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Helen Farabee Centers Board of Trustees Minutes - 03/01/2007 • HELEN FARABEE REGIONAL MHMR CENTERS ,,k,Nb�� BOARD OF TRUSTEES • March 1,2007 � 11:00 AM Child and Adolescent Services 516 Denver Street Wichita Falls,Texas Board of Trustee Ken Andrews, Chair; Robert Clement; Bill Coombs, Vice-Chair; Bobby Members Present: McGough; Sue Nunn, Secretary/Treasurer Board of Trustee Michael Ezell; Jo Ann Marquart; Shelley Owen; Bobby Smith 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 Other Staff and Linda Ammons, City of Wichita Falls Liaison; Winston Bonnheim, Guests Present: Representative David Farabee's Office; Jan West, Administrative Assistant/Board Liaison,Recorder AGENDA TOPICS 030107-1 CALL TO ORDER Ken Andrews, Chair called the meeting to order in open session at 11:10 AM. A quorum of Board of Trustee members was present. A) Introduction of Guests Linda Ammons, City Commissioner and Winston Bonnheim from Representative David Farabee's Office were introduced as guests. 030107-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. 030107-3 APPROVAL OF MINUTES The Board of Trustees approves the minutes of the February 01, 2007 Board of Trustees meeting. Motion: Ms.Nunn Affirmative: 4 Second: Mr. Coombs Negative: 0 Citizen Comment: None 030107-4 TRAINING A) Essential Services and Clinical Accountability Gianna Harris, Essential Services and Clinical Accountability Director, presented training on the Essential Services and Clinical Accountability Department (on file). RECEIVED IN CITY CLERK'S OFFICE Time Date /► fit, By Board of Trustee Meeting Minutes 1 March 1,2007 030107-5 RECOMMENDATIONS E _ A. BOARD OF TRUSTEES 1)Executive Director's Contract of Employment RECOMMENDED ACTION:That the Board of Trustees review the Executive Director's Contract of Employment. Ken Andrews asked that the members review the Executive Director's Contract of Employment(on file). A motion was made that the Executive Director's Contract of Employment be amended effective March 1, 2007 to reflect a salary increase of 6% or$5,808.00 annually. The Board of Trustees amends the Executive Director's Contract of Employment with an effective date of March 1,2007 to reflect a salary increase of 6%or$5,808.00 annually. Motion: Mr. Coombs Affirmative: 4 Second: Mr. Clement Negative: 0 Citizen Comment: None 2)Executive Director's Performance Evaluation Tool RECOMMENDED ACTION: That the Board of Trustees approve the Executive Director's Evaluation Tool prior to the Fiscal Year 2007 Evaluation. Ken Andrews presented the proposed draft Executive Director's Evaluation Tool (on file). Bill Coombs stated proposed Evaluation Tool does not provide a way to recognize excellence. Recommended that Compliance and Non-compliance standards be removed and the Task Ratings be changed from Compliant and Non-compliant to Exceeds, Meets or Below Standards. It was recommended that Jeff Dresbach look at the Physical and Mental Requirements/Environmental Checklist and advise the Board of Trustees which if any were necessary. A motion was made to table this item until the recommended corrections could be made. The Board of Trustees tables this item awaiting revisions to the Evaluation Tool. Citizen Comment: None Board of Trustee Meeting Minutes 2 March 1,2007 B. BUDGET AND FINANCE I) Financial Statements RECOMMENDED ACTION:That the Board of Trustees approve the financial statements for January 2007. Rod Brennan, Chief Financial Officer presented the financial statements for January 2007 (on file). Pages one through four need to be ignored because they are duplicates. The Board of Trustees approved the financial statements for January 2007. Motion: Ms. Nunn Affirmative: 4 Second: Mr. Clement Negative: 0 Citizen Comment: None THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:50 AM. THE MEETING WAS RECONVENED BY JUDGE ANDREWS AT 12:21 PM. C. CONTRACTS AND PLANS I) Bowie Mental Health Center Lease RECOMMENDED ACTION:That the Board of Trustees approve and authorize the Chair to sign the attached amendment to the Bowie Mental Health Center lease increasing our monthly payment by$300.00 per month retroactive to September 1,2006. Rod Brennan, Chief Financial Officer presented the amendment to the Bowie Mental Health Center lease (on file). The Board of Trustees approved and authorized the Chair to sign the amendment to the Bowie Mental Health Center lease increasing our monthly payment by$300.00 per month retroactive to September 1,2006. Motion: Mr. Coombs Affirmative: 4 Second: Mr. McGough Negative: 0 Citizen Comment: None 2) Crisis Hotline Contract RECOMMENDED ACTION: That the Board of Trustees approve amending the Crisis Hotline Contract with TWG(formerly The Wood Group and Wood Care Centers)at a cost of$75,000 per year and authorize either the Chair or the Executive Director to sign the amendment. Rod Brennan, Chief Financial Officer presented the amendment to the Crisis Hotline Contract with TWG and requested that the Executive Director be authorize to sign the amendment. (on file). The Board of Trustees approved amending the Crisis Hotline Contract with TWG at a cost of$75,000 per year and authorize the Executive Director to sign the amendment. Motion: Ms. Nunn Affirmative: 4 Second: Mr. Coombs Negative: 0 Citizen Comment: None Board of Trustee Meeting Minutes 3 March 1,2007 • D. FACILITIES AND EQUIPMENT 1)Architectural Fees—Broad Avenue Facility RECOMMENDED ACTION:That the Board of Trustees ratify the payment of$682.36 in architectural fees to Staley,Baker,Monson for design and oversight work related to the remodeling of the entrance to the Broad Avenue facility. Rod Brennan, Chief Financial Officer presented the payment of$682.36 in architectural fees to Staley, Baker,Monson(on file). The Board of Trustees ratified the payment of$682.36 in architectural fees to Staley, Baker, Monson for design and oversight work related to the remodeling of the entrance to the Broad Avenue facility. Motion: Mr. Clement Affirmative: 4 Second: Ms.Nunn Negative: 0 Citizen Comment: None 1) Vehicles RECOMMENDED ACTION: Information item only. Rod Brennan, Chief Financial Officer presented the information on the vehicles purchased after the Board of Trustee approval at the January meeting(on file). No action required, for information only. Citizen Comment:None E. POLICIES AND PROCEDURES No Agenda Items F. PROGRAM AND PERSONNEL No Agenda Items 030107-6 QUARTERLY REPORTS A. PLANNING AND NETWORK ADVISORY COMMITTEE No Agenda Items B.ESSENTL4L SERVICES AND CLINICAL ACCOUNTABILITY 1)First Quarter Report RECOMMENDED ACTION: Information item only. Gianna Harris Essential Services and Clinical Accountability presented the first quarter Essential Services and Clinical Accountability report(on file). No action required, for information only. Citizen Comment: None Board of Trustee Meeting Minutes 4 March 1,2007 030107-7 EXECUTIVE DIRECTOR'S REPORT Staff This past month has been difficult with the deaths of two long teen employees. Wanda Wiseman from our Decaur and Bowie offices was a 23 year employee. Barbara Woodburn was our Haskell Center Manager and had been with us since 1999. They both will be greatly missed. Legislative Session For now the DSHS (Department of State Health Services) Crisis funding request is flowing through with little negative comment. Testimony has been good. The Criminal Justice request is the same. On the DADS (Department of Aging and Disability Services)rate restoration and increases,the 10%increase in the HCS (Home and Community-Based Services) slots and Equity Funding are receiving positive comments. Representative Farabee asked me for my opinion regarding this bill earlier today. You will remember that I sent out copies and talked with you about the negotiated rule for Provider of Last Resort. It will be out for public comment in March or April. Representative Vicki Truitt will put forth a bill before the March 9th deadline to address the Provider of Last Resort issue. This bill would codify the agreement between the Texas Council of Community MHMR Centers and Private Providers' Association of Texas agreement language and the Provider of Last Resort negotiated rule for Mental Health Services. There are pros and cons to the bill. Representative Farabee called to ask what I thought. It is a good bill we just need to pay attention to potential negative amendments. Representative Truitt says she will pull the bill if there are amendments attached that are detrimental to the Centers. I encouraged Representative Farabee to support. The bill has the support of the Health and Human Services Department, the Department of State Health Services, and the major Advocacy Groups. Competent Staff I truly appreciate the across the board salary increase approved last month. We put in a lot of work to get and keep competent staff. Even with that two step increase we are not competitive,particularly for case workers and physicians. In spite of our physician recruitment efforts we have not gotten a bite on our vacant positions. We have spent$236,000 for 30 weeks of Locum Tenems services. We can not attract applicants for two reasons, salary and location. I have been researching salary schedules. South National General Child and General Child and Psychiatrist Adolescent Psychiatrist Adolescent Psychiatrist Psychiatrist Mean $213,476 $241,375 $197,815 $246,917 25h Percentile $156,503 $161,165 $154,402 $187,193 Median $186,929 $204,787 $185,960 $214,910 75th Percentile $259,654 $277,221 $222,786 $256,606 Entry level salaries for Board Eligible Psychiatrists at North Texas State Hospital are$170,000 and Board Certified with experience is up to $195,000. Even with the two step increase, our Board Eligible salary is $163,000 and Board Certified Adult Psychiatrist salary is$173,000. We have listed the salary for a Board Certified Child Psychiatrist at $185,000. We can not get any interested applicants. Without the competitive salaries we do not have the leverage to demand increased productivity. We get what we pay for. We can make salary adjustments,but we have a fixed income and would have to redirect resources. What we will have to do is figure out where we can come up with the additional money. Decide what positions we can eliminate and redirect funds. We are at a point where we are serving over what we are paid to do. If we shrink positions and hire higher quality staff then we may have to shrink the number we can serve. We are contracted with the state to provide services to 1,927 adults and we are currently serving between2,300 and 2,400. When we can not attract quality level employees it put us at risk in Board of Trustee Meeting Minutes 5 March 1,2007 a terms of compliance. I am just seeing the trend and telling you the direction I want to move.We have to find the balance between quality and quantity. The caseworkers and the physicians are the two salary concerns that we need to pay attention to. My expectation is that if we raise the salary then we will expect i increased productivity. Most adult psychiatrist will draw a line when it comes to seeing children and will not see kids under ten or twelve. I just do not want you to be surprised and feel it is important to keep you updated. Decatur We had a good meeting last Friday with the new Wise County Judge, Judge Bill McElhaney and explained the counties relationship with the Center and what services we provide. He seemed very interested and we hope he will continue to support the Center. While I was there we also visited with the staff from the Decatur Regional Hospital. They are opening a 16 bed Psychiatric Hospital that will accept Medicare and Medicaid. We are working on Young, Montague, and Wise County referrals for short term stabilization. If they can handle the patients and do it successfully then further down the road we will increase the relationship. Melanie Whittle(Center Manager, Wise County Mental Health Center)will work out the referral process. If we receive good service then in six months or a year we may consider contracting for additional beds. 030107-8 ANNOUNCEMENTS A. Next Meeting Ken Andrews announced the next meeting will be at 11 A.M.,Thursday, April 05, 2007, in Wichita Falls. B. Texas Council Annual Conference Ken Andrews announced the 22nd Annual Community MHMR Centers Staff and Trustee Training, June 27—29th, Westin Galleria, Houston—Room reservations have been made, we need to know by April 5th who plans to attend•so we can release any unneeded rooms. C. Texas Council Annual Conference Bill Cooms reported he was in Austin last week and heard Representative Jerry Madden make some brief comments about TCOOMMI (Texas Correctional Office on Offenders with Medical and Mental Impairments). He stated he liked the idea of expanding TCOOMMI (Texas Correctional Office on Offenders with Medical and Mental Impairments) services and not spending more money on prisons. 030107-9 OTHER BUSINESS None 030107-10 ADJOURN_ IThe Board of Trustees' meeting adjourned at 1:35 PM. Approved as presented: Approved as corrected: April 05, 2007 Board of Trustee Meeting Minutes 6 March 1,2007 • • (All HELEN FARABEE Lir• * REGIONAL MHMR CENTERS Wichita Falls Administrative Offic � P. O. Box 8266 1000 Brook Street Wichita Falls,Texas 76307-82( Phone (940)397-3301 Fax (940)397-31f April 09, 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 March 01, 2007. These minutes were approved by the Board at its meeting held on April 05, 2007. Sincerely, Jan t Administrative Assistant/Board Liaison /jw enclosure