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HomeMy WebLinkAboutDBHDD Region Two Planning Board Minutes April 19, 2012 Georgia Department of Behavioral Health & Developmental Disabilities Frank E. Shelp, M.D., M.P.H., Commissioner Region 2 DBHDD Office 3405 Mike Padgett Highway, Bldg. 3, Augusta, Georgia 30906 Phone: 706-792-7733 Fax: 706-792-7740 Toll Free: 1-866-380-4835 DBHDD REGION TWO PLANNING BOARD MEETING THURSDAY, APRIL 19, 2012 AT 1:00 PM MEETING SUMMARY The DBHDD Region Two Planning Board met at 1:00 P.M. on Thursday, April 19, 2012 via video conferences taking place at: the North Central Health District Office, 811 Hemlock Street, Macon, Georgia 30507 and the Richmond County Health District Office, 1916 North Leg Road, MIS Conference Room Building B, Augusta, Georgia 30909. Board Members Present: Josette Akhras, Putnam; Gloria Berry, Walton; Bessie Bonds, Twiggs; Saundra Brown, Bibb; Laverne Crawford, Richmond; Martha Crumbley, Burke; Linda Echols, Wilkes; Nan Gunn, Jefferson; Debbie Harbin, Monroe; Ann Hester, Oconee; Geneice McCoy, Richmond; Laverne Williams, Wilkinson Excused Absences: Sherri Cunningham, McDuffie; Ed Glauser, Clarke; Kathy Fitzner, Screven, Don Wilkes, Emanuel Regional Office Staff Present: Karla Brown, DD RSA; Keith Edmonds, BH RSA; Jessica Seigler, Program Assistant Guests Kenneth Echols, Wilkes; Linda Ellis, Bibb; John Williams, Wilkinson Vacancies as of 4/19/2012: Baldwin (1), Barrow (1), Bibb (3), Clarke (2), Columbia (2), Elbert (1), Glascock (1), Greene (1), Hancock (1), Jackson (1), Jasper (1), Jenkins (1), Jones (1), Lincoln (1), Madison (1), Morgan (1), Oglethorpe (1), Richmond (2), Screven (1), Taliaferro (1), Walton (1), Warren (1), Washington (1) Call to Order Geneice McCoy, Board Chair, called the meeting to order at 1:13 PM. Roll Call Present Board members were accounted for and are reflected in the attendance above. February 16, 2012 Meeting Minutes The February 16, 2012 meeting minutes were approved as written with a unanimous decision by the Board, based on a motion by Linda Echols that was seconded by Martha Crumbley. Public Comments There were no public comments. Board Member Appointments and Resignations Nan Gunn, Jenkins, and Ann Hester, Oconee, were welcomed by the Board. Kathy Fitzner, Screven, was also recently appointed, but was not in attendance. DBHDD Leadership Council Report Geneice McCoy and Saundra Brown presented the Leadership Council Report. Saundra Brown has provided the presentation given by Mr. Hunnicutt and Ms. Arno. (Please Refer to Attachment 1) Nominating Committee A committee was formed to nominate members for the board positions to be elected at the next meeting. The committee consists of Nan Gunn, Debbie Harbin, and Martha Crumbley. Bessie Bonds, Geneice McCoy, and Saundra Brown expressed interest in continuing in their current roles. The will also appoint representatives for the Leadership Council at the next meeting. Certificate Committee Report Geneice McCoy, Saundra Brown, Bessie Bonds and Linda Echols served on the Certificate of Appreciation Committee. There was a motion by Bessie Bonds, with a second by Linda Echols, for the Board to not take the task of issuing Certificates of Appreciation, rather that if there is something special to recognize that it will be mentioned in a Board Meeting and will be public record by way of the public comments in the minutes for said meeting. This vote resulted in the unanimous decision to pass the motion. Regional Coordinator’s Report Keith Edmonds presented the RC Report. (Please Refer to Attachment 2) Regional Service Administrators’ Reports Karla Brown presented the DD/RSA Report. (Please Refer to Attachment 3) Karla has provided the 2012 DD Provider Meeting schedule. (Please Refer to Attachment 4) Gaps in Services During the gaps in services discussion, the Chair recommended that Planning Board Members periodically review the DBHDD website, DOJ Settlement Agreement, HB228 (pages 114-145), and the Bylaws. Announcements Bessie Bonds announced the Twiggs County Special Olympics and Debbie Harbin announced the Autism Awareness 5K Journey Race. Adjournment Hearing no further comments, Geneice McCoy adjourned the meeting at 3:09 PM. PREPARED BY Jessica B. Seigler Program Assistant APPROVED AT ____________BOARD MEETING (Attachment 1) To view the slideshow, double click on the slide below. To change slides, single click the current slide. To close the slideshow, press the ESC key. ’ Going to College and Getting a Job: Everybodys ’ Doing It…and the need of Georgias Students The rationale and opportunity for IPSE expansion & the impact on employment From presentations by Amy Dwyre, TransCen, Inc. , Dr. Toni Strieker & Jill Sloan @ KSU & Christopher Hunnicutt www.thinkcollege.net © Think College 2010 (Attachment 2) RC Report to Regional Planning Board  Cheryl has scheduled a meeting for Audrey to meet with Randall Hines, Acting Regional Hospital Administrator at CSH, to discuss the desire of Regional Planning Board members to visit the hospital. She will meet with him on Wednesday, April 25, and will be able to let Board members know what arrangements have been made shortly thereafter.  The Department funded new MH services in Milledgeville, including our first Crisis Services Center (24/7 walk in crisis services), crisis apartments (2), Peer Support Center, psychiatric telemedicine services to individuals on medical units at Oconee Regional Medical Center, companions for individuals with SPMI who are hospitalized. River Edge will be providing these services.  The Region will be receiving funding for 2 case managers in FY ’14. These two case managers will have caseloads of 50 individuals each. The region will contract with Advantage Behavioral Health Systems to do this work. Advantage is already doing commendable work with the courts, with the homeless population, and with the Georgia Housing Voucher Program. The Athens service area has the lowest level of funding, per capita, so the region is moving more resources there when possible.  We had a lot of concerns about the federal funding for TANF being cut and the impact on our Ready for Work programs; however, most of the funding needed has been replaced through legislative and redirecting funds within the Department. The women who attend the Ready for Work programs did a lot of self advocacy!  We have allocated 172 housing vouchers. R2 providers are doing a great job getting people into housing. (Attachment 3) DD Planning Board Report Statewide Provider Meetings  Regions 2, 4 and 5 held on April 9  Regions 1, 3, and 6 held on April 17  Discussed Peer Reviews by Board Certified Behavioral Analysts to provide Technical Support to select providers (4 in Region 2 – H.O.P.E., American Work, Total Care, Georgia Options)  Discussed changes in contracts and LOA’s (Letters of Agreement  Discussed our Hospital Transitions Contracts and LOA’s  Contracts and LOA’s have been revised  State dollars are going to mirror waiver dollars  Have gathered reporting data from providers to determine #’s of individuals that contracted providers will serve next year.  Discussing dollars with contracted providers  We will have the Contracts and LOA’s out soon Transitions to the Community:  We continue to transition individuals from hospitals into the community.  We are over our target for compliance with the ADA (Americans with Disabilities Act) Agreement with the Department of Justice. 150 people per year to be discharged and we have discharged over 300 people since 2010.  We have 39 people remaining to be transitioned from the Intermediate Care Facility at CSH  From about 900 individuals in institutions in 2009 to 411 today.  Have developed the transition list for next fiscal year.  Developing more providers who are capable of supporting individuals with challenging behavior and/or nursing needs Region 2 Funding:  Funding everyone on the Short-Term Planning List in Immediate need.  Converting as many state-funded slots to waiver funded as we can.  Having difficulty because many individuals are not Medicaid eligible. We can’t fund people who are not. Human Rights Councils  Being created and policies being written  Makeup will be physicians, psychiatrists, attorneys, pharmacists, families, individuals in services  Primary task will be reviews of medications – individuals taking more than 4 psychotropic meds (poly-pharmacy), and more than 2 within the same classification of medications DD Goals for FY ‘13  Streamline enrollment/eligibility processes for DD Supports and Services  Making significant progress on this task. RSA’s will present plan on April 26  Streamline process for Waiver Enrollment when resources are identified  Streamline Exceptional Rate approval process  Lots of ideas being explored. Plans being developed  Decrease duplication of monitoring providers by combining reviews  Our Division will accept some reviews by HFR (Healthcare Facilities Regulatory Services). This will reduce some duplication  Review Support Coordination services and processes  RSA’s reported on what’s working, what’s not working, and what we would like to see changed about Support Coordination. (Region 2 works closely with our SC providers, having monthly meetings, providing training and technical assistance on a regular basis.) Medicaid Waiver Rate Study  Agreed to in the ADA Settlement Agreement  An out of state company (to be non-biased) completed the study using factors such as SIS (Supports Intensity Scale) and existing allocations  Providers and families were unhappy with the results  We have agreed to have Division and Regional staff to complete a new SIS on every individual in waiver services over the next year.  The SIS scores will be applied to rates to determine how allocations will be affected before moving forward with implementing rates DBHDD Provider Manuals  Currently called Provider Manual for Community Mental Health, Developmental Disabilities and Addictive Diseases and is 656 pages long  For FY ’13, split into 2 distinct parts  Provider Manual for Community Developmental Disability Providers at 171 pages  Provider Manual for Community Behavioral Health Providers at 176 pages  Updated quarterly  Link to manuals: http://www.dbhdd.ga.gov Georgia Crisis Response System:  Finding that providers and families are attempting to use Mobile Crisis Team s as regular staff. Continuing to train.  Providers need to understand that every individual needs to have a Safety Plan and Contingency Plan for care (what happens when a host home provider becomes ill and cannot care for individual. Moving individuals around without prior planning can create behavioral crises)  Providers also need to understand that Behavior Support Plans for individuals need to be current, effective and the staff trained on them. The Crisis System should not be a provider’s contingency plan, if the BSP’s aren’t being properly implemented,  1-800-715-4225 (Attachment 4) 2012 Remaining Provider Meeting Schedule Meeting Time: 10:00 – 12:00  May 9 - Macon – Rosewood (Star Choices) on College St.  July 11 – Augusta TBA  September 12 – Athens TBA  November 14 – Milledgeville/Macon TBA