Meeting Minutes MHCA Board of Director’s Meeting March 24, 2010

TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP Call to Order/Approvals  Penny called the meeting to order at 9:50 a.m.  Motion to approve last meeting’s minutes made by Jeanette, seconded by Jeri, motion passed.  Motion to approve this meeting’s agenda made by Denise, seconded by Lynn, motion passed. Icebreaker Led by Neil. All participated with enthusiasm! Consultant Update – Pat Pat provided an update regarding her responsibilities Jump  Acts as staff liaison to the following committees/teams: Medicare Team, Clinical Quality Team, ASL Council, Private Duty Team.  Participant on Outcomes Excellence Steering Committee and MHCA staff meetings, and represents MHCA on the following external committees: MN Department of Health, HEIP, long term care committee through MDH.  Answers MHCA member questions by phone and e-mail – responded to 250 questions in 2010  Writes OASIS tips of the week for distribution to members, does Nursing Blog entries on MHCA website, writes monthly newsletter articles and weekly e-alerts for members.  Clinical quality team mentorship program: mentored 3 members with a focus on The Clinical Quality Team has falls prevention last year and the focus this year is on medications. provided resources for members on Pat shared opportunities that she sees for MHCA the MHCA web site, including:  Orientation to home care training – she receives many requests for this  Letter for outpatient therapy clinics  Coaching new employees without home care training, specifically at the DON  Letter for physicians related to level OASIS-C changes that may affect  Formal start-up programming for new agencies – could this be done through them MHCA with the goal of retaining them as members? Pat shared hurdles for the home care industry  Potential for home care to lose business to hospitals/clinics if we don’t become more proactive (examples: telehealth utilization and medical home concept)  Health care reform impact

1 TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP MHCA Technology Goal: bring relevant IT information to home care agencies. Robin presented the Group/Grant Funding project update and explained Agosto’s role. Presentation –  2009 technology survey to members to help define needs. Result: a single, Robin Carlton and central location for relevant technology information, education, collaboration tools Rick Erickson and resources.  Phase 1 – awarded $5000 from the Blandin Foundation on 2/16/10. Report due by 10/1/10. Deliverable: establish steering committee using ITSC practice standards that supports tactical and strategic priorities of MHCA.  Formed a steering committee which will define advisory groups for each area of focus. Advisory groups will be made up of vendors, members and business partners. First two meetings are scheduled for March/April.  Agosto’s role is to help facilitate the process, to align business objectives with technology objectives and to formulate a process to assure long-term success.  The existing MHCA website will be used – the technology resource tab will be expanded. Hope to build a repository for tools and information – will not be providing the content, which would need to be updated. Review of Financial Current financial statements reviewed (through February 2010) Statements  Account 3100-Office lease: under budget due to invoice payment timing  Account 3110-employee benefits: should be less this year than last year  Account 3070-government affairs contract: contract is $5000 per month and  Check with Annie regarding why Penny has approved both invoices, but actual is zero on these statements. actual for #3070 is zero – should be $10,000.  Account 3135-employee salary: over budget  Neil to verify his calculations for this account. Based on raises given last year, the 2010 budget for this line item may have to be adjusted.  Revenue is higher this year than last year (through February), but there is concern regarding whether this will continue. Neil reports many agencies have closed or merged, as it continues to be a difficult year for agencies.  Revenue will also be impacted by a shift in the type of education delivered – more webinars than live trainings. You can see this shift in the 2008 vs 2009 year-end financial statements.  Motion to approve the financial statements made by Jeri and seconded by Austin. Motion approved.

Membership Update Reviewed the reports provided with agenda packet.  Rita will be calling all non-renewing members.  26 new members so far this year.  2010 Dues report: all members are listed under “maximum” because new 2 software is not able to distinguish between maximum, variable and minimum.  All private duty council members gave their notice of non-renewal.

TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP PAC Update Kevin presented a PAC update related to two issues with the bylaws that he researched following the last board meeting.  He recommended that the PAC should be a free-standing entity. The bylaws were changed to reflect this and references to MHCA were removed.  MHCA can’t keep control of this PAC in a formal way – only informally. So MHCA can endorse the concept by can’t take action.  The initial/founding PAC board members will be important.  PAC can contract back with MHCA for some administration functions.  Kevin and Melissa’s time would need to be tracked separately for the work for MHCA vs. PAC.  Motion to rescind the action taken at the last meeting regarding the PAC bylaws made by Austin and seconded by Jeannette. Motion passed.  Motion to endorse the concept of a home care PAC made by Austin and seconded by Denise. Motion passed. Legislative Update -  There was a delay on the human services bill – it will now come out of committee Kevin on 4/6. It now appears $300-400 million in Federal dollars will now be available to the State. This was already in the Governor’s budget.  There is a 2.5% cut in the Governor’s proposal, as well as changes to Elderly Waiver. We won’t know what the legislature did until their bill is made available in early April.  The forecast that came out after the Governor’s budget is $200 million better than the previous forecast. This money is now in the Governor’s “reserve”. This must be used before Governor can un-allot.  GAMC: there was a proposal made 2 weeks ago, but not as much consensus now as appeared then. Federal reform may have an impact, but the population is not yet clearly defined.  PCA services: trying to change the proposed training requirements. One potential issue is a requirement that agencies can’t require an employee to sign a non- compete and can’t tell an employee not to work for another agency or for a specific client after employment ends. Education Update - Annual Meeting 2010 update Paulette  Keynote speaker chosen: Gary Oftedahl from ICSI  Conference will begin earlier (10:00 a.m. on Wednesday) to accommodate more sessions. 3  Board members should plan to arrive on Tuesday night. There is a breakfast  MHCA pays for Board member meeting for the Board on Wednesday morning. conference registration fee – sign up on-line and select “Board Member” registration type. We each pay for our own lodging.  Bill Dombi has committed to speak on Friday morning (in person).  There will be a “wall of wine” – attendees can purchase a bottle of wine for $10  Board members are each asked each. Proceeds go to Caregiver of the Year. to donate 1 bottle of wine for the “wall of wine”.  Board members will be asked again this year to staff the MHCA booth. Board fall retreat  Tentatively planned for September 30th – October 1st at Chase on the Lake in  Mark these dates on your Walker. calendar. TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP Strategic Plan Updated strategic plan was included with agenda packet. Tasks, dates and Update/Review - Neil responsible person added for each goal.  Goal – Reduce Administrative and Regulatory Burdens on agencies o PCA training standards – draft curriculum still under review o Concern brought forward regarding PrimeWest’s requirement of  Neil will find a contact at DHS for counties to obtain additional information from providers – uniform this issue. county contract should cover this.  Goal – Positively Market Home Care o Exhibited at Alzheimer’s Conference in March – booth in good  Board members may be location. contacted to work the booth at o General home care brochure is complete – members can receive free future conferences. copies to distribute locally.

Board Nominations  Four board members will be leaving the board (Pam, Jeri, Denise and Penny). Committee Report  Candy and Neil reported that they tried to find candidates in Region 3 and Region 7 – these are the two regions not currently represented on the board.  Slate of candidates for four seats (Greater MN, Metro and 2 At-Large): Denise Edgett (Region 5), Pam Halvorson (Region 5), Jay Jones (Region 5), Linda Hespe (Region 3), Kim Olson (Region 6) and Amy Nelson (Region 4). Staff/Team Updates - Neil  Very large number of participants on teams this year – remember to re-apply for teams each year.  Team updates were included in the agenda packet – most teams are busy working on annual meeting presentations.  Private Duty Council is no longer active – most of these members dropped MHCA membership and joined the National Private Duty Association and formed a state chapter of this organization.

4 TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP Council for Pediatric  This group began meeting about 1 year ago and is currently working on a 2-year Home Care proposal – strategic plan. Joan Vaughn  They would like to host a conference in the future.  Their goal is to set high standards for this type of care and to have an impact on legislation.  MHCA staff would not be needed to staff this council.  Recommendation: Council to provide updates to the board in the same manner that other teams do now (written updates at board meetings and via Board Liaison).  Austin volunteered to be the Board Liaison to this Council.  Motion to approve a Council for Pediatric Home Care made by Austin and seconded by Lynn. Motion passed. Compass update -  Recommended competency requirements for those doing assessments be sent to Jeanette a work group.  MVNA is concerned that they won’t be able to do assessments that they currently do, but that county doesn’t have the resources to pick all of these up. This concern was not brought forward at Jeanette’s group, but Candy’s policy group did recommend that it stay as written: the county responsible for this assessment,  MHCA supports giving counties the but can ask for a waiver if they don’t have enough resources. This apparently is flexibility and options they need. not satisfactory to MVNA and they did contact Neil to write a letter of support. Chair Report - Penny  Penny provided a written summary of the Forum of States meeting she and Neil attended in February.  She and Neil will be attending the NAHC Public Policy conference in early April. Marketing Update - Rita  MHCA was a runner-up for the Dutch Kastenbaum award (MN Gerontological Social award)  95 non-renewing members will be called by her or other member agencies;  Neil will remind region chairs of the emphasis on educational resources will new members request to call non-renewing agencies in their area.  Question raised about member list on MHCA website – is this list current? Have  Neil will check on the MHCA non-renewing members been removed? member list on web site.  General home care brochure is done! Will be available to members at annual meeting.  Public service radio announcements – these are free and she would like to send something out every 2-3 months. Is there anything members would like to have included? 5  Web traffic report was shared – many questions from group.  Neil will ask Beth to interpret this report for us.

TOPIC DISCUSSION/FINDINGS CONCLUSIONS/ACTIONS/ FOLLOW UP Executive Director Report  NAHC ended their contract with the PR firm that designed the Help Us Choose - Neil Home campaign. The web site is still up and NAHC is looking for another firm, but states were very concerned that they hadn’t been informed.  Outcomes Excellence Project – Steering Committee will meet again in April.  Recommendation to look at Stratis is still involved, as well as Bonnie Westra. Would like to look at the issues outcomes data prior to kickoff with from a research perspective. Fazzi and compare to current results – any progress? What can be reported to members?  Met with Patti Cullen from Care Providers and asked about possible collaboration. They will continue discussion.  CSSD grant with Elder Care Partners o 126 caregivers trained in Redwood Falls o Grant ends this summer – small amount of money left o Neil to meet with them to see how we can sustain this relationship  Regulatory reform work group o Licensure issues reviewed by a smaller group o Bulk of the work to be done by end of March, then a recommendation back to larger group to possibly include 3 levels: basic, delegated services (Medicare providers here), and specialty services. o Goal is to simplify and standardize language and supervisory requirements. Would like to take recommendations to legislature next year.  Palliative care o Neil asked Michele Fedderly to come to an MHCA board meeting to discuss Hospice Minnesota name change to now include palliative care. o Sue to check with Lyn Ceronsky, Palliative Care Director from Fairview, to speak to us regarding this topic at the July meeting. o Recommendation to ask Michele to come after we understand more about palliative care and can articulate home care’s role in this service.

Meeting adjourned at 2:20

Minutes submitted by Gail Olson

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