February 24, 2015 Meeting Begins at 12:00 p.m. or immediately following the MARC Budget & Personnel Committee meeting

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February 24, 2015 Meeting Begins at 12:00 p.m. or immediately following the MARC Budget & Personnel Committee meeting MARC Conference Center 2 nd Floor Heartland Room AGENDA 1. Call to Order 2. VOTE: Approve minutes of the January 27, 2015 meeting 3. VOTE: Ratify the slate of officers for CSC for 2015 4. VOTE: Authorize Board Officers to execute new signature card for bank account 5. Other Business 6. Adjourn Note: If you require special accommodations for this meeting, please contact the MARC office at least 48 hours in advance.

AGENDA REPORT MARC CSC Board of Directors February 2015 Item No. 2 ISSUE: VOTE: Approve minutes of the January 27, 2015 meeting BACKGROUND: The minutes of the January 27, 2015 meeting are enclosed. RECOMMENDATION: Approve the minutes of the January 27, 2015 meeting.

Minutes of Meeting January 27, 2015 12:00 p.m. MEMBERS PRESENT Councilmember Jan Marcason, Kansas City, Mo. MARC CSC Board Chair Mayor David Bower, Raytown, Mo. MARC CSC Board Treasurer Councilmember Marge Vogt, Olathe, Kan. MARC Board Chair Commissioner Jimmy Odom, Cass County, Mo. Presiding Commissioner Ron Schieber, Platte County, Mo. Commissioner Beverlee Roper, Platte County, Mo. Councilmember Dick Davis, Kansas City, Mo. Mayor Randy Rhoads, Lee s Summit, Mo. Commissioner Ron Shaffer, Johnson County, Kan. Commission Chairman Bob Holland, Leavenworth County, Kan. Commissioner Dennis Bixby, Leavenworth County, Kan. Commission Chairman Rob Roberts, Miami County, Kan. Commissioner Brian McKiernan, Unified Government of Wyandotte County/Kansas City, Kan. STAFF PRESENT David Warm, executive director, and other MARC staff members CALL TO ORDER Councilmember Marcason called the meeting to order at 11:55am. A revised agenda and agenda item 4 was distributed. APPROVE MINUTES OF THE NOVEMBER 25, 2014 MEETING Councilmember Davis moved to approve the minutes of the November 25, 2014 meeting. It was seconded by Commissioner Odom and carried. AUTHORIZE APPLICATIONS TO THE HEALTH CARE FOUNDATION OF GREATER KANSAS CITY FOR A HEALTHY COMMUNITIES GRANT THROUGH MARC CSC, AND ACCEPT FUNDS IF AWARDED The Health Care Foundation of Greater Kansas City has invited local communities and agencies to apply for a Healthy Communities grant. MARC convened representatives from local public health departments and identified interest in a joint proposal around smoke-free living environments. After discussions, the following organizations have agreed to participate in a joint proposal with MARC: Independence Health Department Jackson County Health Department Johnson County Health and Environment Department

Kansas City, Missouri Health Department Wyandotte County Health Department Black Health Care Coalition Clean Air Metro KC The objective to increase access to tobacco-free environments will build on previous work in the Kansas City region. Many jurisdictions in the area already have indoor air ordinances to protect people in most public buildings, including restaurants and bars. The proposed grant work plan would expand current smoke-free multi-unit housing efforts in the region. In February 2014, the Housing Authority of Kansas City, Missouri adopted a smoke-free policy that will be fully implemented by January 2015. In addition, over the summer of 2014, five private (non-public Housing) complexes in Jackson County and Independence adopted smoke-free policies. Three of the policies were implemented immediately and two of the complexes phased in their policy by January 2015. Additional work is underway to educate residents and assist them in the transition to a smoke-free living environment. MARC and the three local public health departments serving Jackson County have been conducting outreach and assessing other multi-unit housing complexes within the metro to encourage smoke-free living environments as a norm. A public media campaign was design and began to be implemented in Jackson County in 2014. The 12-month project will increase tobacco-free living in the Greater Kansas City area. Funding in the amount of $187,000 will be requested and matched with $62,350 from MARC and project partners. Each health department would be funded through the grant at $25,000 to $30,000 to support the project. The application is due in mid-february. Councilmember Vogt moved to authorize the executive director to submit an application through MARC CSC to the Health Care Foundation as described above, and accept funds if awarded. It was seconded by Mayor Rhoads and carried. AUTHORIZE ACCEPTANCE OF GRANT FUNDS THROUGH MARC CSC FROM THE WYANDOTTE HEALTH FOUNDATION TO SUPPORT THE SAFETY NET HEALTH INFORMATION EXCHANGE PROJECT The Mid-America Regional Council is supporting the adoption of health information exchange (HIE) technology by area safety net and behavioral health providers in the bi-state Kansas City metro area. The project began in 2013, and the first phase of the project included six safety net and behavioral health providers serving Wyandotte County: Wyandot Inc., Riverview Health Services, Wyandotte County Health Department, Turner Children s House, Swope Health Services and Mercy and Truth; and four providers in Johnson County: Health Partnership, Johnson County Health and Environment, Heartland Regional Alcohol and Drug Assessment Center, and WyJo Care. MARC engaged a national health care information technology firm, BluePrint Healthcare IT, to assist the local providers to assess their readiness for connection to the health information exchange technology. All of the safety net and behavioral health clinics supported through this project use the Kansas Health Information Network (KHIN) with the exception of Turner House,

which uses the Lewis and Clark Information Exchange (LACIE). BluePrint worked with each provider and their HIO to determine necessary steps to achieve successful connections. MARC and BluePrint worked with the participating safety net and behavioral health clinics to implement a secure message use case as the means by which each safety net clinic would begin using the new HIE technology. BluePrint reviewed each clinic s work flow in using their Electronic Medical Record (EMR) and how that work flow might change with use of the HIE technology to send and receive secure messages with patient information. Finally, BluePrint conducted training for staff on use of the HIE and changes in each agency s work flow. Work is currently underway with an additional six behavioral health organizations: Comprehensive Mental Health Center, Tri-County Mental Health Center, ReDiscover, Johnson County Mental Health, Allen County Mental Health and Truman Medical Center Behavioral Health Services. Funding for this second group was secured from the REACH Healthcare Foundation, Sosland Foundation and Speas Trust, Bank of America. The Wyandotte Health Foundation grant will support connecting Silver City Health Clinic to the health information exchange (KHIN) and enable BluePrint to work with Silver City Health Clinic following the same model of assistance as other clinics described above. The BluePrint services include onsite meetings, webinars and phone discussions. Cost for BluePrint services is $15,000. In addition, MARC would cover the one-time HIE connection fee to KHIN of $5,000 and support Silver City s EMR interface costs (EMR vendor) of up to $5,000. In addition, the requested funds would support work with all seven Wyandotte County health clinics with a second use case to receive event notifications from area hospitals through the HIE. BluePrint would work with hospitals in Wyandotte County and the seven clinics to explore how hospital data from KHIN and LACIE can be utilized to provide an alerting service when patients are discharged from a hospital acute care or hospital emergency room. The notification includes relevant information about the patient s encounter and functions as a trigger to initiate follow up and care coordination services by partner organizations. HIE notifications provide real-time updates regarding patients utilization of hospital services. The clinics will utilize these notifications as triggers to launch follow-up and care coordination. Councilmember Vogt moved to authorize the MARC CSC to accept $50,000 from the Wyandotte Health Foundation to support the safety net health information exchange project. It was seconded by Commissioner Odom and carried. OTHER BUSINESS There was no other business discussed at the meeting. ADJOURNMENT The meeting was adjourned at 11:56am.

MINUTES APPROVED: Carol Suter, Chair Date

AGENDA REPORT MARC CSC Board of Directors January 2015 Item No. 3 ISSUE: VOTE: Ratify the Slate of Officers for CSC for 2015 BACKGROUND: The bylaws of MARC CSC state that the Board of Directors for the nonprofit include the members of the MARC Budget & Personnel Committee. The bylaws also state that the 1 st Vice Chair of MARC shall serve as the chair of the MARC CSC Board of Directors. As a matter of convention, the Secretary and Treasurer of MARC serve as the Vice Chair/Secretary and Treasurer, respectively. In addition, it is the intent of the MARC Board that the executive director of MARC serves as the executive director of MARC CSC. At the January 27, 2015 meeting of the MARC Board of Directors, the following officers were elected: Councilmember Curt Skoog - Chair of MARC Councilmember Carol Suter - 1 st Vice Chair of MARC Commission Chairman Ed Eilert - 2 nd Vice Chair of MARC Commissioner Beverlee Roper - Treasurer of MARC Mayor Randy Rhoads - Secretary of MARC Using the above convention, the officers for MARC CSC will be: MARC Position Carol Suter, MARC Board 1 st Vice Chair Randy Rhoads, MARC Board Secretary Beverlee Roper, MARC Board Treasurer David Warm, MARC Executive Director MARC CSC Position Chair of MARC CSC Vice Chair/Secretary Treasurer Executive Director RECOMMENDATION: The MARC CSC Board of Directors ratify the Slate of Officers for 2015. STAFF CONTACT: Dorothy Pope

AGENDA REPORT MARC CSC Board of Directors February 2015 Item No. 4 ISSUE: Vote: Authorize Board Officers to Execute New Signature Card for Bank Account BACKGROUND: MARC CSC has a bank account with Security Bank. With the change in Treasurer, it is appropriate to update the authorized signers to reflect those individuals authorized to handle bank transactions. The authorized check signers will be: David A. Warm Dorothy Pope Beverlee Roper Executive Director Director of Financial Affairs Treasurer (Commissioner, Platte County, Mo.) RECOMMENDATION: The MARC CSC Board officers be authorized to execute the forms necessary to update the authorized individuals for the Security Bank account. STAFF CONTACT: Dorothy Pope