ARTICLE
Meeting Materials (PDF) Open in new window AGENDA INARF Board of Directors Meeting Friday, February 22, 2013 9:30 a.m. – 11:00 a.m. Noble of Indiana 7701 East 21st Street Indianapolis, IN I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Review of Financial Statements V. Standing Committee Reports - Training and Professional Development Committee - Governmental Affairs Committee - Industry Infrastructure Committee - Membership Support Committee - Leadership Development Committee - Innovations & Systems Change Committee VI. Strategic Discussions and Feedback - Group Home Conversion - Employment VII. Adjournment -- Board Minutes The INARF Board of Directors meeting was held on February 22, 2013 at Noble of Indiana, 7701 East 21st Street, Indianapolis, IN. The INARF Board of Directors meeting convened at 9:30 a.m. Present: Jill Dunn, Chair Steve Sacksteder, Vice Chair Marie Dausch, Treasurer Clint Bolser, LOGAN Community Resources, Inc. Mark Draves, Carey Services, Inc. Bettye Dunham, Rauch, Inc. Dan Griffin, Dungarvin Indiana, Inc. Pam Verbarg, Indiana MENTOR Jane Wear, Cardinal Services, Inc. Participating via Conference Call: John Niederman, Pathfinder Services, Inc. Susan Rinne, LifeDesigns, Inc. Absent: Jonathan Burlison, Secretary Steve Cook, AWS Tom O’Neill, Passages, Inc. Guests (in Person): Debbie Bennett, Hillcroft Services, Inc. Bill Cochrane, Mosaic Patrick Cockrum, Sycamore Services, Inc. Bill Hadar, Developmental Services, Inc. Holly Piggott, ResCare, Inc. Dan Stewart, Achieva Resources Corporation, Inc. Staff: Kim Opsahl, President/CEO Christiaan Campbell, Director - State Use Program Keith Digman, Director - Member Support & Advocacy Nanette Hagedorn, Director - Membership Engagement & Development Elizabeth Patel, Coordinator - Communications & Advocacy Barb Young, Vice President/CFO I. Call to Order, Welcome and Introduction Jill Dunn called the meeting to order and welcomed attendees. II. Modification to the Agenda No modifications to the agenda. III. Approval of Minutes The January 25, 2012 Board of Directors meeting minutes were presented and reviewed. MOTION 13:04 Bettye Dunham moved to approve the January 25 meeting minutes as presented. Steve Sacksteder seconded and the motion carried. IV. Review of Financial Statements Marie Dausch reported that January financial statements reflect a positive increase in net assets from operations of thirty four thousand four hundred thirty eight dollars ($34,438), an unrealized gain on investments of thirteen thousand four hundred twenty one dollars ($13,421), for a total increase in net assets of nearly forty eight thousand dollars ($48,000). MOTION 13:05 Marie Dausch moved that the January financial statements be filed for audit. Steve Sacksteder seconded and the motion carried. V. Standing Committee Reports A. Training and Professional Development Committee Pam Verbarg reported that Annual Conference sponsorship dollars totaled forty two thousand dollars ($42,000), just five hundred dollars short of the forty two thousand five hundred dollar ($42,500) goal. All 39 Annual Conference booths have sold, with 6 Pre-Conference booths reserved to date. Total revenue generated from exhibits, ads, and tote stuffers comes to twenty six thousand three hundred twenty five dollars ($26,325). To date, 219 full conference and 67 one day registrations have been received. B. Governmental Affairs Committee Kim Opsahl reported that the Committee reviewed the House Republican budget. There was some initial concern over residential line items, but those were alleviated after determining that the request was consistent with current expenditures. The House Budget reflects full funding for Vocational Rehabilitation Services, adult guardianship initiatives, and The Arc of Indiana’s training Hotel Project. The Committee reviewed SB 500, a bill to permit up to eight individuals to reside in converted waiver sites. The Committee expressed concern that the bill’s revenue neutral fiscal impact statement was misleading. For this reason, the Committee determined that the Association should remain neutral on SB 500 for the time being. In addition to monitoring legislation, the Committee’s Rate Reform Work Group will meet in March to begin researching and drafting waiver rate models. C. Industry Infrastructure Committee Bettye Dunham reported that 16 agencies are participating in the Marketing Consortium Feasibility Study, and that a contract has been signed with Kemper Strategies. The participating agencies will meet immediately following the Annual Meeting to discuss next steps. D. Membership Support Committee Susan Rinne reported that the Committee met on January 30 and worked on setting metrics for the year. The next Committee meeting will take place at the end of the month to finalize the metrics and move forward. E. Leadership Development Committee Jane Wear reported that the state official roundtables hosted during the Professional Interest Section meeting were well attended and received positive feedback. The Pre-Conference leadership symposium has a total of 65 registrants to date, and committee members are reaching out to other organizations to encourage attendance. F. Innovations & Systems Change Committee Mark Draves reported that the Committee is currently researching managed care performance metrics and reviewing financial risk models and managed care organization requirements. The next meeting is scheduled in March, and in the interim the Committee is researching technology, rate settings, and behavioral health. VI. Strategic Discussions and Feedback A. Group Home Conversion Ms. Opsahl stated that in an effort to encourage more stakeholder engagement, the Division of Disabilities and Rehabilitative Services (DDRS) has invited self-advocate, family, and provider representatives to participate in a SGL Conversion Taskforce. The Taskforce will provide advice and feedback on the Divisions’ Group Home conversion efforts. The four provider representatives are ResCare, St. Vincent New Hope, the Arc of Northeast Indiana, and Indiana MENTOR. INARF and The Arc of Indiana will also participate on the taskforce. Ms. Opsahl encouraged members to share questions with her so they may be addressed during the meeting. Last month, the Board requested that the Governmental Affairs Committee review the current Board position on group home conversion. Feedback was obtained and the document is complete and available for Board review. Ms. Opsahl walked through key revisions, including the moving the Association to a position of cautious support. Other key changes reflect the Committee’s concerns about the greater fiscal sustainability of group home conversion and the need for daily rates and reimbursement reform. Ms. Opsahl shared that INARF has initiated a conversation with DDRS regarding the greater fiscal impact. It is hoped that if consensus is reached on these concerns that there will be an opportunity to discuss potential solutions, including daily rates. John Niederman noted that the Family and Social Services Administration (FSSA) needs to revisit access to service in light of group home conversion. Once group homes are eliminated, access to comprehensive services will be severely limited due to the needs based approach being applied to the Community Integration and Habilitation Waiver. Mark Draves expressed interest in revising the draft to state that conversion should be voluntary versus mandatory. He noted that waivers barely support the costs of providing services. Increases in the minimum wage and workers’ compensation and the addition requirements from the Affordable Care Act have placed considerable strain on Indiana’s providers. Mr. Niederman agreed and recommended that voluntary language be inserted in the Board resolution to encourage FSSA to consider the long term impact of recent group home conversion and rate setting decisions. Ms. Opsahl stated that additional amendments will be made to the fifth bullet to include reference to cost and that the final draft would include a bullet point expressing support for voluntary conversion until long term implications have been assessed. A revised draft will be shared with the Board for review and approval. B. Employment Susan Rinne reported that the National Association of Persons Supporting Employment (APSE) conference will be held in Indianapolis on June 24-27. An employer leadership forum on June 26 will provide an opportunity for employers across the state to come together to share best practices. Ms. Rinne believes this will be an important activity in building relationships with employers and Vocational Rehabilitation leaders to promote an Indiana employment initiative in the future. C. Managed Care Ms. Opsahl shared that the Indiana General Assembly is considering a variety of options for risk-based managed care for the Aged, Blind, and Disabled Medicaid population. Several bills are addressing the issue including HB 1591, SB 551, and the Budget Bill (HB 1001). Using the statement developed by the Governmental Affairs Committee, INARF offered testimony on HB 1591 when it was introduced earlier this month. Additionally, INARF staff are working closely with The Arc of Indiana and other Long-Term Services and Supports provider advocacy organizations on this issue. The primary concern is that current efforts focus on implementation within very short timeframes, which would not permit adequate study or input from stakeholders. It was observed that Public Health Committee and Ways and Means Committee members had few questions regarding HB 1591, leaving the Association to surmise that managed care organizations have successfully communicated their objectives to policymakers. INARF, the Arc of Indiana, and our other partners will be working to gather additional information in preparation for activities after the mid-session break. Mark Draves reported that the Arc of Indiana had a conference call regarding managed care. There is support for exploring managed care and managed care like concepts (i.e. health homes). However, there is concern that to date managed care has been unsuccessful in meeting the needs of persons with intellectual and developmental disabilities. Research done by the Innovation & Systems Change Committee indicates that managed care approaches run by states offer better options for providers and consumers than using private managed care organizations. However, the provider industry needs time to review these issues to determine how and if managed care can work for people with disabilities. With many factors in play, INARF and the Arc of Indiana are continuing research and considering issuing joint statements on the topic. Other Business Ms. Dunn sought feedback on the need to hold the regularly scheduled March Board meeting. After discussion, the Board agreed to cancel the meeting and will convene via teleconference if needed. Also, Ms. Dunn advised that the Association will begin adjusting the By-Laws to accommodate several items including: change of registered agent, changing leadership development to a corporate committee, increasing the term of Immediate Past Chair to two years, and offering electronic voting to members. As these changes are drafted, they will be shared with the membership for notice and comment, before coming before the Board for final approval. After discussion, the Board recommended the following motions to support this activity: MOTION 13:06 Jill Dunn moved that the bylaws be redrafted to reflect that the Past Chair of the Board serve a two year term. Dan Griffin seconded the motion and the motion carried. MOTION 13:07 Pam Verbarg moved that the bylaws be redrafted to allow electronic voting procedures and that Leadership Development become a corporate committee. Marie Dausch seconded the motion and the motion carried. VII. Adjournment The next Board of Directors Meeting will occur during the INARF Annual Conference. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/ecp