Oakland Community Health Network

Order of Business

Call the Meeting to Order - Jonathan Landsman

Mr. Landsman called the meeting to order at 6:02pm

Pledge of Allegiance - Jonathan Landsman

Mr. Landsman led the meeting with the reciting of the Pledge of Allegiance 

Roll Call - Sheila Barrett

Roll call attendance was taken as indicated in the attendance record above.

Approval of Board Meeting Agenda - Jonathan Landsman

Mrs. Newman made a motion to approve the agenda as presented, supported by Ms. Root, motion carries with all board members present voting in favor.

Public Comment

No public comment was provided

Stories that Inspire Hope Trisha Zizumbo & Cathy Yunker - CIT / Co-Responder with Captain Todd Hill

Trisha and Cathie provided a high-level overview of CIT/Programs and Co Responder model and played a video. Captain Todd Hill was introduced and provided more details regarding CIT program and how it is implemented within our network. 

CIT community advisory board established and needs to be reconvened (goal for this year). 

OCHN is hosting CIT conference May 2nd - 3rd in Novi. 

Agenda

Board Chair Executive Report - Jonathan Landsman

Our Executive Meeting fall under the rules of OMA. This month, the Executive Committee did not meet at 4pm on Wednesday, February 2nd at 4pm, due to several excused absences due to the Winter Storm Warning that would result in a not having a quorum.  

• Please remember that next week,
  • Tuesday the 22nd at 10am, is the CMHA Metro Region Call – it’s because we were not able to meet during last week’s winter conference.
  • Thursday, the 24th at 5pm, is our Study session.

Thank you’s:

• I’d like to thank the County’s Board of directors for their strong support of OCHN and of the Public Solution and our CMHs & PIHP across the State versus the proposed legislation if a for-profit, fully privatized solution which will divert 10-15% of the State’s funding to those organization’s profit lines. The recent incident at Oxford Sr High, demonstrates how we step-up, ask how we can help, and immediately engaged to help and continue to help the overall community, whereas the private, for-profit health insurance companies were no-where to be found.
• Commissioners, thank you for the renewals of our board members: Malkia Newman, John Paul Torres, and a hardy welcome to the new Board members. Thank you, Malkia, John Paul for your continued, active involvement to on the OCHN Board.
• I want to take a moment to thank Hadas Bernard, our Board Vice-Chair, who has chosen to step down after a very active but challenging term. I and I know the other Board members and OCHN thank you for your efforts as a Board member, I, we will miss you.

Upcoming:

• With our bringing on Bernard Cooper as our Chief Compliance Officer, its been identified that we, each, as part of the Board have tasks and responsibilities, mandated by the State’s Mental Health code and regulations that are above and beyond those identified in our current or pending/proposed Bi-Laws. You’ll hear more in the weeks to come. Our association is here to help use with many of those.

Winter Conference

• On the topic of the Association, last week was the CMHA’s winter conference. It was virtual. I sat in on a number of sessions that I found quite interesting. As many of you know, my focus or theme for the 2022 Fiscal Year, as Board chair is to ensure that OCHN delivers, does outreach, and most importantly, gets more involvement or requests for services across Oakland County, from geographical, demographical/race, and from religious perspectives.
• Our county has significant diversity, demographically - races, religions, and even geographically - with urban & suburban areas, but also a large rural population. With 1.2+ million people and global industries operating here, it’s no wonder. However, those we currently we serve may/may not reflect these different perspectives, the same way. In short, a focus of D&I (Diversity & Inclusion) for the organization, our providers & provider network, for those we currently service, but also for those we DON’T YET serve that fall within our mission.
• As such, I found this year’s CMHA winter conference quite interesting and congruent with "my" theme this year of with 3 breakout sessions on 1 keynote most interesting:

1. Behavioral Health Disparities in Standard Quality Outcomes.
   • Jim McEvoy & Monica Trevio talked about federal rules require state Medicaid managed care programs to develop a quality strategy that includes a plan to "identify, evaluate, and reduce... health disparities based on age, race, ethnicity, sex, primary language, and disability status." They used Michigan’s Medicaid agency data from 2018-2020 data:
     • Results indicated that racial/ethnic disparities existed for most measures, in all counties, in all years.
     • I believe that we may be best of breed, so to speak, but there’s always room for improvement.
     • I’ve asked them for their presentation so that we can do a self-examination and take the lead to show the State and other CMHs can follow suit.

1. Systemic Integration at the Service Delivery Level: What We See in Medicaid Across the Country and How to Apply It Here
   • This Breakout session discussed the focus of State Medicaid programs are their focus on integrating care at the delivery level.
   • Its probably no surprise that Michigan, and many of the CMHs and PIHPs do integrated health care, collaboration, care coordination, and have strong relations with both FQHCs & the Medicaid Health Insurances.
   • We may have not been the first, but we were one of the early adopters. We’ve jumped in with both feet and continue to expand care of the persons we serve both above the shoulders and below.
2. An In Depth Look at Michigan Crisis and Access Line
   • The presenters provided insight into the Michigan Crisis and Access Line and the Michigan Warmline, the metrics, the coordination, and the roll-out. If this sounds familiar, we were one of the pilots for this program, so its nice to see another program being rolled out state-wide where we were an early adopter.

• So, some very interesting topics. That’s why I like to attend these CMHA conferences.

I’ll close my report with a final reminder of next week’s 2 Board related meetings:

• Tuesday the 22nd at 10am, is the CMHA Metro Region Call – its because we were not able to meet during last week’s winter conference.
• Thursday, the 24th at 5pm, is our Study session.

Business Operations Committee Chair Report - Reena Naami-Dier

Mr. Landsman provide the report on behalf of Mrs. Naami-Dier

No financial reports were provided during the study session in February as year-end financials were being worked on. There will be a financial review during today’s Board meeting.

Two items were recommended to come to the full board for approval:

- Thundermop janitorial contract extension – the previous company who won the RFP bid was unable to follow through due to staffing issues. The board had previously approved a temporary extension with Thundermop, and it is being requested that we approve a 2 year extension with Thundermop, due to various reasons for the other janitorial companies not being chosen during the RFP process. A description of the proposal can be found on Boardable.

- CMHSP contract amendment

Financial Review - Anya Eliassen

December 2021 Financial Review -

Anya reviewed December 2021 Financials

Revenue: OCHN is waiting for the Department to finalize payment adjustments for the DCW increase, which will be adjusted once received. But we are showing an increase to last year. Noting Dab payments being applied compared to previous months. 

Eligibles: Continues to be significantly higher and should continue, due to emergency order.

Assets: Cash and investments up, receivable has gone down, other assets slightly down since September, and capital assets continue to decrease over time.

Liabilities: Payables, is down, due to the state being roughly the same, employee payables close to the same and long-term debt keeps going down over time.

Net Position: Total assets: is up about 4 million, Total Liabilities have gone down, and Net position has gone up due to the reduction in liabilities.

Revenue Comparison: Medicaid is up. The state general fund is down slightly. County funds is the same and all other is close to the same. Noting an HRA payment that needs to be removed from administrative. 

Expenses: Administration is up. The provider network is up due to the DCW increase. Grants roughly the same as well as all others. Noting an HRA payment that needs to be removed from administrative. 

Net Income is slightly down from prior month. 

Board Approval Items

FY 2021 QAPIP Report

Thundermop Contract

CMHSP Contract Amendment

Consent Agenda - Board Approvals

January 18 , 2021 Board Meeting Minutes

Acceptance of Meeting Minute Reports

Recipient Rights Advisory Committee - No Meeting held

Committee of the Whole Minutes - January 10, 2021

Citizens Advisory Committee - January 19, 2021

SUD Oversight Policy Board - No Meeting Held 

Other Business

Board Member Binders - Sheila

Sheila asked board members to return board binders, new binders will be provided. 

Board Reports

Bylaw Committee - John Paul Torres

Mr. Torres provided a overview of committee status, noting the committee is in-line to provide committee recommendation at the March Study Session. 

Recipient Rights Advisory Committee – Christina Root

No report provided due to meeting being cancelled in Feburay, next meeting scheduled for March 3rd. January meeting minutes will be provided at the March meeting. 

Citizens Advisory Committee - Reena Naami-Dier

Mr. Landsman read the report on behalf of Mrs. Naami-Dier

CAC Meeting – January 19, 2022, 9:30-11:30am

- Linda Bartaloni-Till made the announcement that effective Jan. 1, 2022, CAC member stipends were increasing to $30, and a discussion regarding 1099s ensued.

- CAC members were asked to participate in a COVID-19 subgroup meeting, facilitated by Dr. Pozios. During that subgroup meeting, he provided percentage rates of persons in OCHNs system of care that have been vaccinated, and the purpose of the group is to help brainstorm ideas to raise those vaccination rates, as well as raising booster rates, among persons served and staff.

- Dana Lasenby presented her director’s report.

- Provider credentialing updates – Charlotte Rowe, a provider network analyst for OCHN, presented on 10 new ABA providers that provide autism services. She discussed the credentialing process, including determining licensure requirements, accreditation standings, etc, amongst the providers. She asked for feedback from CAC members on any knowledge they may have regarding the providers presented.

- Christine Burk presented information regarding elections – reminder that this is an election year for governor and legislative seats. It was brought up that the privatization bills are currently losing support in the senate and house, and that they are coming to a vote within the next 90 days.

- Christine discussed that the new OCHN website is still in process, and that the organization that was hired will be brought to the CAC looking for input, especially regarding accessibility. It was suggested that a person served should have their own page

- Alexis Mitchell, quality analyst at OCHN, was introduced and gave a brief overview of the Community Evaluation Education Committee (CEEC) and indicated that they have openings

- Charkyra Hopkins, a services coordinated at OCHN, was introduced and she discussed the Explanation of benefits summary of service letter that will be mailed out to individuals served, as a way to assist with the prevention of fraud and abuse. They wanted CAC member feedback on the letter to ensure that it is easily understandable and to convey what an EOB actually is.

- A few providers gave brief reports:

• CLS – holding meetings virtually. Latest HHS public health emergency has been extended through April 16, 2022.
• OFS – crisis team is continuing to support the Oxford Community.
• F.A.I.R. Drop In and Clubhouse Inspiration – averaging 45-50 members per day, but have lost some staff during the pandemic. Also purchased a new van.
• TTI – working on their 35 year celebration event for May.
• Community Housing Network – PATH outreach team was recognized for their best practices, and CHNs PATH reporting documentation was noted as #1 out of all MI PATH teams, and theirs is being used to train other MI PATH teams.

The next meeting will occur on 2/16/202

SUD Oversight Policy Board - Dennis Cowan

No meeting held, meeting cancelled due to lack of quorum

CEO Update/Report - Dana Lasenby 

Legislative Update

Dana provided an overview of the legislation bills 597 and 598 and the impact of the bills if passed and support is growing among Republican Senators. Dana really wants to look at strategy in how OCHN is being viewed across the state. 

Noting that legislators do not have the level of support that the PIHP system provides. 

Dana provided an overview of CMHA advocacy efforts and how the diversity of the population serviced by PIHP needs to be more present.   

Dana provided an Oxford update.  

Dana provided an overview of CMHA advocacy efforts and how the diversity of the population serviced by PIHP needs to be more present. 

Needs assessment going out and really want to make sure it gets in the hand of people served. 

Dana acknowledged the Clinical team for the launch of the Children’s Crisis Services. 

Dana noted the workforce development issues and OCHN is looking into recruitment and retention payments. 

Dana informed the Board that Kevin Fischer, NAMI is the President of CIT International. The conference will be held in MI next year. 

Transportation

Dana is reviewing transportation needs over the network. 

Board Member Comments

Board members shared appreciation of the presentations provided tonight and felt that was a very imformative meeting. Noting CIT program is a great program and are encouraged. 

Adjournment

Mrs. Newman made motion to adjourn the meeting at 8:05pm, supported by Mr. Cowan. Motion carries

Public comment: Mark Kroll - parent of a son with autism and receives services through MORC. Has made tremendous progress at home to staffing continues to play a major role in service delivery. Mr. Kroll asked the Board to take into consideration what can be offered to DSP's and be creative to offer extra incentives.