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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Friday, July 25, 2014 11:00 a.m. – 12:30 p.m. Via Teleconference Dial 1-800-791-2345 At the prompt, enter 69357# 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 - Strategic Framework Progress: Market Position Statement VI. Industry Focused Reports and Discussion - HCBS Rule & Indiana Transition Plan - Daily Rate Status Update VII. Other Business VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on July 25, 2014 via teleconference at INARF, 615 North Alabama Street, in Indianapolis. The INARF Board convened at 11:00 a.m. Present: Steve Sacksteder, Chair Jill Dunn, Immediate Past Chair Patrick Cockrum, Vice Chair Marie Dausch, Treasurer Jim Allbaugh, Carey Services, Inc. Jonathan Burlison, Bridges of Indiana, Inc. Steve Cook, AWS, Inc. Bettye Dunham, Rauch, Inc. Dan Griffin, Dungarvin Indiana, LLC Susan Rinne, LifeDesigns, Inc. Jane Wear, Cardinal Services, Inc. Pam Verbarg, Wabash Center, Inc. Absent: Holly Piggott, Secretary Debbie Bennett, Hillcroft Services, Inc. John Niederman, Pathfinder Services, Inc. Staff: Kim Opsahl, President/CEO Barb Young, Vice President/CFO Christiaan Campbell, Director-Research & Program Development Keith Digman, Director-Member 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 June 27, 2014 Board of Directors meeting minutes were presented and reviewed. MOTION 14:15 Bettye Dunham moved to approve the June 27 meeting minutes as presented. Jane Wear seconded and the motion carried IV. Finance Committee Report - Review of Financial Statements Marie Dausch reported that INARF June financial statements reflect a positive increase in net assets from operations of forty one thousand five hundred twenty five ($41,525), an unrealized gain on investments of forty seven thousand five hundred eighty one ($47,581), for an overall change in net assets of eight nine thousand one hundred six ($89,106). MOTION 14:16 Marie Dausch moved to file the May 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 that the Training and Professional Development & Leadership Development Committees are continuing their efforts toward building the 2015 INARF Annual Conference program by identifying the remaining educational sessions and securing knowledgeable presenters. As a result of feedback from the 2014 Conference, the Committees have explored shifting to a Wednesday thru Friday pattern. Unfortunately, for the 2015 Conference the Sheraton was unable to accommodate the shift. However, they have indicated that there is an option to accommodate that pattern in 2016 if the conference were moved to the first part of March. In evaluating this option, the Committees are seeking the Board’s input on weighing these options. After discussion, the Board indicated that the priority was to continue hosting the conference mid-March. The Fall/Winter line-up of stand-alone professional development events will be unveiled early-August beginning with a PCP/ISP Facilitator training (the 2nd session for 2014). Additional activities and events in progress are noted on the INARF Upcoming Professional Development Activities and Events handout. B. Strategic Framework Progress: Market Position Statement Ms. Opsahl provided an update on the Market Position Statement. She began by reviewing the Market Position Statement’s two strategic objectives: Elevate the presence and stature of INARF within its spheres of influence by 1.) developing legislative champions; and 2.) raising awareness with families, members, and prospective members. Strategic Objective #1: Restructure and formalize the Governmental Affairs Committee (GAC) and related process. After reviewing the Board’s strategic framework, the GAC recommended the following actions: 1.) Make a change in the way we communicate about issues and activities to members by moving to a real-time communication system. This activity is underway and it is anticipated the new communication protocol will be launched in August 2.) Publish an Issue/Position Statement Development Process to use as a consistent approach to identify and develop issues and position statements on behalf of the Association. To this end, Ms. Opsahl reviewed the recommended process for the Board’s consideration. Upon discussion, the Board recommended clarifying how and where members can offer feedback as issues are developed and defining the scope of staff’s role in the decision making process. MOTION 14:17 Jonathan Burlison moved to adopt the Issue/Position Statement Development Process with the recommended clarifications. Marie Dausch seconded and the motion carried. 3.) Develop and execute a Relationship Development Approach INARF will use to identify and develop relationships with legislators and legislative candidates. The GAC continues to draft the Public Policy Agenda for 2014-2015. As part of this effort, the Committee has identified key activities targeted at building multiple layers of relationships and support. At its broadest level, the Committee is recommending activities like the 100 Days Campaign to encourage broad membership engagement with legislators and candidates at the local level. Next, the agenda encourages using INARF PAC contributions delivery opportunities as a mechanism to reinforce local relationships and emphasize the connection to INARF with legislative leaders and champions. Finally, the agenda calls for focused efforts to develop key champions in support of the stated goals. Strategic Objective #2: Christiaan Campbell and Keith Digman reported on activities focused on raising awareness with families, members, and prospective members, which include: • Develop awareness of the Association’s updated mission and vision. • Continue to conduct a successful 40th Anniversary Campaign. • Raising awareness of who INARF is and what INARF does. • Implement member visit strategy. VI. Industry Focused Reports & Discussion A. HCBS Rule & Indiana Transition Plan Ms. Opsahl reported on the HCBS Rule Forum held in Chicago on July 14. She shared a summary of the Indiana focused discussion. Overall, participants were positive about the rule and felt it was generally a ‘common sense’ standard. There continues to be concerns over interpretation and implementation, particularly as it relates to non-residential services. The summary also includes participant’s thoughts on the implications of the rule for Indiana and questions that remain for CMS. As a next step, INARF is working with our national partner ANCOR and the other three states that co-hosted the Forum to share and discuss our collective feedback with CMS. On a related note, the Division of Disability and Rehabilitative Services (DDRS) published their Indiana Draft Preliminary Transition Plan for public comment. The plan identifies the Division’s approach to assessing the degree to which the residential services offered through the waiver program currently complies with HCBS and then how it will use that information to develop strategies to improve compliance. After reviewing the Preliminary Transition Plan, staff prepared draft comments to offer on behalf of the Association. Overall, there were no significant concerns. Comments included an offer/request for provider/INARF involvement in stakeholder groups; emphasis on the need for joint training on assessment process; and elimination of assessment of “institutional settings”. MOTION 14:18 Patrick Cockrum moved approve the letter to Nicole Norvell, DDRS Director, regarding comment on Indiana’s Draft Preliminary Transition Plan. Jill Dunn seconded and the motion carried. As noted above, the Preliminary Transition Plan does not include non-residential services. States continue to wait for guidance from CMS on this issue. Once that is published, the Division will likely go through a similar assessment process to develop a Transition Plan for those services. Ms. Opsahl noted that in light of this and other recent federal policy changes, the Board had endorsed a position that was rooted in our values of options, access, and choice and focused on developing greater system and provider capacity around community-based day and employment services. To ensure clarity and transparency around this position, Ms. Opsahl suggested that the Board consider adopting a formal resolution that affirms that direction. The Board agreed and Ms. Opsahl will work with the chairs of the Industry Infrastructure and Innovation and Systems Change Committees to develop a draft resolution for consideration. B. Daily Rate Status Update Steve Cook reported that the Rate Reform Workgroup met with DDRS on July 16th to discuss developing consensus on residential daily rate and necessary steps to have it included in the 120 Amendment. DDRS emphasized their commitment to this project. Through the discussion, the group identified several issues to address including clarification of who is eligible to receive the daily rate, how to address transportation and community habilitation individual, and understanding the potential impact on utilization of day and employment services. Additionally, the group reached preliminary consensus on strategies to reduce reliance on Budget Modification Requests. In a subsequent meeting, the INARF Workgroup has begun developing its responses/recommendation to the remaining issues to be addressed. The group will be meeting with DDRS for continued discussion in early August. Once the majority of decisions are finalized, DDRS will be invited to meet with the INARF Board to review and discuss. VII. Other Business Ms. Opsahl shared the next Board meeting will be held in coordination with the Legislative Awards Luncheon on August 22nd from 10 a.m. to 11:30 a.m. and the luncheon will start at 12 p.m. and conclude around 1:30 p.m. The Critical Issues Form has been moved to the Fall and will be hosted with The Arc of Indiana. VIII. Adjournment The next Board of Directors Meeting will be held on Friday, August 22nd at the Radisson Hotel Indianapolis Airport. Respectfully submitted, ___________________________________________ Holly Piggott, Secretary HP/tld