect and Analyze data to inform decision-making processes. VIII. Executive Committee Mr. Kelley stated that the committee worked on the Board Policies. Ms. Maltais gave an update on the Services Action Committee. IX. Personnel Committee Mr. Kelley stated that Ms. Lewis reported to the committee during their last meeting regarding the Workforce Action Committee. Ms. Lewis provided updates to the committee. The Committee created several goals, which include: X. Finance Committee Ms. White stated that two meetings were held since the last board meeting. The committee is currently reviewing the FY09 Budget and will bring that to the board in November. She stated that staff had been putting together numbers and increases for the committee. The process has changed and the committee is now getting early needs information. Preliminary information is on base budget and new needs. Staff is relooking at information for additional revenues. The committee is also working on linking the Strategic Plan to resources. Mr. Johnson stated that we are working to move forward with the re- organization and the structure. Work over the next few weeks will focus on budget issues and be presented at the next board meeting. Ms. White noted that several areas being looked at currently are 3% increase in compensation as well as Region Ten paying the expected increase to health care so that employees pick up no additional costs for coverage. Mr. Brown stated that a meeting would be set-up with the audit firm to review the changes we have made in our fiscal policies XI. Public Policy & Advocacy Committee Mr. Szakos indicated that the first meeting of the newly formed committee would be on October 18th at 5:00 PM. XII. VACSB Ms. Barrett stated that during the VACSB Conference the Board of Directors were informed that the CSBs are going to be able to take advantage of a new finance program that VML (Virginia Municipal League) and VACO (Virginia Association of Counties), are offering. Two CSBs are currently involved, though this bond pool will be available to all CSBs. This is a low cost source of financing, loans up to 30 years VACSB has been working with Trilogy for an E-Learning WRAP (Wellness Recovery Action Plan) training, currently free to consumers. This training is through web. VACSB is working on providing this training for Boards as well. Ms. Barrett stated that in January the VACSB would hold its Legislative Conference. On January 21st will be the Coalition Rally and the Conference will begin on January 22nd. XIII. Other Business Currently the Board is missing a Greene County Representative. Greene County is looking for a replacement. Mr. Kelley noted that due to other commitments, Dr. El-Amin would be resigning from the Board. She is an Albemarle County Representative and so a replacement will need to be assigned. XIV. Adjournment On a Motion made at 7:49 PM by Ms. Johnston and seconded
by Mr. Szakos the October 8, 2007 Region Ten Board Meeting was adjourned
and the Board moved into the Region Ten, Inc. Meeting. REGION TEN COMMUNITY SERVICES BOARD, Inc. Meeting Minutes Members Present Mike Kelley, Chair Members Absent Pat Morris Others Present Robert Johnson, Executive Director I. Call to Order Mr. Kelley called the meeting to order at 7:49 PM. II. Approval of September 10, 2007 Region Ten, Inc. Minutes Mr. Kelley asked for approval of the September 10, 2007 Meeting
minutes. In the On a motion made by Mr. Hale and seconded by Ms. Barrett, the September 10, 2007 minutes were unanimously approved with the corrections. III. Other topics Region Ten has closed on the Pine Ridge Inc. property. The clearing of the land should be in process with building to begin in a few weeks. The project is expected to be completed in six months. Mr. Brown noted that this project is HUD Grant funded. Mr. Banks stated that the Mews complex was progressing on schedule and all units should be leased as of November 1st with 38 people moved in by the end of October. He stated that 16 new units had been constructed and that right now landscaping is currently being completed. Mr. Szakos asked about the waiting list of 180 people if there were any efforts to find housing for those individuals. Mr. Banks stated that there are no additional plans currently being made. There have been some bids put in for a few properties, but nothing at this time. The ground breaking of the Nelson County project has been delayed until January. It was scheduled for October. The project should be completed in nine months. Region Ten met with the architect and builder regarding cost containment. IV. Adjournment A Motion was made by Mr. Stern and seconded by Mr. Walters to adjourn the October 8, 2007 Region Ten Community Services Board, Inc Meeting at 8:05 PM and was unanimously approved. The meeting then moved into Pine Ridge Residence, Inc. Pine Ridge Residence, Inc. Meeting Minutes Members Present Mike Kelley, Chair Members Absent Pat Morris Others Present Robert Johnson, Executive Director I. Call to Order Mr. Kelley called the meeting to order at 8:05 PM. II. Approval of September 10, 2007 Region Ten, Inc. Minutes Mr. Kelley asked for approval of the September 10, 2007 Meeting minutes. On a motion made by Ms. Barrett and seconded by Ms. Johnston, the September 10, 2007 Pine Ridge Residence, Inc. minutes were unanimously approved. III. Adjournment A Motion was made by Mr. Walters and seconded by Ms. White to adjourn the October 8, 2007 Pine Ridge Residence, Inc. Meeting at 8:06 PM and was unanimously approved. |
