McHenry Times

McHenry County Mental Health Board met Aug. 28.

Here is the minutes provided by the board:

Board Members present: Mike Baber, Cathy Ferguson, Lynn Kasicki, Sam Melei, Lesli Melendy, Connee Meschini, Dawn Pruchniak, Sarah Wilson, Paula Yensen

Board Members absent: None

Others present: Scott Block, Terry Braune, Jane Wacker, Pat Peterson, Charles Wheeler, Alex Campbell, Sam Tenuto, Deb Smith, Todd Schroll and other interested parties

1. CALL TO ORDER - Connee Meschini called the meeting to order at 6:00 p.m. Roll Call was taken. 2. PUBLIC COMMENT – none.

3. APPROVAL OF MINUTES - FOR ACTION

Paula Yensen motioned to approve the Minutes of the July 24, 2018 Regular Board Meeting. Sarah Wilson seconded. A VOICE VOTE WAS TAKEN. All in favor. Motion carried.

4. REPORTS

A. President's Reports - C. Meschini

i. Board Training Opportunities - were noted for members that are interested in attending.

ii. Events and announcements - Connee mentioned the NAMI Illinois Conference - Creating a Community of Support and the Events and Announcements inside the packet.

Cathy suggested that a policy be developed allowing for attendance at the Annual National Council Conference since the MCMHB sets an example for other 708 Boards within the State and is looked upon as a leader. Scott mentioned that he will continue to forward opportunities to attend any event including in-state events. Paula noted that she would like those that come back from trainings to share their learned experiences with the full Board. Sarah asked that Scott pinpoint specific areas within large conference agendas for attendance directives. Cathy added that she had asked agencies for input on what should be attended but had not received feedback.

B. Director's Report - S. Block

Scott reported on:

A CBHA “Cheat Sheet” (within packet) was discussed at Network Council as a new statewide assessment tool leading into a treatment plan. This will affect all of the MHB’s contracts.

 MHB ED participated in Illinois HFS Mobile Crisis Response, Integrated Assessment and Treatment Plan, and Integrated Health Home webinars as all are part of the state’s behavioral health transformation plan. MHB facility also hosted Illinois HFS and the University of Illinois McHenry County IM-CANS integrated assessment and treatment planning tool training for local Medicaid providers. Network Council discussed potential local impacts of all initiatives. The effect on requirements of health homes in the system was also discussed.

More in-depth conversation could be held on an individual basis.

 MHB ED and President attended a McHenry County Emergency Management Agency organized “Behavioral

Threat Assessment” training for School personnel. All County school districts had representation. The meeting was held at the MHB facility.

 MHB was invited to attend and participate in the McHenry County Coordinating Council & Local Emergency Planning Committee for disaster response. The meeting was held at the MHB facility.

 MHB hosted the first of quarterly scheduled Behavioral Health/School Professionals Meetings to improve care coordination between schools and local providers. 13 school districts and 7 providers participated.

 MHB staff posted more retired office furniture and equipment on the GovDeals.com website and sold 12 chairs and a few tables totaling approx. $150.

 MHB ED met with the Economic Development Corporation Director to follow up on previous dialogue regarding square footage costs post MHB debt redemption. EDC is reviewing its space opportunities throughout the County. All other current occupants and the McHenry County Council of Governments have voiced desire to operate within MHB facility. Formal letters outlining proposed terms will be distributed by the MHB in September.

 Next Ethics and Compliance Committee meeting to be held on Wednesday, Sept. 19 at 4pm will be to review audit processes and year to date results.

 MHB FY19 Budget presentation to the Public Health & Human Services committee will take place on Thursday, August 30th at 8:15 am. The meeting is broadcast live on the County Meeting portal and is an open meeting.

 Connee mentioned that Deb Smith, Rosecrance Director will be leaving soon and will be missed.

C. Finance and Audit Committee - S. Melei

The Committee met last Tuesday and reviewed Treasurer’s Report. $2M of Fund Balance was moved into the budget and MHB is on pace to use $1.6M of that - an increase from past years. The Committee also reviewed:

 Update on ERP System

 Purchasing Policy regarding purchasing over $30,000

 Debt Certificate Redemption required to pay off building

 Psychiatric Loan Program applicant

D. Network Council - C. Ferguson

Network Council met yesterday. Family Alliance and Adult Child Therapy presented on their merger process into Independence Health and Therapy. Scott updated all on timelines, quarterly reports, money due dates, meeting goals and special conditions, etc.

Committees provided updates which included bylaws. Intake coordinators were encouraged to attend meetings.

TBI and Epilepsy Foundation will be doing two major presentations to the schools.

Suicide Prevention Task Force announced QPR training and Recovery Conference coming up in September.

Much discussion about changes in behavioral health and the training that will be required to implement the new changes.

E. Board Site Visit Report(s) - as called

i. Cathy Ferguson

A. Community Health Partnership (Harvard Area Comm. Health Ctr.)

Cathy reported on her visit to the CHP. They have one therapist to handle behavioral health and deal a lot with opiate issues. The CHP would like to have night time hours due to client work schedules and would like MHB help to provide funding for group supervision. Scott noted that this illustrates a work force issue. Many of our workers are bachelor level or peer level. MHB could contract with a licensed provider to work with small agencies to assist with group supervision. There is a significant lack of workers with licensure in this type of position. As an example, NAMI has a set schedule where a licensed individual meets with their peer specialists to review client files.

Additionally they are using A.C.E. to train their staff to find mental health issues. Scott will investigate whether it would be beneficial for other agencies. The CHP contract was developed by the MHB to add access care for the Spanish speaking population.

5. CONSENT AGENDA - FOR ACTION

A. 201808-43 Treasurer's Reports for the Period Ending July 31, 2018

B. 201808-44 MHB Monthly Bills - $934,981.70

C. 201808-45 FY19 MHB Holiday Schedule

D. 2018-46 FY19 MHB Meeting Schedule

E. 201808-47 Annual Review of General Policy Statements

F. 201808-48 Purchasing Policy

G. 201808-49 Vendors/Categories Pre-Approved for Check Release

Cathy Ferguson motioned to approve Consent Agenda items A, B, C, D, E, F, and G. Seconded by Sarah Wilson.

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

6. OLD BUSINESS - FOR DISCUSSION/FOR ACTION

A. FY19 Funding Application Timeline

The timeline has been in the packet for three months. These dates will remain unchanged as long as there is a quorum at each scheduled meeting. Out of the 74 programs and service requests received, only 2 were new programs and a couple were program expansions. In total, 31 providers have requested funds and only 2 providers are new to the MHB.

Total amount of requests: $10,256,215. Total amount available to allocate: $9,746,000 - about $509,000 under what was requested. Scott has conducted preliminary reviews and a draft funding plan has been completed. Scott will forward this along with directions on how to access funding plans. At next month’s board meeting Scott will walk through the suggested funding plan for the public.

Even though the MHB has $500,000 less than requests, if allocations go as suggested, about $350,000 will be unallocated. In reviewing the applications, Staff believes that some requests were duplicative of existing services, thus causing coordination of benefits concerns. Other requests simply did not sufficiently meet community needs. For organization, it would be best if Board members review these once received and get questions to Scott prior to the next month’s meeting.

B. 201808-53 FY19 Budget Revisions

Scott reviewed the FY19 Budget Revisions shown on packet page 66. He noted that he and Jane met to review the Budget with the County Administrator and the Associate Administrator of Finance and the review resulted in a couple of minor revisions. Overall, the County only recommended changes of $8,000 out of a $13M budget. MHB Staff increased interest income by $7,000 and to offset, increased postage by $1,000 and remaining funds went back to client services and is available for allocation to contracts and services. Mike Baber motioned to approve the FY19 Budget Revisions as presented in the Board packet. Seconded by Lynn Kasicki. 

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

7. NEW BUSINESS - FOR DISCUSSION/FOR ACTION

A. 201808-50 Psychiatric Loan Program Applicant

Scott noted that the Finance and Audit Committee held significant discussion on the applicant for the Psychiatric Loan Program and has recommended approval to the full Board. Cathy Ferguson motioned to approve stating that the Board of Directors of the McHenry County Mental Health Board directs the MHB Executive Director to execute a Memorandum of Understanding outlining and memorializing Dr. Timothy Yovankin’s participation in the Psychiatric Loan Recognition Program with a qualifying loan amount of $227,640. Seconded by Sarah Wilson. 

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

B. 201808-51 Debt Certificates Series 2010-B Redemption

On packet page 72, Scott reviewed the process to satisfy the remaining debt of the MHB Annex facility, including meeting with County and modeling the attached resolution previously used by Valley Hi. The decision memo and recommended motion authorizes and directs the County Board to adopt a resolution issuing a call notice as they hold the debt. A call notice letter will be developed and is subject to appropriation of the FY 2019 budget. This is not approving the sample resolution only the Decision Memo. Sarah Wilson made a motion authorizing and directing the County Board to adopt a resolution issuing a call notice letter for the full optional redemption of Debt Certificates, Series 2010 as soon after the December 15, 2018 semi-annual debt payment as possible, to be completed within the parameters of applicable ordinances and required timelines, subject to full appropriation by the County Board of the MHB’s 2019 budget. Sam Melei Seconded. 

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

C. 201808-52 Guidelines for FY18-19 Pay For Performance Adjustments

Scott reviewed Guidelines for FY18-19 Pay For Performance Adjustments and explained the attached exhibit. He drew the Board’s attention to Item D on packet page 76. After the County survey study, two MHB Staff received an increase in pay, bringing them up to the lowest level of their position’s market value. The County’s Pay For Performance Resolution limits these employees from eligibility to receive merit increases for FY18. MHB ED requests the Board allow these two MHB Staff members, both high performing staff members as evidenced by previous performance review, to be eligible for the same merit increase as other MHB employees. Additionally, the MHB Resolution contains the 2.25% mirroring County merit.

In the MHB Resolution, the Board has directed Jane to add numbers into the budget for potential contract adjustment or merit funds for ED which is not included in the merit numbers. At present, the number that the Board directed to put into budget is not the number that the PHCS Committee has received. Scott recommended Board adoption as written with understanding that there may be compromise with County. Sam Melei motioned to approve and adopt the MCMHB Guidelines and Resolution of the FY18-19 Pay For Performance Adjustments with the 2.25% merit increase. Seconded by Lynn Kasicki. 

A ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

New Business - Scott noted that in relation to a compliance audit conducted on August 7 at Pioneer Center, he and Terry Braune met with Dawn Pruchniak, Chairperson of the Ethics and Compliance Committee, to review results. Draft results stem from a third audit of Pioneer Center by Terry. The Board had previously drafted Special Conditions that Warrant Of Needs (WON’s) be put into place for certain specific client files. At Pioneer Center’s March audit it was discovered that these WON’s were not in place at that point. Discussion of this was held at a subsequent Ethics & Compliance Committee meeting. Post this situation, Terry and Scott met with Pioneer Center leadership to revise WON Special Conditions due by July 1. At the August 7th compliance audit there were no WON’s in many of the files reviewed. This inattention to the requirements of contract will require potential recoupment in funds for each, totaling approximately $44,648. Pioneer Center has been given the draft report and will have 45 days to develop a course of action or refute the findings. An Ethics and Compliance Committee meeting will be held to review corrections and make recommendations. This issue runs concurrent with the FY19 funding application process. It is a draft report and no action is needed at this time. However, because of the significant amount of potential recoupment, Scott wanted to inform the Board of the issue per the Ethics and Compliance Chairperson’s request.

8. PRESENTATION – none.

9. MEMBERS' COMMENTS – none. 10. PUBLIC COMMENT – none.

11. EXECUTIVE SESSION [PURSUANT TO 5ILCS 120/2 (C)(11)] - LITIGATION MATTER

Sarah Wilson motioned to move into Executive Session at 7:01 p.m. Seconded by Mike Baber. A

 ROLL CALL VOTE WAS TAKEN. Dawn Pruchniak – Yes, Sarah Wilson – Yes, Paula Yensen – Yes, Mike Baber – Yes, Cathy Ferguson – Yes, Lynn Kasicki – Yes, Sam Melei – Yes, Lesli Melendy – Yes, Connee Meschini – Yes. All in favor. Motion carried.

Sarah Wilson motioned to move into Open Session at 7:25 p.m. Mike Baber seconded. 

A VOICE VOTE WAS TAKEN. All in favor. Motion passed.

No Action was taken in Executive Session.

12. ADJOURN - Sarah Wilson motioned to adjourn. Seconded by Sam Melei. 

A VOICE VOTE WAS TAKEN. All in favor. Motion carried. The meeting adjourned at 7:25 p.m.

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