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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Thursday, November 21, 2013 9:00 a.m. – 10:00 a.m. The Fountains Banquet & Conference Center 502 East Carmel Drive, Carmel I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Finance Committee Report - Review of Financial Statements - Proposed 2014 Operating Budget V. Association Focused Reports and Discussion - Upcoming Events and Activities - Membership Renewal Update - Strategic Framework Approval and Next Steps VI. Industry Focused Reports and Discussion - Update on National Issues - Managed Care Status - Quality Taskforce Update VII. Other Business VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on November 21, 2013 at The Fountains Conference Center, located at 502 East Carmel Drive in Carmel. The Board of Directors meeting convened at 9:00 a.m. Present: Steve Sacksteder, Chair Dan Griffin, Vice-Chair Jonathan Burlison, Secretary Marie Dausch, Treasurer Jill Dunn, Immediate Past Chair Debbie Bennett, Hillcroft Services, Inc. (via teleconference) Clint Bolser, LOGAN Community Resources, Inc. Patrick Cockrum, Sycamore Services, Inc. Steve Cook, AWS, Inc. Bettye Dunham, Rauch, Inc. John Niederman, Pathfinder Services, Inc. Holly Piggott, ResCare, Inc. Jane Wear, Cardinal Services, Inc. (via teleconference) Absent: Susan Rinne, LifeDesigns, Inc. Guest: Bill Hadar, Developmental Services, Inc. Staff: Kim Opsahl, President/CEO 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 October 25 Board of Directors meeting minutes were presented and reviewed. MOTION 13:33 Patrick Cockrum moved to approve the October 25 meeting minutes as presented. Jill Dunn seconded and the motion carried. IV. Finance Committee Report A. Review of Financial Statements Marie Dausch reported that the October financial statements reflect a positive position of one hundred one thousand four hundred dollars ($101,400) from operations and thirty seven thousand six hundred dollars ($37,600) from an unrealized gain on investments for a total increase in net assets of one hundred thirty nine dollars ($139,000). MOTION 13:34 Marie Dausch moved to approve the October financial statements for audit. Bettye seconded and the motion carried. B. Proposed 2014 Operating Budget Ms. Dausch reviewed the 2014 Proposed Operating Budget, noting that membership dues show a decrease to last year’s budget of $35,000 to reflect a conservative approach, since renewal efforts are still in process. Conference registration, sponsorship and exhibit revenue is anticipated to net direct expenses by $57,400. Professional development registration is expected to exceed direct expenses by $13,900. The overall budget reflects a $7,000 change in net assets. MOTION 13:35 Steve Cook motioned to approve the Proposed 2014 Operating Budget. Jonathan Burlison seconded and the motion carried. V. Association Focused Reports and Discussion A. Upcoming Events and Activities Kim Opsahl reviewed a list of upcoming professional development events, noting that 67 people attended the recent INARF PAC luncheon event on November 7. In addition, INARF hosted training regarding high risk plan development, which was well received with 84 members in attendance. Ms. Opsahl reported that 177 people registered for the November Professional Interest Section meeting. Holly Piggott reviewed upcoming events, including the popular Pieces to the Group Home and Waiver Puzzle workshop on January 15, HIPAA High Tech meeting on January 28, and the INARF Pre and Annual Conference on March 12-14. B. Membership Renewal Update Ms. Opsahl reported that 79% of INARF membership has committed to renewal for 2014. In order to coordinate efforts, she requested that Board members contact INARF staff as they reach out to non-renewing members. C. Strategic Framework Ms. Opsahl reported that INARF’s mission and vision statements have been revised to reflect the work done during strategic planning sessions with facilitator Mike Stone. Other additions to the strategic planning document, based on Board discussion, include adding a second strategic planning objective regarding provider quality standards. In addition, the resource position statement was re-written to focus efforts on developing Associate members and Preferred Partners, as well as exploring new products and services. Staff are currently developing operations plans linked to the strategic framework document and will continue working with the Executive Committee to review INARF corporate committee organization and alignment. MOTION 13:36 Marie Dausch motioned to approve revisions to the strategic framework document. John Burlison seconded and the motion carried. VI. Industry Focused Reports and Discussion A. Governmental Affairs Committee Update Ms. Opsahl reported on major national issues, including the revision of the definition of Home & Community Based Services (HCBS) proposed by the Centers for Medicare & Medicaid Services (CMS). The primary goal of this effort is to have one standardized definition of ‘home and community’ across all HCBS programs. Of particular concern to providers are the definitions of pre-vocational services and residential services, which could severely limit and/or restrict choice. In response, Ms. Opsahl and Steve Sacksteder were part of a provider delegation which met with the Region V Health & Human Services (HHS) director last week to express concerns regarding service restrictions and how a new definition of HCBS may impede provider innovation. In addition, the provider delegation addressed issues related to 14(c) and work centers. The delegation emphasized the need for choice as consumers consider which work setting best meets their needs. Overall, the conversation was fruitful, with HHS gaining a better understanding of the provider perspective on issues related to HCBS. INARF and other provider trade associations will continue the conversation at a CMS regional summit to be hosted in December. Ms. Opsahl reported that she attended an American Network for Community Options & Resources (ANCOR) Workforce Summit. Topics discussed included new tools available through CMS to include the cost of training in HCBS rate-setting. Other topics included the impact of the care gap for older Americans and challenges providers will face as the Boomer generation enters assisted living, which will result in additional stress to the DSP workforce. Providers must determine how to broaden their reach to accommodate new clients and address workforce issues. Lastly, Ms. Opsahl shared that Governor Pence recently reached out to HHS Secretary Kathleen Sebelius seeking an opportunity to discuss using the Healthy Indiana Plan as Indiana’s Medicaid expansion vehicle. INARF will continue to monitor this activity, as expansion could have a significant impact in enabling Indiana providers to avoid increased costs related to the implementation of the Affordable Care Act. B. Innovation & Systems Change Committee/ Effective Response to Member Crisis Ms. Opsahl reported that the Innovation & Systems Change Committee and the Industry Infrastructure Committee will host a joint meeting on December 18 to discuss provider quality issues, as directed by the Board. Kathy Davis will facilitate this meeting. In lieu of a December Board of Directors meeting, Board members are invited to participate in this important discussion. VII. Other Business VIII. Adjournment The next Board of Directors Meeting will be held on January 24, 2014 at Easter Seals Crossroads in Indianapolis. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/ecp