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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 # 126 650 1938 Password: 49776635 June 26, 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 50 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 5/29/20 Board Meeting 1 (2) Heikkila Thank You 2 (3) Watson Thank You 3 (4) Courtade Thank You 4 (5) Lau Thank You 5 (6) The Compass – June 6 (7) P.E.P. Talk Employee Newsletter – June 7 (8) Media Report – May 8 6. ITEMS REMOVED FROM CONSENT CALENDAR (1) 7. GRAND TRAVERSE MEDICAL CARE -- Korvyn R. Hansen A. General Information (1) COVID-19 Update Verbal (2) Apprenticeship Institute CNA Training Program 9 B. Chief Executive Officer Board Report 10 C. Business (1) Financial Report 11 (2) GTP Foundation Board of Trustees 2020-2021 12 (3) COVID-19 Wage Adjustment Resolution 2020 – 2 13 D. Medical Staff (1) G.T.P. Announcements (1) May Service Excellence Award 14 (2) 8. SECOND PUBLIC COMMENT/INPUT Refer to Rules under First Public Comment/Input above. 9. CLOSED SESSION (1) 10. ADJOURNMENT Page 2 of 50 GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 1000 Pavilions Circle, Traverse City, MI 49684 MINUTES OF THE MAY 29, 2020 MEETING PRESENT: John Rizzo, Cecil McNally, Ralph Soffredine Board Kory Hansen, Rose Coleman, Robert Barnes, Lindsey Dood, Darcey Gratton Staff ABSENT: Gordie LaPointe Commission GUESTS: The regular meeting of the Grand Traverse County Department of Health and Human Services Board was called to order remotely at 9:04 am by Board Chair John Rizzo due to the Executive Order 2020-48 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 toll-free call-in number to the public to join the meeting and for the ability to make public comment. Public Comment Beatrice Edmund – Inquired about who owned the Pavilions and shared her concerns about her son’s mental health while staying at the Pavilions with no visitors during the pandemic. Andi Gerring – Stated she shared a memo with the Board due to the time allowed for a public comment would not suffice. Gerring shared her concerns with the Pavilions lack of thinking outside the box when considering the resident’s well-being. Andrew Ingresol – Shared his families concerns of not being allowed to have window visits. County Liaison Report – none 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 Soffredine 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. Page 3 of 50 1 REVIEW AND FILE (1) Minutes of the 4/27/20 Board Meeting (2) Lau Thank You (3) Horn Thank You (4) Wick Thank You (5) Slaby Thank You (6) Ramsden Thank You (7) The Compass – May (8) P.E.P. Talk Employee Newsletter – May (9) Media Report – April Motion was made by Soffredine to approve the Consent Calendar as presented. Motion seconded by McNally and carried unanimously. Items Removed From Consent Calendar – none COVID-19 – Coleman gave an update on the Pavilions continued efforts of handling COVID-19 pandemic, including securing PPE, visitor restrictions, employee screening, enhanced sanitizing, social distancing and communication, among others. New procedures are implemented as required and recommended. Since the last board meeting, new weekly reporting is now required under the CDC and for the county under EMR Resource. The Pavilions report daily Monday-Friday regarding PPE supplies, COVID testing and available rooms to show the ability to maintain a safe environment. Coleman stated that a tab has been shared on the website called Weekly Family Updates as part of the CDC guidelines to notify families of any positive cases of COVID. Per the Governors direction, since April, most of Administration staff have been able to work remotely and plan to return June 1 under phase 4. Outpatient therapy was able to re-open in mid-May with many new procedures in place with reduced capacity. Adult Day Services should be able to re-open with the same restrictions in mid to late June. Coleman has drafted up a policy for window visits to implement once the Stay At Home Order is lifted. Residents are getting outside in the enclosed courtyards and participating with in-room exercises. Coleman stated that Centers for Medicare & Medicaid Services (CMS) has created a 3 phase re-opening plan for long term facilities and noted CMS rules over when facilities open not the Governor. Coleman stated once the guidelines from the Michigan Department of Licensing and Regulatory Affairs (LARA) is received, the re-opening process could take at least 6 weeks due to the 3 different phases lasting 2 weeks each. Coleman shared the process of video conferencing to keep the residents engaged. McNally inquired about testing. Coleman stated tests are being done through doctor’s orders and have all come up negative. Coleman shared her concerns with mass testing. Reimbursement Update – Hansen shared positive news regarding nursing homes would receive a 2.3% net Medicare increase for fiscal year 2021, under a proposal announced by the Centers for Medicare & Medicaid Services. At the state level for Medicaid, the budget is unknown right now with a $3.2 billion budget shortfall for the current fiscal year and another $3 billion deficit for next fiscal year 2021. Hansen is waiting on what kind of federal money the state may receive, which could determine the level of cuts. Page 4 of 50 2 Video Recording – Hansen reviewed recording proposals presented to the board and stated he was open to either option. McNally suggested paying for a videographer and both Soffredine and Rizzo agreed. Motion was made by McNally to pay $50 towards a videographer to have the meetings recorded and shared on public television once the board can start meeting in person again. Seconded by Soffredine and carried unanimously. Chief Executive Officer Report – Hansen reviewed his monthly report for April. With a decrease in census, Hansen met with senior management to suspend capital purchasing projects and reduce staffing due to the COVID-19 pandemic. Several administrative, clinical management and social work positions having a reduction in hours, while several other positions were eliminated, furloughed or remain unfilled through attrition. Hansen shared that the Pavilions received payment from the Federal government under the CARES Act totaling $496,766. In addition, Medicaid made an advance payment under $93,000 that will be recovered through the cost settlement process at a later date. The state also deferred the April provider tax payment of $129,000 until August.