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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Friday, October 25, 2013 9:30 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. Association Focused Reports and Discussion - Upcoming Events and Activities - Membership Support Committee - Marketing Sub-Committee - Smart Partners Alliance Management Agreement VI. Industry Focused Reports and Discussion - Governmental Affairs Committee Update - Innovation and Systems Change Committee - Effective Response to Member Crisis - Supporting individual members who are experiencing crisis - Supporting the system when an individual member is in crisis - Promoting a pro-active culture of support and resources VII. Strategic Planning Update VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting and Member Forum were held on October 25, 2013 at Easter Seals Crossroads, 4740 Kingsway Drive in Indianapolis. The Board of Directors meeting convened at 9:30 a.m. with the INARF CEO Roundtable immediately following. Present: Steve Sacksteder, Chair Dan Griffin, Vice-Chair Jonathan Burlison, Secretary (via telephone) Marie Dausch, Treasurer Jill Dunn, Immediate Past Chair Clint Bolser, LOGAN Community Resources, Inc. (via telephone) Steve Cook, AWS, Inc. Patrick Cockrum, Sycamore Services, Inc. Bettye Dunham, Rauch, Inc. Debbie Bennett, Hillcroft Services, Inc. John Niederman, Pathfinder Services, Inc. Susan Rinne, LifeDesigns, Inc. Absent: Holly Piggott, ResCare, Inc. Jane Wear, Cardinal Services, Inc. Guests (in Person): Rick Adams, Dungarvin of Indiana, LLC Bill Hadar, Developmental Services, Inc. Cathy McNulty, Strategic Indiana Provider Network Jason Meyer, Passages, Inc. Jane Ruff, Hopewell Center Paula Shively, ADEC, Inc. Staff: Kim Opsahl, President/CEO Barb Young, Vice President/CFO 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 and Introduction Steve Sacksteder, INARF Board Chair, welcomed those in attendance. II. Modification to the Agenda There were no modifications to the agenda. III. Approval of Minutes The September 27 Board of Directors meeting minutes were presented and reviewed. MOTION 13:30 Bettye Dunham moved to approve the September 27 meeting minutes as presented. Jill Dunn seconded and the motion carried. IV. Review of Financial Statements Marie Dausch reported that the September financial statements reflect a positive position of one hundred seven thousand eight hundred dollars ($107,800) from operations and twelve thousand four hundred dollars ($12,400) from an unrealized gain on investments for a total increase in net assets of one hundred twenty thousand two hundred dollars ($120,200). Ms. Dausch noted that the Finance Committee will meet soon to review the INARF budget and will present a draft budget at the November INARF Board meeting. MOTION 13:31 Marie Dausch moved to approve the September financial statements for audit. Jill Dunn seconded and the motion carried. V. Association Focused Reports and Discussion A. Upcoming Events and Activities Nanette Hagedorn reported on the success of recent training and professional development events, specifically the webinar hosted by associate member BKD and Person-Centered Planning and Individualized Support Plan facilitator training. Upcoming events include the Legislative and Critical Issues Forum rescheduled for November 7 at the Crane Bay Event Center. Ms. Hagedorn noted that staff had a successful meeting with Meridian Health Services, and finalized their 2014 Annual Conference, as previously discussed with the Board. B. Membership Support Committee Suzi Rinne began her report by recognizing retiring ADEC CEO Paula Shively for her participation on the Membership Support Committee and thanked her for many years of leadership. Ms. Rinne went on to report that the Committee has been focusing on membership growth strategies, as well as membership renewal. Ms Hagedorn shared that 54 Institutional Members have renewed for 2014, which comprises 71% of current membership. She encouraged Board members to consider reaching out to any of their assigned members who have not yet renewed. Ms. Rinne also reported that the Committee reviewed the membership satisfaction survey and identified key areas of need including: increasing support for new agency leaders, providing more regional trainings, increasing mid-level staff engagement at member agencies, ensuring INARF staff visibility, and increasing the use of technology to engage member agencies. C. Marketing Subcommittee Jill Dunn reported that the Marketing Subcommittee has reviewed and approved INARF’s 40th Anniversary logo and is in the process of developing a marketing campaign to promote activities to recognize the Association’s 40th Anniversary. Specifically, the Subcommittee is focused on developing awareness of INARF’s mission and values and promoting the Association as an expert in the I/DD system. The 40th Anniversary marketing campaign will include outreach to the media and development of “Rubi”, a characterization of INARF’s Ruby Anniversary. D. Smart Partners Alliance Management Agreement Kim Opsahl shared an issue brief discussing recommendations for the Board’s consideration relative to the Smart Partners Alliance (SPA) Management Agreement. The Agreement’s initial term is set to expire on December 31, 2013. The Agreement does include an annual auto-renewal provision. Staff sought advice from Doug Long with INARF’s general counsel Hall, Render, Killian, Health & Lyman to identify recommendations regarding due diligence. Mr. Long recommended utilizing the auto-renewal provision assuming that INARF’s auditors believed that the Agreements terms fall within the range of fair market value. To that end, staff sought an opinion from INARF Auditors Blue & Co. as to this issue. They confirmed that they do look at this issue during audit and to date have had no concerns. Based on this research, it is recommended that INARF utilize the management agreement’s auto-renewal feature and ask that the auditors include a statement regarding the fair market value in their annual audit report, for the Board’s future consideration. MOTION 13:32 John Niederman moved to utilize the auto renewal feature to continue the SPA Management Agreement for CY2014 and seek information annually by auditors. Steve Cook seconded and the motion carried. VI. Industry Focused Reports and Discussion A. Governmental Affairs Committee Update Kim Opsahl reported that the Rate Reform Workgroup continues its work with the Divison Disability & Rehabilitative Services (DDRS) on Wellness Coordination (formerly known as Health Care Coordination). In particular, the group has provided feedback to the draft service definition and rate methodology that will be submitted as part of the October Community Integration and Habilitation Waiver (CIHW) Amendment. It is anticipated that if approved by CMS, the service will be effective January 1, 2014. Ms. Opsahl thanked Steve Cook and Jim Van Dyke in particular for their efforts to provide relevant and timely data to support this important process. In addition, Ms. Opsahl shared that Joe Moser has been appointed as Medicaid Director. Mr. Moser is currently the Interim Executive Director and Director of Government Affairs for the Medicaid Health Plans of America, the trade association representing Medicaid Managed Care plan providers. In regard to managed care issues, Ms. Opsahl stated that publication of the Family and Social Services Administration’s Aged, Blind and Disabled Task Force’s draft managed care report has been delayed. It is anticipated that a draft will be available in November. Ms. Opsahl reported that Indiana Protection & Advocacy Services (IPAS) intends to begin monitoring surveys of facility-based employment providers. Attached is a summary of IPAS’ federal authority to complete these surveys, as well as details from a recent meeting discussing the process. It appears this effort is connected to greater national concerns regarding facility based work practices stemming from the Henry’s Turkey Farm incident. At INARF’s suggestion and invitation, IPAS will be sharing an overview of the effort during the November Business and Industry Professional Interest Section meeting. The Board asked staff to work with BIS co-chairs to develop questions that can be shared with IPAS prior to their presentation. The discussion about IPAS’ efforts highlights greater systems concerns and obstacles relative to meaningfully accessing community based employment support for individuals with significant disabilities. To that end, Ms. Opsahl noted that a group of INARF leaders is meeting with Vocational Rehabilitation Director Kylee Hope to work collaboratively on these issues. B. Innovation & Systems Change Committee Steve Cook reported that a representative from Purdue University discussed electronic health records (EHR) and implications for the provider community. The overall recommendations was that providers should not immediately implement EHR at this time as hospitals and technology providers are constantly reviewing and altering EHR capabilities and systems. In addition, the Committee discussed the need for agencies to more aggressively implement assistive technology. As DDRS Director Nicole Norvell previously mentioned, assistive technology is widely used in Indiana’s school systems, but not fully utilized by providers. As a result, the Technology sub-group will switch their focus to tackling this issue. At the Bureau of Quality Improvement Services request, the Committee has identified a work group to address alignment of the state’s assurances to CMS with provider accreditation and deemed status. To better accommodate the workload of workgroups, the Committee will meet on a quarterly basis, with workgroups meeting more frequently to address pressing issues. On the federal level, Ms. Opsahl reported that national partners ACCSES and the American Network for Community Options & Resources (ANCOR) are monitoring a situation in New York, where CMS has directed the state to comply with a draft definition of home and community-based services prior to the official adoption of said definition. The impetus for this action is unclear and ACCSES and ANCOR will continue monitoring developments in New York. This is concerning to the industry because the most recent version of the draft definition could be interpreted to drastically restrict or eliminate facility based and/or congregate service options. C. Effective Response to Member Crisis Ms. Opsahl reviewed the recent events impacting the Arc of Northwest Indiana’s group home program. These events highlight the need for INARF to determine how it should respond and support a member agency facing an internal crisis, how it should respond and support the system in the face of this crisis, and, perhaps more importantly, how it promotes a culture of support and excellence, in the hopes of avoiding and mitigating future crisis. Board members discussed the need for board training to instill stronger leadership at the agency level. It was noted that other provider associations have technical assistance programs to assist agencies in need, a practice which INARF may wish to explore. INARF could also offer technical training programs to help leadership and staff implement best practices. Board members cautioned that these efforts should be balanced to avoid putting INARF in the position of “policing” its members. The Board suggested that the basic level of expectation for services is that those served are healthy, safe and being treated with respect. In conclusion, the Board determined that a cross-functional group combining the expertise of the Innovation & Systems Change Committee and the Industry & Infrastructure Committee would be established to further explore this issue and develop recommendations both in terms of how INARF should support anticipated system change and how INARF develops membership capacity in this important area. VII. Strategic Plan-Review and Next Steps Ms. Opsahl reported that INARF staff continue to meet with Mike Stone of Impact Strategies and encouraged the Board to review the revised strategic framework document. The Executive Committee has met with Mr. Stone twice to consider aligning the frameworks with the Association’s corporate committee structure. VIII. Adjournment The next Board of Directors Meeting will be held on November 21 2013, in conjunction with the INARF Quarterly Professional Interest Section meeting. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/ecp