MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING November 16, :00 p.m. Draft Agenda

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1 MONROE COMMUNITY MENTAL HEALTH AUTHORITY REGULAR BOARD MEETING November 16, :00 p.m. Draft Agenda MISSION STATEMENT: The mission of the Monroe Community Mental Health Authority is to provide quality mental health care in partnership with consumers and our community to enrich lives and promote wellness. Guide I. Call to Order 1 min II. Roll Call 2 min III. Pledge of Allegiance 2 min IV. Consideration to Adopt the Agenda as Presented 2 min V. Consideration to Approve the Minutes of the October 26, 2016 Regular Meeting 2 min and Waive the Reading Thereof VI. Feedback Summary (handout) 5 min VII. Citizen Comments 3 min/person The Board will listen respectfully to any comments you would like to make, but will not respond directly tonight. You can expect a follow up contact from the Executive Director or her representative within 24 hours if your comment is about a specific problem or complaint. Comments shall be limited to 3 minutes. VIII. Purpose of the Monroe Community Mental Health Authority 2 min (Vision: That people are empowered and supported to reach their maximum potential) Rules of Conduct a. Speak only after being acknowledged by the Chair and only to the Chair. b. Keep deliberation focused on the issue and don t make it personal. c. Divulge all pertinent information on an issue before action is taken. d. Seek to understand before becoming understood. e. Seek to do no harm. Board Concerns a. Executive Director and Organization Evaluation b. Organizational Sustain Stability and Budget Funding c. Sustain Deliver of High Quality Service IX. Presentations, Recognitions, and Celebrations 15 min a. Agency Reorganization Update X. Board Committee Reports 2 min a. Consideration to Place on File All Written Committee Reports i. Executive Written Minutes ii. Finance & Facilities Written Minutes iii. Program & Planning Written Minutes b. Consideration to Approve the 2017 Annual Board of Director s Calendar XI. Items for Board Action 10 min a. Consideration to Approve the Consent Agenda Less Item i. Administrative Contracts as Presented b. Consideration to Approve Proposed Position Addition for FY16-17 for a Child & Family Supervisor c. Consideration to Approve Proposed Position Addition for FY16-17 for a Child & Family Intensive Case Manager Page 1 of 22 LJ/dp

2 d. Consideration to Approve Proposed Position Addition for FY16-17 for a Diagnostician XII. Relationship with the Region, County, and Others 2 min/person a. Regional Reports i. Regional PIHP Board Meeting Written Minutes in December XIII. Items from the Executive Director 10 min a. Financial Report No Report for November b. Executive Director s Report (handout) XIV. New Business 5 min XV. Citizen Comments 3 min/person XVI. Announcements by Board Members 12 min XVII. Adjournment 1 min The next scheduled Regular Meeting is 6:00pm, Wednesday, December 21, 2016 in the Monroe Community Mental Health Authority Aspen Room. 11/9/16, 3:09 p.m. Page 2 of 22 LJ/dp

3 BOARD OF DIRECTORS REGULAR MEETING MINUTES October 26, 2016 Present: Excused: Greg Lane, Chairperson; Sandy Libstorff, Vice Chairperson; Bill Henning, Secretary; Nicole Cronenwett; David Stephens; Jim Neumann; LaMar Frederick; Pam Ray; Rusty Shorter; Gloria Rafko, and Susan Fortney Charles Londo Unexcused: Staff: Guests: Lisa Jennings 5 guests were present I. CALL TO ORDER The Board Chairperson, Greg Lane, called the meeting to order at 6:00 p.m. II. ROLL CALL The Roll Call confirmed a quorum existed. III. PLEDGE OF ALLEGIANCE The Pledge of Allegiance was led by Rusty Shorter. IV. CONSIDERATION TO ADOPT THE DRAFT AGENDA AS PRESENTED LaMar Frederick moved to adopt the draft agenda as presented. Susan Fortney supported. Motion carried unanimously. V. CONSIDERATION TO APPROVE MINUTES Gloria Rafko moved to approve the minutes of the September 28, 2016 Regular Meeting and waive the reading thereof. Susan Fortney supported. Motion carried unanimously. VI. FEEDBACK SUMMARY Greg Lane reviewed the September Board Feedback Summary. VII. CITIZEN COMMENTS There were no citizen comments. VIII. PURPOSE (VISION) OF THE MONROE COMMUNITY MENTAL HEALTH AUTHORITY Page 3 of 22

4 Monroe Community Mental Health Authority Board Meeting Minutes October 26, 2016 IX. PRESENTATIONS, RECOGNITIONS, AND CELEBRATIONS a. Monroe County Mental Health Recovery Court - Geralyn Harris, Chief Clinical Officer, introduced The Honorable Judge Vitale, Stephanie Pride, Chief of District Court Probation Services, and Michelle Marcero, Monroe County Court, who presented on the Monroe County Mental Health Recovery Court. The Monroe County Mental Health Recovery Court is a specialized Court assisting individuals with community based support services who have a serious mental illness, are a criminal potential participant, and provides multidisciplinary recommendations to the Court. The program strives to hold its participants accountable for their behavior while encouraging the individual to engage in mental health treatment, enhance the quality of life for participants throughout Monroe County, and reduce criminal behavior and decrease incarceration of the mentally ill. X. BOARD COMMITTEE REPORTS a. Consideration to Place on File Written Committee Reports Susan Fortney moved to place on file all written committee reports. Rusty Shorter supported. Motion carried unanimously. Written Minutes placed on file were: Finance & Facilities October 19, 2016; and Performance Evaluation October 17, b. Consideration to Appoint Jim Neumann to the Finance & Facilities Committee and the Program & Planning Committee Susan Fortney moved to appoint Jim Neumann to the Finance & Facilities Committee and the Program & Planning Committee. Rusty Shorter supported. Motion carried unanimously. c. Consideration to Appoint Nicole Cronenwett to the Bylaws & Policy Committee and the Program & Planning Committee Pam Ray moved to appoint Nicole Cronenwett to the Bylaws & Policy Committee and the Program & Planning Committee. Gloria Rafko supported. Motion carried unanimously. XI. ITEMS FOR BOARD ACTION a. Consideration to Approve the Consent Agenda Less Item Gloria Rafko moved to approve the Consent Agenda. David Stephens supported. Roll call: In favor: Henning, Stephens, Cronenwett, Neumann, Frederick, Libstorff, Lane, Ray, Rafko, Shorter, and Fortney; opposed: none, motion carried unanimously. d. Consideration to Accept the Satisfactory Executive Director Performance Evaluation for 2016 as Recommended by the Performance Evaluation Committee Pam Ray moved to accept the Satisfactory Executive Director Performance Evaluation for 2016 as recommended by the Performance Evaluation Committee. Susan Fortney supported. Roll call: In favor: Henning, Stephens, Cronenwett, Neumann, Frederick, Libstorff, Lane, Ray, Rafko, Shorter, and Fortney; opposed: none, motion carried unanimously. XII. RELATIONSHIP WITH THE REGION, COUNTY, AND OTHERS a. Regional Reports i. Regional PIHP Board Meeting Written Minutes. Page 4 of 22

5 Monroe Community Mental Health Authority Board Meeting Minutes October 26, 2016 XIII. ITEMS FROM THE EXECUTIVE DIRECTOR a. Financial Report Jeff Koras was available for questions regarding the Financial Report. b. Executive Director s Report Lisa Jennings commented on: an update for Model Payment; Lenawee County Chief Executive Director, Sandy Keener s condition; Report 1009; Section 298; and Direct Care Workforce. XIV. NEW BUSINESS XV. CITIZEN COMMENTS There were no citizen comments. XVI. ANNOUNCEMENTS BY BOARD MEMBERS Rusty Shorter, Jim Neumann, and David Stephens commented on the MACMHB Fall Conference and the plenary sessions they attended. LaMar Frederick commented on the steps moving forward with the Mental Health Recovery Court. Congratulated Geralyn Harris and Lisa Jennings for their hard work in this effort. Sandy Libstorff commented on the Michigan Legislature Bill that was passed to have Narcan in Schools. Gloria Rafko commented on the City Council who honored Policemen for saving 6 lives since the department began carrying Narcan. Greg Lane suggested Marci Scalera, SUD Director giving a presentation to the Schools to feel more comfortable on having Narcan on their premises. Pam Ray commented on the shortage of CLS staff. XVII. ADJOURNMENT David Stephens moved to adjourn at 7:22pm. Jim Neumann supported. Motion carried unanimously. Submitted by, Bill Henning Secretary JST/dp 11/4/16 Page 5 of 22

6 BOARD EXECUTIVE COMMITTEE Thursday, November 3, :30pm / Aspen MAJOR COMMITTEE RESPONSIBILITIES 1. Form agenda for monthly meetings. 2. Monitor long term effectiveness of the Board and Board Committees. COMMITTEE MEMBERS Bill Henning Sandy Libstorff Greg Lane, Chair DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 4:30pm by Greg Lane. Greg Lane, Bill Henning, Sandy Libstorff, and Lisa Jennings were present. II. REVIEW OF THIS MONTH S BOARD MEETING a. Board Agenda Reviewed b. Committee Reports Reviewed c. Presentation Agency Reorganization Update III. ITEMS FOR DISCUSSION a. Executive Director Update Lisa Jennings commented on the Program & Planning Meeting requests and the collaboration efforts with the Oaks of Righteousness with Pastor Boone. b. Finance Committee Dawn Pratt to send announcement to Board members that the Board Finance Committee will meet on Tuesday, November 9 th at 5pm. c. Board Holiday Dinner scheduled for Friday, December 9 th at 6:30pm. Location is TBD. IV. ITEMS FOR FUTURE BOARD MEETING AGENDA a. September MACMHB Fall Conference b. September Approve Board Bylaws and Board Governance Policy Manual V. AJOURNMENT The meeting adjourned at 5:20pm. VI. NEXT MEETING The Next Meeting of the Executive Committee is scheduled for Thursday, December 8, 2016 at 4:30pm in the Aspen Room. Respectfully submitted, Greg Lane 11/4/2016 Board Chair Page 6 of 22

7 BOARD FINANCE & FACILITIES COMMITTEE Tuesday, November 8, :00pm MAJOR COMMITTEE RESPONSIBILITIES 1. Monitor the Organization s Finances and Facilities. 2. Review and Recommend to the Full Board Contracts and Budgets. 3. Review and Recommend to the Full Board Budget Strategies for Managing Overages and Shortfalls. COMMITTEE MEMBERS Pam Ray Rusty Shorter Susan Fortney Gloria Rafko Bill Henning Greg Lane (Ex-Officio) Sandy Libstorff Charles Londo, Chair DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 5:00pm by Charles Londo. Charles Londo, Bill Henning, Susan Fortney, Gloria Rafko, Sandy Libstorff, Jim Neumann, Greg Lane, Rusty Shorter, Lisa Jennings, Jeff Koras, Jim Brown, and Muriel Colasinski were present. Pam Ray was excused. Gloria Rafko was absent. II. ITEMS FOR BOARD ACTION (Consent Agenda) a. Administrative Contracts Canon Solutions America, Inc. was presented by Jeff Koras (recommend approval). b. Proposed Position Addition of one Supervisor With the continued increase of Autism consumers, the necessity of hiring one supervisor specifically overseeing Autism Services is being sought (recommend approval). c. Proposed Position Addition of one Case Manager - With the continued increase of Autism consumers, the necessity of hiring one case manager specifically for Autism Services is being sought (recommend approval). d. Proposed Position Addition of one Diagnostician With the increase of Autism consumers, the necessity of hiring one Diagnostician with the specialty of ADOS testing specifically for Autism Services is being sought (recommend approval). The Proposed Position Additions changes for FY2017 is to create a team specifically for Waiver and Autism consumers. In January 2016 there were 5 Autism cases. Currently there are 127 Waiver cases, 4 Children s Waiver cases, 49 Autism cases, and 21 Autism cases waiting in the cue for State approval. This is an increase of 400% due to the changes to the Waiver and age extension for Autism Services. The PIHP will provide the extra Medicaid, there is no effect to the FY2017 Budget. III. FACILITIES UPDATE IV. FINANCIAL REPORTS No reports for November. V. PARKING LOT VI. INFORMATIONAL ITEMS VII. PUBLIC COMMENTARY VIII. ADJOURNMENT The meeting adjourned at 5:32pm. The next meeting of the Finance & Facilities Committee is scheduled for Wednesday, December 14, 2016 at 5pm in the Aspen Room. Respectfully submitted, Charles Londo CL/dp 11/9/16 Committee Chair Page 7 of 22

8 BOARD PROGRAM & PLANNING COMMITTEE Wednesday, November 2, :00pm MAJOR COMMITTEE RESPONSIBILITIES I. Ensure supports and services needed for consumers to achieve their outcomes are available and accessible. II. Monitor MCMHA programs and services for effectiveness, quality, and consumer satisfaction within the scope of the mission of the organization. COMMITTEE MEMBERS Ray, Pam Lane, Greg (Ex-Officio) Fortney, Susan, Chair Shorter, Rusty Libstorff, Sandy Henning, Bill Rafko, Gloria DRAFT MINUTES I. CALL TO ORDER The meeting was called to order at 5:00pm by Susan Fortney. Rusty Shorter, Gloria Rafko, Bill Henning, Susan Fortney, Sandy Libstorff (arrived at 6pm), Jim Neumann, Nicole Cronenwett, Lisa Jennings, CJ Witherow were present. Greg Lane and Pam Ray were excused. One guest: Pastor Boone, Oaks of Righteousness (arrived at 6pm). II. PROGRAM & PLANNING REPORTS No reports for November. III. INFORMATIONAL ITEMS a. ACT Indicators/Measures Lisa Jennings commented that Assertive Community Treatment (ACT) is an Evidence Based Model. ACT is currently serving 55 consumers which is almost at capacity for the CMH Model. ACT staff are available 24 hours and the team rotates being on call. There are no DLA-20 indicators as of yet for ACT but will have data for the 1 st Quarter presented in February. b. CMH Consumers at Oaks of Righteousness Lisa Jennings commented that the Oaks of Righteousness opening date was November 1, Jim Rye, Director of New Directions and Peer Support Specialists are going to Oaks twice a week to help with engagement and outreach for those that are not connected to services. Sandy Libstorff and the Director of Oaks of Righteousness, Pastor Boone, commented on the concerns for CMH consumers and others staying at Oaks. Susan Fortney requested Lisa Jennings to meet with Pastor Boone to discuss further collaboration and coordination needs. c. HCBW/B3 Waiver Update CJ Witherow commented that the changes to the Waiver and why it is different than other Laws is that the consumer has a choice of where to live, what they eat, who they live with, visitation opportunities, etc. They have to be in a community and cannot be segregated. The Law also requires every State to have Person Centered Planning. CMH has identified the highest risk consumers and where and how they live. Will be speaking with families to help them understand the changes to the Waiver. For FY17-18 contract year, even though the Law goes into effect in 2019 we cannot contract with Providers if they are not compliant with the rule. CMH has two years to educate the community on this Federal Law. d. Quarterly Update on the FY2015 Annual Submission CJ Witherow reviewed the 4 th Quarter of the FY2015 Annual Submission (attached). IV. PARKING LOT a. SUD Data b. Community Partnerships/Workgroups c. HCBW/B3 Waiver Update (May) d. How to Get More Programs and Expand Opportunities e. Psychiatric Beds for Child & Adolescents MDCH Survey results when available V. ADJOURNMENT/NEXT MEETING The meeting adjourned at 6:40pm. The next meeting of the Program & Planning Committee will be held on Wednesday, December 7, 2016 beginning at 5pm in the Aspen Room. Respectfully submitted, Susan Fortney Program & Planning Chair dp 11/4/16 Page 8 of 22

9 Attachment D and E Priority Needs and Planned Actions Status Report CMHSP: Monroe Community Mental Health Authority Based on feedback received from stakeholder groups and data collected from this process, the CMHSP must identify at least 5 priority needs. Of these, the CMHSP must identify the areas where it intends to address and what action is being planned in that area. The table below provides a format for identifying the top issues. Priority Issue: Please give a brief explanation of the issue, in order of priority, with 1 being highest. Reasons for Priority: Identify what makes this a priority issue. For example: the issue was identified by multiple stakeholder groups; or the size of the issue; or consistency with other community efforts, etc. CMHSP Plan: Give a brief overview of what steps the CMHSP intends to take to address the identified issue. Please include basic time frames and milestones. Priority Issue Reasons For Priority CMHSP Plan Status Report February Partner with Stakeholder feedback 1. Facilitate collaboration 1. Completed provider the community Community data on between CMHPSM as meetings and trainings to support SUD high rate of overdose the PIHP and on ROSC, offered needs in the community with ROSC Monroe implementation of conference/training by community ROSC system of care PIHP/CMHPSM. Full time PIHP SUD Access SUD staff on site End of Year Status Report Additional activity: Participated in community summit on heroin/opiate epidemic. Advocated and succeeded in getting Narcan kits for agency and local partners 2. Provide MCMHA staff training on SUD issues in community 2. Completed: Provided by CMHPSM Clinical Director/ROSC; participated in Annual State SUD Conference Incorporated SUDrelated indicator in Regional Peer review Indicators implemented Oct 2016 Page 9 of 22

10 3. Provide MCMHA staff care management training that includes SUD issues 4. Use communication formats/planning to share recovery options and collaborative efforts with the Monroe community/ stakeholders 5. MCMHA participation in community collaboration HCSN, SUD Coalition, Making Connections 6. MCMHA to provide MH First Aide training to community at least 4 times in 2015 a. Partner with SUD providers for shared learning/training opportunities 3. Completed Care management training completed Sept Completed and ongoing at SUD provider meetings, community meetings, participate in SUD Coalition, courts, jails, hospitals ; CMHPSM staff on site for SUD Access 5. Completed and ongoing 6. Completed at least 10 trainings this FY: 5 as part of the Public Safety MHFA for the jail diversion; 1 veteran MHFA; 3 youth MHFA;1 adult MHFA; Presentation on it for the Community Foundation of Monroe. Completed provider meetings and trainings on ROSC, offered ROSC training thru Participating in MH Court one of few CMHs in state Approved for IH Block Grant to includes collaboration with Monroe SA Coalition FY and FY Continued to exceed MHFA trainings minimum Page 10 of 22

11 CMHPSM 7. Identify and implement changes in the electronic heath record that will support clearer identification and review of SUD needs in consumer care. 7. Transitioned tracking BHTEDS data current EHR for FY PIHP in process of developing RFP for new EHR that includes clearer id and review of SUD needs in consumer care. Region developed peer review project for all CMHs that include how well SUD needs addressed 2. Expand Integrated Health efforts to consumer care 8. Develop ways to incorporate local BH- TEDS data into MCMHA and community planning activities 1. Provide MCMHA staff care management training 2. MCMHA participation in community collaboration HCSN and Making Connections 8. In process, used data with CMHPSM to address provider network needs for FY 15/16; transitioned to BHTEDS data in FY Completed September Completed and ongoing Received 2 year IH grant to serve Adults with MI who do not qualify for Medicaid/other insurance. Effective FY and MCMHA to provide MH First Aide training to community at least 4 times in Completed at least 10 trainings this FY: 5 as part of the Public Safety MHFA for the Continued to exceed MHFA trainings minimum Page 11 of 22

12 4. Participate in integrated health data analytics training and programming implementation 5. Identify and implement changes in the electronic heath record that will support a more integrated health model of care 6. Continue IH care management program and IHLC involvement 7. Continue to provide IH case management services to consumers with high comorbidity risks and utilize the data 8. Identify additional ways MCMHA can incorporate IH needs in consumer care, jail diversion; 1 veteran MHFA; 3 youth MHFA;1 adult MHFA; Presentation on it for the Community Foundation of Monroe Completed training, ongoing implementation 5. Recommendations made to PIHP RFP for new EHR that includes a more integrated health model; ongoing; peer review includes need to address SUD needs 6. Ongoing; grant work completed. In process of educational groups run by nurses 7. Ongoing 8. Regional peer review indicators developed that include SUD and Incorporating in UM structure Completed awaiting RFP completion by PIHP Received 2 year IH grant to serve Adults with MI who do not qualify for Medicaid/other insurance. Effective FY and Peer review indicators completed; implemented Page 12 of 22

13 including SUD issues, and review these practices in peer review indicators IH for FY 15/16; development of local MCMHA indicators in process for FY16 Adding SUD experience to some JDs 3. Advocate for alternatives to incarceration for people with mental health issues Stakeholder feedback Community jail data; collaboration with Monroe County jails/courts 1. Utilize partnerships with jails and courts to advocate for MH needs of inmates 1. Meetings and relationship development with courts, jails, and Youth Center Completed and ongoing. Developed contractual relationship with Youth Center; Awarded jail liaison grant, implemented 2/16. Began contract with Mental health Court in Monroe Co. MCMHA is one of few CMHs in start participating in Jail Diversion Grant and Mental Health Court 2. Continue community collaborative with jail/court system 2. Ongoing See #3 3. Provide training/resource information to the community on alternatives to jail 3. Completed MHFA to all Corrections Officers in the jail. In process of creating a Mental Health Court. Participated in the State Jail Diversion Summit in August Had meetings with the Mental Health Court team to create that process, monthly phone calls with the MSU team for data on our grant. Acquired Page 13 of 22

14 and implemented jail diversion grant. 4. MCMHA to provide MH First Aide training to community at least 4 times in Completed at least 10 trainings this FY: 5 as part of the Public Safety MHFA for the jail diversion; 1 veteran MHFA; 3 youth MHFA;1 adult MHFA; Presentation on it for the Community Foundation of Monroe 4. Community collaboration on service alternatives for GF/Medicare only population Stakeholder feedback MCMHA s need to implement a waiting list in Implement grant funding for jail diversion program 1. Analyze waiting list data and waiting list related grievance and appeals data for any potential performance improvement projects or community collaboration related to MH services needs for the GF/Medicare population in Monroe. 5. Completed 1. Completed and ongoing; a standing agenda item of data review for Regional Clinical Performance team Committee. No PI projects were recommended. Will use GF wait list data for outreach to those who qualify for IH Block Grant FY16.17 and FY MCMHA to provide MH First Aide training to community at least 4 times in Completed at least 10 trainings this FY: 5 as part of the Public Safety MHFA for the jail diversion; 1 veteran MHFA; 3 youth MHFA;1 adult Ongoing continue to exceed minimum commitments Page 14 of 22

15 MHFA; Presentation on it for the Community Foundation of Monroe 3. Expand outreach and education efforts to at least five additional partners in the primary care community 3. Completed with Promedica Monroe Regional Hospital, Monroe County Health Dept., Family Medical Center, Meridian Health Plan Partnered with Monroe Co. Mental Health Court Promedica Diabetes Education Program, Public Health. Participate in PIHP/MHP case conferences. Partnered with MDHHS to have DHS staff on site at MCMHA full time effective 12/16. Have 2 full-time Afterhours staff on site at Promedica ER 6 overnights per week 5. Promoting consumer choice and least restrictive settings Consumer/stakeholder feedback Home and Community Based Service Waiver state implementation plan 4. Maintain staff knowledge base of health insurance alternatives and CAC certification as health care exchange site for the community 1. Develop and implement plan to move consumers from group home placements to more independent/integrated settings (2 group homes to be closed) 4. Ongoing. Have MDHHS and CAC staff on site to assist individuals with applying for or maintaining/renewing benefits 1. Two group homes closed d/t GF cuts. Transition plans developed and implemented. Ongoing new enrollment period 11/1/16 Preparation underway for implementation of Home and Community Based Services Waiver Rule Page 15 of 22

16 2. Implement CMHPSM selfdetermination/choice voucher roll out plan for 2015 (training materials and implementation manual for case managers and consumers/families) 3. Provide community information and staff training on the HCBS waiver rule and its implications for Monroe consumers. Rule goes into effect March Regional SDA manual completed, roll out completed; orientation process completed. Implementation in process 3. Staff meetings, provider meetings, participated in state assessment, FY2016 plan to have a workgroup looking at the HCBS waiver- under the agency CTS committee SDA orientation completed and part of regular operations with MCMHA Have educated providers at provider meetings and distributed provider selfassessment survey for residential and nonresidential settings. Have completed staff orientation of rule, will continue staff training in FY16.17 and plan for documentation of compliance in clinical record. CTS began review and have idea of highest risks. FY16.17 will work on informational roll-out for consumers/families. PIHP to develop regional workgroup (TBD) Page 16 of 22

17 2017 Annual Board of Director's Calendar January February March Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat * * * * * April May June Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat * * * * * * July August September Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat 1 1* * * * * * October November December Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat 1 2 3* * * * * * Agency Closed / Holiday x Community Relations - Suspended NCCBH Conference * Commissioners Meeting, 1st & 3rd Executive Committee (4:30pm) Performance Evaluation Committee Board Meeting (6pm) Finance/Facilities Committee Program & Planning Committee Board Workshop (9am-2pm) MACMHB Conference Recipient Rights - Local (4pm) Bylaw/Policies Committee Membership Screening Regional PIHP Board Meeting (Zeeb Rd) Monroe County Fair Board Holiday Dinner 6:30pm - All Board Meetings and Committees take place at 5pm unless otherwise listed. MACMHB Feb - Kalamazoo May - Dearborn, MI October - Traverse City NCCBH April - Seatle, WA Page 17 of 22

18 MCMHA Board Action Request Mental Health Administrative Contract(s) / Amendments FY November 8, 2016 Action Requested: Approval Requested for the Mental Health Administrative Contracts Listed Below: Contractor name Department Budget Contract Term Service Description Canon Solutions America, Inc. IS $3,264 per Year/$2,992 for FY 2017 Nov. 16 to Oct. 17 Service Agreement for Imagerunner #C757 Advance Copier Canon Solutions America, Inc. IS $ per year/$ for FY2017 Nov. 16 to Oct. 17 Service Agreement for Imagerunner #C755 Advance Copier RECOMMENDATION: As reviewed by the MCMHA Board Finance Committee on November 8, 2016, approval of the contract(s) listed on MCMHA Board Action Mental Health Service Contract(s) / Amendments on or before November 16, Page 18 of 22

19 Board Action Request: MCMHA Proposed Position Change(s) FY 2017 ACTION REQUESTED Approval of the proposed position changes for the 2016/2017 Fiscal Year listed on MCMHA Proposed Position Changes FY 2017 November, Background: MCMHA Proposed Position Addition FY April 15, 2016 contains a request for a proposed MCMHA position addition. The addition is: Child & Family Supervisor (Autism Services) - Pay Grade 13 With the continued increase of Autism Consumers, the necessity of hiring one (1) supervisor specifically overseeing autism services is being sought. RECOMMENDATION: As reviewed by the MCMHA Board Finance Committee on November 8, 2016, approval of the MCMHA proposed position addition for Fiscal Year 2016/2017 as listed on MCMHA Proposed Position Addition FY 2016 November 15, Page 19 of 22

20 Board Action Request: MCMHA Proposed Position Change(s) FY 2017 ACTION REQUESTED Approval of the proposed position changes for the 2016/2017 Fiscal Year listed on MCMHA Proposed Position Changes FY 2017 November, Background: MCMHA Proposed Position Addition FY April 15, 2016 contains a request for a proposed MCMHA position addition. The addition is: Children s Intensive Case Manager/Therapist - Pay Grade 9 With the continued increase of Autism Consumers, the necessity of hiring one (1) case manager specifically for autism services is being sought. RECOMMENDATION: As reviewed by the MCMHA Board Finance Committee on November 8, 2016, approval of the MCMHA proposed position addition for Fiscal Year 2016/2017 as listed on MCMHA Proposed Position Addition FY 2016 November 15, Page 20 of 22

21 Board Action Request: MCMHA Proposed Position Change(s) FY 2017 ACTION REQUESTED Approval of the proposed position changes for the 2016/2017 Fiscal Year listed on MCMHA Proposed Position Changes FY 2017 November, Background: MCMHA Proposed Position Addition FY April 15, 2016 contains a request for a proposed MCMHA position addition. The addition is: Diagnostician - Pay Grade 10 With the continued increase of Autism Consumers, the necessity of hiring one (1) diagnostician with the specialty of ADOS testing specifically for autism services is being sought. RECOMMENDATION: As reviewed by the MCMHA Board Finance Committee on November 8, 2016, approval of the MCMHA proposed position addition for Fiscal Year 2016/2017 as listed on MCMHA Proposed Position Addition FY 2016 November 15, Page 21 of 22

22 Monroe CMHA Proposed Position Addition FY2017 Specific to Autism Services 8-Nov-16 Pay Budget Partial Full Budget Department Grade FY 16/17 Year Year Impact Child & Family Child & Family Intensive Case Manager 9 $0.00 $ 35, $ 42, $ 35, % $ 18, $ 21, $ 18, Child & Family Child & Family Supervisor (Autism Services) 13 $0.00 $ 49, $ 59, $ 49, % $ 25, $ 30, $ 25, Access Diagnostician 10 $0.00 $ 37, $ 44, $ 37, % $ 19, $ 22, $ 19, Total Added Position(s) cost 3 $0.00 $ 185, $ 222, $ 185, Autism State Benefit Plan $ 185, $ 222, $ 185, Total 2016/17 Budget Impact $0.00 $0.00 $0.00 Page 22 of 22