Oakland Community Health Network

Attendance

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Members

Present: Christine Burk, John Paul Torres, Bijaya Hans, Malkia Newman, Jonathan Landsman, Adam Fuhrman, Dana Lasenby, Dennis Cowan, Suzanne Weinert, Bernard Hooper, John Young, Yvette Woodruff, Adam Jenovai, Nasr Doss, Douglas Jones, Kara Lingenfelter

Remote: Callana Ollie, Kimberly Flowers, Frances Kolody

Absent: Victoria Marble, Sheila Barrett, Christina Root, Vasilis Pozios, Sarah May, Vasiliki Michalakis, Kathy Porter, Colleen Opalka, gilesy@oaklandchn.org, Caitlin Toth, Ann Porterfield

Notes: John Paul Torres Board Member, Bijaya Hans Board Member, Malkia Newman Board Vice Chair, Jonathan Landsman Treasurer, Adam Fuhrman Secretary , Dana Lasenby CEO, Christina Root Board Member, Dennis Cowan Board Chair, John Young Board Member, Yvette Woodruff Board Member, Sarah May Board Member, Adam Jenovai COO, gilesy@oaklandchn.org Board Member, Douglas Jones Board Member

c. Board Chair Executive Report- Dennis Cowan

Mr. Cowan reported the executive committee meeting was held today, 1/25/24, to discuss and approve the February 2024 upcoming agendas. 

The Law enforcement breakfast a few weeks back was an excellent event. 

Pontiac Collation MLK Celebration - Dana received the drumbeater award

Legislative breakfast last week. 

d. Policy Management Committee Chair Report - Yvette Woodruff

Ms. Woodruff reported on 3 items from the Committee of the Whole meeting held 1/8/24:

1. Annual plan outcome FY23.

2. 4th quarter compliance report update.

3. Annual state recipient Rights Report 

e. Finance Committee Report - Jonathan Landsman 

Mr. Landsman reported the team has been meeting for ongoing monthly meetings with finance committee and OCHN team to stay on top of the finances. 

Meeting with Finance – Friday, 1/5/24

Our Board Chair, my Finance Committee’s Vice Chair and I met with our CFO, Deputy CFO, and CEO regarding financials on Friday 1/5 in preparation of the COW’s meeting of the Finance Committee and the General Board Meeting. The data reported at these upcoming meetings regarding the prior Fiscal Year will reflect Trial Close or Pro-forma positions until the books are formally closed. The Medicaid re-determination effort and with its 3-year hiatus until last June, is definitely impacting, and negatively, the amount of revenue we receive based on Oakland County Citizens who qualify for Medicaid. As you know, the county’s counts of DABs, TANFs, and HM members is the primary driver of revenue inflows to OCHN. This, in-turn, determines our funding to support programs to the persons we serve through our extensive network of providers.  

COW Meeting - Monday, 1/8/24

We had 3 financial topics at this past COW meeting:

1.    Budget Amendment #1 was presented by our CFO – Cheryl Johnson & Deputy CFO – Patrick Franklin. Timing-wise, it’s pretty typical that we tweak our budget based on Revenue / income or inflow adjustments due to changes in rates or Medicaid enrollments, as well as any cost outflows or expenses. This Budget Amendment – serves to adjust both income and expenses. Our Finance committee has voted to support this Budget Amendment #1 for full-board consideration later in this meeting’s agenda.

2.    ADP Contract - Glenda Witherspoon and Edna White – Director HR presented a request for approval of the ADP Contract to add additional modules to support Document Storage, Performance and Goal Management, Recruitment & Talent Acquisition, and Compliance Management, and Time & Attendance advanced Scheduling, and additional reporting. These are new modules above and beyond our current Payroll and Reporting. This contract is for both a 1-time setup $3,350 and expansion of usage fees over these next 3 years of $24,521 annually for these new modules over the current $57,464 for Payroll processing resulting in an increase to $81,995 per year. Our Finance committee has voted to support this Contract extension and increase for full-board consideration later in this meeting’s agenda.

3.    FY24 PIHP contract Amendment #1, was presented by Calana Ollie, our legal counsel. MDHHS has asked us to approve this agreement Amendment #1 that updates standard contract terms and conditions as well as financial & non-financial reporting requirements, local funding obligation schedule, and the behavioral health capitation rate certification rate. This contract amendment doesn’t change the financial implications. Our Finance committee has voted to support this PIHP Contract Amendment #1 for full-board consideration later in this meeting’s agenda.

Review Sample Incident Reports

Reviewed and discussed the goals of the RRAC

Site Visit Report – Jean reviewed the report which was generated on 11/30/2022 • The report indicates 10.8% of service sites requiring a site visit have been completed. • As of 11/30/22, 50 out of 459 total number sites that require a site visit have been completed

Director of R & A Update – Vicki Suder 1. Vicki wished RRAC Members a Happy New Year! 2. Vicki relayed which RRAC members whose terms will end in 2023: • Maggie Morrison – 1st term ends February 18th • Harriet Cooper – 1st term ends October 29th • Elizabeth Martin – 1st term ends November 13th All three will be ending their first term, they will be asked if they would like to add another term 3. Vicki provided an update on actions regarding the Free Press article on the Rights System: • Jean and Vicki are meeting in January to discuss a plan to get the Volunteer Monitoring program up and running again. • Jean and Vicki are meeting in January to discuss how to follow up with persons served regarding abuse & and neglect cases

New Credentialed Providers

·         SOAR Autism Center – ABA

·         Annextra HealthAssist Associates – SRS/CLS

New Provider Sites

·         Life Skills – Added two new vocational sites. One in Shelby Township and one in Ray. They closed their Pontiac location.

·         Oakland Assisted Living – Allsion Home – Unlicensed

·         Flatrock Manor – Woodland Manor – Unlicensed

·         Jamie’s Lighthouse – Licensed

·         Autism Spectrum Therapies – Added a new ABA clinic in Northville.

·         Beacon Specialized Living – Beacon Home at Hammond - Licensed

Recredentialed Providers

·         SRS/CLS Providers – 17 providers have been recredentialed.

·         ABA/SUD Providers – 2 providers have been recredentialed.

ACCESS -  Recapping OCHN’s Access Services for Fiscal Year (FY) 2023, the Access team responded to 38,233 calls.

COMMUNITY COLLABORATION

Violence Reduction Blueprint: The Blueprint focuses on preventing and intervening in interpersonal violence in the lives of families and children. It is designed as a 3-to-5-year plan to address violence in Oakland County through both primary prevention and victim support services.

COMMUNITY OUTREACH AND EDUCATION

Crisis Calls:  OCHN Crisis Services provider responded to 46,841 calls in FY23.

Sober Support Unit (SSU): The SSU is a 10-bed unit, offering 24-hour monitoring and observance as the first step toward long-term substance use treatment and recovery. The Sober Support Unit (SSU) served 102 individuals in November and 970 in FY23.

Save-A-Life Stations:  Through funding provided by OCHN, the Alliance of Coalitions for Healthy Communities (ACHC) has installed “Save A Life Stations” throughout Oakland County. To date, 71 Save A Life Stations have been deployed in Oakland County, with the goal of 100 stations by September 2024.

Youth and Family Care Connection (YFCC): More than 2,000 evaluations have occurred at the YFCC since the program began.

INTEGRATED HEALTHCARE

Justice Initiatives

PROVIDER NETWORK EXPANSION

Applied Behavior Analysis (ABA): In 2023, OCHN increased the number of Applied Behavior Analysis (ABA) providers from 12 to 23.

Severe Emotional Disturbances (SED): In 2023, OCHN increased the number of providers of services for children and youth living with Severe Emotional Disturbances (SED) from 2 to 5.  Despite our efforts to expand services and reduce wait times for children and families, OCHN and the provider network continue to struggle to meet these needs.

WORKFORCE DEVELOPMENT During the month of November, OCHN hosted 34 training courses for 697 people. In FY23, OCHN hosted 227 trainings for 7,269 individuals totaling 815 training hours.

Other Business

Board Retreat- 2/17/2024 8:30am-1pm. Mr. Cowan: working on the agenda for the board retreat. Sheila will send out location. Mr. Cowan will be reaching out to the board to get feedback on what you want to discuss. 

Moving: February study session items to the board retreat agenda

Mr. Torres- would like to add to board retreat; would like to get to know board members better; why did you join the board?

Public Comment

Fred Cummings -Lyons spoke for public comment. Mr. Cummings spoke about during the legislative breakfast, he didn't hear or see anything about CCBHC, or see it on OCHN's website. If someone is dropped from Medicaid, what should they do? Shouldn't they utilize the CCBHCs? Mr. Cummings also spoke to mental health navigators; the state is saying they will add school therapists; Mr. Cummings believes these should be connected to the CMH in order to link to resources and not to be school employees. 

Amar Khan- Metro Rehab spoke for public comment. Mr. Khan spoke regarding the SUD RFP; how Meridian received 5x what they received; Clients need to travel 30-40 minutes to get to an OCHN MAT provider; and how MRC was told they don't have many people in their service area- however Mr. Khan stated they are the most densely populated area in the county.