HomeMy WebLinkAbout2012-12-14 MH Provider MeetingPage 1 of 5
Mental Health Provider Meeting
Human Services Building
Friday, December 14, 2012
Meeting Minutes
Welcome and Introductions
Everyone introduced themselves and their agency affiliation.
Provider Announcements and Updates
Jennifer Johnson, Housing Program Specialist, discussed three grants that are
HUD funded. Point in Time (PIT) counts must be completed annually for
those grants. There are volunteers that complete HUD issued surveys. The
next PIT count is January 30, 2013. If anyone would be interested in donating
for the PIT count, Jen would be happy to email the list of what they would
like to get for distribution or you may contact Jim or Cori.
Cori Seilhamer, MH Program Specialist, would like to remind everyone that if
you have trainings or other items that would assist your staff that have no
secondary education to submit those requests to Jim or Cori.
Family Development Credentialing (FDC) classes are scheduled to start in
January. There are currently only 4 people signed up. In order for the classes
to be held as planned, there needs to be more signed up.
Children’sAServices
CASSP Update
o Kim Lucas, CASSP Coordinator, asked that people get CASSP involved
in cases and situations earlier then they currently have been. If you
know about a possible out-of-home placement need ahead of time,
please contact Kim, so that we can start looking at options and service
levels. Kim hopes to get things a little more coordinated earlier in
high-profile –type cases. She is trying to work with schools with
individuals that might not have Mental Health services but have
behavioral issues. Kim is available to come to your agency to talk,
whether it is BHRS staff or outpatient staff. Please contact Kim if you
are interested at 709-2307.
TMCA Update – Michelle Mosher
o Next week is TMCA/CBHNP Committee Meeting on Wednesday,
December 19. It will be held at the CBHNP office at 10:00 a.m. On the
agenda will be I/FST. MHA contracted with Shippensburg University
to do an evaluation. The results of phase 1 will be presented during
the meeting. During the evaluation, statistical analysis and provider
feedback were looked at. Michelle said that providers should look for
this in the next quarterly report.
o Stakeholder Committee Meeting is changing from Bi-monthly to
quarterly. It will be held on Thursday instead of Wednesday. If you
have not received a flyer from Michelle, please contact her.
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o Pyramid D&A on Phoenix Drive in Chambersburg is now credentialed
for intensive outpatient treatment for adolescents.
CBHNP Update – Brian Gannon
o CBHNP recently held a provider training for BHRS (Behavioral Health
Rehabilitative Services) to allow them to get better information to
train staff on policy and procedures.
o CBHNP is currently planning for next summer’s Summer Therapy
Activity Program (STAP). The State has made some changes to STAP.
MH ’sAIndividual/FamilyASatisfactionATeam
Carrie Clippinger and Beth Palmatier attended the MH Provider Meeting to discuss
Individual/Family Satisfaction Team (I/FST).
MHA has three separate teams in the I/FST program. They work to contact
individuals to hear if they have complaints or to discuss services. They call
people receiving services to ask questions about those services. Those three
teams are TMCA, IM4Q and CHIPP.
o TMCA – this team surveys individuals who receive MA services. There
are three surveys created every year. One is for adults 18 years old
and up, second one is a family survey with parents or guardians of
children 13 years old and under, and the third one is the Youth survey
for 13 years old to 21 years old or 18 years old depending on overall
concerns. The team completes phone calls, face-to-face visits or mail
surveys.
o IM4Q – this team surveys individuals with Intellectual Disabilities. All
these surveys are done face-to-face with a survey created through
Temple. It is to get to the quality of their life and see if changes can be
made to what will make them happier. These surveys are turned into
Supports Coordinators to see what can be worked on.
o CHIPP – this team surveys people who receive mental health services.
Each provider gets a say in how their survey looks. There are 10
questions that are kept consistent on all surveys to see how the
population is doing.
Carrie Clippinger asked what the surveys are used for and for
thoughts/comments. MHA wants to see how they can make the surveys more
useful. The following are statements from Providers:
o Providers liked to see the individual statements that were actually
said by the people taking the surveys. It helps because it is
individualized to staff. It allows giving suggestions.
o It is a direct response to a service from a person receiving services. It
is put into outcomes and used across programs to look at
organizational changes. It helps to address issues or concerns with
Quality Management Plans. The surveys become an indicator or
section of those plans.
o One provider stated that it seems like it is unknown how honest the
people completing the surveys really are. They would like to see them
improved. The provider currently does internal surveys and is not
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finding issues internally but finds issues when MHA’s surveys are
completed.
o When it comes to the IM4Q surveys, information is getting
misinterpreted if it is just the client and surveyor. Individuals in the
IM4Q surveys have difficulty talking. Support Coordinators need to
address those considerations and it is challenging for them to do
when things are misinterpreted. The provider suggested having
someone on their end (provider end) to sit in on the survey to help
filter the answer. * With this being said, Carrie stated that MHA has
continuous trainings with their surveyors to help them understand
situations like this. If providers feel that the surveyors do not
completely understand, she asked that providers come to speak to
their staff to help with on-going trainings.
Carrie asked how people see their surveys - are they taking them
seriously, do they feel they are not helpful, etc.:
o They are taken seriously. They want to see feedback. However,
there is element of not understanding at times.
o One provider has had Beth Palmatier come in and talk to staff to
explain what the surveys are all about. Beth discussed that with
the IM4Q survey, they do not have say in the questions so some
questions do not relate to certain individuals. The provider stated
that it is a lot different having an internal survey versus having
someone else come in and complete it (such as MHA).
There is a two day survey training coming up in January. Survey Meetings
are every two weeks to discuss problems with surveys or training topics.
Guest speakers are brought in during those meetings. If any provider
wants to come talk to the group at MHA or you have any ideas for training
topics, contact Carrie Clippinger or Beth Palmatier.
There was a survey from MHA for Providers at the MH Provider Meeting
to complete and return to Carrie or Beth. On the survey, it can be left
anonymous or you may put your agency name on it. Please return these
surveys to Carrie or Beth.
Friendly Reminders for Our Providers
All reports have been received that were due prior to this meeting.
Reports due since our last MH Provider Meeting:
September 15th: MCR Report (Program funded providers only)
November 15th: Quarterly Report of Expenditures (July-September)
Reports due prior to our next MH Provider Meeting:
December 31st: Audited Reports (for fiscal year ending June 30th)
February 15th: Internal Quality of Service Survey and Quarterly Report of
Expenditures (October-December)
March 1st: Contract related documents for the new fiscal year –
o Appendix A
o Budget/Rate Letter
o Staff Roster (if appropriate)
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o Unit Assumptions (if appropriate)
o Budget Narrative (if appropriate)
Psychiatric Admissions Reporting Overview
Jim Gilbert, MH Program Specialist, gave a brief overview of the psychiatric
admissions report that was handed out during the Provider Meeting. There
has been a reduction in number of days and admissions in the third quarter
between last year and this year. If you did not get the Psychiatric Admissions
Report and would like one, please contact Jim.
County Announcements/Information
N/A
Supported Employment Initiative Updates
There was an individual from PA CareerLink who presented during the
March MH provider meeting. There were two individuals from an agency in
Harrisburg that presented and provided training for Front Line and Middle
Line Supervisor Training a couple months ago.
MH/ID/EI has been working with providers to contract goals and objectives.
Through HUD, we have funding to add some employment piece that Jennifer
Johnson, Housing Program Specialist, oversees. Cori Seilhamer, MH Program
Specialist, purchased a variety of employment job skills and resumes. This
will be distributed to Keystone Center, various shelters, WIN, etc.
Penni Baker, from AHEDD is still available to do Social Security Benefits
Counseling. She can work with individuals whether they are open and
authorized with AHEDD or not. Please contact Penni for more information.
Jim discussed that at upcoming Provider Meetings, we will continue to give
updates on what we are doing regarding the supported employment
initiative.
Monitoring FY 12-13 Contract Expenditures
Correction from what was reported during the meeting. Jim Gilbert, MH
Program Specialist, discussed that there will be some changes to the format
of vendor agreements. The boilerplate contracts will remain unchanged.
Claire and Hannah Herman-Snyder, County solicitor, are working on the
format now. Jim stated that providers should watch their email inbox
regarding the updates to this.
Ed Franchi, Fiscal Consultant for MH/ID/EI, stated that Claire wanted him to
ask providers to bear with us as we are going through changes due to the
Block Grant funding. We really need to stay on top of our dollars (contract
and fiscal wise) and be timelier than we have been. The key focus is to keep
dollars within the MH program. In order to do that, we need to better know
where each provider is anticipating ending the fiscal year. Therefore, there is
a possibility that providers might hear from Jim or Cori asking them to
project to the end of the fiscal year what you will spend. If a provider is not
going to spend their entire allocation (or contract amount), we want to take
that money and use it in another area within the MH program. If you are
projected to run over, we need to know that also in case we need to shuffle
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dollars around. As a result of the Block Grant, we will most likely not be using
the one time funding opportunities as a way to use some of our funding as we
have in years past. The Block Grant did not do away with cost settlement. We
still have to abide by 4300 regulations.
Cori Seilhamer, MH Program Specialist, asked if you still have projects and
ideas that the agency wants to work on, you should still submit those to her
or Jim so they can look at it and take into consideration. This must be done as
soon as possible, before the 4th quarter.
There were questions whether retained revenue will still exist. Ed’s response
was yes, it is still in 4300 regulations but possibly no because it is always
contingent in available funds. It may change. Things will be kept where it is
for the first year in the block grant. Ed also stated that retained revenue
checks were sent out. If you received the check and did not send the letter
back, please make sure we get that letter so we have it on file.
Cost Settlement – Ed discussed that in terms of prior year’s cost settlement,
there is some available funding, so hopefully providers will be getting more
information in the next couple months. Ed still has a few outstanding issues
to figures out exactly what is available. Some providers owed MH/ID/EI back
money and are paying it back. It will not be all of what we owe providers. If
you have any questions regarding the letter you receive, give Ed a call.
Outsourcing Case Management
The Commissioners have decided to outsource MH, ID and EI case
management. Service Access & Management, Inc. will be the provider of case
management. They are based in Reading, Berks County. SAM is currently
operational in 13 counties, 4 of those being joinders. They come with a good
reputation. The current plan is that case management’s office will remain
where they are, at the Admin Annex. The tentative transition date is April 1st.
The Administrative staff will stay at the Human Services Building and will
remain part of the County. If you have any more specific questions, contact
Claire Hornberger, MH/ID/EI Administrator.
The meeting was adjourned.
Next meeting: Friday, March 8, 2013 starting at 10:00 a.m. in the Human Services Building.
2013 Meeting Schedule (all second Fridays starting at 10:00 a.m.)
June 14th September 13th December 13th