Oregon Home Care Commission (OHCC)

Oregon Home Care Commission (OHCC) Meeting Minutes October 5, 2017

Members Present: Ruth McEwen (Chair), Mat Rapoza, Gabrielle Guedon, Marsha Wentzell, Roxie Mayfield, Laurie SchwartzVanZandt, Lee Girard

Members Absent: Kylie Milne Others: Sherryl Hoar Staff: Cheryl Miller, Joanna DeMeyer, Jenny Cokeley, Nancy Janes, Roberta Lilly, Ray Miller

Meeting Called to Order The meeting was called to order at 10:14 a.m. by Chair Ruth McEwen. A1B doption of Agenda Commissioner Rapoza moved to approve the agenda as written. Commissioner Wentzell seconded. Motion carried. A0B pproval of M inutes Commissioner Mayfield moved to approve the August minutes as written. Commissioner Wentzell seconded. Commissioner Schwartz-VanZandt abstained. Motion carried. A2B nnouncem ents Cheryl Miller, Executive Director, announced that Commissioners Mayfield, SchwartzVanZandt and Girard would be attending the meeting late. She also mentioned Mat Rapoza, Laurie Schwartz-VanZandt and Kylie Milne were recently reappointed as OHCC Commissioners.

Commissioner Wentzell attended the Non-Emergency Medical Transportation (NEMT) brainstorming events.

Sherryl Hoar, Communications Officer with the Department of Human Services (DHS) Public Affairs Office, was introduced as a visitor to the meeting. Public Testimony There was no public testimony. Governor's Commission on Senior Services (GCSS) Chair McEwen had nothing to report this month. Oregon Disabilities Commission (ODC) Commissioner Schwartz-VanZandt had nothing to report this month. Oregon Self-Advocacy Coalition (OSAC) Commissioner Guedon had nothing to report this month. Community Advisory Councils (CAC)/ Coordinated Care Organizations (CCO) Commissioner Mayfield had nothing to report this month.

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Aging and People with Disabilities (APD) Commissioner Rapoza gave a summary of the APD rule changes related to Service Priority Levels (SPLs). The changes are effective as of October 1, 2017 and tighten the criteria for program eligibility. He estimates that approximately four percent (4%), or 1,200 consumers may lose Medicaid-funded long-term services and supports over the next year after being re-assessed and found to no longer meet the rule requirements. Approximately 55% of these individuals live in their own home, while the other 45% reside in licensed care settings.

The department of Aging and People with Disabilities (APD) is committed to preventing negative outcomes for these individuals to the level that it is able. APD is also committed to documenting the impact of changes at a global and individual level and mitigating risks wherever possible.

In response to these rule changes, APD has initiated a new program, Extended Waiver Eligibility (EWE) for consumers at high risk of hospitalization if they lose services. EWE will allow these consumers to receive some services, including inhome services until they can transition to receive private services. Consumers eligible for EWE, and those no longer eligible for services will be tracked, if they are receiving any State of Oregon services such as food stamps, the Medicare buy-in program, State Plan Personal Care, emergency response systems or Older American Act Program services. He explained there is no clear way to track consumers who no longer receive State of Oregon services, so APD will send surveys every six months asking if there has been a change in their service needs.

Commissioner Wentzell asked for specifics related to the new SPLs and what kinds of tasks this would include. Commissioner Rapoza gave a fictional example of an individual who was reassessed and received a Service Priority Level (SPL) of 15, meaning they only needed help with basic tasks such as bathing and medication management. This individual would lose services, including home care and supports. If the person was at high-risk for emergency care such as hospitalizations, the case manager could still offer services and supports to mitigate risks for the individual.

Commissioner Guedon shared concern for those people who have dual-diagnosis and high medical needs that may lose services, including housing program assistance. Commissioner Rapoza explained that all consumers will be re-assessed, and if they are determined to no longer meet the eligibility criteria for Nursing Facility Level of Care, their case manager may also assess their need for Extended Waiver Eligibility (EWE).

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Aging and People with Disabilities (APD) continued

Commissioner Rapoza noted that APD has established a hotline for Homecare

Workers (HCWs) that have questions related to the two-week authorization

changes: 844-369-4169. The hotline is open during regular business hours.

Vouchers were mailed out late on September 26, 2017. This was due to APD being required to wait for SEIU to have members ratify the agreement. Commissioner Rapoza noted the only impact to workers may have been that some workers had to track their time separately for a few days until receipt of their voucher. Worker's Classification ? Workforce Development Update Jenny Cokeley, Special Projects Coordinator displayed promotional materials including a floor banner and table top banners that were recently received for Workforce Development recruitment activities. She explained that actual providers and consumers were used instead of stock photos.

Jenny showed Commissioners a promotional video of former Commissioner Mark King, which will be shared on the dedicated Workforce Development website. In addition to Mark King's video, Commissioner Guedon will be featured in a promotional video as a consumer experiencing a developmental disability. Written testimonials from Homecare Workers (HCWs) and Personal Support Workers (PSWs) providing information on why they chose this profession was shared. The testimonials will also be available on the dedicated website as well as shared on the OHCC Facebook page.

Chair McEwen asked if she could use the testimonials when talking to Legislators and other interested parties. Jenny replied yes. Commissioner Guedon expressed appreciation for these efforts and looks forward to providing information in the video shoot she will be in. She would like to help others understand the supports and services she needs, and how they have helped her become more independent.

Jenny reviewed a table listing the 17 Workforce Development Strategic Plan Action Initiatives developed by Thomas P. Miller and Associates and the Workforce Development Committee members. The table includes stars next to initiatives in which the Commission has already been actively involved with and progress is being made. A survey will soon be sent asking for Workforce Development committee members and Commissioners to help prioritize the Action Initiatives.

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Disability Services Advisory Council (DSAC) Update

Joseph Lowe, APD Program analyst gave an update on his work activities related to

DSAC this quarter. He has revised the DSAC manual and after receiving feedback

from AAA Directors, APD District Managers and support staff, the final draft will be

sent to Department of Human Services (DHS) Publications unit. The manual is

expected to be formatted into a hard copy book, as well as online. He is also

working with DHS Publications to create a uniformly formatted DSAC brochure and

application which DSACs can modify with their own branding and/or logos.

Joseph is also working on a pilot project focusing on accessibility and community inclusion. He will present this via a statewide webinar, and to ODC. He has visited all existing DSACs to help with recruitment and strategy discussions, and travelled to the four districts that do not have DSACs to offer his assistance. Joseph continues work on communication to DSAC members, staff and consumer advocates.

Other activities Joseph participated in included: Attended the Oregon Public Transportation Conference Assisted an internal stakeholder group with the Provider Time Capture Training

system implementation strategy Created a strategy on how to ensure DSAC involvement at discussions related

to affordable and accessible housing Continued work with tri-county DSACs efforts to improve Non-Emergency

Medical Transportation (NEMT) services Strategizing with APD on the inclusion of DSACs with APD's Facebook and how

to assist DSACs in creating their own Facebook page Working with DHS Communications on making promotional videos for social

media showing DSAC members

Chair McEwen asked what is being done to get DSACs involved in O4AD quarterlies. Joseph agreed there is a need to have them back at the O4AD tables, however he believes this will take a while to happen. Oregon Council on Developmental Disabilities Update Jaime Daignault, Executive Director of the Oregon Council on Developmental Disabilities (DD) explained their goal is to assist with policy and advocacy decisions for those experiencing Developmental Disabilities, and their family members. The council has 30 members, of which half experience an intellectual or developmental disability, (or have a family member who does). The other half are made up of community partners and other agencies receiving funding from the council.

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Oregon Council on Developmental Disabilities Update continued

She described community development mini-grants ($500 dollars each), scheduled

to be offered this Fall 2017. These grants will assist groups in providing outreach

opportunities and who want to enhance their community. The criteria for receiving

these grants are:

everyone in the community must be allowed to participate

awardee (group) must include

o one person with a disability (as an active participant)

o four people involved who are not directly related family members

priority given to those providing something tangible, such as small projects

meant to build community which includes those experiencing disabilities.

Oregon Council on Developmental Disabilities will be offering parent leadership trainings, "Partners in Policy Making". These trainings are time and resource intensive, and are only offered every other year. They are scheduled for six weekends a month for six months. Jaime noted this is difficult for parents of children with disabilities to attend. These trainings will be offered beginning early 2018 in central and southern Oregon, as well as in Portland and Salem.

Jaime expressed excitement about the Oregon Self-Advocacy Coalition (OSAC). The Oregon Council on Developmental Disabilities (OCDD) was mandated to support a state-wide self-advocacy organization. OSAC was created in response to these efforts, a seven-year process. Jaime, and other OCDD members are proud of Commissioner Guedon, who was selected as the first ever Executive Director of OSAC. They have enjoyed watching her grow in this leadership position.

Cheryl thanked Jaime for her time and echoed her enthusiasm to have Commissioner Guedon actively involved in both OSAC and OHCC. Quarterly Office of Developmental Disabilities (ODDS) Update Lilia Teninty, Director of ODDS provided a quarterly update. She testified before the Joint Ways and Means Subcommittee, during September Legislative days, providing an update on the directive budget actions they requested and their level of completion. She also delivered the general principles that ODDS are using to guide their 12-million-dollar budget cut. ODDS hopes to improve the focus on community development and natural resource supports for consumers, while generating savings to meet the new budget expectation.

Cheryl discussed PSW in-person orientations which are now being held across Oregon. She also mentioned that online PSW orientations began being offered in August. More details are available on the OHCC website.

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Executive Director's Report ? August and September 2017 Cheryl shared what she did in August and September 2017. August:

? Participated in APD Central Leadership meeting ? Attended an OHCC Bargaining Planning meeting, Union Counter Package

Proposal meeting and Bargaining meetings with SEIU ? Met with APD regarding upcoming Fall changes ? Held weekly check-in meetings with Joe Espinoza, DHS Labor Relations

Director to discuss complaints, grievances and arbitrations ? Attended a meeting regarding the rebranding of the STEPS program ? Held bi-monthly staff meetings ? Attended an APD Service Equity meeting ? Attended a PSW-MH information meeting at Western Psychological ? Continued meeting with Deb Satterfield, Provider Relations Unit Manager and

others regarding the establishment of a Universal Provider Number ? Attended a recruitment event at the Portland Opportunities Industrialization

Center (POIC). POIC partners with the Rosemary Anderson High School to promote opportunities for at-risk youth in the Portland area September: ? Cheryl was on vacation for a week in August and a week in September ? Attended an APD Peer Nominated Directors Award Selection Committee meeting ? Met with Mike McCormick, APD Deputy Director for a monthly one-on-one meeting ? Held a Workforce Development Strategic Planning meeting to discuss an action plan for the Work Plan provided by Thomas P. Miller and Associates ? Participated in a monthly Joint Issues Committee meeting ? Attended a meeting to discuss the Traditional Health Worker program ? Met with Brandon Crews and Jenny Cokeley to discuss the Provider Time Capture Project and OHCC. Bi-Monthly STEPS Report Nancy Janes, STEPS/THW Support Staff briefly reviewed the bi-monthly STEPS statistical report provided to Commissioners.

There were no questions or comments related to this report.

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Bi-Monthly Developmental Disabilities/ Mental Health (DD/ MH) Committee and monthly Traditional Health Worker (THW) Commission Reports

Ray Miller, DD/MH Committee Coordinator reviewed the bi-monthly DD/MH

Committee and THW Commission reports provided to the Commission.

There were no questions or comments related to these reports. Monthly Training/ Registry Report Roberta Lilly, OHCC Program Manager reviewed the monthly Training and Registry reports provided to the Commission.

There were no questions or comments related to these reports. Adjournment The meeting was adjourned at 1:20 p.m. by Chair McEwen.

2017 Attendance Record

Name

Jan Feb Mar Apr May Jun Jul Aug

Sep

Oct

Nov Dec

Guedon

X

X

E

X

Girard

New O4AD

X

X

E

X

Representative

Mayfield

X

X X

X X

E

Meeting

X

McEwen

X X

X X X XX

X

Cancelled

X

Milne

X

X X X XX

E

U

Rapoza

X X

X X X

X X

X

X

Schwartz- X

X

X

E

X

VanZandt

Wentzell X

X X

X X

E

X

*Beginning January 2017, X signifies attendance

*Beginning August 2017, E signifies excused absence; U signifies unexcused absence; X signifies

attendance

Attachments: Agenda Minutes from August 3, 2017 Bi-Monthly DD/MH Committee Report Bi-Monthly STEPS Report Monthly THW Commission Report Monthly Training Reports ? September and October

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