Helen Farabee Centers Board of Trustees Minutes - 01/07/2010 HELEN FARABEE REGIONAL MHMR CENTERS
BOARD OF TRUSTEES
%
„NNia January 07,2010
.L
11:00 AM
4,\NP� Young County Mental Health Center
CITY CL�F .t��OFFICE Graham Administration Building
Date 1720 Fourth Street
C� 1U - Graham,Texas
By —_01 _ Th7r, 9 :00_g Via Televideo
�— - Sue Nunn Conference Room 1000 Brook
Wichita Falls,Texas
Board of Trustee Ken Andrews, Chair; Sue Nunn, Secretary/Treasurer; Shelley Owen; Sara
Members Present: Rugeley; Bobby Smith; Billye Ruth White (via Videoconference)
Board of Trustee Carla Kay Ainsworth; Robert Clement; Bill Coombs, Vice-Chair
Members Absent:
Senior Rod Brennan, Chief Financial Officer; Gianna Harris, Essential Services and
Management Staff Clinical Accountability Director; Lynn Hartje, Behavioral Health Services
Present: Director; Ralph Whaite, Management Information Services Director; Rose
Wilson,Mental Retardation Services Director
Other Staff and Lori Kendrick, Case Manager, Mental Retardation Services, Young County;
Guests Present: Andrew Martin, LPC, Utilization Manager; Stan Peavy III, Young County
Jude; Jan West, Administrative Assistant/Board Liaison, Recorder
AGENDA TOPICS
010710-1 CALL TO ORDER
Ken Andrews, Chair called the meeting to order in open session at 11:50 AM with a quorum of six
resent. (Five h sicall resent in Decatur and one via Videoconference from Wichita Falls .
A)Introduction of Guests
Stan Peavy III, Young County Judge was introduced as a guest.
010710-2 PRESENTATIONS
A) Open Citizen Comment to the Board
No citizen comment was offered.
B) Young County Mental Health Center
Lynn Hartje, Behavioral Health Services Director reported for Elizabeth Sconce, Center Manager.
Young County Mental Health Center currently serves 283 clients in Young and Jack Counties. They
serve 231 adults in Service Package 1 and 2; 14 adults in Service Package 3; and 38 child and
adolescents. They have four adult Caseworkers including the Center Manager and have one vacancy.
They have one children's Caseworker.
C)Mental Retardation Services in Graham
Lori Kendrick, Case Manager, HCS (Home and Community—Based Services) is divided into a
Southern and Northern Region. We serve the Southern Region which includes Decatur, Jacksboro,
Graham, Haskell, Rule and Knox City. I have 25 on my case load. We have to make a monthly contact
with each consumer and their PDP (Person Directed Plan) Outcomes have to be reviewed annually. It is
rewarding to see the consumers meet their Outcomes. We had one General Revenue individual who
came into the HCS (Home and Community—Based Services)program who really benefited by services
in the Medicaid waiver program. He had spent a lot of time in his home. He now goes to Day Hab five
times a week. He had evaluations for Occupational Therapy, Physical Therapy and Speech Therapy. We
Board of Trustee Meeting Minutes 1
January 7,2010
were able to assist with his securing a communication device that allows him the ability to point and
communicate, which he was not able to do before. We were able to assist him with his mobility. For
those individuals with behavioral problems we refer them to our psychologist, Dr. Frank Del Rio. We
have Nurses who assist our consumers with their medical needs. The Case Manager makes sure the
service providers are following the PDP (Person Directed Plan) and that the Plan is helping. Lynelle
Casteel works with our individuals who are in our Group Home and in Foster Care; or in Companion
Care. We currently have four individuals in our Group Home. With Foster Care we contract with
providers to keep the individual in their home. We provide Supported Home Living for those individuals
who live at home with their family and need help with transportation. We have Supported Employment
where we help the individual find a job. We refer them to DARS (Department of Assistive and
Rehabilitative Services) and they assist with job placement. Every service we provide has to be justified.
HCS (Home and Community—Based Services) will cover up to $1,000.00 for dental services. In June
the Case Manager role will be changing. Rose is going to go over those changes in her training. I have
been providing HCS (Home and Community—Based Services) since 1998 and I have seen HCS (Home
and Community—Based Services) work for the individuals.
010710-3 APPROVAL OF MINUTES
The Board of Trustees approves the minutes of the December 03, 2009 Board of Trustees meeting.
Motion: Ms. Nunn Affirmative: 5
Second: Mr. Smith Negative: 0
Citizen Comment: None
010710-4 TRAINING
A)Mental Retardation Services
Rose Wilson,Mental Retardation Services Director provided annual training (on file) on services for
Individuals with Intellectual and Developmental Disabilities.
010710-5 RECOMMENDATIONS
A. BOARD OF TRUSTEES
1) Resolution in Support of Revision to Texas Council of Community MHMR Centers'Committee
Structure
RECOMMENDED ACTION: That the Board of Trustees approve the resolution and authorize the Board
of Trustee members to sign requesting that the Texas Council of Community MHMR Centers amend its
committee structure so that each delegate to the Texas Council of Community MHMR Centers shall be on
one of the standing committees of the Texas Council of Community MHMR Centers.
Ken Andrews asked the Board of Trustees to approve the resolution (on file) asking that the Texas
Council of Community MHMR Centers not exclude any delegates from their standing committees.
The Board of Trustees approved the resolution and authorized the Board of Trustee members to sign
requesting that the Texas Council of Community MHMR Centers amend its committee structure so that
each delegate to the Texas Council of Community MHMR Centers shall be on one of the standing
committees of the Texas Council of Community MHMR Centers.
Motion: Mr. Andrews Affirmative: 5
Second: Ms. Rugeley Negative: 0
Citizen Comment: None
Board of Trustee Meeting Minutes 2
January 7,2010
w
B. BUDGET AND FINANCE
1)Financial Statements
11:35 AM Billye Ruth White left the meeting via Videoconference from Wichita Falls
RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for November
2009.
Rod Brennan, Chief Financial Officer presented the financial statements for November 2009 (on file).
Shelley Owen asked if the Board of Trustees could be provided a true loss report for HCS (Home and
Community—Based Services) and ICF/MR (Intermediate Care Facility for Persons with Mental
Retardation). We can use it to look at trends and see where we are at that is causing the $200,000.00 per
year loss.
Rod Brennan, stated that information is available on a quarterly basis.
Shelley Owen stated she wanted to commend the staff on their awesome expense control.
The Board of Trustees approved the financial statements for November 2009.
Motion: Ms. Nunn Affirmative: 4
Second: Ms. Owen Negative: 0
Citizen Comment: None
THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:40 AM.
11:40 AM Billye Ruth White returned to the meeting via Videoconference from Wichita Falls
11:40 AM Shelley Owen left the meeting
THE MEETING WAS RECONVENED BY JUDGE ANDREWS AT 12:25 PM WITH FIVE
BOARD OF TRUSTEE MEMBERS IN ATTENDANCE (FOUR PHYSICALLY PRESENT IN
GRAHAM AND ONE VIA VIDEOCONFERENCE FROM WICHITA FALLS).
C. CONTRACTS AND PLANS
No Agenda Items
D. FACILITIES AND EQUIPMENT
1)Virus Scanning Protection
RECOMMENDED ACTION: That the Board of Trustees ratify the purchase of a two year subscription
for the McAfee Advanced Endpoint Protection at a cost of$9,412.
Ralph Whaite, Management Information Services Director presented the information on the purchase of
the McAfee Advanced Endpoint Protection from TLIC Worldwide Inc(on file).
The Board of Trustees ratified the purchase of a two year subscription for the McAfee Advanced Endpoint
Protection at a cost of$9,412. from TLIC Worldwide Inc.
Motion: Ms. Rugeley Affirmative: 4
Second: Mr. Smith Negative: 0
Citizen Comment: None
Board of Trustee Meeting Minutes 3
January 7,2010
E. POLICIES AND PROCEDURES
No Agenda Items
F. PROGRAM AND PERSONNEL
1) Wait List for Mental Health Services
RECOMMENDED ACTION: Information item only.
Andrew Martin,LPC, Utilization Manager presented the guidelines for targets, implementation and
maintenance for the Resiliency and Disease Management Wait List for Mental Health Services. Adults
eligible for Service Package 1 in specified regions will be added to Level of Care 8 (Waiting for All
Services)until our Legislative Budget Board (LBB) target is reached. Childress, Hardeman, Wilbarger,
Foard, Cottle and Wise Counties are under serving their specified targets and will not be included on the
Wait List. Wichita, Archer, Clay, Haskell, Throckmorton, Stonewall, Baylor, Knox, King, Dickens,
Young,Jack and Montague are all over serving their targets. Reports will be finalized and staff trained
with a target implementation date of February 1, 2010. The Wait List will be monitored by Utilization
Management staff. Patients must be contacted every 30 days for assessment and must have an annual
face to face assessment. A Discharge Process will be implemented for patient that can not be located.
No action required, for information only.
Citizen Comment: None
Lo1o710-6 QUARTERLY REPORTS
A.ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY
1)First Quarter Fiscal Year 2010 Report
RECOMMENDED ACTION: Information item only.
Gianna Harris, Essential Services and Clinical Accountability Director reported on the first quarter
fiscal year 2010 report findings (on file). Criteria# 5.3 Follow-Up Disposition has been updated and
shows we are at 96%which has us above our 95%target.
No action required, for information only.
Citizen Comment: None
B. PLANNING AND NETWORK ADVISORY COMMITTEE
No Agenda Items
C. EXTERNAL AUDITS
No Agenda Items
D. TEXAS COUNCIL RISK MANAGEMENT FUND MEETING
No Agenda Items
E. OUTPATIENT MEASURES ADULT SUBSTANCE ABUSE SERVICES
No Agenda Items
Board of Trustee Meeting Minutes 4
January 7,2010
010710-7 EXECUTIVE DIRECTOR'S REPORT
Veterans
Gianna Harris, Essential Services and Clinical Accountability Director stated in Roddy Atkins' absence
I was asked to report on the Veteran Administration Services. During the 81st Legislative Session they
addressed Veteran Administrative Services with the focus on meeting the Behavioral Health needs of our
Veterans. I sat in on a conference call where they discussed the funding of two projects. One is an
Incentive Project. It is not sure yet,but my feeling is we will have to have a written Plan. That is what
the current dialogue is implying. We will need to expand available services to Vets or access to
community services to vets focusing on Post Traumatic Stress Disorder and behavioral health needs. We
must provide Vet to Vet (Peer to Peer) support groups using an"in the zone" model that they will train us
on. We must provide Family Psycho Education; include Community Resource Coordination that helps
with basic needs; and Sustainable Community Partnership. This will be a$70,000.00 funding for 18
months. The second is a Competitive Project; this will include ten awards of$175,000.00. It included
the Vet to Vet (Peer to Peer) support groups; Family Psycho Education; Resilient Families; Trauma
Therapy; Community Resource Coordination that helps with basic needs; and Sustainable Community
Partnership. This will be awarded to communities with high concentrations of Veterans. Roddy's
feelings are that we will not go after the Competitive Project due to our small population of eligible
Veterans. We will do what we need to do for our Communities to be able to receive the$70,000.00. We
will schedule meetings with our community stakeholders.
Lynn Hartje We have a meeting scheduled for next Tuesday with the Wichita County Judge Woody
Gossom; Veteran Services Clinic Director Ernest Edmonds; County and City Veterans Services Officers and
Staff from the United Way. We will discuss needs of veterans returning with PTSD (Post Traumatic Stress
Disorder) and how we might pool our resources to offer needed services and supports over the next 18
months. Then,we will consider how we can sustain that access to care beyond that time period. We have
pulled together the numbers of patients who have identified themselves as veterans and/or members of
veterans families.
Billye Ruth White What about Sheppard Air Force Base?
Lynn Hartje The target is OEF (Operation Enduring Freedom) and OIF(Operation Iraqi Freedom) not on
active military. We do plan to invite Sheppard Air Force Base to participate in the planning. We want to
spread our net as wide as possible.
010710-8 CLOSED SESSION
A) OPEN MEETINGS ACT EXCEPTION
1) In accordance with Chapter 551.074 of the Government Code, the Board of Trustees will now
meet in closed session for the purpose of discussion of personnel matters.
2) In Accordance with Chapter 551.072 of the Government Code, the Board of Trustees will now
meet in closed session for the purpose of discussion of real property.
B) TOPIC OF DISCUSSION
1) Review and Discussion of Executive Director's Salary.
2) Discussion of real property in Quanah to house the Hardeman and Foard County Mental Health
Center.
010710-9 OPEN SESSION
No action was taken in Closed Session.
Board of Trustee Meeting Minutes 5
January 7,2010
C. ACTIONS
1) Review and Discussion of Executive Director's Salary.
Sue Nunn,The Board of Trustees recommends as a result of the Closed Session the following; At the
recommendation of the ad hoc committee appointed to review the comparison of Executive Directors'
salaries;the Board of Trustees met in Closed Session to discuss the Executive Director's salary. While
the findings reveal that our Executive Director's salary is 15%below the average Executive Director's
salaries for comparable size Centers, the Board of Trustees elect to honor the wishes of our Executive
Director that in light of the current economy and budget restraints facing the Centers, we not consider an
increase in his compensation at this time. While this may not be an appropriate time to consider a salary
increase, we do think it is appropriate to recognize and acknowledge the contributions he has made. Due
to his leadership and guidance the Centers has been able to overcome a projected budget shortfall of
$400,000.00 in September to now being on course to break even this fiscal year, all the while keeping in
mind the Centers' mission to take care of the patients we are here to serve. We also wish to recognize
and acknowledging his ability to articulate and lead, not only at a local level with our community
stakeholders; but with other Community MHMR Centers and our appointed and elected state officials.
We want to express our deep appreciation for all he does and express our confidence in his ability to
work to overcome any and all future challenges.
Citizen Comment: None
2)Discussion of real property in Quanah to house the Hardeman and Foard County Mental Health
Center
Ken Andrews,the Board of Trustees authorize staff to continue the negotiations for property in Quanah
to house the Hardeman and Foard County Mental Health Center.
Citizen Comment: None •
010710-10 ANNOUNCEMENTS
A)Next Meeting
Ken Andrews announced the next meeting is scheduled for 11 A.M., Thursday, February 04, 2010,
Child and Adolescent Services, 516 Denver, Wichita Falls
010710-11 OTHER BUSINESS •
None
010710-12 ADJOURN
The Board of Trustees' meeting ad�urned at 1:06 PM.
Approved as presented: Approved as corrected:
February 4, 2010
Board of Trustee Meeting Minutes 6
January 7,2010
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
W Regional MHMR Centers Phone (940) 397-3100
Fax (940) 397-3150
February 05, 2010
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 January 07, 2010. These minutes were approved by the Board at its meeting
held on February 04, 2010.
Sincerely,
-
an t
Ad istrative Assistant/Board Liaison
/jw
enclosure