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Helen Farabee Centers Board of Trustees Minutes - 02/01/2007 19/ HELEN FARABEE - REGIONAL MHMR CENTERS Wichita Falls Administrative Offic P.O.Box 8266 1000 Brook Street Wichita Falls,Texas 76307-826 Phone (940)397-3301 Fax (940)397-31 5 March 02, 2007 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 February 01, 2007. These minutes were approved by the Board at its meeting held on March 01, 2007. Sincerely, Jan t Ad istrative Assistant/Board Liaison /jw enclosure HELEN FARABEE REGIONAL MHMR CENTERS BOARD OF TRUSTEES • February 1,2007 � 11:00 AM Wise County MH Center 407 Park West Court Decatur,Texas Board of Trustee Ken Andrews, Chair; Robert Clement(via televideo); Bill Coombs, Vice- Members Present: Chair; Jo Ann Marquart; Sue Nunn, Secretary/Treasurer; Shelley Owen; Bobby Smith Board of Trustee Michael Ezell; Bobby McGough 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; Rose Wilson,Mental Retardation Services Director Other Staff and Lynelle Casteel, Habilitation Coordinator; Marcy Thomas, Substance Abuse Guests Present: Services Director; Melanie Whittle, Center Manager,Wise County Mental Health Center; Jan West, Administrative Assistant/Board Liaison, Recorder AGENDA TOPICS 020107-1 CALL TO ORDER Ken Andrews, Chair called the meeting to order in open session at 11:05 AM. A quorum of Board of Trustee members was present. _ A)Introduction of Guests There were no guests present. 020107-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. B) Wise County Mental Health Services Melanie Whittle,Center Manager, Wise County Mental Health Center, started with a brief history of Wise County. Wise County has experienced a tremendous growth in the past two years; 32% commuting from the metroplex so we are becoming more of a bedroom community. We have had the Mental Health Center for 30 plus years. We currently serve 350 adults,40 children and adolescents, and 34 special TCOOMMI (Texas Correctional Office on Offenders with Medical and Mental Impairments) clients. We have 15 to 20 intakes a month. When I started work here we had three staff, a Center Manager, a Case Worker and a Secretary. Our staff currently consist of three adult Case Workers for Service Package 1, one adult Case Workers for Service Packages 3 and 4, two child and adolescent services Case Workers, and two support staff. Our medical services are provided by our psychiatrist Dr. Smith who is here seven days a week and two nursing staff, one who provides patient education and one who assists our psychiatrist. We see 22 patients each doctor day. I serve as the Center Manager for both Wise and Young Counties. RECEIVED IN CITY CLERK'S OFFICE Date 0 — -706 By Time . 1 Board of Trustee Meeting Minutes l February 1,2007 C)Mental Retardation Services in Wise County Lynelle Casteel,Habilitation Coordinator, we provide Foster Care, Community Support, Day Habilitation, and Respite for our consumers in Wise County. We have three Foster Care homes with a total of five consumers. We have one particular consumer that is a non verbal individual who has been in our group home for awhile. He got the opportunity to be in Foster Care. Some staff had reservations due to him being non-verbal. He went for a trial visit and it was obvious he was pleased,to the point that he did not want to return to the group home even long enough to collect his belongings. Becky Wyatt works with Community Support and Supported Employment in Wise County area. We have 16 consumers receiving Community Support where we go into their homes to work on their skills training. We do not currently have any consumers receiving Supported Employment. Debbie Moore works with the Day Habilitation in this area. We had one consumer who could only speak Spanish four years ago and is now able to converse in English. We have a day habilitation program where consumers learn to take a more active part in the community. They learn creative skills as well as social skills. Day habilitation touches lives. 020107-3 APPROVAL OF MINUTES The Board of Trustees approves the minutes of the January 04, 2007 Board of Trustees meeting. Motion: Ms. Owen Affirmative: 4 Second: Ms.Nunn Negative: 0 Citizen Comment: None 020107-4 TRAINING 11:25 AM Jo Ann Mar quart arrived at the meeting g 11:35 AM Robert Clement arrived at the meeting A)Mental Health Services Lynn Hartje, Mental Health Services Director presented the Mental Health Services training(on file). The Adult-TRAG Scoring Sheet(on file); CA-TRAG Scoring Sheet (on file); Ohio Youth Problem, Functioning and Satisfaction Scales (Parent Form) (on file); and Choice of Antipsychotic Guide(on file) were distributed and discussed. THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:45 AM. THE MEETING WAS RECONVENED BY JUDGE ANDREWS AT 12:20 PM A)Mental Health Services Lynn Hartje, Mental Health Services Director completed the Mental Health Services training. 020107-5 RECOMMENDATIONS A. BOARD OF TRUSTEES No Agenda Items Board of Trustee Meeting Minutes 2 February 1,2007 B. BUDGET AND FINANCE 1:20 PM Robert Clement left the meeting 1)Financial Statements RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for December 2006. Rod Brennan, Chief Financial Officer presented the financial statements for December 2006 (on file). Roddy Atkins, Executive Director discussed the State Hospital Bed Utilization. We are still awaiting word from the state on the amount we must pay back. I have been told it will be significantly reduced. We have presented a preposal to Pecan Valley MHMR Region in Stephenville to buy some of their bed days at a reducted rate. Pecan Valley MHMR Region is agreeable and the state is considering the proposal. We will continue to overutilize because the need is there. Our bed days have been reduced down to 18 beds per day. We are currently utilizing between 23 and 24 beds per day. None of the admissions are inappropriate, 90%have not received services before. Pecan Valley MHMR Region does not use all of their bed days. By buying the days from them at least the money will stay in Community Services because the money will not go back to the State Hospital. We are satisfied that we are doing all we can to reduce admissions. The Board of Trustees approved the financial statements for December 2006. Motion: Ms. Marquart Affirmative: 5 Second: Mr. Coombs Negative: 0 Citizen Comment:None 2)Retirement Funds RECOMMENDED ACTION: Information item only. Rod Brennan, Chief Financial Officer presented the information on the Retirement Funds (on file). No action required, for information only. Citizen Comment: None C. CONTRACTS AND PLANS No Agenda Items Board of Trustee Meeting Minutes 3 February 1,2007 D. FACILITIES AND EQUIPMENT 1)Broad Avenue Plumbing RECOMMENDED ACTION:That the Board of Trustees ratify the repair of the plumbing at the Broad Avenue facility at a cost not to exceed $6,000 and approve the sole source selection of the contractor. Rod Brennan, Chief Financial Officerpresented the information on the repair of the plumbingat the eP Broad Avenue facility and the rationale for the sole source selection of the contractor(on file). The Board of Trustees ratified the repair of the plumbing at the Broad Avenue facility at a cost not to exceed $6,000 and approved the sole source selection of the contractor. Motion: Ms. Owen Affirmative: 5 Second: Ms. Nunn Negative: 0 Citizen Comment: None 2) Crisis Respite Unit (CRU)Kitchen Renovation RECOMMENDED ACTION:That the Board of Trustees approve the renovation of the Crisis Respite Unit (CRU)kitchen at a cost not to exceed$7,600. Rod Brennan, Chief Financial Officer presented the information on the two bids received for the Crisis Respite Unit(CRU) cabinet replacement and the sole source bid for the kitchen sink(on file)with the recommendation that the low bid of$4,780 from Jeff Shierry Cabinets be approved for the cabinets. The Board of Trustees approved the renovation of the Crisis Respite Unit(CRU)kitchen with Jeff Shieny Cabinets as the low bidder replacing the cabinets and Payless Plumbing as the sole source contractor replacing the sink at a total cost for the renovation not to exceed$7,600. Motion: Mr. Coombs Affirmative: 5 Second: Mr. Smith Negative: 0 Citizen Comment: None E. POLICIES AND PROCEDURES No Agenda Items Board of Trustee Meeting Minutes 4 February 1,2007 F. PROGRAM AND PERSONNEL 1) Staff Compensations RECOMMENDED ACTION: Request that the Board of Trustees approve staff compensations at an approximate cost of$529,000.00 through the remainder of this fiscal year. Jeff Dresbach, Human Resources and Risk Management Director presented the information on the two staff compensations requested (on file). I� The Board of Trustees approved staff compensations at an approximate cost of$529,000.00 through the remainder of this fiscal year. Motion: Ms. Nunn Affirmative: 5 Second: Mr. Smith Negative: 0 Citizen Comment: None 020107-6 QUARTERLY REPORTS A.ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY No Agenda Items B. PLANNING AND NETWORK ADVISORY COMMITTEE No Agenda Items C. EXTRNAL AUDITS 1)First Quarter Mental Retardation Services RECOMMENDED ACTION: Information item only. Rose Wilson, Mental Retardation Services Director presented information on the three External Audits conducted the first quarter of this fiscal year(on file). No action required, for information only. Citizen Comment: None 2)First Quarter Substance Abuse Services RECOMMENDED ACTION: Information item only. Marcy Thomas, Substance Abuse Services Director presented information on the random on site facility inspection conducted in September(on file). No action required, for information only. Citizen Comment: None Board of Trustee Meeting Minutes 5 February 1,2007 020107-7 EXECUTIVE DIRECTOR'S REPORT Thank You Thank you for taking care of our staff, the compensation was well deserved. We are working on some new performance measures that hopefully will allow us to build in some compensation for good performance. Provider of Last Resort I sent you a copy of the Provider of Last Resort Rule. The key piece to review is the 24 page Preamble. That is their interpretation of the rule. I will talk to you at leangth about this later. It is scheduled to go to DSHS (Department of State Health Services)Advisory Committee, DSHS (Department of State Health Services) Commissioner, and the Health and Human Services Commissioner. Once it has been accepted by the Health and Human Services Commissioner it will be published for comment. The earliest implementation date will be September 1, 2007. It is not a bad rule the way it is written. Legislative Session The Legislative session has started. There are three things that we need to pay attention to: • Funding for Crisis Redesign • Criminal Justice Funding, and • An amended bill proposed to allow a person accepted for emergency (preliminary) exam to be held for 48 (increased from now 24)hours. The Jail Diversion Task Force has been discussing locating a 23 hour(or 37 hour if the Emergency Detention bill passes) Observation Center in Wichita Falls. A one-stop holding center. This could be accomplished with the funding for Crisis Redesign if that is approved. There is some sentiment to accomplish the Observation Center even if the state funding is not approved. There is an absolute need. 020107-8 ANNOUNCEMENTS A. Next Meeting Ken Andrews announced the next meeting will be at 11 A.M., Thursday, March 01, 2007, in Wichita Falls at Child and Adolescent Services. 020107-9 OTHER BUSINESS Jeff Dresbach, Human Resources and Risk Management Director stated I want to make sure you are aware that there is one person who was not included in the two step employee compensation packet and that is our Executive Director. Since he is your employee I could not include him in the recommendation. Bill Coombs stated we can not discuss that at this time because it is not an Agenda Item. Please add the Executive Director's Contract of Employment as an Agenda Item for our next meeting. 020107-10 ADJOURN The Board of Trustees' meeting adjourned at 2:10 PM. Approved as presented: Approved as corrected: March 01,2007 Board of Trustee Meeting Minutes 6 February 1,2007