Mayview Service Area Planning Steering Committee

Meeting Summary

March 17, 2006


I.  Introduction


Members Present:   Kim Campbell, Tim Casey, Laverne Cichon, Mary Jo Dickson, Mary Fleming, Bob Harms, Carol Horowitz, Nancy Jaquette, John Klenotic, Rich Kuppelweiser, Tawnya Lewis, Pam Loaskie, Carol Loy, Gerard Mike, Kim Patterson, Brandi Mauck Phillips, Rich Rach, Laura Steiner, Janice Taper, Rick Tully, Lisa Tumolo, Patricia Valentine, Valarie Vicari, Dean Virgili, Deb Wasilchak, and Linda Zelch


Others Present:  Penny Perlman (for Shirlee Hopper), and Scott Pino (with John Klenotic


Members Absent: Kelly Burda, Emily Heberlein, Shirlee Hopper, and Steve Plyler


II. Review of Meeting Summary from February 17, 2006


The minutes from February 17, 2006 were reviewed and approved. Minutes will be posted on website.


III. Assessment & Discharge Committee Update


An Assessment and Discharge committee meeting was held on February 24, 2006 and social workers attended the second half of the meeting.  Minutes from this meeting are posted on the Mayview website. This meeting focused on obtaining feedback related to the assessment tools and process.  Overall, feedback was positive but some would prefer clearer instructions and it was noted that some questions left room for interpretation.  A goal for future drafts of the tool will be to eliminate unclear instructions and ambiguous questions.  As part of the state-wide plan to standardize the core questions within the assessment documents, Linda Zelch requested that Kim Patterson forward the assessment tools to the state once all revisions are made. 


Kim Patterson provided an update on the Consumer Support Plans (CSP’s, formerly known as discharge plans).  To date, 22 of 38 CSP meetings have held. All remaining CSP meetings will take place on or before April 14, 2006.  The following are the results of the 22 CSP meetings held: 


·        Washington County – Of the three consumers who have had their initial CSP meeting, one requires a follow-up meeting and all require housing.

·        Beaver County – Two of four consumers have had their initial CSP meeting, one of which requires a follow-up meeting and one will move to Allegheny County.

·        Lawrence County – One consumer has had a CSP meeting. Housing is required.

·        Allegheny County – Of the 16 consumers have had initial CSP meetings, twelve require follow-up meetings and 8 of the 16 consumers require group housing.


Kim Patterson noted the following items would be important to a successful transition based on the CSP meetings held to date: (1) adequate housing, ICM and CTT; (2) small homes with 24/7 staff or some specialized staff; (3) blended case management; and (4) community doctors must provide the same dosage and kinds of medication the consumers received while hospitalized to ensure success and prevent recidivism.


The Steering Committee suggested a possible resolution for the medication issue would be to require a meeting/discussion between each consumer’s hospital and community doctor prior to discharge to confirm the correct level and types of medication for each consumer.  An advocate could also attend the consumer’s first visit with the community doctor to ensure that both the community doctor and patient are clear about the prescribed medications.


The Steering Committee briefly discussed an arbitration process for the CSPs.  The arbitration should resolve conflicts.  For first level conflicts, Jan Taper (for Washington County) Mary Jo Dickson (Allegheny County) and John Klenotic (for Lawrence County) agreed to be their respective County’s contact person. The arbitration panel would also include a patient advocate and Ken Thompson.  If a complaint is not resolved at this level, Linda Zelch and Aidan Altenor would be notified.


AHCI agreed to forward the document containing the arbitration and two other processes to the entire Steering Committee.  A comment period will follow, and a conference call will be set up with counties to finalize the processes.  During the April Steering Committee meeting, the final processes will be discussed. 


IV. Finance & Data Committee Update


Rick Tully explained the 2007/2008 financial plan that evolved from the March 9th finance workgroup meeting.  The 2007/2008 financial plan includes the following:


·        Mayview Cost Profile – Will identify thresholds for reducing step-variable costs and update cost profiles for the 2007/2008 fiscal year. 

·        Complete Utilization Reduction Plan – Finalize the census reduction plan for 2007.  Beginning in July 2007, admissions to Mayview State Hospital would be reduced.

·        Identify Cost Savings from Reduced Utilization – Determine cost savings based on utilization reduction plans and the Mayview Cost Profile methodologies for 2007 and 2008.

·        Develop Allocation Plan – An allocation plan needs to be finalized to fund services in the community.

·        Budget Allocated Funds – Budgets must conform to DPW-OMHSAS format requirements. The four components of funding that will need to be budgeted:  (1) services and supports for persons discharged from Mayview State Hospital; (2) services and supports for persons diverted from admissions to Mayview State Hospital; (3) community-based alternative services for persons currently in structured residential settings who no longer require that level of care; and (4) enhancements to the existing services to support recovery needs.  


Rick Tully, Rich Kuppelweiser, and Brandi Mauck Phillips will meet to discuss the Mayview Cost Profile and discuss cost savings from the reduction of bed utilization.


Linda Zelch suggested a conference call with Joan Erney and Aidan Altenor by the end of March to determine when the funding for the first unit reduction will occur.  The Steering Committee needs to know the actual cost of services needed for the first unit reduction.  The money could be disbursed shortly after July 1, 2006, and Joan/Aidan would be able to give an estimated date of the disbursement.


V. SAP Update


Mary Fleming explained that there are four assumptions which have to be met for the financial portion of the regional SAP update.  They include:


·        Knowing the amount of money which will be required to support individuals in the communities.

·        Reliance on Medicaid dollars to support individuals in the least restrictive setting.

·        Determining the extent of leverage of HealthChoices dollars.

·        Establishing how the State will disburse dollars required to support individuals in the communities.


Mary also announced that three provider-only meetings have been scheduled to talk about the Community Support Plans.  The provider-only meetings are scheduled as follows:


·        Allegheny County – Monday, April 3, 2006 at 2 pm at the United Way Building, Heinz Room.

·        Beaver/Lawrence Counties – Wednesday, April 5, 2006 at 10 am at Beaver County Community College, Building #1 Conference Room.

·        Greene/Washington Counties – Thursday, April 6, 2006 at 10 am at Cameron Wellness Center.


VI. State Update on LTSR


Linda Zelch explained that the State hopes to amend their plan to include structured treatment services (STS).  This service will become in-plan and services will be paid out of HealthChoices rather than through base dollars and/or CHIPP funding. 


VII. Other Items


Joan Erney agreed to come to the May 19, 2006 Steering Committee for an open discussion about progress updates with each SAP goal, any state and/or county issues/concerns, and future planning initiatives. The meeting will also extend until 3 pm to allow enough time to hear from Joan.


Andrea Kepler, a Community Resource Team head representative, will attend the April 21, 2006 Steering Committee meeting.  Andrea will share her expertise on how providers can improve services for State Hospital consumers.