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Meeting Materials (PDF) Open in new window AGENDA INARF Board of Directors Meeting Tuesday, August 27, 2013 2:00 p.m. – 3:30 p.m. Via Conference Call: 1-800-791-2345; Conference Code 69357# 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 - Industry Infrastructure Committee - Marketing Consortium Update - New Member Report - Upcoming Events - Strategic Plan Update VI. Industry Focused Reports and Discussion - Governmental Affairs Committee - RHS Rate Methodology - Health Care Coordination - Position Statements - Innovation and Systems Change Committee - Managed Care Update VII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on August 27, 2013 via teleconference. Present: Steve Sacksteder, Chair Dan Griffin, Vice-Chair Jonathan Burlison, Secretary Jill Dunn, Immediate Past Chair Patrick Cockrum, Sycamore Services, Inc. Bettye Dunham, Rauch, Inc. Debbie Bennett, Hillcroft Services, Inc. Steve Cook, AWS, Inc. John Niederman, Pathfinder Services, Inc. Susan Rinne, LifeDesigns, Inc. Jane Wear, Cardinal Services, Inc. Absent: Marie Dausch, Treasurer Clint Bolser, LOGAN Community Resources, Inc. Holly Piggott, ResCare, Inc. 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 2:00 p.m. II. Modification to the Agenda There were no modifications to the agenda. III. Approval of Minutes The Board reviewed minutes from the July 30 Board meeting. No additions were noted. MOTION 13:25 Debbie Bennett moved to approve the July 30 meeting minutes as presented. Jonathan Burlison seconded and the motion carried. IV. Review of Financial Statements Barb Young reported that July financial statements reflect a positive position of seventy-nine thousand one hundred thirty-eight dollars ($79,138) from operations and fourteen thousand seven hundred sixty-six ($14,766) from an unrealized gain on investments for a total increase in net assets of ninety-three thousand nine hundred four dollars ($93,904). MOTION 13:26 Steve Cook moved to file the July 2013 financial statements for audit. Susan Rinne seconded and the motion carried. V. Association Focused Reports and Discussion A. Industry Infrastructure Committee John Niederman reported that participating Marketing Consortium agency CEOs and key staff participated in a videoconference with Noel Watts, President of MARC on August 14th. In this meeting, Mr. Watts answered technical questions about how the MARC consortium is structured, operational details, and the impact of Kemper Strategy on overall performance. Consortium members were asked to make a final determination on progressing to Phase II, with fifteen of sixteen agencies indicating that they would continue to participate. Participating CEOs will convene once again to determine next steps. Mr. Niederman then discussed the member-to-member purchasing initiative, noting that thirteen agencies responded to a request to list products and/or services for sale to other INARF members. INARF staff will send a follow-up email in a few weeks to gather additional responses and devise the program structure. Once finalized, a message will be sent to all INARF Member CEOs encouraging participation and asking for a commitment to purchase from other INARF members whenever possible. In addition, the Committee discussed possible reasons for the under-utilization of the INARF Preferred Partnership Program, and offered suggestions for increasing awareness. It was recommended that human resources directors and financial officers be targeted, as they are the primary decision makers on the products that are currently offered. Mr. Niederman reviewed progress on the development of affordable front-line supervisor training, stating that the Committee had compiled a list of training needs for front-line supervisors and submitted them to the Training & Professional Development Committee for consideration. Lastly, Mr. Niederman noted that the Committee added two new members: Megan Gumbel of MDC Goldenrod and Julia Huffman of Noble of Indiana. B. New Member Report Keith Digman reported that INARF recently welcomed two new Associate Members, Human Resource Partnerships and Apex Realty, bringing the total number of Associate Members to forty-three. Mr. Digman reminded the Board that the membership renewal process will begin in September. As with years past, Board Members may be asked to reach out to colleagues to encourage renewal. C. Upcoming Events Nanette Hagedorn reviewed upcoming INARF events, noting the following events: the Direct Support Professionals of Indiana (DSPIN) Annual Conference on September 9, the Technology Summit on September 12, and the Industry Briefing and INARF PAC Dinner on September 26. Ms. Hagedorn encouraged attendance at all events and noted that Secretary of State Connie Lawson is scheduled to attend the dinner. D. Strategic Plan Report Kim Opsahl reported that INARF staff met with Mike Stone of Impact Strategies to work on post-retreat activities. The strategic plan will be presented in September. VI. Industry Focused Reports and Discussion A. Governmental Affairs Committee Steve Cook reported that the Rate Reform Work Group is meeting with Division of Disability and Rehabilitative Services (DDRS) Director Nicole Norvell to present initial recommendations for establishing a daily rate methodology for Residential & Habilitation Support (RHS) and for re-establishing Health Care Coordination as a defined waiver service. Mr. Cook reviewed the recommendations, which were included in Board materials. For RHS, the recommendation is to establish a rate that combines the annualized RHS and Transportation amounts and includes some accommodation for leave days. For HCC, the work group recommends reusing the previously approved HCC definition, in order to facilitate the review and approval by CMS. Jonathan Burlison reported that the Committee is finalizing two additional position statements: employment and workforce development. The employment statement is being revised to include input provided by the Employment and Business & Industry Professional Interest Sections during the August 15 Quarterly Professional Interest Section Meeting. Both statements will be presented to the Board, as they are finalized. Ms. Opsahl reviewed the draft Family Supports Waiver (FSW) position paper. MOTION 13:27 Jonathan Burlison moved to approve the FSW position statement as presented. Jill Dunn seconded and the motion carried. Indiana Commission on Developmental Disabilities Ms. Opsahl also reported on the August 27 DD Commission meeting. INARF had an opportunity to testify and provided feedback to the Commission relative to challenges with the rate structure, the impact of rate cuts, and how disability service providers are affected by rate cuts in a different manner than other Medicaid providers. When asked what legislation INARF would like to see enacted, Ms. Opsahl emphasized the Association’s positive working relationship with DDRS and the hope that it would lead to long-term solutions. That being said, she did indicate that INARF members would be supportive of a cost of living adjustment. Additionally, the Direct Support Professionals of Indiana (DSPIN) Chair Dee Quaglio testified about the need for DSP education and made an appeal for a permanent DSP seat on the Commission. At the request of the Commission, Ms. Quaglio will work with Dr. Theresa Grossi to provide additional information on the State’s now defunct DSP initiative and present day needs for DSP education. Ms. Opsahl further noted that the Association has developed a positive working relationship with the Commission, with Senator Jean Breaux (D-Indianapolis) emerging as a champion for DSPs. Kelli Waggoner and Glenna Shelby will schedule an appointment for Ms. Opsahl to meet with Senator Breaux to further discuss DSP issues. Workforce Investment Act (WIA) Reauthorization Jonathan Burlison reported that after analysis INARF Staff report that the WIA reauthorization is in line with INARF’s position statement on employment. Christiaan Campbell referred Board Members to an Issue Brief providing background on this issue and insight on various perspectives relative to the bills impact. He noted that the most controversial aspect of reauthorization was moving Vocational Rehabilitation (VR) from the Department of Education to the Department of Labor. He stated that the Department of Labor is more employer-focused, which has sparked concerns that the person-centered planning aspect of VR may be lost in transition. B. Innovation & Systems Change Committee Steve Cook reported that the Committee met on August 15, with guest speaker Bill Keown of KWK Management Group, LLC presenting information regarding pharmacies and managed care. In addition, Stone Belt Arc, Inc. provided a demonstration of their electronic health record system. Managed Care Update Ms. Opsahl reported that the Family and Social Service Administration’s Aged, Blind and Disabled (ABD) Managed Care Task Force met on August 15, with INARF and other advocacy and industry organizations offering testimony. The Task Force heard public comment on August 19. Ms. Opsahl worked with the Committee to draft INARF’s testimony, which emphasized INARF’s role as a resource and authority on managed care for persons with I/DD. When testifying on behalf of INARF, Ms. Opsahl educated the Task Force about Medicaid funding and how the Indiana provider system compares to other states operating with and without managed care. The Task Force will take testimony into consideration and plans to offer a draft report in by mid-September for public comment. The final report will be available in December. Ms. Opsahl reported that the Hoosiers for Options Coalition has a meeting set to further discuss this issue with FSSA Secretary Debra Minott. VII. Adjournment The next Board of Directors Meeting will be held on September 27, 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