HomeMy WebLinkAboutOPC Steering Committee meeting Ann Rimmer - OPC Steering Committee Meetings Page 1
From : " Judy Truitt" < JTRUITT@opc - mhc . org >
To . < whitfield@centernet . net > , < dbaker@co . orange . nc . us > , < gharvey@co . orange . nc . us > ,
< JLINK@co . orange . nc . us > , < chatmgr@emji . net > , < mpollard@emji . net > , <jimmyb31 @juno . com > ,
< Mwbrown@mindspring . com > , <janet . sowers@ncmail . net > , < scarpenter@ person county . net >
Date : 2 / 5/04 4 : 53PM
Subject . OPC Steering Committee Meetings
The OPC Steering Committee is scheduled to meet with Dr . Rich Visingardi
at the following time and place :
WHEN : Monday , February 9 , 2004 2 : 00 to 4 : OOpm
WHERE : Southern Orange Human Services Complex , Homestead Road , Chapel
Hill
In addition , the OPC Steering Committee will convene a regular meeting
on the following date :
WHEN : Wednesday , February 11 , 2004 2 : 00 to 4 : OOpm
WHERE : Europa Center Training Room , Europa Drive , Chapel Hill
Proposed agenda items include :
1 . Status report on DHHS Service Definitions
2 . Follow up from OPC Managers ' Meeting - divestiture update ; county
specific follow- up
3 . Interlocal Cooperation Agreement status report
4 . CFAC report
Please find attached minutes for the January 22nd meeting and as
always , do not hesitate to call should you have any questions .
Judy Truitt
Director - Quality Improvement
OPC Area Program
919 - 9134037
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CC : < arimmer@co . orange . nc . us > , " Tom Maynard " < TMAYNARD@opc- mhc . org >
. . _ � a
Minutes of the
OPC Steering Committee meeting
Thursday, January 22 , 2004
Europa Center Training Room
Present
Margaret Brown, Steve Carpenter, Jimmy Clayton, Gwen Harvey, Sandra Herring, Charlie
Horne , John Link, Tom Maynard, Leann Nease - Brown, Margaret Pollard, Janet Sowers , Judy
Truitt , Johnny Whitfield
Call to Order
The meeting was called to order at 2 : 10 p . m .
InterLocal Agreement
Steve Carpenter asked when the group would schedule a meeting to talk about the Agreement .
John Link wanted to know if the IA or the business plan would indicate how the LME would be
financed . He asked if the business plan would be referenced in the IA and wanted to know when
the group would start creating a budget and how much area-wide services would cost whoever is
providing them . Mr . Link stated that he wants to get started talking about the budgeting and
programming pieces .
Tom Maynard informed the group that more information has become available on the funding of
the LME . Direct funding in the amount of $ 2 . 03 per citizen/month would start in July. With our
catchment area of about 217 , 000 , that would give the OPC LME about $ 5 . 4 million/year . This
amount is somewhat higher than current administrative expenses . Mr . Maynard wonders if we
would have to submit a budget to the State for approval or will we be able to spend money at
will . However, there are few specific answers and they are pressing the State on how the rules
will play out .
The $ 5 . 4 million in funding does not include service monies . Service monies are to be earned by
services . The governing group will have to decide how to place money across all 3 counties and
which services to buy. The counties are to decide what they wish to use their money for.
Mr . Link reiterated that he is anxious to get to the budgeting issues .
Mr. Carpenter said he assumed the IA was about governance , not business issues , and that that
would come later ( 1 - 2 years down the road) .
Leann Nease-Brown stated that the agreement is vague with regards to financing . She said she is
seeing 3 layers of issues :
1 ) There has to be a government structure — what is called the LME — financed largely by the
State
2) What programs will we continue to provide and for how long under system reform ?
3 ) Are there services that we ( as counties ) wish to fund , or programs we wish to provide
without regard for what the State does ?
Ms . Nease - Brown said it is an ongoing process and the agreement was written loosely according
to State guidelines . The rest is up to the Committee to decide .
Charlie Horne felt that an urgent question is what needs to be put in place in preparation for
budgeting for 2004 - 2005 .
Mr . Maynard responded that for 2004 - 2005 , we would be developing an LME budget for the
first time .
Margaret Pollard expressed that it is not clear if there is a person whose total responsibility is
planning for mental health services . She feels that one thing that is missing is help with
development of overall plan for services .
Mr . Maynard responded that the new organizational chart includes doing functions that we have
not traditionally done . He also stated that maintaining stability in the short-term is an urgent
need .
Jimmy Clayton said that the group has to go ahead with the agreement . He believes that Ms .
Nease -Brown has left enough leeway to work out the other details .
Mr . Link said he would like to include in the IA a reference saying that funding of the LME shall
be described in the business plan . He feels it is important from a public policy standpoint to state
in budget documents how services/programs are financed .
Janet Sowers mentioned that DSS in Person County is concerned about how all of this will
impact them .
Mr. Horne inter] ected that there had been a meeting in Chatham County about his very issue and
that he would be interested to see if DSS and the Health Departments can factor into being a
service provider.
Johnny Whitfield expressed that he thought service provision would not cease if there were no
available providers , and that OPC would continue to provide that service if no suitable providers
were available elsewhere .
Mr . Maynard informed the group that the new service definitions do not require OPC to break up
services/programs into minute pieces .
Margaret Brown stated that , as an elected official , she wanted to look at what services we have
now and what we do not want to lose ; how do we preserve the good pieces we have now ?
Mr . Link reiterated that he would like to see more specificity in Section 16 of the IA as it relates
to finance and budgeting . Orange County will circulate to Ms . Nease -Brown and everyone else
the language they would like to see added to the IA .
Ms . Brown said that after reading the IA, she remained unsure as to what the governing board ' s
responsibilities would be . She asked Ms . Nease - Brown to list out the State statutes that
addressed the governing board ' s responsibilities .
Ms . Nease -Brown responded that she tried not to make decisions for the Board that were up to
the Board . If they are not spelled out in the IA, then they are not in the statutes .
Service Definitions
Judy Truitt said there were copies available if committee members would like to have them and
she handed the document out to members .
Ms . Brown wanted to know how much input the agency had in the document ' s creation, to which
Mr. Maynard responded "not much" .
There will be an information session held by the Division for OPC staff at the end of the month .
Mr. Maynard shared that the new and modified service definitions generally divide mental health
and substance abuse services into groupings . No rates are attached to the definitions . They are
supposedly coming in February. The definitions will be effective October 1 , 2004 with no
period of transition . There are no definitions included for "developmental day" and " sheltered
workshops " and this is a huge area of concern .
OPC staff will review document for understanding and share findings with this group .
Organizational Chart
The proposed LME organizational chart was included in the handout .
Mr . Maynard indicated it was a model of how they picture the LME operation . It will initially be
a temporary arrangement using existing staff.
Judy Truitt will serve as the Deputy Director of Internal Operations . Members of the current
Management Team have been assigned to head the various newly created organizational
divisions .
CFAC Issues
Janet Sowers is the newly elected chair of the CFAC . She expressed that the CFAC is
experiencing some control issues and that there is big concern regarding the power of the DD
population .
Mr . Maynard informed the group that the State requires a Relational Agreement between CFAC
and the LME . The State had said there was an urgent deadline for submission of this agreement ,
but now it appears there is no urgent deadline . A basic agreement has been drawn up with plans
to make it more specific in the future .
Meeting with Dr. Visingardi
Dr . V will be coming out on Monday, February 9 from 24 p . m . to talk with us . We are still in
the process of nailing down a location, perhaps at Southern Human Services in Chapel Hill .
Ms . Truitt mentioned that a training regarding the new service definitions will be held on January
30 . Management Team will have a workgroup session the following week to discuss the
information received . Consequently, it was recommended that the next Committee meeting be
held on Wednesday, February 11 .
It was decided that the next Committee meeting will take place on Wednesday, February 11 at
the Europa Center from 2 .4 p . m .
The meeting adjourned at 4 p . m .
Ann Rimmer - OPC Steering Committee Meetings Page 1
From : " Judy Truitt " < JTRUITT@opc - mhc . org >
To . <whitfield@centernet . net > , < dbaker@co . orange . nc . us > , < gharvey@co . orange . nc . us > ,
< JLINK@co . orange . nc . us > , < chatmgr@emji . net > , < mpollard@emji . net > , <jimmyb31 @juno . com > ,
< Mwbrown@mindspring . com > , <janet . sowers@ncmail . net > , < scarpenter@personcounty . net >
Date . 2 /5/04 4 : 53PM
Subject : OPC Steering Committee Meetings
The OPC Steering Committee is scheduled to meet with Dr . Rich Visingardi
at the following time and place :
WHEN : Monday , February 9 , 2004 2 : 00 to 4 : OOpm
WHERE : Southern Orange Human Services Complex , Homestead Road , Chapel
Hill
In addition , the OPC Steering Committee will convene a regular meeting
on the following date :
WHEN : Wednesday , February 11 , 2004 2 : 00 to 4 : OOpm
WHERE : Europa Center Training Room , Europa Drive , Chapel Hill
Proposed agenda items include :
1 . Status report on DHHS Service Definitions
2 . Follow up from OPC Managers ' Meeting - divestiture update ; county
specific follow- up
3 . Interlocal Cooperation Agreement status report
4 . CFAC report
Please find attached minutes for the January 22nd meeting and as
always , do not hesitate to call should you have any questions .
Judy Truitt
Director - Quality Improvement
OPC Area Program
919 - 9134037
* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * *** * * * * ** * * * * * * * * * * * * * *
This e - mail message including attachments , if any ,
is intended for the use of the individual or entity
to which it is addressed . This message may contain
information that is privileged , proprietary , confidential
and exempt from disclosure . If you are not the intended
recipient , you are notified that any dissemination ,
distribution or copying of this communication is strictly
prohibited . If you have received this message in error ,
please notify the sender and erase this message immediately .
* * * * * * * * * ** *** * * * ** * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
CC : < arimmer@co . orange . nc . us > , " Tom Maynard " < TMAYNARD@opc- mhc . org >