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GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 9:00 AM Conference Call Phone: 1-510-338-9438 Access code # 126 096 6464 Password: 24538622 July 31, 2020 AGENDA On June 18, 2020 Governor Whitmer signed into effect Executive Order 2020-129. In an effort to reduce the spread of COVID-19 by limiting the number of people at public gatherings, this order suspends the rules and procedures for governmental entities requiring physical presence at meetings and hearings and it temporarily alters the rights of the public to be present at meetings. During public comment, the public may participate with the provided link on the website by “raising your hand” to be called on by staff or by using the call-in number referenced above and your last 4 digits of your phone number will be announced. 1. CALL TO ORDER – 9:00 a.m. Grand Traverse Pavilions – John Rizzo, Chair, Grand Traverse County Department of Health and Human Services Board 2. FIRST PUBLIC COMMENT/INPUT Any person shall be permitted to address a meeting of the Grand Traverse County Department of Health and Human Services Board which is required to be open to the public under the provisions of the Michigan Open Meetings Act, as amended. (MCLA 15.261, et.seq.) Public comment shall be carried out in accordance with the following Board Rules and Procedures: 1. Any person wishing to address the Board shall state his or her name and address. 2. Persons may address the Board on matters which are relevant to Grand Traverse Pavilions issues. 3. No person shall be allowed to speak more than once on the same matter, excluding time needed to answer Board Members questions. The Chairperson shall control the amount of time each person shall be allowed to speak, which shall not exceed three (3) minutes. (1) Chairperson may, at his or her discretion, extend the amount of time any person is allowed to speak. (2) Whenever a group wishes to address the Board, the Chairperson may require that the group designate a spokesperson; the Chairperson shall control the amount of time the spokesperson shall be allowed to speak, which shall not exceed fifteen (15) minutes. 3. COUNTY LIAISON REPORT 4. APPROVAL OF AGENDA 5. CONSENT CALENDAR The purpose of the consent calendar is to expedite business by grouping items to be dealt with by one Board motion without discussion. Any member of the Board, or staff may ask that any item on the consent calendar be removed and placed elsewhere on the agenda for discussion. Such requests will be automatically respected. Page 1 of 88 If any item is not removed from the consent calendar, the item on the agenda is approved by a single Board action adopting the consent calendar. A. Review and File HANDOUT# (1) Minutes of the 6/26/20 Board Meeting 1 (2) Zionskowski Thank You 2 (3) Gerstner Thank You 3 (4) Nursing Home License Renewal 4 (5) P.E.P. Talk Employee Newsletter – July 5 (6) Media Report – June 6 6. ITEMS REMOVED FROM CONSENT CALENDAR (1) 7. GRAND TRAVERSE MEDICAL CARE -- Korvyn R. Hansen A. General Information (1) COVID-19 Update Verbal (2) Second Quarter Overtime Report 7 (3) Second Quarter Annual Plan Update 8 (4) MERS Annual Actuarial Valuation Report – 12/31/19 9 (5) Provider Tax Adjustment-FY2020 10 B. Chief Executive Officer Board Report 11 C. Business (1) Financial Report 12 (2) PACE Management Agreement – 3rd Amendment 13 D. Medical Staff (1) G.T.P. Announcements (1) June Service Excellence Award 14 (2) 8. SECOND PUBLIC COMMENT/INPUT Refer to Rules under First Public Comment/Input above. 9. CLOSED SESSION (1) QAPI Quarterly Update (2) Resident Council Summary (3) Resident Quarterly Incidents 10. ADJOURNMENT Page 2 of 88 GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 1000 Pavilions Circle, Traverse City, MI 49684 MINUTES OF THE JUNE 26, 2020 MEETING PRESENT: John Rizzo, Cecil McNally, Ralph Soffredine Board Kory Hansen, Rose Coleman, Robert Barnes, Lindsey Dood, Darcey Gratton Staff Gordie LaPointe Commission ABSENT: GUESTS: The regular meeting of the Grand Traverse County Department of Health and Human Services Board was called to order remotely at 9:10 am by Board Chair John Rizzo due to the Executive Order 2020-129 signed by Governor Whitmer to limit the number of people at public gatherings. This order suspends the rules and procedures for governmental entities requiring physical presence at meetings and hearings and temporarily alters the rights of the public to be present at meetings. Grand Traverse Pavilions provided a link on its website for public participation electronically or telephonically with the ability to make public comment. Public Comment Andi Gerring –Shared her concerns regarding two newspaper articles not being on the agenda for the board to discuss and the lack of communication regarding the questions submitted by Gerring to Administration and the Board in May. County Liaison Report – LaPointe shared discussions at the most recent county board of commissioner meetings. Topics of discussion included ongoing concerns with MERS, racial equality demands with the County Sheriff, Senior Center funding and county furloughed employees. LaPointe also shared that the Road Commission millage will be expiring this year and will be brought back on the ballot in November’s election. Approval of Agenda – Chair Rizzo asked if there were additions, changes or corrections to the agenda. Motion was made by McNally to approve the Agenda as presented, seconded by Rizzo and carried unanimously. The purpose of the Consent Calendar is to expedite business by grouping items to be dealt with by one Board motion without discussion. Any member of the Board or staff may ask that any item on the Consent Calendar be removed and placed elsewhere on the agenda for discussion. Such requests will be automatically respected. REVIEW AND FILE (1) Minutes of the 5/29/20 Board Meeting (2) Heikkila Thank You Page 3 of 88 1 (3) Watson Thank You (4) Courtade Thank You (5) Lau Thank You (6) The Compass – June (7) P.E.P. Talk Employee Newsletter – June (8) Media Report – May Motion was made by Rizzo to approve the Consent Calendar as presented. Motion seconded by McNally and carried unanimously. Items Removed From Consent Calendar – none Soffredine In 9:23 Apprenticeship Institute CNA Training Program – Hansen shared that the Pavilions partnered with the Apprenticeship Institute (AI) to provide a training program for Certified Nurse Aides. A $500,000 grant from the Michigan Health Endowment Fund Caregiver Support and Development Initiative, supports establishing a CNA Registered Apprenticeship Nurse Aide Training Program. AI will recruit workers and the Pavilions will hire those as Universal Worker until they become certified. AI has a retention rate of 80% and will follow those in the program throughout the year with no cost to the Pavilions. McNally inquired if this program will replace the Pavilions current training. Hansen stated this program is another way to help recruit and certify individuals but will not replace the Pavilions current recruitment and training. COVID-19 – Coleman gave an update on the Pavilions continued efforts of handling COVID-19 pandemic including the plan for baseline testing for all employees and residents. Coleman shared that on June 15, the governor ordered all nursing facilities to have a plan in place by June 22 for all residents and staff to start testing by June 29. Coleman stated testing for 800 of the Pavilions residents and staff will begin on June 29 and has partnered up with a lab to start receiving the results back within 48hrs. Communication regarding testing was sent out to the families in a letter along with updating the website. If one test (resident or staff member) comes back positive then weekly testing will be mandated for all residents and staff until we have two consecutive weeks without any new positive cases. The Pavilions continue to have all other practices in place with masking, screening and limited services with other entities. Coleman shared that she has not received any guidelines from the state to re-open the building back up for families to visit their loved ones. Window visits are going well and staff continue offering video conferencing. Coleman also stated PPE supplies are well stocked with a plan in place for the chance of any positive cases. Hansen stated the state will be paying for the testing when not covered by the individuals insurance. Chief Executive Officer Report – Hansen reviewed his monthly report for May. Hansen shared that one new participate is expected to be enrolled July 1 at PACE North bringing their total to 44 participates. PACE participants who were starting to decline at home, have recently returned to the Center. An agreement with United Methodist Healthcare Recruiters was finalized in May to reserve two RNs from the Philippines. On May 12, the state of Michigan conducted a second infection control focused survey. No citations were received. Hansen shared that there were three retirements from long-term employees in the month of May. Admissions have been low due to COVID-19 but the census is starting to return back to 90% in Rehab with daily referral’s from the hospital. We still have not seen admissions from the community for long-term placements. Hansen stated the annual resident/family satisfaction surveys will be going out soon. A thermal camera has been ordered to help with the screening Page 4 of 88 2 process as well as a self check-in kiosk for visitors and employees to help with the process of entry. This new process will include a printed visitor badge to help identify those who have been screened.

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