Rappahannock-Rapidan Community Services

Transcription

1 Rappahannock-Rapidan Community Services Regular Board Meeting February 10, 2015 at 1:00 p.m. MINUTES Members Present: Sarah Altman, Alan Anstine, Pat Balasco-Barr, Elizabeth Davis, Elizabeth Blubaugh, Marcia Brose, Christina Kearney, Robert Legge, Clare Lillard, Demaris Miller, Mary Lou McFarland, Doug Schiffman Excused: Staff Present: Beth Darrough, Robert Weigel, Bonita Burr Brian Duncan, Executive Director; Anna McFalls, Director, Admin and Finance; Ryan Banks, Director, Clinical Services; Ray Parks, Director, Aging and Transportation Services; Paula Stone, Director, Community Support; Kimberley Martin, Administrative Assistant. 1. Call to Order: Marcia Brose, Board Chair, called the Board to order at 1:04 p.m. 2. Moment of Silence: Marcia Brose called for a moment of silence. 3. Agenda Review: Marcia Brose, Board Chair, asked for additions, deletions to the agenda. ACTION: Alan Anstine made a motion to adopt the agenda as presented. Demaris Miller 2 nd the motion. There being no further discussion, the Board voted unanimously to approve the motion as presented. 4. Board Chair Remarks/Announcements Marcia Brose passed around Board Member roster. It will also be ed to members after the meeting. Board Social will be held at Elizabeth Davis home on Wednesday, March 4 6: Country Club Road, Culpeper. Everyone signed up to bring potluck dishes. Members not in attendance today can contact Elizabeth Davis ( ) with their contribution. 5. Public Comment -None 6. Corrections / Review / Approval of Minutes January 13th Meeting Minutes ACTION: Alan Anstine made a motion to approve the January 13, 2015 meeting minutes as presented. Pat Balasco-Barr seconded the motion. There being no further discussion, the Board voted unanimously to approve the motion as presented.

2 7. Executive Director Report HCA s proposal to build a 40 bed MH Hospital is still in process. Fauquier Hospital just announced changing over 8 of its beds to psychiatric beds. Having access to these beds does have its advantage being in a larger hospital with other services. We ve been advocating for this for a long time and will keep you updated on this. o Are they proposing a locked unit or unlocked. I m guessing it would be locked. HUD Form on an annual basis, we have to ask our members to sign disclosures to state you do not own the group home properties and you do not profit from the running of these properties. Forms were passed around for signature. 1. General Assembly Session / Updates a. The short session is currently winding down. A legislative information sheet that was provided to the legislators several weeks ago. There have been multiple other communications with legislators and Ray Parks conducted a visit on Wednesday, January 28. Following his meeting, there were a number of follow-up contacts with questions, especially associated with SB 1410 which you will find on the attached sheet. b. No major budget items and fortunately no planned reductions and a little more money. Qualification for the CSB staff who prescreen for services. Our current staff are certified pre-screeners with varying experience. All have gone through a structured training process by the Department of Health. Senate Bill 1410 would indicate all staff would need to be certified doctor, nurses, all staff, etc by July 1, CSB s now have 5 years to get to that point. That is not a good goal. CSBs are in opposition of this. We have 14 emergency services staff and none are certified nor do they have an interest. This is regulatory overreach. Please express your concern over this issue using this fact sheet (handout at meeting). c. The attached links are still active: i. Virginia Association of Community Services Boards 1. ii. Virginia Association of Area Agencies on Aging 1. This is an over reach of power. Who is behind the advocacy of this? No institutions are advocating for this. We would advocate putting that funding in outreach, not in emergency services. I see this as an opportunity to build up that cadre of who meet the requirements. If you have to be there, you work the plan. 2. RRCS FY 15 Budget Revision a. At the February Administrative Services Committee meeting, recommendations for the FY15 budget revision (the operating budget that takes us through June 30, 2015) will be reviewed. b. Significant reduction actions were taken at the beginning of the year so this is an opportunity to review the actual experience and modify as needed to

3 get through this year on solid ground. c. Cash flow continues to be a challenge and is an area that the agency is reviewing more carefully as part of the short and longer range fiscal and program planning. The agency is facing a number of challenges (such as increased health insurance cost for FY16) and want keep the focus on fiscal management. d. A more detailed discussion on this will take place at the upcoming Administrative Services Committee meeting. 3. Ad Hoc Capital Project Committee a. The new ad hoc Committee will meet following the regular meeting to begin a review of current capital projects. Ultimately, this committee will provide updates to the full board and recommendations as to these projects. 4. HUD Forms for signature during your meeting a. During the meeting, HUD certification documents that need to be updated with all of our new members were passed around for signature. These Certifications attest that none of our members have any ownership interest in any of our projects and don t derive any personal benefit (financial gain) from their service on the Board of Directors. 5. Grant for Services to Youth and Young Adults a. The Young Adult Coordinated Care (YACC) program continues under development. In the Board package, a draft of an agency brochure with essential information about the program was provided. b. This new program will be presented at your April Program Committee meeting. 6. Employee Health Insurance Upcoming Renewal Part II a. At last month s meeting, a conversation was started about the challenges that lie ahead for our employee health insurance renewal. At the time, a number of questions were raised and Brian Duncan provided additional information in this package in response to those questions. b. As a recap, what is seen ahead is a significant increase in our renewal due to our claims experience. c. Descriptions of the current plan offerings for employees were in the Board Package. These are the materials that were provided to all employees last year when this plan was started and to all new employees hired since July 1, i. Health Insurance Benefit Guide: A description of RRCS plans and where to go for assistance. ii. Health Insurance Payroll Deduction Sheet: Form used by employees

4 to elect coverage and deductions. 1. You will note we offer $600 / year to employee Health Savings Accounts as long as the employee provides the equivalent amount ($50/month) for their eligible high deductible plan. iii. You will also see that our Vision and Dental benefits are highly valued by employees and are not that costly for either the employee or the agency. These coverages are separate contracts, not directly provided by Optima Health. Costs for these have not grown like health care since they have always been built on strict capitated models of funding. d. At last month s meeting, members also expressed the need to know what impact the forthcoming renewal rates would have on services as part of their decision-making process. We will provide as much information as possible on this item. Do we provide Dental and Vision Coverage free of cost? Yes. These are not Optima Choice. And these are not the big premium hits that we experience with the health coverage. Who, on staff, is actively working on this? The consultants, Brian, Anna, Katia, H.R. and some accounting staff. Brian shares this with SMT. As soon as we get to a recommendation, we will send out an agency wide communication. What about putting together a committee of staff and getting their input instead of waiting for the recommendation. We don t want a recurrence of the staff showing up feeling like they have no say. The money has to come from somewhere programs or people. Give us something to work with. I have nothing to work with regarding knowing how staff feel about this. If the Board wants us to make a meeting of a cross sampling of the staff, we have the time to do that. It demonstrates due diligence on the part of the Board and Senior Management. Do you have anything that reflects how the plan would be if everyone signed on? I think the answer to your question is no, I don t. They are looking at the 70-73% not the 100%. When you ask people to do something different, they want to know what kind of difference they are going to make. 7. Culpeper Senior Center Winter Matching Campaign a. It was announced the agency is launching another dollar for dollar fundraising matching campaign for the Culpeper Senior Center expansion project. b. Judy Shulick (former RRCS member) will be leading the campaign which will run through the end of April. Is the gift from the Daniel s directed to the senior center or to the organization? It is directly to the senior center. Have they been thanked? Yes, directly by Brian Duncan and also through the organization. Additionally, Brian Duncan has regular contact with Mr. Daniel through ongoing meetings about the senior center. I think a thank you on behalf of the Board would be in order or we could invite him to a Board Meeting.

5 We should provide follow-up of the outcomes from donations. We do send quarterly updates to our donors. 8. Virginia s Waiver Redesign a. There has been an ongoing discussion about changes being made to the funding environment for community based services for the intellectual disabled in Virginia. Provided in the Board Package was a document entitled: What You Need to Know Concerning Virginia s I/DD Waiver Redesign. This document gives a general overview of what is happening and on what timeline. b. During the March Program Committee meeting, some details will be provided about the transition to this redesigned system and its pros and cons related to RRCS services. c. The timeline starts in January 2016 and goes on through Fiscal Rapid Access to Nonemergency Care: Fauquier / Rappahannock a. Included in the Board Package was an update for our rapid access program for citizens of Rappahannock and Fauquier County. b. The project continues to be successful and shows significant improvements from our baseline measures in FY 13. c. This model is also building on the agency s ability to bring people in quickly, provide the needed services and discharge when clinically appropriate. The total number served has grown significantly (especially in Fauquier) attesting to the agency s success in this area. It isn t enough just to see people rapidly. The agency needs to provide a focused, short-term service and then discharge them from services. d. Next month, Brian Duncan will provide some information about the project in Culpeper County. 10. Older Americans Act: Summary a. At the Federal level, the Older Americans Act (OAA) represents the funding mechanism that comes through the Virginia Dept. of Disability and Aging Services (DARS) and then to local agencies to provide some funding for our core senior programs. The original OAA was passed in 1965 and it has been reauthorized since that time. b. Provided in the Board Package was a summary of the 2015 Reauthorization of the OAA. This is a very high level review of a pretty complex piece of Federal regulation and budget language but provides a snapshot of current Federal priorities. It implies there is funding for senior centers. If the reauthorization occurs, we will have to look into possible funding. There may be some technical assistance.

6 11. Executive Director Goals: November 2014 October 2015 a. Project administration for the Boxwood Adaptive Reuse initiative to address internal fiscal and program planning and external requirements from Rural Development and Culpeper County. February: Meeting scheduled for February 10. b. Project administration for the Bridges Program Consolidation initiative to address internal fiscal and program planning and external requirements from Rural Development and Culpeper County. February: Same as 11a. c. Project administration for the Culpeper Senior Center initiative to address internal fiscal and program planning and external requirements from grant sources, donors and Culpeper County. February: Campaign has been initiated and will run through April 30. d. Conduct new member training and orientation sessions for board members to assist in the development of six new representatives on the Board of Directors. February: Done e. Chair Crisis Intervention Team Steering Committee to facilitate the development of a regional CIT in collaboration with local governments and law enforcement officials. February: Regional meeting held with excellent participation. Now evaluation Coordinator funding options for region. f. Evaluate current and pending debt service obligations analyzing organizational needs and capacity reporting back to the Board of Directors on any subsequent recommendations. February: Part of 11a and b above. g. Study of RRCS ID Services to align with changing priorities and funding from DBHDS. February: Work continues to evaluate current system, program and funding structures to determine how they will work under the new state models. Will report to Board of Directors in spring Closed Session Not Scheduled 9. Committee Reports to the Board of Directors Executive Committee: Chair s report: Marcia Brose noted all items had been covered by in the Executive Director s Report. Program Committee: Chair s report: No Meeting. Administrative Services Committee: Chair s report: No meeting Development Committee Meeting: Chair s report: Alan Anstine discussed the senior center campaign and the foundation grants that are being written/sent. The next meeting is in April. He invited other Board Members to volunteer to be on the committee. Marcia Brose, Elizabeth Blubaugh and Robert Legge will attend the April meeting. Ad Hoc Committees: None

7 10. Other Business The January Program and Admin Committee Meeting Agendas will occur at the February meeting. Board Members requested hearing a snapshot about each of the divisions starting with Admin/Finance. 11. Announcements (members and staff) 12. Call for Adjournment: There being no further business, the meeting adjourned at 2:32 p.m. Approved: Doug Schiffman, Secretary