INTRODUCTIONS

APPROVAL OF MINUTES

OPEN DISCUSSION

John Constantino announced that part of the agenda would be a joint meeting of the Mental Health Commission and the Lt. Governor’s Mental Health Task Force to discuss findings of the Missouri Mental Health Task Force Report to Governor Matt Blunt. 

George Gladis, Secretary moved that the October 11, 2006, November 8, 2006 and December 12, 2006 Mental Health Commission Minutes be approved.  Phillip McClendon seconded the motion and the minutes were approved.

Mary Lou Bussabarger commented on an article regarding the Church of Scientology’s exhibit in the state Capitol. She also commented on a news article that reported on a group of government commission members that were fined for violations of the Sunshine Law.  Mary Lou requested that at a future meeting a report on aging issues be presented and what the departments’ responsibility is to aging clients and their parents.  Mary Lou asked that materials that are sent to Commissioner’s be date stamped.

On behalf of the Commission, John Constantino expressed gratitude to Michael Couty, retiring Division Director, Alcohol and Drug Abuse for the outstanding work he has done with the department.  Michael presented an overview of the following

• Alcohol, Drug and Tobacco Use in Missouri:  A Profile in Prevention and Treatment- 2006 (Draft), the first annual report shares data that illustrates the prevalence of – and trends in – alcohol, drug and tobacco use and abuse in Missouri.  When possible, Missouri data is compared to national prevalence’s and trends.  Additionally, the report presents data on the costs and consequences of substance abuse in Missouri.  It is the Division’s goal to share the data in the report, along with other information available on its website, facilitate statewide panning and implementation to improve the well-being of Missourians.

Michael introduced Dr. Ed Leoni, Southwest Missouri State University, who has studied Missouri’s workforce for over 6 years and has developed a three-tier prevention credentialing process.

Based on the foundational work of the Missouri Prevention Network in developing the core competencies and the comprehensive description of the workforce documented through six years of study, he has concluded that a three tiered approach is required to reach the entire spectrum of prevention professionals.  Each level incorporates specific core competencies as well as criteria that must be satisfied to move to the next level, which are:  training, time/experience and educational background.

Clive Woodward, Coordinator for Quality Improvement presented a Draft Safety Snapshot for January illustrating the following topics:

• Abuse/Neglect Investigation Rates
• Abuse/Neglect Substantiation Rates
• Abuse/Neglect substantiation Rates excluding Neglect 2 Findings

Ron Dittemore introduced the Lt. Governor Peter Kinder, Chair of the Mental Health Task Force, Deputy Lt. Governor Eric Feltner and members of the Task Force Committee:  Ron Dittemore (Co-Chair); Wendy Buehler, President, Life Skills; Julia Eckstein, Director, DMSS; Terry Mackey, President, Arthur Center, Gary Sherman, DSS; and Natalie Woods, President, Nevada Habilitation Center Family Support. 

Mark Stringer presented an overview of the Recommendations, Progress and Plan of Action by the Mental Health Task Force.

The Background and History

Mental Health Commission Public Hearings – May & June 2006

Formation of Mental Health Task Force – June 2006

Mental Health Commission Report with Recommendations – August 2006

Lt. Governor’s Task Force Report – November 2006

Task Force Mission Statement

“The mission was to develop and propose long-term solutions to prevent abuse and neglect, assure thorough investigations of abuse and neglect allegations, and recommend actions to increase the safe delivery of mental health services for Missourians with disabilities.”

Process Used by Mental Health Task Force

• Establishment of interactive web site
• Series of public hearings around state
• Information and comments gathered
• Mental Health Commission report reviewed
• Other state agencies input solicited
• Recommendations drafted
• Open meetings held to review recommendations
• Report finalized and presented to the Governor

Recommendations

Listing of Mental Health Commission Report Recommendations, Lt. Governor’s Mental Health Task Force Recommendations, and Governor’s Executive Order directives in Separate Document.

Steps

1. Report Presented to Governor
2. Governor Accepted Some Recommendations for Immediate Implementation
3. Implementation Plan in Development by DMH
4. Annual Report to Governor and Lt. Governor by June 30, 2007.

Monica Hoy presented an update on the Network of Care.  DMH staff met with the University of MO-Columbia staff that coordinates the Community Connections websites.  The Network of Care will be showcased at the 2007 Spring Training Institute and consumers will present and be a part of the demonstration.  MRDD is working to upgrading their site, also work is underway with the Missouri DD Resource Center to coordinate what they are doing and what DMH is doing through the Network of Care.

Bob Bax, Legislative Liaison, reported on Senate Bill 3- This act modifies various provisions relating to the Department of Mental Health.  He noted that SB 3 includes many of the recommendations from the Lt. Governors Task Force and Mental Health Commission Report Recommendations. 

Bob reported that the Senate established a new committee, Health and Mental Health, Senator Chuck Purgason, Chair; Senator Charlie Shields, Vice-Chair; Senator Michael Gibbons; Senator Harry Kennedy; and Senator Wes Shoemyer.  The committee is assigned to hear health and mental health issues.

Gary Lyndaker, IT Director presented a Customer Information Management, Outcomes & Reporting (CIMOR) update.  In a PowerPoint handout an overview of the various stages experienced since the implementation of this process was shared.

Stage 1:  The Plateau

Stage 2:  The Cliff

Stage 3:  The Valley (part 1)

Stage 3:  The Valley (part 2)

Stage 4:  The Ascent

Stage 5:  The Mountaintop

To get there, continue Ascent – Need continued support from DMH leadership and involvement of business owners.

• Performance tuning
• Continued fixes and high priority enhancements
• Billing Priorities
• More and better reports, data access, experience with data

The real priority is to continuing fixes and high priority enhancements. 

Marsha Buckner, Division of Alcohol and Drug Abuse presented an update on Provider Payment Status through CIMOR.  ADA has built rules in its system to assist in monitoring and billing reviews and to aid in the quality of care for clients.

Medicaid Payments-Treatment Providers

• Medicaid Remittance Advice (Explanation of Payments)
• Estimated Payment Date
• Actual Payment Date
• Legacy System Payment

Current Status of CIMOR Medicaid Service Billing

Non-Medicaid payments-Treatment Providers

• Timelines
• Special Payments
• Current Status of Non-Medicaid CIMOR Billing

Non-Medicaid Payments –SATOP

• Timelines
• Current Status of Non-Medicaid CIMOR Billing

Rick Gowdy, Forensic Director, Division of Comprehensive Psychiatric Services, presented an update registered sex offenders. 

• Forensic Sex Offenders total 23 in all of the DMH facilities

         All facilities provide information to law enforcement for those with a requirement to register.

• Conditional Release Sex Offender total 8; all are compliance per the MO State Highway Patrol.
• Sexually violent Predators total 128.
• CPS Sex Offenders total 10; registered offenders in placement
• dirmhcminutes07_01.htmMRDD total 4; registered sex offenders in placement.

VISION AND DIRECTION
FOR DMH

Ron Dittemore introduced Keith Schafer, Ed.D., newly appointed Department Director.  In a PowerPoint presentation Schafer shared his Vision and Leadership Considerations for the Department of Mental Health.  The following items were highlighted as the Missouri DMH Vision Themes:  2007-2012

1. “Do No Harm”:  DMH optimizes consumer safety in all its services.

2. Strong consumer/Family Voice:  Consumers and Families have a strong voice in DMH program design, individual service planning and outcomes measurements.

3. Medical and Behavioral Service Integration:  DMH focuses care coordination on consumers’ behavioral and medical conditions for better health outcomes.

4. Missouri Child Mental Health Leadership:  DMH facilities Missouri’s interdepartmental vision/action to address child mental health needs.

5. Data-Based Decision Making:  DMH uses data analytics for Consumer risk prediction and program decision making.

6. Strong Local DMH Service Systems:  DMH develops and supports strong local MH services systems accountable for the full continuum of care.

John Constantino, on behalf of the Commission thanked Ron Dittemore for taking on the leadership role of interim department director.

The Mental Health adjourned at 2:45 p.m.

Approved February 6, 2007
John Constantino, Chair