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CSB Meeting February 23, 2016 COMMUNITY SERVICES BOARD OF CORTLAND COUNTY February 23, 2016 4:00 P.M. ROOM 304 – COUNTY OFFICE BUILDING Members Present: Lisa Cutia-Chair, Aaron Baier, Christopher Driscoll, Christopher Newell, Donald Noble, Jeff Beal, Linda Shutts, Marie Walsh and Michael Johnson Members Excused: Christopher Hyde, Jackie Leaf, Lisa Hoeschele and Tadeus Kowalski Others Present: Mark Thayer (Director Community Services), Amy Hamilton (Vice Chair CD Subcommittee), Alexandra Huntington-Ofner (SPOA Coordinator and PSY Director) and Gail Spitzer (Secretary) Call to Order: By Chair, Lisa Cutia at 4:03 p.m. NOTES Agenda Item: Welcome new member Lisa Cutia and Board Welcome Christopher Newell, County Legislator – membership approved at the January Legislative meeting Agenda Item: Introductions Agenda Item: Approval of Minutes of January 26, 2016 Chair, Lisa Cutia asked for a motion to approve minutes Motion made by Aaron Baier and seconded by Mike Johnson, no further discussion, minutes unanimously approved Agenda Item: CSB and Subcommittee membership vacancy discussion Lisa Cutia: have any members of subcommittees expressed interest in CSB membership? – not to date / Mark Thayer: Rebecca Conzano, Health Department/Director of Youth Bureau, currently not member of any boards has expressed interest in CSB membership Two representatives from Cortland Schools have been participating (one on CD and one on DD Subcommittees) when asked; both interested in being considered / Lisa: bring conversation back to Subcommittees and invite others to attend CD Subcommittee has two openings; discussion about possible options (i.e. new Chief of Police in Homer and TC3 teacher), DD Subcommittee has one opening and several people who have shown interest in membership: two are parents of children with disabilities / readdress at next Subcommittees and CSB meetings / Aaron Baier: Go-getters (JM Murray collaboration with SANY (Self-Advocacy Association of NY) work on projects, interested in becoming involved in DD Subcommittee, will begin attending – suggested Charles St. residents or staff becoming involved in the CD Subcommittee / Lisa Cutia appreciated the suggestions and recommends extending invitations to other organizations or individuals who are not currently involved in this process. Agenda Item: Subcommittee (Election results – MH Subcommittee) Marie Walsh chose to step down as Chair of MH Subcommittee – elections at February meeting: Christopher Hyde-Chair, Amy Hamilton-Vice Chair Agenda Item: Director’s Report Mark Thayer Staffing – Outpatient Clinic: Short staffed – Offer being made to LMSW this week to fill staff vacancy / Dr. Campagna on maternity leave until May (Resolution going to Legislature on Thursday, 2/25/16, for temporary, part-time Nurse Practitioner position) / Clinical Director, Lisa Busby, part-time clinical director will be leaving early next month, requesting Legislature to return to full-time position /working on coordination of new Electronic Medical Records system (Medent) anticipated by end of first quarter Corporate Compliance: Office of Medicaid Inspector General (OMIG) audit update; 2009 audit of 2003 to 2007, Clinic, day treatment services (Horizon House) and former case management program / original outcome: settle amount $753,000 / defend before judges, etc. $933,000 for largely clerical errors – in 9/2011 effort by State to collect led to hiring lawyer, consultants – drafted rebuttal (collaborating with other counties with similar judgements) submitted in 2/2012 – NY State Legislature and Assembly both drafted and passed resolution; OMIG was to audit based on fraud, waste and abuse: Governor vetoed. A new OMIG determination may be coming soon – Health and Human Services committee has been given this information, also. (Statute of limitations in the law: records only required to be saved for 6 years, audits only back 6 years / support and counsel from Conference of Local Mental Hygiene Directors; possibility of class action collaboration Regional Update: Magnarelli/Congressman Katko: In response to the State closing hospital beds, Cortland County has been participating in regional meetings relating to emergency MH needs of adolescents – focus mobile crisis and emergency service creation, develop plan to submit March 11, 2016 – NYS planning more bed closures outlined in Governor’s budget (third year in a row, 2016 projected 200+) – ongoing discussions about reinvestment of savings ---PAGE BREAK--- CSB Meeting – February 23, 2016 OMH – online trainings (MCTAC – Managed Care Technical Assistance Center) http://mctac.org/ encouraged to prepare for transition to Medicaid Managed Care / hosting event for small businesses currently not billing Medicaid or holding contracts with Managed Care – March 30, 9:30 to 3:30 Holiday Inn, Liverpool OMH – NYS realized that non-Medicaid funding for children is insufficient and will be recalculating to reflect program and staffing costs OPWDD website offers good explanation of changes in procedure in response to past concerns and problems (i.e. Front Door) OASAS – Draft proposal for grant to Onondaga County (covering Onondaga, Madison, Cortland Counties) to finance peer support for “warm” hand off to help people with substance problems, after hospitalizations, to connect to assistance and treatment SAMHSA (Substance Abuse and Mental Health Services Administration) Proposed revisions for public comment – intended to reexamine privacy issues (42 CFR part 2) vs. integrated care – comments can be submitted: http://www.regulations.gov “Submit a Comment” Repercussions of minimum wage hike – major effect on current behavioral health employees – existing staffing problems will be exacerbated by $15 minimum wage – no resources to properly compensate staff who support people with disabilities / encouraged to contact Governor’s office or legislators NAMI (National Alliance on mental Illness) – In support of Mental Health and Safe Communities Act “Breaking the Cycle: Mental Health and the Justice System” to choose treatment and diversion therapy over incarceration Agenda Item: Updates from Alexandra Huntington-Ofner Eating Disorder Awareness Week – participating at “table” event to be held at SUNY Cortland EDPRT – next class March 14 to 18 (depending on number of law enforcement officers attending, may be space for providers to attend) Trauma Response Team refresher training – March 8 Youth Mental Health First Aid training upcoming – contact Chris Driscoll or Alex Agenda Item: 2017 Annual County Plan Mark Thayer Some changes in process – This year; refine, revise and update 2016, not start over – plan is due June 1 – use subcommittees as specialize groups, look at current plan / this year, more analysis/reporting progress and barriers; supports Plan to be used as a working document / at subcommittees, discuss collaboration and common goals with other reporters; CACTC, CCSI, Seven Valley Health Coalition, etc. / instructions encourage cross-systems cross-discipline reporting interdepartmental connections Lisa Cutia: Other departments and agencies, goals in common can reflect community need – this will reflect the unified efforts which exist in the community and collaborative approach to the needs of those served Mark: Process this year, report from agencies or include individuals in work groups – who to include in conversations / these decisions can be discussed at future meetings – Lisa: distribute 2016 Annual Plan to our partner agencies for their review and input Don Noble: MH for senior citizens is a topic in need of highlighting Mark: the DSRIP and CRMC involvement will reflect some of those individuals presenting to the hospital, with MH issues to bring better understanding of population numbers, needs, etc. / Aaron Baier discussed nursing home diversion and the elimination of beds for senior citizens – Mark: shortage of personal care aids / nursing homes meeting with Managed Long-Term Care companies Mark: Joint meeting end of May, early June finalizing collaborations before submission Agenda Item: Other Business/Announcements: Jeff Beal (Chair, DD Subcommittee) first of four articles appeared at end of January in Cortland Standard intended to personalize the process of receiving services through OPWDD and help people understand through stages of life – Kathy Reynolds (Cortland High School), Sandy Ehrlich (Racker Center), Rebecca Costa (member) Aaron Baier – Annual Bowl-4-Abilities community fundraiser Saturday, March 5 – to 4:00 p.m. at Cort-Lanes Next meeting: March 22, 2016 (Corporate Compliance discussion and Erin and Mary from Seven Valley Health Coalition to discuss HealtheCNY.org Planning Meeting: Motion to adjourn requested by Lisa Cutia Motion made by Jeff Beal, seconded by Linda Shutts – Meeting ended at 5:04 p.m. Minutes submitted by Gail L. Spitzer [EMAIL REDACTED] [PHONE REDACTED] Minutes available upon request – Posting to County Website currently unavailable