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1-510-338-9438 Meeting Number (Access Code): 126 501 8815 Meeting Password: 74836697

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1-510-338-9438 Meeting Number (Access Code): 126 501 8815 Meeting Password: 74836697 GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 9:00 AM Conference Call Phone: 1-510-338-9438 Meeting number (access code): 126 501 8815 Meeting Password: 74836697 On November 18, 2020 Robert Gordon, MDHHS Director, signed into effect an Emergency Order MCL 333.2253 to reduce the spread of COVID-19 by limiting the number of people at public indoor gatherings. The Board Chair will announce when it is time for public comment and will give all call-in numbers the opportunity to speak during this time. This meeting will be recorded and saved on the Grand Traverse Pavilions website. November 23, 2020 AGENDA 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 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 65 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 10/30/20 Board Meeting 1 (2) Closed Minutes of 10/30/20 Board Meeting (mailed to Board only) (3) Colby Thank You 2 (4) Provencher Thank You 3 (5) Opie Thank You 4 (6) P.E.P. Talk Employee Newsletter – November 5 (7) Media Report – October 6 6. ITEMS REMOVED FROM CONSENT CALENDAR (1) 7. GRAND TRAVERSE MEDICAL CARE -- Korvyn R. Hansen A. General Information (1) COVID-19 Update 7 (2) U.S. News World Report Best Nursing Homes 8 B. Chief Executive Officer Board Report 9 C. Business (1) Financial Report 10 (2) Cash Reserve Policy 11 (3) Pension Bond Resolution/Proposal 12 (4) Proposed 5-Year Capital Budget (2021-2025) 13 (5) Proposed 2021 Non-union Wage Recommendation 14 D. Medical Staff (1) G.T.P. Announcements (1) October Service Excellence Award 15 8. SECOND PUBLIC COMMENT Refer to Rules under First Public Comment/Input above. 9. CLOSED SESSION (1) 10. ADJOURNMENT Page 2 of 65 GRAND TRAVERSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BOARD 1000 Pavilions Circle, Traverse City, MI 49684 MINUTES OF THE OCTOBER 30, 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: Steve Burke, Warren Creamer, Roger Swets, Jon Lanczak The regular meeting of the Grand Traverse County Department of Health and Human Services Board was called to order at 9:09 am by Board Chair John Rizzo in the Dayclub Room at the West Bay Beach, a Delamar Resort. On October 9, 2020 Robert Gordon, MDHHS Director, signed in to effect an Emergency Order MCL 333.2253 to reduce the spread of COVID-19 by limiting the number of people at public indoor gatherings. Grand Traverse Pavilions provided a link on its website for public participation. This meeting was recorded and saved on upnorthmedia.com and also shown on Charter cable channel 189. First Public Comment Andi Gerring Claudia Bruce County Liaison Report – LaPointe shared discussions of the most recent county board of commissioner meetings. Approval of Agenda – Chair Rizzo asked if there were additions, changes or corrections to the agenda. Motion was made by Soffredine to approve the Agenda as presented, seconded by McNally 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 9/25/20 Board Meeting (2) Roberts Thank You Page 3 of 65 1 (3) Watson Thank You (4) Minicucci Thank You (5) Bowling Thank You (6) P.E.P. Talk Employee Newsletter – October (7) Media Report – September (8) AAANM Adult Day Caregiver Respite Grant 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 Pension Bond Resolution – Hansen reviewed his memo to the board regarding the Grand Traverse County Board of Commissioners (GTBOC) not taking action to approve the Pavilions pension bonds at their October 6, 2020 board meeting. The GTBOC instead referred the item back to the DHHS board for further review. The Professional Service Team of Steven Burke, President of MFCI, Warren Creamer III, Managing Director of Public Finance at Baird, Roger Swets, municipal bond attorney for Dickinson Wright and Jon Lanczak, Senior Manager of Senior Care & Living Strategy and Operations at Plante Moran participated via conference phone to answer questions. After extensive discussion and evaluation the Board agreed to continue the discussion of the bonds at the next meeting in November including a related topic of the cash reserves fund balance policy. COVID-19 Update – Coleman provided an update on the on-going status of COVID-related topics that affect the operation of the Pavilions. Coleman shared that she was alerted on October 28 that three staff members tested positive from the October 26 testing. Coleman stated the county COVID Level was upgraded to Level E which prohibits indoor visitations for nursing facilities. This mandate will be in force until there is a decrease in the number of confirmed positive cases reported on a county-wide basis regardless of the facility’s COVID status in the coming weeks. However, staff have prepared a formal visitation policy for full indoor visitation and will be shared with families as soon as visitation is allowed. Coleman shared that communal dining and activities of small groups will begin the first part of November. McNally suggested adding the social worker’s contact phone numbers on the bottom of the newsletter to help families call for updates. Third Quarter Overtime Report – Hansen reviewed the report and answered board member’s questions. Third Quarter Annual Plan 2020 Update – Hansen reviewed the written report for third quarter and answered board member’s questions. Financial Report – Dood reviewed the financial operations report for September 2020. Dood outlined revenue and expenses compared to budget for each of the Pavilions’ programs that include the Medical Care Facility (skilled nursing), The Cottages (Assisted and Independent Living) and Adult Day Services. Additional information was provided on respective census and accounts receivable along with the total cash ending balance. Dood summarized the review of vouchers for the month that were in order without exception. The Social Accountability Summary was reviewed indicating the amount of uncompensated care provided and volunteer hours for the month. Motion made by Soffredine to accept the financial operations report as presented. Motion seconded by McNally and carried unanimously. Page 4 of 65 2 Chief Executive Officer Report – Hansen reviewed his monthly report for September and answered board member’s questions. Medical Staff Donald Willman, DO - Attending Privileges - Hansen reviewed the request of Donald Willman, DO, to have attending privileges as recommended by Medical Director Dr. April Kurkowski, D.O. Donald is joining Sound Physicians, to serve nursing homes and assisted living facilities. Jane Smallwood, NP - Attending Privileges - Hansen reviewed the request of Jane Smallwood, NP, to have attending privileges as recommended by Medical Director Dr. April Kurkowski, D.O. Jane is employed by PACE North which contracts with Grand Traverse Pavilions for skilled nursing short-term rehab services. Mark Byland, MD - Attending Privileges - Hansen reviewed the request of Mark Byland, MD, to have attending privileges as recommended by Medical Director Dr. April Kurkowski, D.O. Mark is employed by PACE North which contracts with Grand Traverse Pavilions for skilled nursing short-term rehab services. Motion was made by McNally to approve Donald Willman, DO, Jane Smallwood, NP and Mark Byland, MD for attending privileges, seconded by Soffredine and carried unanimously Grand Traverse Pavilions Announcements - (1) September Service Excellence Award - Hansen reviewed weekly winners (2) Legacy Second Public Comment Andi Gerring Claudia Bruce Board Member Comment Ralph Soffredine shared his appreciation for Coleman’s hard work and excellent leadership during the pandemic with keeping the residents and staff safe.
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