Mayview Regional Service Area Planning (MRSAP)

Assessment and Discharge Committee-Meeting #5 Minutes

June 30, 2006


I.                   Attended: Emily Heberlein, Lisa Tumolo, Kim Patterson, Mary Fleming, Brandi Mauck Phillips, Shirlee Hopper, Bob Weber, Mary C. Kennedy, Cecilia Reinheimer, Dan Hawkins, Darryl Holts, John O’Connor, Jim Kuemmerle, Laurel Reynolds, Meg Park, Paul Freund, Jan Taper, Sandi Hause, Melissa Feragotti


Absent: Harriet Baum, Eva Bedner, Grace Cannon, Dale Adair, Marge Kearns, Sara Leiber, Joanne Lindsey, Karl Belamy, Debbie Riggi, Marilyn Huber, Carol Loy, Lu Popielarcheck


Updates: Mary Lou Lattner is no longer on the Committee, as she has resigned from the Mental Health Association of Allegheny County.


II.                The ‘Buzz’

Sandy Hause informed the Committee that the recent article on MRSAP in the City Paper misquoted her several times. Because the article included patient information, the Committee discussed the importance of respecting patient confidentiality.


III.             Progress Report
Brandi Phillips summarized the financial planning process for MRSAP:

·        The line items of Mayview’s budget were evaluated to determine which costs are fixed costs and which are variable costs. Because fixed costs are associated with overall hospital operations, they can’t be transferred to the community while Mayview is still operating. However, variable costs are costs associated with each unit, and therefore can potentially be transferred to the community when a unit is closed. For the first phase of MRSAP, $3.2 million dollars were identified as variable costs that can transfer to the five counties as a result of one unit of the hospital closing.

·        These funds will be divided among the counties based on both county population and county census at Mayview.  The counties decided on this methodology to insure that the suburban counties receive enough funds to start developing new services based on identified needs.

·        Once the state budget is passed, 50% of the $3.2 million will be transferred to the counties. The remaining funds will be transferred after the second quarter.

·        Between 30 and 60 discharges (one to two units) are planned for Phase 2, which covers the time period July 2006 – June 2007. The terms of the second phase are currently under negotiation.


Lisa Tumolo provided an update on other MRSAP activities:

·        Since the last meeting, all patients who participated in the assessments have had community support plans (CSPs) developed.

·        A number of clients have been discharged, with the remaining discharges scheduled to occur in July. In the last several weeks, DPW clarified that individuals who will be discharged to nursing homes do not ‘count’ toward the unit closure. As a result, the counties have needed to change their patient list in order to meet the required number of discharges.

·        Plans are under development for Phase 2 of the project. Generally, the assessment and CSP planning process gathered from Phase 1.


Lisa Tumolo also distributed an announcement for the next Stakeholder’s Meeting. The meeting will take place on August 2, 2006 at the Green Tree Radisson Hotel. Emily Heberlein distributed a newsletter which summarizes the project.

IV.              Improving the Assessment/Planning Process
Emily Heberlein discussed the feedback gathered from patients, family members, Mayview staff, providers, hospital liaisons, counties, facilitators, recorders and advocates. The feedback will be considered for Phase 2.

The Committee reviewed the Guiding Principles established during Phase 1 and discussed recommendations for the Steering Committee to consider for Phase 2:


·        A number of small groups should be held to provide a patient orientation for all the Phase II consumers and might include:

a.       A showing of the film ‘Inside-Outside’.

b.      An overall oral description of the MRSAP project including details regarding how the Phase II assessment and CSP process will affect patients.

c.       A panel of patients, ex-patients, advocates, hospital staff, and providers who have gone through the process to share personal experiences.

d.      Peer mentors from each County available to exchange contact information with a patient who is interested in including a mentor in their assessment and CSP process.

e.       Advocates available to provide contact information to patients who want more information about the assessment and CSP process as well as for any other   reason that may surface throughout the process.

f.        Show photos of different communities so patients can begin to think about what it will be like to live in the community.

g.       Peer mentors and advocates meet on going and consistently with each patient through the assessment and CSP process.

·        Peer mentors available for any patient who wants a peer involved in his/her assessment and CSP process as well as on-going visits to build supports in preparation for discharge to the community.

·        Provide a separate showing to patients of the State of Pennsylvania’s video on State Hospitals and/or ‘Inside-Outside’ through the drop-in or another avenue.


V.                 An announcement for the next meeting will be sent out after the July Steering Committee Meeting. An interim meeting with the CFST Directors will be scheduled for July in order to prepare for Phase 2 Assessments.