Helen Farabee Centers Board of Trustees Minutes - 10/03/2009 HELEN FARABEE REGIONAL MHMR CENTERS
BOARD OF TRUSTEES
• October 3,2009
$'44f_,. 11:00 AM
First Baptist Church
601 S Main Street
Quanah,Texas
Board of Trustee Ken Andrews, Chair; Kay Ainsworth; Bill Coombs, Vice-Chair; Sue Nunn,
Members Present: Secretary/Treasurer; Sara Rugeley; Billye Ruth White
Board of Trustee Robert Clement; Shelley Owen; Bobby Smith
Members Absent:
Senior Roddy Atkins, Executive Director; Rod Brennan, Chief Financial Officer;
Management Staff Gianna Harris, Essential Services and Clinical Accountability Director
Present:
Other Staff and Darla Anderson, Monitoring and Compliance Specialist, Hardeman and Foard
Guests Present: County Mental Health Center; Sue Duckworth, Regional Employment
Specialist, Mental Retardation Services; Honorable Ronald Ingram,Hardeman
County Judge; Gloria Simmons, Center Manager, Hardeman and Foard County
Mental Health Center and Wilbarger Mental Health Center; Jan West,
Administrative Assistant/Board Liaison, Recorder _
Luncheon Guests: Mary Andrews, Spouse of Board of Trustee Member; Dorothy Martyn, Prior
Member of the Board of Trustees; Janice Sellers, Hardeman and Foard County
Mental Health Center Secretary
AGENDA TOPICS
100109-1 CALL TO ORDER
Bill Coombs, Vice-Chair called the meeting to order in open session at 11:07 AM with a quorum of five
•resent.
A) Introduction of Guests
The Honorable Ronald Ingram was introduced as guests
100109-2 PRESENTATIONS
A) Open Citizen Comment to the Board
Judge Ingram expressed his appreciation for the services Helen Farabee Regional MHMR Centers
provide.
B) Hardeman and Foard County Mental Health Center
Gloria Simmons,Center Manager, and Wilbarger Mental Health Center reported they currently have 56
adults and three children enrolled in services. There are seven adults and four children awaiting intake.
Our staff consists of Jeff Graham our Adult Case Worker,he is in Crowell today. Amanda Keyser is our
Child and Adolescent Case Worker and she sees clients in Vernon, Quanah, Childress, Paducah, and
Crowell. Janice Sellers is our Secretary and Darla Anderson is our Monitoring and Compliance
Specialist. We have a physician who sees our patients twice a month on Monday. James Heliton
provides Supported Employment Services to our patients;he recently wrapped up two cases and has no
current referrals.
RECEIVED IN
CITY CLERK'S OFFICE
I 1° 69
Board of Trustee MeetingDate
October 01,2009 Minutes 1
By
Roddy Atkins added I attended a CPS (Child Protective Services) Stakeholders meeting and visited with
a social worker with DSHS (Department of State Health Services) who has a brother who has been in our
services for a long, long, long time. He was in the Living Center here in Quanah and two years ago
began living independently here in Quanah. She could not be more appreciative. She indicated she had
taken him on a shopping trip to Childress recently and how happy she was that she was able to just be his
sister, as opposed to also having to be his social worker. She wanted me to pass on her appreciation to
the folks responsible for his care. I have known this family for many years. This is a real credit to our
staff,particularly Jeff Graham. The Living Center does some good things; it is a good safe place to be.
Gianna Harris added I was familiar with this case while he was receiving services in Decatur. At that
time he was refusing to eat and we were extremely concerned about saving his life. It is amazing to see
what has been accomplished.
C)Mental Retardation Services in Quanah
Sue Duckworth,Regional Employment Specialist, Mental Retardation Services, reported we provide
Day Hab,Community Support and Supported Employment in Quanah,Vernon and Childress. Cheryl
Rogers provides Community Support to consumers in their homes and also has a mobile Day Hab in
Childress. We have eight consumers in Community Support, four in Quanah, two in Paducah, and two in
Childress. We have five consumers in the Childress mobile Day Hab two times a week. We have mobile
Day Hab in Quanah and Vernon. In mobile Day Hab they are out in the community. They deliver Meals
on Wheels; they visit the Fire Station, the Helicopter Plant, and the Museum. When they come into the
Center after a Day Hab activity; you can see how good they feel about themselves.
11:19 AM Ken Andrews arrived at the meeting and assumed chairmanship upon his arrival at the
meeting.
100109-3 APPROVAL OF MINUTES
The Board of Trustees approved the minutes of the September 03, 2009 Board of Trustees meeting.
Motion: Ms.Nunn Affirmative: 5
Second: Ms. White Negative: 0
Citizen Comment: None
100109-4 TRAINING
A)Public Funds Investment Act
Rod Brennan, Chief Financial Officer presented the annual Public Funds Investment Act Training (on
file).
100109-5 RECOMMENDATIONS
A. BOARD OF TRUSTEES
1)Board Of Trustee Meeting Versus Executive Directors'Consortium Meeting
RECOMMENDED ACTION: That the Board of Trustees give direction to the Executive Director
regarding his attendance at the Board of Trustee Meeting versus attendance at the Executive Directors'
Consortium.
Roddy Atkins, Executive Director presented the information on the the conflict between the Board of
Trustee and Executive Directors' Consortium meeting dates (on file).
The Board of Trustees directed the Executive Director to attend the Executive Directors' Consortium and
thus miss the conflicting Board of Trustee meetings.
Board of Trustee Meeting Minutes 2
October 01,2009
•
Motion: Ms. Rugeley Affirmative: 5
Second: Ms. White Negative: 0
Citizen Comment: None
2) Comparison of Executive Directors'Salaries
RECOMMENDED ACTION: That the report of the ad hoc committee be tabled until the November
meeting.
The Board of Trustees agreeded to table the ad hoc committee report at the request of Mr. Clement until the
November meeting.
B. BUDGET AND FINANCE
1)Financial Statements
RECOMMENDED ACTION: That the Board of Trustees approve the financial statements for August
2009.
Rod Brennan, Chief Financial Officer presented the financial statements for August 2009 (on file).
The Board of Trustees approved the financial statements for August 2009.
Motion: Ms. White Affirmative: 5
Second: Ms. Ainsworth Negative: 0
Citizen Comment: None
2) Status of investments
RECOMMENDED ACTION: That the Board of Trustees approve the status of Investments and approve
the purchase of a$214,958 certificate of deposit(CD) from Bank of America.
Rod Brennan, Chief Financial Officer presented the information on the status of Investments and the
purchase of a$214,958 certificate of deposit(CD)from Bank of America(on file).
The Board of Trustees approved the status of Investments and the purchase of a$214,958 certificate of
deposit(CD) from Bank of America.
Motion: Ms. Rugeley Affirmative: 5
Second: Mr. Coombs Negative: 0
Citizen Comment: None
LUNCH WAS NOT READY FOR SERVING; SO THE BOARD OF TRUSTEES RECESSED
FOR LUNCH AT 12:01 PM TO TOUR THE HARDEMAN AND FOARD COUNTY MENTAL
HEALTH CENTER.
THE MEETING WAS RECONVENED BY KEN ANDREWS AT 12:57 PM WITH SIX BOARD
OF TRUSTEE MEMBERS IN ATTENDANCE.
Board of Trustee Meeting Minutes 3
October 01,2009
3) Cost Saving Actions
RECOMMENDED ACTION: Information item only.
Rod Brennan, Chief Financial Officer reported on cost saving actions taken (on file).
No action required, for information only.
Citizen Comment: None
C. CONTRACTS AND PLANS
1) CMHC Maintenance Contract
RECOMMENDED ACTION: That the Board of Trustees ratify the annual Netsmart Technologies
Maintenance contract for the CMHC/MIS software for$70,669.44.
Rod Brennan, Chief Financial Officer presented the information on the annual Netsmart Technologies
Maintenance contract.
The Board of Trustees ratified the annual Netsmart Technologies Maintenance contract for the CMHC/MIS
software for$70,669.44.
Motion: Ms. Nunn Affirmative: 5
Second: Ms. White Negative: 0
Citizen Comment: None
D. FACILITIES AND EQUIPMENT
1) Texas Correctional Office on Offenders with Medical and Mental Impairments (TCOOMMI)
Computer
RECOMMENDED ACTION: That the Board of Trustees ratify the purchase of a computer processor
(server) at a cost of$3,194.49.
Rod Brennan,Chief Financial Officer presented the information on the purchase of a computer
processor(server).
The Board of Trustees ratified the purchase of a computer processor(server) at a cost of$3,194.49.
Motion: Mr. Coombs Affirmative: 5
Second: Ms. Ainsworth Negative: 0
Citizen Comment: None
Board of Trustee Meeting Minutes 4
October 01,2009
2) Vehicles
RECOMMENDED ACTION: That the Board of Trustees approve the purchase of three 12 passenger vans
at a cost not to exceed$77,000.
Rod Brennan, Chief Financial Officer presented the information on the 12 passenger vans (on file). One
correction was noted on page 72 where it stated "...Chanute Circle ICF Home - 2002 Chevrolet- 81,338
miles." The mileage should have been 153,338 miles.
The motion was made to purchase three 2010 Ford Club Wagon vans from Bailey Auto Plaza in Graham at
a cost not to exceed$77,000.
The Board of Trustees approve the purchase of three 12 passenger vans from Bailey Auto Plaza in Graham
at a cost not to exceed $77,000.
Motion: Mr. Coombs I Affirmative: 5
Second: Ms.Nunn Negative: 0
Citizen Comment: None
E. POLICIES AND PROCEDURES
No Agenda Items
F. PROGRAM AND PERSONNEL
No Agenda Items
100109-6 QUARTERLY REPORTS
A. ESSENTIAL SERVICES AND CLINICAL ACCOUNTABILITY
1)Fourth Quarter Fiscal Year 2009 Report
RECOMMENDED ACTION: Information item only. .
Gianna Harris, Essential Services and Clinical Accountability Director reported on the fourth quarter
fiscal year 2009 report findings (on file).
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 5
October 01,2009
•
100109-7 EXECUTIVE DIRECTOR'S REPORT
1) Service Volume by County Fiscal Year 2009 Quarter 4
The Service Volume by County report (on file) for Fiscal Year 2009 was sent to you via e-mail as well as
a copy provided to all our sponsoring entities and our legislative delegation. According to the report,
page one, we provided Adult Mental Health Services to 5,254 individuals and Mental Health Child and
Adolescent Services to 685 individuals. For Adult Mental Health Services we had 66,147 events and
provided 135,590 hours of service. For Mental Health Child and Adolescent Services we had 8,933
events and provided 6,980 hours of service. Page two shows the Substance Abuse Services we provided
in Wichita County. We provided services to 172 Adults and 137 Adolescents. Page three, we provided
Mental Retardation Non Residential Services to 703 individuals; 37,970 events and provided 106,024
hours of service. We provided Mental Retardation Residential Services to 81 individuals and provided
17,278 Bed Days. Page four, we received 5,658 Hotline calls for Adults which resulted in 1,933 face to
face assessments. We received 537 Hotline calls for Child and Adolescents which resulted in 292 face to
face assessments. Page five, we provided Crisis Services to 2,364 individuals,with 13,124 events and
provided 4,324 hours of service. Page six, we had 968 admission to CRU(Crisis Residential Unit) for
4,156 Bed Days. Page seven, we had 283 State Hospital admission last year and 48 admissions to the
Red River Hospital. Page eight,the 48 admissions to Red River Hospital resulted in 283 Bed Days for
Adult Services and 48 Bed Days for Child and Adolescent Services. This Service Volume By County
Report will be distributed quarterly. We will use this report to remind people that we are here and what
we do.
2) Local Planning and Network Development
We are starting the process to update our Jail Diversion Plan; Crisis Redesign Plan; Quality Management
Plan; and Local Plan into one document. We will be including the Planning and Network Advisory
' Committee and the Jail Diversion Task Force in the process. The Local Network Development Planning
will start again in February or March. My stance is that unless we have two providers who are willing
and able to provide 100%of the services then we do not have the ability to contract out the services. I
will not piece meal it out.
3) Critical Infrastructure Subcommittee
I have been asked to serve on a LANAC (Local Authority Network Advisory Committee) subcommittee
to define Critical Infrastructure. This will be done over conference call.
4) CMBHS (Clinical Management for Behavioral Health Services)Data Standards
We are beginning a new CMBHS (Clinical Management for Behavioral Health Services) Data Standards
workgroup to review data exchange on a national level.
5)Mental Health Medicaid Waiver
Representative Vicki Truitt, Tarrant County sponsored a Mental Health Authority Bill (2439), which
defines the role of a Local Mental Health Authority as a developer and manager of a network of care,
besides being a provider of care. Part of that Bill instructed the Health an Human Services
Commissionto to seek a new Rehabilitative Mental Health Medicaid Waiver if it became necessary to
avoid opeing up the waiver to any willing provider, thus losing the ability to contain costs. The current
Waiver does not prohibit the application of any willing provider, and consequently, it has become
necessary for the writing of a new Waiver which will keep the Community MHMR Centers in control
and oversight of the services under the Waiver. This Waiver will be some sort of 1915c that will
resmemble those in Michigan and Kanasa. It will have a huge impact on public mental health care. The
group assembled to develop the new Waiver is comprised of four representatives of the Community
MHMR Centers, of which I am one, and representatives from the Health and Human Services Medicaid
Office and the Department of State Health Services.
Board of Trustee Meeting Minutes 6
October 01,2009
6) Target Adjustments
The Department of State Health Services (DSHS) and the Legislative Budget Board (LBB)both have
performance targets. We overserve our Department of State Health Services (DSHS) targets and are
closer to the Legislative Budget Board (LBB) targets. The draft targets show the adult to go up with a
CAP. In August we served 2,750 adults. If the new target is 2,400 as currently stated we will not be able
to serve any more that than. We will be hearing a lot of discussion about targets.
7)Performance Contract
Our Performance Contract with the Department of State Health Services (DSHS) will be a two year
contract. DADS (Departmente of Aging and Disability Services) went to a two year contract in 2008.
8) Intellectual and Developmental Disabilities
There are some big changes in the works for Home and Community—Based Services (HCS) Case
Management coming in June. The training is being developed. We will be hiring the Case Managers in
April or May so they can be trained. June 1st we will be taking over the Case Management for all Home
and Community—Based Services (HCS). Those who receive services from the private and public
providers.
9)Autism
We are in the process of developing a Resource Manual for families with Autistic children. We are
looking at how to best ditritube it. We are working on our diagnostic tools. We are using assessment
tools that will sufice for the Independent School District. We are working on developing a Certified
Behavioral Analyst.
100109-10 ANNOUNCEMENTS
A)Next Meeting
Ken Andrews announced the next meeting is scheduled for 11 A.M., Thursday, November 01, 2009,
Child and Adolescent Services, 516 Denver, Wichita Falls.
100109-11 OTHER BUSINESS
Bill Coombs asked for an agenda item for the November meeting to discuss the replacement of the
Hardeman and Foard County Mental Health Center facility. The building has deteriorated and needs to be
replaced.
100109-12 ADJOURN
The Board of Trustees' meeting ad'ourned at 1:49 PM.
Approved as presented: Approved as corrected:
Nov ber 05, 2009
Board of Trustee Meeting Minutes 7
October 01,2009
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•
►�1 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
#1 Regional MHMR Centers Phone (940) 397-3100
Fax (940) 397-3150
November 06, 2009
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 October 01, 2009. These minutes were approved by the Board at its meeting
held on November 05, 2009.
Sincerely,
an We
Admi rative Assistant/Board Liaison
Ijw
enclosure