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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Friday, August 22, 2014 10:00 a.m. – 11:30 a.m. Radisson Hotel Indianapolis Airport 2500 S. High School Road - 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 - Investment Advisor Recommendation - Recommendation to Maintain Dues Formula V. Association Focused Reports and Discussion - Upcoming Events and Activities - Corporate Committee Restructure - Strategic Framework Progress: Resource Position Statement VI. Industry Focused Reports and Discussion - HCBS Rule & Indiana Transition Plan - Rate Reform Updates - Day/Employment Resolution VII. Other Business VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting was held on August 22, 2014 at the Radisson Hotel Indianapolis Airport, 2500 S. High School Road in Indianapolis. The INARF Board convened at 10:00 a.m. Present: Steve Sacksteder, Chair Jill Dunn, Immediate Past Chair Patrick Cockrum, Vice Chair Marie Dausch, Treasurer Holly Piggott, Secretary Jim Allbaugh, Carey Services, Inc. Debbie Bennett, Hillcroft Services, Inc. Steve Cook, AWS, Inc. Bettye Dunham, Rauch, Inc. John Niederman, Pathfinder Services, Inc. Susan Rinne, LifeDesigns, Inc. Jane Wear, Cardinal Services, Inc. Pam Verbarg, Wabash Center, Inc. Absent: Jonathan Burlison, Bridges of Indiana, Inc. Dan Griffin, Dungarvin Indiana, LLC Guest: Teressa Jackson, Rauch, Inc. Leslie Green, Stone Belt Arc, Inc. Clint Bolser, LOGAN Community Resources, Inc. 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 July 25, 2014 Board of Directors meeting minutes were presented and reviewed. MOTION 14:19 Bettye Dunham moved to approve the July 25 meeting minutes as presented. Holly Piggott seconded and the motion carried IV. Finance Committee Report A. Review of Financial Statements Marie Dausch reported that INARF July financial statements reflect a positive increase in net assets from operations of twenty two thousand one hundred twenty three ($22,123), an unrealized gain on investments of thirty one thousand three hundred ninety two ($31,392), for an overall change in net assets of fifty three thousand five hundred fifteen ($53,515). MOTION 14:20 Marie Dausch moved to file the May financial statements for audit. Patrick Cockrum seconded and the motion carried. B. Investment Advisor Recommendation Ms. Dausch reported the outcome of the workgroup’s RFP process. The Finance Committee and Executive Committee have approved the recommendation that INARF transfer it’s investment advisory services to Kevin Hampton, Diamond Capital Management/National Bank of Indianapolis. MOTION 14:21 Marie Dausch moved to approve the Investment Advisor Recommendation. Susan Rinne seconded and the motion carried. C. Recommendation to Maintain Dues Formula Ms. Dausch shared that the Finance Committee performed its annual review of the dues formula and recommend maintaining the current formula with no changes. D. Staffing Proposal Kim Opsahl reported on discussions held with the Finance and Executive Committees regarding efforts to strategically plan for the long-term investment in the Association’s governmental affairs resources. INARF’s current legislative consultants – LegisGroup Public Affairs and KWK Management - have served us exceedingly well. However, because of the importance members place on public policy advocacy, it is critical that INARF consider “succession” planning for its current resources. With this in mind, staff propose brining this expertise in house by hiring a Vice President of Public Policy. In order to ensure a through and effective transition, it is likely that there will be a negative budget impact in 2015 – 16, but should be fully integrated into the budget by 2017. The Board responded positively to the proposal. MOTION 14:22 Jill Dunn moved to approve the Staffing Proposal to hire a Vice President Public Policy. Holly Piggott seconded and the motion carried. V. Association Focused Reports and Discussion A. Upcoming Events and Activities Holly Piggott reported that the Training and Professional Development & Leadership Development Committees recent emphasis has been to identify and develop programs of educational, informational and networking value. Efforts are continuing by the committees to finalize the 2015 INARF Annual Conference program which features 54 educational sessions (1.25 hrs. in length), 83% of the sessions are confirmed. Additional activities and events in progress are noted on the INARF Upcoming Professional Development Activities and Events handout. B. Corporate Committee Restructure Ms. Opsahl reported on the progress of the restructuring of the corporate committees. INARF staff and corporate committee chairs have worked together to review the proposed changes and identify suggested implementation steps. The feedback from the meetings was generally positive. The identified advantages include more efficient use of resources, improved focus on issues, reduce duplication, and improved alignment with strategic focus. The new structure will require strong volunteer and staff leadership to ensure that the responsibilities and roles associated with committees and work groups are clearly delineated. The recommendations proposed are as follows: - Committee Structure: - Two chairs, each with three year term limits; Executive Committee appoints chairs. - Committee should reflect reflect/represent the membership in terms of organizational size, geography, and types of services provided. There is no limit on committee size and no term limits for committee members - Initially staff will make recommendations for current member reassignment; then Executive Committee identifies chairs; then chairs and staff identify additional members. - Committees will meet for 4 hours on set, quarterly basis; - Workgroups will establish a set meeting schedule within a specified timeframe. - Committee meetings will include a mix of information sharing from staff, committee members or outside resources, small groups, and consensus building. - Committee Transitions/Assignments: - Once chair assignments are made, facilitate chair transition discussion with current committee chairs and incoming chairs. - In late fall following the Board’s review and update of the Strategic Framework, each committee will meet to review its purpose, activities, and establish its work plan. - Work plan will identify areas of focus, connection to strategic framework, and anticipated outcomes and related metrics. MOTION 14:23 Patrick Cockrum moved to approve the Corporate Committee Restructure. Holly Piggott seconded and the motion carried. C. Strategic Framework Progress: Resource Position Statement Staff provided an update on the Resource Position Statement. Specific progress and next steps are reflected on the attached report. Mr. Cook commended Ms. Opsahl and other staff for the noticeable improved efficiency with meetings and staff support. VI. Industry Focused Reports & Discussion A. HCBS Rule & Indiana Transition Plan Ms. Opsahl reported on the current status of the CMS HCBS settings rule, including Indiana’s Transition Plan. As the waiver re-write has been submitted, the 120 day clock has started. The plan’s first step is to identify which areas of service delivery may not be in compliance with the rule, as identified through National Core Indicator data. Next, the Indiana Institute on Disability and Community has been recruited to design and implement a provider survey to gather additional data in these areas. This data will be used for continued planning efforts in bringing residential services fully into compliance. The wait continues for sub-regulatory guidance from CMS on compliance measures for non-residential services. In the interim, members should be familiar with the CMS HCBS Settings Toolkit, 2011 State Medicaid Director Letter on Pre-Vocational Habilitation, and details from the Rhode Island Consent Decree. B. Rate Reform Updates Steve Cook reported on the current status of daily rate efforts. The GAC Reform Workgroup has made good progress working with the Division to clarify that the proposed daily rate system is for people that are assessed as an Algo 3 – 5 and share supports with other individuals. While DDRS remains supportive of a daily rate, further discussion, especially around the use of CHIO and transportation, will be necessary before a final service definition is developed Patrick Cockrum reported that representatives of the VR Rate Reform Workgroup met with VR staff to discuss their reaction to the Workgroup’s Proposal and share an alternative model. Overall, the structure is similar, but there will need to be more analysis and changes to the reimbursement methodology to ensure that the model is feasible. Lastly, Ms. Opsahl reported that case management representatives developed a draft service definition that emphasizes a return to more traditional case management with improved person-centered planning. These recommendations will be shared with the Division for further review and discussion. C. Day/Employment Resolution Ms. Opsahl presented a resolution on Day and Employment Services that affirms maintaining access, options and choice. The resolution, if adopted, encourages focus on building system and provider capacity to increase community-based services, and will be released to the general membership. Through discussion, the Board recommended minor modifications including adding “personal safety” to the second bullet point and adding “or their successors” to the reference to the Innovation and Systems Change and Industry Infrastructure Committees reference in the third bullet point. MOTION 14:24 Steve Cook moved to approve the INARF Board of Director’s Resolution – Day and Employment Services, as modified. Jane Wear seconded and the motion carried with one abstention by Susan Rinne. VII. Other Business VIII. Adjournment The next Board of Directors Meeting will be held on Friday, September 26th at Easter Seals Crossroads, Indianapolis. Respectfully submitted, ___________________________________________ Holly Piggott, Secretary HP/tld