Page 1 of 7 THE GULF COAST CENTER Regular Board of Trustees Meeting The Board of Trustees of the Gulf Coast Center will have its regular monthly meeting at 5:00 p.m. on Wednesday, July 25, 2012 at the Southern Brazoria Community Service Center located at 101 Tigner, Angleton, TX. (979) 848-0933. A Workshop to review and discuss the Center’s Draft ADA Paratransit Plan will be held prior to the regular monthly meeting starting at 5:00 p.m. If you need additional assistance to effectively participate in or observe this meeting please contact the Executive Director’s office at (409) 7632373 at least 24 hours prior to the meeting so that reasonable accommodations can be made to assist you. 1. 5:00 P.M.WORKSHOP: –The Goodman Corporation – ADA Paratransit Plan. Report by Robert McHaney on Demand Response report Report by Kara McManus on Para Transit Requirements 2. 6:30 P.M. CALL TO ORDER: ………………………………. Gerald Mitchell, Board Chair 3. CITIZENS’ COMMENTS: 4. BOARD MEMBERS’ REPORTS: 5. PROGRAM PRESENTATION: NONE 6. ACTION ITEMS: a. Review and approval of previous meeting minutes: April 25, 2012. (Pg. 1-5) b. Consider the approval of the April, May and June 2012 check register. c. Consider the approval of the Interlocal Agreement with the City of Galveston establishing coordinated hurricane preparedness and evacuation response. (Pg. 6-10) d. Consider granting authorization and approval to the Executive Director or his designee to begin negotiations and possibly enter into an earnest money contract up to $46,000 to purchase two parcels on Brown Drive (1.763 acre – 3361-0000-0001-000; and I acre – 3361-0000-0002-000) directly adjacent to Mainland Community Service Center. e. Consider approval to enter into agreement with the audit firm as recommended by the Board of Trustees' appointed Audit Review Committee, for completion of the FY2012 Financial and Compliance Audit. f. Consider approval of the renewal agreement with MILLS SHIRLEY LLP for legal representation and consultation services to the Center and its Board of Trustees. Term: September 1, 2012 – August 31, 2013. Service Area: Administration County of Service: Galveston and Brazoria Reimbursement Rates: $195/hr for partners, $135/hr for designated associates and $65/hr for designated assistants (no change from FY12) Description: Mills Shirley has a long standing relationship with the Center and has provided legal services to the Center for numerous years. Chris Cahill is the designated attorney for the Board and other Center related legal matters. CONNECT TRANSIT SERVICES ACTION ITEMS g. Consider approval of the new Resolution and Interlocal Agreement with the City of Kemah for development of an Intermodal Terminal Preliminary Engineering and Environmental Report and Pedestrian – Transit Access master plan. Page 2 of 7 Service Area: Connect County of Service: Galveston Funding: Total cost of the plan is estimated to be $139,500, with the Center providing 80%of project funding from federal resources, and the City share of twenty 20% of project cost, through the dedication of cash and “in kind” resources. Description: The Interlocal Agreement and Scope of Services/Budget for Kemah Transit Terminal/Pedestrian Improvements has been approved by the City of Kemah and Economic Development Group as well as the local share for study, and land donation (lease) for terminal project h. Consider approval to authorize the Executive Director or his designee to negotiate the amendments to the construction and professional services contracts for the final close-out of the Victory Lakes Park and Ride construction project. Amount not to exceed $75,000. i. Consider the approval to declare surplus and disposal of Vehicle 0181, a 2006 Ford F-350 twelve passenger van with 157,020 miles with repair costs no longer cost-effective for continued use. FACILITY & ASSET SERVICE ACTION ITEMS: j. Consider the approval to declare surplus and disposal of Vehicle #0027, a 2001 Ford Focus with 115,381 miles, with repair cost no longer cost-effective for continued use. (Pg. 11) k. Consider the approval of the new Agreement with C&S Janitorial Services for janitorial services at designated Center facilities. Term: September 1, 2012-August 31, 2013 Total Amount not to Exceed for FY13: $46,556.00 Description: Public notice for the janitorial services RFP was posted for 2 weeks in five local publications. Factors of best value including price, past performance with the Center, customer satisfaction and HUB as a result from the six responses it is recommend that we contract with C&S Janitorial. l. Consider the approval of the new Agreement with Killum Pest Control, Inc. for pest control services at Center facilities in Brazoria County. Term: September 1, 2012-August 31, 2013. Total Amount not to Exceed for FY13: $3,486.00 Description: Public notice for the pest control services RFP was posted for 2 weeks in five local publications. Factors of best value including price, past performance with the Center, customer satisfaction and HUB as a result from the two responses it is recommend that we continue to contract with Killum. m. Consider the approval of the new Agreement with Rico's Pest Control for pest control services at Center facilities in Galveston County. Term: September 1, 2012-August 31, 2013 Total Amount not to Exceed for FY13: $5,017.00 Description: Public notice for the janitorial services RFP was posted for 2 weeks in five local publications. Factors of best value including price, past performance with the Center, customer satisfaction and HUB as a result from the six response it is recommend that we continue to contract with Rico’s Pest control. MH ADULT SERVICE ACTION ITEMS: n. Consider ratification and renewal of the Business Associate and Shared Data Access Agreement with Galveston County Health District for the purpose of exchanging information to facilitate access to mental health and primary care services for people with major mental health and developmental disability diagnoses. Term: September 1, 2011 – August 31, 2012. Service Area: MH Adult County of Service: Galveston. Description: There is no monetary exchange associated with this Agreement. This agreement is solely to facilitate the exchange of information for more efficient referrals and coordination of mental health and physical health services with Costal Health & Wellness (formerly known as 4C’s Clinic) Page 3 of 7 o. Consider renewal of the agreement with Galveston County to fund a support staff/Mental Health deputy position for Mental Health Deputies Program. Term: September 1, 2012 – August 31, 2013. Service Area: MH Adult County of Service: Galveston. Amount not to exceed: $66,005 for FY13 (increase of $3,534) Description: In 2009 the Center began supporting the MHD program. Responsibilities of the position include: responding to crisis calls, transportation, attending commitment hearings, maintaining documentation for civil commitments and other associated duties and functions. p. Consider approval of the renewal Agreement with Lee Emory, MD to provide medical, psychiatric and mental health services to individuals receiving services at one of the Center’s community service centers. Term: September 1, 2012 – August 31, 2013. Service Area: MH Adult County of Service: Galveston and Brazoria Total Amount not to exceed: $75,000 ($110.00/hr) ($30,000 change from FY12) Description: Dr. Emory has provided psychiatrist services for the Center for many years. Her primary locations are MCSC (Texas City facility) and NBCSC (Alvin facility) but she provides relief coverage at other Center facilities when needed. q. Consider approval of the renewal Amendment with TWG Investments, LTD dba The Wood Group for a 10 bed crisis respite facility in Texas City, TX (Galveston County). Term: September 1, 2012 – August 31, 2013. Service Area: MH Adult County of Service: Galveston Total Amount not to exceed: $358,000 (no change from FY12) Description: The Wood Group has operated a 10 bed crisis respite facility at 5825 E.F. Lowry Expressway, Texas City, TX 77591 since Hurricane Ike and the loss of the UTMB hospital bed unit in 2008. This amendment extends the services through FY13. r. Consider approval of the renewal MOU Agreement with OccMed Solutions at Mainland Medical Center for electrocardiograms (EKG) with interpretation by a Cardiologist. Term: September 1, 2012 – August 31, 2013. Service Area: MH Adult Amount not to exceed: County of Service: Galveston $75/EKG + interpretation Description: This MOU is being entered into for compliance with DSHS Audit Criteria and Guidelines which require EKGs for certain prescribed meds i.e., Lithium. This agreement will only cover individuals who have no insurance. s. Consider the approval of the renewal agreement with JSA Health LLC who will be providing telemedicine services in designated Center facilities on an as needed basis. Term: September 1, 2012August 31, 2013. Service Area: Mental Health County of Service: Brazoria/Galveston Rate of Reimbursement: $295/consumer for emergency evals and $188/hr for outpatient management (adult) Description: Telemedicine services shall include psychiatric diagnostic interviews and follow up in both Galveston and Brazoria Counties. t. Consider approval of the renewal agreement with NorTek Medical Staffing for locum tenens coverage at the Center’s mental health clinics. Term: March 15, 2011 – August 31, 2012. Service Area: Mental Health County of Service: Galveston and Brazoria Total Amount not to exceed: $125/hr for face to face psychiatric appointments; $130/hr for telemedicine services. Page 4 of 7 Description: Nortek is a current contractor with the Center which provides screening and locating of medical doctors for temporary and permanent assignments. The doctor currently assigned by Nortek is available to provide telemedicine services on an as needed and emergency basis providing coverage for Center Psychiatrist summer PL scheduling. MH CHILD SERVICE ACTION ITEMS: u. Consider renewal of the 6th Amendment to the Professional Services Agreement with UTMB at Galveston for Child Psychiatry Services. Term: September 1, 2012 – August 31, 2013. Service Area: MH Child County of Service: Galveston. Amount not to exceed: $135,000 (same as FY12). Description: The Center has a long standing relationship with UTMB who has been providing child psychiatry for the Center for well over a decade. v. Consider approval of the renewal agreement with the Galveston County Juvenile Justice Department to furnish counseling and/or training for Galveston County adolescent offenders and adolescents under the supervision of the Juvenile Justice Department participating in the Discovery Program and/or Endeavor Program. Term: September 1, 2012 – august 31, 2013 Service Area: MH Child County of Service: Galveston Total Amount Reimbursed to the Center for FY13: $86,745 for funding Discovery Program and $110,236 for funding the Endeavor Program. The Center is responsible for costs above the established amounts. (no change from FY11) Description: This agreement is for a shared position between GCJJD and GCC for the Discovery and Endeavor Programs. Services shall be provided by a designated LPHA Center staff who will serve youth who are under the supervision of the juvenile court for jailable misdemeanor(s) or felony offenses; provision of services are necessary to keep the youth from being detained locally or at TYC, from obtaining further legal charges, being placed outside the home and to create or enhance community based programs. w. Consider approval of the renewal agreement with The Children’s Center, Incorporated to provide crisis respite services to youth in services at the Center. Term: September 1, 2012 – August 31, 2013. Service Area: MH Child County of Service: Galveston Total Amount not to exceed: $3,000.00 (no change from FY11) Description: TCCI shall provide community crisis respite services to youth who have low risk of harm to self or others, and may have some functional impairment which requires direct supervision and care but does not require hospitalization. x. Consider approval of the renewal agreement with The HCPC of Texas Health Science Center at Houston on behalf of its Harris County Psychiatric Center to provide mental health inpatient services for children and adolescents receiving services by the Center. Term: September 1, 2012- August 31, 2013. Service Area: MH Child Total Amount not to exceed: County of Service Harris $100,000 ($487.00/bed day) (no change from FY11) RECOVERY SERVICE ACTION ITEMS: y. Consider approval of the FY12 1st Amendment to the Residential Services Agreement with Pathway to Recovery to provide residential substance abuse/chemical dependency treatment to clients referred by the Center. Term: September 1, 2011 – August 31, 2012. Service Area: Recovery County of Service: Galveston and Brazoria. Amount not to exceed: $252,783 for FY12 (increase of $40,000). Page 5 of 7 Description: Pathway’s total amount not to exceed is being increased by $40,000 due to reallocation of funds not expended by other providers. IDD SERVICE ACTION ITEMS: z. Consider the ratification of the new agreements with the 5 below listed non-traditional providers for the provision of respite and/or community support services. Reimbursement Rate: Standard base level = $10/hr; Medical/Behavioral need = $15/hr. Description: The Non-Traditional Providers (NTP) are part of the Open Enrollment Network for IDD Services. NTP is made up of individual family members, friends, neighbors and others who provide respite and/or community support services (this is new to the agreement) for families or consumers. All 6 individuals are FY11 providers of respite services. County of Service: Galvston TERM: County of Service: Brazoria TERM: Adriana Robbins 05/23/12 – 08/31/12 Sandra Gonzales 04/23/12 – 08/31/12 Lindsay Henry 7/3/2012—8/31/2012 Karen Renfro 05/23/12 – 08/31/12 Shandrekh Purdy 6/28/12—8/31/12 aa. Consider approval of the below listed renewal agreements with identified Providers in the IDD Provider Services Network as identified. Term: September 1, 2012 – August 31, 2013. IDD Provider Services Network Service Reimbursement Day Habilitation Funding Source: General Revenue Service .50 unit = min. 2 hrs Direct Service Day Habilitation $13.50/ ½ unit 1 unit = min. 5 hrs $27.00/unit Funding Source: HCS Funded Services Service LON 1 LON 5 LON 8 LON 6 Supported Employment .50 unit $10.48 $11.66 $14.11 $19.03 Unit Rate .75 Unit $15.72 $17.49 $21.17 $28.55 Funding Source: General Revenue Service Rate . 1 unit $20.95 $23.32 $28.22 $38.05 Description Providers Available Mosaic County of Services Brazoria Alternative Business Services (ABS) Brazoria Golden Rule Services, Inc. Galveston/Brazoria Quality of Care Galveston Sunshine Center Inc. Galveston Peppertree Complete Care Galveston/Brazoria All Little Things Country (GR Only) Galveston/Brazoria Brazoria County Center for Retarded Citizens Brazoria People First Achievement Center Better Life HealthCare Inc. Mosaic Brazoria Sunshine Center Galveston Brazoria Brazoria Page 6 of 7 Employment Assistance $25.39 search/development Supported Employment $25.39 Inc. Job Supports on the job Funding Source: HCS Funded Services Service Rate Description . Supported Employment $28.75 job Community Support Supports on the Funding Source: HCS Funded Services Service Rate Timeframes Mosaic Peppertree Complete Care Brazoria Brazoria Sunshine Center Inc. Galveston/Brazoria Quality of Care Galveston Galveston/Brazoria . Community Support Specialized Therapies $19.05 Funding Source: General Revenue only Service Assessment/Evaluation Rate Treatment rate $100/session $100/session $100/session Occupational Therapy Speech/Language Therapy Physical Therapy $150.00 $150.00 $150.00 Funding Source: HCS only Service Behavioral Supports As Requested Occupational Therapy Krist Samaritan Center Brazosport Rehabilitation & Wellness LLC Brazoria Behavior TLC Galveston/Brazoria Rate $68.97/hr Speech/Language Therapy $69.78/hr Physical Therapy $73.25/hr Behavior Therapy Funding Source: General Revenue Assessment/Evaluation Rate BCBA hrly rate rate $315.00 $105.00 Therapist hrly $35.00 Funding Source: HCS Rate Description $72.15 as needed 7. PENDING ACTION ITEMS: Pending action items are those items which were on a prior board agenda but not completely resolved. The items may be listed for update or final action by the Board. 8. EXECUTIVE DIRECTOR’S CALENDAR: Mike Winburn a. Board of Trustee Appreciation Reception Update b. Review of the financial report (Through May 2012). (Pg. 12-17) c. Review Quarterly Board Review (Balanced Scorecard) – 3rd Quarter. (Pg. 18-20) d. Review Investment Quarterly Report (Pg. 21) e. FTA resolution of 2004 Audit issue. f. Grant activity update. g. Presentation and review of state comparative reports. Page 7 of 7 h. Review and discussion of ETBHN activities and updates. i. Review of Texas Council Community MHMR Center Activities and Updates. j. TCRMF Board of Directors Quarterly Update. (Pg. 22-23) k. Executive Director’s Legislative Committee Update. l. Hurricane Preparedness Update. m. DSHS March 2012 Fiscal Review. (Pg. 24) n. Presentation of calendar of upcoming events. 9. ADJOURN