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Alliance Behavioral Healthcare
Area Board Meeting
Thursday, November 7, 2013
4:00pm– 6:00 pm
DRAFT MINUTES
PLACE: Alliance Behavioral Healthcare, 4600 Emperor Blvd. Room 105,
Durham, NC 27703.
MEMBERS PRESENT: Dr. George Corvin, Ellen Holliman, Phillip Golden, Dr. Nancy
Henley, George Quick, William Stanford, John Griffin, Vicki
Shore, Cynthia Binanay, and Lascel Webley, Jr., Chairman, Scott
Taylor, Kenneth Edge, Lodies Gloston, Christopher Bostock, Ann
Akland, Adele Foschia, Amelia Thorpe, and Michael Page.
MEMBERS ABSENT: Jim Edgerton
GUESTS PRESENT: Mike Woodard from the North Carolina Senate, Yvonne French
from DMH/DD/SAS, Diane Wydo of Fellowship Health
Resources, Denise Foreman from Wake County, Dan Shaw-
Durham CFAC, Michael Woodard from Carolina Outreach, and
Frederick Aikers from Heartfelt Alternatives.
STAFF PRESENT: Rob Robinson, Doug Fuller, Doug Wright, Monica Portugal,
James Osborn, Veronica Ingram, Sara Pacholke, Hank Debnam,
Suzanne Goerger, Andrea Kinnaugh, Sean Schreiber, Tracy Hayes,
Tammy Ramirez, Sara Wilson, Janis Nutt, Beth Melcher, Tina
Howard, Ann Oshel, Susan Knox, and Carlyle Johnson.
1. CALL TO ORDER:
Chairman Lascel Webley, Jr. called the meeting to order at 4:03 pm.
2. ANNOUNCEMENTS A. Ellen Holliman, Chief Financial Officer, introduced Veronica Ingram, a new Alliance
staff member.
B. Chairmen Webley joined Ellen Holliman offering a fond farewell to Tracy Hayes upon
her resignation as General Counsel.
C. Ellen Holliman invited the Board to meet with Senior Management Staff on Thursday, November 21, 2013. Interested Board Members should RSVP to Veronica Ingram.
D. Chairman Webley reminded the Board that the NC Council Pinehurst Conference will be held on December 11, 12, & 13, 2013. Interested Board Members should pass their information to Veronica Ingram.
3. OATH OF OFFICE FOR NEW BOARD MEMBERS
Senator Mike Woodard administered the Oath of Office to the new Wake and Cumberland
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County members of the Board including Kenneth Edge, Chris Bostock, Adele Foschia, and Lodies Gloston.
4. AGENDA ADJUSTMENTS
None 5. PUBLIC COMMENT
Mary Short, representing herself, voiced her concerns regarding the Relative as a Provider policy posted on the Alliance Website. She implored the Board to pay careful attention to this policy and consumer rights to file for administrative hearings. Joe Dziobek, Chief Executive Officer for Fellowship Health Resources, along with Diane Wydo, Regional Director for NC, and Pam Daisy gave a brief overview of their agency. They provide mental health and substance use services; although the agency is in a transitional state, they wanted to assure everyone continues expecting consistent great care. Overall, they expressed gratitude for the relationships forged with Alliance and look forward to a bright future. Mildred Miller, representing herself, stated she was one of those affected by the Relative as a Provider policy; she has gone to an OAH hearing. She expressed detailed concerns for her daughter who is a consumer in the Alliance catchment area. Ms. Miller asked the Board to post the best practices model on the Alliance website.
6. FINANCE COMMITTEE REPORT
The Finance Committee’s function is to review financial statements and recommend policies/practices on fiscal matters to the Board. The Finance Committee meets monthly at 3:00pm prior to the regular Board meeting. Draft minutes and financial information from the October 3, 2013 meeting are attached.
BOARD ACTION
The Board accepts the Finance Committee Minutes as presented. 7. COMMITTEE REPORTS
A. Consumer and Family Advisory Committee Report B. Executive Committee Report
BOARD ACTION
The Consumer and Family Advisory Committee Report & Executive Committee Report were accepted as presented.
8. CONSENT AGENDA
A. Draft Board minutes from the October 3, 2013 Board meeting
BOARD ACTION
The Board approved the Consent Agenda as presented.
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9. UPDATE ON THE SECRETARY’S MEDICAID REFORM PLAN
Ellen Holliman, CEO, presented an update on the DHHS Secretary’s Medicaid reform
plan.
BOARD ACTION
The Board accepted the report as presented.
10. RFP UPDATE
Beth Melcher, Chief of Network Development and Evaluation, presented an update on
the RFPs for Intensive In-Home, Community Support Team, SAIOP and MH/SA
Supported Employment.
BOARD ACTION
The Board accepted the report as presented.
11. URAC UPDATE
Beth Melcher, Chief of Network Development and Evaluation presented an update on
Alliance preparation for the URAC on-site accreditation visit scheduled for December
10 & 11.
BOARD ACTION
Accept the report as presented.
12. YOUTH OPPORTUNITY INITIATIVE REPORT
Ann Oshel, Director of Community Relations, gave a report on the progress of the Youth
Opportunity Initiative.
BOARD ACTION
The Board accepted the report as presented.
13. CRISIS SERVICES PRESENTATION
James Osborn, Crisis and Incarcerations Manager, gave a presentation on the
continuum of crisis services available in the Alliance region.
BOARD ACTION
The Board accepted the report as presented.
14. CHAIRMAN'S REPORT
Chairman Webley asked the Board if Monica Portugal could finish her Policy Training
presentation. Chairman Webley encouraged all Board members to attend the Executive
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Committee Meeting on Tuesday, November 12, 2013 at 8:15am.
15. ADJOURNMENT
With all business being completed the meeting adjourned at 5:43 pm.
Next Board Meeting
Thursday, December 5, 2013
3:00 – 6:00
Respectfully submitted:
Ellen S. Holliman, Chief Executive Officer Date Approved
ITEM: Finance Committee Report from October 3, 2013 Meeting
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND:
The Finance Committee’s function is to review financial statements and recommend policies/practices on
fiscal matters to the Area Board. The Finance Committee meets monthly at 3:00pm prior to the regular
Area Board Meeting. The budget to actual report and ratios for the period ending August 31, 2013 and the
draft minutes of the October Finance Committee meeting are attached.
REQUEST FOR AREA BOARD ACTION:
Accept the report.
CEO RECOMMENDATION:
Accept the report.
RESOURCE PERSON(S):
Ellen Holliman, Kelly Goodfellow, Sara Pacholke
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
6
1
Alliance Behavioral Healthcare
Finance Committee Minutes
October 3, 2013
Members Present: Phillip Golden, BS, Lascel Webley, Jr, MBA, MHA, George Quick,
MBA, Jim Edgerton, BS, Vicki Shore
Members Absent: Ann Akland
Staff Present: Kelly Goodfellow, MBA, Sara Pacholke, BS, CPA, Rob Robinson,
LCAS
Staff Absent: Ellen Holliman, BS,
Opening: Meeting opened by George Quick at 2:05 at Alliance Behavioral
Healthcare’s corporate office
Approval of Minutes: Phillip Golden made a motion to approve the minutes from the
September 5, 2013 meeting with a second from Lascel Webley.
Agenda Items
Budget to Actual and Ratios
Sara Pacholke presented the August 2013 budget to actual statement and ratios. Revenues and expenses
were in line with expectations for the second month of the year. Alliance currently meets the financial
ratios required by Senate Bill 208 and the ratios monitored by DMA.
Net Assets as of 6/30/13
The net assets as of 6/30/13 were presented to the Finance Committee for discussion and approval.
Alliance is showing overall net assets of $10,607,283.31 with restrictions for Medicaid services, Medicaid
Risk Reserve, State services and Local services. There is a negative unrestricted balance due to the
merger, implementation of the Medicaid waiver and due to an overage in Durham County service
spending.
The internal Budget and Finance committee is working on a plan to reduce spending in Durham County.
Phillip Golden requested the plan be brought back to the Finance Committee for discussion at the next
meeting.
George Quick suggested asking Durham County to allow the prior year’s spending overage to come out
of the current year Durham County revenue.
Before approval of the restricted net assets there was discussion over how the restricted funds can be used
in the future. All restricted funds have to be approved by the board in order to be used.
2
Jim Edgerton made a motion to recommend the presented restricted net assets as of 6/30/13 to the Board
for approval. Lascel Webley seconded the motion.
Budget Update
Kelly Goodfellow provided the committee with a budget update. We received an increase in September’s
Medicaid PMPM revenue payment, however we still don’t have a file from the State showing how many
lives it represents. We were verbally told by the State that it represents payment for 207,000 lives which
is an increase from prior months.
Senior Management met with the State to discuss our proposed rate for the next Medicaid contract period.
The proposal includes a lower monthly PMPM rate, but an increase in lives so it should balance out.
We received an allocation from the State for FY14 which includes a reduction for SA prevention, Work
First, Detention and Majors.
Non-Agenda Item
There was discussion over the government shutdown and how it would affect Alliance. Currently the
only anticipation is a possible issue with the HUD grant.
Meeting adjourned at 3:03 pm.
Respectfully submitted,
Sara Pacholke
Finance Director
Budget Current Period Year to Date Balance% Receive…Expended
ServiceCounty $35,860,112.00 $642,453.75 $8,943,030.50 $26,917,081.50 24.94%State 37,673,396.00 2,808,651.08 5,790,382.00 31,883,014.00 15.37%Federal 7,640,334.00 169,457.25 (50,411.77) 7,690,745.77 (0.66%)Medicaid and CAP Pass Through 500,000.00 500,000.00 0.00%Medicaid Waiver 307,626,720.00 32,143,469.99 57,051,455.82 250,575,264.18 18.55%Miscellanous Revenue 89.50 (89.50) 0.00%
Total Service Revenue 389,300,562.00 35,764,032.07 71,734,546.05 317,566,015.95 18.43%
AdministrativeCounty 1,017,828.00 207,546.25 254,457.00 763,371.00 25.00%State 4,538,540.00 443,454.33 809,166.00 3,729,374.00 17.83%Medicaid and CAP UR (54,294.34) 54,294.34 0.00%Medicaid Waiver 31,356,480.00 2,466,415.06 5,005,245.57 26,351,234.43 15.96%In Kind Revenue 1,130,287.00 1,130,287.00 0.00%Miscellanous Revenue 25,000.00 613.67 718.67 24,281.33 2.87%
Total Administrative Revenue 38,068,135.00 3,118,029.31 6,015,292.90 32,052,842.10 15.80%
Total Revenues 427,368,697.00 38,882,061.38 77,749,838.95 349,618,858.05 18.19%
ServiceCounty 36,047,755.00 (1,108,829.70) 5,037,394.46 31,010,360.54 13.97%State 37,673,396.00 3,493,941.60 6,715,898.46 30,957,497.54 17.83%Federal 6,519,906.00 235,618.95 540,890.33 5,979,015.67 8.30%Medicaid and CAP Pass Through 500,000.00 500,000.00 0.00%Medicaid Waiver 307,626,720.00 29,915,353.87 57,448,583.38 250,178,136.62 18.67%
Total Service Expenditures 388,367,777.00 32,536,084.72 69,742,766.63 318,625,010.37 17.96%
AdministrativeOperational 5,909,076.05 306,538.65 601,146.65 5,307,929.40 10.17%Salaries, Benefits, and Fringe 26,565,186.87 2,030,908.51 3,853,968.78 22,711,218.09 14.51%Professional Services 5,396,370.08 88,486.73 161,877.37 5,234,492.71 3.00%In Kind Expenses 1,130,287.00 1,130,287.00 0.00%
Total Administrative Expenditures 39,000,920.00 2,425,933.89 4,616,992.80 34,383,927.20 11.84%
Total Expenditures 427,368,697.00 34,962,018.61 74,359,759.43 353,008,937.57 17.40%
Alliance Behavioral HealthcareBudget to Actual Comparison - Revenue & Expenditures
For the Two Months Ending August 31, 2013
Alliance Behavioral HealthcareBenchmark Ratios ‐ August 31, 2013
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
F EBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST
CURRENT RATIOBench Mark ‐ 1.0 Alliance
84%86%88%90%92%94%96%98%100%102%
FEBRUARY MARCH APR I L MAY JUNE J U L Y AUGUST
PERCENT PAIDBench Mark ‐ 90% Alliance
0
10
20
30
40
50
60
70
F EBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST
DEFENSIVE INTERVALBench Mark ‐ 30 Days Alliance
74%76%78%80%82%84%86%88%90%92%
FEBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST
MEDICAL LOSSBench Mark ‐ > 80% Alliance
ITEM: Consumer and Family Advisory Committee (CFAC) Report
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND:
The Alliance Consumer and Family Advisory Committee, or CFAC, is made up of consumers and/or family
members that live in Durham, Wake, or Cumberland Counties who receive mental health,
intellectual/developmental disabilities and substance use/addiction services. CFAC is a self-governing
committee that serves as an advisor to Alliance administration and Board of Directors.
State statutes charge CFAC with the following responsibilities:
Review, comment on and monitor the implementation of the local business plan
Identify service gaps and underserved populations
Make recommendations regarding the service array and monitor the development of additional
services
Review and comment on the Alliance budget
Participate in all quality improvement measures and performance indicators
Submit findings and recommendations to the State Consumer and Family Advisory Committee
regarding ways to improve the delivery of mental health, intellectual/other developmental
disabilities and substance use/addiction services.
The Alliance CFAC meets at 5:30pm on the first Monday in the months of February, April, June, August,
October and December at the Alliance Corporate Office, 4600 Emperor Boulevard, Durham. Sub-
committee meetings are held in individual counties, the schedules for those meetings are available on our
website.
The Alliance CFAC tries to meet its statutory requirements by providing you with the minutes to our
meetings, letters to the board, participation on committees, outreach to our communities, providing input
to policies effecting consumers, and by providing the Board of Directors and the State CFAC with an
Annual Report as agreed upon in our Relational Agreement describing our activities, concerns, and
accomplishments.
The Alliance CFAC is currently chaired by Dan Shaw while Maribel Rivera-Elias serves as vice-chair.
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
7A
REQUEST FOR AREA BOARD ACTION:
Receive the minutes from the Durham Sub-Committee dated 9-16-2013 (draft), the Wake Sub-Committee
dated 9-10-2013 (draft), and the Cumberland Sub-Committee from 8-22-13.
AREA DIRECTOR RECOMMENDATION:
Receive the minutes.
RESOURCE PERSON(S):
Doug Wright, Dan Shaw, Maribel Rivera-Elias
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Durham CFAC Sub-Committee
Minutes – 9/16/2013
Date/time of meeting: 9/16/2013 5:30pm – 7:00pm
Location: TROSA
Members: Vivian Harris, Sharon O’Brian, Felisha McPherson, David Smith, Joe Kilsheimer, Colleen Kilsheimer, Tammy Harrington,
Amelia Thorpe, Dan Shaw
Staff Present: Doug Wright
Staff Absent:
Guest(s) Roanna Newton, Consumer Empowerment Team
Approve Minutes from
(Date) Postponed, no copies available for review.
Follow up Items
Documents Provided None
Topic: MCO Update
Discussion:
Doug Wright reported that the clear expectation of the state was to get down to four LME-MCOs, and that they are
contiguous. The CEOs met with Dave Richard and will present to him and the department a map that would meet that goal
by the end of this month.
Alliance has posted two Peer Support jobs in relation to the Transitions to Community Living (DOJ Settlement).
John Sullivan will present on Project Lazarus at the next Alliance CFAC meeting in October.
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The Alliance and Cardinal CFACs are working together to put on a statewide event to follow up to the May event in
Winston-Salem. The first planning meeting is on the 17th, tomorrow. December 4th is the date.
Celebrate Recovery is happening in Durham at the Criminal Justice Resource Center from 12-7pm on the 19th.
Capital Recovery Celebration is on the 21st from 9:00am until 1:00pm at the Halifax Mall in downtown Raleigh.
There was a lot of discussion around the future of Behavioral Health in North Carolina, many concerns about how our
system will end up delivering quality services. The constant change is wearing on the consumers and families. Overall the
group was encouraged by the news of recognition of behavioral services as specialty services and the need for LME-MCOs
in some fashion.
Suggestions/Comments:
Next steps: Keep informed
Person Responsible: Doug Wright
Topic: Local Business Plan
Discussion:
Doug Wright presented the Local Business plan to the sub-committee. He reviewed each of the 5 state initiatives
and the 3 local initiatives. It was noted that some of the goals were certainly going to be challenging but
absolutely worthwhile. The presentation is attached.
Suggestions/Comments:
Next steps: Continued input to the LME-MCO.
Person Responsible: CFAC Membership, Doug Wright
Topic: State Update
Discussion: Roanna Newton reviewed the Consumer Empowerment Team Update for September.
Suggestions/Comments: Roanna noted that they are changing their format and ask for feedback concerning their efforts.
Next steps: None
Person Responsible:
Topic: Sub-Committee Chair
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Next meeting: November 4th, 5:30pm – 7:00pm
Meeting room: TROSA
Discussion:
Dan ask the sub-committee what they would like to do about a chairperson for the sub-committee, that he was willing but
wanted to give others an opportunity to step up. There was consensus that Dan should be the chair and that we could
consider others down the road in order to help build leadership along the way.
Suggestions/Comments:
Next steps: Move forward
Person Responsible: All
Topic: Meeting Template
Discussion:
The group discussed the new meeting template, the addition of public comment as well as the addition of Public Outreach.
It was noted that the public outreach section was to set time aside so members could discuss, bring forward concerns or
ideas from the community, thus helping to fulfill their obligations under state statute 122c.
Suggestions/Comments:
Next steps: Utilize the template, changing if needed.
Person Responsible: CFAC
Topic: Meeting Adjourned at 7:10pm.
Discussion:
Suggestions/Comments:
Next steps:
Person Responsible:
1
September 10, 2013 Minutes
Wake Alliance Site Meeting 5000 Falls of Neuse Road, Raleigh, 27609
Member Attendees: Caroline Ambrose, Anna Cunningham, Dave Curro, Maribel Rivera-Elias, Faye
Griffin, Marc Jacques, and Denise Wood
Guests: Sarah Jane Fitch and Israel Pattison
Alliance Staff: Roosevelt Richards and Doug Wright
State Staff: Nicole Cole and Roanna Newton
Welcome
Minutes
July 9, 2013 minutes were approved
Public Comment
HANDmeUPs thrift shop is now open. Location: 8320 Litchford Road, Raleigh, NC 27615. Employs and
trains individuals with autism and other developmental disabilities.
Jacques was recently hired with NC Mental Consumers Association
Wood was recently appointment to NC Mental Consumers Association board as parliamentarian
Beardsley retired and Richards is taking her role as Wake Site Subcommittee support staff
Training and Education
Distributed in meeting packet and discussion of the FY2013 Provider Network Profile
Distributed in meeting packet and discussion of the Local Business Plan Overview PowerPoint
Abbreviation defined PRTF- Psychiatric Residential Therapy Facilities
Anna Cunningham questioned Doug Wright - What is the QI feedback- Doug Wright will look into the
answer to this question
Monarch has same day access
High number for no-show appointments, many factors are a result of current no-show appointments.
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Roosevelt Richards will give the statistics on CIT program
Starting to do refresher courses with CIT officers
Specialized training/understanding for I/DD regarding the CIT training program
More outcome based results for individual with I/DD in terms of crisis.
Marc Jacques motioned to accept local business plan in trust in Doug Wright to present our
concerns. Anna Cunningham seconded. Motion carried.
The local business plan is a living document
Leadership
Maribel Rivera-Elias is in training for being chair of the Wake Site Subcommittee
Public Outreach
Report each time or quarterly on data
Hot Topics conversation is essential
Anna Cunningham commented we should have continue support in the role of communicating (DataCom)
State Update
Distributed and discussed CET Update for September 2013
MCO Update
Patti Beardsley retired
Merger rumors with Charlotte
Three options for Charlotte: 1) own 2) Merge with Cardinal 3) Merge with Alliance
Decision made by CEO this Friday, 13th
Peer Support position available
Board seats available
October meeting – John Southerland will be the speaker on Project Lazarus
Statewide CFAC planning meeting on the 17th
September is recover month and DSP recognition week (Sept 9-15) Adjourned at 7:12pm
1
CFAC Minutes – 08/22/13 Cumberland Subcommittee of Alliance Consumer and Family Advisory
(CFAC)
Present Members: LaVern O. –CFAC Chair; Lotta F. – CFAC Co-chair; Dr. Michael M., Rebecca P., Dorothy J., Dr. Mike M., Casey B.
and Marcia H.
Absent Members: Regina G..
Staff Representation: Nathania H., Susan B., Wes R., and Doug W.
CC LME Area Board Member: None
Guest: Lisa Lofton-Berry, Arthur Berry. And Delvin McAllister
TOPIC DISCUSSION ACTION
Welcome and Introductions The meeting was called to order at 5:42 by Subcommittee Co- Chair, LaVern O. The
following individuals were in attendance: 8 subcommittee, 4 staff representation and 3
guests.
Review and Approval of Minutes The quorum reviewed the July 25, 2013 Subcommittee minutes and a motion was
made by Dr. Michael M. to accept the minutes. The motion was seconded by Casey B.
The motion passed and the minutes were accepted.
The July 25, 2013 minutes
were approved.
Recruitment/Outreach/Publicity Recruitment: The subcommittee discussed whether to continue recruitment efforts
since they are at current capacity for voting members. Doug. W. revealed Alliance
is considering allowing 10 voting members from each site at the Alliance CFAC
meetings. Wes urged the subcommittee to continue to seek individuals who may
eventually be interested in serving on the subcommittee. He indicated that many
volunteer organizations find that they have difficulty maintaining enough members
over time.
Public Outreach: Susan B. reported on the outreach event at the Fayetteville
Police Department’s Community Awareness Day August 16, 2013 in Sherwood
Park. She revealed that while the event was well-attended, outreach efforts by the
subcommittee were hampered by constant rain, the lack of visibility of any
identifying banner and the unavailability of CFAC brochures. Doug W. reported
brochures are being printed and an Alliance Behavioral Healthcare tabletop display
has been ordered. Susan also mentioned that it may be helpful for subcommittee to
clarify the role and duties of any subcommittee member participating in an
outreach event.
The subcommittee will
continue to encourage guests
to attend meetings build
contact within the
community.
The subcommittee will review
CFAC brochures and outreach
display materials once they are
available.
2
Doug W. reported Alliance Behavioral Healthcare is continuing to seek new ways
to outreach to the community and is opening a Facebook and Google Plus account
for this purpose.
Subcommittees:
Services/Quality
Management
Communications with
SCFAC
Budget Committee
.
Wes R. reported the State CFAC to Local CFAC conference call was held 8/21/13
from 7-8 p.m. The next call will be 10/16/13 from 7-8 p.m. Wes R. reminded
Subcommittee members to listen-in on the calls as they are always informative.
Wes R. encouraged subcommittee members to consider services on the State CFAC
and reported they continue to recruit members.
.
Updates, Announcements,
Information Sharing
Wes. R. reviewed the information on the Consumer Empowerment Team (CET)
Update- August 2013. (Handouts). Wes reported that Dave Richard, Director of Mental
Health/Developmental Disabilities/Substance Abuse Services has scheduled to meet
with every CFAC within the next few months He met with Alliance CFAC July 9,
2013.
Lotta F. updated the subcommittee on the 8/5/13 Alliance CFAC meeting. Lotta F.,
Marcia H., and Dr. Michael M. attended the meeting. Election of officers for the
Alliance CFAC was held. Dan Shaw was elected chair of the Alliance CFAC and
Maribel Rivera-Elias was elected vice chair. Per Lotta, Dave Richard, Director of
MH/DD/SA spoke at the meeting. Information on Mental Health First Aid was
discussed at the meeting. Lotta F. encouraged subcommittee members to attend future
Alliance CFAC meetings and indicated her plan to attend the next Alliance CFAC
meeting 10/7/13 in Durham, NC.
Doug W. reported that the Alliance CFAC By-Laws Subcommittee passed the By-
Laws. He indicated that subcommittee will continue to meet as the evolution of
Alliance’s role changes.
Lotta F. and Dr. Michael M. updated the subcommittee on the August 14, 2013
Alliance Behavioral Healthcare-Cumberland Site Public Forum. Lotta F. revealed the
forum was attended by over 100 people including providers, community members, and
local government. Dr. Michael M. indicated the forum went well and that Alliance
Behavioral Healthcare staff were both informative and receptive of concerns.
.
3
Doug W. provided information about the process to appoint individuals to the Alliance
Behavioral Healthcare Board. Currently, 1 seat representing Cumberland County has
been filled. 3 other board seats remain to be filled. The process relies on the
Cumberland County Board of Commissioners to suggest potential appointees to
Alliance Behavioral Healthcare. Alliance will evaluate the entries and then return the
suggestions to the Cumberland County Board of Commissioners for a final
recommendation. Currently, potential appointees are scheduled to attend the next
Alliance Behavioral Healthcare Board meeting 9/5/13 at 4:00 p.m.
Doug w. announced that Alliance Behavioral Healthcare has appointed Hank Debnam,
Cumberland Site Director for Alliance Behavioral Healthcare to be the new
Military/Veteran Liaison for the entire Alliance Behavioral Healthcare MCO.
Lisa. L-B reported the phone number to contact Cape Fear Community Mental Health
Center is incorrect. When dialed, the message directs to call wrong number.
Doug. W. announced that Alliance Behavioral Healthcare is in conversation with
Mecklinburg LME about a possible merger. Further word is expected in September
2013.
Doug W. reported discussions in progress about a possible jointly –sponsord Regional
CFAC meeting with Cardinal in November 2013.
Dorothy J. reminded members that the NAMI walk is in October 2013 at Cross Creek
Park.
Nay H. to contact Joe Deaton
with Cumberland County to
assist with correction.
Guest Speakers/Training Dr. Mike requested Doug W. coordinate a Navigator to speak to the Subcommittee
about the new federal initiative involving educating people about the Affordable
Care Act.
Gaps and Needs
Doug W. provided a list of identified needs and gaps and reviewed those with the
Subcommittee. Doug stated the list will be used to further develop Alliance
Behavioral Healthcare’s business plan.
The Subcommittee will
continue to seek community
feedback on gaps and needs
and report back to the Alliance
CFAC.
Handouts Consumer Empowerment Team (CET) Update August 2013.
Cumberland Subcommittee for Alliance CFAC minutes (July 25, 2013)
Alliance Behavioral Healthcare Fact Sheet
Mental Health First Aid Announcement
4
Local Business Plan, Needs and Gaps Feedback from CFAC (August 21, 2013)
Alliance Behavioral Healthcare Community Relations Contact Information
Closing, Additions to Agenda,
Next Meeting
LaVern O., Co-Chair adjourned the meeting at 7:24 p.m. The next Cumberland
Subcommittee of Alliance CFAC meeting is Sept. 26, 2013 at 5:30 p.m.at 711
Executive Place Fayetteville, NC 28305 John Bain, Jail Liaison for Alliance
Behavioral Healthcare- Cumberland Site, will provide training on Substance Abuse.
ITEM: Executive Committee Report
7B
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
DATE OF BOARD MEETING: November 7, 2013
REQUEST FOR AREA BOARD ACTION:
The Executive Committee sets the agenda for Area Board meetings and acts in lieu of the Area
Board between meetings. Actions by the Executive Committee are reported to the full Area Board
at the next scheduled meeting. Attached are the minutes from the September 10, 2013 meeting.
CEO RECOMMENDATION:
Accept this report.
RESOURCE PERSON(S):
Ellen Holliman
Page 41 of 187
Page 1
Executive Committee Minutes
Date: September 10, 2013
Present: Lascel Webley, George Quick, Bill Stanford, Nancy Henley, Phil Golden, Amelia Thorpe, Scott Taylor
Staff: Ellen Holliman
Topic: Data: Action Required:
Agenda Items: Meeting was called to order by Lascel Webley.
Approve Minutes: George Quick made the motion to approve the August 13, 2013 minutes. Bill Stanford
seconded. Motion passed.
Wake County vacant
board seats
Ms. Holliman reported that Alliance is currently advertising for two board seats from
Wake County. One seat is to complete the term for Barbara Gardner. The second seat is
a new seat as a result of the Cumberland merger. The seats were reallocated based on
county contributions.
Update on MCO
consolidation activities
As reported at the August Executive Committee, the meeting scheduled on September
4th with Alliance, Cardinal, Sandhills, Eastpointe and MeckLink did not take place as
planned .Ms. Holliman shared that Mecklenburg will release an RFI to make a
recommendation to the Board of County Commissioners as to which MCO they should
merge. The Executive Committee supported that any consolidation plan be in the best
interest of the citizens of our current four counties and maintaining the strength of the
MCOs in delivering services to people with MI, IDD and SA issues.
August 1, 2013 Board
agenda
The Executive Committee approved the September 10, 2013 agenda to include
Nominations of the Cumberland County board members; introductions of the applicants
for the Wake County Board seats; committee reports; Update on the Secretary’s
Medicaid reform Plan, Wake Divestitures, HR report and Grievance and Incident Report.
Page 2
Interview of
Cumberland County
applicants
The board members of the expanded Executive Committee interviewed the following
people who applied for the three vacant Cumberland County Board seats: Rev. Floyd
Johnson, Evelyn Shaw, Angie Voholt, Dr. Martin Chipman, Lodis Gloston, Nickki
McIntyre, Kaye Lewis, Robin Burg, Sonja Council, Stanley Dodson, Pamela Suggs
Story, Beth Hogan, Commissioner Kenneth Edge and Chris Bostic
The members present
recommended the following
people in priority order::
Commissioner Kenneth
Edger, Pamela Suggs Story,
Beth Hogen, Chris Bostic
and Lodis Gloston.
Page 1
Executive Committee Minutes
Date: September 10, 2013
Present: Lascel Webley, George Quick, Bill Stanford, Nancy Henley, Phil Golden, Amelia Thorpe, Scott Taylor
Staff: Ellen Holliman
Topic: Data: Action Required:
Agenda Items: Meeting was called to order by Lascel Webley.
Approve Minutes: George Quick made the motion to approve the August 13, 2013 minutes. Bill Stanford
seconded. Motion passed.
Wake County vacant
board seats
Ms. Holliman reported that Alliance is currently advertising for two board seats from
Wake County. One seat is to complete the term for Barbara Gardner. The second seat is
a new seat as a result of the Cumberland merger. The seats were reallocated based on
county contributions.
Update on MCO
consolidation activities
As reported at the August Executive Committee, the meeting scheduled on September
4th with Alliance, Cardinal, Sandhills, Eastpointe and MeckLink did not take place as
planned .Ms. Holliman shared that Mecklenburg will release an RFI to make a
recommendation to the Board of County Commissioners as to which MCO they should
merge. The Executive Committee supported that any consolidation plan be in the best
interest of the citizens of our current four counties and maintaining the strength of the
MCOs in delivering services to people with MI, IDD and SA issues.
August 1, 2013 Board
agenda
The Executive Committee approved the September 10, 2013 agenda to include
Nominations of the Cumberland County board members; introductions of the applicants
for the Wake County Board seats; committee reports; Update on the Secretary’s
Medicaid reform Plan, Wake Divestitures, HR report and Grievance and Incident Report.
Page 2
Interview of
Cumberland County
applicants
The board members of the expanded Executive Committee interviewed the following
people who applied for the three vacant Cumberland County Board seats: Rev. Floyd
Johnson, Evelyn Shaw, Angie Voholt, Dr. Martin Chipman, Lodis Gloston, Nickki
McIntyre, Kaye Lewis, Robin Burg, Sonja Council, Stanley Dodson, Pamela Suggs
Story, Beth Hogan, Commissioner Kenneth Edge and Chris Bostic
The members present
recommended the following
people in priority order::
Commissioner Kenneth
Edger, Pamela Suggs Story,
Beth Hogen, Chris Bostic
and Lodis Gloston.
ITEM: Consent Agenda
8
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
DATE OF BOARD MEETING: November 7, 2013
REQUEST FOR AREA BOARD ACTION:
A. Approve the draft minutes from the October 3, 2013 Board meeting.
CEO RECOMMENDATION:
Approve the Consent Agenda as presented.
RESOURCE PERSON(S):
Ellen Holliman
Page 1 of 4
Alliance Behavioral Healthcare
Area Board Meeting
Thursday, October 3, 2013
4:00pm– 6:00 pm
DRAFT MINUTES
PLACE: Alliance Behavioral Healthcare, 4600 Emperor Blvd. Room 208,
Durham, NC 27703.
MEMBERS PRESENT: Dr. George Corvin, Jim Edgerton, Phillip Golden, Dr. Nancy
Henley, George Quick, William Stanford, John Griffin, Vicki Shore,
Cynthia Binaynay, and Lascel Webley, Jr., Chairman, Scott Taylor,
Kenneth Edge, Lodies Gloston, Christopher Bostock
MEMBERS ABSENT: Ellen Holliman, Ann Akland, Amelia Thorpe, Michael Page
GUESTS PRESENT: Yvonne French from DMH/DD/SAS, Denise Foreman from Wake
County, Dan Shaw-Durham CFAC, Michael Woolard from
Carolina Outreach, and Frederick Aikers from Heartfelt
Alternatives.
STAFF PRESENT: Sara Pacholke, Amanda Graham, Rob Robinson, Kelly Goodfellow,
Monica Portugal, Sean Schreiber, Doug Fuller, Tracy Hayes, Doug
Wright, Al Ragland, Ann Oshel, Beth Melcher, Susan Knox, Carlyle
Johnson, Hank Debnam, Dr. Janis Nutt
1. CALL TO ORDER:
Chairman Lascel Webley, Jr. called the meeting to order at 4:04 pm.
2. ANNOUNCEMENTS
A. Introductions of applicants for Wake Board seats
Chairman Webley and the Board welcomed the any applicants for the Wake Board seats in
attendance.
B. Request for 2012-13 audit presentation to be made at the December 10, 2013 Executive
Committee Meeting.
3. OATH OF OFFICE FOR NEW BOARD MEMBERS
Oath of Office for new Board members was deferred until the next Board meeting on Thursday, November 7, 2013.
8A
Page 2 of 4
4. AGENDA ADJUSTMENTS
Chairman Webley made one addition to the agenda. Rob Robinson and Kelly Goodfellow
presented the Board with information regarding the government shutdown.
5. PUBLIC COMMENT
There was no public comment.
6. FINANCE COMMITTEE REPORT
The Finance Committee’s function is to review financial statements and recommend policies/practices on fiscal matters to the Board. The Finance Committee met at 3:00 pm
prior to the regular Board meeting. Draft minutes and financial information from the September 5, 2013 meeting were attached.
Reviewed financial statements and ratios meeting the minimum requirements
numbers in line for July. George Quick presents the Board with the total amount of net
restricted assets and asks that the Board restrict these funds and they will be reflected in the June 30 audit.
BOARD ACTION
A Motion was made by George Quick to approve the restriction of the net restricted assets, a total of $10,607,283.31; seconded by James Edgerton. Motion passed.
7. COMMITTEE REPORTS
A. Quality Management Report
B. Human Rights Committee Report
C. Executive Committee Report
D. Policy Committee
BOARD ACTION
Chairman Webley stated that the Board received a number of Committee Reports in the
Board Packets. There were no questions and the Board accepted as presented.
8. CONSENT AGENDA A. Draft Board minutes from the September 5, 2013 Board Meeting
BOARD ACTION
The Draft Board minutes from the September 5, 2013 Board Meeting were accepted as presented.
Page 3 of 4
9. UPDATE ON THE SECRETARY’S MEDICAID REFORM PLAN
Rob Robinson, Chief Operating Officer, presented the Board with an update on Medicaid Reform saying Alliance was one of two MCOs invited to participate in a meeting with members of DHHS. The state expects to have a preliminary plan in place by the end of the month of October.
BOARD ACTION
The Board received the update. No further action was required.
10. WAKE DIVESTITURE UPDATE
Carlyle Johnson presented to the Board an update on the Wake Divestiture. He stated the
Requests for Proposals (RFPs) for Intensive In-Home (IIH), Substance Abuse Intensive
Outpatient (SAIOP), Community Support Team (CST), and Supported Employment for
Individuals with Serious Mental Illness (SEP) have been posted and invites the Board to join
the RFP review panel.
BOARD ACTION
The Board received the update. No further action was required.
11. HR REPORT
Al Ragland, HR Director, presented to the Board with a staffing update, stating over the last
year Alliance has received 6,000 applications for various positions.
BOARD ACTION
The Board received the update. No further action was required.
12. GRIEVANCE AND INCIDENT REPORT
Doug Wright, Director of Consumer Affairs, presented to the Board with fourth quarter data FY12-13 stating changes have been made to the way grievances reported and the chief complaint from consumers is quality of services.
BOARD ACTION
The Board received the update. No further action was required.
13. CHAIRMAN'S REPORT
Chairman Webley reminded the Board to be mindful of email messages sent and received as
they are public record and some discussions can go to a closed session.
Chairman Webley encouraged all Board members to attend the Executive Committee
Meeting on Tuesday, October 8, 2013 at 8:15am.
Page 4 of 4
14. ADJOURNMENT
With all business being completed the meeting adjourned at 5:18 pm.
Next Board Meeting
Thursday, November 7, 2013
3:00-6:00
Respectfully submitted:
Ellen S. Holliman, Chief Executive Officer Date Approved
ITEM: Update on the Secretary’s Medicaid Reform Plan
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND:
Since the October Board meeting Alliance Senior Management has met with David Richard, DMH
Director, and other staff from DMH/DMA at Mr. Richard’s request to discuss Alliance operations and the
future role of MCOs in NC Medicaid reform. Additionally, Alliance CEO Ellen Holliman has worked with
the other MCO CEOs, and the NC Council to develop a map detailing the consolidation of the MCOs into
four regions.
REQUEST FOR AREA BOARD ACTION:
The Board is requested to receive an update on the Secretary’s plan.
CEO RECOMMENDATION:
Receive this update.
RESOURCE PERSON(S):
Ellen Holliman
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
9
ITEM: RFP Update
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND: On September 30, 2013 Alliance released four RFPs. All current providers of
Community Support Team (CST), Intensive In-Home (IIH), and Substance Abuse Intensive Outpatient
Program (SAIOP) services with a credentialed site within the four counties are required to respond in order
for Alliance to consider Medicaid contract renewal. The RFPs reflect Medicaid service definition and
policy requirements. Supported Employment for MH/SA populations is a new service supported by state
funds. This will restrict the number of applications chosen. Responses to all RFPs are due by November
1. Staff will update the board on the number of applications received and the status and timeline of the
review process.
REQUEST FOR AREA BOARD ACTION:
The Board is requested to receive the report.
CEO RECOMMENDATION:
Receive the report.
RESOURCE PERSON(S):
Beth Melcher, Carlyle Johnson
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
10
ITEM: URAC Update (Alliance Behavioral Healthcare Accreditation)
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND:
Per the contract between the North Carolina Department of Health and Human Services and
Alliance Behavioral Healthcare, accreditation by a recognized body (URAC, NCQA) is required
to meet contract specifications and to operate as a managed care organization. Alliance is
accredited by URAC for Health Utilization Management (HUM) and Core Standards.
Alliance’s accreditation for HUM expires January 1, 2014. Therefore, reaccreditation has been
sought for the next 3 year cycle of January 1, 2014 through 2017. In addition, Alliance is
seeking new accreditation for the Call Center and Provider Network modules.
Documentation for all modules has been submitted and accepted by URAC as of October 28,
2013. An on-site visit by the URAC reviewers is scheduled for December 10 and 11, 2013.
This update is to describe to the board the requirements for each module, required staff
involvement, and possible Board of Directors involvement during the on-site review.
AREA DIRECTOR RECOMMENDATIONS:
Accept Update
RESOURCE PERSON(S):
Lena Klumper, Ph.D
Alliance Behavioral Healthcare Agenda Action Form
11
ITEM: Crisis Services Presentation
DATE OF BOARD MEETING: November 7, 2013
BACKGROUND:
Alliance is required per its contract with North Carolina DHHS to develop a crisis response
system within our catchment area. Being able to offer a comprehensive continuum of crisis
services is critical to our success as a MCO. Within our 4 county region, crisis services are
available however the completeness of the system varies. Several initiatives to expand services
have been recently completed or underway. A crisis plan has been developed for all 4
communities and is routinely reviewed and updated as needed.
James Osborn, Alliance Crisis and Incarcerations Manager, will make a presentation to include:
The crisis continuum across the four county region
Data describing numbers served and effectiveness for hospital admissions, readmissions,
ED admissions, and Crisis and Assessment Centers
Local Crisis Plans overview
Initiatives implemented.
A follow-up presentation will be made in approximately in six months to show decreases, changes
and progress.
CEO RECOMMENDATION:
Accept this presentation.
RESOURCE PERSON:
James Osborn
Alliance Behavioral Healthcare
BOARD OF DIRECTORS Agenda Action Form
13