Board of Director Meeting Minutes May 21, :00am-1:30pm

Transcription

1 Location: Eisner Pediatric & Family Center 1500 S. Olive Street Los Angeles, CA Board of Director Meeting Minutes May 21, :00am-1:30pm Attendees: Bill Hobson, Watts Healthcare Corporation, Inc.; Jann Hamilton Lee, South Bay Family Health; Jim Mangia, St. John's Well Child and Family Center; Herb Schultz, Eisner Pediatric & Family Medical Center; Clifford Shiepe, T.H.E. Health and Wellness Centers; Richard Veloz, South Central Family Health Center Absent: Gilbert Varela, Central City Community Health Center Others Present (Including Authorized Representatives): Jackie Provost, UMMA Community Clinic; John Pazarindeh, Central City Community Health Center Quorum Present: Yes Staff: Nina Vaccaro, Executive Director; Southside Coalition of Community Health Centers Guests:None Agenda Item Discussion Items Action Items Proceedings Expansion updates Meeting was called to order at 11:04am by Chair, Richard Veloz Meeting Minutes were reviewed for 4/16/15 Treasury report was reviewed: Statement of Financial Income and Expenses for April, 2015 & Balance Sheet as of April 30, 2015 & Financial Report as of April 30, UMMA is going after a capital grant to expand their primary site to build out behavioral health offices Watts opened two new dental operatories so they now have 18 dental chairs. They are also applying for capital funds for the conversion of their medical records room into additional exam rooms. Eisner will be applying for capital funds for the newly acquired practices in the San Fernando Valley. By motion of the Board, meeting Minutes were approved By motion of the Board, Treasury reports were approved. Page 1 of 5

2 My Health LA Roll Out, Issues or Challenges and Referrals from DHS SB 474 Future Funding HIE*Lite at St. Francis Medical Center We Care for California Sign on Letter and Visit with Holly Mitchell South Bay is planning to open a new clinic in Redondo Beach with a focus on seniors. South Central will also apply for capital funds for their existing project. There is a continued discussion with the Board of Supervisors about the underfunding of dental in MHLA and around offsite enrollment restrictions. There is currently a form that can be completed to request a one-time waiver to enroll at special events but the turnaround is about 4 weeks right now. UMMA is the only clinic that reported they have received their first list of patient referrals from DHS. The list had 10 patients with limited and brief medical histories. They are now reviewing the patients to make sure they are appropriate referrals. Several members of the Coalition attended a visit with Yolanda Vera of Supervisor Mark Ridley Thomas office which was organized by CCALAC. They discussed whether the South LA Medical Preservation Funds could be retained now that the MLK Community Hospital is opened and DHS has announced plans to discontinue the funding in August, It was suggested that CCALAC look at the financial impact on health centers who will lose this funding. It was discussed that since these funds currently pay for staff time rather than encounters, it is unlikely that MHLA cover the same costs if patients moved from SLAMPF into MHLA. It was discussed that due to the revenue loss when funds end, perhaps there is a way to tack on additional funding for the most needy patients within the catchment area of SLAMPF. N. Vaccaro provided an update on the implementation of provider notifications from HIE*Lite for patient admissions at St. Francis Medical Center. Per the previous discussion, she and the IT Vendor TWHS spoke with the hospital representatives about the proposal and they decided that due to HIPAA concerns with patients that are not confirmed matches, they are not comfortable sending health centers patients names and identifying information if they are not a confirmed patient of that health center. Given this, the proposal will remain on hold. N. Vaccaro discussed a campaign to increase the MediCal rates across the State of California, which is an issue CPCA is a prominent partner in. None of the members were familiar with this campaign and were unaware of CPCA s role in it. Southside has been asked to sign on to a letter of support and to consider attending legislative visits with local elected H. Schultz will contact Andie Patterson at CPCA to discuss the bill and request more information. Page 2 of 5

3 LAUSD Wellness Centers Phase 2 officials who have not yet supported the proposed bills. A visit with Holly Mitchell is scheduled for the following week. Once more information is available from CPCA the members will decide about signing onto the letter. N. Vaccaro has been working with LAUSD s Kim Uyeda, LA s Promise s Maryjane Puffer and CCALAC s Louise McCarthy on the next phase of funding for Wellness Centers in the district.. She presented a proposal as follows: Maya Angelou: South Central Family Health Center was brought in to a discussion with the school administrators several months ago about the possibility of opening a Wellness Center on campus. Southside has been working with ACCE for the last year to help them identify a potential clinic partner and we thought that South Central would be the best partner for them. They are developing a relationship with the school and already hosted a health fair on campus to promote the need for health services to the community/students. South Central's main site is 1.2 miles away from the school. Santee: Eisner Pediatric already has a presence on this campus and are very interested in operating a Wellness Center. This site is.9 miles away from their main site. Hawkins: St. John's already has a relationship with the school as it is.4 miles away from their main site. They currently work with the students on their Right to Health Committees. Banning: N. Vaccaro spoke to South Bay about this prior to the meeting and asked that J. Hamilton Lee and Elisa Nicholas at The Children's Clinic talk about this site. The school is only 2.8 miles away from South Bay's Carson Wellness Center and South Bay is very interested in a site at Banning. J. Hamilton Lee agreed to speak to E. Nicholas and work this out between themselves. Dorsey: T.H.E. is currently sending their mobile unit to this campus which is 2.4 miles away from their main site. Watts operates a site that is close (1.4 miles away) during this discussion, the CEO at Watts felt that T.H.E. would be better suited to operate a site at this school. As for existing Wellness Centers, it was discussed whether anyone N. Vaccaro will notify LAUSD of the proposed partnerships for new Wellness Centers. B. Hobson will discuss the issue of Wellness Center sustainability at CCALAC Page 3 of 5

4 currently operating a wellness center that may no longer be interested in serving as the operator should let me know by our next meeting in June. There was a discussion that if any existing sites need new operators one of our members would like to have the opportunity to submit a proposal to take over operations of that site The proposal was accepted by the members without any disagreement. It was discussed that there is no funding available for Wellness Center operations, this will only fund capital projects. Thus, there is a need to advocate to help support the operations of Wellness Centers. J. Mangia suggested engaging OneLA on a strategy to fund operations as they have an interest in this issue. There is also a great model in Alameda County that provides $100,000 annually for all school based Wellness Centers. R. Veloz added that LAUSD is also charging the Wellness Center operators rent, this should be in-kind. Southside Business Development Discussion (Strategic Plan) N.Vaccaro reviewed the strategic plan goals around business development for the Coalition and stated that a process was needed to select some realistic options. The following ideas were discussed: Southside could negotiate a good rate for servers and tack on a fee for N. Vaccaro will see if J. Levine could do a study to understand the poor utilization rates of after hour call lines. coordination the maintenance of infrastructure and working with IT consultants to assess the server rooms at each health center site. This could be a one time or ongoing activity. Develop a consolidated call center for appointment scheduling and an after hour nurse line. Staff trainings for human resources. CCALAC currently offers online resources but it was discussed that this isn t the most effective way to train staff. It was suggested that a block contract be initiated for key trainings and solicit a proposal. Southside could work in administrative costs. Patient transportation. This would require more resources than may be available. Southside Advocacy Agenda (Strategic Plan) The following issues were identified for the advocacy agenda: Wellness Center operating funds More MUA/HPSA designations for areas currently not covered. Workforce development Health in all policies to include food security, employment, transportation. CDPH is having a discussion about this so it would be good to understand what their own agenda is. Other/Announcements MLK Payment Policies: Following a meeting B. Hobson had with staff at N. Vaccaro will follow up with Page 4 of 5

5 Adjournment MLK Community Hospital, he expressed concern that there was not uniform payment plan in writing for uninsured patients. There are also no written affiliation agreements in place yet with the hospital and clinics. Meeting was adjourned at 12:32 pm Blair Contratto at MLKCH about the missing documents. Respectively submitted by: Nina L. Vaccaro, Executive Director Page 5 of 5