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Meeting Materials (PDF) Open in new window AGENDA INARF Board of Directors Meeting Friday, May 17, 2013 10:00 a.m. – 11:00 a.m. Easter Seals Crossroads 4740 Kingsway Drive, Indianapolis 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 - Governmental Affairs Committee - Innovation & Systems Change Committee - Training and Professional Development Committee - Industry Infrastructure Committee VI. Strategic Discussions and Feedback - Strategic Planning - State Agency Transition - Legislative Wrap-Up VII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on May 17, 2013 at Easter Seals Crossroads, 4740 Kingsway Drive, Indianapolis. Present: Steve Sacksteder, Chair Dan Griffin, Vice-Chair Marie Dausch, Treasurer Jonathan Burlison, Secretary Jill Dunn, Immediate Past Chair Clint Bolser, LOGAN Community Resources, Inc. Patrick Cockrum, Sycamore Services, Inc. Bettye Dunham, Rauch, Inc. Debbie Bennett, Hillcroft Services, Inc. Steve Cook, AWS, Inc. Jill Dunn, Bona Vista Programs, Inc. John Niederman, Pathfinder Services, Inc. Holly Piggott, ResCare, Inc. Susan Rinne, LifeDesigns, Inc. (via conference call) Jane Wear, Cardinal Services, Inc. Guests (in Person): Rick Adams, Dungarvin of Indiana, LLC Bert Clemons, LifeDesigns, Inc. Julia Huffman, Noble of Indiana, Inc. Randy Soforenko, Occazio Megan Gumbel, MDC Goldenrod, Inc. Jeff Frady, Damar Services, Inc. Mike Cruz, CDC Resources, Inc. Bill Hadar, Developmental Services, Inc. Shane Burton, Developmental Services, Inc. Mike Lintner, Marshall-Starke Developmental Center, Inc. Jane Ruff, Hopewell Center, Inc. Don Weikle, Peak Community Services, Inc. Julia Wicks, Houston Group Homes, Inc. Ruth Ann Widman, Jay-Randolph Developmental Services, Inc. Glenna Shelby, LegisGroup Public Affairs LLC Kelli Waggoner, KWK Management Group Staff: Kim Opsahl, President/CEO Barb Young, Vice President - Finance/CFO Christiaan Campbell, Director – State Use Program Keith Digman, Director - Member Support & Advocacy Nanette Hagedorn, Director – Membership Engagement & Development Elizabeth Patel, Coordinator – Communications & Advocacy INARF Board of Directors Meeting I. Call to Order, Welcome & Introductions Steve Sacksteder welcomed attendees and called the meeting to order at 10:00 a.m. He requested that all Board members complete the conflict of interest forms included in their packets. II. Modification to the Agenda There were no modifications to the agenda. III. Approval of Minutes The Board reviewed minutes from the April 26 meeting. No additions were noted. MOTION 13:13 Dan Griffin moved to approve the April 26 meeting minutes as presented. Jill Dunn seconded and the motion carried. IV. Review of Financial Statements Marie Dausch reported that the Committee met on May 2 to review financial statements, investment performance, and future meetings. She also reported that April financial statements reflect a positive position of sixty-three thousand dollars ($63,000) from operations and thirty-seven thousand dollars ($37,000) from an unrealized gain on investments for a total increase in net assets of one hundred thousand dollars ($100,000). MOTION 13:14 Marie Dausch moved to file the April 2013 financial statements for audit. Steve Cook seconded and the motion carried. V. Standing Committee Reports A. Governmental Affairs Committee Jonathan Burlison reported that the Governmental Affairs Committee recently met to evaluate outcomes from the recently completed legislative session and begin planning for the summer study sessions. The Committee agreed that the key positions statements developed last fall were incredibly useful in being able to respond quickly to issues. The Committee also agreed that given their role in both legislative and administrative outreach it would be beneficial to think about the Committee’s work as a yearlong planning process. Steve Cook reported on behalf of the Rate Reform Workgroup, noting that it is researching three key issues: daily rate methodology, rate study and adjustment, and quality based reimbursement indicators. The Workgroup will continue meeting throughout the summer with the goal of developing rate methodologies that can be advanced as part of the Association’s efforts in this important area. B. Innovation & Systems Change Committee Steve Cook reported that the Committee continues research into Managed Care and its implementation in other states for individuals with intellectual and developmental disabilities (I/DD). The Committee will utilize the research to develop an updated position statement to advance INARF’s recommendations. In addition, the Committee has identified other research topics and developed work groups within the Committee to conduct research. These topics include Electronic Health Records/technology, pharmacy carve-out, and issues related to individuals with I/DD who are dually diagnosed and/or incarcerated. Each work group will conduct research on their respective topics and report back to the Committee any findings and recommendations. The Committee will continue researching and reviewing key topics with an end goal of developing a solid body of research and recommendations on key industry issues for advancement on behalf of member agencies. C. Training & Professional Development Committee Holly Piggott reported that sixteen Committee members participated in the 1.5 day Annual Conference planning retreat in French Lick on May 2-3. The retreat included an in-depth review of the 2013 annual conference survey results and the identification and design of educational offerings for the 2014 Annual Conference. The Committee developed themes around INARF’s upcoming 40th Anniversary and feedback was presented by the committee to INARF staff on the format and length of the Annual Conference. Recommended Annual Conference themes include the following: Ruby Anniversary: 40 Years of growth & Influence; A Never Ending Discovery – Celebrating 40 Years of Excellence; and Our Ruby Anniversary: A Multifaceted Approach/Commitment. Ms. Piggott noted that upcoming professional development opportunities include the Person-Centered Planning and Individual Support Plan Facilitator training offered in Greenwood on May 21-22. A total of 35 attendees have registered to date. The Committee is currently recruiting new members; interested parties should contact Ms. Piggott. D. Industry Infrastructure Committee Bettye Dunham reported that the Committee’s focus has centered on the INARF Marketing Consortium Feasibility Study. Recent consultant activities include holding interviews with key customers and suppliers and surveying participants to determine cluster preferences. Survey results indicated that the option of establishing three larger clusters was preferred, with clusters focusing on the following areas: packaging, medical, electrical. With an eye on keeping the lines of communication open, the Committee held a second webinar on May 7 to discuss further development of targeted markets and share results of customer interviews. A face-to-face collaboration capacity workshop is scheduled for May 28 and will feature a review of individual assessment results. An additional meeting scheduled for June 11 will provide an in-depth review the final report issued by Kemper Strategy, at which point the Consortium’s Phase I work with Kemper Strategy will draw to a close. Assuming all deliverables are met as outlined in the final steps, Consortium participants will be presented with the decision to proceed with the following subsequent phases: Phase 2, business plan development and fundraising; phase 3, training and development/culture integration; and phase 4, implementation support. In the event all or some of the Consortium participants are interested in proceeding, next steps will include the identification of INARF’s role, if any. The Industry Infrastructure Committee and INARF staff will work to develop recommendations for Board consideration at the June meeting. In closing, Ms. Dunham noted that three vacancies currently exist on the Industry Infrastructure Committee due to the retirement of Jim Vento, withdrawal of Herb Grulke, and withdrawal of Tom O’Neill due to his upcoming retirement. Based on INARF staff recommendations and approval of the committee chairs, the committee recommends adding Leslie Green, Stone Belt Arc; Dick Rhoad, Wabash Center; Kelly Crawford Shaw, Insights Consulting and Donna Belusar, ADEC. MOTION 13:15 Bettye Dunham moved to approve Leslie Green, Dick Rhoad, Kelly Crawford Shaw, and Donna Belusar as Industry Infrastructure Committee members. Jane Wear seconded and the motion carried. VI. Strategic Discussions & Feedback A. Strategic Planning Ms. Opsahl reported that six potential strategic planning facilitators have been identified. Board members were encouraged to forward contact information for additional candidates for the facilitator position to the INARF office. Ms. Opsahl then reviewed the September 2011 strategic plan, noting that INARF dealt with several unexpected challenges in the recent past, and performed well given time and resource constraints. Opportunities exist for INARF to develop capacity around strategic partnerships, approaching the provider system in a holistic fashion, expanding industrial capabilities, and exploring social enterprise. Additional opportunities for improvement include marketing on behalf of and to INARF membership, which will be addressed by the Marketing Subcommittee with Kelly Mitchell at the helm. Ms. Opsahl thanked the Industry & Infrastructure Committee for their dedication and accomplishments. She noted that significant progress has been made around the issue of health homes and managed care, and further opportunities to develop DSP capacity remain, particularly with Governor Pence’s focus on vocational education and sub-baccalaureate educational opportunities. Ms. Opsahl closed by thanking the Board for their continued work around industry issues. B. State Agency Transition Mr. Sacksteder expressed appreciation for DDRS Director Nicole Norvell’s philosophy of partnership and open communication with both provider and consumer constituencies. Ms. Opsahl added that John Hill has joined DDRS as Director of Policy, Planning and Program Development and will serve as the primary contact for group home conversion and health home matters. She echoed Mr. Sacksteder’s appreciation for the new DDRS Director and noted that Ms. Norvell’s thoughts regarding group home conversion are constantly evolving, creating an environment which allows INARF share ideas and alternatives to policies affecting the provider community. Ms. Opsahl encouraged agencies to review the recent DDRS email update and Balancing Incentives Program (BIP) action plan to stay informed, noting that the Innovation & Systems Change Committee will review the details of the BIP document with John Hill during a future Committee meeting. In addition, Ms. Opsahl shared that she had a productive conversation with Ms. Norvell regarding electronic health records and will continue discussing this critical topic with FSSA leadership. Ms. Opsahl reported that Ms. Norvell and her staff are currently exploring placement alternatives for individuals residing at the Warner Transitional Services location in Carmel. The situation at Warner Transitional Services highlights concerns regarding the negative impact that poor crisis communications by one agency may have upon the entire provider community. Ms. Opsahl has followed up with Ms. Norvell to express the Association’s concerns regarding Warner Transitional Services and recommended that the Board consider issuing a formal statement as well. Board Members noted that Warner Transitional Services had a no-bid contract and cited the ensuing situation as an example of benefits of issuing an RFP. Mr. Sacksteder concurred with Ms. Opsahl’s recommendations regarding Warner Transitional Services and added that Omnibus Budget Reconciliation Act (OBRA) service providers should have received communication from Ms. Norvell regarding rate matters. He noted that there is some concern about changes to the Supported Employment Follow Along (SEFA) program, which has shifted to align with waiver rates. INARF is engaged in discussions with Ms. Norvell and Secretary Minott to further their understanding of OBRA funding and identify opportunities to leverage federal dollars. Ms. Opsahl believes that the current FSSA leadership has a strong grasp of this issue. John Niederman questioned consistency in message as members engage with various state personnel. Kelli Waggoner responded that conveying one unified message to be delivered through the Association was more effective than multiple agencies delivering uncoordinated messages one by one. If agencies choose to deliver specific comments to policymakers they are encouraged to consider the Association’s stance to ensure consistency in message. Noting the importance of grassroots involvement, Mr. Sacksteder encouraged the Board to collect anecdotal stories of success to share with lawmakers. Mr. Niederman concurred and expressed the desire to communicate his agency’s position through the Association, which Ms. Opsahl agreed to. C. Legislative Wrap-Up Ms. Opsahl reported that INARF would have the opportunity to frame the rate review debate and requested input as to the value of engaging a consultant to participate in message development and development of materials to share with regulators. She is in the process of requesting input from peer organizations and will share the results of this research with the Board. VII. Adjournment The next Board of Directors Meeting will be held on June 28, 2013 at Easter Seals Crossroads, 4740 Kingsway Drive, Indianapolis convening at 11:00 a.m. with a Member Forum taking place at 10:00 a.m. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/ecp