Helen Farabee Centers Board of Trustees Minutes - 04/06/2006 HELEN FARABEE REGIONAL MHMR CENTERS
BOARD OF TRUSTEES
o April 06,2006
10:00 AM
Child and Adolescent Services
516 Denver Street
Wichita Falls,Texas
Board of Trustee Ken Andrews, Chair; Bill Coombs, Vice-Chair; Michael Ezell; Jo Ann
Members Present: Marquart; Bobby McGough; Sue Nunn, Secretary/Treasurer; Shelley Owen;
Bobby Smith
Board of Trustee Robert Clement
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; Lynn Hartje, Mental
Health Services Director; Ralph Whaite, Management of Information Services
Director; Rose Wilson, Mental Retardation Services Director _
Other Staff and Lynelle Casteel,Habilitation Coordinator; Charlie Martin, Crisis Services
Guests Present: Director; Marcy Thomas, Substance Abuse Services Director: Judy Michaels,
MAC Coordinator, Recorder
AGENDA TOPICS
040606-1 CALL TO ORDER
Ken Andrews, Chair called the meeting to order in open session at l l:07 AM. A quorum of Board of
Trustee members was present.
A)Introduction of Guests
There were no guests present.
040606-2 PRESENTATIONS
A) Open Citizen Comment to the Board
No citizen comment was offered.
B)Mental Health Services
Lynn Hartje, Mental Health Services Director,right now in the Mental Health Division we are treating
919 people with a Bipolar Diagnosis (Manic Depressive); Schizophrenia 423; Major Depression 799;and
other including those who come in for Crisis Resolution Services; that is for the adults. For children we
have 49 kids we are treating for Bipolar Disorder; 1 for Schizophrenia; 35 for Major Depression; and 282
for anything from Oppositional Defiant Disorder to Attention Deficit Disorder for a total of 2,563
individuals. Judge McGough had asked me to share with you some case studies to help illustrate some of
the diagnoses we treat. Today I want to talk about Major Depression with Psychotic Features. This is a
really good case that will illustrate that. This is a composite individual, this is not a real case, but it
follows very closely a case. This is kind of an understanding of what that process is like for folks.
I want to pass around something else we are doing on the Mental Health Division right now, distributing a
Stress Management and Prevention handout (on file). It has to do with FEMA (Federal Emergency
Management Agency). We are going out for Wild Fire response. A temporary employee and I are
meeting with Fire Fighters, with First Responders, and with Emergency Personnel in each of five
counties, Parker,Tarrant, Wise, Montague, and Cooke Counties. These are basically the principals we are
using as we are talking to those folks. So far we have been pretty well received and we look forward to
finishing this up in the next week or two. RECEIVED IN
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C)Mental Retardation Services Training Program
Lynelle Casteel,Habilitation Coordinator,part of my job is to write the training plan for Community
Support Supported Home Living. That is the service that I am going to talk to you about today. We have
developed many formal assessment tools that help us identify where their needs are. Our goal is to
individualize their training. Our Training Centers work.
040606-3 APPROVAL OF MINUTES
The Board of Trustees approves the minutes of the March 02, 2006 Board of Trustees meeting.
Motion: Ms. Nunn Affirmative: 4
Second: Mr. Smith Negative: 0
Citizen Comment: None
11:22 AM Shelly Owen arrived at the meeting
040606-4 TRAINING
A) Open Meetings Act
Roddy Atkins, Executive Director introduced the required Open Meetings Act video from the Texas
Attorney General's Office.
THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:45 AM.
THE NEXT ITEM ON THE AGENDA WAS ANNUAL TRAINING AND DID NOT REQUIRE A
VOTE OR APPROVAL. THE BOARD OF TRUSTEES ELECTED TO PROCEEED WITH THE
TRAINING.
THE MEETING WAS RECONVENED BY JUDGE ANDREWS AT 12:07 PM.
11:55 AM Bobby McGough arrived at the meeting
040606-4 TRAINING (Continued)
A) Open Meetings Act
12:41 PM Michael Ezell arrived at the meeting
040606-5 RECOMMENDATIONS
A. BOARD OF TRUSTEES
1)Executive Director's Evaluation Tool
RECOMMENDED ACTION: That the Board of Trustees approve the Evaluation Tool for the Executive
Director's Fiscal Year 2006 Evaluation, and that the Chairman appoint a coordinator.
Bill Coombs lead a discussion about the history and rationale for the selected criteria for the Executive
Directors Evaluation Tool. There was dissatisfaction expressed with the current tool and interest in
changing the format for next year.
Ken Andrews appointed Bill Coombs to coordinate the Executive Director's Fiscal Year 2006
Evaluation.
The Chairman appoint Bill Coombs to coordinator the Executive Director's Fiscal Year 2006 Evaluation; and
they will consider the appointment of a committee to assess the Evaluation Tool prior to the Fiscal Year 2007
Evaluation.
Citizen Comment: None
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April 06,2006
2)Psychiatric Recruitment
RECOMMENDED ACTION: That the Board of Trustees authorize the Executive Director to sign
contracts with and approve payment of expenses with Psychiatric/Physician Locum Tenem and Recruitment
Companies, as well as negotiate relocation expenses for permanent Psychiatrist recruits outside of the
Center's services area.
Roddy Atkins, Executive Director,requested that due to time constraints he be allowed to sign contracts
with and approve payments of expenses with Psychiatric/Physician Locum Tenem and Recruitment
Companies as well as negotiate relocation expenses for permanent Psychiatrist recruits.
The Board of Trustees authorize the Executive Director to sign contracts with and approve payment of
expenses with Psychiatric/Physician Locum Tenem and Recruitment Companies,as well as negotiate
relocation expenses for permanent Psychiatrist recruits outside of the Center's services area but must present
negotiated information to the Baord of Trustees at their next meeting.
Motion: Ms. Owen Affirmative: 7
Second: Mr. Coombs Negative: 0
Citizen Comment: None
B. BUDGET AND FINANCE
1)Financial Statements
RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for February,
2006.
Rod Brennan, Chief Financial Officer presented the financial statements for February 2006 (on file).
The Board of Trustees approves the financial statements for February 2006.
Motion: Ms.Nunn Affirmative: 7
Second: Mr. Coombs Negative: 0
Citizen Comment: None
2) Investments
RECOMMENDED ACTION: That the Board of Trustees review and approve the status of investments.
Rod Brennan, Chief Financial Officer presented the status of investments (on file).
The Board of Trustees reviewed and approved the status of investments.
Motion: Mr. McGough Affirmative: 7
Second: Mr. Smith Negative: 0
Citizen Comment: None
C. CONTRACTS AND PLANS
No Agenda Items
Board of Trustee Meeting Minutes 3
April 06,2006
D. FACILITIES AND EQUIPMENT
1) Email Server
RECOMMENDED ACTION: That the Board of Trustees approve the purchase of a new Email server
from Dell Computer Corporation.
Ralph Whaite, Management of Information Services Director presented the bids on the new Email server
(on file).
The Board of Trustees approved the purchase of a new Email server from Dell Computer Corporation.
Motion: Mr. Ezell Affirmative: 7
Second: Mr. Smith Negative: 0
Citizen Comment: None
2)Denver Street Facility Parking Lot
RECOMMENDED ACTION: That the Board of Trustees approve the repair of the parking lot on the south
side of the Denver Street facility at a cost not to exceed $24,510.
Rod Brennan, Chief Financial Officer presented the information on the repair of the parking lot on the
south side of the Denver Street facility (on file).
The Board of Trustees approved the repair of the parking lot on the south side of the Denver Street facility at
a cost not to exceed $24,510.
Motion: Ms. Owen Affirmative: 7
Second: Mr. Coombs Negative: 0
Citizen Comment: None
3)New Video Equipment
RECOMMENDED ACTION:That the Board of Trustees approve the purchase of new video conferencing
equipment listed at a cost not to exceed $16,475.
Ralph Whaite, Management of Information Services Director presented the bids on the new Video
Equipment (on file).
The Board of Trustees approved the purchase of new video conferencing equipment listed at a cost not to
exceed $16,475.
Motion: Mr. Ezell Affirmative: 7
Second: Mr. Coombs Negative: 0 _
Citizen Comment: None
Board of Trustee Meeting Minutes 4
April 06,2006
4) Replacement Video Equipment
RECOMMENDED ACTION: That the Board of Trustees approve the purchase of the replacement video
conferencing equipment listed at a cost not to exceed $7,423.30.
Ralph Whaite, Management of Information Services Director presented the bids on the replacement
video conferencing equipment (on file).
The Board of Trustees approved the purchase of replacement video conferencing equipment listed at a cost
not to exceed$7,423.30.
Motion: Mr. McGough Affirmative: 7
Second: Mr. Smith Negative: 0
Citizen Comment: None
LE. POLICIES AND PROCEDURES
No Agenda Items
F. PROGRAM AND PERSONNEL
1)Project Teams
RECOMMENDED ACTION: Information item only.
Rose Wilson, Mental Retardation Services Director,presented the information on the Project Teams (on
file).
No action required, for information only.
Citizen Comment: None
2) State Hospital Utilization
RECOMMENDED ACTION: Information item only.
Gianna Harris, Essential Services and Clinical Accountability Director introduced Charlie Martin,
Crisis Services Director who talked about State Hospital Utilization (on file).
No action required, for information only.
Citizen Comment: None
040606-6 QUARTERLY REPORTS
A. PLANNING AND NETWORK ADVISORY COMMITTEE
No Agenda Items
B. MANAGEMENT REPORTS
No Agenda Items
Board of Trustee Meeting Minutes 5
April 06,2006
1040606-7 EXECUTIVE DIRECTOR'S REPORT
Response from Attorney General
The Governor in his Executive Order instructed the Commissioner of Health and Human Services to seek
an opinion from the Attorney General around whether Mental Health Services was included in the
Provider of Last Resort amendment to House Bill 2292. The Attorney General's opinion came back that
the amendments to House Bill 2292 do apply to Mental Health Services. You also recall in the
Governor's Executive Order when he vetoed House Bill 2572 that he gave a lot of latitude and flexibility
to the Health and Human Services Commission to try and interpret all of the authority provider
provisions. That is where we came up with the basis of House Bill 2572 that DADS (Department of
Aging and Disabilities Services) is honoring in terms of Mental Retardation Authorities and Private
Providers and the fact that we are still allowed to have HCS (Home and Community Support) and
ICF/MR (Intermediate Care Facilities for Persons with Mental Retardation) Services. Those discussions
have already begun with Mental Health Advocacy Groups and will be expanding to the Mental Health
Private Providers. This is no surprise. I think you probable will see some clean up language that a lot of
people can support that will be going through this next Legislative session.
David Lloyd Consultation
You got a nice overview of the David Lloyd consultation. The whole point of the David Lloyd
consultation is we are facing some unknowns in the future. Are we going strictly Fee For Service?
Expectations are changing. We know there are not going to be a lot of new dollars. One thing we have to
continually focus on is how do we better utilize our resources and staff. How do we become more
efficient in the way we deliver services? How do we reduce our administrative costs? One of the issues
we are wrestling with right now, as an example in one of the models we are dealing with now, Service
Package 1. If you look at the Department's Fee For Service, based on our current costs a caseworker
would have to carry a case load of 454 to make Service Package l provision break even. What I will tell
you is that it is a clinical impossibility for that to happen. So we are also going to have to take a look at
what costs go into that provider beside salary and benefits. How much is it costing us to provide all
different levels and types of support? So it is looking at things from the provider level all the way up
through the top to see where we can come up with cost savings because we are a service provision
business. Our mission is to take care of our patients. We do not need to have things in place that interfere
with that, whether it is inefficient practices or duplication of effort. We have a responsibility to do
everything in our power to keep as much resource going to service provision and do what is necessary
from an infrastructure standpoint to keep the organization function like it is suppose to. It is a delicate
balancing act. There are going to be some opportunities for new service development. I think we will see
an expansion of Children and Adolescent Substance Abuse. I think we may see other opportunities in
Adolescent Mental Health. I think the emphasis will be towards Children and Adolescent. I have focused
on trying to bring us a full time Child and Adolescent psychiatrist. It is different than an adult practice
and a different level of expertise. I will tell you in my assessment of where we set in this community our
level of expertise needs to go up greatly if we are going to make a difference with kids.
Physician Recruitment
We have a new physician for Midland,Texas who will be joining us as early as May Pt but more likely
around May 15 . Her name is Dr.Mena Patel. She is coming out of private practice and I think she will
do extremely well. She has been up here trying to find a place to live. We are excited about her because
we are getting back logged when it comes to Psychiatric Evaluations and scrambling for medical coverage
on a daily basis.
Follow Up
To follow up, Mr. George Clay,High Plains Health Providers, who came to a couple of our Board of
Trustee meetings has never followed up with me on the concerns he expressed. I have tried to follow up
with him on several occasions and left messages but there has been no response.
Board of Trustee Meeting Minutes 6
April 06,2006
May Meeting
I will not be here for the May Board of Trustee meeting. The Texas Council Executive Directors'
Consortium and Board of Directors meeting occurs that week. I need to be down Wednesday for a
Legislative Committee meeting. I am sure Judge Andrews will be heading down after the Board of
Trustees meeting but I do have an obligation to the Legislative Committee. I will ask Gianna Harris to
give the Executive Director's Report.
040606-8 ANNOUNCEMENTS
A. Facility Tour Following Meeting
Members were encouraged to tour the Child and Adolescent Services facility and see the changes that
have been made and continue to be made.
B. Next Meeting
Ken Andrews announced the next meeting will be at 11 A.M., Thursday, May 04, 2006, at the Staley
Conference Room, Wichita Falls
2:33 PM Ken Andrews left the meeting
040606-9 OTHER BUSINESS
A. Legislative Committee Workshop
Bill Coombs reported on the Lesiglative Committee Workshop on March 4`''. It was one of the best I
have been toin a long time. The Legislative Committee had already come up with a plan, or some ideas.
The faciitator was very organized, very timely, and allowed everyone to speak. They had a large room
with microphones at every table so every one could be heard. Everyone had plenty of time to express
their ideas and concerns. We were introduced to the new Lobbyist that they hired,Todd Smith. I was
really impressed with him. Right off the top of his head he went down an extensive list of not only the
state but national challenges. It was a really good meeting, and I appreciated the opprtunity to participate.
040606-10 ADJOURN _
The Board of Trustees' meeting adjourned at 2:35 PM.
Approved as presented: Approved as corrected:
1
May 0 , 2006
Board of Trustee Meeting Minutes 7
April 06,2006
1�1
A) HELEN FARABEE
, REGIONAL MHMR CENTERS Wichita Falls Administrative Office
P.O.Box 8266 1000 Brook Street Wichita Falls,Texas 76307-8266
Phone (940) 397-3100 Fax (940) 397-3150
May 08, 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 April 06, 2006May 04, 2006. These minutes were approved by the Board at its
meeting held on May 04, 2006.
Sig - -ly
d_ k..%
an el
Adminis rative Assistant/Board Liaison
/jw
enclosure
RECEIVED IN
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