Oakland Community Health Network

Order of Business

Mr. Newman called the meeting to order at 4:35pm

Roll Call

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

Approval of the Agenda

Public Comment

No public comment provided

Chief Staffing Announcements

COO Introduction Adam Jenovai - Dana Lasenby

Mrs. Lasenby announced OCHN's new COO Adam Jenovai, Mr. Jenovai started at OCHN on September 6, 2022 and comes to us from Macomb County CMH

OCHN Chief of Staff Announcement - Dana Lasenby

Dana informed the Board of the promotion of Christine Burk, who was promoted to OCHN's Chief of Staff

Finance Operations Commitee

Appointment of a Vice Chair

Mr. Cowan asked the committee for nominations for Finance Committee Vice-Chair position. Mr. Young volunteered for the nomination. 

BA#3 - Anya Eliassen

Anya presented and reviewed the Budget amendment #3.

Noted Adjustments:

Revenue

• BA#2 - Revenue Total:$432,193,780
• Increase $7,039,373
• BA#3 Revenue Total - $439,233,154

Expenses

• BA#2 - Expense Total - $432,823,540
• Increase $2,803,167
• BA#3 - $435,445,888

Change in Net Assets from Operations - $3,787,266

FY2023 Budget - Anya Eliassen

Anya presented and reviewed the F.Y. 2023  Budget - Anya noting that OCHN dose not have final rates from MDHHS and is being very conservative with budget numbers. . 

Revenue

• FY 2022 Budgeted Revenue Total:- $439,233,154
• Increase from FY 2022 - $3,475,769
• FY 2023 Budgeted  Revenue Total - $442,708,923

Expenses

• FY 2022 Budgeted Expense Total:- $435,445,888
• Increase from FY 2022 - $5,130,035
• FY 2023 Budgeted Expense Total - $440,575,923
  

Change in Net Assets from Operations - $2,133,000

Contractual Obligations - (Over 100,000)

MCET Contract - Marquitta Massey & Wendi Schiller

Contract Duration: 3 Years (10/1/22 – 9/30/25) 

Contract Type: Non-Direct Service Contract Less than $100k

Proposed Contract Amount:  $90,000 

Previous Contract Amount (If, Applicable):  $75,000 (1 Year)

Scope of Work for OCHN: To conduct member experience surveys on behalf of OCHN related to  Access Experience, Telemedicine Services, and Complex Case Management Program

Contract History (if Applicable): OCHN has held a contract with MCET since 2003

Presented by: Marquitta Massey

Medversant Contract - Marquitta Massey

Vendor: Medversant Technologies 

Contract Duration:   1 year   

Contract Type: Non-Direct Service Contract Over $100K

Proposed Contract Amount:  $111,000 

Previous Contract Amount (If, Applicable):  $91,500

Scope of Work for OCHN: OCHN began contracting with Medversant, an NCQA accredited Credentialing Verification Organization in FY22. Initial work included a select set of provider types. In FY23, OCHN intends to expand use of Medversant to more core provider agencies.

Contract History (if Applicable): Initial contract – FY22

Presented by: Marquitta Massey

CNS Healthcare Anti-Stigma - Christine Burk

Vendor: CNS Healthcare | Anti-Stigma Team 

 Contract Duration: One (1) year 

Contract Type: Contract Extension

Proposed Contract Amount:  $344,631 

Previous Contract Amount (If, Applicable): $344,631

Scope of Work for OCHN: Lead community and network anti-stigma education efforts. Contract History (if Applicable): Prior to Fiscal Year 21-22, the Anti-Stigma contract was included in CNS Healthcare’s service provider contract for 15 years. This changed under the advisement of OCHN’s Chief Legal Officer. The contract is now presented to the Board as a separate contract for approval.

Presented by: Christine Burk

Mrs. Newman noted a conflict of interest and recused herself from discussion 

BDO Contract - Patrick Franklin

Vendor: BDO 

Contract Duration: 2 years

Contract Type: Accounting audit contract extension

Proposed Contract Amount: $135,000

Previous Contract Amount (If, Applicable): $176,500

Scope of Work for OCHN: Annual financial, single, and compliance audit

Contract History (if Applicable): BDO has provided auditing services to OCHN for the previous 3 years. The contract extension will go from 10-12022 through 9-30-2024. The extension amount is based off a reasonable fee estimate from BDO. This extension includes a slight increase in cost estimates to cover BDO compensation, and any significant changes at OCHN.

Presented by: Anya Eliassen

Relias Learning (CMT) - Adam Hamilton

Vendor: Care Management Technologies, Inc. (CMT), a Relias Company 

Contract Duration: 1-year extension of the current contract

Contract Type: Services and Software – Population Health Management Tool

Proposed Contract Amount: $180,00 (1-year contract discounted to 9-month rate)  

Previous Contract Amount (If, Applicable): $234,213.29 (offset by a $152,509 grant)

Scope of Work for OCHN: CMT/Relias provides OCHN with software for population health management. OCHN will be transitioning to the Vital Data Technology (VDT) software that was presented in August 2022. During the transition to VDT software, OCHN seeks to extend its contract with CMT/Relias for population health management activities software.  

Contract History (if Applicable): Since September 2014, OCHN has been contracting with CMT/Relias 

Presented by: Adam Hamilton, Diana Bundschuh 

Policy Management Committee

FY23 Annual Plan - Frances Carley

FY23 ANNUAL PLAN PRIORITIES, GOALS, AND OBJECTIVES

The FY23 Annual Plan activities are derived from the Strategic Priorities identified in the FY23 – FY25 Strategic Plan. The intent of the following priorities, goals, and objectives is to positively impact, significantly enhance the lives of people in Oakland County, and continue to enhance the service delivery system in Oakland County. They support the mission, vision, and values of OCHN, and represent the previously noted principles and practices. While extensive, the goals and objectives do not reflect all activities occurring on behalf of people served. OCHN’s general budget provides finances for the noted objectives, with funds earmarked for specific initiatives.

Strategic Priorities

OCHN’s Strategic Priorities that set the compass for the FY23 Annual Plan and Budget include:

• Staffing and Retention
  • Develop and maintain a qualified behavioral health workforce
  • Continue developing a diversity, equity, and inclusion (DEI) based hiring and retention strategy•
• Quality System of Care
  • Enhance system of care and strengthen provider network to ensure timely access for all eligible populations in Oakland County
  • Improve HEDIS measure outcomes for service delivery
• Evaluate, expand, and improve crisis and non-crisis services to meet identified needs• Administration and Service Delivery
  • Continue to expand value-based contracting for service delivery
  • Evaluate and implement administrative efficiencies to increase ease of access to services
  • Expand technological solutions to improve service delivery and administrative efficiency•
• Integrated Healthcare
  • Establish model(s) / proposal for integrated system of care
  • Increase care coordination across the OCHN system of care
  • Ensure equitable utilization and services by diverse populations
  • Improve SDOH for individuals receiving services through OCHN
• Partnerships, Advocacy, and Community Outreach
  • Improve OCHN’s identity and affiliation branding
  • Proactive legislative advocacy to support public system
  • Identify / establish strategic partnerships

Quarterly Updates - Departments

Clinical Team Update - Adam Hamilton

SummaryClinical Practice Team (“CPT”) Fiscal Year 2022 (“FY22”) Quarter 4 update. The CPT update includes the following items:

1. Certified Community Behavioral Health Clinics
2. Suicide Prevention

Informational update on the status of the Certified Behavioral Health Clinics and OCHN’s involvement with CCBHC demonstration in the State of MI; overview of OCHN Suicide Prevention efforts

Persons served who have a mental health and/or substance use disorder diagnosis, regardless of eligibility for CMH services and insurance status, can access supports and services though the CCBHCs in Oakland County. Individuals receiving supports and services in the OCHN system who may be at risk for suicide receive high-quality screening and care.

CCBHCs allow for increased access to supports and services for mental illness and substance use disorders; care coordination with medical services is also emphasized. High-quality screening and care for individuals at risk for suicide improves outcomes by identifying those at risk and reducing the number of individuals who die by suicide by connecting them to best practices for suicide care.

All items are included in the FY22 approved budget. 

Justice Team Update - Dr. Pozios

Justice:Update   

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

• 13 staff
• 1 staff: on-boarding in FY22 – Quarter 4
• 1 staff: position is posted for recruiting

Quarterly Intiative Update:

• Co-Responder Initiatives
• Diversion and Treatment Courts 

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

• What & Why:  To expand OCHN embedded Clinicians in partner agencies to provide co-response/follow-up for citizens experiencing a mental/behavioral health crisis.
• How:
  • Through community commitment to fund positions and/or grant applications to expand current initiatives
• When:  
  • Oakland County Sherriff's Office – Pontiac, Rochester Hills: Clinician started in June 2022
  • Troy Police Department: Candidate has been selected and pending background check, anticipated start date is in September 2022
  • Auburn Hills, Birmingham, Bloomfield Township: On-boarding process for second Clinician will begin following confirmation of grant – expansion: Rochester
  • Impact  / Outcomes:  Expand connections to supports and services, more positive interactions with officers, improved systems' navigation. The City of Rochester will use some of the funding to develop a Co-Responder program.
• Completion Status: Completed

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

• What & Why:  
  • Establish partnership with Prosecutor's Office to divert children/adults into treatment, whenever possible. 
  • Participate in workgroup with the Circuit Court - Family Division to develop a Juvenile Mental Health Court. 
• How: 
  • Signed Interlocal with Prosecutor's Office to embed Clinician to complete screening tools and connect to treatment. Clinician was embedded in July 2022.
  • Juvenile Mental Health Court work group has concluded. Grant application has been submitted and liaison will be embedded in October 2022, pending approval of funding through State Court Administrative Office
• When: On-going. 
• Impact  / Outcomes: 
  • To offer connection to community-based behavioral health services; avoiding potential interaction with the justice system or assisting in diversion efforts
• Completion Status:  Completed

Other Business

Events/Outreach - Christine Burk

Christine provided the Board with Outreach and Awareness for September and October

MDHHS Contract Disclosure Form - Edna White

Enda received the following information from Latina McCausey, Departmental Specialist, MDHHS Office of Medicaid Operation and Actuarial Services: 

In accordance with Code Federal Regulation 42 (CFR) 455 and 438, the Michigan Department of Health and Human Services (MDHHS) must collect specified disclosure information on Managed Care Entities as it pertains to: 

• Ownership of the Entity 
• Agents or CFO’s 
• Managing Employees or CEO’s 
• Board Members 
• CIO’s if applicable 

 The Provider Screening Information Collection Tool (PSICT) is to be filled out at the time of contract renewal OR employee changes as it pertains to the information requested on the form. 

Since your contract renewal date is 10/01/2022, we will need to obtain an updated PSICT from you.  Please provide this information no later than 9/20/2022. 

Edna will need to distribute the forms to our Board members for completion and signature.  They will receive an email notification from Docusign to complete the PSICT form securely online and return to me.  Enda requested members to submit their forms to her no later than Friday, September 16th so there is ample time to get the information to Ms. McCausey’s office. Once collected, the form will be sent to MDDHS via secure link. They can expect that this form will be completed at least annually and whenever there is new information to report.   

Public Comment

Board Member Comments

Board members shared thier apprecaition of staff presentations

Adjournment

The meeting was adjourned at 8:15 pm