Mayview Steering Committee
March 8, 2007
Present: Karen Bennett, Kelly Burda, Tim Casey, Stephen Christian-Michaels, Laverne Cichon, Mary Jo Dickson, Mary Fleming, Bob Harms, Darryl Holts, Shirlee Hopper Scherch, Carol Horowitz, Nancy Jaquette, John Klenotic, Rich Kuppelweiser, Pam Loaskie, Carol Loy, Gerard Mike, Nora Novitsky, Brandi Phillips, Rick Rach, Mary Jeanne Serafin, Laura Steiner, Janice Taper, Ella Thomas, Lisa Tumolo, Richard Tully, Patricia Valentine, Valerie Vicari, Dean Virgili, Deb Wasilchak, and Linda Zelch
Absent: Paulette Benegasi, Matt Koren, Marcy Maletta, Steve Plyer, and Ken Thompson
General: Several changes were suggested to the January 19th meeting summary and will be made before posting them to the web site.
Tracking Report: Lisa Tumolo summarized the December and January tracking reports for the 34 CSP individuals who have been discharged from Mayview and currently live in the community. General information was provided about the number of housing changes, employment changes, education changes and community hospitalizations.
Phase I Update: Each county gave a status update on their reinvestment funds.
Washington: Expended funds on enhanced CTT, crisis stabilization and an enhanced personal care project.
Lawrence: Funding went to cover costs for services for a person returned to the county, a drop-in center, consulting services for upcoming programs such as a residential treatment facility for adults, and an enhanced personal care.
Greene: Funding is earmarked for CTT and a mobile meds provider.
Beaver: Funding for expansion of the Safegate Program to include adults from age 18, consulting services for the housing initiative, and funding for the homemaker and home health projects. They have also directed significant energy toward the courts to ensure that people don’t end up in jail unnecessarily.
Allegheny: Funds have been spent in specialized housing, cultural competency programs, supported housing expansion, housing support at Passavant, peer mentoring, staffing the CTT expansion, crisis system enhancements and mobile medications. They have issued two RFPs for a comprehensive personal care home and specialized residential housing units.
There was some discussion about the differences and similarities of urban versus rural counties and about CTTs versus ACT/PACT and how to analyze programs so that state funding is spent appropriately in each county.
LTSR: Linda Zelch explained some of the issues and noted that the state would send a cover letter with instructions so counties can receive funding. LTSR will be billed to HealthChoices as a supplemental service in lieu of outpatient services in an alternative setting under the LTSR license. The letter will provide the required codes to be used and establish a daily rate. A quarterly report to the state will be required and licensure will occur once a year. Counties can bill back to January 1, 2007. Additional information will be provided through a conference call on March 16th.
Phase II Update: There are 53 individuals in Phase II and 47 of them have had their initial meeting. By the end of March, all will have their initial meeting. At the April 20th Steering Committee meeting each county will bring information on what they will need for their discharged consumers. Rick Tully and Brandi Phillips have had several meetings related to expediting determination concerning benefits eligibility prior to discharge. Rick noted he would like to get a benefits database established for all Phase II participants. Martha Hodge has been working with people to ensure they have proper photo identification prior to discharge. The amount of money from Phase II requested in the current fiscal year will be identified to avoid carry over.
Next Steps: There was some discussion about what to do once the Phase II deadline passes. It was suggested the CSP teams focus on individuals who had CSPs prepared in Phases I and II but who are not yet discharged.
Peer Mentor Update: Beaver County began peer mentor meetings this week; Greene County has not yet identified anyone as a peer mentor; Lawrence County is using a local peer mentor; Washington County has two peer specialists and hopes to provide a peer mentor; and, Allegheny County has offered to provide training to other counties to increase their mentor base. Discussion followed regarding establishing a more cohesive way to ensure that mentor relationships can continue after discharge.
Housing: The suburban counties are moving toward a regional housing plan. AHCI has begun recruiting a regional housing coordinator, and will use some additional recruiting tools to obtain additional candidates.
SPA: Stephen Christian-Michaels is working on a report on Single Point of Accountability for Allegheny County.
Crisis: The suburban counties are working on a plan that can be provided regionally.
CSTAP: Linda Zelch explained that the counties had recently received a survey that CSTAP wanted to perform. She provided some clarification of the statewide involvement in all CSPs. She recommended that counties speak with their CFSTs and encourage them to become involved in order to utilize the funding offered by CSTAP.
Quality Improvement and Monitoring Committee: This new subcommittee consists of 36 members, 53% of whom are consumers many of whom served on the Assessment and Discharge subcommittee. The first meeting is set for March 29th, where an orientation, including an overview of the CSP process will be given. Members will learn how data is evaluated with the goal of eventually developing a quality outcome measurement document.
Stakeholder Meeting: May 10, 2007 was identified as the date of the next Stakeholder Meeting. Linda Zelch urged the counties to prepare PowerPoint presentations outlining their activities since the last meeting.
Waiting List: There was discussion regarding the Mayview waiting list, how it is being managed, and if the list can indicate how many people are being diverted.