Board Folder Contents October 2018
Page Description Dated Received
1 Table of Contents
3 LifeWays September 2018 Newsletter 09-25-18
5 MDHHS Summary Reports on the Pilots and the Unenrolled Population for 09-25-18 the Section 298 Initiative
7 LifeWays Monthly Report to the Jackson Board of County Commissioners 09-26-18 Human Services Committee for October 2018
14 Independent Accountant’s Report on Compliance with Requirements 09-27-18 Applicable to Medicaid and General Fund Programs; and Report on Internal Control Over Compliance in Accordance with CMH Compliance Examination Guidelines Issued by the Michigan Department of Health and Human Services, performed by BDO USA, LLP (There will be several hard copies available in the Board Room, should you wish to take one with you for your reference.)
38 CMHA BoardWorks Report 09-27-18
39 Board Member Attendance Report 3rd Quarter 2018 09-28-18
43 House CARES Mental Health Task Force Progress Report July 2018 09-28-18
45 MSU Extension Report on Michigan Health Policy for the Incoming 2019 09-28-18 Gubernatorial Administration
61 Legislative Analysis: House Bill 6202 Create Michigan Cares Hotline 10-01-18
63 House Bill 6290 Counseling Licensing Requirements 10-01-18
66 Rose Hill Center Licensing White Paper 10/04/17 10-01-18
67 CMHA Lame Duck/Candidate Education Strategy 10-02-18
74 Board Executive Committee Meeting Minutes 10/04/18 10-04-18
10/2018 Board Folder Page 1 of 92 76 Internal Audit of Board-Approved Expenditures 10-04-18
79 Thank You Letter from CPCAN 10-10-18
80 MSHN October 2018 Newsletter 10-10-18
91 Size 236 Shoes Sculpted to Honor Century-Old Business 10-17-18
10/2018 Board Folder Page 2 of 92 SEPTEMBER 2018 LIFEWAYS
OFFICIAL NEWSLETTER FOR LIFEWAYS COMMUNITY MENTAL HEALTH
IN THIS ISSUE
Monthly Spotlight: Suicide Prevention
New Events: Mental Health First Aid for Veterans
Event Recap: Stomp Out Suicide
We're Glad You Exist! MONTHLY SPOTLIGHT: Have you been struggling with thoughts of suicide? We're glad you exist! Suicide is a SUICIDE PREVENTION permanent solution to a temporary problem. It's hard to see solutions when MONTH you are in crisis, but it is possible. Life's painful times do not last forever, even if it 24% of Jackson County High feels like they will. Having suicidal thoughts is nothing to be ashamed of. It's School Students have seriously something to get help for. Call our 24-hour considered suicide crisis line at 1-800-284-8288 or visit us at (MIPHY, 2017-2018) LifeWaysCMH.org. Hope and help begin at LifeWays! 10/2018 Board Folder Page 3 of 92 STOMP OUT SUICIDE 2018
Thank you to all who attended 2018 Stomp Out Suicide. The over 200 attendees helped us raise over $1,000 towards our goal of creating suicide awareness campaigns and providing suicide prevention training to Jackson County.
At this year's event, we featured the full-length documentary film "Suicide: The Ripple Effect" at the Michigan Theatre of Jackson, with a memorial luminary walk that followed through downtown Jackson. MENTAL HEALTH FIRST AID
Family members and personnel working with military and families are often not aware of how to engage with veterans who have mental illnesses and addictions. In addition to the impact of military service on the veteran, each has a circle of family and friends who are also impacted by their military service.
Mental Health First Aid offers a tailored supplement that builds upon the effectiveness of the standard Mental Health First Aid curriculum by focusing on the unique experiences and needs of the military, veteran and family population. Learn how to identify a possible mental health crisis and respond calmly and confidently by becoming certified in Mental Health First Aid.
Mental Health First Aid is an 8-hour, in-person training from the National Council for Behavioral Health that teaches the average community member how to help someone in a mental health crisis or experiencing symptoms of mental illness. During the training, you will learn how to identify the different signs and symptoms of mental illnesses and how to connect people to care. 10.20.18 Adult Mental Health First Aid for Military Members, Veterans & Their Families at LifeWays Oak and Birch Meeting Rooms
Visit LifeWaysCMH.org/MHFA to sign up or call (517) 789-2490. 10/2018 Board Folder Page 4 of 92 PILOTS FOR THE SECTION 298 INITIATIVE
The Section 298 Initiative is a statewide effort to improve the coordination of physical health services and behavioral health services in Michigan.
In the current behavioral health system, the Michigan Department of Health and Human Services (MDHHS) contracts with Michigan’s 10 Prepaid Inpatient Health Plans (PIHP) to manage Medicaid-funded specialty behavioral health services. The PIHPs contract with 46 local Community Mental Health Service Programs (CMHSP) to deliver specialty behavioral health services. MDHHS also separately contracts with 11 Medicaid Health Plans (MHP) to manage Medicaid-funded physical health and mild-to-moderate mental health services. The MHPs contract with an array of different hospitals, primary care providers, and specialists to deliver these services.
In 2017, the Michigan legislature directed MDHHS to implement up to three pilots to test the integration of Medicaid-funded physical health and behavioral health services. As part of the pilots, MDHHS will contract with the Medicaid Health Plans (MHP) within the pilot regions for the management of Medicaid-funded physical health and behavioral health services. The MHPs will contract with the Community Mental Health Service Programs (CMHSP) within the pilot sites for the delivery of specialty behavioral health services and supports. The three pilot sites are:
PILOT SITE HealthWest and West Michigan 1 Community Mental Health
PILOT SITE Genesee Health System 2 3 1
PILOT SITE Saginaw County Community Mental Health Authority 3 2
The MHPS and CMHSPs within the pilot sites must assure continued access to the required array of services and supports under Medicaid policy and contracts. The MHPs and CMHSPs must also abide by all current public policies within the public behavioral health system, which includes person-centered planning, self-determination, family-driven and youth-guided care, recovery orientation, and access to home and community-based services. Finally, the legislation requires that any savings that are achieved as part of the pilots must be reinvested in services and supports for individuals having or at risk of having a mental illness, an intellectual or developmental disability, or a substance use disorder.
MDHHS is working with the MHPs and CMHSPs to implement the pilots by October 1, 2019. The pilots will operate for at least two years.
MDHHS has also contracted with the University of Michigan to evaluate the performance of the pilot sites. The pilot sites will be assessed on a set of metrics that will measure health, wellness, and quality of life outcomes for individuals who receive Medicaid services. The performance of the pilot sites will also be evaluated against a set of comparison sites. The results of the evaluation process will be presented to the legislature for consideration on whether the pilots should be expanded statewide or discontinued.
10/2018 Board Folder Page 5 of 92 UNENROLLED POPULATION FOR THE SECTION 298 INITIATIVE
Approximately 25% of the Medicaid population is not enrolled in an MHP for management of their physical health services. However, the PIHPs manage the specialty behavioral health benefits for this sub-population. Examples of individuals who may not be enrolled in an MHP (also known as the “unenrolled population”) include but are not limited to:
• Individuals who recently became • Individuals who are Tribal citizens eligible for Medicaid but are not yet • Individuals who are receiving services enrolled in an MHP in a nursing facility or state psychiatric • Individuals who are dually eligible for hospital Medicare and Medicaid • Individuals who are eligible for • Individuals who have third-party coverage based upon a deductible insurance (also known as spenddown)
~25% OF THE MEDICAID POPULATION ARE NOT ENROLLED
MDHHS is not able to enroll these individuals in the MHPs for the purposes of the pilots due to federal regulations. MDHHS has been evaluating options to manage the specialty behavioral health benefits for the unenrolled population during the pilots. MDHHS has conducted outreach to stakeholder groups to solicit input on the options for managing the specialty benefit for the unenrolled population.
Based upon this process, MDHHS will be issuing a Request for Proposals (RFP) to select a single existing PIHP to manage specialty behavioral health benefits for the unenrolled population across the three pilot sites. The selected PIHP will also contract with the CMHSPs within the pilot sites for the delivery of specialty behavioral health services and supports.
The selected PIHP must assure continued access to the required array of services and supports under Medicaid policy and contracts. The selected PIHP must also abide by all current public policies within the public behavioral health system, which includes person-centered planning, self-determination, family-driven and youth-guided care, recovery orientation, and access to home and community-based services. Finally, MDHHS will work with the selected PIHP and pilot CMHSPs to ensure continuity of care for individuals who live in the pilot region and are part of the unenrolled population.
MDHHS will issue an RFP to select a single existing PIHP no later than January 2019. MDHHS will work with the selected PIHP and the pilots CMHSP to implement the transition process by October 1, 2019. Individuals in the unenrolled population who are outside of the pilot region will continue to receive specialty behavioral health services through their current PIHPs.
10/2018 Board Folder Page 6 of 92
Memorandum
TO: Jackson Board of County Commissioners
FROM: Maribeth Leonard, LifeWays CEO
SUBJECT: LifeWays – Monthly Report for October 2018 Human Services Committee
DATE: September 26, 2018
COPY: LifeWays Board of Directors
This monthly progress report provides updates on various strategies that were developed by Executive Leadership. The “State update” section is to keep our sponsoring counties informed regarding developments within the Mental Health industry.
LifeWays Strategic Plan 2018-2021 Last week, the LifeWays Board of Directors approved the new 3-year Strategic Plan. Below is the plan; updates will be brought forward in each month’s report to the Human Services Committee.
BETTER HEALTH GOAL 1: LifeWays will have a fully integrated system of care. Obj A: Develop a board approved comprehensive integrated care/population health management plan that is reviewed annually. Obj B: Fulfill all requirements of the Substance Abuse Mental Health Services Administration (SAMHSA) Primary Behavioral Health Care Integration (PBHCI) Grant. Obj C: Offer on-site primary care services. Obj D: All staff and contracted providers will be trained in the core competencies of integrated care. Obj E: A staff/provider training committee will be developed and will produce best practice trainings for all clinical staff. Obj F: Data platforms (ICDP/Zenith, CC360, VIPER, etc.) will be utilized across services to inform needed treatment interventions.
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 7 of 92 GOAL 2: LifeWays will meet all the requirements of a Certified Community Behavioral Health Clinic (CCBHC). Obj A: A staffing plan will be implemented to ensure LifeWays has adequate Medicaid enrolled staff who are fully trained and qualified to address the needs of the consumer population to be served. Obj B: LifeWays will streamline processes and ensure timely access to services and initial and Comprehensive Evaluation to new consumers. Obj C: LifeWays will offer 24/7 Access to Crisis Services. Obj D: LifeWays will develop procedures to ensure no refusal of services due to inability to pay and will provide services regardless of residence. Obj E: Develop care coordination procedures that include requirements to coordinate care across settings/providers and ensure seamless transitions for patients across the full spectrum of health services, including acute, chronic, and behavioral health needs. Obj F: LifeWays will establish a health information technology system that meets all the requirements of the CCBHC. Obj G: LifeWays will establish care coordination agreements within the community. Obj H: LifeWays will establish an array of CCBHC required services which if not directly provided by LifeWays are provided or referred through formal relationships with other providers. Obj I: LifeWays will include in its Quality Improvement Plan mechanisms for Data Collection, Reporting, and Tracking of CCBHC activities/requirements. Obj J: LifeWays will develop a plan to implement the requirements of the CCBHC criteria for Organizational Authority, Governance, and Accreditation. Goal 3: Achieve 3-year Commission on Accreditation of Rehabilitative Facilities (CARF) accreditation of all eligible programs. Obj A: Establish CARF Committee to create a plan for accreditation/re-accreditation. Obj B: Prepare all evidence of compliance. Obj C: Develop plan for On-Site Review. Goal 4: Promote recovery and resiliency. Obj A: Increase the number of successful discharges. Obj B: Reduce hospitalization recidivism. Obj C: Enhance wellness and prevention activities to reduce risk factors for co-morbidities. Obj D: Implement plan to utilize the millage dollars.
BETTER CARE GOAL 5: LifeWays will establish and implement best practices in welcoming, reception, and medical office processes.
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 8 of 92 Obj A: Operationalize Key Performance Indicators of all front line and support staff. Obj B: Develop and implement clear processes for appointment scheduling to include Michigan Performance Indicators (MIMBPIS), back fill and will call processes, same day appointments, crisis appointments, no show, reschedules and cancellations. Obj C: Establish processes/actions within the EMR to assist staff in ensuring completion of the patient record (consents, releases, demographic information, etc.). Obj D: Develop and implement processes for call reminders, texts, etc. for appointments and other communication with the consumers. Obj E: Enhance the patient portal to improve communication to and from the consumer. Obj F: Establish front desk competencies and training curriculum. Obj G: Establish a phone system that ensures crisis calls are handled immediately and business calls are connected in the most welcoming and efficient manner. GOAL 6: LifeWays will develop a system of care that utilizes best practices. Obj A: LifeWays will establish conflict free case management. Obj B: Lifeways will enhance and improve the utilization of self-determination. Obj C: LifeWays will enhance and improve the utilization of independent facilitation. Obj D: LifeWays will implement best practices in being a trauma informed care organization. Obj E: Develop processes to maximize the use of assessment tools (Trauma, DLA 20, LOCUS, CAFAS, PECFAS, SIS, etc.). Obj F: Achieve all Home and Community based Waiver Standards. Obj G: Establish best practices in behavior treatment planning and oversight. Obj H: Implement all new Corporate Compliance contract requirements. Obj I: Expand and enhance the role of consumers in an advisory capacity.
BETTER EXPERIENCES GOAL 7: Obtain and retain a competent and effective workforce. Obj A: Establish clinical competencies/expectations for each service provided. Obj B: Establish a thorough training plan for clinical staff. Obj C: Develop a comprehensive Recruitment and Retention plan. Obj D: Establish professional development opportunities for both clinical and non-clinical staff. Obj E: Develop a written succession plan for key roles within the agency. Obj F: Establish an internship program. Obj G: Establish competencies/expectations for key positions and non-clinical programs (such as Human Resources, Corporate Compliance, Recipient Rights, Contracts, Finance, etc.).
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 9 of 92 GOAL 8: Establish an effective communication system across all levels. Obj A: Utilize software to communicate/review and provide information/education on policies and procedures. Obj B: Establish a clear communication plan for announcements internally and externally. GOAL 9: Establish an effective and competitive provider network. Obj A: Develop an on-boarding plan for new providers. Obj B: Develop a provider manual that meets the needs of the providers. Obj C: Establish effective training expectations/outcomes for residential providers. Obj D: Establish procedures for the array of contracted services. Obj E: Establish a clear schedule and expectations for provider reviews to include (audits, credentialing, certification, etc.). Obj F: Develop an effective tracking system of contract management and provider performance. Obj G: Develop processes to ensure all required documentation is readily available for audits (MDHHS, MSHN).
REDUCED COSTS GOAL 10: Establish effective processes for billing and claims compliance. Obj A: Develop plan for 100% claims verification. Obj B: Ensure all supporting documentation for a claim is in the electronic medical record. Obj C: Ensure compliance with Electronic Visit Verification. Obj D: Establish process to validate training reciprocity. GOAL 11: Drive down costs of residential services. Obj A: Address issues that increase costs within residential services. Obj B: Establish residential rate monitoring. Obj C: Monitor effectiveness of case rates. Goal 12: Establish ability to monitor and reduce costs of episode of care. Obj A: Establish clear guidelines on episode of care. Obj B: Establish data elements for monitoring episode of care costs. Obj C: Establish action plan to reduce costs. Goal 13: Reduce potential costs to agency by being pro-active with regard to Information Technology. Obj A: Enhance Security of IT.
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 10 of 92 Mental Health First Aid and Suicide Awareness trainings
Type of Training 2017-2018 # of Attendees
MHFA 106
YMHFA 95
Safe Talk (Suicide Training Youth) 110
Adverse Childhood Experiences (ACE’s) 287
Other Informational Trainings 280
Note: These trainings are provided across both counties.
Andy’s Place Update
LifeWays entered into an MOU with Community Action Agency to provide Mental Health services as part of the permanent supportive housing project, called Andy’s Place. The property has been secured and currently CAA is applying for tax credits as part of the project development. The goal is to begin construction in the Spring of 2019. The focus will be on individuals in treatment courts with Substance Use Disorders, primarily around opiate issues. Andy’s place will be open to individuals residing in both Jackson and Hillsdale Counties. This is not a residential treatment facility; it’s a residential community with options for Medicaid services for this target population. Treatment courts will be the referral source. The unit will consist of both single and family units. The project is expected to take at least two years.
Mid-State Health Network (MSHN)
MSHN Regional Contracts MSHN is working with the 12 Community Mental Health Services Program (CMHSPs) on standardizing contracts. This Fiscal Year they are moving forward with a standardized contract for psychiatric inpatient hospitals and Fiscal Intermediaries. These contracts go into effect for FY 2019.
MSHN/CMHSP Medicaid Sub-Contract MSHN board members expressed significant concern about the magnitude of increases represented in the FY19 contract amounts by some CMHSPs in the region. MSHN board members articulated that MSHN is not performing appropriate fiscal oversight in financial management where it does not require justification for budget increase and suggested that MSHN is negligent in its fiduciary oversight responsibilities. The MSHN board was reminded of its financial obligations to the CMHSPs in the region beyond those in the sub-contracting agreement (i.e., the smoothing plan and Operating Agreements in particular). The MSHN board was informed that the FY19 budgets were developed without benefit of the FY19 revenue (due to late rate development) and that budget adjustments are frequently made by
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 11 of 92 CMHSPs in light of revenue projections (and not necessarily reported to MSHN). After considerable discussion, MSHN board members expressed their expectation that MSHN will work with the Finance and Operations Councils to bring forward budget and related fiscal management policies or procedures to ensure that budget increases are justified and MSHN has the tools to ensure fiscal management within the revenues MSHN provides.
As a result, the MSHN board did not approve the MSHN/CMHSP Medicaid Sub-Contract. At the November 6 board meeting, the MSHN Board expects that MSHN administration will bring the contracts back for approval and to provide a revenue and expense estimates by CMHSP, showing variance. The MSHN board expressed that it expects MSHN to address CMHSP participants submitting balanced budgets.
The board did authorize MSHN to offer a three-month extension of the current FY18 contracts so that MSHN can continue to make payments to the CMHSPs. As authorized and directed by the MSHN Board, we will offer a three-month contract extension this week at the Board Meeting for your action/acceptance.
MSHN will comply with their board’s requirement to present further information and a recommendation to approve the FY19 MSHN/CMHSP contracts at its November 6 Board meeting.
Michigan Department of Health and Human Services (MDHHS) Section 298 Update MDHHS to seek contract with existing Prepaid Inpatient Health Plan for Section 298 Initiative Below is a recent press release on the MDHHS decision to contract with an existing PIHP to manage the behavioral healthcare for the unenrolled Medicaid beneficiaries in the Section 298 pilot communities. The Michigan Department of Health and Human Services (MDHHS) announced today that it will contract with one of Michigan’s existing Prepaid Inpatient Health Plans (PIHP) as part of the Section 298 Initiative.
The selected PIHP will be responsible for managing the specialty behavioral health benefits for individuals who are not enrolled in a Medicaid Health Plan within the pilot regions. The Section 298 Initiative is a statewide effort to improve the coordination of physical health services and behavioral health services in Michigan. This initiative is based upon Section 298 in Public Act 268 of 2016. The Michigan legislature approved a revised version of Section 298 as part of Public Act 207 of 2018. Under Section 298, the legislature directed MDHHS to implement up to three pilots to test the integration of Medicaid-funded physical health and behavioral health services. As part of the pilots, MDHHS will contract with the Medicaid Health Plans (MHP) within the pilot regions for the management of Medicaid-funded physical health and behavioral health services.
The MHPs will contract with the Community Mental Health Service Programs (CMHSP) within the pilot sites for the delivery of specialty behavioral health services and supports. The three pilot sites are:
• HealthWest and West Michigan Community Mental Health • Genesee Health System • Saginaw County Community Mental Health Authority
LifeWays Report to Board of County Commissioners 10/2018 Board Folder Page 12 of 92 Approximately 25 percent of the Medicaid population is not enrolled in an MHP for management of their physical health services; therefore, MDHHS is not able to enroll these individuals in the MHPs for the pilots. Instead, MDHHS will issue a Request for Proposals (RFP) to select a single existing PIHP to manage the specialty behavioral health benefit for the unenrolled population. The selected PIHP will also contract with the CMHSPs for the delivery of specialty behavioral health services and supports. 6 MDHHS expects to issue the RFP no later than January 2019. MDHHS will work with the selected PIHP, CMHSPs and MHPs in the pilot sites to implement the pilots by Oct.1, 2019.
Legislative Update
Healthy Michigan Waiver Submission The state has submitted its amended waiver to continue the Healthy Michigan program, with the expanded Medicaid program's fate now up to the federal government. State law stipulates that if the federal government rejects the waiver request, or it is determined to be noncompliant with state law, the entire Healthy Michigan program would end, meaning 655,000 people who receive health care under the program would no longer have coverage.
The waiver must be approved by the Centers for Medicare and Medicaid Services (CMS) within 12 months or Healthy Michigan will end, according to a press release issued by the Governor’s office this week announcing the submission.
The state also avoided having the program end by submitting a new waiver before Oct. 1, as failing to do so would've also killed Healthy Michigan. The amended waiver would institute an increase in cost-sharing, as well as the work requirements provision approved by the Legislature. Snyder's office said the proposed work requirements "closely mirror" current cash and food assistance program requirements, and wouldn't take effect until 2020, if approved by the federal government.
The work requirements would apply only to able-bodied individuals in the Healthy Michigan program who don't meet one of the 12 exemptions spelled out in law. Some have speculated Healthy Michigan and its proposed work requirements could be in trouble because a federal judge struck down the federal government's approval of a similar work requirement for Kentucky's program.
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Bradley Bohner Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee N/A N/A P N/A N/A A N/A N/A P Board Executive Committee Board Facilities Committee P P A P P A P A A Board Program & Finance Committee Board QI & Credentialing Committee A P A P P A P P A Board Meeting A P P* P P A P P A Recipient Rights Advisory Council Board Ad HOC Committee A Board Work Session/Misc N/A N/A N/A N/A N/A A P P A 57%
Ruth Brown Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee Board Executive Committee Board Facilities Committee Board Program & Finance Committee Board QI & Credentialing Committee P P P P Board Meeting P P P P Recipient Rights Advisory Council Board Ad HOC Committee Board Work Session/Misc P P P P 100%
Melissa Callison Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee N/A N/A P N/A N/'A P N/A N/A P Board Executive Committee P P N/A N/A P P P P P Board Facilities Committee P Board Program & Finance Committee P P P P P P Board QI & Credentialing Committee P P P Board Meeting P P P P P P P P P Recipient Rights Advisory Council N/A A P N/A N/A N/A Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A N/A N/A P P P P 97%
10/2018 Board Folder P=Present; P*=Present by Phone; P** Visiting; A=Excused Absence; U=Unexcused Absence; n/a=No Meeting Held Page 39 of 92 2018 Board Member Meeting Attendance_3rd Quarter
Bruce Caswell Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee Board Executive Committee P N/A N/A P* P P P P Board Facilities Committee P P P Board Program & Finance Committee P P* A P P P Board QI & Credentialing Committee P P P P P* A P P P Board Meeting P P P P P* A P P P Recipient Rights Advisory Council Board Ad HOC Committee P P P P Board Work Session/Misc N/A N/A N/A N/A N/A A P P P 91%
John Clark Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee P N/A N/A A N/A N/A P Board Executive Committee Board Facilities Committee P P P P* P P Board Program & Finance Committee Board QI & Credentialing Committee P P P* P A P P Board Meeting P P P P* P A P P Recipient Rights Advisory Council Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A P A P P 86%
Clifford Herl Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee Board Executive Committee N/A P P P P P Board Facilities Committee P P P* P P Board Program & Finance Committee A P P P P P Board QI & Credentialing Committee P P P Board Meeting P P P P P P P P P Recipient Rights Advisory Council P P P Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A N/A N/A A P P P 94%
10/2018 Board Folder P=Present; P*=Present by Phone; P** Visiting; A=Excused Absence; U=Unexcused Absence; n/a=No Meeting Held Page 40 of 92 2018 Board Member Meeting Attendance_3rd Quarter
Daniel Mahoney Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee Board Executive Committee Board Facilities Committee A A A P Board Program & Finance Committee Board QI & Credentialing Committee A A P* P P A P A P Board Meeting A P A P P A P P P Recipient Rights Advisory Council Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A N/A N/A A P P P 58%
Jeffrey Peterson Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Board Executive Committee P P N/A N/A P P P P P Board Facilities Committee P P P P* P P P P P Board Program & Finance Committee P P P Board QI & Credentialing Committee P* P P* P P P Board Meeting P P P P* P P P P P Recipient Rights Advisory Council Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A N/A N/A P P P P 100%
Carl Rice, Jr. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee Board Executive Committee Board Facilities Committee P A A P Board Program & Finance Committee P P P P P P P A P Board QI & Credentialing Committee P A P P P Board Meeting P A P P P P P P P Recipient Rights Advisory Council Board Ad HOC Committee Board Work Session/Misc N/A N/A N/A P N/A P P P P 84%
10/2018 Board Folder P=Present; P*=Present by Phone; P** Visiting; A=Excused Absence; U=Unexcused Absence; n/a=No Meeting Held Page 41 of 92 2018 Board Member Meeting Attendance_3rd Quarter
Alan Ringenberg Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee N/A N/A A Board Executive Committee P P N/A N/A P P P P P Board Facilities Committee P P P P P P P P P Board Program & Finance Committee A P P P P P P Board QI & Credentialing Committee Board Meeting P P P P P P P A P Recipient Rights Advisory Council P P P N/A P A N/A N/A N/A Board Ad HOC Committee P Board Work Session/Misc N/A N/A N/A N/A N/A P P A P 88%
Jim Shotwell, Sr. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee N/A N/A P N/A N/A P N/A N/A P Board Executive Committee P P Board Facilities Committee P P P P P P P P P Board Program & Finance Committee P P P P P P P P P Board QI & Credentialing Committee Board Meeting P P P P P P P P P Recipient Rights Advisory Council Board Ad HOC Committee P P P P P Board Work Session/Misc N/A N/A N/A N/A N/A P P P P 100%
Edward Woods Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Board Corporate Compliance Committee N/A N/A P Board Executive Committee Board Facilities Committee Board Program & Finance Committee A P P P A P A P A Board QI & Credentialing Committee P P P P P P P P A Board Meeting P P P P P P P P P Recipient Rights Advisory Council P A P N/A P P N/A N/A N/A Board Ad HOC Committee P P P P P Board Work Session/Misc N/A N/A N/A N/A N/A P P P P 86%
10/2018 Board Folder P=Present; P*=Present by Phone; P** Visiting; A=Excused Absence; U=Unexcused Absence; n/a=No Meeting Held Page 42 of 92 10/2018 Board Folder Page 43 of 92 10/2018 Board Folder Page 44 of 92 10/2018 Board Folder Page 45 of 92 10/2018 Board Folder Page 46 of 92 10/2018 Board Folder Page 47 of 92 10/2018 Board Folder Page 48 of 92 10/2018 Board Folder Page 49 of 92 10/2018 Board Folder Page 50 of 92 10/2018 Board Folder Page 51 of 92 10/2018 Board Folder Page 52 of 92 10/2018 Board Folder Page 53 of 92 10/2018 Board Folder Page 54 of 92 10/2018 Board Folder Page 55 of 92 10/2018 Board Folder Page 56 of 92 10/2018 Board Folder Page 57 of 92 10/2018 Board Folder Page 58 of 92 10/2018 Board Folder Page 59 of 92 10/2018 Board Folder Page 60 of 92 10/2018 Board Folder Page 61 of 92 10/2018 Board Folder Page 62 of 92 10/2018 Board Folder Page 63 of 92 10/2018 Board Folder Page 64 of 92 10/2018 Board Folder Page 65 of 92 10/2018 Board Folder Page 66 of 92 From: Monique Francis
All,
As you the November general election is quickly approaching, now is the time to reach out to those candidates running for election in your area. We are asking for your help to educate/inform candidates about Michigan’s public mental health system. As you know, we created an infographic that gives candidates a 10,000 ft view point of the key pillars to our current system and necessary points to move it forward in the future. Obviously, this is not a complete list and only the beginning of the conversation, but as part of our lame duck and beyond strategy we thought it would be good to get something out describing some core concepts. This is something board members, staff, persons served, clubhouses, & advocates can all use – it can be printed, emailed or used on social media… This is also something you can send termed out members for lame duck – when and if changes come up.
Use this link to access the document:
https://www.dropbox.com/s/s9n37gikys6nfou/KeyPillars-FINAL.pdf?dl=0
Best ways to reach out to candidates would be local coffee hours (if current elected official), community forums, local fundraisers. Below is a link to a list of candidates running in November:
https://miboecfr.nictusa.com/election/candlist/2018GEN_CANDLIST.html
As you are aware many of the races were determined in the August primary, however, below are the top battle ground seats where either candidate could win in November according to Lansing insiders.
Feel free to reach out with questions and please let me know if you would like me to visit your board in the next month or two to discuss the election and potential lame duck issues.
Top 15 House Districts Most Likely to Flip:
1. 62nd District (R to D) -- *3 - In a northern Calhoun seat where U.S. Sen. Debbie STABENOW is at 51 percent, Democrat Jim HAADSMA is at 54 percent. That type of overperformance of the top of the ticket, particularly from a non-incumbent, is rare and it's hard to see how Republican Dave MORGAN is going to chip into that, particularly with Haadsma having about $20,000 more in bank.
2. 20th District (R to D) -- *2 - Republicans' numbers in this Plymouth-based district are lousy and with his ailing wife hospitalized, Rep. Jeff NOBLE (R-Plymouth) is not in a position to do what he needs to reverse the numbers.
Meanwhile, Democrat Matt KOLESZAR released his first 30-second spot today about how he blew $500
10/2018 Board Folder Page 67 of 92 on fixing his pothole-damaged car. The Republicans will do what they can to bail out their first-term incumbent, but Noble is in one heck of a hole.
3. 40th District (R to D) -- *1 - If Mari MANOOGIAN were in serious trouble, you would expect organized labor to help out the daughter of the former CEO of the utilities workers, George MANOOGIAN. Downtown Publications has backed her. U.S. Sen. Gary PETERS (D-Bloomfield Twp.) has shot a video for her.
David WOLKINSON is up with his first ad talking about how he received his law degree from the University of Michigan before he was 24. But with 55 percent of the district believing President Donald TRUMP is doing a poor job, all Republicans in this Birmingham-based district should be nervous.
4. 41st District (R to D) -- *4 - Reports from the field have Democrat Padma KUPPA targeting South Asian Republicans in this growingly diverse, Troy-based district, which Hillary CLINTON won two years ago. Doug TIETZ is working the Indian community and recognizing the multicultural feel of this district, as well, but Kuppa's nearly 4-to-1 cash-on-hand number and her stronger ground game gives her the advantage.
5. 61st District (R to D) -- *5 - With polling show Rep. Brandt IDEN (R-Oshtemo Twp.) down 52 to 43 percent, the chair of the House Regulatory Reform Committee must be feeling nervous. Part of the issue could be name ID. The Target Insyght survey showed that 48 percent say they've never heard of Iden before or have no opinion. Meanwhile, Trump is viewed negatively by 54 percent of voters in this Kalamazoo County District, which isn't good considering Iden was a Trump delegate two years ago.
Iden's high position on the "wined and dined" list won't help him, and neither will large numbers of Western Michigan University voters showing up Nov. 6.
6. 71st District (R to D) -- *7 - Outside polling is all over the place with Democrat Angela WITWER doing well in Democratic circles, although Republicans have Witwer making statements in support of raising the gas tax and banning semi-automatic weapons, which isn't going to play in rural Eaton County, where Christine BARNES is presumably strong.
Witwer's name ID after years in Eaton County and at the Waverly School Board is strong, but Barnes is knocking a lot of doors and is pushing her National Rifle Association (NRA) certification as a gun safety trainer hard.
7. 38th District (R to D) -- *10 - The math gets a bit harder for Democrats starting right about here. Rep. Kathy CRAWFORD (R-Novi) might not register well on a generic ballot test, but her name is so well known that she starts with an advantage, Trump numbers be damned.
It took Kelly BREEN 20 minutes to drive her daughter two miles to the doctor to treat an ear infection and she's talking about it in her new 30-second video. She needs to keep her fundraising numbers up to keep that ad on the air. Breen also needs Haley STEVENS to keep rocking and rolling in the 11th Congressional District.
8. 19th District (R to D) -- *8 - Nobody has a stronger social media presence than Laurie POHUTSKY and that's propelled her to a break-even point with Republican Brian MEAKIN based on polling shared with MIRS. If the "blue wave" is anything substantial, Pohutsky will be among the first ones to splash over the
10/2018 Board Folder Page 68 of 92 Republicans' breakwall.
9. 104th District (R to D) -- *9 - Dan O'NEIL has been campaigning for well over a year and he's got Rep. Larry INMAN (R-Traverse City) working hard. O'Neil has two campaign offices, plus several volunteer teams working all the time.
The base numbers don't look great for the Democrat, but if the building trades run a negative program on Inman for his role in repealing the state's prevailing wage, it may give the Traverse City attorney the push he needs.
10. 91th District (R to D) -- *13 - Trump's numbers aren't bad in Muskegon County and so Republicans like Greg VanWOERKOM start with a bit of an edge. In years past, the 91st was a necessity if Democrats had any hope to take the majority. This year, Democrats have nine better options.
The enthusiasm Dr. Rob DAVIDSON and Poppy SIAS-HERNANDEZ is ginning up only helps Tanya CABALA as the campaigns work together to get Democrats elected.
11. 99th District (R to D) -- *14 - The question is whether Kristen BROWN can get enough Central Michigan University students to more than make up for the support Rep. Roger HAUCK (R-Mt. Pleasant) is presumably going to get out of the Midland County horseshoe. The Democrats have been let down by the Chips several times before.
12. 98th District (R to D) -- *NR - The base numbers are wretched for Democrats up here, but the Glenn name was dragged through the mud most of 2018 and Sarah SCHULZ is running one of the best campaigns on the Democrat side this cycle. She's raising some money, received the Farm Bureau endorsement, has some volunteers and she's getting under Annette GLENN's skin.
13. 39th District (R to D) -- *6 - The criminal charges against Jennifer SUIDAN are coming and even if she is elected, the House won't seat her with embezzlement hanging over her head (See "Dem Candidate In 39th Accused Of Embezzling," 9/24/18). But the numbers here are very bad for Republicans. Stabenow is up 62 to 33 percent on Republican John JAMES so the R's will need to spend money to make sure Ryan BERMAN gets through without incident.
It doesn't appear a write-in candidate is an option.
14. 101st District (R to D) -- *12 - Jack O'MALLEY's name ID after 30 years on the radio is through the roof. Democrats are playing here because prior races were close and if Kathy WIEJACKZKA wasn't running against the voice of Northern Michigan, it probably would be close again.
15. 24th District (D to R) -- *NR - Yes, this is Macomb County and Rep. Steve MARINO (R-Harrison Twp.) survived a brutal 2016 campaign as a non-incumbent, but Laura WINN's campaign is worth looking at, as is the 8,088 votes she received in the primary.
Dropped Out:
110th District (D to R) -- *11 - Little money, little hope for Gregory MARKKANEN.
17th District (R to D) -- *15 - Referred in a New York Times article as having "Prom King"-like popularity,
10/2018 Board Folder Page 69 of 92 Rep. Joe BELLINO (R-Monroe) relates to folks in this blue-collar area that is likely more pro-Trump than Macomb County.
Top 10 Senate seats likely to flip:
1. 29th District -- *1 - If you assume 13 percent more Republicans will vote in this Kent County district than Democrats, the race between Rep. Winnie BRINKS (D-Grand Rapids) and Rep. Chris AFENDOULIS (R-Grand Rapids Twp.) is tied. Otherwise, look at this number: Target Insyght's poll on this district for MIRS and GCSI had Brinks up 60 to 14 percent among independents.
That's bad. Now, Republicans believe Afendoulis is cutting into the deficit, but with this district starting with only a 49 percent GOP base, the two-term House member has a steep climb ahead of him.
2. 13th District -- *2 - MIRS has Sen. Marty KNOLLENBERG (R-Troy) and Democrat Mallory McMORROW within the margin of error, which is likely due to the incumbent being better known than his challenger. Knollenberg's favorable/unfavorable number is underwater (24 percent/37 percent) and around 80 percent of the district didn't know McMorrow between the Sept. 11-14 polling period.
Meanwhile, Democrat Gretchen WHITMER is up on Bill SCHUETTE 52 to 36 percent in this district, which puts Knollenberg in a hole despite its 53 percent GOP base number.
3. 20th District -- *3 - Sen. Margaret O'BRIEN (R-Portage) is on a new hot-stove topic: Ending childhood marriages in Michigan. A local TV station put together a compelling report on the subject this week and O'Brien already has her bill request in. Once it's introduced, look for Senate Judiciary Committee Chair Rick JONES to hold a hearing on the bill, pronto. In terms of scoring strong earned media, O'Brien has knocked it out of the park this year.
Meanwhile, the numbers are still tough for O'Brien. In her old House district, Target Insyght has her essentially tied with Democrat Sean McCANN 47 and 46 percent with Libertarian Lorence WENKE at 6 percent.
4. 12th District -- *7 - President Donald TRUMP's name is dirt in Oakland County and the numbers are bearing that out. Rep. Mike MCCREADY (R-Birmingham) isn't going to flip many swing voters in Democratic-heavy Pontiac. He doesn't start with much of a political base, coming from the far southern part of the district, and Rosemary BAYER already has future Sens. Stephanie CHANG and Adam HOLLIER knocking doors with her.
That said, the moderate McCready, and the funds he brings to the table, shouldn't be underestimated.
5. 34th District -- *6 - Democrat Poppy SIAS-HERNANDEZ was described by one source as having the best grassroots organization of any state Senate candidate, either side of the aisle. Since the primary, her band of Bernie-crats have religiously knocked doors throughout this Muskegon-based district.
Meanwhile, Jon BUMSTEAD is standing with his motorcycle in his new 30-second TV ad, talking about lowering auto insurance rates and fixing Michigan's roads. Being on the air is good.
6. 38th District -- *4 - Rocker Ted NUGENT may not play well in other parts of the state, but he's still a
10/2018 Board Folder Page 70 of 92 celebrity in the Upper Peninsula. Bringing Mr. Cat Scratch Fever to Marquette for Republicans Ed McBROOM and Beau LAFAVE is a boost, any way you look at.
Rep. Scott DIANDA (D-Escanaba) still has the edge, coming from the swing 110th House District, particularly after he won the backing of the National Rifle Association (NRA), which more than erases any advantage McBroom earned with his Michigan Nursing Association endorsement.
7. 10th District -- *5 - The numbers for Democrat Henry YANEZ in Trump-loving Macomb County aren't what he wants them. Target Insyght's numbers for MIRS has newcomer Michael MacDONALD up 49 to 41 percent, but MacDonald is still underperforming other Republicans in this Sterling Heights district like longshot U.S. Senate candidate John JAMES, who is at 53 percent in the 10th.
Now that Democrats are up on the air with how an intoxicated MacDonald crashed into a motorcyclist during an early, early morning McDonald's run and the victim's family is crushing MacDonald on social media, the first-time candidate will likely see some erosion.
8. 24th District -- *9 - Democrat Kelly ROSSMAN-McKINNEY is seeing movement from her numerous TV campaign ads. She's not done spending and her allies aren't either. The AFL-CIO is doing labor walks for her, too, as the recent Target Insyght/MIRS poll in this district showed her up 38 to 20 percent among independents.
Republicans still don't believe she's for real. If they find polling that contradicts this, they feel a little bit of paid media spending that paints her as a Lansing lobbyist should finish her off.
9. 15th District -- *10 - In the 39th House District, which makes up at least a third of this district, Democrat Julia PULVER was up 52 to 36 percent on Republican Jim RUNESTAD, according to the Target Insyght/MIRS poll. Clearly, the numbers would be much different in the northern part of this Oakland County district, but it shows that the conservative Runestad is not a slam dunk.
10. 7th District -- *8 -- The extent of the "Blue Wave" will be tested in suburban Wayne County, where the 2018 Teacher of the Year, Dayna POLEHANKI is up against one of the most powerful members of the state House in Appropriations Committee Chair Laura COX.
* = Rankings from Aug. 22, 2018
Honorable Mention: 31st Senate District. If Democrat Cindy LUCZAK can make this close, the Democrats could make an appearance here, but Republican Kevin DALEY has done nothing but campaign up in this Bay County/Thumb district for the last two years, at least.
Alan Bolter Associate Director Community Mental Health Association of Michigan
Michigan Association of Community Mental Health Boards is now Community Mental Health Association of Michigan. 426 South Walnut Street, Lansing MI 48933
10/2018 Board Folder Page 71 of 92 Phone: (517) 374-6848 Fax: (517) 374-1053 cmham.org
From the Desk of: Monique Francis Executive Board, Committee Clerk, Conference Exhibit Coordinator Michigan Association of Community Mental Health Boards is now Community Mental Health Association of Michigan. 426 South Walnut Street, Lansing MI 48933 Phone: (517) 374-6848 Fax: (517) 374-1053 please note my new email address [email protected]
10/2018 Board Folder Page 72 of 92 Mental Health System
Michigan’s public mental health system is one of the most comprehensive and clinically advanced in the country. However, as healthcare continues to evolve, we must prioritize certain fundamental concepts to preserve and advance Michigan’s public mental health system.
Local governance, oversight, policy-making and Michigan’s mental health system public management. Keeping management at must have the ability to retain and the local level enhances cooperation with train competent staff across all levels: community partners like law enforcement, psychiatrists, nurses, socialssocial workers workers judges, public health and schools and direct care staff Addressing Social DeterminatesDeterminants
Addressing the Social DeterminatesDeterminants of Health – Funding must meet community services beyond “health care” – transportation, expectations and obligations. housing, employment, nutrition NO fundingunfunded mandates mandates
Ability to share health information, access A consistent set of standards and systems and continued development of clinical level of care across the state coordination at the provider/patient level: • Electronic Health Records between physical and behavioral healthcare • Locating mental health professionals in 10/2018 Board Folder primary care sites and vice versa Page 73 of 92
BOARD EXECUTIVE COMMITTEE Minutes of the Meeting October 4, 2018
Board Members Present: Melissa Callison (Chair), Jeffrey Peterson (Vice-Chair), Alan Ringenberg (Immediate Past Chair), Bruce Caswell (Secretary), Clifford Herl (Treasurer via telephone)
Staff Present: Maribeth Leonard (Chief Executive Officer), Karen Cascaddan (Governance Director)
The meeting commenced at 4:00 p.m.
1. Bond Request – status report Maribeth Leonard, Chief Executive Officer (CEO), provided an update on the status of the Capital Projects bond request. • The full membership of the Jackson Board of County Commissioners voted to approve the bond proposal request at its September 18 meeting. • We are currently in the 45-day waiting period. • We are working with bond counsel to correlate payments with the depreciation schedule we are allowed by Medicaid. • The County Commission has one more Resolution to sign, after which the LifeWays Board will have a Resolution to sign, authorizing Maribeth Leonard to sign the documents. • Bond counsel is preparing the bond documents for release December 20, 2018.
2. Appointment of Ad Hoc Committee • It was requested that during the Chair’s Report in the October Business Meeting that Chairperson Callison appoint an Ad Hoc Committee for the review of the Governance Policies & Procedures. • Any revisions will need to go to membership in November and the approval will be through the Quality Improvement & Credentialing Committee and full Board in December. • Chair Callison will appoint a committee comprised of one Hillsdale County Board member and two Jackson County Board members.
3. Resolution Against Legalization of Marijuana • Ms. Leonard noted that member Rice provided her with a copy of the Resolution approved by the Jackson Board of County Commissioners. • This Resolution has been slightly modified to pertain to LifeWays. Once approved, Commissioner Rice has asked that LifeWays submit it with a press release. • This will appear under the New Business section of the October Business Meeting agenda.
10/2018 Board Folder Page 74 of 92 BOARD EXECUTIVE COMMITTEE Minutes of the Meeting October 4, 2018 Page 2
4. Board Member Attendance Monthly Report • This report was distributed for the committee’s reference. • A copy will be included in the October Board folder. • The report is submitted to the County quarterly.
5. Audit of Board-Approved Expenses • This report was distributed for the committee’s reference. • A copy will be included in the October Board folder.
6. Other
A. Confirmation of attendance to the Community Mental Health Association of Michigan (CMHA) Fall Conference – October 22-23 – Traverse City • Those Board members who have confirmed their attendance: Edward Woods, Melissa Callison, Jim Shotwell, Sr., Carl Rice, Jr., John Clark. • Those members who have notified their regrets: Clifford Herl, Ruth Brown, Bruce Caswell, Jeffrey Peterson. B. Attendance to the National Council Conference (NatCon) - March 25-27, 2019 – Gaylord Opryland in Nashville • Those Board members who will be offered registration to attend: Edward Woods, Melissa Callison, Jeffrey Peterson, John Clark, Bruce Caswell, and Ruth Brown. • Should a member be unable to attend, the position will be offered to another Board member. • Six members were budgeted to attend.
There being no further matters for discussion, the meeting adjourned at 4:29 p.m.
10/2018 Board Folder Page 75 of 92 Internal Audit of Board-Approved Expenditures Fiscal Year 2018
DATE BOARD APPROVAL (MOTION) AMOUNT AMOUNT APPROVED SPENT/NOTES
9/19/18 Approval of Out of State Travel for Julia $2,845.00 Will be Grescowle, Prevention and Wellness Coordinator, reported in to Attend Critical Incident & Stress Management February Training, December 6-8, 2018 in San Diego, CA for 2019 an estimated Amount of $2,845.00 to include Registration, Transportation, Lodging and Meals 9/19/18 Approval of Out of State Travel for Maribeth $2,838.00 Will be Leonard, Chief Executive Officer, to Attend Health reported in Management Association’s (HMA) Annual November Medicaid Conference September 29 – October 2, 2018 2018 in Chicago, Il for an estimated amount of $2,838.00 to include Registration, Transportation, Lodging and Meals 9/19/18 Approval of Renewal of Contribution for Michigan $37,498.00 Municipal Risk Management Authority Participation for Liability Coverage from October 1, 2018 to October 1, 2019 in the Amount of $37,498.00 9/19/18 Approval of Out of State Travel for Julia Grescowle, $8,500.00 Will be Prevention & Wellness Coordinator, and Ella reported in Hephzibah, Prevention & Wellness Specialist, to December Attend the Youth Mental Health First Aid Train the 2018 Trainer, October 29-31, 2018 in Minneapolis, MN for an estimated Amount of $8,500.00 to include Registration, Transportation, Lodging and Meals. 9/19/18 Approval of Out of State Travel for Julia $3,856.00 Will be Grescowle, Prevention & Wellness Coordinator, reported in and Ella Hephzibah, Prevention & Wellness November Specialist, to Attend the safeTALK Training for the 2018 Trainer, September 17-18, 2018 in Burlington, Ontario for an Estimated Amount of $3,856.00 to Include Registration, Transportation, Lodging and Meals 8/15/18 Approval of Emergency Generator Project and $154,287.00 Transmit to County of Jackson as a Request for Payment in an Amount Not to Exceed $154,287.00
10/2018 Board Folder Page 76 of 92 DATE BOARD APPROVAL (MOTION) AMOUNT AMOUNT APPROVED SPENT/NOTES 8/15/18 Approval to Accept R. W. Mercer Co. Final Draw $196,850.01 $196,850.01 in the Amount of $196,850.01 and Transmit to County of Jackson as a Request for Payment 7/18/18 Approval to Accept NuWave Technology Partners $17,164.50 $17,164.50 Quote # 2600 in the Amount of $17,164.50 and Transmit to County of Jackson as a Request for Payment 6/20/18 Approval to Lease-Purchase Three (3) Vehicles for Consumer Transport and Community Services 6/20/18 Approval of Expenditure of $13,500.00 for Merit $13,500.00 Pd. $6,750.00 Network to Conduct LifeWays Security 9/26/18 Assessment 6/20/18 Approval to Accept RW Mercer Co. Invoice $75,918.82 $75,918.82 #333658 | Draw #2 in the Amount of $75,918.82 and Transmit to County of Jackson as a Request for Payment 5/16/18 Approval of Out-of-State Travel for Edward Woods, $1,925.00 $1,743.12 Board Member, to attend the National Council for (under by Behavioral Health Spring Board Retreat and $181.88) Association/State Meetings, June 4-6, 2018 in Alexandria, VA for an Estimated Amount of $1,925.00 to Include Transportation, Lodging and Meals 5/16/18 Approval for Out-of-State Travel for Nikki Thomsen, $3,378.00 $3,245.64 Human Resources Supervisor, to Attend the Society (under by for Human Resource Management (SHRM) $132.36) Conference and Exposition, June 17-20, 2018 in Chicago, IL for an Estimated Amount of $3,378.00 to Include Registration, Transportation, Lodging and Meals 3/21/18 Approval of Out-of-State Travel for Melissa Ladd- $10,423.60 $6,117.07 Patnode, Central Michigan 2-1-1 Supervisor; Hunter (under by Alpert, Quality Associate Specialist; Terrina Liogghio, $4,306.53; only Resource Specialist; and Emmarie Truman, three staff Information & Referral Specialist, to Attend the 40th went instead of Annual Information and Referral Training and four, which Education Conference, June 3-6, 2018 in Dallas, TX for lowered the an Estimated Amount of $10,423.60 to Include cost) Registration, Transportation, Lodging and Meals 3/21/18 Approval of Out-of-State Travel for Faylawnda $705.50 $744.00 Truman, Administrative Assistant I, to Attend Business (over budget Writing and Grammar Skills, May 29-30, 2018 in $38.50) Chicago, IL for an Estimated Amount of $705.50 to Include Registration, Transportation, Lodging and Meals 3/21/18 Approval for Out-of-State Travel for Ella Hepzibah, $3,448.00 $3,478.63 Project Manager; Alexis Shapiro, Electronic Medical
10/2018 Board Folder Page 77 of 92 DATE BOARD APPROVAL (MOTION) AMOUNT AMOUNT APPROVED SPENT/NOTES Record (EMR) Administrator; Traci Fowler, Supervisor (over budget of Medical Services; and Wendy Painter, Health $30.63) Integration Manager, to Attend the Substance Abuse and Mental Health Services Administration (SAMHSA) Primary and Behavioral Health Care Integration (PBHCI) Midwest Regional Meeting, April 12-13, 2018 in Chicago, IL for an Estimated Amount of $3,448.00 to Include Transportation, Lodging and Meals 11/15/17 Approval of Out-of-State Travel for Maribeth Leonard, $10,857.00 $9,217.60 Chief Executive Officer; Shannan Clevenger, Chief (under budget Operations Officer; and Gina Costa, Chief Clinical $691.15) Officer, to Attend the National Council for Behavioral Health Annual Conference, April 21-26, 2018 in National Harbor, MD for an Estimated Amount of $10,857.00 to Include Registration, Transportation, Lodging and Meals 11/15/17 Approval of Out-of-State Travel for Edward Woods, $3,619.00 $3,340.99 Board Member, to Attend the National Council for (under budget Behavioral Health Annual Conference and Spring $278.01) Board Retreat, April 21-26, 2018 in National Harbor, MD for an Estimated Amount of $3,619.00 to Include Registration, Transportation, Lodging and Meals 11/15/17 Approval of Revised Out-of-State Travel Estimation $10,857.00 $9,260.80 and Addition of Names of Board Members Attending (under budget the National Council for Behavioral Health Annual $1,596.20) Conference, April 21-26, 2018 in National Harbor, MD for an Estimated Amount of $10,857.00 to Include Registration, Transportation, Lodging and Meals for Melissa Callison, Board Vice Chair; Daniel Mahoney, Board Member; and Carl Rice, Jr., Board Member 10/18/17 Approval of Out-of-State Travel for Three Board $7,659.00 N/A – please Members (To Be Determined) to Attend the National see revised Council for Behavioral Health Annual Conference, item directly April 21-26, 2018 in National Harbor, MD for an above Estimated Amount of $7,659.00 to Include Registration, Transportation, Lodging and Meals
10/2018 Board Folder Page 78 of 92 10/2018 Board Folder Page 79 of 92
Mid-State Health Network October 2018 Newsletter
From the CEO's Desk Joseph Sedlock Chief Executive Officer
I have provided information to the MSHN Board of Directors via my written reports over the past several months on the Federal, State and Regional responses to the opioid epidemic. This article will attempt to focus more on the State level. Dr. Debra Pinals, the Medical Director for the MDHHS Behavioral Health and Forensic Programs, gave an excellent presentation on this topic at the Statewide Substance Use Disorder Conference on September 18, 2018. Much of the content for this article is drawn from her presentation.
The number of opioid deaths increased 174% between 2011 and 2016 (the most recent date for which data is available). This roughly equates to the death of nearly five people per day in our State. In 2016 there were 32,473 people in SUD treatment for opioids or heroin.
The State of Michigan, and MSHN, is using a three-pronged approach to the opioid crisis.
The first tier focuses on Prevention, including promoting awareness and reduction of demand (the state is also addressing reduction in supply). Some of the activities associated with prevention activities include efforts to reduce opioid prescriptions, increasing drug "take back" programs and multimedia campaigns.
The second tier is Early Intervention, which includes identifying co-occurring conditions and risk of addiction and overdose. Some of the activities associated with early intervention are programs aimed at increasing coping skills, monitoring and adjusting prescription dosing, care coordination and collaboration and increasing programs for screening, brief intervention and referral to treatment (primarily in primary care settings).
The third tier is Treatment, including increased treatment services and emergency services. Some of the activities included in this tier include expanded access to medication-assisted treatment (MAT), increased availability of overdose rescue services (including Naloxone), and expanded recovery support services.
In 2017, Medicaid funded $58M on substance use disorder services; in 2017, that figure was about $80M, about half of which was spent to treat opioid related addictions.
There are many interdepartmental initiatives at the State level to coordinate the response of the State. Monthly coordination occurs between all administrations at MDHHS and the Michigan State Police, Department of Licensing and Regulatory Affairs, the Governor's Office and others.
10/2018 Board Folder Page 80 of 92
Mid-State Health Network is involved in every tier of the state plan to address the opioid epidemic. We have partnered with MDHHS and with a large number of providers in our region to ensure that our citizens have access to the prevention, early intervention and treatment services they need. We have instituted a very robust Naloxone distribution system in our region, which is managed by MSHN staff. We have committed millions of dollars to ensuring that our system is responsive and responsible.
One accomplishment worthy of special mention is the establishment of a MAT-inclusive policy under the leadership of MSHN Chief Clinical Officer Dr. Dani Meier, which has now been adopted statewide. Medication-Assisted Treatment (MAT) is a standard of care that is broadly recognized as an essential pillar in any comprehensive approach to the national opioid addiction and overdose epidemic. This policy, now an MDHHS contract requirement, seeks to ensure that no consumer is denied access to or pressured to reject the full service array of evidence-based and potentially life-saving treatment options, including MAT, that are determined to be medically necessary for the individualized needs of that consumer. If a provider does not have capacity to work with a person receiving MAT, either because of their abstinence-based philosophy or some other issue, the provider is required to work with the consumer to participate in treatment at another provider that can provide ancillary services (counseling, case management, recovery supports, recovery housing) while the client pursues his or her chosen recovery pathway.
In the last two years, MSHN has doubled the number of MAT treatment provider sites in the MSHN region.
Please visit the State's "Stop Overdoses" website at www.michigan.gov/stopoverdoses for more information and resources.
Please contact Joe with questions or concerns related to the above information and/or MSHN Administration at [email protected].
Organizational Updates Amanda Horgan Deputy Director
FY19 Performance Bonus Joint Metrics for the Integration of Behavioral Health and Physical Health Services In an effort to ensure collaboration and integration between Medicaid Health Plans (MHPs) and Pre-paid Inpatient Health Plans (PIHPs), the Michigan Department of Health and Human Services (MDHHS) developed the following joint expectations for both entities.
1. Implementation of Joint Care Management Processes: MSHN continues to meet monthly with the MHPs to develop care plans for those identified in the joint risk stratification. 2. Follow-Up After Hospitalization for Mental Illness within 30 Days: MSHN has been monitoring this measure for a few years and continues to demonstrate high performance.
10/2018 Board Folder Page 81 of 92 3. Plan All-Cause Readmission (PRC): MSHN identified this measure as a priority in 2016 and began initiatives for performance improvement. In FY19, MDHHS is including this measure only as a review and validation of data. MSHN will work with MDHHS to identify any discrepancies. 4. Follow-Up After Emergency Department Visit for Alcohol and Other Drug Dependence: This measure is also informational for FY19. Validation of this measure will continue throughout FY19. In addition, MSHN is developing an action plan to collaborate with the hospitals for identification and to assure reporting of encounters occur as part of the follow- up.
Welcome to MSHN's Newest Team Member MSHN is pleased to announce that we have filled the roll of Quality Manager. Sandy Gettel started on August 20, 2018, and brings years of experience, having previously worked at Bay Arenac Behavioral Health. Please join us in welcoming Sandy to the MSHN team!
New Contractual Positions MSHN recently announced and is seeking to fill (3) three contractual positions due to increased requirements related to state allotted substance use disorder (SUD) grant funds. The grant funds, approved by MSHN's Board of Directors in September, provide funding and require a designated lead to ensure monitoring and use of appropriate allocations. If the positions can't be filled contractually, we will consider employing directly. Qualified candidates should send their letter of interest and resume to [email protected].
• Global Assessment of Individual Need (GAIN) Implementation Coordinator: The coordinator will be responsible for implementation of the GAIN regional workplan, including coordination and communication between the State of Michigan's Office of Recovery Oriented Systems of Care (OROSC), MSHN and the Substance Use Disorder provider network, and serve as the front-line GAIN local trainer for MSHN providers. The coordinator will provide ongoing monitoring of GAIN training, implementation and fidelity checks, development of budgets and timelines associated with GAIN trainings, as well as recruit and support cadre of local trainers and serve as the GAIN point of contact for the MSHN region. • Grant Coordinator: The coordinator will be responsible for implementation of grant objectives through project management of designated MSHN grants. In collaboration with subcontractors, the coordinator will ensure compliance with regulatory, funding and policy requirements, and will support the preparation, design and monitoring of new MSHN grants. • State Opioid Response (SOR) Coordinator: The coordinator will be responsible for implementation of the SOR grant objectives through project management of MSHN SOR prevention and treatment subcontracts, to ensure compliance with regulatory, funding and policy requirements of the SOR grants.
Please contact Amanda with questions or concerns related to MSHN organization and/or the above information at [email protected].
10/2018 Board Folder Page 82 of 92 Information Technology Forest Goodrich Chief Information Officer
We are finishing up fiscal year 2018 data submissions to the Michigan Department of Health and Human Services (MDHHS), and are in good standing with volume and timeliness of reporting.
Technology changes that we have been working on and are in place for fiscal y ear 2019 are:
1. BH-TEDS (Behavioral Health Treatment Episode Data Set)revisions in REMI (MSHN's Managed Care Information System); 2. A gambling disorder screening and assessment process for SUD Providers; 3. Performance indicator aggregation and reporting in REMI; 4. An audit module tool for site reviews in REMI
Coming Soon:
1. Enhancements to our website, including mobile view and machine-readable versions; 2. Dynamic reporting for manager and teams using Power BI (Microsoft business intelligence reporting tool, designed to simplify querying and graphing large datasets).
Please contact Forest with questions or concerns related to MSHN Information Technology and/or the above information at [email protected].
Finance Leslie Thomas Chief Financial Officer
Roslund Prestage & Company (RPC) completed MSHN's Compliance examination in August 2018. The report was due to the State of Michigan Treasury division on June 30th, 2018. The completion of MSHN's Compliance examination is contingent on final versions being submitted by the Community Mental Health Service Program (CMHSP) participants. One CMHSP submitted their report to MSHN in August 2018 which resulted in MSHN not meeting the original due date. Requests for extensions were approved by the State.
MSHN's internal finance team continues its sub-recipient monitoring through the site visit process for any provider rendering Substance Use Disorder (SUD) services. The monitoring includes enhanced oversight of fiscal policies, procedures, and business practices.
MSHN has been awarded numerous block grants for Fiscal Year 2019 from the Michigan Department of Health and Human Services (MDHHS). Most of the block grant funds are targeted to address the Opioid crisis.
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Finance staff continue its efforts with REMI, MSHN's Managed Care Information System (MCIS), which went live on February 1, 2018. These efforts include participation in team meetings as well as providing technical assistance to SUD contractors and internal staff. Finance staff will participate in future provider training including demonstrations during quarterly SUD provider meetings as well as developing supplemental help documentation.
MDHHS has increased Medicaid and Healthy MI funding for Fiscal Year 2019 by more than $13.3 million net of taxes. MSHN projects a significant portion of the increase will be used as savings to cover regional Healthy MI cost overruns. MSHN will also continue its regional analysis to identify factors impacting Healthy MI expenses. Our overall goal is to ensure consumers receive medically necessary services in the most fiscally responsible way.
Please contact Leslie with questions or concerns related to MSHN Finance and/or the above information at [email protected].
Behavioral Health Dr. Todd Lewicki, PhD, LMSW Chief Behavioral Health Officer
Autism Benefit Fiscal Year 2018 Activity Mid-State Health Network's (MSHN) autism benefit enrollment numbers continue to climb at a steady rate, increasing to 1,178 in September 2018, a 5.7% increase over the previous quarter (June 2018=1,115). For fiscal year (FY) 2018, there was an overall 24% increase in enrollments, starting the year at 953 enrollments and ending at 1,178. The continued increase is despite disenrollments in each month. The most common reasons for disenrollment continue to be "Not Interested" or "Voluntary Disenrollment," comprising 51% of all disenrollments between the two categories. Overall, there was an average of 33 disenrollments per month and a median of 30, indicating greater stability in disenrollments from month to month.
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Weekly, applied behavioral analysis (ABA) hours dropped down to 15.2 hours per week after a summer surge when school was not in session. MSHN Community Mental Health Services Programs (CMSHPs) and providers went to great lengths to increase treatment intensity when medically necessary over the summer months to ensure that ABA was not being used to supplant educational supports. MSHN has worked hard to execute ABA contracts with six providers new to the region this quarter, bringing the total regional ABA provider network to forty (40) executed contracts. The age of individuals served in the region has increased above 9 years for the first time since the benefit expansion in 2016. While this may be an indication of the stabilization of the benefit population, only 2% (7) have aged off of the autism benefit for FY18. MSHN also provided multiple trainings to their CMHSP and contract partners this quarter with exceptional attendance and participation, including: Quality Behavioral Solutions, PEAK Relational Training System, Essential Life Skills, and Family Guidance Trainings.
Home and Community-Based Services Rule Transition Efforts Continue Mid-State Health Network (MSHN) continues to work on the three major areas (C-Waiver, B3- Waiver, and provisional approval requests) relating to the Home and Community-Based Services (HCBS) Rule transition. The Michigan Department of Health and Human Service (MDHHS) recently submitted a letter to clarify the timeline to assuring compliance with the HCBS Rule. MDHHS intends to keep the original March 17, 2019 date for most HCBS settings despite the Centers for Medicare and Medicaid Services (CMS) issuing a due date of March 17, 2022. However, in its commitment to ensuring full compliance, MDHHS will allow providers a reasonable period of time to remediate identified issues provided the corrective action plan is underway before March 17, 2019. Without HCBS Rule compliance, providers cannot continue to accept Medicaid funds for services. Current MSHN efforts relating to compliance of all providers includes:
• Continuing to assess residential and non-residential settings for compliance; • Implementing remedial strategy for non-compliant settings; • Identifying settings that will require Heightened Scrutiny; • Collecting evidence from settings that meet Heightened Scrutiny; • Reviewing and submitting evidence for Heightened Scrutiny to CMS for review; • Notifying settings of the CMS Heightened Scrutiny decision; • Transitioning individuals from settings that cannot meet the federal HCBS requirement to compliant settings; and
10/2018 Board Folder Page 85 of 92 • Conducting ongoing monitoring of residential and non-residential settings for compliance.
MSHN is continuing to work through the remediation evidence of 448 C-waiver corrective plans, 943 B3-Waiver cases, and 30-40 provisional approval requests. Each of these represents one person and a provider, creating a complex and individualized need to assure each person's right to autonomy, freedom, and inclusion, and is consistent with the HCBS Rule. This task continues to require the effort of many MSHN, CMHSP, provider staff as well as stakeholders in moving toward full compliance.
Please address questions or concerns related to Behavioral Health or the above information to Todd at [email protected].
Utilization Management Skye Pletcher, LPC, CAADC Director of Utilization and Care Management
Population Health & Integrated Care The topic of integration of physical and behavioral health services remains at the center of almost any conversation about healthcare; certainly here in Michigan as well as nationwide. As an organization, MSHN has demonstrated considerable foresight and leadership in our implementation of population health and integrated care strategies over the last few years. Recently, the PIHP (Prepaid Inpatient Health Plan)/MHP (Medicaid Health Plan) statewide workgroup finalized a protocol to ensure that persons with a diagnosis of schizophrenia or bipolar disorder who are prescribed an antipsychotic medication receive a diabetes screening at least once during the calendar year. MSHN has long recognized the importance of this particular health issue for our population and had clinical protocols and tracking mechanisms in place to support this measure prior to it becoming a contractual performance requirement. As a result of targeted efforts in this area, our region surpassed the state performance target during FY17 and continues to trend upward.
Next steps for MSHN in the area of population health and integrated care include:
• Continued monthly coordination with the MHPs for highest risk members; • Collaboration with Dr. Alavi (MSHN's Medical Director) and regional medical directors to develop additional clinical protocols to support population health performance measures; and • Evaluating integrated care strategies for individuals with substance use disorders such as increasing the use of physical health data by SUD treatment providers.
Please address questions or concerns related to MSHN Utilization Management or the above information to Skye at [email protected].
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Treatment & Prevention Dr. Dani Meier, PhD, MSW Chief Clinical Officer
Tackling a Hidden Addiction: Gambling Disorder Michigan has over a half century's experience of substance use disorder (SUD) prevention and treatment programming, but awareness and interventions for behavioral addictions like gambling are less developed. Pathological gambling was first added to the Diagnostic Statistical Manual (DSM-III) in 1980 as an anxiety-related compulsive disorder. Over 20 years of research into the neuroscience of addiction, however, led to 2013's DSM-V reclassifying "gambling disorder" (GD) as an addictive disorder.
Data is limited regarding GD prevalence in Michigan, but research tells us that gambling disorder is often co-occurring with other behavioral issues including substance use disorders, depression, anxiety and PTSD. This research indicates a strong need to identify individuals in substance abuse and mental health treatment who have gambling problems, and to provide them with appropriate interventions. Of all addictions, gambling addiction has the highest rate of suicide. There is growing consensus that disordered gambling is an issue that requires more awareness, training and intervention.
In response to this growing concern about gambling addiction and a Michigan Department of Health and Human Services (MDHHS) Request for Proposal (RFP) released in July, MSHN responded with an initiative for FY19 in which we examine prevalence of gambling disorder with those currently in SUD treatment, as well as prevalence in youth going through SUD prevention activities. The data generated by this investigative work will inform GD prevention and treatment programming in 2020 and beyond, not just in our SUD provider network, but expanding eventually to our Community Mental Health Service Program (CMHSP) provider network as well. MSHN is partnering with a Wayne State University GD content expert for data analysis and strategic planning for FY20 and beyond.
Please contact Dani with questions or concerns related to MSHN Clinical Operations and/or the above information at [email protected].
Provider Network Carolyn T. Watters, MA Director of Provider Network Management Systems
Regional Autism Operations: Compliance, Performance Improvement & Standardization Over the past year, Community Mental Health Service Programs (CMHSPs) have expanded autism service capacity to meet the growing needs of the consumers and communities it serves. While CMHSPs have been successful in increasing BHT/ABA provider capacity, it is clear that some
10/2018 Board Folder Page 87 of 92 quality issues remain, particularly around timeliness of start of services, staff credentialing, and service documentation supported by the consumers plan of service.
The MSHN Operations Council has created an ad hoc, temporary, Regional Autism Operations Workgroup to address standardization, across the MSHN region, including provider network procurement/contracting, provider performance monitoring and performance improvement, and staff credentialing. The Workgroup is expected to make recommendations to improve the effectiveness and efficiency of autism services across the region as well as:
• Identify best practices for Autism service delivery; • Develop a single set of Autism provider performance standards; • Develop a single, regional Autism provider performance monitoring (site review) template (inclusive of recipient rights review standards/criteria); • Develop a single Autism provider contract template to be used for all subcontracted Autism providers; • Develop any necessary recommended policies, procedures, forms, templates or other tools necessary to achieve regional consistency and standardization of operations; • Coordinate with any MDHHS efforts related to reduced administrative cost in the Autism program; • Identify current issues and recommend solutions to Operations Council to reduce administrative burden of Autism service responsibilities, resulting in advocacy efforts at the department level; and • As appropriate, review related state and federal policy/contract language and recommend regional response to Operations Council for public comment;
The workgroup, made up of 12 CMHSP participant staff and 2 MSHN staff representing autism service delivery, provider contracting, and provider monitoring, is expected to achieve its goals in time for fiscal year 2020 contracting.
Please contact Carolyn with questions or concerns related to MSHN Provider Network Management, and/or the above information, at [email protected].
Quality, Compliance & Customer Service Kim Zimmerman Director of Quality, Compliance and Customer Service
External Quality Reviews The Centers for Medicare & Medicaid Services (CMS) requires Michigan Department of Health and Human Services (MDHHS), through their contracts with Prepaid Inpatient Health Plans (PIHPs), measure and report on performance to assess the quality and appropriateness of care and services provided to members. There are three mandatory external quality reviews completed under contract by the Health Services Advisory Group (HSAG).
Validation of Performance Measures:
10/2018 Board Folder Page 88 of 92 One of the reviews is the Validation of Performance Measures (PMV) and this assesses the accuracy of performance indicators reported by PIHPs and determines the extent to which performance indicators reported by the PIHPs follow state specifications and reporting requirements.
The PMV site review looks at performance indicators, assessed through a review of information systems capabilities assessment tool (ISCAT), source code (programming language), performance indicator reports, supporting documentation and evaluation of system compliance. The review also looks at data integration, data control, performance indicator primary source verification, denominator validation findings and numerator validation findings.
Findings for FY18:
MSHN received 100% compliance in all areas reviewed.
Performance Improvement Project: Another external quality review that is completed is the Performance Improvement Project (PIP). MDHHS requires that the PIHP conduct and submit performance improvement projects annually to meet the requirements of the Balanced Budget Act of 1997 (BBA), Public Law 105-33. According to the BBA, the quality of health care delivered to Medicaid enrollees in PIHPs must be tracked, analyzed, and reported annually. PIPs provide a structured method of assessing and improving the processes, and thereby the outcomes, of care for the population that a PIHP serves.
For this year's 2017-2018 validation, MSHN chose: Patients with Schizophrenia and Diabetes Who Had an HbA1c and LDL-C Test.
This is a HEDIS Measure and a measure that can be coordinated among the members primary care physician and health plans.
MSHN was evaluated by HSAG for year one and received an overall Met validation status with Met scores for 100 percent of critical evaluation elements and 100 percent overall for evaluation elements across all activities completed and validated.
Compliance Monitoring Review The third external quality review is the Compliance Monitoring review. According to federal requirements located within the Code of Federal Regulations (CFR), 42 CFR §438.358, the state, its agent that is not a Medicaid prepaid inpatient health plan (PIHP), or an external quality review organization (EQRO) must conduct a review to determine a Medicaid PIHP's compliance with the standards set forth in 42 CFR §438-Managed Care Subpart D and the quality assessment and performance improvement requirements described in 42 CFR §438.330.
10/2018 Board Folder Page 89 of 92 HSAG evaluated the degree to which MSHN complied with federal Medicaid managed care regulations and the associated MDHHS contract requirements in the following eight performance categories:
Summary of 2017-2018 Compliance Monitoring Review Results:
MSHN received an overall score of 93% in full compliance, meeting 174 out of 187 elements.
Please contact Kim with questions or concerns related to MSHN Quality, Compliance or Customer Service at [email protected].
Mid-State Health Network (MSHN) exists to ensure access to high-quality, locally-delivered, effective and accountable public behavioral health and substance use disorder services provided by its participating members.
10/2018 Board Folder Page 90 of 92 Size 236 shoe sculpted to honor century-old business Updated Sep 19; Posted Sep 19 Gallery: "Size 236" shoe sculpture unveiled at Ella Sharp Museum
By Taylor DesOrmeau [email protected] JACKSON, MI - An old pair of women's boots fascinated Bob LaZebnik on a regular stop to the Miller Shoe Parlor. The early 20th-century kidskin leather boots weren't for sale, they were propped up as a reminder of the early days of the store - which opened around 1912 or 1913, owner James "Steve" Shotwell Jr. said. Entranced with how skinny the heels of the boots were and the history they represented, LaZebnik, 89, wanted it to be seen by more of Jackson. A 7-foot sculpture replicating the boot that now stands in front of the Ella Sharp Museum, 3225 Fourth St., accomplishes that, thanks to funding from LaZebnik. It was unveiled at a ceremony on Tuesday, Sept. 18. "Bob got his first pair of high-top shoes, there," his wife, Laurice said. "His parents bought shoes for all the kids, there. It's still the place if you want a really good pair of shoes, you go there. Because they know how to fit you." The boots have been on display in the store nearly three decades, Shotwell said. They were found in the house of his grandfather, J.C. "Shotty" Shotwell, after his death. The elder Shotwell bought Miller Shoe Parlor in 1959 and four generations of the family have worked in the store. It moved to its current location at 103 W. Michigan Ave. from across the street in 1976. "We've got people who show up from 150, 200 miles away," retired owner Jim Shotwell Sr. said. "They tell us that they drove that far because we're the only store that had anywhere near their size." It took artist Joshua Diedrich four months to build the 1,200-pound concrete sculpture. The exterior is plasticized black concrete, with the inside crafted from Styrofoam, steel poles, fiberglass and more concrete, he said.
10/2018 Board Folder Page 91 of 92 While the original boot was a size 6.5A, Die drich estimates the sculpture to be a shoe size 236. "I just looked at the sizing chart and figured out my best estimate," Diedrich said. "I attempted to make it a decent guess." Based on advertisements in the Brooklyn Exponent and Jackson Citizen - before it became part of the Jackson Citizen Patriot - Shotwell Jr. said the boots retailed between $2.85 and $3.25. "Art takes the hard edge off our life," Laurice LaZebnik said. "I think people are going to come here to get their picture taken by it. I think they're going to be married by it or engaged by it or (have their) first kiss by the boot." Next on Bob LaZebnik's to-do list is to get a giant cello steel sculpture - which formerly stood in front of the Jackson Symphony Orchestra - to Ella Sharp Museum, he said.
People listen as Steve Shotwell speaks after "Size 236" by Michigan sculptor Joshua Diedrich is unveiled at the Ella Sharp Museum of Art and History on Tuesday morning, Sept. 18, 2018. At seven feet tall and 1,200 pounds, the concrete sculpture is of a 19th century shoe from Miller Shoe Parlor in downtown Jackson. The sculpture was made possible with a donation by Bob Lazebnik. (J. Scott Park | MLive.com)
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