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Helen Farabee Centers Board of Trustees Minutes - 09/07/2006 HELEN FARABEE REGIONAL MHMR CENTERS \'L% BOARD OF TRUSTEES • September 7,2006 44\ 11:00AM Child and Adolescent Services 516 Denver Street Wichita Falls,Texas Board of Trustee Ken Andrews, Chair; Robert Clement; Bill Coombs, Vice-Chair; Michael Members Present: Ezell; Jo Ann Marquart; Bobby McGough; Sue Nunn, Secretary/Treasurer; Bobb Smith Board of Trustee Shelley Owen Members Absent: Senior Roddy Atkins, Executive Director; Rod Brennan, Chief Financial Officer; Jeff Management Staff Dresbach, Human Resources and Risk Management Director; Gianna Harris, Present: Essential Services and Clinical Accountability Director; Connie Johnston, Community and Consumer Support Director; Ralph Whaite, Management of Information Services Director; Rose Wilson, Mental Retardation Services Director Other Staff and Linda Ammons, City of Wichita Falls Liaison; Jan West, Administrative Guests Present: Assistant/Board Liaison, Recorder AGENDA TOPICS 090706-1 CALL TO ORDER Bill Coombs, Vice— Chair called the meeting to order in open session at 11:00 AM. A quorum of Board of Trustee members was present. A) Introduction of Guests Linda Ammons, City Commissioner arrived later in the meeting and was introduced as a guest. 090706-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. 090706-3 APPROVAL OF MINUTES The Board of Trustees approves the minutes of the August 03, 2006 Board of Trustees meeting. Motion: Ms. Nunn Affirmative: 5 Second: Mr. Ezell _ Negative: 0 Citizen Comment: None 090706-4 TRAINING A) Mental Retardation Services Division Rose Wilson, Mental Retardation Services Director presented training on Mental Retardation Service(on file). 11:10 AM Ken Andrews arrived at the meeting 11:25 AM Robert Clement arrived at the meeting Board of Trustee Meeting Minutes 1 September 7,2006 090706-5 RECOMMENDATIONS A. BOARD OF TRUSTEES 1)Texas Council Dues RECOMMENDED ACTION: That the Board of Trustees approve and the Chair sign the Fiscal Year 2007 Dues Commitment with the Texas Council of Community MHMR Centers. Further, that the Board approve equal quarterly payments in September, December, March, and June. Rod Brennan, Chief Financial Officer presented the dues commitment with the Texas Council of Community MHMR Centers. The Board of Trustees approved the Chair sign the Fiscal Year 2007 Dues Commitment with the Texas Council of Community MHMR Centers. Further, that the Board of Trustees approve equal quarterly payments in September,December, March, and June. Motion: Mr. Coombs Affirmative: 7 Second: Mr. Clement Negative: 0 Citizen Comment:None 2) Executive Director's Performance Evaluation Tool RECOMMENDED ACTION: Information item only. Ken Andrews and Roddy Atkins, Executive Director presented the information on the Performance Evaluation Tool. No action required, for information only. Citizen Comment: None B. BUDGET AND FINANCE 1) Financial Statements RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for July 2006. Rod Brennan, Chief Financial Officer presented the financial statements for July 2006 (on file). The Board of Trustees approved the financial statements for July 2006. Motion: Ms. Nunn Affirmative: 7 Second: Mr. Ezell Negative: 0 Citizen Comment: None • THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:56 AM. THE MEETING WAS RECONVENED BY JUDGE ANDREWS AT 12:35 PM with Michael Ezell and Robert Clement not in attendance. Board of Trustee Meeting Minutes 2 September 7,2006 C. CONTRACTS AND PLANS 1) 2006—2007 Local and Quality Management Plan RECOMMENDED ACTION: That the Board of Trustees review and approve the revised Local and Quality Management Plan as recommended by the Planning and Network Advisory Committee. Connie Johnson Community and Consumer Support Director presented the revised Local and Quality Management Plan (on file). The Board of Trustees approved the revised Local and Quality Management Plan. Motion: Ms. Nunn Affirmative: 5 Second: Judge McGough Negative: 0 Citizen Comment: None 12:40 AM Michael Ezell returned to the meeting 2) Ratify Fiscal Year 2007 Performance Contracts and Approve the Budget RECOMMENDED ACTION: That the Board of Trustees ratify the FY(Fiscal Year)2007 Performance Contracts with DSHS (Department of State Health Services)Mental Health Services, DSHS (Department of State Health Services) Substance Abuse Services, and DADS (Department of Aging and Disability Services) and approve the budget as submitted. Rod Brennan, Chief Financial Officer presented the Performance Contracts and Budget for Fiscal Year 2007 (on file). The Board of Trustees ratified the Performance Contracts and Budget for Fiscal Year 2007. Motion: Ms. Marquart Affirmative: 6 Second: Mr. Smith Negative: 0 Citizen Comment: None D. FACILITIES AND EQUIPMENT 1)Broad Avenue Entrance RECOMMENDED ACTION: That the Board of Trustees ratify change orders one through four for the Broad Avenue Entrance at a cost of$7,085 with Chavez Construction, Inc. Rod Brennan, Chief Financial Officer presented the information on the change orders for the Broad Avenue Entrance(on file). The Board of Trustees ratified the change orders for the Broad Avenue Entrance at a cost of$7,085 with Chavez Construction, Inc. Motion: Mr. Coombs Affirmative: 6 Second: Ms. Marquart Negative: 0 Citizen Comment: None Board of Trustee Meeting Minutes 3 September 7,2006 E. POLICIES AND PROCEDURES No Agenda Items F. PROGRAM AND PERSONNEL 1) Employee Healthcare Plan RECOMMENDED ACTION: That the Board of Trustees approve the addition of Century Healthcare and Centry HealthPlan to the Centers' list of health care benefit providers. Jeff Dresbach, Human Resources and Risk Management Director presented the five health plans (on file) with the recommendation that plans two, three, and five be made available for our employees. The Board of Trustees approved the addition of Century Healthcare and Centry HealthPlan to the Centers' list of health care benefit providers. Motion: Ms. Nunn Affirmative: 6 Second: Mr. Ezell Negative: 0 Citizen Comment: None 2) Interlocal Agreement with North Central Texas Coalition RECOMMENDED ACTION: That the Board of Trustees approve the payment of the Center's membership fee in the North Central Texas Coalition. The fee is$13,482.84 per year to be paid on a quarterly basis. Roddy Atkins, Executive Director presented the recommendation (on file) on membership in the North Central Texas Coalition. The Board of Trustees approved the payment of the Center's$13,482.84 per year membership fee in the North Central Texas Coalition to be paid on a quarterly basis. Motion: Mr. Smith Affirmative: 6 Second: Mr. Coombs Negative: 0 Citizen Comment: None 12:55 PM Robert Clement returned tothe meeting 3) Project Teams RECOMMENDED ACTION: Information item only. Roddy Atkins, Executive Director introduced the Project Team Facilitators who gave a presentation on the work of the Project Teams (on file). No action required, for information only. Citizen Comment: None Board of Trustee Meeting Minutes 4 September 7,2006 4) Waiting List Procedures RECOMMENDED ACTION: Information item only. Gianna Harris, Essential Services and Clinical Accountability Director presented the Waiting List Procedures for Mental Health Services, Mental Retardation Services, and Substance Abuse Services (on file). Bill Coombs recommended that Procedure 160.2.3 Waiting List and Interim Services for Substance Abuse Services be revised to include more specificity on Adolescent Outpatient Substance Abuse Services and include Hepatitis C on page 153 item 6. as a provided testing. No action required, for information only. Citizen Comment: None 5)Annual Audits in Mental Retardation Services RECOMMENDED ACTION: Information item only. Rose Wilson, Mental Retardation Services Director reported on audits conducted (on file). No action required, for information only. Citizen Comment: None 090706-6 QUARTERLY REPORTS A. PLANNING AND NETWORK ADVISORY COMMITTEE 1) Fourth Quarter Report RECOMMENDED ACTION: Information item only. Connie Johnson Community and Consumer Support Director presented the fourth quarter Planning and Network Advisory Committee report (on file). No action required, for information only. Citizen Comment: None B.ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY 1) Third Quarter Report RECOMMENDED ACTION: Information item only. Gianna Harris, Essential Services and Clinical Accountability Director presented the third quarter Essential Services and Clinical Accountability report (on file). No action required, for information only. Citizen Comment: None Board of Trustee Meeting Minutes 5 September 7, 2006 090706-7 EXECUTIVE DIRECTOR'S REPORT Legislative Communications I have invited Representative Farabee, Representative Hardcastle, and Senator Estes to join us for lunch at our November 2"d Board of Trustee meeting. There are some things we need to talk to them about. The North Central Texas Coalition Legislative meeting called by Representative Larry Phillips was attended by our three legislators and five others. They asked questions around service delivery, Criminal Justice, and provider of last resort. The coalition met yesterday in Denton to formalize our response to their questions. We will possible call another meeting together in October. I provided you with some information at out last meeting. We need to engage our legislators to eliminate the Provider of Last Resort provision in HB 2292. We need to be able to expect our legislators to support our political decisions. We will have some bullet points before the next meeting. • Provider of Last Resort—not concerned about the private providers getting into the service but concerned about where the money for the state match will come from and about the delivery of service • Funding for o Crisis Services— Crisis Services are currently funded from general revenue and we will not 'be able to provide in a Fee For Service environment. o State Hospital utilization—we are facing a $250,000.00 penalty for over utilization of the State Hospital. Not because we have increased our admission but because of a decrease in resources. o Center Administration —unfunded mandates and audits take money away from service delivery. We will not be making any fancy presentations, we just want to eat and visit. Our Iegislators have a healthy respect for our Centers, but we need to let them know where and why we expect their support. We need to remind them where we come from. Since our merge on September 1, 1998 we have reduced our number of employees from 454 down to 242, we have lost over five million dollars in income, yet we still serve the same number of patients. It is believed that this will be our best opportunity for increased funding to come into services. We will have a handout that they can carry home with them. We need to keep it simple but we need for them to hear the key issues we need their support on. We never need to take our relationship with our legislators for granted nor quite making the effort. We want them to walk away from here with the MHMR important issues. We will decide about inviting the County Judges, we will either invite all of them or none of them. 090706-8 ANNOUNCEMENTS A. Next Meeting Ken Andrews announced the next meeting will be at 11 A.M.,Thursday, Octo ber 05, 2006, in Childress. B. Legislators Everyone was encouraged to make a special effort to attend the November 2"d meeting. Board of Trustee Meeting Minutes 6 September 7,2006 • 090706-9 OTHER BUSINESS None 090706-10 ADJOURN The Board of Trustees' meeting adjourned at 2:30 PM. Approved as presented: Approved as corrected: October 05, 2006 Board of Trustee Meeting Minutes 7 September 7,2006 Ail A HELEN FARABEE e REGIONAL MHMR CENTERSlik Wichita Falls Administrative Offic NI P.O.Box 8266 1000 Brook Street Wichita Falls,Texas 76307-82( Phone (940) 397-3100 Fax (940) 397-31 5 October 09, 2006 Darron Leiker City Manager City of Wichita Falls P.O. Box 1431 Wichita Falls, Texas 76307-1431 Dear Mr. Leiker: In accordance with the provisions of Senate Bill 112, a copy of the minutes of the Board of Trustees of Helen Farabee Regional MHMR Centers is enclosed for the regularly scheduled meeting held on September 07, 2006. These minutes were approved by the Board at its meeting held on October 05, 2006. Sincerely, )1e4-- Jan W Admi strative Assistant/Board Liaison /jw enclosure RECEIVED IN CITY CLERK'S OFFICE tI 0 Date `/ I `Up By Time g s-,