2002-01-28 Regular MeetingI II III Providence Kodiak Island Mental Health Center Advisory Board minutes January 28, 2002 Meeting Called to Order by Steve Honnold, acting as Chairperson, at 5:41 PM. It was established there was not a quorum. Roll Call: Members Present Members Absent Steve Honnold Pam Foreman Thia Falcone Lorri Doyle Remegio Marasigan Dave Davis' Darlene Turner Karen Perkins Staff Present Public Present Dr. Welby Jensen Robin Gardner Susan Humphrey Barnett Jack Schinderle Chuck Morris Micky Mummert Crawford Acceptance of the Agenda: It was determined the Board could not vote on the agenda as there was not a quorum; discussion revealed the agenda was accepted as it stood. IV. Approval of the Minutes (December 17, 2001) Again, the Board could not vote on approving the minutes without a quorum. V. Public Comments. Chuck Morris stated that he had heard good comments on the radio regarding the Center. Jack Schinderle stated that all positions were filled now with the hiring of Christine Edmiston, and things were going good at the schools. Dave Davis arrived at 6:00, which established a quorum. Providence Kodiak Island Mental Health Center Advisory Board Minutes: January 28, 2002 Pagel VI. Staff / Other Presentations A. Susan Humphrey Barnett Susan reported she was in Kodiak on January 20 for the Borough work session (as was Darlene). The meeting included trying to learn about and resolve the problems and confusion as to how this Board is accountable to the Borough and how is it accountable to Providence. She was also in Kodiak January 10 to meet with Phil Cline and her boss Doug Bruce, and they met with Pat Carlson and Mike Machulsky. One of the problems being addressed is the current financial relationship between the Mental Health Center and the Borough. A package of changes will be made in the contracts between the Borough and the Hospital and the Borough and the Mental Health Center. There would also be changes in two or three Borough ordinances as well as Amendment A of the Mental Health Center's contract, which will be changed to remove the Borough from any financial liability for Mental Health Center operations. From Providence's perspective, they want the hospital board and the mental health board to report to Providence, i.e., be Providence Boards. {At this time 6 PM Dave Davis came in, which constituted a quorum.) Susan added there is a requirement in the state regulations that a mental health center operated by a nonprofit agency has to have an advisory board, so even if the Borough wanted to continue to have an advisory board, Providence would still have to have one. The Borough could eliminate the advisory boards and have a "facility board". Providence would continue to have the mental health advisory board and a hospital advisory board, and would ask everyone who is currently on the board to stay on these boards. Darlene stated that at the Borough work session last Thursday, there was general discussion related to keeping these boards in an inactive status in the event they are needed in the future. There was a question whether after this Board became a "Providence Board", if the public would still be able to attend, and Susan stated this issue has not come up but saw no reason why the public would be barred. Darlene reminded everyone about the "open meetings act", and Susan noted that it is always good to hear from the public. Dave asked if we would lose our Borough representative, and Susan again stated that Providence would ask the current members to continue. Susan thought the only meeting that would be closed to the public would be a board retreat. Dr. Jensen stated he thought the hospital board is open to the public, even though no public has ever attended, but Darlene thought Pat Branson who is a member of that board, had stated it was NOT open to the public. Susan asked if there was a Borough plan to get some closure on this issue, and Darlene stated that with Susan and Pat Carlson working together, hopefully it would occur soon. Providence Kodiak Island Mental Health Center Advisory Board Minutes: January 28, 2002 Page 2 Susan stated that Alaska used to be a subsection under the Washington region, but now Alaska is its own region and Kodiak is a service area. There could now be one local supervisor for all: Providence hospital, the mental health center, and the home - health care. Thia asked how this would affect services, and Susan stated everything would be local; bills would get paid faster (now everything goes through Anchorage), and Robin stated she thought it would be very appealing to the public to have a local supervisor. Dr. Jensen passed out an article from the New England Journal of Medicine (Dec. 2001), "Will Parity in Coverage Result in Better Mental Health Care?" that he asked members to read and perhaps discussion could be entertained at the next meeting. There was some discussion about parity after Thia asked if Providence had parity in its insurance plan. Dr. Jensen said there is always some limitation and it does not cover any kind of day treatment or residential rehabilitation services. Susan said Providence insurance is pretty good on acute care mental health, but has limited coverage for substance abuse problems. Darlene brought up a point of order: We need to recognize that we now have a quorum, so we could go back and accept the agenda and approve the minutes. Darlene moved and Dave seconded the agenda be accepted; motion passed. Dave moved and Remegio seconded the board approve the minutes of the December 17 2001 meeting; motion passed. VII. New Business A. Fund Raising Opportunities Robin reported that Holland America Cruise Lines are giving away three cruises this year, valued at $3500 each. She wanted the Board to be aware this opportunity was out there, and if we qualified to have one of these cruises donated to us, perhaps we could raffle it off for a money -making project. Robin was hoping the Board could share some of their ideas on this subject, and the "how-to's" on running a raffle, stressing that we should investigate alternate funding sources as the budget becomes tighter and state funding continues to decline. Susan said Providence fund-raising is usually done through the Providence Foundation, and Rebecca in Anchorage would have more knowledge on this subject. Darlene asked how something like this would impact our state grants, and if would be considered matching funds. She also suggested if this did go forward, the funds be dedicated to a new and/or specific program to be identified by the needs assessment, which would be a good way to get the Board involved. Providence Kodiak Island Mental Health Center Advisory Board Minutes: January 28, 2002 Page 3 B. Consumer Survey Results Robin gave a little background on this survey stating that every client that had had at least two sessions were offered this survey during 2001. A very general percentage result sheet was passed around showing the results of 75 surveys taken; Robin brought in a few bar graphs to better show each question's result. The results were favorable. It was agreed this item would be put on February's agenda with more information to follow. It was also agreed that the areas in which we scored low, we could discuss in more depth at the next meeting. VIII. Old Business. A. Needs Assessment Thia said this committee was plugging along, and had gotten a commitment from the statistics class at the high school to help set this up. They now needed to cost this project out and need to set up another meeting. It was agreed that the voter's registration would be the best way to obtain addresses (they even kick in the mailing labels) for $121. IX. Director's Report Robin dispersed a written report that included a new organization chart showing all the new staff, and the budget and financial reports were attached. The very last line "net gain", and far right "year to date actual" is what we ended the year with; this is not a profit. Robin and Susan both reported this is a very tight budget, and stated we do a good job maximizing revenue, holding the line on expenses, and providing good service. At one of the last meetings there were some questions about the meaning of some of the categories. "Non -operating income" is the money received from the Borough to cover the loss last year. "Other expenses" encompasses the lease expenses, insurance, dues and subscriptions, licenses and taxes, travel, postage, relocating, recruiting and overhead allocations. Robin also talked about the board retreat and stated she would like the finance person to attend that retreat to answer questions the board has. Dave brought up the number of clients seen, and it was discussed that maybe instead of "established" clients, it should read "client visits". 2001 was in the average as to how many clients were actually seen (or visits by clients). January we'll add the number of discharges also. Total for 1998 was 1541; the total for 1999 was 1380; total for 2000 was 1791. Average number of clients is about 1580 and 2001 was 1589. Thia asked which clinician goes to each school. Robin replied Lola and Joanna share the elementary schools; Anne is at the high school, Melanie is still area -wide, and Christine is with the middle school. Dave asked if the school clinicians interact with the Safe Harbor staff when they go out to the Villages. Robin wasn't sure if they have much corroboration with Safe Harbor, but interact with KANA, and with Lydia Abbott Olsen (with the Kodiak Island Borough Providence Kodiak Island Mental Health Center Advisory Board Minutes: Janutuy 28, 2002 Page 4 School District) in particular, and Jack Schinderle and Dr. Jensen expanded further on this subject. Robin reported that 13 applications were submitted by staff to DMHDD for mini -grants of $2000 each for various needs, including medical, dental, vision, etc.; we're hoping all will be approved. Last year every one of these applications were funded. Robin reported on the Providence Centennial celebration held at the Center on January 14; we had cake and punch in the lobby. Paula Hornberger, past employee, has entered into a contract with the Center to help catch up on Quality Assurance documentation. X. Board Comments It was agreed the next meeting would be held February 25, 2002 at the Borough Conference room. Steve thanked Susan Humphrey Barnett for coming to Kodiak. There were no other comments. XI. Adjournment Thia moved and Remegio seconded to adjourn the meeting; motion passed, and the meeting was adjourned at 7:00 PM. cl- DATED: Pam Foreman, Vice -Chairperson Micky Mummert Crawford Administrative Assistant Providence Kodiak Island Mental Health Center Advisory Board Minutes: January 28, 2002 Page 5