healthwest full board minutes july 24, 2020 8:00 a.m. … · 9/7/2020 · justine belvitch, judy...

HEALTHWEST

FULL BOARD MINUTES

July 24, 2020

8:00 a.m.

Held via Zoom

CALL TO ORDER

The meeting of the Full Board was called to order by Chair Thomas at 8:00 a.m.

ROLL CALL

Members Present: Janet Thomas, Cheryl Natte, John Snider, Marcia Hovey-Wright, JaniceHilleary, Jeff Fortenbacher, Remington Sprague, M.D., Charles Nash, JohnSchrier

Members Excused: Jason Coleman, Stephanie Umlor, Thomas Hardy

Others Present: Julia Rupp, Matt Plaska, Amber Berndt, Brandy Carlson, Tami Strodtbeck,Justine Belvitch, Judy Cohen, Wesley Woods, Kelly France, Mike Shaner, MattPlaska, Susan Plotts

MINUTES

HWB 337-B - It was moved by Commissioner Hovey-Wright, seconded by Commissioner Snider, toapprove the Full Board minutes of the June 26, 2020 meeting as written.

MOTION CARRIED.

HWB 338-B - It was moved by Mr. Fortenbacher, seconded by Mr. Schrier, to approve the NominatingCommittee minutes of the June 26, 2020 meeting as written.

MOTION CARRIED.

COMMITTEE REPORTS

Finance Committee

HWB 324-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe minutes of the June 19, 2020 meeting as written.

MOTION CARRIED.

HWB 325-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe expenditures for the month ending June 30, 2020 in the total amount of $4,685,264.49.

MOTION CARRIED.

HWB 326-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe attached fee rates for services provided by HealthWest effective August 1, 2020.

MOTION CARRIED.

HWB 327-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to authorizeHealthWest to accept the increase to Midwest Fiber Holdings/Everstream Solutions, LLC. foradditional services to the agreement, at a total cost of no more than $19,200.00 for FY20 andeffective October 1, 2019 through September 30, 2020 .

MOTION CARRIED.

July 24, 2020 of 3

HWB 328-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to authorizethe HealthWest Executive Director to sign Amendment No.1 to Dr. Maninderpal Dhillon’s contract forConsulting Psychiatric Services in order to increase his authorized hours from thirty-two (32) to forty(40) hours per week at the rate of $170.00 per hour, have him use the agency’s Time Out System fortime off, and to cover his professional liability insurance for the forty (40) authorized hours per weekfor his treatment of HealthWest consumers only.

MOTION CARRIED.

HWB 329-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe HealthWest Executive Director to authorize the increase in projected expenditure for ACAC, Inc.for Substance Use Disorder services including MAT services to $300,500.00, effectiveOctober 1, 2019 through September 30, 2020.

MOTION CARRIED.

HWB 330-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe HealthWest Executive Director to authorize the increase in the projected expenditure for Pine RestChristian Mental Health Services for SUD treatment services in the amount of $54,146.20 andeffective October 1, 2019 through September 30, 2020.B

MOTION CARRIED.

HWB 331-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to sign apurchase of service agreement with Sentinel Technologies, Inc. for Cisco phone system upgrade at atotal cost of no more than $148,740.00 for FY20.

MOTION CARRIED.

HWB 332-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to authorizeHealthWest to provide Premium Pay to Direct Care Providers in the amount of $2.00 per direct care staff hoursworked and $.24 per hour for administrative costs, not to exceed a total of $1,873,357.34 for the months of April2020 through September 2020.

MOTION CARRIED.

HWB 333-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to approvethe full re-privileging of Karen Dobias, D.O. in the areas of psychiatric evaluation,psychopharmacology, medical evaluation, and authorize/approve clinical treatment for the DD, MIAdult, MI Child, Geriatric, and Chemical Dependence populations; and in the areas of certification andclinical/internship supervision for licensure for the MI Adult and MI Child, effective for two (2) yearsfrom the date of approval.

MOTION CARRIED.

HWB 334-F - It was moved by Chair Thomas, seconded by Commissioner Hovey-Wright, to authorizeHealthWest to accept the inpatient and partial hospitalization rates negotiated by Lakeshore RegionalEntity/Beacon Health Options with Harbor Oaks Hospital, effective January 1, 2020 throughSeptember 30, 2021.

MOTION CARRIED.

Program/Personnel Committee

HWB 335-P - It was moved by Ms. Natte, seconded by Dr. Sprague, to approve the minutes of theJune 12, 2020 meeting as written.

MOTION CARRIED.

July 24, 2020 of 3

HWB 336-P - It was moved by Ms. Natte, seconded by Commissioner Snider, to authorize theposition changes as outlined on the attached Position Changes for FY 2020 County Budget, effectiveJuly 27, 2020.

MOTION CARRIED.

ITEMS FOR CONSIDERATION

HWB 339-B - It was moved by Dr. Sprague, seconded by Ms. Natte, to authorize the reclassificationof a Supports Coordinator, Position X85229, (Funding Org 7034, Wage Grade HX-00160) to aCorrectional Services Stabilization Specialist (Funding Org 7043, Wage Grade HX-00160), andtransfer employee E93033325 to the new position; effective July 27, 2020.

MOTION CARRIED.

OLD BUSINESS

There was no old business.

NEW BUSINESS

There was no new business.

COMMUNICATION

The SUD Treatment Utilization Data sheet that was developed by the LRE was shared with theBoard for review.

A question was asked by the board on who would be replacing Pam Beane after her retirement.Julia listed many of Pam’s accomplishments within Muskegon County. Kris Burgess and CarrieCrummett will take over many of Pam’s duties and we’ll attempt to take an internal employee tocover the remaining SUD responsibilities. Chair Thomas extended our appreciation for all of herwork for HealthWest and she will be greatly missed. Mr. Snider wanted to make sure she gets areal compliment, “taking a bull by the horns” and is solely responsible for getting us into the jail.

The Director’s memorandum was provided for review.

AUDIENCE PARTICIPATION

There was no audience participation.

ADJOURNMENT

There being no further business to come before the board, the meeting adjourned at 8:19 a.m.

Respectfully,

Janet ThomasBoard Chair/ab

PRELIMINARY MINUTESTo be adopted and approved at the Full Board Meeting of August 28, 2020

Main Office376 E. Apple Ave. | Muskegon, MI 49442 | P (231) 724-1111 | F (231) 724-3659

HealthWest.net

TO: HealthWest Board Members

FROM: Janet Thomas, Board Chair, via Julia Rupp, Executive Director

SUBJECT: Full Board MeetingJuly 24, 20208:00 AM – Zoomhttps://healthwest.zoom.us/j/95880095012?pwd=Q1ZoenF5ZHhQM2VYd29LMVdrZ3hyZz09

Meeting ID: 958 8009 5012Password: 072420One tap mobile(312) 626-6799, 95880095012

1) Call to Order

2) A) Approval of the Full Board Minutes of June 26, 2020(Previously Forwarded)

B) Approval of the Nominating Committee Minutes of June 26, 2020(Attachment #1)

Action

Action

3) Committee Reports

A) Finance Committee(Attachment #2)

B) Program/Personnel Committee(Attachment #3)

Action

Action

4) Items for Consideration

A) Authorization to Reclassify a Supports Coordinator Position to aCorrectional Services Stabilization Specialist(Attachment #4)

Action

5) Old Business

6) New Business

7) Communication

A) Board Report – SUD Treatment Utilization Data(Attachment #5)

Information

Agenda

https://healthwest.zoom.us/j/95880095012?pwd=Q1ZoenF5ZHhQM2VYd29LMVdrZ3hyZz09

July 24, 2020Page 2 of 2

The County of Muskegon will provide necessary reasonable auxiliary aides and services, such as signers for the hearing impairedand audio tapes of printed materials being considered at the meeting, to individuals with disabilities who want to attend the meetingupon 24-hours’ notice to the County of Muskegon. Individuals with disabilities requiring auxiliary aids or services should contact theCounty of Muskegon by writing or calling Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, MI 49442(231/724-6505 TDD-231/722-4103).

/ab

c: County Administration

B) Director’s Memorandum(Attachment #6)

Information

8) Audience Participation

9) Adjournment Action

HEALTHWEST

NOMINATING COMMITTEE MINUTESFriday, June 26, 2020

7:30 a.m.Zoom

CALL TO ORDER

A special meeting of the Nominating Committee was called to order by Chair Janet Thomas at 7:30a.m.

ROLL CALL

Members Present: John Schrier, Janet Thomas, Cheryl Natte, Jeff Fortenbacher

Member Excused:

Also Present: Julia Rupp, Amber Berndt

ELECTION OF OFFICERS

Ms. Thomas stated the purpose of this meeting is for the election of HealthWest Board officers forthe year 2020/2021. Current officers are: Janet Thomas, Chair; Cheryl Natte, Vice-Chair; I. JohnSnider, Treasurer, and Jeff Fortenbacher, Secretary.

It was moved by Jeff Fortenbacher, supported by John Schrier, to re-nominate Janet Thomas asChairperson of the HealthWest Board. Ms. Thomas accepted the nomination.

MOTION CARRIED.

It was moved by Jeff Fortenbacher, supported by John Schrier, to re-nominate Cheryl Natte as Vice-Chairman of the HealthWest Board. Ms. Natte accepted the nomination.

MOTION CARRIED.

It was moved by Jeff Fortenbacher, supported by John Schrier, to re-nominate I. John Snider asTreasurer of the HealthWest Board. Mr. Snider accepted the nomination.

MOTION CARRIED.

It was moved by Jeff Fortenbacher, supported by John Schrier, to re-nominate Mr. Fortenbacher asSecretary of the HealthWest Board. Mr. Fortenbacher accepted the nomination.

MOTION CARRIED.ADJOURNMENT

There being no further business to come before the Committee, the meeting adjourned at 7:31 a.m.

Respectfully,

Janet Thomas, Chairperson/ab

Preliminary MinutesTo Be Approved at the Full Board Meeting of July 24, 2020

Amber.Berndt

Typewriter

Attachment #1

HEALTHWEST

FINANCE COMMITTEE REPORT TO THE BOARD

via Janet Thomas, Committee Vice-Chair

1. The Finance Committee met on July 17, 2020.

* 2. It was recommended, and I move, to approve the minutes of the June 19, 2020, meetingas written.

* 3. It was recommended, and I move, to approve the expenditures for the month endingJune 30, 2020 in the total amount of $4,685,264.49.

* 4. It was recommended, and I move, to approve the attached fee rates for servicesprovided by HealthWest effective August 1, 2020.

* 5. It was recommended, and I move, to authorize HealthWest to accept the increase toMidwest Fiber Holdings/Everstream Solutions, LLC. for additional services to theagreement, at a total cost of no more than $19,200.00 for FY20 and effective October 1,2019 through September 30, 2020 .

* 6. It was recommended, and I move, to authorize the HealthWest Executive Director tosign Amendment No.1 to Dr. Maninderpal Dhillon’s contract for Consulting PsychiatricServices in order to increase his authorized hours from thirty-two (32) to forty (40) hoursper week at the rate of $170.00 per hour, have him use the agency’s Time Out Systemfor time off, and to cover his professional liability insurance for the forty (40) authorizedhours per week for his treatment of HealthWest consumers only.

* 7. It was recommended, and I move, to approve the HealthWest Executive Director toauthorize the increase in projected expenditure for ACAC, Inc. for Substance UseDisorder services including MAT services to $300,500.00, effective October 1, 2019through September 30, 2020.

* 8. It was recommended, and I move, to approve the HealthWest Executive Director toauthorize the increase in the projected expenditure for Pine Rest for SUD services in theamount of $54,146.20 and effective October 1, 2019 through September 30, 2020.

* 9. It was recommended, and I move, to sign a purchase of service agreement with SentinelTechnologies, Inc. for Cisco phone system upgrade at a total cost of no more than$148,740.00 for FY20.

* 10. It was recommended, and I move, to authorize HealthWest to provide Premium Pay to DirectCare Providers in the amount of $2.00 per direct care staff hours worked and $.24 per hour foradministrative costs, not to exceed a total of $1,873,357.34 for the months of April 2020 throughSeptember 2020.

* 11. It was recommended, and I move, to approve the full re-privileging of Karen Dobias,D.O. in the areas of psychiatric evaluation, psychopharmacology, medical evaluation,and authorize/approve clinical treatment for the DD, MI Adult, MI Child, Geriatric, andChemical Dependence populations; and in the areas of certification andclinical/internship supervision for licensure for the MI Adult and MI Child, effective for two(2) years from the date of approval.

Amber.Berndt

Typewriter

Attachment #2

* 12. It was recommended, and I move, to authorize HealthWest to accept the inpatient andpartial hospitalization rates negotiated by Lakeshore Regional Entity/Beacon HealthOptions with Harbor Oaks Hospital, effective January 1, 2020 through September30, 2021.

/ab

HEALTHWEST

FINANCE COMMITTEE MEETING MINUTESFriday, July 17, 2020

8:00 a.m.Zoom Virtual Meeting

CALL TO ORDER

The regular meeting of the Finance Committee was called to order by Vice-Chair Thomas at 8:07 a.m.

ROLL CALL

Committee Members Present: John Snider, Janet Thomas, Dr. Remington Sprague, MarciaHovey-Wright, Charles Nash, Stephanie Umlor, JeffFortenbacher, Jason Coleman

Committee Members Excused: None

Additional Board Members Present: Janice Hilleary

Also Present: Brandy Carlson, Amber Berndt, Julia Rupp, Wesley Woods,Brian Obits, Cyndi Blair, Judy Cohen, Matt Plaska, Mike Kimble,Susan Plotts, Cece Riley

Guests:

MINUTES

It was moved by Mr. Fortenbacher, seconded by Dr. Sprague, to approve the minutes of the June 19,2020, meeting as written.

MOTION CARRIED.


A. Approval of Expenditures for June 2020

It was moved by Dr. Sprague, seconded by Mr. Fortenbacher, to approve the expenditures forthe month ending June 30, 2020 in the total amount of $4,685,264.49.

MOTION CARRIED.B. Interim Analysis of Expenditures

Ms. Carlson presented the draft expenditures for the month of June 2020 noting thatHealthWest is 7.7% under budget.

C. Interim Analysis of Revenues

Ms. Carlson presented the Interim Analysis of Revenues through June 30, 2020.


D. Interim Balance Sheets of June 2020

Ms. Carlson presented the Interim Balance Sheets of June 2020, noting that there was anegative cash balance of (12,132,387.66) for Fund 2220. Fund 7930 has a positive cashbalance of $578,251.87.

E. HealthWest Expenditures Financial Statement

Ms. Carlson presented the HealthWest Expenditure report for June 2020 which shows theestimated true variance to date of $2,414,956. Expenditures are under budget to date.

F. Finance Update – Fees and Inpatient Summary

The Substance Abuse Fee Report has positive variance of 544,607 through the month of June2020. It should be noted that this variance report is based on the budget approved by theHealthWest Board during the month of July 2019.

The Other Fees Report has a positive total variance of 34,392 through the month of June2020. The variance report is based on the budget approved by the HealthWest Board duringthe month of July 2019.

The Inpatient Summary Report indicates a negative variance to date of (246,144) forCommunity Inpatient, which is based on the budget approved by the HealthWest Board duringthe month of July 2019.

G. Budget Variance Analysis Report

Our expenditure budget variance, based on the budget approved by the HealthWest Boardduring the month of July 2019 is $2,421,764. With contingencies in the amount of ($881,537),in Covid grants to cover the increase in expenses due to the pandemic and premium payexpenses, this would leave HealthWest with a net variance of approximately ($868,146) afterthe first nine months of the fiscal year. Due to the different periods of the budget year thatthese variances are calculated, this would prorate out to a variance of approximately($1,596,682).

However, this figure does not really give us a true picture of where we stand as we are notable to use the different funding sources (i.e., State GF and Medicaid, etc.) to offset eachother’s shortfalls. Therefore, a truer picture would be as follows:

Behavioral Health Traditional Medicaid $1,739,504Behavioral Health Healthy Michigan ($2,627,696)Autism $239,214State General FundSubstance Use Funds

Total

($591,971)($355,733)

($1,596,682)

H. Month End Projection Trends

Ms. Carlson presented the month-end projection trends for board member review.


I. Medicaid Eligibles by Program

Ms. Carlson presented the Medicaid Eligibles trends for HM, DAB, and TANF for boardmember review.

J. Authorization to Approve the FY2020 Fee Schedule for Services Provided by HealthWest

It was moved by Mr. Coleman, seconded by Dr. Sprague, to approve the attached fee rates forservices provided by HealthWest effective August 1, 2020. Mr. Nash inquired about seeingthe previous rates so we’re better able to see which rates have been adjusted. Julia pointedout that Home-based, Clubhouse, and Nursing, Wrap-around, and Brinks are the areas thatwere of focus with these adjustments. Brandy will prepare a side by side document to showprevious rates, state-wide average, and new proposed rates.

MOTION CARRIED.

K. Authorization to Accept the Increase to the Midwest Fiber Holdings/Everstream Solutions, LLCContract

It was moved by Dr. Sprague, seconded by Mr. Fortenbacher, to authorize HealthWest toaccept the increase to Midwest Fiber Holdings/Everstream Solutions, LLC. for additionalservices to the agreement, at a total cost of no more than $19,200.00 for FY20 and effectiveOctober 1, 2019 through September 30, 2020 .

MOTION CARRIED.

L. Authorization to Sign Amendment No. 1 to Dr. Maninderpal Dhillon’s Contract

It was moved by Commissioner Hovey-Wright, seconded by Dr. Sprague, to authorize theHealthWest Executive Director to sign Amendment No.1 to Dr. Maninderpal Dhillon’s contractfor Consulting Psychiatric Services in order to increase his authorized hours from thirty-two(32) to forty (40) hours per week at the rate of $170.00 per hour, have him use the agency’sTime Out System for time off, and to cover his professional liability insurance for the forty (40)authorized hours per week for his treatment of HealthWest consumers only.

MOTION CARRIED.

M. Authorization to Increase the Projected Expenditure for ACAC, Inc. for Substance UseDisorder Services

It was moved by Dr. Sprague, seconded by Mr. Coleman, to approve the HealthWestExecutive Director to authorize the increase in projected expenditure for ACAC, Inc. forSubstance Use Disorder services including MAT services to $300,500.00, effectiveOctober 1, 2019 through September 30, 2020.

MOTION CARRIED.

N. Approval is Requested to Authorize the Increase in Projected Expenditure for Pine Rest forSUD Services

It was moved by Commissioner Hovey-Wright, seconded by Mr. Coleman, to approve theHealthWest Executive Director to authorize the increase in the projected expenditure for PineRest Christian Mental Health Services for SUD treatment services in the amount of $54,146.20and effective October 1, 2019 through September 30, 2020.

MOTION CARRIED.


O. Approval to Sign a Purchase of Service with Sentinel Technologies Inc., to Upgrade the CiscoPhone System

It was moved by Dr. Sprague, seconded by Commissioner Hovey-Wright, to authorize theHealthWest Executive Director to sign a purchase of service agreement with SentinelTechnologies, Inc. for the Cisco phone system upgrade at a total cost of no more than$148,740.00 for Fiscal Year 2020.

MOTION CARRIED.

P. Authorization to Provide Premium Pay to Direct Care Providers in the Months of April throughSeptember

It was moved by Dr. Sprague, seconded by Mr. Coleman, to authorize HealthWest to providePremium Pay to Direct Care Providers in the amount of $2.00 per direct care staff hoursworked and $.24 per hour for administrative costs, not to exceed a total of $1,873,357.34 forthe months of April 2020 through September 2020.

MOTION CARRIED.

Q. Authorization to Re-privilege Karen Dobias, D.O. for Licensure for the MI Adult and MI ChildPrograms

It was moved by Dr. Sprague, seconded by Ms. Umlor, to approve the full re-privileging ofKaren Dobias, D.O. in the areas of psychiatric evaluation, psychopharmacology, medicalevaluation, and authorize/approve clinical treatment for the DD, MI Adult, MI Child, Geriatric,and Chemical Dependence populations; and in the areas of certification and clinical/internshipsupervision for licensure for the MI Adult and MI Child, effective for two (2) years from the dateof approval.

MOTION CARRIED.

R. Authorization to Accept the Inpatient and Partial Hospitalization Rates for Harbor OaksHospital

It was moved by Commissioner Hovey-Wright, seconded by Dr. Sprague, to authorizeHealthWest to accept the inpatient and partial hospitalization rates negotiated by LakeshoreRegional Entity/Beacon Health Options with Harbor Oaks Hospital, effective January 1, 2020through September 30, 2021.

MOTION CARRIED.

OLD BUSINESS


NEW BUSINESS


COMMUNICATIONS

The Compliance Report was provided for review. There were no findings in the report.


DIRECTOR’S COMMENTS

The LRE is projecting a $10-12 million dollar surplus. All of the CMH directors are challenging thesenumbers and how they are projecting these dollar amounts. It’s very difficult to predict what theexpenses and encounters are going to be coming in from our providers. Brandy reports askingproviders for their end of year projections next week rather than in August so we’re able to betterprepare and get a better feel for what’s ahead.



ADJOURNMENT

There being no further business to come before the committee, the meeting adjourned at 8:46 a.m.

Respectfully,

Janet ThomasCommittee Vice-Chair

JT/ab

PRELIMINARY MINUTESTo be approved at the Finance Meeting of

August 21, 2020

HEALTHWEST

PROGRAM/PERSONNEL COMMITTEE REPORT TO THE BOARD

Via Cheryl Natte, Committee Chair

1. The Program/Personnel Committee met on Friday, July 17, 2020

* 2. It was recommended, and I move to approve the minutes of the June 12, 2020 meetingas written.

* 3. It was recommended and I move to authorize the position changes as outlined on theattached Position Changes for FY 2020 County Budget, effective July 27, 2020.

/ab

Amber.Berndt

Typewriter

Attachment #3

HEALTHWEST

PROGRAM/PERSONNEL MEETING MINUTES

July 17, 20208:00 a.m.Via Zoom

CALL TO ORDER

The regular meeting of the Program/Personnel Committee was called to order by Chair Natte at8:46 a.m.

ROLL CALL

Members Present: Cheryl Natte, Stephanie Umlor, Jason Coleman, John Schrier, JanetThomas

Members Excused: Thomas Hardy

Additional Board Members Present: Janine Hilleary, Charles Nash, Marcia Hovey-Wright,Remington Sprague, M.D., Jeff Fortenbacher, John Snider

Others Present: Brandy Carlson, Amber Berndt, Julia Rupp, Wesley Woods, BrianObits, Cyndi Blair, Judy Cohen, Matt Plaska, Mike Kimble, SusanPlotts, Cece Riley

MINUTES

It was moved by Ms. Thomas, seconded by Mr. Coleman, to approve the minutes of the June12, 2020 meeting as written.

MOTION CARRIED.


It was moved by Ms. Thomas, seconded by Ms. Umlor, to authorize the position changes asoutlined on the attached Position Changes for FY 2020 County Budget, effective July 27, 2020.

MOTION CARRIED.OLD BUSINESS


NEW BUSINESS


COMMUNICATION

There were no communications.

Program/Personnel minutesJuly 17, 2020Page 2 of 3

DIRECTOR’S COMMENTS

Julia and Cyndi discussed the closing of Brinks Crisis Residential Center as the operating costswere too high and the census too low. All of the staff have been temporarily laid off. The intentwill be to re-open as a 6 bed facility on Terrace Street. We will also address detox needs andgear it towards a higher medical model. This will help eliminate sending consumers to thehospital when then escalate with higher needs. At Covenant Hall, their census is down from 25to just 2 individuals. We’re able to modify this space by building just two small walls andcompletely separately our unit from theirs with separate entrances, our own kitchen, etc. We’rewaiting to obtain a new license and will meet with them either today or early next week. Mr.Schrier inquired about the detox portion and what it will address. The only place currently tosend individuals needing detox is out of county. By having it “in-house” we’re better able totrack these individuals both during treatment as well as follow-up. Ideally in the future we’d liketo have our next phase be a crisis drop off unit where police and pro-med could bring themdirectly to us and avoid the ED all together.

Mr. Nash inquired about the Master’s Level Clinicians that were at Brinks and whether or notthey would be employed at the new Crisis Center. Cyndi informed him that one MLC will beretiring and one will be transferring to the new center.

Beacon has prepared a report on their findings of their cost study and one of theirrecommendations was to close Brinks and contract it out. This is one area that we went againsttheir recommendations and decided to reopen the new more cost effective facility. Julia willsend out their final report for their review prior to Full Board next week. All in all theirrecommendations would only total a couple of million dollars, not the $12 million that’s owed tous from the State.

Mr. Schrier inquired about how to track the potential savings that this crisis center could bring tothe area agencies. Julia suggested bringing someone in from the diversion council for anupdate to the board.

Julia will also forward our re-entry plan to the board for review. The office of Medicaid justreleased their re-entry plan so we’re comparing to make sure we have everything necessaryincluded. We are currently in Phase 4 in our plan. We have many of our community-basedteams back in the community, while continuing to provide telehealth as a first means. Our frontdoor is opened back up as of last week Monday. We have had people from as far as AlleganCounty come for services since we’re the only CMH agency open and providing as manyservices as we are. Julia suspects that we may have to move back to Phase 3, depending onthe increase in numbers in Muskegon County.

Commissioner Hovey-Wright inquired about the rapid test results. We do not have access tothese tests but do have access to tests. By the end of this week we will have tested over 1000individuals. We have started to receive results from those tests as of Wednesday. However asmore tests are being sent in to the labs, they’re taking longer to get results back. The NationalGuard intends to pull out from the State and Michigan will use a 3rd party vendor for testing.Chair Natte spoke on the labs and how overwhelmed they are to have to handle these tests ontop of the regular every day testing that’s necessary. We’ve had to ship our AFC tests out ofState because our State labs can’t handle the number of tests they are receiving.

Program/Personnel minutesJuly 17, 2020Page 3 of 3



ADJOURNMENT

There being no further business to come before the board, the meeting adjourned at 9:27 a.m.

Respectfully,

Cheryl NatteProgram/Personnel Committee Chair

CN/ab

PRELIMINARY MINUTESTo be approved at the Program Meeting of

August 14, 2020

REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION

COMMITTEEProgram/Personnel Committee

BUDGETED NON BUDGETED PARTIALLY BUDGETEDX

REQUESTING DIVISIONClinical Services

REQUEST DATEJuly 17, 2020

REQUESTOR SIGNATUREJulia Rupp, Executive Director

SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES)HealthWest Board authorization is requested to approve the position changes listed in the attached positionchange spreadsheet. The following is an explanation of those changes:

Adult Crisis ResidentialBrinks Crisis Residential has been temporarily closed due to COVID-19 as well as a continued low census,causing increased daily rates that we needed to address. We will reopen and license a six (6) bed CrisisResidential Program with detox licensure. This will allow us to conduct analysis to determine if more bedsare needed and also what the crisis residential needs of our surrounding counties might be. The addition ofa detox license will allow us to treat Muskegon County residents while keeping them in county for residentialdetox needs. Treating them in county will allow us to maintain integrated coordination of care while inresidential treatment, as well as after discharge. The new program description for Crisis Residential isattached to this motion.

Staffing for the Crisis Residential Facility will be enhanced by moving to a medical model to address anintegrated medical, behavioral and substance use health issues 24 hours a day. This is a critical changewith the addition of detox services and to address the crisis needs of individuals to maintain the individual inthe facility versus returning to the emergency department or an inpatient admission. Staffing changes willinclude Mental Health Workers becoming certified Medical Assistants and Resident Care Supervisors beinglicensed LPN’s. Our intention is to reclassify the current positions as listed on the attached Position Changespreadsheet to meet the medical model of staffing. This plan includes leaving all of the reclassified positionson the org chart, but only filling vacancies as needed for the licensed bed capacity. A six (6) bed staffingpattern would include:

· 2 Clinical Services Managers/RN’s· 2 LPN’s· 4 Medical Assistants, Full-Time· 2 Medical Assistants, Hourly· 1 Master’s Level Clinician

This staffing pattern will result in the following changes for the employees who currently work in the crisisresidential program:

· 5 staff will remain in their crisis residential positions (two RN Managers, two LPN’s and one Master’sLevel Clinician)

· 3 staff will be re-deployed to other vacant positions within HealthWest· 7 staff will be permanently laid off

The seven employees we are requesting to permanently layoff are in positions specific to the crisisresidential program that is now closed. Their positions are not available in any other HealthWest program,so re-deployment is not an option for them. Rather than leaving them furloughed indefinitely, we would liketo lay them off. These employees would be eligible to apply for any posted position for which they arequalified.

Reclassify Accountant position to a Contracts SpecialistHealthWest is requesting to reclassify an Account I position, X01603, Wage Grade HX-00157 ($19.768 –$24.883) to a Contracts Specialist position, Wage Grade HX-00250 ($23.592 – $29.759). The positionincumbent has been training and doing the work of a Contracts Specialist for approximately three monthsand we would like to reclassify the position so the employee has the correct title and wage grade for thework performed.

Reclassify Case Manager position to a Master’s Level ClinicianHealthWest is requesting to reclassify a Case Manager position, X11129, Wage Grade HX-00160 ($19.631– $24.727) to a Master’s Level Clinician, Wage Grade HX-00250, ($23.592 – $29.759). The employee inthis position recently finished her Master’s Degree and received her license. It will benefit HealthWest andthe persons served to reclassify this and expand our pool of Master’s Level Clinicians for providing services,providing mobile crisis on-call, and manning our crisis phone line.

Reclassify three hourly Outpatient Therapist positions to full-time Master’s Level CliniciansHealthWest is requesting to reclassify three hourly Outpatient Therapist positions; X59808, X59809,X59810, Wage Grade HX-00500 ($61.200 – $81.600) to full-time Master’s Level Clinicians, Wage GradeHX-00250 ($23.592 – $29.759).

SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES)

I move to authorize the position changes as outlined on the attached Position Changes for FY 2020 CountyBudget, effective July 27, 2020.

COMMITTEE DATE COMMITTEE APPROVALYes No Other

BOARD DATE BOARD APPROVALYes No Other

HWB 336-P

Position Changes for FY 2020 County Budget Board Meeting Date:7/27/2020

Changed Positions

Current position Title Position #Current Wage

GradeIncumbentEmployee

CurrentBudget Org

% New Position TitleNew

BudgetOrg

%New Wage

Grade

Crisis Residential Program Asst N23901 HO-00210 VanderLee 7341 100 Administratiave Assistant No change No change

Mental Health Worker - Hourly M07509 HM-00030 Bracey Jr 7341 100 Reclass to MA - Hourly No change HO-00160

Mental Health Worker - Hourly M07520 HM-00030 Vacant 7341 100 Reclass to MA - Hourly No change HO-00160









Mental Health Worker Full Time M07505 MN-00030 Johnson 7341 100 Reclass to MA - FT No change HO-00160

Mental Health Worker Full Time M07516 MN-00030 Nearanz 7341 100 Reclass to MA - FT No change HO-00160

Mental Health Worker Full Time M07503 MN-00030 Vacant 7341 100 Reclass to MA - FT No change HO-00160

Mental Health Worker Full Time M07506 MN-00030 Vacant 7341 100 Reclass to MA - FT No change HO-00160

Resident Care Supr/LPN N68903 HO-00210 Ackerberg 7341 100 Reclass to LPN - FT No change No change

Resident Care Supr/LPN N68906 HO-00210 Cooper 7341 100 Reclass to LPN - FT No change No change

Resident Care Supr/LPN N68901 HO-00210 Davis 7341 100 Reclass to LPN - FT No change No change

Resident Care Supr/LPN N68902 HO-00210 Decker Sr 7341 100 Reclass to LPN - FT No change No change

Resident Care Supr/LPN N68907 HO-00210 Friend Jr 7341 100 Reclass to LPN - hourly No change No change

Resident Care Supr/LPN N68904 HO-00210 Langston 7341 100 Reclass to LPN - hourly No change No change

Accountant X01603 HX-00157 Speer 7706 100 Contracts Specialist 7702 100 HX-00250

Case Manager/MI X11129 HX-00160 Zaverl 7146 100 Master's Level Clinician No Change HX-00250

Outpatient Therapist-Hourly X59808 HX-00500 Vacant 7320 100 Master's Level Clinician No change HX-00250



Lay-Off

Current position Title Position #Mental Health Worker - Hourly M07509Mental Health Worker Full Time M07505Mental Health Worker Full Time M07516Resident Care Supr/LPN N68903Resident Care Supr/LPN N68906Resident Care Supr/LPN N68902Resident Care Supr/LPN N68907

Lance Decker E93031604William Friend E93009410

Incumbent EmployeeStanley Bracey E93030914Cameron Johnson E93030510Katherine Nearanz E93030162JoAnn Ackerberg E93021911Tawon Cooper E93032811

REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION

COMMITTEEFull Board

BUDGETED NON BUDGETED PARTIALLY BUDGETEDX

REQUESTING DIVISIONClinical Services

REQUEST DATEJuly 24, 2020

REQUESTOR SIGNATURECyndi Blair, Chief Clinical Officer

SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES)

Request to Reclassify a Supports Coordinator to a Correctional Services Stabilization Specialist

HealthWest Board authorization is requested to reclassify a Supports Coordinator, Position X85229(Funding Org 7043, Wage Grade HX-00160) to a Correctional Services Stabilization Specialist (Funding Org7043, Wage Grade HX-00160) and transfer employee E93033325 to the new position. The reason for thisrequest is because we need to move an employee from the Adult Stabilization Team over to the CorrectionsTeam into a new role. The wage grade is the same so there will be no increase in cost.

SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES)

I move to authorize the reclassification of a Supports Coordinator, Position X85229, (Funding Org 7034,Wage Grade HX-00160) to a Correctional Services Stabilization Specialist (Funding Org 7043, Wage GradeHX-00160), and transfer employee E93033325 to the new position; effective July 27, 2020.

COMMITTEE DATE COMMITTEE APPROVALYes No Other

BOARD DATE BOARD APPROVALYes No Other

HWB 339-B

Amber.Berndt

Typewriter

Attachment #4

LRE Data: Totals are based on submitted and state accepted BHTEDS records. Page | 1

Data Date: June 29, 2020 Created by: Paige Horton

SUD Treatment Utilization Data – July 11, 2020

Admissions by Primary Drug – LRE Totals

Amber.Berndt

Typewriter

Attachment #5

MEMORANDUM

Date: July 24, 2020

To: HealthWest Board of Directors

CC: Muskegon County Commissioners,Mark Eisenbarth, Muskegon County AdministratorBeth Dick, Muskegon County Finance Director and Assistant Administrator

From: Julia Rupp, Executive Director

Subject: Director’s Update

COVID UpdateTestingWe are the only community that has completed comprehensive testing for all AFC staff and clients.We tested close to 1000 persons. The test results are coming in slowly, however, we have alreadybeen notified of a few positive cases. Those who tested positive had all been asymptomatic. We arealso going to test staff that have been most at risk (in the community providing services) for the last 4months as we have availability of tests. This may help us to guide our future reopening planning.

Reopening PhaseWe have moved to Phase Three of our reopening plan as of July 6th. We move to phases based onthree factors: we must continue to have a downward trajectory in positive cases (as a ratio to thosetested); availability of PPE (minimum of 30 days for this phase) and availability of tests; and capacityof health system to manage positive cases. We understand that we may have to move backwardsand reduce in person services if any of those conditions change. We are using this opportunity toreach out to clients that we have been unable to reach via phone or other means during this time andmaking arrangements so we can connect with them if we need to move away from in person services.

LREThe review by Beacon is complete and the report along with our response has been distributed. Wewill continue to monitor closely any outliers to make necessary corrections. We did take correctiveaction specifically in three areas: we closed our Crisis Residential Program and will be reopening in amuch smaller scale reducing our rates in half and bringing them in line with the statewide average; weupdated our rate schedule to accurately reflect our actual costs per service; and we have restructuredour home-based services to bring rates in line with the statewide average.

Mask Up MuskegonOur Team remains active in its participation of the Mask up Muskegon Campaign. We are continuingto collect and distribute cloth masks to the community and we are assisting with the recognition ofbusinesses that are following best practices to reduce infection. These nominations are being madeby community members.

Amber.Berndt

Typewriter

Attachment #6


Warm Line ImplementationAs an organization that received SAMSHA crisis response money we have begun to use thisopportunity to move to the development of a warm line. This means individuals are encouraged to callfor support and not just to request an assessment or respond to a crisis. These staff will be trained inpsychological first aid however should the caller be in crisis. A clinician will be deployed for in personresponse and/or a warm transfer. *This necessitated an update to our phone system. We are hopefulthat we can move to answering warm/crisis line with our own staff 24/7 without using a service. Wehave also been able to secure some additional funds to support the upgrade of our phone system.

Authority StudyOur consultant continues to work with us to complete the authority study and outline the project planto present to the board in August for discussion. The issue of the past liabilities is something that mustbe resolved as part of this process. In addition, we are coming up on the end of the fiscal year andwill have to respond to auditors as to whether or not this is still considered a receivable. There isindication in the new 1115 Medicaid waiver that changes are coming for our system. The need tomove to authority status may become more important due to the change in the environment. Thesepotential changes will be noted and discussed in the report.

Retirement AnnouncementPam Beane will be retiring after 25 years. Pam has provided much leadership within many areas,particularly regarding electronic health record implementation and documentation, service standardguidelines/utilization management, corrections services, and in the last few years has been thestrongest voice to improve and expand services for substance use disorder needs both in thecommunity and those directly provided by HealthWest. We have been working for weeks for hertransition, her last day of work being July 31. Please join me in congratulating her on her retirementand more importantly her many contributions to this community over the years.

healthwest full board minutes july 24, 2020 8:00 a.m. … · 9/7/2020 · justine belvitch, judy...

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