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Helen Farabee Centers Board of Trustees Minutes - 03/03/2011 HELEN FARABEE REGIONAL MHMR CENTERS BOARD OF TRUSTEES • March 3,2011 41\� 11:00 AM Child and Adolescent Services 516 Denver Street Wichita Falls,Texas Board of Trustee Ken Andrews, Chair; Carla Kay Ainsworth; Robert Clement; Verner Members Present: Hayhurst; Sue Nunn, Secretary/Treasurer; Shelley Owen, Vice-Chair; Sara Rugeley; Bobby Smith; Billye Ruth White Board of Trustee None Members Absent: Senior Roddy Atkins, Executive Director; Rod Brennan, Chief Financial Officer; Management Staff Connie Johnston, Community and Consumer Support Director Present: Other Staff and Kelly Franklin, Health Information Management Director/Privacy Officer; Guests Present: Andy Martin,Director of Essential Services; Marcy Thomas, Director of Substance Abuse Services; Jan West,Administrative Assistant/Board Liaison, Recorder AGENDA TOPICS 030311-1 CALL TO ORDER Ken Andrews, Chair called the meeting to order in open session at 11:00 AM with a quorum of six present. A)Introduction of Guests There were no guests present. 030311-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. 030311-3 APPROVAL OF MINUTES RECOMMENDED ACTION: That the Board of Trustees approves the minutes of the January 06, 2011 Board of Trustees meeting. The Board of Trustees approved the minutes of the January 06, 2011 Board of Trustees meeting. Motion: Ms. Nunn Affirmative: 5 Second: Ms. Rugeley Negative: 0 Citizen Comment: None 030311-4 TRAINING 11:06 AM Verner Hayhurst arrived at the meeting Health Insurance Portability and Accountability Act Kelly Franklin, Health Information Management Director/Privacy Officer provided the Health Insurance Portability and Accountability Act of 1996 Training(on file). RECEIVED IN CITY CLE K'S OFFICE Board of Trustee Meeting Minutes 1 March 3,2011 �Y: TIME; .0 030311-5 RECOMMENDATIONS A. BOARD OF TRUSTEES 11:07 AM Robert Clement arrived at the meeting 1)Legal Name Change RECOMMENDED ACTION: That the Board of Trustees approve the legal name change from Helen Farabee Regional MHMR Centers to Helen Farabee Centers. Roddy Atkins, Executive Director presented the information on the legal name change(on file). The Board of Trustees approved the legal name change from Helen Farabee Regional MHMR Centers to Helen Farabee Centers. Motion: Ms. Rugeley Affirmative: 7 Second: Mr. Hayhurst Negative: 0 Citizen Comment: None 2)Planning And Network Advisory Committee Appointment RECOMMENDED ACTION: That the Board of Trustees appoint Ms. Laura Moore and Ms. Michelle Dickson to membership on the Planning and Network Advisory Committee. Connie Johnston, Community and Consumer Support Director presented the information on the Planning and Network Advisory Committee appointments (on file). The Board of Trustees approved the appoint of Ms. Laura Moore and Ms. Michelle Dickson to membership on the Planning and Network Advisory Committee. Motion: Ms. Nunn Affirmative: 7 Second: Ms. Rugeley Negative: 0 Citizen Comment: None B. BUDGET AND FINANCE 11:24 AM Shelley Owen arrived at the meeting 1)Financial Statements RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for December 2010. Rod Brennan,Chief Financial Officer presented the financial statements for December 2010(on file). He stated he would not be at the April Board of Trustee meeting because he would be in Austin attending the Chief Financial Officers Consortium meeting. He reminded members that nine potential auditors had received packets and as of today none have been received. On March 15th a group consisting of two Board of Trustee members,Verner Hayhurst and Robert Clement; one Planning and Network Advisory Committee member, Sherry Coombs, and staff, Jana Simpson, Kim Beck and I will review the packets. At the April meeting there will be an agenda item with the pireetiffewendation for approval. CITY CLERK'S OFFICE Board of Trustee Meeting Minutes p, TE: 2 March 3,2011 BY: ! TIME: f o L� The Board of Trustees approved the financial statements for December 2010. Motion: Mr. Smith Affirmative: 8 Second: Mr. Clement Negative: 0 Citizen Comment: None 2) Status of Investments RECOMMENDED ACTION: That the Board of Trustees review and approve the status of investments. Rod Brennan, Chief Financial Officer, again because I will not be at the April Board of Trustee meeting I will present the status of investments this month (on file). The Board of Trustees approved the status of investments. Motion: Ms. White Affirmative: 8 Second: Mr. Hayhurst Negative: 0 Citizen Comment: None THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:52 AM. THE MEETING WAS RECONVENED BY KEN ANDREWS AT 12:15 PM WITH EIGHT BOARD OF TRUSTEE MEMBERS IN ATTENDANCE. C. CONTRACTS AND PLANS No Agenda Items D. FACILITIES AND EQUIPMENT No Agenda Items E. POLICIES AND PROCEDURES 1)Medical Services Policy RECOMMENDED ACTION: That the Board of Trustees approve the attached Medical Services Policy 558.1 and 558.3. The approval of these Policies would also delete current Client Services Systems Policy 4.230 and 4.600 dated 04/01/87. Roddy Atkins, Executive Director presented the information on the Medical Services Policies (on file). The Board of Trustees approved Medical Services Policy 558.1 and 558.3 and the deletion of current Client Services Systems Policy 4.230 and 4.600 dated 04/01/87. Motion: Ms. Owen Affirmative: 7 Second: Ms. Ainsworth Negative: 0 Citizen Comment: None F. PROGRAM AND PERSONNEL No Agenda Items RECEIVED IN CITY CLE 'S OFFICE Board of Trustee Meeting Minutes ATE: 0, `�� 3 March 3,2011 BY: "TIME: k 030311-6 QUARTERLY REPORTS A. ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY 1)First Quarter Report RECOMMENDED ACTION: Information item only. Andrew Martin, Director of Essential Services presented the Essential Services and Clinical Accountability Report (on file). No action required, for information only. Citizen Comment: None B. PLANNING AND NETWORK ADVISORY COMMITTEE 1)First Quarter Report RECOMMENDED ACTION: Information item only. Connie Johnston, Community and Consumer Support Director presented the report on the Planning and Network Advisory Committee activities for the first quarter(on file). No action required, for information only. Citizen Comment: None C. EXTERNAL AUDITS 1)First Quarter Report Texas Department of Criminal Justice RECOMMENDED ACTION: Information item only. Marcy Thomas, Substance Abuse Services; reported on the on-site audit by the Texas Department of Criminal Justice regarding Substance Abuse Felony Placement (SAFP) Aftercare and Outpatient Program (on file). No action required, for information only. Citizen Comment: None 030311-7 EXECUTIVE DIRECTOR'S REPORT 1)Psychiatric and Medical Services We hired a new Child and Adolescent Psychiatrist, he started on February 16t. His name is Dr.Edgardo Francisco. He will see all our kids in the Wichita Falls area, consult with the doctors at the rural sites on their kids, and see some adults. Because of hiring him we have been able to discontinue our contract with JSA Health for Child and Adolescent Services and cut back to using them only two days a weekfor Adult Services. We now have a strong medical staff. Dr. Francisco was invited to the meeting and was introduced to the Board of Trustee members. RECEIVED IN CITY GZ OFF)CE /7 Board of Trustee Meeting Minutes DATE: �� 9 4 March 3,2011 BY: TIME: O,<< A�� 2)Behavioral Health Services DSHS Behavioral Health NEWS BRIEF(on file) was distributed. I want to draw your attention to page 2 on the DSHS Behavioral Health NEWS BRIEF article entitled POSITIVE PERFORMER. We were recognized for exceeding the contract target set by the Deprtment of State Health Services (DSHS) for serving 77% of adult within 14 days of assessment. Statewide the average was 79% for the first quarter and we were at 85%. They stated a remarkable 94%of adults were served within 7 days after being discharged from a psychiatric hospital in quarter 1. The statewide average of 89% and the contract target of 75%were also exceeded. Well done Helen Farabee Regional MHMR Centers! Congratulations to our staff for doing an outstanding job. 12:32 PM Shelley Owen left the meeting 3)Staff Appreciation Two letters from Donna Elliott-Walker addressed to Representative Lanham Lyne and Senator Craig Estes (on file) were distributed. Ms. Elliott-Walker contacted me to express her appreciation for the services our staff, in particular Barbara Fancher and Gail Dunn, provide for her son. She asked if it woud be appropriate for her to send a letter to our legislators to express her appreciation and concerns. She forwarded me a copy of the letters she sent. It is always good to hear words of appreciation from our consumers and/or their families. 4)Service Volume by County Report Service Volume by County FY 2011 Quarter 1 Report(on file) was distributed. I am not going to go over the Service Volume by County Report,but want you to have the informaton and know that it has been shared with our legislative delegation and our sponsoring agencies. 5) Veteran Services In February we hired a new Veteran Services Coordinator. Her name is Kymm Putman and we are very excited to have her. 12:52 PM Robert Clement returned to the meeting 6) Budget I have had a lot of contact and a lot of good visits with our legislators and their offices. We had individuals scheduled to testify at the Senate Finance Budget hearings,but we were not able to make it because of the weather. I was in Austin two weeks ago for United Way Day and visited all three offices. We have had a ton of discussion and they are acutely aware of the impact locally. They asked if there were things they could take off our backs. The projected cuts statewide for Mental Health Services: a 6% decrease in Crisis Funding, for us that would be$28,000.00; a 20%decrease in General Revenue for adult on going services and childrens' mental health services, that would results in 1.5 million dollars in cuts; and in addition a 10% Medicaid Rate Reduction. That is a 1.6 to 1.7 million dollar range of cuts if things stay as they are. We are not looking at any Substance Abuse Services cuts. The Substance Abuse reductions are around OSAR (Outreach, Screening, Assessment, and Referral). Most of the money we get for Substance Abuse Services is Federal. For Intellectual and Developmental Disabilities we are looking at 50%reduction to General Revenue, that is a 1.5 million dollar reduction to services such as respite and day hab. A 50%reduction to In - Home and Family Support for a cut of$18,000.00. That money is used to provide minor home modifications to support individuals living at home. In addition there is a 10%rate cut to Medicaid for Home and Community—Based Services (HCS); Intermediate Care Facilities for persons with Mental Retardation (ICF/MR); and Service Coordination. Combined we are looking at a 3.4 to 3.5 million dollar impaftEOEIVEniettahas been a huge out pouring of support. Board of Trustee Meeting Minutes CITY CLERK'S OFFICE 5 March 3,2011 DATE: 0 --ti BY: .� t\ TIME; 9�^ t►-) • Legislators have asked where duplication can be reduced at the state level to reduce state costs. There is a rider being proposed to allow for more flexible use of DSHS funds at the local level. Funding has become very categorical and we can not move the funds arround as we need them. Our legislators believe in local control. We would benefit from the local flexibility. It would allow us to move money where we need it. The flexibility rider proposed will be carried to the Senate by Senator Estes and to the House if needed by Representative Hardcastle. 7) Budget 82°a Legislative Session Chamber's Legislative Agenda(on file) was distributed. Wichita Falls and Vernon have been busy planning their Legislative Days. Wichita Falls is meeting weekly as part of their Legislative Planning Piece. The group is made up of a lot of business folks. As part of the discussion they have come to realize that 50% of the jobs here inWichita County are paid for by the Government. Take note of the Legislative Priorities for the Wichita Falls Chamber of Commerce. Remember these are conservative business folks. I was able to convince them that Item 10 should be added as a Legislative Priority. They are meeting weekly to review the potential impact to Wichita Falls. The group is made up of a bunch of different interest groups. Next Friday Representative Lyne and Senator Estes will meet with the group. From an advocacy standpoint tremendous work has been done state wide. I think they get it that cuts will impact the communities. I am not niave enough to think we won't get cut,but just not at the current level. There will likely be some use of the Rainy Day Fund. There will be some efforts to raise revenue. There could be accounting adjustments and deferred payments. The Comptroller could re-estimate the projected revenue. Pay attention to City Property taxes. Oil was 55 dollars a barrel and today it is 103 dollars a barrel. There are things that can bend the curve. There will be heavy duty efforts around Medicaid reform and Managed Care. It is estimated that 90% of our folks will be eligible for Medicaid. Healthcare reform is a move to bill Managed Care Companies. We are working on partnerships with the Managed Care Companies. Our world will change. We will be looking at a different world. We can not afford to slash and burn or fade away into the sunset. We will have cuts,but it will be cuts we can manage if we maintain our infrastructure. We are receiving excellent support from our Legislators and their staff. There has been a really good level of support as well from our County Judges. 030311-8 ANNOUNCEMENTS A)Next Meeting Ken Andrews announced the next meeting is scheduled for 11 A.M., Thursday, April 7, 2011,in Childress. Robert Clement asked us to check on the availability of video conferencing. 030311-9 OTHER BUSINESS None 030311-10 ADJOURN The Board of Trustees' meeting adjourned at 1:17 PM. Approved as presented: Approved as corrected: 1 _ April 07, 2011 RECEIVL: CITY CLERK': Board of Trustee Meeting Minutes DATE: 6 March 3,2011 BY: TIME H E L E N FARAB E E Wichita Falls Administrative Office P. O. Box 8266, Wichita Falls, TX 76307-8266 1000 Brook Street, Wichita Falls, TX 76301 Regional MHMR Centers Phone (940) 397-3100 Fax (940) 397-3150 April 21, 2011 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 03, 2011. These minutes were approved by the Board at its meeting helc on April 07, 2011. Since - a "Y4A an Admi. strative Assistant/Board Liaison /jw enclosure RECEIVED IN CITY CLER S OFFICE BY: TIME: