Committee name: APAC Alliance Provider Advisory Council Alliance Behavioral Healthcare Alliance Provider Advisory Council (APAC) July 23, 2013 Meeting date: July 23, 2013 Report submitted Chair: Carlyle Johson, PhD Date: ; Co-chair: Date: by and Approved: Terri Rose Betsey Torsell Tim Brooks (Durham) Lauren Durant (Durham) Mark Germann (Wake) Adrienne Monroe Alicia Camacho Patricia Little (Johnston) Wendy Wenzel (Wake) Michael Boles (Wake) (Durham) Members Jesse Brayboy Steve Strickland Trish Hussey (Durham) Bobby Jo Hopf (Wake) David Ingram (Wake) (Johnston) Steven King Tara Woodard Peter Baker (Durham) Sara Leonard (Wake) Laurie Stickney (Wake) (Johnston) Carlyle Johnson, Tasha Griffin, Tara Woodard, Steven King, Peter Baker, Lauren Durant, David Ingram, Betsey Torsell, Patricia Little, Members Present: Bobbie Jo Hopf, Sara Leonard, Laurie Stickney, Wendy Wenzel, Michael Boles, Steve Strickland, Mark Germann BY PHONE: Adrienne Monroe, Terri Rose, Tim Brooks, Alicia Camacho Guest(s): None Scribe: Nikkia Frazier Follow-up items: Next steps: Announcements: Welcome and Introductions Membership Roster the membership roster was reviewed and finalized. Operational Agreement The purpose of this meeting is to decide what the functions of this committee will be. Carlyle presented the draft operational 1 Alliance Provider Advisory Council minutes July 23, 2013
agreement via projector to the committee. Group members that were accessing the meeting via Go To Meeting were emailed the document. Changes: The Purpose statement was approved as written. No additions or deletions. The committee decided to delete one line from the Representation section: only one staff from an agency can be elected to serve on APAC at a time. Decision Making and Voting section reviewed and approved as written. Each term for this committee will be 2 year terms, members are allowed no more than 2 consecutive terms. There is no limit on nonconsecutive terms. If a member moves outside of the county, they lose their seat and it becomes the decision of the local PAC to appoint a new member to fill the seat. This group has decided that if a member misses 2 consecutive meetings or 3 meetings in a year they will be discharged. All members are in favor of the document as is. No other changes or recommendations. No opposition noted. Nominations on Co-Chair Carlyle solicited volunteers from the group. Mark G was the sole nominee. Committee voted to approve Mark as the co-chair. Feedback from Quarterly All Provider Meeting Next meeting is in September 18, 2013 from 1pm-3pm at the Alliance Corporate office. Should the location rotate? Most of the providers that completed the survey preferred the meeting location NOT to rotate. (no: 20, yes: 8) Most of the providers that completed the survey wanted break-out sessions Almost all providers that completed the survey wanted input into the provider topics covered during the meeting. Local Business Plan Alliance is contractually obligated to complete a Local Business Plan for the State. The plan includes 5 initiatives that are required by all LME/MCO and must be approved by CFAC, the Alliance Board and each county board of commissioners. The initiatives are: 1. Transition to Community Living (DOJ Settlement) (Debbie) 2. ACTT/SE (Carlyle) 3. Crisis Services./ED Wait times (James) 2 Alliance Provider Advisory Council minutes July 23, 2013
4. Closer to home PRTF (Sean) 5. I/DD Waitlist (Suzanne Goerger) Carlyle will provide update at the next meeting. The final draft that is going to be reviewed by CFAC will come to this group for review as well. The draft will be ready for CFAC review at their meeting on 8/16/13. 9/27/13 is the next meeting for this committee. The State does not require that the plan be reviewed by the local provider community; however it is important to Alliance to get provider feedback. Follow-up items: Next steps: Alliance Updates Strategic Planning update reviewed via projector. Carlyle will send the plan to this committee electronically to solicit feedback on how you want the bullet points prioritized and for recommendations on how to get this implemented. Data Integrity, PN Collaboration Project, Community Connections (schools), Shaping our Future (who will Alliance be 2-3 years from now) are the 5 key parts of the strategic plan. PN Collaboration is the part that most pertains to this committee. Updates from these meetings will be brought to this committee. The committee has three broad objectives: 1. Improve provider collaboration 2. Goal to achieve positive consumer outcomes 3. Ensure they become/remain mature What are the main things we can do to uphold these objectives? Beth Melcher is the advisor. Carlyle is the lead. Project team also includes Cathy, Carrie, Alison, Tina, Sarah. PN Collaboration group would like feedback on how to involve providers in the discussion of provider collaboration. This committee reviewed this plan and discussed ways to prioritize the objectives so the plan can have the biggest impact in 90 days and then live beyond the 90 days. The committee discussed how to make the plan operational. Some ideas suggested are to develop processes and to clarify the roles of APAC and other PACs. Next meeting will look at how we do this specifically and assigning tasks. Are there particular things that stand out now? This committee suggests improving provider resource information on the Alliance web page about other providers. Also improve availability of information about lesser known, grant providers like BECOMING. Providers that are in the Alliance network don t know much about the services that other network providers can offer. There are concerns that the ACCESS center doesn t know about all of the services 3 Alliance Provider Advisory Council minutes July 23, 2013
that are offered by these providers. Tasha suggests getting provider handouts and brochures for the ACCESS center. Local PAC meetings should be used to educate the community about all available services. Cards with agency name, what area and what county and disability representation. (Can this be added to the membership list?) Are minutes taken at the local PAC meetings? If so, can they be reviewed here? Closing the loop Tracking and resolving concerns. Weekly updates are great but may be able to be used more efficiently. This committee thinks it would be helpful to include FAQs from the previous week included in the newsletters sent out by Doug Fuller. Link to websites on provider search function. This committee thinks it would be helpful to know: Feedback on how other providers are doing in monitoring. Where do we fall? What are the areas where providers are struggling/exceling? In considering the broader provider network, how do we fare as a provider? How many Alliance consumers are we serving versus other providers in the network? It was suggested that Alliance eliminate working in the bubble so that providers can have a snapshot of the entire provider network. We (providers) want candid feedback about what s working and what isn t. Are we asking survey questions on the regular basis? To whom should they be directed? Carlyle suggests that it seems contradictory to have a Provider Collaboration group with no provider representation. Would this group like to have anyone participate Provider Collaboration Group in weekly on Thursdays from 1-2:30 for August and September here at Corporate? Local PACs can elect someone from each of their meetings. This committee can be used as a focus group. First look before the rest of the provider network. Invite members as needed for specific topics. Send the agenda before the meeting so that we (providers) can give feedback. Local PAC Updates Wake invited reps from Care Coordination to speak at last meeting regarding changes due to loss of case management. Also talked about Gold Star monitoring and Executive walk-throughs. Would like more information about the walk-throughs. Providers are interested in feedback about how they are doing in the network. Providers hoping for more communication from QM about the projects. Central All Provider Meetings are found to be helpful; would like to see more Alliance leadership in attendance. FAQs would also be helpful and the agenda sent out prior to the meeting. Emailed presentations for providers to print if they would like to. Information can be sent out in the Friday weekly update. Durham Last meeting was 7/8/2013. The next meeting is scheduled on August 12 th at 3:30. Lynn Godwin is working on getting the emails out to the providers. Second Monday of every month at the Alliance Durham site. Meeting lasts until 5pm. 4 Alliance Provider Advisory Council minutes July 23, 2013
Johnston had their 3 rd meeting on 7/23/2013. Invited Alliance representatives to the previous 2 meetings. Alison Rieber came to speak about GSM process and provided some helpful information. The group found her visit reassuring. Learned that they will only be reviewing 10 claims. Good turnout, 25 attendees. Meetings are held on the 2 nd Wednesday of every month at 2:30 at the Public Health Department. Cumberland All Provider Meeting last month. Merger with Cumberland and Alliance was discussed a lot. Also talked about GSM. There are 11 staff members from Cumberland county that are off during the month of July. Staff will return as Alliance employees on 8/1/2013. Is there a desire to have a local PAC? The meeting that is held monthly is more of an all provider meeting. When Vince returns we will talk further about that structure. Adrienne also mentioned the transition to NC Tracks. Several providers are having issues. Any other concerns from the group? Carlyle encouraged the group to check the webpage for updates. Cumberland county providers are still having problems on the Alliance site entering target pops in Alpha. Cumberland specific Alpha issue? Yes. Andrea K is coming from 10a-12p on 7/31 to do an Alpha tutorial to Cumberland. Follow-up Items: Next Steps: The next meeting will be August 27, 2013 (the fourth Tuesday of every month). 5 Alliance Provider Advisory Council minutes July 23, 2013