Approved
November 17, 2015
Kentucky Health Departments Association
Monthly Meeting Minutes
Cumberland Falls State Resort Park
October 15, 2015
Members Present:
Allison Adams, Buffalo Trace
Denise Beach, Hopkins County
Andrew Beckett, Bourbon County
Anita Bertram, Lewis County
Sara Jo Best, Lincoln Trail
Julie Bush, Johnson County
Noel Coplen, Graves County
Nancy Crewe, Madison County
Chris Crum, Greenup County
Amy Ferguson, Calloway County
Donnie Fitzpatrick, Allen County
Jill Ford, Monroe County
Teresa Gamsky, Oldham County
Randy Gooch, Jessamine County
Maria Hardy, Ashland-Boyd County
Jen Harris, Todd County
Laura Hawes-Hammons, Marshall County
Georgia Heise, Three Rivers District
Mark Hensley, Laurel County
Teresa Hunter, Bell County
Scott Lockard, Clark County
Judy Mattingly, Franklin County
Crystal Miller, Wedco District
Debra Miller, Lawrence County
Rebecca Rains, Knox County
Andrea Renfrow, Bullitt County
Melissa Royce, Woodford County
Dr. James Shepherd, Magoffin
Martha Steele, Whitley County
Staff Present:
Steve Bing, Executive Director
Staff Present via GoToWebinar:
Jill LeMaster, Office Manager
Members Present via GoToWebinar:
Anita Bertram, Lewis County
Allison Beshear, Pennyrile District
Brent Blevins, Boyle County
Jan Chamness, Montgomery County
Dennis Chaney, Barren River District
Tony Cox, Bracken County
Bobbie Crider, Harlan County
Amy Ferguson, Calloway County
H. Tim Gould, Estill County
Christie Green, Cumberland Valley District
Marcia Hodge, Garrard County
Rebecca Keith, Muhlenberg County
Kent Koster, Purchase District
Matt Rhodes (for Dr. Sarah Moyer), Louisville Metro
Roanya Rice (for Dr. Rice Leach), Lexington-Fayette County
Dr. Lynne Saddler, Northern Kentucky Independent District
Scott Shrewsberry, Breckinridge County
Paula Thornberry, Little Sandy District
Stephen Ward, Martin County
Others Present:
Ken Fiser, Franklin County
Angela Carman, UK
Andre Brown, Jessamine County
Noel Harilson, Passport
DPH Staff
Others Present via GoToWebinar:
Kathy Frye, Health Tech Solutions
Paul Hunt, Greenup County
Brandon Hurley, DPH
Call to Order:
President Scott Lockard called the meeting to order at 9:04 a.m. EDT. He thanked the retreat committee, staff, and speakers.
Crystal Miller called the roll. The GoToMeeting participant names will be secured from the GoToMeeting system.
Minutes:
Minutes of the September 15, 2015 meeting were sent out via email. Mark Hensley made the motion to accept the minutes as presented. Dr. Pete Shepherd seconded, and the minutes passed unanimously.
Treasurer’s Report:
Randy Gooch presented the Treasurer’s report as of September 30, 2015, for both the Joint Administrative and KHDA accounts. The Joint Administrative account had a cash balance of $97,445.97, with net income of $28,425.32. The KHDA account had a cash balance of $61,723.25, with net income of $42,996.81. Allison Adams made a motion to approve the Treasurer’s Report as presented. Georgia Heiseseconded, and the motion passed unanimously.
Executive Director’s Report:
Legislative session is gearing up. Steve Bing reported that he is attending lots of meetings surrounding the upcoming legislative session. Many advocacy groups are meeting. There is a lot of attention around the expansion of Medicaid and the exchange and these groups view public health as supportive of both of these initiatives. Steve met with the health and welfare committee and they have the same agenda that the Chamber has had, with strong support with all of the past health legislation and improving health and smoke free in KY. Had a meeting with KACo legislative committee which included all their committee members. They are open to considering support for public health legislative. The relationship between KHDA and KACo will grow and enhance over the next few months and this is a great relationship and benefit to KHDA. The Chamber spends a lot of money on outside lobbyists so having them in support of public health and KHDA is a great benefit. There’s a meeting of the joint Health & Welfare committee meeting in Owensboro that should be a well-attended meeting and one of the last meetings before the legislative session. Senate bill oversight 192 meeting is having a meeting October 23rd in Louisville, KY, and they will be looking to public health for input on this bill. The SIM project continues to meet a lot and Steve has been attending some of these meetings.
KACo meeting will be held in Lexington in November. It would be great for as many public health director’s present as possible. All of our county judges will be at the KACo conference with magistrates for boards of health. This is the first time that a session on roles of boards of health at this conference.
Committee reports:
Legislative Committee:
Allison Adams stated that this committee is compiling a one page priority sheet on what public health needs that is mirrored with our strategic plan. Trying to get around to key legislators to meet with them and have a one on one conversation. Randy Gooch expressed appreciation to Steve Bing for his involvement in the legislation. The legislative committee consists of several members of KHDA and appreciation was expressed to all of these director’s for all that they do.
This committee had a meeting over Kentucky Legislative Service, which is a legislative system for tracking purposes. It is very difficult to track the legislative session and this system will allow us to manage better. This system costs $2500, but the benefits will far exceed this expense. KHDA would like to join with KPHA on this system. We can get real time data and create specific reports surrounding legislation, etc. Motion made by Mark Hensley, seconded by Sara Jo Best to proceed with purchasing the system jointly with KPHA.
Insurance Committee:
Chris Crum reported that later today you will receive a new form from Jill LeMaster on the Delta Dental insurance. Delta Dental is working with us on the best prices for new open enrollment. Motion made by Randy Gooch and seconded by Teresa Gamsky to proceed with Delta Dental plan. A health department must be a member of KHDA to participate in the plan. Febco is updating the way that they structure their agreement and they are not increasing their fee but making it mandatory that you use the card and there is a charge for that now. This will take place January 1, 2016.
Strategic Plan:
Dr. Georgia Heise- no further updates beyond what was reported at the KHDA retreat.
Retreat Committee:
In regards to numbers, we had a total of 25 accreditation coordinators and 32 directors, totaling 58 participants. Tuesday night we had 68 folks attending the cookout. Congratulations to Drew Beckett for receiving the Trailblazer Award and Dennis Chaney, for receiving the Outstanding Director Award at our 2015 Annual KHDA Awards Banquet.
Dr. Angie Carman will be sending out a follow up survey on the retreat so please look for that. She will also be sending out an email regarding KHDA needs. Please participate and let us know the good, bad and ugly.
Executive Committee:
Scott reported on the last meeting we had a meeting from Med Assure, for waste disposal. Pricing on this is 30.00 per container, minimum of 2 containers plus a stop charge. Stop charge is based on geography and whether they are in the area.
Appreciate Jenna Meyer, CDC placement officer for the SOAR initiative for attending the KHDA meeting. Bill Hacker is heading up a committee with SOAR and will be doing as much as possible.
Friedell fall meeting will be October 25-26 at the Marriott in Lexington. If you can attend this meeting, there are many key leaders there.
DPH Updates:
Joy Hoskins was present to represent DPH along with Brandon Hurley, Carla Cooper, Jacquelyn Lee, Kathy Frye, and Drs. Stephanie Mayfield , Kraig Humbaugh, and Connie White via Go To meeting. The Mediciad Electronic Health Record (HER) Meaningful Use incentive payments program is not a reimbursement program but is an incentive to adopt, implement or upgrade (AIU) an EHR. The total max is 63,750 over six years, with $21,250 in the first year, and $8,500 each year after. You have to be a licensed credentialed Medicaid provider and have 30% Medicaid patient volume. The EHR has been clinically certified.
When they found out which providers were going be eligible, an informational tool was sent out to gather info on these providers. All of this information was verified and set up another visit to register each provider on the state site. They then documented total patients seen in the health department (Medicaid, Medicare and self-pay summary sheet) to document that the health department met the 30% Medicaid patient volume. PDF copies of all encounters and summary documents were sent to health dept. to show the over 30% Medicaid volume was met. Health department providers will need to continue to submit documentation proving the 30% Medicaid requirement in future years to continue participating. 2016 is a very important year, the last year to start into the program for AIU and participate in the program. Is there a timeframe where they have to enroll and be participating to get the incentive payment? Majority of the health department providers have already enrolled for program year 2015 and the deadline is March 2016 to participate in program year 2015. Providers can still register next year for program year 2016. KY Medicaid doesn’t have assess penalties. If a post payment audit is done, the health departments would need to show their documentation they used to attest for AIU. DPH will have the $1.2M in meaningful use funds and then we should get $2.5M additional funds to help with this system. If there are specific health dept needs, they may have additional costs associated. The meaningful use checks were sent to the health departments and asked to deposit and submit a check to DPH stating the LHD will participate in the EHR with DPH. The business enterprise suite will have an environmental component, personnel credentialing, in addition to financial management functionality.
Kathy Frye reported that DPH went live on the dental portion of the EHR on August 24th. eClinicalWorks has been working with Claimremedi as the clearinghouse to remit claims and receive remittances. We request all remittance enrollments with the payers happen before claims are submitted.
Kathy also reported on the clinical EMR implementation. Conducted site visits at several health departments and have been working on designing the interfaces. WIC interface is critical and meetings have been taking place to work through all of these technical requirements. An interface with KHIE will occur and eClinicalWorks is already live with KHIE for private practices in KY. Presentations on case management and care coordination have occurred with DPH to see how those would be done. There are referrals from the dental program occurring. Will see a population health module demonstration soon, and next week AFM division will be getting trained on the business side. Have had discussions on data migration, working on completion of this. Looking at the first quarter of 2016 implementation for the pilot sites. The rollout for all health depts. to go live in calendar year 2016. DPH is working with eClinicalWorks on a more specific timeframe on rollout and DPH will share this at the next KHDA meeting. If you are not a pilot and want to provide input and suggestions for the program, send Jacquelyn Lee an email.
Dr. Humbaugh reported that there are two positive confirmed flu cases in the state. A press release will be going out on this soon. Ebola is still being monitored in people who are at risk and have traveled to the countries that are on the priority list.
Mark Reed from the Environmental Branch reported on the increased food and fee schedule. We will start the temporary food service fees starting January 1, 2016. All new facilities from this point forward should be assessed the new facility fees. The fees for the sanitation program are scheduled to go before the health and welfare committee on the 21st of October. Encouraging all LHD’s to follow the retail food voluntary program standards. Two major goals for improvement is the new food code 2013 and retail food inspection sheets.
Joy Hoskins provided an update on the Medicaid eligibility. A host of agencies have been involved in trying to figure out what the problem is. There is a meeting today to continue to work through these issues and have all eligibility systems together by December 2015.
Adjournment:
Allison Adamsmade a motion for adjournment, seconded by Georgia Heise. The meeting adjourned.
Respectfully Submitted,
Crystal Miller, KHDA Secretary