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Presentation (PDF) Open in new window AGENDA INARF Board of Directors Meeting Tuesday, July 30, 2013 9:00 a.m. – 10:00 a.m. Ivy Tech Corporate College & Culinary Center 2820 North Meridian Street, Indianapolis I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Review of Financial Statements V. Association Focused Reports and Discussion - Membership Support Committee - Leadership Development Committee - Industry Infrastructure Committee - Various Committee Appointments VI. Industry Focused Reports and Discussion - Governmental Affairs Committee - Position Statements on Key Industry Issues Draft - Rate Reform Work Group Update - IHCDA Issues and Comments - Innovation & Systems Change Committee - Managed Care Issue Brief VII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on July 30, 2013 at the Ivy Tech Corporate College & Culinary Center, 2820 North Meridian Street, 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. John Niederman, Pathfinder Services, Inc. Holly Piggott, ResCare, Inc. Susan Rinne, LifeDesigns, Inc. Jane Wear, Cardinal Services, Inc. Guests (in Person): Rick Adams, Dungarvin Indiana, LLC Megan Gumbel, MDC Goldenrod, Inc. Mary Hicks, AWS, Inc. Loretta Mottram, Pathfinder Services, Inc. Matt Ottiger, ResCare, Inc. Patrick Sandy, Easter Seals Crossroads Pam Verbarg, Wabash Center, Inc. Staff: Kim Opsahl, President/CEO Barb Young, Vice President/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 9:00 a.m. II. Approval of Minutes The Board reviewed minutes from the June 28 meeting. No additions were noted. MOTION 13:19 Bettye Dunham moved to approve the June 28 meeting minutes as presented. Jill Dunn seconded and the motion carried. III. Review of Financial Statements Marie Dausch reported that June financial statements reflect a positive position of sixty-four thousand four hundred forty four dollars ($64,444) from operations less eight thousand six hundred seventy-six dollars ($8,676) from an unrealized loss on investments for a total increase in net assets of fifty-five thousand seven hundred sixty-seven dollars ($55,767). Additionally, Ms. Dausch reported that the Finance Committee recently reviewed the INARF membership dues formula and recommended that it be retained for 2014. MOTION 13:20 Marie Dausch moved to file the June 2013 financial statements for audit and approve no change to the dues formula for 2014. Steve Cook seconded and the motion carried. IV. Association Focused Reports and Discussion A. Audit Committee Mr. Bolser reported that the Audit Committee met in March after completion of the 2012 INARF audit. The Audit Committee recommends continued engagement of the auditing services provided by Blue and Company at a rate of $9,250 for 2013, $9,500 for 2014 and $9,750 for 2015. Services provided include auditing, tax preparation and IRS Form 990 preparation. The pricing is committed for three years; however the decision to retain the services is made annually. MOTION 13:21 Clint Bolser moved to approve Blue and Company as the INARF auditing firm for 2013. Jill Dunn seconded and the motion carried. B. Membership Support Committee Keith Digman reported that the last meeting of the Membership Support Committee was held on July 24. The primary focus of the Committee has been centered on the Strategic Measure Development Plan and new member engagement strategies. A Member Visit Strategy Addendum tool has been developed to identify scheduling needs and coordinate member visits. The Committee also discussed new member development, noting the recent addition of new Institutional Member Corvilla, Inc. The Committee also identified prospective Institutional and Associate Members. Staff will follow-up on outreach to these organizations. The Committee has reviewed results of the Membership Grassroots Survey, which surveyed three key audiences: CEOs, senior leadership and general membership. Initial results will be discussed during the Strategic Planning Retreat. With a focus on developing industry expertise, the Committee reviewed the Professional Interest Section Webinar Tracking Tool and requested input on prospective topics and presenters for future section webinars. On July 23, the Community Supports Section hosted the first webinar of 2013: “My Life, My Choice.” Looking ahead, the Committee reviewed screenshots and details regarding the anticipated provider directory which will be made available on the redesigned INARF website to launch in fall/winter 2013. C. Leadership Development Steering Committee Nanette Hagedorn reported that the Leadership Development Steering Committee has been focused primarily on the Technology Summit to be hosted on September 12. INARF is partnering with the Illinois Association of Rehabilitation Facilities (IARF) and the Ohio Provider Resource Association (OPRA) to present an event for members of all three trade associations. A call for presenters, vendors, and sponsors resulted in $1,500 in conference sponsorships, 9 vendors, and 7 proposals for educational sessions. Attendee registration is scheduled to launch in the coming weeks. D. Industry Infrastructure Committee Bettye Dunham reported that the Industry Infrastructure Committee has been focused on Marketing Consortium Phase I deliverables. Industry clusters met on July 26, with 14-15 out of the 16 participating organizations indicating that they will proceed with Phase II of the Marketing Consortium initiative. In addition, the Committee has been developing a member-to-member marketing plan to encourage member agencies to sell products to each other. E. Various Committee Appointments Kim Opsahl reviewed current Corporate Committee vacancies, noting recommendations for prospective members, including: Board Development Committee - Nancy Hoffman of the Arc of Wabash County - Kris Prohl of the Arc of Northwest Indiana. Industry Infrastructure Committee - Julia Huffman of Noble of Indiana - Megan Gumbel of MDC Goldenrod. Innovation and Systems Change Committee - Donna Elbrecht of Easter Seals Arc of Northeast Indiana, - Leslie Green of Stone Belt Arc, Inc., - Kevin Griffith of Corvilla, Inc. Membership Support Committee - Jay Naaem of ResCare, Inc., - Joy Greeney of Advocacy Links, - Debbie Bennett of Hillcroft Services, - Marta Metcalfe of Cornerstone Associates, Inc. Marketing Sub-Committee - Chair - Kelly Mitchell of Southern Indiana Resource Solutions, Inc. - Jill Dunn of Bona Vista Programs, Inc., - Marie Dausch of New Horizons Rehabilitation, Inc., - Holly Piggott of ResCare, Inc. Training & Professional Development Committee - Angie Jarvis of AWS, Inc., - Karen Brummett-Taylor of IMPG, Inc., - Andy Kirby of Carey Services, Inc., - Dave Lehman of Passages, Inc. MOTION 13:22 Jane Wear moved to approve INARF committee appointments as presented. Holly Piggott seconded and the motion carried. Ms. Opsahl then reviewed prospective co-chairs of INARF Professional Interest Sections, including: Financial Management Section - Linda Johnson of the Arc of Wabash County Human Resources Professional Interest Section - J. Neefe of ResCare, Inc. Leadership Development Steering Committee - Co-Chair - Bert Clemons of LifeDesigns, Inc. - Yadira Howe of Indiana MENTOR - Bruce Schnaith of Easter Seals Crossroads MOTION 13:23 Steve Cook moved to approve Professional Interest Section appointments as presented. Clint Bolser seconded and the motion carried. V. Industry Focused Reports and Discussion A. Governmental Affairs Committee Jonathan Burlison reported that the Governmental Affairs Rate Reform Work Group reviewed the draft Residential and Habilitation Services (RHS) methodology, with John Hill of the Division of Disabilities & Rehabilitative Services (DDRS). The group is focused on finalizing the RHS methodology and working on developing a service definition for Health Care Coordination. The drafted RHS formula is as follows: [(OBA x current rate) + Transportation Amount] / 365 x .96 = RH2O Daily Rate. For weekly or monthly rate calculations, substitute 52 or 12 in the place of 365. The group is considering using “utilization factor” as opposed to .96 and will continue discussing this approach. In addition, the Rate Reform Work Group is continuing discussions around the Adult Day Services model and working to develop recommendations for Facility Habilitation-Group. Kim Opsahl noted that DDRS will host a Quarterly Provider Meeting on August 1; it is expected that DDRS will make announcements regarding group home conversion, health care coordination, and rate restoration for waiver services reduced in 2010. She shared that the Rate Reform Workgroup’s work is being aligned with DDRS priorities. Mr. Burlison also shared introduced drafts of the 2014 Governmental Affairs industry position statements. These statements will guide INARF’s public policy work during the 2014 legislative session and when dealing with DDRS and other administrative entities. Employment Position Statement Ms. Opsahl reviewed the Employment Position Statement, thanking Clint Bolser and Bettye Dunham for their leadership and guidance. She noted that the 2014 statement includes an affirmation of the appropriate use of Fair Labor Standards Act Section 14 (c). The Governmental Affairs Committee recommended that this draft be shared with the Employment and Business and Industry Professional Interest Sections during their meeting on August 15 to gather wider input. Feedback received during these meetings will be incorporated into the statement and presented to Governmental Affairs for action. Community Integration & Habilitation Statement Ms. Opsahl thanked Jill Dunn and Jonathan Burlison for their input in developing the statement. She noted that Health Care Coordination was added to the 2014 statement in anticipation of the Health Home initiative being rescinded. The statement also integrates the rate reform workgroup’s current draft RHS Methodology. Group Home Conversion Due to the changing policy environment, it is recommended that a group home conversion statement is no longer necessary. Managed Care Position Statement Ms. Opsahl reported that the draft statement is pending, while the Innovation & Systems Change Committee is finalizes an issue brief on this topic. The brief will serve as the basis for the final statement. Child and Family Services Statement Ms. Opsahl thanked Jill Dunn for efforts to develop a statement on child and family services. The statement covered key issues for child and family services providers including recruitment and retention of therapists and the need for strong partnerships with the State of Indiana. Jane Wear suggested polling members to determine how many providers offer other early childhood services in order to broaden the Child and Family Services section scope. Direct Support Workforce Statement Ms. Opsahl reported that workforce was a common issue identified as Governmental Affairs Committee members reviewed 2013 position statements and discussed 2014 policy priorities. The Committee recommended development of a statement specific to workforce needs to address this broad issue. The Board concurred with the Committee’s assertion that a statement specifically regarding the direct support workforce was necessary. Jill Dunn and Jonathan Burlison volunteered to draft the statement. Ms. Opsahl thanked the Board for their support and noted that a draft of the workforce development statement would be presented during the August Board Meeting. MOTION 13:24 Jill Dunn moved to approve the Community Integration, Health Care Coordination, and Child and Family Services Position Statements. As previously discussed, the Board agreed not to remove the Group Home Position Statement in 2014. Pat Cockrum seconded and the motion carried. IHCDA Issues & Comments Ms. Opsahl reported that INARF members involved in affordable housing recently expressed concerns about the Indiana Housing & Community Development Authority (IHCDA) application process for Neighborhood Assistance Program tax credits. Collaborating with the Arc of Indiana, INARF submitted comments on behalf of providers and consumers, as well as sending out an action alert to affected members. As a result of the feedback received, the IHCDA responded with a determination that the NAP application process should remain as it is currently established. INARF will continue to monitor this issue. On a related note, Ms. Opsahl added that it was noted that the HOME funds application left persons with disabilities out of the definition for the aging in place priority. After bring the issue to their attention, the IHCDA indicated the omission was in error and rectified it. Ms. Opsahl remarked that both of these actions were a concrete example of the power of agencies united around a common issue. John Niederman observed that many INARF member agencies participate in affordable housing initiatives and suggested the addition of a professional interest section to connect staff and agencies participating in this field. Ms. Opsahl responded that the Board would consider section organization and may reorganize sections in the future. B. Innovation & Systems Change Committee Ms. Opsahl reported that the FSSA has organized a task force to study Managed Care for the Aged, Blind, and Disabled. The Task Force is in the process of drafting a survey to be submitted to providers and other system stakeholders. With input from the Board, Innovation and Systems Change Committee, and Governmental Affairs Committee, INARF submitted comments to assist in developing an answer bank for the survey. In addition to the survey, the FSSA ABD Task Force plans to host public stakeholder presentations on August 15 and 16 to obtain public comment; INARF and the Arc of Indiana will work to coordinate their respective presentations. Ms. Opsahl noted that this collaboration is supported by the fact that committee members Leslie Greene and Donna Elbrecht both serve on the Arc of Indiana’s Managed Care Committee, allowing for information sharing and collaboration between INARF and the Arc of Indiana. VI. Adjournment The next Board of Directors Meeting will be held on August 28 via teleconference. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/ecp