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Helen Farabee Centers Board of Trustees Minutes - 09/02/2010 a , a ttJt-cam 01 ' 1/4-4^1 r Pc HELEN FARABEE REGIONAL MHMR CENTERS \C / BOARD OF TRUSTEES • • September 2,2010 /4.\� 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; Bobby Smith Board of Trustee Sara Rugeley; Billye Ruth White Members Absent: Senior Roddy Atkins, Executive Director; Rod Brennan, Chief Financial Officer; Management Staff Gianna Harris, Essential Services and Clinical Accountability Director; Lynn Present: Hartje, Behavioral Health Services Director; Rose Wilson, Intellectual and Developmental Disability Services Director Other Staff and Jan West, Administrative Assistant/Board Liaison, Recorder Guests Present: AGENDA TOPICS 090210-1 CALL TO ORDER Ken Andrews, Chair called the meeting to order in open session at 11:06 AM with a quorum of five present. A. INTRODUCTION OF VERNER HAYHURST,PLACE 1 BOARD OF TRUSTEE MEMBER REPRESENTING ARCHER, CLAY,AND MONTAGUE COUNTIES Mr. Hayhurst was introduced and welcomed to the Board of Trustees. B)Introduction of Guests There were no guests present. _ 090210-2 PRESENTATIONS A) Open Citizen Comment to the Board No citizen comment was offered. 090210-3 APPROVAL OF MINUTES RECOMMENDED ACTION: That the Board of Trustees approves the minutes of the August 05, 2010 Board of Trustees meeting. The Board of Trustees approved the minutes of the August 05 2010 Board of Trustees meeting. Motion: Ms. Nunn Affirmative: 4 Second: Mr. Smith I Negative: 0 Citizen Comment: None H.-CEiVT._ IN CITY CLERK'S OFFICE Date By X 1,3' Timm St.e9d A Board of Trustee Meeting Minutes `- "` 1 September 2,2010 . " a 090210-4 TRAINING A)Board of Trustee Training Roddy Atkins, Executive Director provided training on the Roles and Responsibilities of the Board of Trustees (on file). 090210-5 RECOMMENDATIONS A. BOARD OF TRUSTEES 11:17 AM Shelley Owen arrived at the meeting 1)Meeting Schedule for Fiscal Year 2011 RECOMMENDED ACTION: That the Board of Trustees cancel the October 7th meeting. Roddy Atkins, Executive Director presented the request to cancel the October 7th meeting (on file). The Board of Trustees approved the cancellation of the October 7th meeting. Motion: Ms. Owen Affirmative: 5 Second: Ms. Ainsworth Negative: 0 Citizen Comment: None 2) Texas Council Dues RECOMMENDED ACTION: That the Board of Trustees approve the Fiscal Year 2011 Commitment of Dues Payment for Texas Council of Community Centers and authorize the Chair and Executive Director to sign the commitment form. Rod Brennan, Chief Financial Officer presented the Fiscal Year 2011 Commitment of Dues Payment for Texas Council of Community Centers (on file). The Board of Trustees approved the Fiscal Year 2011 Commitment of Dues Payment for Texas Council of Community Centers and authorized the Chair and Executive Director to sign the commitment form. Motion: Ms. Nunn Affirmative: 5 Second: Mr. Smith Negative: 0 Citizen Comment: None 3) Texas Council Risk Management Fund RECOMMENDED ACTION: Information item only. Rod Brennan, Chief Financial Officer presented the summary of the last Board meeting on August 13, 2010 and a memorandum outlining all of the additional services provided by and through the Risk Management Fund (on file). No action required, for information only. Board of Trustee Meeting Minutes 2 September 2,2010 B. BUDGET AND FINANCE 1)Financial Statements RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for July 2010. Rod Brennan, Chief Financial Officer presented the financial statements for July 2010 (on file). The Board of Trustees approved the financial statements for July 2010. Motion: Ms. Nunn Affirmative: 5 Second: Ms. Owen Negative: 0 Citizen Comment: None THE BOARD OF TRUSTEES RECESSED FOR LUNCH AT 11:45 AM. 12:15 PM Robert Clement arrived at the meeting THE MEETING WAS RECONVENED BY KEN ANDREWS AT 12:30 PM WITH SEVEN BOARD OF TRUSTEE MEMBERS IN ATTENDANCE. C. CONTRACTS AND PLANS 1)Leases RECOMMENDED ACTION: That the Board of Trustees approve and authorize the Chair or Executive Director to sign a two year lease for Norris Place, ICF/MR(Intermediate Care Facility for Persons with Mental Retardation) Group Home, 1555 Norris Street,Wichita Falls. Rod Brennan, Chief Financial Officer presented the information on the lease (on file). The Board of Trustees approved and authorized the Chair or Executive Director to sign the two year lease for Norris Place, ICF/MR(Intermediate Care Facility for Persons with Mental Retardation) Group Home, 1555 Norris Street,Wichita Falls. Motion: Mr. Smith Affirmative: 6 Second: Ms. Owen Negative: 0 Citizen Comment: None D. FACILITIES AND EQUIPMENT No Agenda Items E. POLICIES AND PROCEDURES No Agenda Items F. PROGRAM AND PERSONNEL No Agenda Items Board of Trustee Meeting Minutes 3 September 2,2010 090210-6 QUARTERLY REPORTS A. ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY No Agenda Items B. PLANNING AND NETWORK ADVISORY COMMITTEE No Agenda Items C. EXTERNAL AUDITS 1) Third Quarter Report-Intellectual and Developmental Disabilities RECOMMENDED ACTION: Information item only. Rose Wilson, Intellectual and Developmental Disability Services Director presented the findings on the external audits conducted during the third quarter at Horizon House and the Extended Living Facility(on file). No action required, for information only. Citizen Comment:_None 1) Third Quarter Report—Essential Services and Clinical Accountability RECOMMENDED ACTION: Information item only. Gianna Harris, Essential Services and Clinical Accountability Director presented the findings on the third quarter Quality Assurance Authority Review and the Texas Home Living Authority Review (on file). No action required, for information only. Citizen Comment: None L090210-7 EXECUTIVE DIRECTOR'S REPORT 1)Psychiatric/Medical Services We have a prospective Child and Adolescent Psychiatrist scheduled to tour our facility on September 28th. 2)Pharmacy Security The Texas Council Risk Management Fund has assigned a claims adjuster locally to weed through our claim. I guess the letter attorney, Roger Lee, sent heed. We will evaluate and go from there. Board of Trustee Meeting Minutes 4 September 2,2010 3) Texas Council Board of Directors and Executive Directors'Consortium At the last Texas Council Board of Directors and Executive Directors' Consortium meeting, Friday was a Legislative Retreat. They presented some Talking Points (on file); the idea is to Promote and Protect. The Legislators made some good investments in the last two sessions. In the DSHS (Department of State Health Services) appropriation request, cut Community Mental Health Center by 90 million dollars; 80 million dollars for ongoing services and 10 million dollars for Crisis Services. Substance Abuse Services were cut by 4 million dollar. Most Substance Abuse Services are Federal funds so they are cutting the State match. State Mental Health Facilities (State Hospital)were cut by 44 million dollars. That is a 140 million dollar range of cuts to Behavioral Health Service. They are cutting one system that impacts law enforcement,jails, and prisons. Roberta Sund who is a Community Member of the Times Record News Editorial Board and columnist wrote a good editorial piece (on file) for the paper. Department of Aging and Disability Services Proposed Budget Cuts (on file). Agencies were asked to reduce their budget by 5%. Some were exempted during this budget year. The full 5%is back plus 10%. The Base Budget includes a reduction proposal of 25 million dollar General Revenue reduction obtained by a 3.641 % HCS (Home and Community—Based Services)rate reduction; a 1.5% reduction in the ICF/MR (Intermedate Care Facility for persons with Mental Retardation)rate which includes a 1%reduction effective September 1, 2010; and a two million dollar General Revenue reduction by authorizing fewer HCS (Home and Community—Based Services)through utilization review. The scenario for the 10% cuts, the reduction options incude 25 millon dollar general revenue reduction obtained by an additional 3.64%HCS (Home and Community—Based Services) rate reduction for a total of a 7.28%reduction; a 5.7 million dollar General Revenue reduction to In—Home Family Support; and 37.7 million General Revenue reduction to the Safety Net Funds. That includes Respite, Targeted Case Management, and Day Hab. In the last Legislative Session they authorized HCS (Home and Community—Based Services) slots and financed the match with the stimulous funds. In order to maintain that funding they will need about 356 million dollars to fullly fund current services. We encourage the legislators to fully utilize the Rainy Day Fund. A percentage of oil and gas revenue goes into theRainy Day Fund, so it will replenish itself. The Rainy Day Fund has been used seven out of the ten sessions since it has been in existance. They are looking at an approximate 500 million dollar cut out of an 88 billion dollar budget. In my opinion that is nothing but BUDGET DUST. That is one half of one percent of the appropriated general revenue. The ultimate cost at the local and state levels of these proposed cuts will by far exceed any initial savings. They need to look at other options. This is not a spending issue but an income issue for the State of Texas. 090210-8 ANNOUNCEMENTS A)Next Meetings Roddy Atkins, Executive Director announced the Legislative Open House and Luncheon has been scheduled for Tuesday, October 12th at the Wichita County Mental Health Center, 500 Broad Avenue, Wichita Falls. I encourage members to contact their sponsoring entities and encourage them to attend. Board of Trustee members are encouraged to particpate in the tour if their time permits. Times Record News will be conducting interview with some of our consumers to compete an article about services they receive. I would like for Board of Trustee members to attend if at all possible. It will be a good opportunity for you to interact with our legislators because you are our best spokepersons. A)Next Meeting Ken Andrews announced the next meeting is scheduled for 11 A.M., Thursday, November 2, 2010, at Child and Adolescent Services, 516 Denver,Wichita Falls Board of Trustee Meeting Minutes 5 September 2,2010 090210-9 OTHER BUSINESS None 090210-10 ADJOURN The Board of Trustees' meeting adjourned at 1:30 PM. Approved as presented: Approved as corrected: J November 0 , 10 Board of Trustee Meeting Minutes September 2,2010 I . Wichita Falls Administrative Office (A H E L E N FA RA B E E P. O. Box 8266, Wichita Falls, TX 76307-8266 1000 Brook Street, Wichita Falls, TX 76301 n. �I Regional MHMR Centers Phone (940) 397-3100 Fax (940) 397-3150 14%.1, November 09, 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 September 02, 2010. These minutes were approved by the Board at its meeting held on November 04, 2010. Sincerely, an st Adm nistrative Assistant/Board Liaison /jw enclosure