MH&R
BOARD of
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Present: |
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Eric
Zgodzinski |
Bob
Kasayka |
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Steve
Lippert |
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Barb
Limpert |
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Kenny
Baughman |
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Vee
Reifsnyder |
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Steven
Prentice |
Dan Ward |
Marlene
Boas |
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Office Staff: Excused: |
Kirk
Halliday John
Fellhauer |
Barbara
Hemphill |
Beth
Williams Bill
Kimberlin |
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Pam
McGlothlin |
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Absent: |
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Guests |
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Donna
Kelly |
Jim
Fisher |
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The Mental Health and Recovery Board of
Introduction of Guests — The Board welcomed all
in attendance.
Oath of Office – Marlene
Boas took the Oath of Office and is an official member of the Erie/Ottawa
Mental Health and Recovery Board. Welcome to the board Marlene! Mr. Lippert
volunteered to mentor Ms. Boas.
Approval of Agenda: Mr. Kasayka moved to
accept the agenda as presented; seconded by Mr. Warner, motion carried
unanimously.
Secretary’s Report:
Ms. Reifsnyder moved to accept the
minutes of the
v
Ms. Boas noted that although the minutes reflect what
was discussed at the last meeting what was stated concerning the safe/schools,
healthy/students program was inaccurate. Sandusky Safe Schools did contract
with Bayshore for the bullying program last year and this year it was done
differently.
Executive Director’s Report:
Dr. Halliday reported on the
following: a) Monthly Update; Incidental.
b) Monitoring Reports; no questions. c) Change in date for December Board
meeting to accommodate the end of the year functions of the
Program Division Report (see hand-out included in packet);
Ms. Kelley and Ms. Williams presented an overview of the agenda planning and
state and local updates with emphasis on the Youth Family Service charts shown
on page 10 of the hand-out.
Mr. Kasayka noted that the percentage
of behavioral health levies passing is quite high. Dr. Halliday stated that
this is a positive trend being seen across the state with the exception of only
two which failed, and those included a replacement and a new levy.
Additional board discussion surrounded
the issue concerning different counties in terms of providing services to schools
and youth that are situated on the border of these counties. Elmore,
Dr. Halliday
was asked to contact other boards and report back to this Board concerning border
line cities and any possible cracks in the county lines which would prevent
services from being administered effectively as well as billing concerns.
It was noted that the Safe/Schools
grant expires this year, and the program sustainability would be a consideration
next year.
CQI – Continuous Quality
Improvement:
Agency and Board System
Progress Reports (included in
packet)
Ms. Williams presented a brief overview
of the agency progress reports for Bayshore, Firelands and the Giving Tree. The
reports look at five areas that the board monitors…Contract Provisions,
Expenditures, Outcomes, Administrative and Access. These reports deliver an
over-all picture or representation of how the client service system is
performing. Starting January of 2008, agencies will be using the new contract
format to provide us with expected projections for program targets. This has
been built right into the contract with update reports being received quarterly
from our agencies.
Ms. Kelley spoke about the fact that many
variables impact utilization across the system. One example of this would be
recent legislation that requires schools to provide services related to
preventing bullying and other violence. Sometimes the utilization is a result
of more/less demand. Other times the picture becomes more complex. The data
presented reflects utilization of the non-Medicaid contracts, the financial
status of the consumer can affect the rate at which funds are drawn down
particularly in relation to Medicaid eligibility and third-party insurance. As
a result of continuous quality improvement (CQI) planning framework, the Board
has been able to consider system adjustment to funding caps for the various
service groups (board priorities) that take into account many variables. As we
continue to develop our CQI process and attach specific clinical outcome
measures or performance targets to service groups we will further enhance our
ability to allocate resources with maximum effectiveness.
The Erie-Ottawa system performed better
than the state mean on eight out of nine of the measures examined. The Ohio
Department of Mental Health requires agency participation in the standardized
outcome system as a condition of certification. We specifically chose these
variables because they are global functioning measures and are reported by the
consumer or parent.
Firelands Counseling and Recovery
Services is one of four agencies statewide selected to participate in a pilot
project sponsored by SAMHSA (Substance Abuse and Mental Health Services
Administration) and the office of Program Evaluation and Research. The
invitation to participate was based on favorable impression of the service that
Firelands provides to those afflicted with severe and chronic mental illness.
A brief Board discussion examined why parents
were not being satisfied with youth services. Parents are not happy having
their children involved in the court system in the first place and sometimes
expect instant results. Mr. Lippert commented that when we hit some numbers to
go by, as we have here, those questions/concerns would not have been asked
before. Data makes it possible to ask questions and participate in stimulating
discussion.
Consent Agenda
Ms. Williams presented an overview of the
consent agenda items.
Resolution No. 11-2008-01: Whereas: The attached Consent
Agenda has been reviewed for appropriateness and compliance with Board
Policies; therefore Mr. Zgodzinski resolved the Mental Health and Recovery
Board of Erie and Ottawa Counties approve the business contained in the Consent
Agenda. Mr. Kasayka seconded. Roll call vote as follows: Mr. Baughman, yes; Ms.
Boas, yes; Mr. Kasayka, yes; Ms. Limpert, yes; Mr. Lippert, yes; Mr. Prentice,
yes; Ms. Reifsnyder, yes; Mr. Sizemore, yes; Mr. Warner, yes; Mr. Zgodzinski,
yes; and Ms. Kane, yes. (Rev. Ward had excused himself from
the meeting prior to roll-call) resolution carried unanimously.
Board Concerns: Mr. Lippert had an opportunity to
talk with Matt Westerhold, Managing Editor for the Sandusky Register, in regards to Marie Hildebrandt’s article
concerning the Conestoga Program. He was there as an individual concerned about
the article. Mr. Lippert was very impressed with Mr. Westerhold, especially his
attitude and receptiveness. It has apparently grabbed his interest, and he is
hoping to follow up at some point.
Mr. Baughman requested that the next board agenda be on the
lighter side due to historical december meetings being more of a time to
reflect, interact, and enjoy one another’s company,
Old
Business: Annual Dinner Feedback: Lovely atmosphere, good food, great evening. Both
United Way Directors were interesting and informative.
New Business:
Communications from the Board Chair, Ms. Kane asked that the time and date of
our December board meeting be highlighted when sent out in the mail as a
reminder, and also as a courtesy to our new board members. It was also
requested that Rev. Martin be invited to the potluck.
Commentary: Ms. Byers brought to the attention
all of the items that were displayed by the members of the Oak House, and
invited everyone to take a look at the wonderful items they had made.
Mr. Fisher, BCS Board, thanked the board for another superb
annual dinner, and also thanked Dr. Halliday for his continued effort with
Judge O’Brien on receiving the Indigent Drivers funds. He is also concerned
with the decrease in Bayshore’s contract (the only agency shown with a
decrease), and also noted that he worked
very hard to pass the replacement levy, and would like to know why some of that
money is not going to be allocated to not only Bayshore, but to the other
agencies as well. He feels embarrassed that he has worked so hard and appears
that the additional funds are not being disbursed. Dr. Halliday noted that he
would be happy to talk with Mr. Fisher after the meeting, and pointed out that
Bayshore’s allocation only assumes $24,000 from Judge O’Brien $148,000 that’s
available. As the program continues there will be funds added to that, and BCS
will receive their fair share. As far as the additional funds from the levy,
most of that was essentially wiped out by the increased funds in residential,
out-of-county Medicaid and crisis. In fiscal year 2009 their will be more funds
available to disburse.
Review
Decisions Made and Action
— Mr. Baughman reviewed the actions of the Board.
Ø
A
motion was made by Mr. Kasayka to accept the agenda as presented; seconded by Mr. Warner, motion carried unanimously.
Ø
Ms.
Reifsnyder moved to accept the
minutes of the October 16, 2007 board meeting as presented, seconded by Mr. Baughman,
motion carried unanimously.
Ø A motion was made by Rev. Ward to
change the December board meeting to Tuesday, December 11 with the potluck
beginning at
Ø The chair directed Dr. Halliday to
explore possible improvement concerning city boundaries based on the board
discussion of county lines.
Ø Resolution Number 11-2008-01 – resolved
by Mr. Zgodzinski, seconded by Mr. Kasayka, resolution carried unanimously.
Ms. Kelley reiterated the importance
of having board evaluation reviews.
Adjournment — Mr. Baughman moved the meeting
adjourn.
Respectfully
submitted,