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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Tuesday, February 25, 2014 9:30 a.m. – 11:00 a.m. Hyatt Regency Indianapolis 1 South Capitol Avenue, Indianapolis AGENDA I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Finance Committee Report - Review of Financial Statements V. Association Focused Reports and Discussion - Upcoming Events and Activities - Membership Renewal & Recruitment - Emeritus Membership Category VI. Industry Focused Reports and Discussion - Update: Quality Conversations & Activities - Administrative/Legislative Update - Executive Order: Federal Contract Workers VII. Other Business - March Meeting VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on February 25, 2014 at the Hyatt Regency Indianapolis, 1 South Capitol Avenue, Indianapolis. The meeting convened at 9:30 a.m. with the 2014 INARF Annual Membership Meeting immediately afterwards. Present: Steve Sacksteder, Chair Dan Griffin, Vice-Chair Jonathan Burlison, Secretary Marie Dausch, Treasurer Jill Dunn, Immediate Past Chair Clint Bolser, LOGAN Community Resources, Inc. Steve Cook, AWS, Inc. Debbie Bennett, Hillcroft Services, Inc. Patrick Cockrum, Sycamore Services, Inc. Holly Piggott, ResCare, Inc. Susan Rinne, LifeDesigns, Inc. Jane Wear, Cardinal Services, Inc. Absent: Bettye Dunham, Rauch, Inc. John Niederman, Pathfinder Services, Inc. Guests (in Person): Rick Adams, Dungarvin of Indiana, LLC Shane Burton, Developmental Services, Inc. Bill Cochrane, Mosaic – Northern Indiana Bob Coles, Meridian Health Services Nancy Hoffman, Arc of Wabash County, Inc. Linda Johnson, Arc of Wabash County, Inc. Michael Lintner, Marshall-Starke Development Center Kyle Metcalfe, Cornerstone Associates Jason Meyer, Passages, Inc. Jane Ruff, Hopewell Center Julia Wicks, Houston Group Homes Staff: Kim Opsahl, President/CEO Barb Young, Vice President/CFO Christiaan Campbell, Director-Research & Program Development Keith Digman, Director-Advocacy & Program Development Nanette Hagedorn, Director-Engagement & Development Terri Dye, Administrative Assistant/Membership Support 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 January 24, 2014 Board of Directors meeting minutes were presented and reviewed. MOTION 14:4 Jill Dunn moved to approve the January 24 meeting minutes as presented. Patrick Cockrum seconded and the motion carried IV. Finance Committee Report A. Review of Financial Statements Marie Dausch reported that INARF financial statements from January 31, 2014 reflect a positive increase in net assets from operations of thirty nine thousand five hundred dollars ($39,500), largely from conference sponsorship revenue committed to date. The unrealized loss on investments was sixteen thousand ($16,000), for a total increase in net assets of twenty three thousand five hundred dollars ($23,500). MOTION 14:5 Ms. Dausch moved to file the January financial statements for audit. Steve Cook seconded and the motion carried. V. Association Focused Reports and Discussion A. Upcoming Events and Activities Holly Piggott reported on recent professional development events, noting that the February 2014 Quarterly Professional Interest Section Meeting hosted 166 participants, the February 12th HIPAA HITECH training hosted 52 participants, and the INARF Annual Professional Development Planning Retreat hosted 20 participants on February 13. Ms. Piggott also provided a status update on the INARF Pre and Annual Conference, reporting that there are 180 full and 85 one day participants registered for the Conference, 87 participants registered for the Pre-Conference Leadership Symposium, and 58 members registered for the Member Reception and Dinner. There are 5 booths reserved for pre-Conference Exhibitors and all 37 booths have been reserved for the Annual Conference. To date, forty-five thousand five hundred dollars ($45,500) in sponsorships have been received. B. Membership Renewal Update Susan Rinne reported that membership renewal is concluding, with seventy-four members committed and two members still considering. INARF staff will be reaching out to offer additional support and encourage renewal. Two members have confirmed that they will not commit to INARF membership in 2014. C. Emeritus Membership Category Ms. Rinne reported that Membership Support Committee has been working on implementing the Emeritus Affiliate Membership category to actively engage past leaders with current members. It was requested that the Board recommend possible emeritus members. The Board was also asked for direction in establishing dues for this category. MOTION 14:6 Pat Cockrum moved to ask the Membership Support Committee to recommend an appropriate dues amount and identify potential emeritus members. Jill Dunn seconded and the motion carried. VI. Industry Focused Reports & Discussion A. Update: Quality Conversations & Activities Steve Cook reported on the action steps taken as a result of the Joint Meeting on Quality held on December 18, 2013, in which the Innovation & Systems Change Committee (ISC) and the Industry Infrastructure Committee (IIC) met to identify the root causes of recent quality concerns and to determine how INARF and the provider community can better support agencies in need. IIC Chair Bettye Dunham, ISC Chair Steve Cook, INARF Board Chair Steve Sacksteder, and INARF CEO Kim Opsahl met with Division of Disability and Rehabilitative Services (DDRS) Director Nicole Norvell, Director of DDRS, to discuss the joint committee recommendations. Ms. Norvell was very receptive to the recommendations. She shared the recommendations were consistent with the Division’s plans for the Bureau of Quality Improvement Services (BQIS) to be more consultative, rather than punitive in their approach. Recommendations shared were: 1.) Convening a collaboration meeting with involved State agencies and other stakeholders to discuss lessons learned and identify needed system improvements. 2.) Develop and share outside training resources that will be cataloged and rated for use by state and INARF members. 3.) Create a repository of best practices by members. 4.) Identify measurable methods of quality that can be recorded amongst members and also with the state and case managers. B. Administrative/Legislative Update Kim Opsahl began with a legislative update on bills INARF has been monitoring, including: SB 80, which seeks to streamline the interim study committee structure and collapse many of the current commissions into a single, broad health and provider services commission. For INARF and its members, this means the elimination of the Developmental Disabilities and Autism Commission. There are both potential pros and cons to this change. On the positive, it ensures that people with disabilities and the providers who support them are part of broader systems and policy discussions. However, the broader commission focus could limit opportunities to raise issues and concerns specific to persons with disabilities for legislative consideration. INARF will work closely with its consultants and partners, like the Arc of Indiana, to monitor and provide input as this issue evolves. SB 367, which addresses tax matters and the elimination of some neighborhood assistance credits. This bill does not appear likely to likely be moving forward. HB 1004, which addresses Early Education Vouchers, has been amended and is being reassigned. Also, the Senate Health & Provider Services Committee will be hearing the OT licensure requirement bill and the child care development fund bill, later this week. Ms. Opsahl shared House Concurrent Resolution No. 36 which recognizes INARF’s 40th anniversary and will be presented on the floor of the following today’s Annual Meeting and Luncheon. INARF will be joined by Bona Vista Programs and Cardinal Services who are celebrating their 55th and 60th anniversaries, respectively. The Senate will also be recognizing New Horizons Rehabilitation’s 45th anniversary. The INARF Governmental Affairs Committee (GAC) recently met to begin planning for the 2015 legislative session. A key issue discussed was direct support professional (DSP) wages and training, which has a near universal impact for members. The Committee will further research this issue and its impact on consumers and providers, including better understanding of the degree to which DSP’s and their families rely on means-tested benefits. The goal is to develop a comprehensive strategy that involves both long-term and short-term goals and involves partners like The Arc of Indiana/ICEArc. At the February Quarterly Professional Interest Section Meeting, John Hill and Satrina McDonald addressed the Community Supports Section with a timeline of DDRS plans for implementing Wellness Coordination. As outlined, consumers with a RHS provider who is also a Wellness Coordination provider will be auto converted on the 1st of April. Anyone not affiliated with a RHS provider will have Wellness Coordination added to their budget with the provider designated as ‘to be determined.’ It was also reported that DDRS received eighteen (18) medically fragile group home proposals and that six (6) have been invited to discuss them in further detail. In order to address various concerns and advance the Association’s objectives, Ms. Opsahl reported on the activities of several work groups. These activities include: • Continued rate reform activities focused on RHS daily rates, facility-based habilitation services and Vocational Rehabilitation Services. With each of these efforts, key state personnel have been involved to provide insight and guidance as to service expectations and anticipated outcomes. • On-going discussions regarding accreditation and deemed status with the Bureau of Quality Improvement Services (BQIS). Of note, Anne Davis was recently appointed BQIS Director. She previously worked with the Indiana Department of Education. • Efforts to develop recommendations for the group home vacancy and referral process. Once developed, these recommendations will be shared with Locket Phillips who was recently tasked with providing oversight for large private ICFs/DD and supervised group living. With the advent of the My Life, My Choice interview process and greater flexibility in accessing waiver services, the work group is focused on ensuring an efficient and effective process. • Coordination of a test group for the Provider Portal designed by Advocare. The portal’s intent is to give providers easier access to key information about an individual’s notice of action and support plan. • Working with case management members on better understanding their unique needs and how to help them integrate into INARF activities. • Developing recommendations for improving and enhancing Structured Family Caregiving. C. Executive Order: Federal Contract Workers Ms. Opsahl discussed the recent Executive Order on minimum wage for federal contract workers. Based on clarification provided by ANCOR from the Office of Disability Employment Policy, this will likely impact workers with disabilities who are working on federal service related contracts. VII. Other Business The March 28th Board Meeting will be cancelled due to the Board Reception and Dinner on March 12th. VIII. Adjournment The next Board of Directors Meeting will be held on April 25th. Respectfully submitted, ___________________________________________ Jonathan Burlison, Secretary JB/tld