GACSB BOARD MEETING –Thursday, January 19th, 2017
AGENDA TOPIC / DISCUSSIONS
CONCLUSIONS

GEORGIA ASSOCIATION OF COMMUNITY SERVICE BOARDS, INC. (GACSB)

Board Meeting MINUTES

ThursDAY, January 19th, 2017 – 10:00 AM

River Edge BHCAssembly Room – Macon, Georgia

MEMBERSHIP ATTENDANCE
X- Denotes Attendance
Chair – Gail Macrenaris, View Point Health / Middle GA – Judi Davis
X / Vice Chair – Lowell Williamson, Unison BH / X / New Horizons – Andrea Winston
X / Advantage - Oliver J. Booker / New Horizons – Walter Rosso
Advantage - Frusanna Hayes / X / Oconee – Tyrone Evans
X / Aspire - Kay Brooks (Dr) / Oconee – Emily Davis
Aspire – Evera Moye / Ogeechee - Amy Tribble
X / Avita – Cindy Levi / Ogeechee – Deborah Martin
X / Avita - Joe Hirsch / Pathways - Jade Benefield
Clayton - Aundria Cheever (Dr) / Pathways - TBD
Clayton – Najeebah Butler / X / Phoenix Center –Deborah Kinlaw
X / Cobb/Douglas –Bryan Stephens / Phoenix Center – Ken Pritchard
Cobb/Douglas –W. Wyman Pilcher III / Pineland - June DiPolito
X / DeKalb –Dr. Joseph Bona / Pineland – Armenda Barnes
DeKalb – Alecea Quintyne / River Edge - Shannon Gordon
Fulton – Charles Releford (Delegate) / River Edge – Ray Bennett
X / GA Pines – Heather Hatchett / X / Unison BH – Dr. Glyn Thomas
GA Pines – Donnie Baggett / X / Serenity - Charles Williamson
X / Gateway – Mark Johnson (Dr) / X / Serenity – Lonnie “Jim” Showman
Haralson – Melody Harpe / X / South GA –Roz Johnson (Proxy)
Highland Rivers - Melanie Dallas / South GA – James Hill
Highland Rivers- Judge Allen Wigington / X / View Point Health – Jennifer Hibbard
X / Lookout Mountain - Tom Ford (Dr) / X / Nelson Mullins- Charles (Chuck) Clay
Lookout Mountain - Dwaine Lovingood / X / Nelson Mullins – Logan Fletcher
McIntosh Trail – Mike Hubbard / X / GACSB - Mike Scribner
McIntosh Trail – Susan Craig / X / GACSB - Robyn Garrett
Middle Flint – Beth Regan / X / GACSB - Josiah Conrad
Middle Flint - Susanne Roquemore / X / GACSB - Lyly Trinh
X / Middle GA - Denise Forbes

Guests: Barbara Nader-Sims- Georgia Collaborative ASO; Anna McLaughlin- DBHDD; Jessica Wilhite- Georgia Collaborative ASO; Rosalind Culverson- GA Pines; Kenyatta Walker- McIntosh Trail; Dr. Lee Adams- Clayton

DISTRIBUTION: Agenda, 12/08/16 Minutes, 12/16 Financials, Data Analytics 01/17 Committee Report, CSB Day 2017 Flyer

  1. Call to Order
/ Lowell Williamsoncalled the meeting to order at 10:04am; welcomed members/guests and read the Preamble.
  1. ASO Collaborative Presentation
/ Anna McLaughlin introduced Barbara Nader-Sims as the new CEO for the Georgia Collaborative ASO; Barbara Nader-Sims discussed her background, noted her intention to support the provider community. She will be scheduling time to discuss agency specific issues in the near future; Priority challenges were discussed.Robyn reminded the group that Beacon will be sponsoring CSB Day at the Capitol.
  1. Agenda Approval
/ Dr. Mark Johnson moved to approve the agenda with the correction of 2016 to 2017. Motion seconded by Jennifer Hibbard, carrying without dissent.
  1. Minutes Approval 12/08/16
/ Cindy Levi moved to approve the minutes. Motion seconded by Denise Forbes, carrying without dissent.
  1. Legislative update
/ Chuck Clay discussed the status of the state supplemental budget and the budget for FY18; providing an overview of the DBHDD budget, which will be driven by the DOJ settlement. Robyn noted that the core budget funding request was missing from the report; Chuck Clay will get more information on core funding. Block grants were discussed; Chuck Clay will provide information on the specifics to Robyn following the meeting. Rep. Katie Dempsey will continue with her family designee bill provided she gathers assistance from patient advocacy groups; it currently has not been filed. Sen. Renee Unterman will be introducing an omnibus bill regarding the opioid epidemic and will likely have a mental health component. The Legislative Educator team asked that they be made aware of any pieces of legislation that the group wished to track. Robyn discussed the successes of Addiction Recovery Awareness Day last week. Update made on CSB Day at the Capitol; Chuck is working on a room change.
  1. DBHDD Update
/ Robyn Garrett discussed being approached by the Georgia Overdose Prevention group regarding the 21st Century Cares Act; DBHDD will attempt to draw down funding from the 21st Century Cares Act to make Naloxone available to the CSBs; The Georgia Overdose Prevention group intends to write the GACSB into the grant; Deborah Kinlaw suggested that this be discussed by the Public Image & Policy Committee. Dr. Joe Bona suggested branding the Naloxone with the CSBs’ logos. Dr. Bona moved to proceed with this grant. Motion seconded by Deborah Kinlaw, carrying without dissent.Robyn noted that Cassandra Price from DBHDD has reached out to CSBs to enable the use of medication assisted treatment. O.J. Booker noted that Advantage would be willing to share their grant proposal to draw down funding for these programs. It was noted that programs must be comprehensive to be implemented properly. Robyn noted that a warm-line, operated by the Georgia Council on Substance Abuse, should be emerging soon.Deborah Kinlaw suggested that the Association operate as an integrated network to streamline shared services and take advantage of opportunities that present themselves in a cohesive manner. Mike Scribner noted implications on Select Systems that this action would have. Chuck Clay posed an inquiry related to the pharmacy issues presented during November’s board meeting. Dr. Joe Bona mentioned that in 2014 regulations changed regarding patient assistance medications; noting that there could be significant sanctions if the dispensing of patient assistance medications continued.The Pharmacy Board will not meet until February 8th, and are willing to entertain a waiver for the CSBs, but at this point the CSBs are vulnerable to sanctions. Robyn will reach out to Commissioner Frank Berry to obtain more information; she will alsocontact Dr. Linda Wiant to discuss this matter. Bryan Stephens shared that their agency has address the issue by having the manufacturer’s ship medications directly to the patients; although there is cause for many concerns. Dr. Bona noted DeKalb will not write any new prescriptions for patient assistance medications. Denise requested information on how CSBs without pharmacies should manage this issue; Dr. Bona recommended that the physicians keep comprehensive records of the patient assistance medications. Cindy Levi provided an update on the deaf services initiative. It was noted that individuals needing ASL-fluent services can either receive services at their location with an interpreter or connect via telehealth services through Avita. Robyn noted that the Behavioral Health Coordinating Council has an Interagency Directors’ Team, who focuses on the child and adolescent system of care, and has opened up their membership. The GACSB has been approached to be a part of this group; Robyn indicated that Tammy Conlin will be the GACSB’s representative for this team.DBHDD has submitted the State Plan Amendment to DCH; this should be sent to CMS next week for approval; Robyn will update the group when more information becomes available.
  1. DCH Update
/ Robyn has distributed information related to changes to the OPR; changeswere set to implement on February 1st, 2017, but Linda McCall has indicated that this implementation will be delayed due to technical difficulties. Robyn provided an update on DCH’s CMO web-portal; a formal request has been placed to push-back the go-live date of February 1st, 2017; more information to be released to the membership once available.The CareSource agreement will be completed once the two remaining opt-ins are received. Robyn will begin discussions for operational readiness for CareSource. It was indicated that re-enrollment for the CMOs has not yet been set. It was recommended that conversations occur between agencies contact Select Systems leadership individually outside of this meeting should a CSB wish to leverage any upcoming changes. Cindy Levi provided the group an update on challenges in obtaining provider numbers. There is a time set aside for DBHDD provider number personnel, representatives from the ASO, and DCH to go to Avita and examine the problems associated with these issues. Mike Scribner provided an update on how certain groups are addressing the State Benefit Plan, such as meeting with Legislators to discuss the topic; it was noted that if BOE began to move people out to the State Benefit Plan, then the CSBs could potentially engage in these conversations with DCH.It was noted that Jeff Minor has indicated that the 2% pay increases for state employees should be for CSBs; Robyn will get confirmation on this next week.Chuck provided information on an emerging “LPC 1013 bill.” Dr. Johnson moved to discuss this budding legislation with the Public Image & Policy Committee and add this to the GACSB legislative agenda. Dr. Kay Brooks seconded the motion
  1. Financial Report
/ Chuck Williamson provided the financials update; Dr. Glyn Thomas moved to accept the financials. Motion seconded by Jennifer Hibbard, carrying without dissent.
  1. FY17 Strategic Plan Update Via committee Reports
/ Data Analytics Committee – Dr. Glyn Thomas referred members to the written report distributed; there will be an SPQM user meeting January 25th; the DLA-20 pilot will proceed with training in February and scores will be sent through SPQM; the committee has been reviewing fee-for-service information and agencies have reported on their numbers; preliminary findings suggested that contracted staffing correlated with financial performance; it was requested that the Board provide guidance on pursuing more in-depth data on contracted staffing, or examine the State Health Benefit Plan and the costs associated with these individuals. The group will discuss how the data would be obtained. The organizational climate results have been reviewed, and improvements since 2010 were discussed. Strategies to improve organizational climate were discussed.
Education & Individual Advocacy Committee – Dr. Kay Brooks referenced the expenses associated with the Educational Exchange, and indicated that there is an uptick in the price based on the occupancy rate of the rooms at the facility; attrition led to $9,000 in additional expenses. The GACSB is considering a non-refundable deposit fee. The group will negotiate this with Chateau Elan. Cindy Levi mentioned the opening of the Hampton Inn on the grounds for overflow, which could be a cheaper rate. The committee will be aiming to coordinate a meeting next week in which the Spring Fling will be discussed.
Public Image & Policy Committee – O.J. Booker indicated the first meeting of the group will be held on Friday, January 20th, 2017. It was noted that Gail Macrenaris has requested that this group focus more on public image this year.
Clinical Operations Committee – Dr. Joe Bona provided that the committee is reigning in the special interest groups; it was noted that there will be a CSU/BHCC meeting on January 27th to address certain rules and regulations on the horizon. Fee-for-service caps have not been changed at this moment, but Robyn is waiting to hear from Robert Dorr regarding this matter.
Administrative Operations Committee – Melanie Dallas deferred reporting to Robyn Garrett in her absence; the next meeting will be held on January 26th; the group has been discussing OPR and ASO matters; Robyn has been working with DCH and DBHDD to address the matters discussed during the group’s initial meeting.
Nominating Committee – Lowell Williamson discussed the memo distributed on behalf of the nominating committee regarding the officer selection process for next year. Once information is collected by the Association, it will be discussed by the committee.
  1. Executive Director’s Report
/ Robyn Garrett reminded the group of Mental Health Day at the Capitol on January 31st, 2017. There has not been a date released for Disability Day at the Capitol.
  1. board comment
/ Dr. Mark Johnson updated the group on Gateway’s application to become a residential sponsor for psychiatry with Mercer University; groups will be lobbying the Legislature to allocate funding for the start-up of these academic programs.
  1. ADJOURNMENT
/ With no additional Board or Public comments, Lowell Williamson adjourned the meeting at12:15pm. Members were reminded the next meeting will be held on February 23rd, 2017 in the Georgia State Capitol Building, room and time TBD.
Vice Chairperson: Lowell Williamson / Recorder: Josiah Conrad