DRAFT Michigan Association of Local Public Health Nurse Administrators Forum

Transcription

1 DRAFT Michigan Association of Local Public Health Nurse Administrators Forum NURSE ADMINISTRATORS FORUM Meeting Minutes Tuesday, January 13, :30 am - 12:30 pm Location: MPHI, Okemos, MI 1. Call to Order: The meeting was called to order by Anne Young at 9:34 am. 2. Roll Call: Anne Young (Chair), Margaret Brown, Jackie Anderson, Jennifer Casarez, Michelle Klein, Michelle Thorne, Renee Crays, Debbie Poquette, Joyce Zigler, Toni LaRocco, Angie Videto, Renee Marks, Rebecca Harrison, Penny Born, Kathy Haskins, Elaine McDonald, Elaine Brown, Andrea Tabor, Lynn McDaniels (Secretary), Lisa Hahn, Janine Chittenden, Dawn Dotson, Sue Schryber, Tawnya Simon, Michelle McDonald, Courtney Herrick (guest), Liz King, Jane Nickert, Catherine Oliver, Barbara Auten. Guest: Mark Miller, MDCH 3. Administrative Items A. Approval of the Agenda: Motion by Lisa Hahn, support by Tawnya Simon to accept the agenda. Motion approved. B. Approval of the Minutes: Date of the November meeting minutes should be Motion by Andrea Tabor, support by Tawnya Simon to accept the minutes as amended. Motion approved. C. Treasurer s Report: Motion to accept the Treasurer s reports for November by Andrea Tabor. D. Correspondence: None received this month E. Chair s Report: Anne Young attended the MALPH Board meeting by teleconference. Anne and Mark Miller, MDCH Director of Local Health Services, reported: $1.9 million in Michigan Health Endowment funding (3 year grant) is being distributed to 2 MCIR regions to increase immunization rates. MDSS access change was generally supported by the MALPH Board. Mark Miller was asked to check with MDCH attorney and HIPAA Officer to identify any concerns. No concerns were identified. A data use agreement would need to be assigned by ALL LHDs for expanded access. A draft data use agreement will be distributed for review. Mark congratulated the NAF for suggesting this change. The WIC electronic system has been moved back to the original server, while bugs are being worked on. The Imms waiver rules have been passed. Bob Swanson is coordinating training. Thanks to the NAF for their support. The purpose of the Nurse Administrators Forum is to enhance the health of Michigan citizens, based on our knowledge of Public Health Nursing practice, by providing effective leadership, collaboration, legislative outreach and professional mentoring for Public Health Nurse Administrators.

2 Expedited partner therapy is moving forward. The guidance is being developed. An RFP for additional funding for third party billing assistance will be issued by MDCH Immunization Program within a few weeks by Mitra Ahmadpour. MDCH EH staff are available to provide climate projections for LHDs. MDCH is projecting a $ million budget for FY A budget meeting is planned for this week. Currently, MDCH hiring and revenue enhancement requests are on hold. Nick Lyon, MDCH director, has also been appointed as Director of DHS. Accreditation Cycle 6 begins in February with Kalamazoo. Mark Miller agrees that NAF should be represented in the review process. Accreditation Efficiencies Committee has decided that the QI section will be more in alignment with the national accreditation requirements. Regionalization: Much discussion regarding consolidation and sharing of services. Using the Prosperity Regions is not the only way to share services. MDCH is open to looking at other ways to share services among services to maximize efficiency and increase availability of resources. There is no mandate for this. JoAnn Hoganson asks if there is any info on refugee resettlement and bypassing LHD oversight. Michelle Thorne thinks that it is related to a requirement by Medicaid that health assessments be completed by a physician or nurse practitioner. Mark will check further. 4. Old Business A. Association Status Update: Michelle Thorne reports that we have obtained non-profit incorporation status known as the Nurse Administrator s Forum of MALPH, Inc. Thank you to Michelle for coordinating this for us. 5. New Business: A. New Members: Margaret Brown and Jane Nickert are attending in person for the first time. Welcome! B. Non-Nursing Members and Committee Involvement: In preparation for potential Bylaws changes this year, there was discussion about committee participation by non-members. 6. Speakers: A. Mark Miller, MDCH, Director of Local Health Services: Rosemary Asman has retired. Report as above. B. Lisa Condon and Kathy Janer, Bay County: Described their process implementing the immunization waiver policy for LHDs. Presentation is attached. 7. Reports A. NAF Committee Reports 1. Awards: No report. 2. Bylaws: No report. Send suggestions to Michelle Thorne or Toni LaRocco in preparation for a spring revision. 3. Data: No report. 2

3 4. Education & Orientation: Anne Young has a teleconference scheduled with Amy Zaagman, MI Council for MCH, to discuss speaking at the Higgins Lake conference regarding advocacy. Anne requests that members send her any suggestions for content. 5. Nominating- No report. 6. Strategic Planning: No report. B. NAF Representative Reports 1. COMON: Lisa Hahn reports: Senate Bill 2 regarding the Nurse Practitioners and defining scope of practice did not make it through the legislature lame duck session. We will have to start all over again in January. It was suggested that COMON host a get together to teach new members on how to educate legislators on needs. March 18, 2015 MNA is sponsoring its annual March on the Capital, more details to come. MONE also will be hosting an advocacy day in March or April, more details to come. COMON has achieved 501(c)3 status and advocacy was discussed and restrictions. The 501- C3 does not restrict the individual it just restricts us as an organization from advocating. More investigation on this is needed. At the September meeting the Michigan Health Council Center for Nursing CEO Melanie Brim offered information on an Action coalition being developed from AARP and RWJF in each state to assist with creating a Culture of Health in our state. The goal will be to bring together all the stakeholders to gain information on the barriers we face in Michigan and possible solutions. The two lead organizations for this coalition are Michigan Health Council of Michigan and MPHI. The group has begun and is called The Roadmap to Population Health Attached is a copy of their notes and a first attempt to strategize. The key point was we need to encourage nurses to be on more boards and participate at levels that nurses can make an impact. See Michigan Center for Nursing s website for additional ways you can offer input or participates in one of the group. Deborah Bach-Stante Director Of Nursing Policy, reported: There will be a new training required for licensure on Human Trafficking. It will not be a CEU requirement but a training to renew your license. LARA will have information shortly on their website with the details. MDCH received $70 million for a four year period to focus on better coordination of client care. More to come. Senate Bill 993 is in process and is an inter-state compact agreement to help regulate health care agreements. This is being pushed by anti-obamacare parties. Keep an eye on this! Public Act 361 references Good Moral Care Requirements and is proposing illuminating this requirement from licensure. There is much controversy because it would eliminate screening felonies on pre-employment histories. Deb will work on a way to post the legislative updates on her website. College Scholarship funds will have more flexibility if the funds are not completely used in the term indicated. They will have reseat process in place that they can request to use in current year, rather than lose the funds. Much talk about the sustainability of COMON and the group s role. Members were excited to hear that we have 42 organizations represented at these meetings. MPHI will no longer host the COMON website. In process of investigating new options. 3

4 A survey will be sent out to all members to help COMON determine what the value and focus should be of the group. Next COMON meeting is scheduled for March 19, MPHA: Janine Chittenden reports that Kathie Bappert is writing a journal article on the academic partnership process. Jeanine distributed a Save the Date flyer for the MPHA/PHN Section Conference Health Equity through Literacy on is attached. C. MALPH Committee Reports: 1. Governance- This committee is on hiatus until further notice. 2. Premier Conference- Janine Chittenden reports that the MPPHC 2014 set records in attendance and profits. MPPHC 2015 will be October 6-8 at Crystal Mountain in Thompsonville, MI. The theme will be Public Health: Building a Culture of Health for All. The new committee chair is Ray Sharp of the Western UP. There are three new members on the committee. One is a Health Officer, one an Epidemiologist, one a physician. There may be another RN on the committee (presently there are 2). D. MDCH Committee Reports: 1. CSHCS Advisory Committee: Janine Chittendon reported that the meeting was held October 21, Sue Moran, Deputy Dir. MDCH PH Admin, spoke on 2015 strategic plan. One priority is to improve outcomes for children through reducing substance abuse, early mental health services (autism focus), increasing healthy births through the 8 evidence based strategies to reduce infant mortality, and decreasing human trafficking. Jane Turner discussed the ASD/DD State Implementation Grant to improve services to ASD/DD population. Focus is to 1) screen children by 24 months, 2) lower diagnosis age to 36 months, and to have treatment by 48 months of age. CSHCS, through its mission to support all CYSHCN in development, behavior, social, mental health and physical health is partnering with the MI Chapter of the AAP to train medical practices per year to screen using the ASD and M-CHAT. They will also partner with MPHI for parent empowerment training, Autism Alliance of MI for local training (LHD, EO, CMH, ISD s and especially Navigators) and CHEAR UM for evaluation and family feedback. Michigan Department of Community Health Survey on Rebid for Medicaid Health Plans: The Michigan Department of Community Health (MDCH) is working closely with the Department of Technology, Management and Budget on a rebid for the Medicaid Health Plan program effective October 1, MHPs will be required to bid on entire Prosperity Regions. 2. Family Planning-No report. 3. MACI Sue Schryber reported on the Meeting: Reviewed Administrative Rules change: change in philosophical/religious waiver policy and wording was added that would provide additional authority to LHD Health Officers to exclude unvaccinated children from school/childcare during a vaccine preventable outbreak. 4

5 MDCH is in the process of pulling together education resources for LHDs to help with educating parents on the issues that concern them when they come to the LHD for a waiver for their child. Blue Cross/Blue Shield will now reimburse pharmacies for administering adolescent vaccines. CDC Epi Course will be held in Lansing on June 16-17, The course goes through the entire CDC Pink Book. Cost is still to be determined but will most likely by less than $100. Sarah Clark from U of M gave a wonderful presentation regarding parent attitudes about daycare vaccination requirements. See attachment for presentation. Joel Blostein, MDCH, gave a vaccine preventable disease update (see attachment). 4. MIHP- Dawn reports that there is some uncertainty following Rosemary Asman s retirement. The accreditation is challenging for A new MIHP logo is coming. Hospitals with minigrant funding are requesting a script to encourage clients to accept MIHP and CSHSC referrals. There are 30 new MIHP providers as of Some LHDs are reporting caseloads are down by about one-third. 5. MPHA PHN Section: Academic Practice Partnerships-Special afternoon session is planned today. 6. Body Art- No report. E. Free Forum (Open Discussion): Michelle Thorne reports that she is advocating that MDCH pay for Insight changes needed for the STD record. Michelle is also working to establish a MOU with a local MHP for ambulance transport. Lisa Hahn reported on an episode of human trafficking discovered by PHNs in the STD Clinic. Dawn Dotson is hosting a presentation on human trafficking. She will send the information to NAF. The next meeting is scheduled for Tuesday, February 10, 2015 from 9:30am 12:30pm at MPHI. Teleconference Access Number: , Access Code: # The meeting was adjourned at 12 noon. The meeting reconvened at 1:40pm and an afternoon session was held with our MPHA colleagues and members of our NAF/MPHA PHN Academic Practice Partnership to discuss areas of mutual concern about the future of public health nursing. Articles discussed included The High Achieving Governmental Health Department in 2020 as the Community Chief Health Strategist, Forum on the Future of Public Health Nursing, and Building a Community Health Worker Program. Guests included Sandy Walls, Sue Clemen-Stone, Roseanne Sanders, Kathie Bappert, and Alice DeYoung. 5