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Meeting Materials (PDF) Open in new window INARF Board of Directors Meeting Friday, September 26, 2014 11:00 a.m. – 12:30 p.m. Easter Seals Crossroads 4740 Kingsway Drive – Indianapolis Training Room 1 & 2, Fifth Floor AGENDA I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Finance Committee Report V. Association Focused Reports and Discussion - Upcoming Events and Activities - Corporate Committee Restructure - Update: VP Public Policy Search VI. Industry Focused Reports and Discussion - Rate Reform Updates - Day/Employment Resolution - Update: 2015 Legislative Agenda VII. Other Business VIII. Adjournment -- Board Minutes The INARF Board of Directors Meeting and Member Forum were held on September 26, 2014 at Easter Seals Crossroads, 4740 Kingsway Drive in Indianapolis. The INARF Member Forum convened at 10:00 a.m. with the INARF Board of Directors meeting immediately afterwards. 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. John Niederman, Pathfinder Services, Inc. Jane Wear, Cardinal Services, Inc. Pam Verbarg, Wabash Center, Inc. Jonathan Burlison, Bridges of Indiana, Inc. Dan Griffin, Dungarvin Indiana, LLC Absent: Steve Cook, AWS, Inc. Bettye Dunham, Rauch, Inc. Susan Rinne, LifeDesigns, Inc. Guest (in person): Rick Adams, Dungarvin Indiana, LLC Peter Bisbecos, Caregiver Homes of Indiana Leslie Green, Stone Belt Arc Julia Huffman, Noble of Indiana Michael Lintner, Marshall-Starke Development Center Andrew Ranck, Putnum County Comprehensive Services Ann Robertson, IPMG Jane Ruff, Hopewell Center Jim Sinclair, Jay-Randolph Developmental Services Onias Taruwinga, CDC Resources, Inc. Jim Van Dyke, New Hope of Indiana Allison Wharry, New Hope of Indiana Guests (via Webinar): James Adkins, Opportunity Enterprises Donna Belusar, ADEC, Inc. Robert Cook, Abilities Services, Inc. Etelka Froymovich, Residential Services, Inc. Joy Greeney, Advocacy Links Rick Hall, Mutual of America Jessica Hammett, Hillcroft Services, Inc. Linda Johnson, Arc of Wabash County, Inc. Lisa Kendall, ADEC Inc. Daniel Lowe, Blue River Services Richard McKee, Bethesda Lutheran Communities Jason Meyer, Passages, Inc. Loretta Mottram, Pathfinder Services Jim Ridenour, Crowe Horwath LLP Donna Riedle, IPMG Melissa Steele, Tangram, Inc. Rick Thompson, ADEC, 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 Member Forum I. Call to Order, Welcome & Introductions Steve Sacksteder welcomed attendees and called the meeting to order at 10:00 a.m. He introduced guest speakers Glenna Shelby, LegisGroup Public Affairs, LLC, and Kelli Waggoner, KWK Management Group, LLC. II. Preview: Election & 2015 Legislative Session Ms. Shelby and Ms. Waggoner began with a review of the upcoming legislative election candidates and the upcoming legislative agenda. They shared the key issues to be covered in the upcoming General Assembly, namely, the budget, restoration of rates, special education, school vouchers, gaming, workforce development, HIP 2.0 Medicaid, professional licensing, and transportation. Ms. Shelby and Ms. Waggoner also responded to member questions. After much discussion, Mr. Sacksteder thanked them both for their insight and partnership. III. Board Chair Report - Association Activities & Updates Mr. Sacksteder welcomed Allison Wharry, new Executive Director of New Hope of Indiana. In addition, Mr. Sacksteder shared that Bill Hadar, Executive Director, Developmental Services, Inc., announced his retirement effective January 16, 2015. Next, he shared the new format for the ONLINE newsletter had rolled out. Information is available on the website in the daily news feed. Highlights from the newsfeed are then shared on a weekly basis via email as the ONLINE newsletter. Feedback and press releases for the newsfeed can be forwarded to Christiaan Campbell. Mr. Sacksteder reported that the Executive Committee had a lengthy discussion on the Committee and Workgroup Re-Structure. The results will be reported at the Board meeting in October. Next he announced that the INARF Salary Survey submission deadline is today, September 26. He reported that the annual DSPIN Conference held on September 19 had record attendance. Also, he noted that the next Quarterly Professional Interest Section meeting will be held on November 20 at the new location, the Radisson Indianapolis Airport. IV. President/CEO Report A. Industry Issues & Updates Kim Opsahl reported on the follow issues: State Administrative Issues • HIP 2.0 Updates The Federal comment period has ended and the results are mixed. A total of about 200 comments were submitted. Indiana’s response was for the most part in favor for the plan. National response expressed concerns primarily around the complexity of the plan. There is a push from state advocates for CMS to approve the plan. • Hoosier Care Connect – RFPs Due September 12 Also known as the Managed Care Pilot Program that the Office of Medicaid Policy and Planning is pursuing for those who qualify under the Aged, Blind and Disabled category of Medicaid but who are not receiving services in the long-term care setting or thru the waiver program. This effects 75,000 to 80,000 consumers who will initially be part of this program. Proposals were due on September 12th. • Waiver Re-Write and Rate Reform Work continues with issues related to the Community Integration and Habilitation Waiver rewrite, most notably working with DDRS on the Supported Living Daily Rate. It is getting close to some resolution. Three members of the group have volunteered to have DDRS staff come out to their facilities to talk about what the model would look like, address concerns/gaps and refine and identify issues. Financial concerns are also being addressed. The Structured Family Caregiving workgroup continues to identify ideas to improve that service definition and funding so that it is a more attractive option for both consumers and providers. INARF staff continues to work with Case Management members to develop recommendations to improve the case management service definition. The revised service definition presented to DDRS would help move case management into the role of an “expert navigator”. In addition, suggestions were made on ways to change the 90 day check list process. • VR Rate Reform Activities The workgroup is working with VR on a proposal that would move into a single tier system of results based funding and provide some additional flexibility around discovery and on-going supports. INARF is meeting with VR in early October to do a case study analysis intended to help improve understanding of the proposed model and identify gaps. The primary focus is to improve access and outcomes for individuals considered most significantly disabled. • My Life My Choice Update INARF recently surveyed members regarding experience with the My Life My Choice process. Based on this feedback, INARF submitted recommendations to the Division of Disability and Rehabilitative Services to improve the process. These included clarifying the Bureau of Developmental Disabilities Services’ process when an individual expresses interest in learning more about waiver funded services to ensure individuals are offered informed choice. It was also recommended that BDDS clarify the timeline and related activities when an individual chooses waiver funded services. • Group Home Referral and Related Process Ms. Opsahl also shared that Locket Phillips has moved out of his role as Director of Institutional Services and returned to Bureau of Rehabilitation Services (BRS). As a result of the change, Ms. Reynolds reached out and asked for a meeting to talk with the INARF SGL Work Group about ways to improve the referral and vacancy process. • Gap Analysis Project Update The University of New Hampshire recently shared its preliminary results from the Gap Analysis performed this summer. The final recommendations will be provided to DDRS by the end of September. • Wellness Coordination INARF recently met with Ms. Reynolds, The Arc of Indiana and the DD Nurses Association to evaluate the initial implementation of Wellness Coordination. Major issues to address are the delivery and documentation issues, service definition review and using data to promote change. B. Opportunities for Involvement • 100 Visits in 100 Days Campaign is still ongoing and Ms. Opsahl thanked those members that have had legislators visit their agencies. • Fall Legislative Forums are scheduled for October 8 in South Bend at LOGAN Community Resources and Representative Wes Culver will be in attendance. Also in southern Indiana on October 15 in New Albany at Rauch, Inc., and Representative Clere and Senator Grooms will be joining the forum. • Educate and Advocate Events are being held in the afternoons after the Fall Legislative Forums. Ms. Opsahl encouraged the members to invite their mid-level / front line staff to attend to learn more about INARF and to talk grassroots 101 with them. • October 24th there will be a Welcome Breakfast Reception for Dr. John Wernert, FSSA Secretary, hosted by INARF and The Arc of Indiana. Following the reception will be the October INARF Board Meeting. V. Adjournment 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 August 22, 2014 Board of Directors meeting minutes were presented and reviewed. MOTION 14:25 Patrick Cockrum moved to approve the August 22 meeting minutes as presented. Pam Verbarg seconded and the motion carried IV. Finance Committee Report A. Review of Financial Statements Marie Dausch reported that INARF August financial statements reflect a positive increase in net assets from operations of fifty five thousand four hundred fifty three ($55,453) an unrealized gain on investments of fifty two thousand four hundred fifteen ($52,415), for an overall change in net assets of one hundred seven thousand eight hundred sixty eight ($107,868). MOTION 14:26 Marie Dausch moved to file the August financial statements for audit. Jill Dunn seconded and the motion carried. V. Association Focused Reports and Discussion A. Upcoming Events and Activities Holly Piggott reported on recent activities and upcoming events as 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 which was approved by the Board at the last meeting. Since that time, INARF staff developed a framework to ensure sure committee representation is reflective of the membership. Recommendations for leadership positions for each of the committees were made to the Executive Committee prior to the Board meeting. Next, Ms. Opsahl, Mr. Sacksteder and INARF staff will reach out to both prospective chairs and committee members and report back to the Board in October on the confirmations and vacancies. C. Update: VP Public Policy Search Ms. Opsahl reported on the progress of the search for the new staff position, Vice President Public Policy. The advertisement was placed and interviews are being conducted. VI. Industry Focused Reports & Discussion A. Rate Reform Updates Ms. Opsahl elaborated on recent residential daily rate discussions and how it will possibly impact the system. At this time, the primary concerns are minimizing increased utilization in other service areas and understanding the program and administrative changes that will result from the move to daily rates. Thanks to the efforts of INARF Consultant Tracy Mitchell, the workgroup has offered a budget neutrality proposal for the Division’s consideration. While that is under analysis, DDRS staff will be meeting with the Easter Seals Arc of NE Indiana, AWS in Richmond and Connersville, and New Hope of Indiana in Indianapolis to observe various settings and talk with staff about the programmatic changes that will result from the change in model, as well as to identify any potential gaps. Next, Ms. Opsahl also reiterated some key issues relative to the Member Forum reports on VR Rate Reform and Case Management changes. B. Day/Employment Resolution Ms. Opsahl reviewed the changes made to the resolution on Day and Employment Services as requested at the August meeting when it was approved. Through discussion, the Board recommended a minor modification of removing “Grants” and replacing it with “designation” in the third open bullet point. C. Update: 2015 Legislative Agenda Jonathan Burlison reported on the legislative agenda activities with primary focus on rate restoration. The Governmental Affairs Committee has focused efforts on ensuring wide spread awareness of our agenda and developing support at each point in the budget development process. He emphasized the importance of the 100 Days Campaign and getting the message to the legislators. In addition, Ms. Opsahl, encouraged the Board to review the Committee’s Draft Public Policy Agenda, that outlines the concerns, solutions, timelines with key issues and core talking points. Next, Ms. Opsahl, shared the Issue/Position Statement Development Procedure presented in July with the approved added language in several areas. VII. Other Business Nanette Hagedorn shared with the Board that Ms. Opsahl had recently learned that she passed the Indiana Bar Exam. The Board extended their congratulations to Ms. Opshal. VIII. Adjournment The next Board of Directors Meeting will be held on Friday, October 24 following the Welcome Reception for Dr. Wernert at the Hyatt Regency in Indianapolis. Respectfully submitted, ___________________________________________ Holly Piggott, Secretary HP/tld