MEETING MINUTES (proposed) Lakeshore Regional Partners Executive Board Muskegon CMH Services, 376 E. Apple Avenue, Muskegon, MI

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1 MEETING MINUTES (proposed) Lakeshore Regional Partners Executive Board Muskegon CMH Services, 376 E. Apple Avenue, Muskegon, MI October 16, :00 PM WELCOME AND INTRODUCTIONS Mr. Snider Mr. Snider called the October 16, 2014 meeting of the Lakeshore Regional Partners Executive Board to order at 1:00 pm ROLL CALL Present at Roll Call: Mr. Belco, Ms. Bird (via telephone), Ms. Gonzalez, Ms. Kehrwecker, Mr. Ponstein, Mr. Prince, Mr. Sanders, Mr. Snider Alternate: Mr. Grit (network180) CONFLICT OF INTEREST QUESTION Mr. Snider No conflicts were declared PUBLIC COMMENT No public comment CONSENT ITEMS: LRP Motion: To approve by consent the following items. a. October 16, 2014 LRP Board of Directors meeting agenda b. September 18, 2014 LRP Board of Directors meeting minutes c. LRP Policies i Sanctions Moved by: Ponstein Support: Kehrwecker LRP EXECUTIVE COMMITTEE REPORT - Mr. Snider a. Minutes from 10/7/2014 Executive Committee Meeting b. Executive Committee Membership Discussion: To expand the membership of the Executive Committee to include one member at large who is not an officer of the Board. Mr. Snider reported on activity from the October 7, 2014 LRP Executive Committee meeting. Committee members consider a suggestion that was made to Mr. Snider following the October Board member to add an at-large member to the Executive Committee in order to allow for additional input to the committee from Board members. Ms. Kehrwecker suggested that membership should consist of Committee Chairs and suggested that a Finance Committee be created and that individual be appointed to the Executive Committee LRP Motion: To appoint a Finance Committee and have the Chair of the Finance Committee sit on the Executive Committee Moved by: Kehrwecker Support: Belco

2 Mr. Prince noted that the original intent by the Nominating Committee when suggesting the creation of the Executive Committee was to provide an opportunity for support and feedback to the Chief Executive Officer, and appointing the officers of the Board seemed the easiest course of action. Allowing for an at-large member would provide additional support to the Executive. Members discussed the possible role and function of a Finance Committee. Mr. Ponstein suggested that these details should be determined prior to appointing a committee. Mr. Snider will meet with Mr. Labun, LRP CFO and Mr. VandenHeuvel to discuss the structure of such a Committee. Ms. Kehrwecker volunteered to participate in the discussion. LRP Motion: To table the motion to create a Finance Committee until a plan for the purpose, structure and operations of a Committee can be determined. Moved by: Ponstein Support: Sanders LEGISLATION AND ADVOCACY COMMITTEE UPDATE Ms. Gonzalez Ms. Gonzalez reported on the September 26, 2014 meeting of the LRP Legislation and Advocacy Committee. Priorities of the Committee continue to be equitable Medicaid rate setting and services to the mild-to-moderate population. The next meeting of the Committee has not yet been scheduled. Mr. Ponstein expressed appreciation to the Committee for their work, noting that increased efforts are needed as there are many misunderstanding within the community as to the role, responsibilities, and value of the regional entity. OPERATIONS COMMITTEE UPDATE Ms. Julia Rupp, Committee Chair Ms. Rupp provided the following updates from the Operations Committee: Currently there are four priority items being addressed: 1. The FY2015 PIHP/CMHSP Sub-contract: Committee members have been working together to recommend edits to the proposed contract. Mr. Gilman, representing the members, met with Mr. VandenHeuvel to review the suggestions and all members believe that the negotiation process has been successfully completed. 2. Data Analytics Presentation: Committee members are very excited about the possibilities and are committed to looking at the data, determine the reasons for outliers, and ensure that the data that is available is accurate. The data will be used in advocacy efforts, for monitoring outcomes, and in business planning. 3. Member Plans of Correction: Four of the five members are projecting that they will overspend their budget in FY2015 and they are working on their corrective action plans for submission to the LRP. These plans of correction will serve to inform the LRP CEO in developing his business plan and will begin the conversation between the CMH s about other efficiencies that might be identified across the member CMH s 4. Financial Consultant: The LRP will submit a request for quote (RFQ) to retain the service of a financial expert to make recommendations for a fair and equitable funding model. Members have agreed on the key elements that are to be included in the RFQ. Region 10 will join in the process, which will likely help to reduce costs. Meeting Minutes Page 2 of 5

3 COO REPORT Mr. Hofman Quality Improvement - Mr. Hofman welcomed Bill Phelps to the staff of the Lakeshore Regional Partners. Mr. Phelps will be serving as the Coordinator for Provider Network/Quality Improvement. The QI Team continues to be engaged in compliance reviews, with MDCH conducting their annual review of Waiver clients in October. The LRP is required to provide oversight to the member CMHSP s and the QI Team has worked to ensure that the process is positive. The first member review (Ottawa) has been completed and went very well. The review also provided an opportunity for LRP staff to learn how the process might be improved. Performance Measures The LRP has collected two quarters of data related to the required State Performance indicators. Although individual members did not meet all benchmarks, the only measure that was not met across the region is related to the 14 day benchmark from assessment to ongoing services. Members will be asked to submit a plan of correction addressing any deficits. Health Care Data/Data Analytics The LRP is required to submit a regional Performance Improvement Plan (PIP). The plan adopted by the region is to work toward improving metabolic monitoring (lab tests) for individuals who have specific diagnoses and are on psychotropic medications. The LRP has received 100 percent validation from the State on the project and is ready to implement. The LRP is expected to have a second PIP and plans are underway to submit a proposed project that will focus on healthcare integration by creating a format where regional quality data can be utilized at the CMHSP level. The Provider Network Committee has been working on regional inpatient contracts and that work is almost complete. The group will now look at common tools for managing the provider network. CIO REPORT Mr. Goodrich The Utilization Management group is evaluating the site review process to make sure that the LRP is meeting required guidelines. It is anticipated that the Office of the Inspector General will be looking at our data and we want to be certain that the LRP is adhering to required standards. Work has been done wih the QI group on data analytics, quality and integrity. The regional goal is to meet the 95 percent standard and ensure that the quality of data is at the highest level. The request for proposal for the data analytics project is now posted on the LRP Web Page. Mr. Goodrich invited Board members to review the proposal. CFO REPORT Mr. Labun FY2014 September Funds Distribution LRP Motion: To approve the FY2014 September Funds Distribution Moved: Ponstein Support: Gonzalez The September financial statements will be presented to the board for review after the books are closed; likely in November or December. Preliminary work on the FY2014 audit has begun, with the full audit planed for January, The audit report will be presented to the Board upon completion. The region is projecting $3.4 million in surplus through August. $3.2 million was from Healthy Michigan, Those funds will be utilized to help stabilize member budgets for FY2015. SUD IMPLEMENTATION UPDATE Mark Witte Meeting Minutes Page 3 of 5

4 Mr. Witte introduced Stephanie VanderKooi and Denise Herbert, LRP prevention staff. A presentation on the prevention work being done across the region will be given to the Board at a future date. Will provide a presentation in the future about the prevention work that is being done. The transition of SUD Services is now complete and has been a very smooth process. The Oversight Policy Board orientation process with all members is now complete. The first business meeting is scheduled for October 29 at 4:00 pm. There have been some issues with the intergovernmental agreement that are being addressed. The LRP is contracting with Dr. Corey Waller, Addictions Specialist CEO PERFORMANCE EVALUATION Mr. Snider inquired as to the Board s preference for reviewing the CEO s performance evaluation. Members requested that they be permitted to review the results of the evaluation prior to discussion and asked that the matter be tabled until the November meeting. LRP Motion: To table the discussion regarding the CEO Performance Evaluation to allow Board members to review the results. Moved by: Kehrwecker Support: Ponstein CEO REPORT Mr. VandenHeuvel a. MDCH Updates i. MDCH Strategic Plan The MDCH strategic plan was presented by Director Nick Lyon and does not reflect any significant changes in policy. The information will be used to inform the LRP business plan. Contract negotiation and rate setting meetings between the PIHPs and the MDCH continue. b. Coordination with Other Regions The LRP has been coordinating with other PIHP s in such areas as joint procurement for data analytics and financial consultant request for proposal. c. Coordination Meetings with Health Plans Meetings with health plans continue to be scheduled. The data analytics information has been very beneficial in those conversations and the information has been received enthusiastically. d. Member Budgets and Funding Methodology Ms. Rupp addressed this area in the Operations Committee report. e. Data Analytics: This area has been covered extensively in the Board work session and previous reports. The LRP has been a leader in this area and this is one of our critical initiatives moving forward. f. LRP CEO Business Plan The plan will be a focus of a future Board works session. The plan will reinforce some of the information that has been presented with regard to national and state policy initiatives as well as referencing the previously approved LRP strategic objectives. g. PIHP/CMHSP Contract Update LRP Motion: To authorize the Executive Director to sign the PIPH/CMHSP sub-contracts Meeting Minutes Page 4 of 5

5 Moved by: Prince Support: Ponstein h. Updated LRP Organizational Chart As requested by Board members, the updated organizational chart was presented for information. BOARD MEMBER COMMENTS Ms. Kehrwecker requested that all legal invoices be provided, noting that she has received invoices going back to January, but would also like those previous to January. Staff will make these available to her. UPCOMING MEETINGS a. SUD Policy Oversight Board October 29, 2014 Muskegon CMH Services b. Executive Committee: November 11, 2014 Muskegon CMH Services c. LRP Board meeting/work Session: November 20, 2014 CMH of Ottawa County ADJOURN Mr. Snider adjourned the October 16, 2014 Lakeshore Regional Partners Board of Directors meeting at 2:22 p.m. I. John Snider, Board Chair Rita Bird, Secretary Meeting Minutes Page 5 of 5