MINUTES OF THE REGULAR MEETING WEDNESDAY, AUGUST 20, 2014 The LifeWays Board of Directors met in regular session in the Board Room at the LifeWays Building, 1200 N West Avenue, Jackson, Michigan, on Wednesday, August 20, 2014. BOARD MEMBERS PRESENT: Tony Lewis (Chair), Alan Ringenberg (Vice Chair), Bradford Benzing, Bradley Bohner, John Burtka, Clifford Herl, Melissa Callison, Gail W. Mahoney (via telephone), Jeffrey Peterson, Carl Rice, Jr., Jim Shotwell, Sr., and Edward Woods STAFF MEMBERS PRESENT: Maribeth Leonard, Chief Executive Officer; Latrelle Burk, Gerard Cyrocki, Karen Cascaddan, Leslie Wireman OTHERS PRESENT: Katrina Sims (Jackson Interfaith Shelter), Thomson (LifeWays Attorney), Robert McNitt Kevin CALL TO ORDER Chairman Lewis called to order the Board Meeting at 7:00 p.m. INVOCATION AND PLEDGE OF ALLEGIANCE The Invocation, presented by Alan Ringenberg, was followed by a recitation of the Pledge of Allegiance to the American Flag by audience and Board members. ROLL CALL Chairman Lewis distributed the Roll Call for the signature of all those in attendance. APPROVAL OF BOARD AGENDA LW 13-14-111 - Approval of Agenda (August 20, 2014 Regular Business Meeting) MOTION BY JIM SHOTWELL, SR., SUPPORTED BY MELISSA CALLISON, FOR APPROVAL OF THE AGENDA OF THE AUGUST 20, 2014 REGULAR BUSINESS MEETING, AS PRESENTED. MOTION CARRIED: 12-0. APPROVAL OF BOARD MINUTES LW 13-14-112 - Approval of Minutes of July 16, 2014 Regular Business Meeting LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 2 MOTION BY BRADFORD BENZING, SUPPORTED BY JIM SHOTWELL, SR., FOR APPROVAL OF THE MINUTES OF THE JULY 16, 2014 REGULAR BUSINESS MEETING, AS PRESENTED. MOTION CARRIED: 12-0. COMMUNICATIONS Maribeth Leonard, Chief Executive Officer, briefly highlighted communications provided in the Board Folder. (A copy of the Board Folder contents can be found in the Supplemental Minutes portion of the Board Minutes Book.) PUBLIC COMMENT There were no comments from the public. SPECIAL ORDER TOPIC Presentation by Katrina Sims of the Jackson Interfaith Shelter Ms. Sims gave an overview of emergency services provided by the Shelter, which makes no stipulations of who may utilize the Shelter’s services but does extend rules that clients must follow. Most clients do not have insurance or their insurance does not cover services within Jackson County. The Shelter looks forward to becoming a partner with LifeWays to assist clients enroll in the Healthy Michigan program as well as to receive mental health services in general. Ms. Sims provided a handout with statistics of the clients they have served in the last year. She noted that she and Elizabeth Knoblauch (LifeWays’ Director of Strategic Relations) recently met and have identified several areas of mutual concern and partnership possibilities. Board Members thanked Ms. Sims for her presentation. (A copy of the handout can be found in the Supplemental Minutes portion of the Board Minutes Book.) STANDING COMMITTEE REPORTS QUALITY IMPROVEMENT & CREDENTIALING (QI&CR) Jeffrey Peterson (Quality Improvement & Credentialing Committee Chair) provided the report of the QI&CR Committee, the contents of which can be found in the QI&CR Committee Minutes of August 11, 2014. LW 13-14-113 - Approval of Quality Management & Credentialing Report – August 2014 MOTION BY JEFFREY PETERSON, SUPPORTED BY JIM SHOTWELL, SR., FOR APPROVAL OF THE QUALITY IMPROVEMENT & CREDENTIALING REPORT – AUGUST 2014, AS PRESENTED. MOTION CARRIED: 12-0. LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 3 LW 13-14-114 - Approval of Reviewed Policy: 8-01 Quality Assessment and Performance Improvement Program, as Presented MOTION BY JEFFREY PETERSON, SUPPORTED BY BRADLEY BOHNER, FOR APPROVAL OF REVIEWED POLICY: 8-01 QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM, AS PRESENTED. MOTION CARRIED: 12-0. FACILITIES Alan Ringenberg (Facilities Committee Chair) provided the report of the Facilities Committee, the contents of which can be found in the Facilities Committee Minutes of August 12, 2014. MOTION BY ALAN RINGENBERG TO ENTER INTO A CLOSED SESSION FOR THE PURPOSE OF CONSIDERATION OF THE SALE OF REAL PROPERTY. ROLL CALL VOTE: AYES – JIM SHOTWELL, SR; EDWARD WOODS; BRADLEY BOHNER; ALAN RINGENBERG; JEFFERY PETERSON; BRADFORD BENZING; JOHN BURTKA; MELISSA CALLISON; CARL RICE, JR; CLIFFORD HERL; GAIL W. MAHONEY; TONY LEWIS (CHAIR). NAYS: NONE. MOTION CARRIED: 12-0. RECESS Chairman Lewis recessed the Regular Business Meeting at 7:18 p.m. to enter into Closed Session. RECONVENE Chairman Lewis reconvened the Regular Business Meeting at 7:37 p.m. PROGRAM & FINANCE Clifford Herl (Program & Finance Committee Chair) provided the report of the Program & Finance Committee, the contents of which can be found in the Finance Committee packet of August 13, 2014. LW 13-14-115 - Approval to Accept Finance Report – June 2014 MOTION BY CLIFFORD HERL, SUPPORTED BY BRADLEY BOHNER, FOR APPROVAL TO ACCEPT FINANCE REPORT – JUNE 2014. MOTION CARRIED: 120. LW 13-14-116 - Approval to Accept Expenses Report – June 2014 – $4,585,425.74 LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 4 MOTION BY CLIFFORD HERL, SUPPORTED BY MELISSA CALLISON, FOR APPROVAL TO ACCEPT EXPENSES REPORT – JUNE 2014 – $4,585,425.74. MOTION CARRIED: 12-0. LW 13-14-117 - Approval to Provide LifeWays’ Employees a One-Time Cost of Living Adjustment of Three Percent for Fiscal Year 2013 and a OneTime Cost of Living Adjustment of Three Percent for Fiscal Year 2014 MOTION BY JIM SHOTWELL, SR., SUPPORTED BY MELISSA CALLISON, FOR APPROVAL TO PROVIDE LIFEWAYS’ EMPLOYEES A ONE-TIME COST OF LIVING ADJUSTMENT OF THREE PERCENT FOR FISCAL YEAR 2013 AND A ONE-TIME COST OF LIVING ADJUSTMENT OF THREE PERCENT FOR FISCAL YEAR 2014 Board Members discussed the issue at length. Ms. Leonard urged Board approval of this recommendation. She explained that salaries of LifeWays employees have remained frozen since 2007; the last cost of living adjustment given to employees was 2011. A onetime payment for cost of living adjustment was budgeted for both 2013 and 2014 fiscal years; the source of funding this would derive from Medicaid (89 percent), General Fund (10 percent), and Local Match (1 percent). She pointed out that over the past three years the cost of living has increased, and employees’ contributions for their health care costs have also increased [FY11-$316; FY12-$367; FY13-$416; and FY14-$1,092] as a result of PA152 hard cap calculations. Ms. Leonard noted that LifeWays budgets for a cost of living adjustment for staff each year, which is in-line with current market trends. The cost of living adjustment is researched and takes into account the survey information from current Michigan Association of Community Mental Health Boards (MACMHB) salary surveys. Due to funding constraints, the ability to provide this adjustment is evaluated and a determination is made on the ability to provide such an adjustment at the close of each fiscal year, as opposed to providing an adjustment at the start of the year, due to the volatile nature of the CMH industry; also taken into account are the unknowns of funding sources throughout the fiscal year. She said she chose to implement the payment in a one-time format, as to not increase the bottom line of the staffing budget, in the event we are not able to sustain wage increases from year to year. The salary adjustment will be a 3% cost of living adjustment, which is calculated on an employee’s gross salaries for the fiscal year in which the adjustment is being applied. As a result of making this determination at the end of the fiscal year is the assurance that the delivery of services to consumers is not adversely impacted by mid-year budget adjustments. Mr. Benzing stated his opposition. He pointed out that in 2008 the state Legislature took a 10 percent pay cut; and Hillsdale Board of County Commissioners have not had a pay increase since 2002. He said he views this proposal as, “Unacceptable.” Mr. Shotwell spoke in support of the proposal. He suggested that it is the job of LifeWays management to determine what to call it. Mr. Ringenberg said he would be voting in opposition because he believes the increase in the cost of living affects all employees equally, and so an increase or adjustment should LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 5 be “the cost it takes for me to survive the status quo.” He expressed his opinion that it should be uniform throughout (an equal amount to each employee). Mr. Bohner said that although Mr. Ringenberg raises a good point, because LifeWays employees work with a very tender and at-risk population, there are different requirements for training and education at various points in the organization, and a higher salary base warrants the percentage increase rather than a set amount. Ms. Leonard emphasized that only last year there was a 28 percent turnover rate at LifeWays; and that the hard work of employees is deserving of this 3 percent per year, which may help keep some employees at LifeWays. She pointed out there is a cost to turnover and new employee training. Dr. Rice pointed out that when salary adjustments are made at the County, the board is given a list of people’s names and their salary levels to assist in making those decisions. He concurred that we should be worried about the people who are leaving, but asserted: “The dissatisfied would need more than three percent to keep them around.” Mr. Burtka inquired whether or not any of the employees in discussion are direct service care workers. Mr. Woods explained that direct service care workers have gotten pay increases, which comes from the Department of Community Health (DCH) [LifeWays is the pass-through], and clarified that this is not a cost of living adjustment (to the base salary) but a one-time bonus. Ms. Leonard reminded the board that 89 percent of this one-time payment would come from Medicaid, and we will be sending [unspent] money back to Medicaid at the end of the fiscal year. She restated her reasoning for bringing forward this proposal: the GF waiting list was implemented January 1, 2014, and from January 1 to present there have been a total of 34 individuals on the waiting list, with NO individuals on the waiting list; we have successfully decreased state inpatient utilization from an average of 12 down to 4 per month; we have just implemented the Intensive Crisis Stabilization Team to expanded Medicaid and to help with jails and law enforcement and reduce inpatient. She also explained that the rate for direct care service is reviewed at set at the state level. Mr. Benzing commented that he has no problem with sending Medicaid money back to the state, because it may be used in the right way. Dr. Rice concurred, and said that he has no problem with Access employees receiving this incentive pay, but that this will have no long-term meaning. He said there is a need to restructure and look at salaries. Mr. Wood accentuated the issue being the “structural neglect” of salaries, which will take months to do. He announced that he has no problem voting for this “band-aid,” but longterm we need to fix salaries, or we will be in a situation a few years down the road where we will need to raise salaries by 15 percent to bring them in line with the industry, which would cause even more consternation amongst the board and counties. LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 6 Mr. Bohner (speaking to Mr. Benzing’s comment) pointed out, “This six percent – as opposed to sending it back to the state — will get spent in Jackson and Hillsdale counties.” Ms. Mahoney concurred with Mr. Woods’ remarks. She said, “We have employees that have worked hard and stayed with LifeWays in spite of not receiving an increase to their base rate. A new person coming in would get a much higher salary than someone who left who has been here through thick and thin. We need to look at adjustments to base rates, and we will do what we can to consistently get more for services.” She emphasized the need to have a professional Human Resources person to study the wage/salary structure. MOTION BY JIM SHOTWELL, SR., SUPPORTED BY GAIL W. MAHONEY, TO CALL FOR THE QUESTION. ROLL CALL: AYES – JIM SHOTWELL, SR; ALAN RINGENBERG; EDWARD WOODS; BRADLEY BOHNER; JEFFREY PETERSON; MELISSA CALLISON; CARL RICE, JR.; CLIFFORD HERL; GAIL W. MAHONEY; TONY LEWIS. NAYES: BRADFORD BENZING; JOHN BURTKA. MOTION CARRIED: 10-2 VOTE ON ORIGINAL MOTION FOR APPROVAL TO PROVIDE LIFEWAYS’ EMPLOYEES A ONE-TIME COST OF LIVING ADJUSTMENT OF THREE PERCENT FOR FISCAL YEAR 2013 AND A ONE-TIME COST OF LIVING ADJUSTMENT OF THREE PERCENT FOR FISCAL YEAR 2014. ROLL CALL: AYES – JIM SHOTWELL, SR.; EDWARD WOODS; BRADLEY BOHNER; JEFFREY PETERSON; MELISSA CALLISON; CLIFFORD HERL; GAIL W. MAHONEY; TONY LEWIS. NAYES: ALAN RINGENBERG; BRADFORD BENZING; JOHN BURTKA; CARL RICE, JR. MOTION CARRIED 8-4 OTHER APPOINTED COMMITTEES BOARD EXECUTIVE COMMITTEE RECIPIENT RIGHTS ADVISORY COUNCIL MID-STATE HEALTH NETWORK BOARD NATIONAL COUNCIL BOARD NATIONAL COUNCIL AMBASSADORS NETWORK MICHIGAN ASSOCIATION OF COMMUNITY MENTAL HEALTH BOARDS (MACMHB) EXECUTIVE COMMITTEE CULTURAL COMPETENCE AND DIVERSITY COMMITTEE LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 7 LEGISLATIVE COMMITTEE CONTRACTS AND FINANCIAL ISSUES CHILDREN’S ISSUES MEMBER SERVICES COMMITTEE POLICY COMMITTEE SUICIDE PREVENTION COMMITTEE NEW BUSINESS LW 13-14-118 - Approval of Out-of-State Travel for Kerry Klee-Tiesman, Director of Human Resources, to Attend the Relias User’s Conference 2014 Held September 22 to September 26 in Memphis, Tennessee, at an Estimated Cost of $1,550 for Registration, Transportation, Meals and Lodging. MOTION BY ALAN RINGENBERG, SUPPORTED BY JIM SHOTWELL, SR., FOR APPROVAL OF OUT-OF-STATE TRAVEL FOR KERRY KLEE-TIESMAN, DIRECTOR OF HUMAN RESOURCES, TO ATTEND THE RELIAS USER’S CONFERENCE 2014 HELD SEPTEMBER 22 TO SEPTEMBER 26 IN MEMPHIS, TENNESSEE, AT AN ESTIMATED COST OF $1,550 FOR REGISTRATION, TRANSPORTATION, MEALS AND LODGING. MOTION CARRIED: 12-0. LW 13-14-119 - Approval of Out-of-State Travel for Marla Sanford,-Public Relations Coordinator, to Attend Youth Mental Health First Aid Training Held September 22 to September 26 in Indianapolis, Indiana, at an Estimated Cost of $3,977 for Registration, Transportation, Meals and Lodging. MOTION BY JIM SHOTWELL, SR., SUPPORTED BY BRADFORD BENZING, FOR APPROVAL OF OUT-OF-STATE TRAVEL FOR MARLA SANFORD,-PUBLIC RELATIONS COORDINATOR, TO ATTEND YOUTH MENTAL HEALTH FIRST AID TRAINING HELD SEPTEMBER 22 TO SEPTEMBER 26 IN INDIANAPOLIS, INDIANA, AT AN ESTIMATED COST OF $3,977 FOR REGISTRATION, TRANSPORTATION, MEALS AND LODGING. MOTION CARRIED: 12-0. LW 13-14-120 - Approval of Out-of-State Travel for Edward Woods, Board Member, to Attend the National Council for Behavioral Health 2014 Fall Board and Association Executives Meetings in Washington, DC on October 27 to October 29, 2014, as a National Council Board Member, at an Estimated cost of $1,600 for Transportation, Meals, and Lodging. LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 8 MOTION BY JIM SHOTWELL, SR., SUPPORTED BY JOHN BURTKA, FOR APPROVAL OF OUT-OF-STATE TRAVEL FOR EDWARD WOODS, BOARD MEMBER, TO ATTEND THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH 2014 FALL BOARD AND ASSOCIATION EXECUTIVES MEETINGS IN WASHINGTON, DC ON OCTOBER 27 TO OCTOBER 29, 2014, AS A NATIONAL COUNCIL BOARD MEMBER, AT AN ESTIMATED COST OF $1,600 FOR TRANSPORTATION, MEALS, AND LODGING. MOTION CARRIED: 12-0. LW-13-14-121 - Approval of LifeWays Resolution No. 14-0011 Authorizing Maribeth Leonard, LifeWays CEO, and Tony Lewis, Chairman of the LifeWays Board, are Authorized and Empowered for and on Behalf of the Organization to Execute, Acknowledge and Deliver all Documents Necessary, Including Deeds of Conveyance and Other Closing Documents, for the Sale of 1190 N. West Avenue, Jackson, MI 49202. MOTION BY BRADLEY BOHNER, SUPPORTED BY JEFFERY PETERSON, FOR APPROVAL OF LIFEWAYS RESOLUTION NO. 14-0011 AUTHORIZING MARIBETH LEONARD, LIFEWAYS CEO, AND TONY LEWIS, CHAIRMAN OF THE LIFEWAYS BOARD, ARE AUTHORIZED AND EMPOWERED FOR AND ON BEHALF OF THE ORGANIZATION TO EXECUTE, ACKNOWLEDGE AND DELIVER ALL DOCUMENTS NECESSARY, INCLUDING DEEDS OF CONVEYANCE AND OTHER CLOSING DOCUMENTS, FOR THE SALE OF 1190 N. WEST AVENUE, JACKSON, MI 49202. MOTION CARRIED: 12-0. CEO REPORT Ms. Leonard provided the CEO report, on the following topics: Local Match Update Healthy Michigan Enrollment Health Endowment Fund Michigan Department of Community Health Plan for Community Mental Health agencies and Next Steps General Fund Update National Updates (A copy of the CEO Report can be found in the Supplemental portion of the Board Minutes Book.) CHAIRMAN’S REPORT: The State of Michigan has provided funding through a grant to implement Mental Health First Aid and other mental health support services in public schools, in which Jackson County ISD and LifeWays will participate. Special acknowledgement to Gerard Cyrocki, Chief Financial Officer, for all of his hard work. LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 9 Thank you to everyone for the overwhelming support during my recent medical circumstances. MEMBER COMMENTS Ms. Mahoney – Thank you to everyone for your support during my recent medical challenges. Thank you, too, for the board’s support of the staff cost of living adjustment. I look forward to a future report on salary structure from the Human Resources Department in conjunction with the Executive Committee. Mr. Shotwell – Would appreciate those that have not yet donated $20 to the Sunshine Fund, to do so. This fund will allow the board to send cards, flowers or other gifts to those we want to know we are thinking of them. Mr. Woods – No comment. Mr. Bohner – Thank you to everyone for the beautiful plant sent to my family and me for my father’s funeral as well as for the support during other personal issues. Mr. Ringenberg – No comment. Mr. Peterson – Thank you for the disability Connection newsletter in the Board Folder; it features a photo of my family. My wife started the Go-Go Summer Camp and it’s nice to see acknowledgement of her hard work. Mr. Benzing – Thank you for all of the encouragement and support during my run for State Representative, though it didn’t have the outcome I was looking for. And, even though my term as County Commissioner is coming to an end, the Chair of the Hillsdale County Commissioners is supportive of me continuing on the LifeWays Board of Directors, which I would very much like to do, with the support of the Board. Mr. Burtka – No comment. Ms. Callison – No comment. Dr. Rice – No comment. Mr. Herl – I think this board has really come a long way since I first joined; I really enjoy this board, the comradery, and I feel that it works well together. The decisions made are solid and final; there is no need to repeatedly review the same action items over and over. Though I am very surprised that some of the upper management hasn’t left already considering what we have all gone through in the last three years. I admire the way fellow board members interact with one another on this board and collaborate together on others. I hope to continue serving on this board for a long time to come. Even if I do have to get my oxygen out from time to time. LIFEWAYS BOARD OF DIRECTORS Minutes of the Meeting August 20, 2014 Page 10 PUBLIC COMMENT There was no public comment. ADJOURNMENT There being no further business to come before the Board, Chairman Lewis adjourned the meeting at 8:50 p.m. ___________________________________ Clifford Herl, Secretary