Oakland Community Health Network

Order of Business

Mrs. Naami-Dier brought the meeting to order at 4:35pm

Roll Call

Roll attendance was taken as indicated in the attendance record. 

Public Comment

No public comment provided

Approval of the Agenda

Business Operations

January Financial Review - Anya Eliassen

Revenue trend is up from previous month due to payments being applied. 

Liabilities are down and is expected. Accurals are paid out, due to state is roughly flat.

Net position has gone up 

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, 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. 

Contractual Obligations - (Over 100,000)

Rosati Contract - Callana Ollie

Contract Duration: 4/1/2021- 9/30/2023                                                                          

Contract Type: Legal Services

Proposed Contract Amount:        $ 15,000                                                                                        

Previous Contract Amount (If, Applicable):            $ 22,500 (FY21)

Scope of Work for OCHN: employment, commercial/contract and government legal services

Contract History (if Applicable): Rosati, Schultz, Joppich and Amtsbuechler has previously provided various legal services since October 1, 2013. This contract was historically approved as part of the budget. The most recent contract was extended from 10-1-2020 through 3-31-2021. 

Plunkett Cooney Contract - Callana Ollie

Rehmann Robson - Anya Eliassen

Conerstone/Saba Software - Edna White

Policy Management

Quarterly Updates - Departments

SUD Team - Kristie Schmiege

Kimberly Flowers introduced Kristie Schmiege as OCHN's new Director of Substance Use Disorder Servces. 

Department Overview: 

Substance Use: The SUD team works with network providers to deliver treatment and prevention services to individuals, families and communities.

• 9 total Staff
• 1 Director
• 1 Manager
• 1 Prevention Coordinator
• 1 Lead Clinical Analyst, 2 Clinical Analysts, 1 Service Network Analyst
• 1 Screening Brief Intervention and Referral to Treatment (SBRIT) Health Educator located at Honor Community Health
• 1 Support Specialist

Quarterly Initiative Update

• Management of the COVID-19 Grant to expand opioid and stimulant treatment and prevention services​
• Pilot Ambulatory Withdrawal Management Services

1.  Annual Plan Goal: COVID-19 Grant Management

• What & Why: To ensure person’s served have access to SUD Services by implementing new programs that help decrease the likelihood of contracting or being exposed to the COVID-19 virus.
• How: Establishment of a SUD Health Home (SUD HH) in Oakland County
• When: The launch of the SUD HH is set for April 1, 2022.
• Impact  / Outcomes: Select OCHN Contracted Providers will provide integrated, person-centered, and comprehensive care to eligible individuals to address the complexity of comorbid physical and behavioral health conditions.
• Completion Status: Moving toward implementation
• Funding Source: COVID Substance Use and Gambling Services Grant (CSUGS)

SUD HH Overview

The SUD HH will provide integrated, person-centered, and comprehensive care to successfully address the complexity of comorbid physical and behavioral health conditions.

•  SUD HH Consists of Six Core Services
• Comprehensive Care Management
• Care Coordination 
• Health Promotion
• Comprehensive Transitional Care
• Individual and Family Support
• Referral to Community and Social Support Services
• Grant Amount for FY22 for SUD HH: $592,945

Annual Plan Goal: Pilot Ambulatory Withdrawal Management Services 

• What & Why: To provide the least restrictive level of care to an individual needing WM services and to take into account the COVID-19 virus and ability for withdrawal management services to be conducted in a home setting.
• How: The program is designed for individuals with a mild to moderate Opioid Use Disorder with medical services delivered through our outpatient setting over a five to ten-day period.
• When: Launch is expected by April 1, 2022
• Impact  / Outcomes:  Increased access to services
• Completion Status:  Moving into implementation
  • Funding Source:  Medicaid and SUD Block Grant Dollars
  • All items approved in the FY22 budget. No additional costs required

Justice Team - Dr. Pozios

Department Overview: 

Justice:  

To improve outcomes for individuals, who encounter the criminal / juvenile justice system through cross-system collaboration and coordination.

• 12 staff
• 1 additional staff: onboarding in FY22 – Quarter 2

Quarterly Initiative Update

• Co-Responder Model​
• ​Mental Health Access and Juvenile Justice Diversion 

• Annual Plan Goal: Adult - Increase systems implementation of diversion from initial contact with law enforcement or filed charges, and into mental/behavioral health supports. 

JUSTICE: Co-Responder Initiative

• Annual Plan Goal: Adult - Increase systems implementation of diversion from initial contact with law enforcement or filed charges, and into mental/behavioral health supports. 
• What & Why:  To embed an OCHN Clinician to provide co-response/follow-up for citizens experiencing a mental/behavioral health crisis at the Oakland County Sheriff's Office
• How: Oakland County approved an Interlocal Agreement to commit to implementation and funding
• When: Implementation will occur as soon as on-boarding process has been completed
• Impact  / Outcomes:  Anticipate improved connections to supports and services, more positive interactions with officers, improved systems' navigation
• Completion Status: Interviews were conducted in January 2022 and provisional offer was made, pending background check

JUSTICE: Mental Health Access and Juvenile Justice Diversion

Annual Plan Goal: Youth - Increase systems implementation of diversion from initial contact with law enforcement or filed charges, and into mental/behavioral health supports.

• What & Why:  To maintain current project partners, explore expansion by continuing to offer early identification screening tools to assist with diverting at-risk youth
• How: Networking with current and potential project partners (i.e., resource fairs, presentations at associations and training events)
• When: On-going
• Impact  / Outcomes:  To offer connection to community-based behavioral health services; hence, avoiding potential interaction with the justice or assisting in diversion efforts
• Completion Status:  As of November 2021, the Juvenile Justice Team has been receiving referrals from the Prosecutor’s Office. Presented at Association of Independent Michigan Schools

Funding Source:  

• Grants
• Participating Cities and County
• General Funds
• SUD Funding

Other Business

Events/Outreach - Christine Burk

Christine provided  March outreach/events/dates.  (Included in packet)

Public Comment

No public comment provided

Board Member Comments

No board member comment provided

Adjournment

Mr. Landsman made motion to adjourn the meeting at 7:16pm