CENTRAL COUNTIES CENTER FOR MHMR SERVICES



CENTRAL COUNTIES SERVICESBoard of TrusteesMinutes of MeetingMarch 26, 2019The March 26, 2019 meeting of the Board of Trustees for Central Counties Services (CCS) was held at the Temple Main facility on March 26, 2019 in Temple, Texas @ the 6:00PM Regular Session time.The following members of the Board, CCS Staff and Guests were present:Board of TrusteesMr. Steven Wick Judge James LivelyMr. Ray Ashby Ms. Ann KingDr. Louella TateMs. Sue FaulknerMs. Alison EsparzaJudge Joe Carroll - absentMs. Nancy Holle – via phone callTeleconference:None Absent: Ms. Alison EsparzaCenter Attorney:Mr. Jack Tarver Staff:Dr. Ray Helmcamp, Executive Director Darla Hogan, Director of Information Services Johnnie Wardell, Chief of Operations - absentKelli Sames, Director of Human Resources Andrea Erskine, Director of Intellectual and Developmental Disability ServicesKristen Jefferson, Director of FinanceKeith Maxwell, Director of Quality/UtilizationJulie Fielder, Director of Early Childhood Intervention ServicesDr. Cheryl Paulhus, Director of Behavioral Health James Arnold, Associate Behavioral Health DirectorRocky Frame, Director of CCBHC - absentCindy Hutson, Director of Budgets Monica Silcott, Program Specialist IV Guests: A.CALL TO ORDER A quorum being present, the meeting was called to order by Steve Wick, Chair of the Board of Trustees, at 6:00 PM by the Regular Session.REGULAR SESSIONIntroduction of Guests 2.Review of Board Calendar The Board calendar was reviewed.Training sessions are to be indicated in the calendar to reflect these trainings, per the request of Dr. Louella Tate. 3.Approval of February 26, 2019 Regular Session Board MinutesAnn King moved for approval of the February 26, 2019 Board Meeting minutes as submitted, Dr. Louella Tate seconded. The motion carried.4. CCBHC OrientationA video was presented to show an overview of CCBHC. Dr. Louella Tate stated the video was excellent and timely as an introduction. James Arnold followed with a detailed presentation highlighting the implementation needs to move towards the CCBHC certification. He compared services that we currently provide to services that will need to be added. Nancy Holle and Dr. Louella Tate asked how would these processes be measured. James Arnold explained that the CCBHC has a measuring scheme much like DSRIP, and will be measured in the same manner. Each service has measurement requirements of accountability and milestones that should be met. This will provide us a measuring methodology that can hold us accountable.Cindy Hutson followed with a presentation of the Cost report that is required by the Texas Council. She shared the complexity of this report and informed the Board of the efforts that went into gathering the detail. The data was compiled and submitted by the deadline on March 1, 2019. She shared the categories that all the data came from and all that staff that were involved. She informed the Board that this was a great learning opportunity to understand our financial structure and that they were going to create a new charge master as an identified need. She also informed the Board that they will be receiving one reimbursement rate for the CCBHC services, and that this will be a completely different way of doing business and drawing down revenue. Dr. Ray Helmcamp shared that as a Board there are some expectations for certification. Below are the expectations to consider:The CCBHC’s board members are representatives of the individuals being served. The CCBHC in terms of demographic factors are geographic area, race, ethnicity, sex, gender identity, disability, and sexual orientation for example. The CCBHC will incorporate meaningful participation by adult consumers with mental illness, adults recovering from substance use disorders and family members of CCBHC consumers, either through 51% of the board being families, consumers or people in recovery from behavioral health conditions, or through a substantial portion of the governing board members meeting this criteria and other specifically described methods for consumers, people in recovery and family members to provide meaningful input to the board about the CCBHC’s policies, processes, and BHC will describe how it meets this requirement or develop a transition plan with timeliness appropriate to its governing board size and target population to meet this requirement.As an alternative to the board membership requirement, any organization selected of this demonstration project may establish and implement other means of enhancing its governing body[s ability to insure that the CCBHC is response to the needs of its consumers, families and communities. Efforts to insure responsiveness will focus on the full range of consumers, services provided, geographic areas covered types of disorders, and levels of care provided. The state will determine if this alternative approach is acceptable and, if it is not, will require that additional or different mechanisms be established to assure that the board is responsive to the needs of CCBHC consumers and families. Each organization will make available the results of their effort in terms of outcomes and resulting changes. Members of the governing or advisory boards will be representative of the communities in which the CCBHC’s service area is located and will be selected for their expertise in health services, community affairs, local government, finance and banking, legal affairs, trade unions, faith communities, commercial and industrial concerns, or social service agencies within the communities served. No more than on half (50 percent) of the governing board members may derive more than 10 percent of their annual income from the health care industry.We, as a Center need to determine which path to take with regard to our Board composition and meeting these requirements. B.CITIZENS’ COMMENTS None.C.BOARD COMMITTEE REPORTS1. Medical Committee- Alison Esparza- No Report-absent2. Personnel Committee- Judge Lively-No Report3. Finance Committee- Ann King –No Report 4. Long Range Planning & Facility Committee- Steve Wick-Dr. Ray Helmcamp stated that we received the building permit to move forward with completing the renovations on the 2nd floor at the main Center. MRB will meet and discuss a revised design on moving forward on the Cameron building.E.PERSONNEL MATTERS 1.ACTION ITEMS:a. none 2.NON-ACTION ITEMS:a. noneF.FISCAL MATTERS ACTION ITEMSApproval of Financial Certification Form G-Second QuarterKristen Jefferson shared the Financial Certification Form G-Second Quarter Report and requested approval from the Board.Dr. Louella Tate moved for approval of the Financial Certification Form G-Second Quarter, Sue Faulkner seconded. The motion carried.Approval of Second Quarter Investment ReportKristen Jefferson shared the Second Quarter Investment Report and requested approval from by the Board.Ray Ashby moved for approval of the Second Quarter Investment Report, Sue Faulkner seconded. The motion carried.Approval of FY’19 Budget RevisionKristen Jefferson shared the FY’19 Budget Revision and requested approval from by the Board.Dr. Louella Tate moved for approval of the FY’19 Budget Revision, Ann King seconded. The motion carried.NON-ACTION ITEMSFinancial statementKristen Jefferson presented the Center’s financial statement and fielded questions from the Board. She included the ratio statements as requested by Dr. Louella Tate G.SPECIAL REPORTS FY19’ QM Project UpdateKeith Maxwell gave an update on the FY 19’ QM Project and fielded questions from the board.PNAC FY19’ 2nd Quarter Summary ReportKeith Maxwell gave the PNAC FY19’ Quarter Summary Report and fielded questions from the Board. OLD BUSINESSEXECUTIVE DIRECTOR COMMENTS. Dr. Ray Helmcamp discussed the latest articles in the paper. He reminded the Board about the Community Health Summit at the Bell County Expo. Collaboration between Advent Health, Baylor, CCBHC. Judge Depew signed the contract for the Center to hire two navigators to be housed in the jail to assess individuals in the jail. Our goal is to hire those people and liaison with the jail staff. He reminded the Board of the Texas Council Annual meeting that is coming up in June of this year; we will keep the Board informed when more details are received. Joe Carroll will be resigning from the Board, due to some health concerns. Dr. Louella Tate suggested sending a letter of appreciation of his time served and a possible certificate of service.BOARD OF TRUSTEE/STAFF COMMENTS/MEETING EFFECTIVENESS FEEDBACKSteve Wick – I am hearing very positive things about the accreditation process and I think it is going to be best for our community and the people we serve. Glad that we are getting back in the SUD efforts and giving those services. I am hopeful we have the money to do so. I appreciate all the work of the staff and Ray for orienting us on what is happening here at the Center and what we need to do as a Board, there is nothing so far that does not look obtainable.Ray Ashby –Ditto, good presentations, and we will endure these upcoming changes. I have all the faith in the team.Sue Faulkner – I agree, it is a challenge, and the bottom line is it will be a benefit. Thank you all for your work.Ann King –DittoJames Lively – These are lofty goals and I am supportive of it. My concern is that I just do not want to stretch ourselves to thin. However, I am optimistic. Dr. Louella Tate – Make sure we are very planful. I wanted to thank yall for the work that has and is being done. Glad that we are starting on the accreditation and it caught me by surprised about the Substance Use Disorder service. Is this a CCBHC requirement? This will take a lot of community partnership. We appreciation everything going forward. Jack Tarver- I was worried, but the presentation was great, and I understand it. Correction on Judge Carroll’s health, he fell off a horse and is still recovering. Nancy Holle (via phone) You all are just like I remember you all. You are in the same position and what you have taken on is mind boggling, it makes me ask can we really do this. Yall are tremendous and I love the laughter over the phone. I appreciation being able to communicate this way.Alison Esparza – absentJoe Carroll - absentN.ADJOURNMENT There being no further official business, Steve Wick adjourned the meeting at 7:33 PM.S U B M I T T E D B Y:____________________________Ms. Sue FaulknerSecretaryBoard of TrusteesCCCMHMRRecorded by:Monica SilcottExecutive AssistantNOTE: The reference material disseminated during the meeting will be archived with the official Minutes. ................
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