Advantage Behavioral Health Systems MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND ADDICTIVE DISEASES SERVICE BOARD MEETING #216 August 26, 2014 BOARD MEMBERS PRESENT Linda Vinson – Walton Melanie Villalta - Athens-Clarke Doc Eldridge – Athens-Clarke Frusanna Hayes – Morgan Pat Ellis – Jackson Mary Jo Matthews – Madison BOARD MEMBERS ABSENT Shirley Segars – Barrow (EX) Dennise Grayson – Oconee (EX) Vacant – Barrow Vacant – Oglethorpe Vacant – Greene R. Charles White – Walton (EX) Mae Davis – Elbert (EX) Vacant – Athens-Clarke Vacant – Jackson ADVANTAGE BEHAVIORAL HEALTH SYSTEMS STAFF PRESENT O. J. Booker Janice Callaway Sherrie Maxwell Tammy Dalton Mary Fernandez Steve Barber Barbara Geter Elizabeth Stewart Ryan Halsey Kerri Heaton GUESTS Cheryl Fleming Chris Thurmond The meeting was opened by Doc Eldridge, Community Service Board (CSB) Chairman. 1.0 ACTIONS 1.1 Motion to approve the agenda. Moved (Mary Jo Matthews); Seconded (Pat Ellis); 1.2 1.3 1.4 1.5 2.0 Passed (Unanimously). Motion to accept the minutes of the July 22, 2014 CSB Meeting. Moved (Mary Jo Matthews); Seconded (Linda Vinson): Passed (Unanimously). Motion to approve the partnership with Village Drugs as presented. Moved (Mary Jo Matthews); Seconded (Pat Ellis); Passed (Unanimously). Motion to accept the ABHS policies as written (See Board Reports 7.4). Moved (Pat Ellis); Seconded (Melanie Villalta); Passed (Unanimously). Motion to adjourn. Moved (Mary Jo Matthews); Passed (Unanimously). RETIREMENT AWARD 2.1 Linda Vinson, Chairperson, Staff Support Workgroup presented a plaque to Cheryl Fleming. Ms. Fleming work in the Clinical Administration Department and retired on July 31st with 26 years and 7 months of dedicated services. 3.0 PRESENTATION – ELBERT COUNTY CLINIC 3.1 Kerri Heaton, Operations Manager of the Elbert County Clinic presented an overview of services rendered. The Clinic provides services to children, adolescents and adults with Page 1 of 4 Mental Health and Addictive Disease treatment needs. The Clinic has a strong group therapy program including the evidence-based practice, Dialectical Behavioral Therapy (DBT); groups for individuals with Anxiety Disorder, Bipolar Disorder, Co-Occurring mental illness and addiction and Substance Abuse. The Clinic offers community-based services for adults in Elbert County and children in Elbert and Madison Counties. Elbert County also offers the DUI School in the agency. Mary Fernandez reported on the Psychosocial Rehab Program which is called the Discovery Center. The Center provides outpatient mental health day treatment for adults and runs a jewelry business. The clients design and make jewelry that they place for sale in local businesses to raise funds for their program. 4.0 REPORTS FROM CSB DIRECTOR 4.1 Mr. Booker reported that Representative Chuck Williams, Commissioner Frank Berry, 4.2 4.3 5.0 Department of Behavioral Health Developmental Disabilities (DBHDD) and several of his staff toured Advantage on August 18, 2014. He presented on the ‘Advantage 101’ and Laurie Wilburn Bailey, Clinical Director gave an detailed description on ABHS Court Services. The group toured the Crisis Stabilization Unit (CSU) and the Women’s Services Program. Mr. Booker noted that on the way back to the office, Commissioner Berry told Representative Williams, “Advantage is in the top three CSBs in the State.” Mr. Booker reported on the APS Healthcare Audit which was held on August 20, 2014. The auditors reviewed fifty (50) charts representing the Assertive Community Treatment (ACT) Program and Core services, both adult and Child and Adolescent. The current score was 92.1%. The auditors indicated that ABHS remains a solid, well-performing CSB. Mr. Booker gave a presentation regarding Advantage partnership with Village Drugs. ABHS has partnered with Village Drugs for thirty (30) years. Chris Thurmond, Pharm.D. has been the consulting pharmacist since 2001. Administration is recommending the Board’s approval for outsourcing the pharmacy function to Village Drugs. The decision elements are based on access, risk, quality and cost. Drugs will be available to all clients not just behavioral health drugs. The proposal includes: modelling after the partnership program of Serenity CSB (Augusta) and Barney’s Pharmacy; Village Drugs leases space to operate a retail pharmacy at Clarke Clinic; Village Drugs be responsible for the Medical Assistance Program (MAP) and stock medications; Village Drugs has the opportunity to fill all other medications; and the Stock Medication Program becomes Advantage Cares. NEW BUSINESS 5.1 ADMINISTRATIVE REPORTS (Received in Board packages for review.) 5.1.1 6.0 Barbara Geter, Ph.D., Director of Developmental Disabilities reported the new modified Initial Adoptions reflect an increase in the rates. These rates reflect “higher rates for a shorter period of time” since the budget that was approved by the legislature for the rate increases projected to begin on July 1st. The Department of Community Health (DCH) does not know exactly when they will receive the Center for Medicare and Medicaid Services (CMS) approval to begin the new rates. The hope is that the Office of Planning and Budget (OPB) will provide funding in the Governor’s budget to make these increases at the proposed rate permanent. OLD BUSINESS 6.1 Elizabeth Stewart, Ph.D., Quality Assurance reported on the upcoming Commission on Accreditation of Rehabilitative Facilities (CARF) visit which is September 22 – 24, 2014. She invited Board members to attend the opening presentation on September 22 nd, 9:30 a.m. in the Director’s Conference Room, ABHS. Pat Ellis, Board member encouraged Page 2 of 4 Board members to endorse the Confidentiality Statement and the Code of Ethics documents and return to her prior to the CARF visit. 7.0 BOARD REPORTS 7.1 Finance Work Group – Steve Barber, Chief Financial Officer (CFO) distributed and 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 presented the financials for the period ended July 31, 2014. Recruitment & Retention Work Group – CSB membership was addressed. Ms. Vinson term expires in March, 2015 and she expressed a desire to be reappointed to the Board. Charles White, Walton County CSB Representative term expires in March 2015 and he requested not to be reappointed to the Board. Advocacy & Awareness Work Group – no report requiring an action. Bylaws and Policy Work Group – Ms. Ellis, Chairperson reported that the workgroup met and reviewed the following ABHS policies: 300.120 Health & Safety – Disruptive Incidents 400.100 Clinical Services – Mission, Values, Philosophy Statements, Program Description & Eligibility 400.115 Clinical Services – Quality of Services 400.117 Clinical Services – Credentialing Attachment 1 – Minimum Standard Training Requirement for Paraprofessionals Attachment 2 – Essential Learning Online Courses for Paraprofessionals 400.118 Clinical Services – Clinical Supervision 400.120 Clinical Services – Accessibility 400.130 Clinical Services – Hours of Operation 400.145 Clinical Services – Planning List 400.150 Clinical Services – Enrollment Documentation 400.155 Clinical Services – Orientation For Clients 400.156 Clinical Services – Denial of Routine Services for Refusal to Pay Attachment – Denial of Routine Services for Refusal to Pay 400.156 Clinical Services – Denial of Routine Services for Refusal to Pay (DRAFT) 1500.008 Human Resources: Workplace Violence Rights of Persons Served Work Group – Suicide Prevention Training is being developed and will be offered to staff. Board Education & Planning Work Group – no report requiring an action. Ad Hoc Friends of Advantage Committee – Ms. Villalta noted that her CSB term expires in September; therefore she will no longer serve on the FOA Board. The CSB needs to elect a representative to serve on the FOA Board. Tammy Dalton reported the ‘Afternoon Tea with Friends’, held on August 16th, was successful. She informed the Board of upcoming events: Seminar for Board Members presented by John Knowlton, September 11 – 12, Holiday Inn, Athens, Georgia; Jackson County Clinic Open House, September 30; The Cruise In & Children Carnival, October 19 at the Varsity, Athens, Georgia; and CSB Annual Meeting, December 2nd, at 6pm at the Foundry Park Inn, Athens, Georgia. Staff Support Work Group – no report requiring an action. CSB Association Update – Mr. Booker reported that the GACSB 17th Educational Exchange will be held October 19-21, 2014 at the Lake Lanier Island Resort. He encouraged participation and will provide additional information. 8.0 REPORTS FROM THE CSB CHAIRMAN 8.1 Mr. Eldridge noted that he attended the Walton County Open House, July 29th. 9.0 PUBLIC ACCESS 9.1 No one present to address the Board. Page 3 of 4 10.0 ADJOURNMENT ____________________________ DATE _____________________________________ APPROVED BY: Dennise Grayson SECRETARY ________________________________ SUBMITTED BY: BRENDA SMITH __________________________________________ APPROVED BY: Doc Eldridge CHAIRMAN Page 4 of 4