Approved 8/18/08
HUMAN SERVICES COMMITTEE
July 14, 2008
Minutes
Members Present: Andy Schor, Curtis Hertel, Tim Soule, Mike Severino, Steve Dougan and Board Chairperson Thomas
Members Absent: Rebecca Bahar-Cook
Others Present: Jared Cypher, Dr. Sienko, Renee Canady, Marcus Cheatham, Randy Bell, Tony Lindsey and others
The meeting was called to order by Chairperson Schor at 7:01 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing.
Additions to the Agenda
4b. Substitute Resolution
Limited Public Comment: None
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS:
1. Community Mental Health Authority of Clinton, Eaton, and Ingham Counties
a. Resolution Accepting an Offer to Purchase County-Owned Real Property East Jolly Road, Lansing, MI 48910
b. Resolution Authorizing the Community Mental Health Authority of Clinton, Eaton, and Ingham Counties to Construct a Storage/Maintenance Facility on County-Owned Property at 812 East Jolly Road, Lansing, MI
2. Ingham County MSU Extension Office – Resolution to Authorize an Amendment and Extension of an Existing Contract Between Ingham County and the Michigan Department of Human Services for After School and Summer Programming in the City of Lansing
3. Tri-County Office on Aging - Resolution Approving Tri-County Office on Aging’s Annual Implementation Plan for Fiscal Year 2009
4. Health Department
a. Resolution to Eliminate a Vacant Nurse Case Manager Position and Create a Customer Services Specialist Position in Health Plan Management Services
c. Resolution to Authorize an Amendment to the Memorandum of Understanding for the "Early On" Program
d. Resolution to Authorize a 2008-2009 Medical Provider Agreement with the Health Plan Corporation
e. Resolution to Authorize the Intergovernmental Transfer of Ingham County Funds to the State of Michigan for the Purpose of Participating in the Financing of the Non-Federal Share of DSH Payments Made Under the Indigent Care Agreement Pool to Ingham Regional Medical Center
and Sparrow Health System
5. Controller’s Office
a. Resolution Authorizing an Agreement with the Greater Lansing Food Bank and the Trustee of the Silver A. and John E. Coffey Charitable Remainder Trust
b. Resolution Approving Criteria for Ranking 2009 Applications for Community Agency Funding
MOTION CARRIED UNANIMOUSLY. Absent: Comms. Dougan and Bahar-Cook
MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Dougan and Bahar-Cook
4. Health Department
b. Resolution to Authorize the Creation of a Pharmacy Benefit Coordinator Position in Health Plan Management Services
MOVED BY COMM. HERTEL, SUPPORTED BY COMM. SOULE, TO APPROVE THE RESOLUTION TO AUTHORIZE THE CREATION OF A PHARMACY BENEFIT COORDINATOR POSITION IN HEALTH PLAN MANAGEMENT SERVICES.
Dr. Sienko stated this Resolution was pulled from the Board of Commissioners meeting so the County Attorney could review this item.
(Comm. Dougan arrived at 7:04 p.m.)
Mr. Welter stated the County Health Plans contracted with a new Pharmacy Benefit Manager, 4D Pharmacy Management Systems, Inc. Health Plan Management Services is responsible for managing the pharmacy benefit and the relationship the County Health Plans have with the Pharmacy Benefit Manager. The new relationship has allowed Health Plan Management Services the ability to manage the County Health Plan’s pharmacy benefit more closely and confidently.
Mr. Welter further explained that in order to maximize efficiencies and cost control, while assuring the highest of standards for quality and service to the County Health Plan members, HPMS will need the support of a part-time staff person to coordinate the pharmacy operations. HPMS has identified additional revenue to support this expenditure. This expenditure is included in the 2008 revised budget and the 2009 Health Department budget request.
Mr. Lindsey stated his Department recommends the approval of this Resolution.
Board Chairperson Thomas asked if a position will be eliminated with the creation of this new position. Mr. Cypher explained the new position is not a General Fund position.
Comm. Severino asked how often the formulary changes. Mr. Welter stated the formulary changes frequently. The Health Department manages two unique formulas.
MOTION CARRIED UNANIMOUSLY.
MOVED BY COMM. HERTEL, SUPPORTED BY COMM. SEVERINO, TO SUSPEND THE BOARD RULES TO ALLOW COMM. DOUGAN TO VOTE ON THE CONSENT AGENDA MOTIONS. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bahar-Cook
COMM. DOUGAN VOTED YES ON THE MOTION TO APPROVE THE CONSENT AGENDA AND THE MOTION TO APPROVE THE ITEMS ON THE CONSENT AGENDA.
f. Information - Proposed Reorganization of Nursing and Special Services in the ICHD – Renee Canady (no materials)
Dr. Sienko stated Ms. Canady has been with the Department for a year. Chairperson Schor informed the Committee that Dr. Sienko has kept him updated on this reorganization.
Ms. Canady explained that she intends to reorganize services by the following goals:
1) Adjust for budgetary constraints, including cost savings and cost neutrality;
2) Enhancement of revenue generation opportunities and cost savings measures;
3) Administrative parsimony; and
4) Programmatic prioritization
The goals are detailed in Ms. Canady’s July 14, 2008 memorandum to this Committee.
Ms. Canady stated the past year has allowed her to observe strengths and weaknesses in the Department at both the programmatic and personnel levels. Our uniqueness as a Health Department linked to FQHC is a clear strength in facilitating personal health as well as monitoring population health for our citizens. This connection requires close collaboration and clarity of responsibilities to improve partnering with the community health centers.
The Department has a track record of successfully garnering grant funds; however the Department has recently experienced the conclusion of a number of these grants. A number of grants are also moving to conclusion. Ms. Canady explained how the loss of grant funds is affecting the Health Department.
The Health Department presently faces a number of opportunities and threats. The existence of new administration through the Health Officer and Deputy Health Officer brings fresh perspective and facilitates innovation. Pending retirements as well as recent retirements of key managers threaten to diminish important institutional knowledge and must be managed in a way that mediates resulting stress and inefficiency while retaining continuing staff. Current budgetary demands present a climate that can give birth to innovation and creativity while sustaining and improving service provision.
Chairperson Schor stated Ms. Canady is a positive employee for the County.
g. Information - Capital Area Regional Health Information Organization - Marcus Cheatham and Valerie Glasnes-Anderson
Dr. Sienko stated the anticipated launch date is October 1, 2008. There are only a few RHIO’s around the country. The Health Department currently works in the dark as far a patient care. We need good clinical information to treat people efficiently.
An Update – Capital Area Health Alliance, July 14, 2008 – was distributed to the Committee. The Update includes a list of participating organizations within the community. The operating cost is about $2 million per year. Dr. Sienko stated the Department has been talking about possible bylaws for the Organization. The cost to join the Organization is $35,000 per year.
Comm. Hertel requested clarification of the Board fees. Dr. Sienko stated the County’s flat fee is $35,000. Ms. Glasne-Anderson explained that the organizations will see a return on there investments. Large organizations will contribute between $200,000 and $300,000 per year. The rates are still being negotiated.
The Committee held a general discussion about this item. Comm. Hertel commended Ms. Glasne-Anderson for her work on this matter. He also commended the Health Department for their efforts on this matter.
Chairperson Schor stated the Department is asking for $75,000. The Organization is a great idea; however, this is a huge chunk of new dollars to ask for when the County is trying to save money.
Chairperson Schor asked about the next step. Ms. Glasne-Anderson stated the RHIO will only be funded from October to December. Dr. Sienko stated the Health Department has contributed $20,000 from grants to the amount. The Department will have more information on the County’s contribution at a later date.
Chairperson Schor stated this issue will be discussed at an upcoming Board Leadership meeting.
Board Chairperson Thomas asked what would happen if the County can’t pay their fee after the first year. Mr. Cheatham stated the Health Department would try to get funding from another source.
6. Board Referral - Resolution from Bay County Expressing Support for HR 676 and
Encouraging Reform in the Manner in Which Health Care is Funded and Delivered
The Board Referral was received and placed on file.
Announcements: None
Public Comment: None
The meeting adjourned at 7:56 p.m.
Respectfully submitted,
Debra Neff