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Interim Area Director ' s Report
OPC Area Board Meeting
OPC LME Board Meeting
July 2005
1 . Status report on property issues :
• Person County Children ' s Group Home — Pride of NC has terminated
all services at the group home site . We have made arrangements for
property maintenance while we develop a long -term plan for the Board ' s
review and approval .
• Chrysalis Properties - we are coming up with a proposed timelime and
plan for acquiring the properties for the Board review . Preliminary
information will be presented at the July meeting .
2 . Status report on payment of Durham Center contract : I am very pleased
to announce that the negotiations between LeAnn N . Brown and Durham
representatives was successful and OPC has received full payment for the
management contract for calendar year 2004 .
3 . Acknowledgement of staff and /or program achievement : Management
Team would like to ask the Board to join us in recognizing the work of Marilyn
Ghezzi , a clinical therapist at Northside Clinic . Marilyn came to OPC in 1983
as the Volunteer Coordinator for OPC ' s Helpline . In 1988 she joined the staff
at Northside Clinic , where she developed the clinic ' s DBT program ,
developed and still runs the clinic ' s treatment program for dually diagnosed
consumers , and provides clinical supervision to graduate interns and staff .
Marilyn was named Field Instructor of the Year by the UNC School of Social
Work in 2002 , and was also awarded the Dean ' s Recognition of Teaching
Excellence for 2004 - 2005 at the UNC School of Social Work . As part of her
work at UNC , Marilyn has conducted workshops around the state in the areas
of diagnosis and assessment , crisis intervention , and suicide prevention with
severely mentally ill adults as part of a ten - session curriculum for mental
health workers . Marilyn has also taught numerous workshops on group work
for AHEC , and will be soon be doing trainings on assessment and treatment
of dually diagnosed clients , and treatment of clients with Borderline
Personality Disorder . Marilyn is tified f a cer orensic evaluator and holds a
certificate in clinical supervision from NASW - NC .
4 . LME Departmental Profile : the Local Management Entity ( LME ) will have
two new departments , as well as several other departments that existed as
part of the area program . One of the new departments that we are creating is
Community and Provider Services ( CAPS ) , which will operate under the
guidance of Judy Batten . During the meeting Judy will be profiling the role of
CAPS in the LME .
1
OPC Area Program
RFP Schedule Update
7-15-05
Services Project Proaram RFP Draft ► RFP RFP Evaluation CommitteeBoard Contract
_Manaaer Summary Final Release Submittal1 1 1 1 Approval
Date Date MembersDate Date
RFII for CSA Debra N/A N/A M.T. 5-12-05 Responses Consolidate Next steps for what to N/A
Farrington final due feedback include in RFP? Other
5-11-05 6-15-05 6-22-05 feedback?
Comprehensive Send out 2-1-05 MT review 7-29-05 8-15-05 9-26-05 Seeking 11-21-05 12-13-05 4-15-06
Service Agency Board discussion 7-14-05 nominations
2-22-05 Board review
Feedback to us 7-26-05
2-25-05
MT review fdbck
3-3-05
To Marian &Ann
3-4-05
Program Project RFP RFP Informational RFP Evaluation CommitteeProjected Projected
Manager Release Meeting.orQuestionDue SubmittalDecision Date Board Contract
Date Date Date ApprovalDate
Date
EIFS-CC (on hold) Carolyn 2/2105 3/11/05 3/24/05 4/22/05 4/26/05 7/1/05 (under review)
Services for Adults w/ MR/MI Cim 3/28/05 N/A 4/29/05 Ma `05 8/23/05 10/1/05(under review)
Club Creative Tom V. 4/7/05 N/A 5/9/05 8/15/05 8/23/05 1011105
Club Insight Tom V. 4/7/05 N/A 5/9/05 8/15/05 8/23/05 1011105
Club Nova Tom V. 4/7/05 N/A 6/10/05 1 8/15/05 1 8/23/05 1011105
► 1 1 1 ProjectManager . Awarded 1
Child Case Management Carolyn I. ASAP and Triumph
Adult Intensive Group Home Cim B. Lutheran Family Services
*EIFS/OC incl. KidSCope Carolyn Chapel Hill Training
Outreach
*ACTT for Adults with SPMI Tom V. Lutheran Family Services
* Contract negotiations underway, final transition/contract effective dates pending
0 v
7-15-05 - 1 -
OPC Area Program Policy and Procedure
Subject : Nonpayment Policy Area Board Approved :
Policy Manual : Service Revision Date :
Policy : OPC will maintain a fair and equitable process to address the needs of
consumers who do not fulfill their financial obligations to the agency.
Procedures .
• Consumers shall be asked to complete a Financial Statement upon admission and will
be advised to immediately inform their provider of any changes in insurance or
financial status .
• Consumers will be expected to pay the full portion of any payment due, including co -
payment, coinsurance, or deductible, at the end of each session and prior to
scheduling another appointment .
• If payment has not been made after two appointments , services may be modified or
reduced based on careful consideration of the consumer ' s financial situation and the
clinical judgment of the provider .
• The consumer shall be informed prior to a change in service , and crisis services shall
continue to be available to the consumer.
• Upon receipt of payment, the consumer ' s services shall be reinstated .
3
OPC Area Program Policy and Procedure
Subject : No - Show Clinic Area Board Approved :
Policy Manual : Service Revision Date :
Policy: OPC outpatient programs will have the option of instituting a "no - show clinic" .
Purpose : To maintain a fair, efficient and clinically sound process to address the needs of
consumers who regularly fail to attend scheduled appointments .
Procedures .
• Failure to keep a scheduled appointment or give 24 -hour advance notice prior to canceling an
appointment will be considered a no - show/late cancellation . No - shows and late cancellations
will be addressed clinically following the guidelines outlined in OPC ' s No -Shows Protocol.
• OPC outpatient programs may also establish a no - show clinic, which would allow individual
providers to set aside a specified amount of time (typically, one hour) each week to see
consumers who have a pattern of missing scheduled appointments or who need walk-in
availability.
• Consumers who have two consecutive no - shows or late cancellations or three no - shows or
late cancellations in a three-month period may be temporarily restricted to rescheduling
during a provider ' s no - show clinic hour . A consumer may be asked to attend two clinic
sessions without a no - show or late cancellation in order to be placed back on the provider ' s
regular schedule . Crisis services will continue to be available .
• Consumers shall be informed of this procedure upon admission and shall be given adequate
notice prior to being asked to schedule an appointment during a no - show clinic .
OPC Area Program Policy and Procedure
Subject : Consumer Complaints Area Board Approved :
Policy Manual : Administrative Revision Date .
Policy :
OPC is committed to quality service provision and achieving a high level of consumer
satisfaction . OPC will facilitate positive resolution of complaints by providing a
systematic process of review, which is reasonable, timely and thorough .
Definition :
A complaint is any verbal or written expression of concern with the provision of public
mental health, developmental disabilities or substance abuse services that the
complainant perceives as a problem . Complaints may fall into any of the following three
categories : Potential Rights Violations , Administrative Issues & Service Quality or
Clinical Service Decisions .
Examples of complaints may include, but are not limited to the following :
1 . alleged violations of the rights of individuals or groups including cases of alleged
abuse, neglect or exploitation ;
2 . concerns regarding the quality of services or the conduct of service providers ;
3 . disagreement with OPC administrative or service policies ;
4 . concerns regarding the use of restrictive procedures ;
5 . concerns regarding failure to provide needed services that are available ;
6 . concerns regarding the release of protected health information without consumer
consent .
7 . concerns regarding ability to pay or fee determination
Procedures :
1 . Consumers will be informed of their right to make a complaint upon admission into
any OPC program or any program located in the OPC catchment area. Information
regarding OPC ' s complaint process will be included in the OPC Consumer
Handbook, which will be made available to consumers and legally responsible
persons upon entry into the OPC service system .
2 . A complaint may be presented orally or in writing to an OPC Customer Service
Department Representative ( CSR) . The CSR will assist a complainant who requests
assistance in filing the complaint and will provide information describing the
complaint process and how to contact advocacy groups .
3 . Should the CSR receiving the complaint have a conflict of interest, he or she will
refer the case to another CSR who does not have prior knowledge or conflict of
interest .
4. The CSR will inquire as to whether the concern has been communicated to the
provider and, if not , will encourage the complainant to do so . If the consumer has
already contacted the provider directly OR does not feel comfortable in doing so , the
complaint will be processed by the CSR. Consumers are not required to participate
in the provider 's conflict resolution or complaint process before submitting a
complaint to the OPC.
5 . The CSR will ask the complainant for permission to use his/her name during the
complaint process . In the event the complainant does not grant permission to use
his/her name, every effort will be made to protect the identity of the complainant and
to protect the complainant from harassment or retaliation .
6 . The CSR will document the following information and any other elements required
by DMH/DD/ SAS on the Consumer Complaint Form :
♦ Complainant ' s/Consumer ' s Demographic information — name, telephone
number, address . etc ,
♦ The complainant ' s concerns in his/her own words and what the complainant
believes is necessary to resolve the complaint
♦ Indication of whether the complainant agrees to be identified during the
complaint process
♦ Provider/practitioner information
I . Complaints regarding POTENTIAL RIGHTS VIOLATIONS
1 . A consumer, legally responsible person, staff person or other individual observing the .
alleged violation may file a complaint against a service provider or OPC staff.
2 . The CSR must notify the complainant orally or in writing within five days 1 of
receiving the complaint informing the complainant that the complaint will be
addressed directly by an Informal Review Process or through an investigation of the
allegation .
A . Informal Review Process
1 . The CSR will remain the point of contact for the complainant and will provide the
complainant with information regarding how to contact the CSR to ensure that the
complainant is given full opportunity to represent his/her concern during the review
process .
2 . During the review process the CSR may confer with one of more of the following
internal OPC divisions :
♦ Service Systems & Provider Community
♦ Quality Improvement
♦ Interim Services Director/Divestiture Coordination
♦ Care Management
♦ Finance Office
7 . The CSR will work with the assigned person from the appropriate division( s) to
resolve the complaint to the satisfaction of the complainant . The CSR will complete a
1 All days are calendar days . If necessary, deadlines fall on the first business day after a weekend or
holiday.
(0
review of the complaint within 10 days from the date the complaint was received and
will document actions taken during the review process .
8 . A decision regarding the complaint will be dated and mailed to the complainant by
the CSR within two days of the date the review was completed .
9 . The CSR will include information regarding how the complainant can access the next
level of review .
Be Review by Client Rights Committee
1 . If the issue is not resolved or the complainant is not satisfied with the decision
resulting from the Informal Review Process , the complainant may file a complaint to
the OPC ' s Client Rights Coordinator within 10 days from the date of the completion
of the Informal Review process .
2 . The issue will be heard at the next regularly scheduled meeting of the Client Rights
Committee or a special session of the Committee may be called . The Committee will
review supporting documentation, and the complainant or his/her designee shall have
an opportunity to speak at the meeting . Once the issue has been reviewed and the
involved person(s) has had a chance to speak, the Committee will go into a closed
session . The Committee will discuss the complaint and will make a final decision,
which shall be documented in the minutes .
3 . The Client Rights Committee ' s decision will be dated and mailed to the complainant
by the Client Rights Coordinator within 15 days from receipt of the complaint .
C . Investigation/Referral
In the event the resolution of a complaint requires investigation of a Category A or B
provider 2 , the timelines and procedures outlined in 1 OA NCAC 27G . 0607 shall be
followed . In the event the complaint is regarding a Category C or D provider, the
Client Rights Coordinator may refer the complaint to the appropriate licensing body.
II . Complaints regarding ADMINISTRATIVE ISSUES AND SERVICE
QUALITY
1 . A complaint regarding administrative issues or service quality may be filed by a
consumer, legally responsible person, staff or any other individual without a conflict
of interest .
2 . The CSR will acknowledge receipt of the complaint the same or next business day
following the date the complaint was received and will inform the complainant of the
process and time lines for resolving the complaint .
a Category A — facilities licensed pursuant to GS 122C , Article 2 , excluding hospitals . Includes 24 -hour
residential facilities , day treatment and outpatient services .
Category B — GS 122C , Article 2 , community-based providers not requiring State licensure .
Category C — hospitals , state- operated facilities , nursing homes , adult care homes , family care homes ,
foster care homes or child care facilities
Category D — individuals providing only outpatient or day services and are licensed or certified to practice
in the State of North Carolina
A . Informal Review Process
Informal reviews of complaints regarding Administrative Issues and Service Quality
follow the Informal Review Process for Potential Rights Violations as detailed in that
section of this policy.
B . Administrative Review Process
1 . If the issue is not resolved or the complainant is not satisfied with the decision
resulting from the Informal Review Process , the complainant may file a complaint to
the Customer Service Department within 10 days from the date of the completion of
the Informal Review process .
2 . The Customer Service Manager or his/her designee will acknowledge receipt of the
complaint the same or next business day following the date the complaint was
received .
3 . The Customer Service Manager or his/her designee will deliver the complaint to the
OPC Area Director along with all documentation regarding the original complaint,
including a copy of the written decision from the Informal Review Process ,
4 . The OPC Area Director will review the complaint .
5 . The Customer Service Manager or his/her designee will send the written decision of
the OPC Area Director to the complainant within 10 days from the date the
complaint was received by the Customer Service Manager .
III . Complaints regarding CLINICAL SERVICE DECISIONS
For procedures related to complaints regarding clinical service decisions , please see
OPC ' s Utilization Management Policy & Procedure.
Data Collection/Management
The CSR ' s will enter data gathered from the complaint process . Routine summary
reports will be provided to the Area Quality Improvement Committee (AQIC) , the Care
Management Division, the Service Systems & Provider Community Division, the Client
Rights Committee and the Consumer and Family Advisory Committee . These reports
shall be used as a part of OPC ' s continuous quality improvement process . Complaints
are filed in the OPC ' s Customer Services Department.
External Advocacy Groups /Resources
Consumers should be encouraged to contact the Advocacy & Customer Service Office at
the Division of MH/DD/ SAS or the Governor ' s Advocacy Council with any concerns
relating to services or providers in the OPC catchment area :
Advocacy & Customer Service Office
Division of MH/DD/ SAS Governor 's Advocacy Council for Persons
3009 Mail Service Center with Disabilities
Raleigh, NC 27699 - 3009 2113 Cameron Street , Suite 218
(919 ) 715 - 3197 (voice) Raleigh, NC 276054 344
( 800) 662 - 7030 (voice) or ( 800 ) 821 - 6922 (voice) or
( 877 ) 452 - 2514 (TTY) ( 888 ) 268 - 5535 (TDD )
V
OPC
Area Program Kathleen Bucher Interim Finance Director Phone (919) 913 4137 Fax (919) 913 4086 e-mail kbucher@ope-nihe.org
100 Europa Dr. Suite 490
Chapel Hill, NC 27517
To : OPC and LME Boards
From : Kathleen Bucher, Interim Finance Officer
Date : July 19 , 2005
Subject : Financial Status Report
A final amended budget for fiscal year 2004 — 2005 is attached . A number of factors make this revision
necessary, primarily a late-year flurry of new allocations, realignments of UCR to non-UCR funds, and the
usual June/July increase in claims for contracted services and the corresponding Medicaid revenue . Since
there is so much activity affecting year- end results that occurs in July, we have not yet prepared the June
financial statements . I hope to have preliminary results by the time of the Board meeting .
The fiscal year ended with an influx of cash, primarily from DMH . As of the end of the first week of July,
we had received all of the anticipated revenue from DMH, including the LME administrative payment .
Subsequently, we received a memo informing us that in the future the LME payments will be made one
month behind, so we can anticipate July ' s payment sometime in August .
We have begun the audit process with Dixon Odum for fiscal year 2005 . The auditors were on site the
second week in July to do preliminary fieldwork, and will return in early September to do the final
fieldwork. This should give time to complete the preparation of audited financial statements by the
deadline .
Providing mental health, developmental disabilities and substance abuse services in
Orange , Person, and Chatham Counties
OPC AREA PROGRAM
PROPOSED BUDGET REVISIONS
FISCAL YEAR 2004 - 2005
Board
Approved Proposed Proposed
Account Description Budget Revisions Revised Budget
Revenues
County Funds
County General Funds -Orange 11294 , 000 - 122941000
Orange County- Kidscope 891000 - 891000
County General Funds- Person 3901591 - 3901591
County General Funds-Chatham 509 , 762 - 509 , 762
DSS Revenue 1551545 - 1551545
ABC 5c/ Bottle - Orange - - -
ABC 5c/ Bottle - Person 71700 - 71700
ABC 5c/ Bottle - Chatham 7500 - 71500
ABC 7 % Profit - Orange - - -
ABC 7 % Profit - Person - - -
ABC 7 % Profit - Chatham - - -
Other County Grants - 24 , 155 241155
Total County Funds 2/ 4540098 24, 155 21478, 253
Earned Revenue
Client Fees 3531865 - 3531865
Insurance 661575 21000 68575
DMH / DD/SAS Claims 818691939 (286 ) 696) 815831243
Medicare 811845 - 811845
Medicaid - Regular 16 , 7611738 5381854 17 , 300 , 592
Medicaid - CAP - 1 , 2481500 1 , 2481500
Health Choice 1101665 183 , 000 2931665
CDSA 61 , 970 - 611970
Durham County MD/ DD/SA Program 213891746 (819 , 345) 11570 , 401
Developmental Day Fees 2041823 - 2041823
Sales - Rehabilitation Svcs 111861800 - 111861800
Bee- Line Designs Revenue 611500 - 61 , 500
Other Contract Revenues 118 , 909 61000 124 , 909
Client Transportation Fees 27 , 320 - 27, 320
Room & Board Payments from Family - - -
Adult Care Home Incentive 401000 - 40 , 000
Total Earned Revenue 30, 335, 695 872, 313 31; 208, 008
DMH/DD/SAS Non- UCR Revenue
Total DMH/DD/SAS Non - UCR Revenue 21 856, 804 602, 881 3, 459, 685
Medical Records Fees 275 - 275
Contributions 21000 - 21000
United Way 425 - 425
Town , Private & Foundation Grants 101000 - 101000
Apartment Rents 51066 - 51066
Interest Income 11500 - 11500
Miscellaneous Revenue 10 , 900 - 101900
Other Grants & Appropriations 641000 - 641000
Children ' s' Trust Fund 121470 ( 12 ) 470) -
Deaf ► nterpreter-- Division funds 15 , 000 - 151000
Vocational Rehab . (VR ) Funds 2461281 - 2461281
Smart Start Funds 1181815 21500 121 , 315
P . L . 99-457 pt B (School Boards) 4171358 - 417 , 358
Local Title XX 2391897 - 239 , 897
HUD Drawdown 1501000 - 150 , 000
Federal Food Subsidy 551970 - 551970
Revised 7119105
10
OPC AREA PROGRAM
PROPOSED BUDGET REVISIONS
FISCAL YEAR 2004 - 2005
Board
Approved Proposed Proposed
Account Description Budget Revisions Revised Budget
SSI/SSA Revenue 711000 - 71 , 000
LME Management Fees 510491339 - 510491339
Total Other Revenue 6, 470, 296 (9, 970) 61460, 326
Total Revenues 42, 116, 893 11489, 379 437606, 272
Expenditures
Personal Service
Salary Expense 1425511253 551843 14 , 607 , 095
Client Wages - Supported Employment 7751307 - 7751307
Substitutes & Temps . Salaries 381000 - 381000
Commissions 231425 - 231425
Area Board Expense 21500 - 21500
Advisory Board Expense 25 , 000 - 251000
Hiring Expenses 151750 - 151750
FICA Tax 111711593 41272 11175 , 865
Retirement 6941362 21680 6971042
Group Insurance 175580395 61480 135641875
Workers' Compensation 1551965 608 1561573
Unemployment Insurance 151517 60 151578
Accrued Vacation Expense 2543908 - 254 , 908
Total Personal Service Expenses 19, 281, 975 69, 943 19, 351, 919
Supplies and Materials
Cleaning Supplies 251150 - 251150
Food and Provisions 64 , 985 - 64 , 985
Food Subsidy Expense Learning Centers 56 , 145 - 561145
Special Program Materials 60 , 615 - 60 , 615
Client Support Expense 164 , 010 - 1641010
Prescription Drugs 121430 (230) 12 , 200
Vehicle Supplies and Materials 971859 - 97 , 859
Office Supplies 1531025 - 1531025
Supply Subsidy Expense Learning Centers 21000 - 21000
Small Tools and Equipment 1381615 - 1381615
Total Supplies and Materials 774, 834 (230) 774, 604
Current Obligations
Travel 1171875 - 117 , 875
Telephone - Land Line , Mobile , Pager 2071420 - 207 , 420
Postage , Express Delivery 191960 - 191960
Internet Fees/ Web Page Maintenance 53750 - 51750
T1 Lines/ Broadband Service 78 , 240 - 781240
Communications Systems Service 49 , 000 - 491000
Legal , Consulting , Auditing & Other Professional Fees 6911200 - 6911200
Utilities 1181480 - 118 , 480
Printing 10 475 - 101475
Repair & Maintenance - Building 841770 - 84 , 770
Repair & Maintenance - Equipment 101 , 265 - 1011265
Repair & Maintenance - Vehicles 831030 - 83 , 030
Advertising 33 , 778 - 331778
NC Sales Tax 675 - 675
County Sales Tax - - -
Meetings and Conferences 301350 - 30 , 350
Training 670450 - 671450
Revised 7119105
11
OPC AREA PROGRAM
PROPOSED BUDGET REVISIONS
FISCAL YEAR 2004 - 2005
Board
Approved Proposed Proposed
Account Description Budget Revisions Revised Budget
Total Current Obligations 1, 699, 718 - 11699, 718
Fixed Obligations - -
Rental of Real Property 6821842 - 6821842
Vehicle Leases 1601863 - 1601863
Rental of Other Property 69 , 761 - 691761
Insurance and Bonding 3081465 - 308 , 465
Dues & Subscriptions 53 , 420 - 531420
Therapeutic Respite House 81100 - 8 , 100
Miscellaneous 127 , 103 - 127 , 103
Total Fixed Obligations 1, 4101554 - 11410, 554
Capital Outlay
Office Furniture and Equipment 641675 - 64 , 675
Software and Licenses 421200 - 421200
Motor Vehicles - 481234 481234
Buildings and Improvements 31 , 500 - 311500
Total Capital Outlay 1381375 48, 234 186, 609
Provider Network Expenses
Client Service Contracts - - -
IPRS Funded Claims 51689 , 901 1531363 518431264
Medicaid Funded Claims 91236 , 146 114861380 1017221526
Non - UCR Payments 3 / 3382735 1731524 31512 , 259
County Funded 77 , 608 - 771608
Total Provider Network Expenses 18, 342, 390 11813, 267 20, 155, 657
Other Expenses
DWI Program Payments to State - - -
Claims and Judgements - - -
Total Other Expenses - - -
Contingency - 271211 271211
Total Expenses 41, 647, 846 11958, 425 43, 606, 272
Revenue Over ( Under) Expenses $ 0
Revised 7119105
1z
BUDGETED REVENUES FY 2005
LME
MANAGEMENT
FEES COUNTY
12 % SUPPORT
6 %
OTHER REVENUE
7 % _ DMH CLAIMS &
NOWUCR
OTHER FIRST & 27 %
THIRD PARTY
6 %
MEDICAID & CAP
42 %
BUDGETED EXPENSES FY 2005
PERSONNEL
EXPENSES
44 %
CONTRACTED
SERVICES
47 %
OPERATING EXPENSES
9 %
I �
Minutes
DD Committee to the Board
June 28 , 2005
6 * 00pm - 7 : 00pm
Europa SSPC Conference Room
OPC Administrative Offices
Type of Meeting : Monthly meeting of Committee
Members Present : Carol Conway , Wanda Rogers
Members Abent : Mary Bowe , Pat Vanderviere , Bradley Barnett ,
Robyn Dorton
Staff: Cheryl Moran
. Agenda
1 . Welcome / Announcements
Members welcomed Carol Conway to the committee .
2 . Review of Last Months Minutes
Minutes from last month were reviewed and accepted with no
changes .
3 . Service Definition Changes and Implementation Date Change
- There have been some changes in the proposed service
definitions . Feedback is being accepted until 7 / 23 / 05 . The new
implementation date has been delayed until October 1 , 2005 .
4 . CAP Waiver Implementation Date Change
- Implementation date has been delayed until September 1 , 2005 .
5 . Divestiture Update
PI
Person Industries in on target for divestiture to Person County
on July 1 , 2005 .
CDS
No further update from last month . RFP committee is still
working with CDS on the RFP .
6 . Arc of Chatham Update
- Meeting was held June 6 , 2005 . The steering committee was able
to develop it 's bi - laws . Kathy Bucher had offered to help
Elizabeth / Arc create a 5013c . Next meeting will be July 18 , 2005 .
7 . Voucher Respite Services
Since the Early Intervention programs will be divesting , the
Voucher Respite Services program will need to be administered
differently . Arc of Orange currently has it 's own respite program
and they also administer Project FAST . OPC has had some
discussions with Marc Roth , Director of Arc of Orange regarding
taking on the administration of the Voucher Respite program for
Person and Chatham Counties .
Next meeting will be July 26 , 2005 at 6 : OOpm in the SSPC conference
room .
Submitted by :
Cheryl Uphoff- Moran
DD Community Planner
ADULT MENTAL HEALTH / SUBSTANCE ABUSE COMMITTEE
Minutes , June 28 , 2005
Present : Rhonda Allen , Shira Belovicz , Pam Chevalier , Ilona McManus
Staff : Tom Velivil , Marian Whitt
STAR Unit
Tom Velivil informed the group that OPC STAR ( Screening , Triage , Access and
referral ) unit would begin their operation on July 5 , 2005 . Beginning July 5tn ,
consumers wishing to make an appointment to access the mental health ,
developmental disabilities or substance abuse services in OPC catchment area
will contact the STAR unit at 919 . 913 . 4100 or 1 . 800 . 233 . 6834 . The STAR unit
clinicians will provide a telephone screening to determine the urgency of need
( Emergent , Urgent or Routine ) and will make a referral for face to face
assessment with a provider in the community . If a consumer does not qualify for
services , the STAR unit clinician will provide information about other community
resources .
Assessment , Person - Centered Planning & Service Delivery
Tom Velivil discussed with the members the Service Delivery flow- chart and how
the consumers will be referred to various services when the new service
definition is implemented on October 1st . 2005 . Consumers in the committee
raised concerns about their current services and wondered how their services will
be affected in the advent of new service definition . Two of the members raised
concerns about losing their individual and group therapy sessions and hoped that
they will at least receive a limited amount of these services . Members also
raised concern over fragmentation in services and hoped that OPC will keep best
practice in mind and will authorize services to fit the needs of individual
consumers .
Marian Whitt briefly shared with the group how Person Counseling Center is
preparing to implement the Community Support model and the new service
definition . She also assured the members that Person Counseling Center is
make every effort possible to make this as smooth a transition as possible .
Next meeting : July 26 , 2004 at 6 . 00 PM
Submitted by : Tom Velivil
Minutes of the
OPC Client Rights Committee
Date : July 12 , 2005
Members present : Harry Horton ❑ Greg 011ey
Shelia James ® John Santucci
Kevin McHugh ❑ John Thompson
Carolyn Marks
Staff : Lynne Hamlet
Guest ( s ) present : Marc Tasse , CDL ; Chris Clayton , RSI ; Jeff Dewitte ,
OPC DD Case Mgmt . ; Tina Lanier , RHA
Minutes : June 7 , 2005 Approved :
Amended : ❑
Planned Agenda :
Agenda Item Action of the Committee / Status
Behavior Plan Dr . Tasse presented this plan , which has not been revised
since its last review . Dr . Tasse reported that there have
been no incidents of target behavior in the last 18 + months .
However , given the seriousness and the volitional nature of
the behavior , he requested that the plan remain in place in
order to ensure the safety of the community .
90 Day approval Next review : Oct 2005
Behavior Plan Mr . Clayton presented this plan , which has not been revised
since its last review . The consumer is doing well , although
there was a significant increase in target behaviors during
the last quarter due to several environmental changes . Mr .
Clayton requested that the plan remain in place , as it has
worked well for the consumer , who will be experiencing
more transitions over the next year .
90 Day approval Next review : Oct 2005
Behavior Plan Ms . Lanier presented this plan , which has not been revised
since its last review . Ms . Lanier reported that the consumer
is doing well , although there were three incidents of target
behaviors in May . Ms . Lanier asked that the plan remain in
place but indicated that the treatment team will be working
with the consumer to increase his independent time .
90 Day approval Next review : Oct 2005
17
Agenda Item Action of the Committee / Status
Incident Review The Committee reviewed three incidents in which a
consumer was physically restrained and one incident in
which a consumer was suspended from a program .
Agenda Items from the Floor .
Agenda Item Action of the Committee /Status
Consumer The Committee reviewed and approved the proposed
Complaint Policy Consumer Complaint Policy & Procedure , which was written
to comply with the requirements of the Division of
MH / DD /SAS .
The next regular meeting of the OPC Client Rights Committee will be Tuesday ,
August 2nd at 5 : 00 PM in the AO Conference Room at the Europa Center .
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Child Subcommittee of the OPC Board
Met at 6 : 00 on June 28t" Prior to the OPC Board Meeting
Present : George Gregor- Holt ( OPC Board Member) , Leslie Matthews ( parent
representative ) , and Deshanile Brooks ( OPC child therpaist )
Absent : Elizabeth Vickrey ( OPC Board Member) , Dan Herr ( CFAC
representative )
Staff Present : Lisa Lackmann
Topics Discussed :
• Role of new Child and Community Planner
• Continued need to address transition services of youth moving from child
services to adult mental health services
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