board of trustees agenda - bettyhardwick.org · michael whitehorn jenny goode michael jones art...

BOARD OF TRUSTEES AGENDA

April 7, 2020

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March 31, 2020

TO: BETTY HARDWICK CENTER BOARD OF TRUSTEES-

Dee Moore, Vice-Chair

FROM:

SUBJECT:

Vicky Hicks, Secretary Rita Johnston, Art Casarez, Dee Moore, Terri Plumlee, Priscilla Rayford, Judy Patterson, Ed Miller, Andre Moore

Michael Whitehorn, Chair

Board Meeting and Work/Training Session for April 7, 2020

The Board of Trustees of the Betty Hardwick Center Board of Trustees will convene for a meeting April 7, 2020 at 5:15 p.m., at Betty Hardwick Center, 2616 S. Clack, Suite 150, Abilene, Texas 79606.

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BETTY HARDWICK CENTER Board of Trustees Meeting

2616 South Clack, Suite 150 Abilene, Texas 79606 – 325/690-5133

Tuesday, April 7, 2020, 5:15 p.m.

AGENDA

20.08.01. Invocation/Quorum/Recognition of Guests ...................................... Dr. Whitehorn

20.08.02. Citizens Comments (Page 5) ............................................................ Dr. Whitehorn

20.08.03. Training Info/Presentation – BHC COVID 19 Status Report (Page 6) ............ Mrs. Goode

Action Items:

20.08.04. Oath of Office (Board Member and Officer) (Pages 7-9)............... Mrs. Kilpatrick

20.08.05. Minutes of March 3, 2020 Board Meeting (Pages 10-13) ................ Dr. Whitehorn

20.08.06. Financial Reports, February, 2020 (Pages 14-28) .................................. Mr. Mabry

20.08.07. Consideration to Increase Ocean’s Behavioral Hospital PPB Contract (Page 29) ........................................................................... Mr. Mabry

20.08.08. Consideration of Quarterly Personnel Report (Pages 30-33) .................... Mr. Jones

20.08.09. Consideration of Quarterly Quality Management Report (Pages 34-40).....Mrs. Heaton

20.08.10. Consideration of Quarterly PNAC Report (Pages 41-43) ..................... Mrs. Heaton

20.08.11. Consideration of PNAC Member (Pages 44-46).................................... Mrs. Heaton

20.08.12. Consideration of COVID-19 Leave (Page 47)....…………………………Mr. Jones

20.08.13. Information Items (Pages 48-49)........................................................... Mrs. Goode

• Texas Council Annual Conference-San Antonio June 24-26• Donation Report (Page 49)• Military One Stop Discussion• HB 19 ESC Position• Crisis Counseling Program

20.08.14. Adjournment ..................................................................................... Dr. Whitehorn

NOTE: Persons with disabilities who plan to attend this meeting and who need auxiliary aids or special accommodations should contact Jenny Goode, Chief Executive Officer of the Betty Hardwick Center, 690-5133, by 12:00 p.m. on Friday, April 3, 2020.

In accordance with section 418.016 of the Texas Government Code, on March 16, 2020, the Governor suspended various provisions that require government officials and members of the public to be physically present at a specified meeting location. The temporary

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suspension will allow for telephonic or videoconference meetings of government bodies that are accessible to the public, but leaves certain open-meeting requirements in place:

• Members of the public will be entitled to participate and address the governmentalbody during any telephonic or videoconference meeting;

• To hold a telephonic or videoconference meeting, a governmental body must posta written notice that gives the public a way to participate remotely, such as a toll-free dial-in number, and that includes an electronic copy of any agenda packet thatofficials will consider at the meeting;

• A governmental body must provide the public with access to a recording of anytelephonic or videoconference meeting.

Any member of the public may call in to the meeting using the teleconference information below – 1-800-941-0912Participant Pin is 601035#

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BETTY HARDWICK CENTER

Board of Trustees Meeting

Agenda Item: #20.08.02. April 7, 2020

Subject: Citizens Comments ............................................................................ Dr. Whitehorn

1. Recommendations: That the Board give any citizen(s) present an opportunity toaddress the Board as per Board policy on Citizens Comments.

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Subject: Training Info/Presentation – BHC COVID19 Status Report ................. Mrs. Goode

1. Recommendations: Information only.

2. Background: We will spend a few minutes talking about –

Employees Working Remotely

Permission to Conduct Phone/Video Services

How staff are doing Psychiatry, Counseling, Targeted CaseManagement, Rehab, Therapies, etc…

OIG suspension of penalties for HIPAA compliant videooptions, allowing Face Time and Zoom, etc..

Medicaid and Insurance Billing for such services

Capturing costs for HHSC on lost revenue, increased directcosts

Suspension of Open Access Intakes for MH/IDD

Reduction of Census at MH Respite

Impact to IDD Day Habilitation and Respite

Other Operational Items

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Agenda Item: #20.08.04. November 5, 2019

Subject: Oath of Office (Board Member and Officer) .................................... Mrs. Kilpatrick

1. Recommendations: Newly appointed memberOfficer

2. Background: The Texas Department of Health and Human Services Commission,each year as part of the Performance Contracts, requires board members tocomplete an affidavit affirming their qualifications for, understanding of andinvolvement in the role of the Board. Following is the instructions for the affidavitand a copy of the required form.A completed, personalized form will be available for signature when the Oath ofOffice is taken.

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Form A Page A - 1

Form A

THE STATE OF TEXAS COUNTY OF TAYLOR

AFFIDAVIT OF BOARD MEMBER

Before me, the undersigned, on this day personally appeared (Enter Full Name and Credentials) who, being by me duly sworn, deposed as follows:

My full name is and I reside at:

County of Residence:

Mailing Address:

City, the State, Zip:

, Texas.

I am a Board member of Betty Hardwick Center

Located in Abilene

My term of office is (date): to (date)

I have read and am familiar with the statutory provisions and HHSC rules relating to qualifications, conflicts of interest, and grounds for removal for members of the board of trustees of a community center, contained in Texas Health and Safety Code, §534.0065, accountability for local authority employees and officers, contained in 25 TAC 412B (Contracts Management for Local Authorities), §412.54, and standards of administration for boards of trustees, contained in 25 TAC 411G (Community MHMR Centers), §411.310.

I have read and am familiar with Chapter 171 of the Local Government Code regarding conflicts of interest of officers of municipalities, counties, and certain other local governments.

I have read and am familiar with the current performance contract with HHSC for the current Fiscal Year.

I affirm that I have not and will not participate in any activities that create a conflict of interest or grounds for removal under Texas law.

I affirm that I qualify for appointment to the Board under Texas law. I affirm that I have not participated in the hiring, nor will I participate in the hiring of a person who is

related to any member of the Board by affinity within the second degree or by consanguinity within the third degree.

I agree to report immediately in writing to the Contract Manager any conflict of interest, grounds for removal or disqualification of my membership on the Board that occurs during this fiscal year.

By my signature below, I certify that I have read and understand this document and that the statements that I make herein are correct and complete.

__________________________________________ Signature of Board Member

____________ Date

ACKNOWLEDGED, SWORN TO AND SUBSCRIBED BEFORE ME, the undersigned Notary Public, on

this day of , 2020 .

_______________________________________________ Notary Public for the State of Texas

My Commission expires:08/01/2022

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Form A Page A - 2

INSTRUCTIONS FOR THE AFFIDAVITS All members of the Board of Trustees of community centers must complete and must have a Notary Public notarize the affidavit as indicated. On the “Affidavit of Board Member” form, the county at the top of the affidavit in the right-hand corner should reflect the county where the affidavit is being notarized. The County of Residence on the “Affidavit of Board Member” form is to be the county of residence for the member. The “Affidavit of Board Member” form is to include the complete mailing address of the member. (The mailing address is to be the address to which all correspondence is to be sent from HHSC and may be different from the home address, but may not be an address that can be accessed by any employee of the center.)

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Board of Trustees Meeting Agenda Item: #20.08.05. April 7, 2020 Subject: Minutes of March 3, 2020 Board Meeting......................................... Dr. Whitehorn 1. Recommendations: That the Board approve the minutes from the previous Board

meeting. 2. Background: See the Board Meeting Minutes of March 3 on the following pages.

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BETTY HARDWICK CENTER MINUTES OF BOARD OF TRUSTEES’ MEETING March 3, 2020 2616 SOUTH CLACK, ABILENE, TEXAS

Trustees Present: Staff Present: Michael Whitehorn Jenny Goode Michael Jones Art Casarez Jennifer Farrar Chris Mabry Dee Moore Dena Heaton Terry Hayhurst Terri Plumlee Alyssa Borger Ashley Pfannenstiel Judy Patterson Gary Carrol Benny Candelaria Priscilla Rayford Noreen White Deborah Kilpatrick Rita Johnston Andre Moore (Ex-Officio) Trustees Absent: Executive Staff Absent: Guests Present: Vicky Hicks Theron Cole Guests of staff receiving Ed Miller (Ex-Officio) tenure awards 20.07.01. Invocation/Quorum/Recognition of Guests

Chair, Michael Whitehorn, called the meeting to order at 5:15 p.m. He stated that a quorum of seven (7) Board members was present. Dr. Whitehorn then delivered the invocation

20.07.02. Citizens Comments There were no citizens’ comments.

20.07.03. Employee Awards and Recognition 2nd Quarter The following employees were recognized for their years of service. Alyssa Borger 5 years ECI Speech Language Pathologist Ashley Pfannenstiel 5 IDD Program Assistant Gary Carrol 20 CLOIP Lead Service Coordinator 20.07.04. Training Info/Presentation – Mental Health First Aid

Ms. Smith, Mental Health First Aid Outreach Coordinator, provided an overview of Mental Health First Aid, which is the help offered to a person experiencing a mental health challenge, mental disorder or a mental health crisis. First aid is given until appropriate help is received or the crisis resolves. The acronym for ALGEE (MHFA action plan) as follows:

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A-Assess for risk of suicide or harmL-Listen non-judgmentallyG-Give reassurance and informationE-Encourage appropriate professional helpE-Encourage appropriate self help and support strategies

There are two types of courses: Youth MHFA which focuses on youth ages 12-18; Adult, which focuses on anyone over 18.

MHFA is a requirement of our Performance Contract. We initially partnered with Region 14 since they already provided a variety of trainings. BHC has been a high achiever in the State, providing training to administrators and educators. Now the training includes employees and counselors. We have 6 in house instructors and 14 contract instructors who trained 800 individuals in FY 19. We are expanding to college campuses. Our goal is to exceed our FY 19 numbers.

20.07.05. Minutes of February 4, 2020 Board Meeting On a motion by Rita Johnston, seconded by Terri Plumlee, the Board approved the minutes from the Board meeting on February 4, 2020.

6 For 0 Against 1 Abstained

The Board Chair abstains from voting.

20.07.06. Financial Reports, January, 2020 Mr. Mabry summarized the financial reports for January, 2020. The Center had a surplus of $19,906 for the month and a deficit of $106,495 YTD.

On a motion by Priscilla Rayford, seconded by Judy Patterson, the Board accepted the financial report as presented.


20.07.07. Consideration of CCBHC Expansion Grant Proposal On a motion by Rita Johnston, seconded by Dee Moore, the Board approved the Center’s application for CCBHC Expansion Grant and authorized the CEO to submit


20.07.08. Consideration of HHSC Sud Grant Proposal On a motion by Rita Johnston, seconded by Priscilla Rayford, the Board approved the Center’s application for HHSC Substance Use Services and authorized the CEO to submit


20.07.09. Review/Discuss Employee Survey/Action Plan On a motion by Terri Plumlee, seconded by Priscilla Rayford, the Board

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approved the proposed action plan after review and discussion of the staff survey.


20.07.10. Consideration of HDHP/HSA and PPO Plan for Employee Healthcare On a motion by Dee Moore, seconded by Judy Patterson, the Board approved the proposed structure for both PPO and High Deductible Health Plan and addition of a Health Savings Account option for employees


20.07.11. Consideration of Pharmacy RFP Award On a motion by Rita Johnston, seconded by Judy Patterson, the Board approved the award for Pharmacy services to Integrated Prescription Management and authorized the CEO to enter into a contract.

The Center issued an RFP for Pharmacy services and proposals were due January 31st. We received three: Envolve, Integrated Prescription Management and Genoa. IPM best accommodates the Center’s preference for both mail order and retail pharmacies and cost.


20.07.12. Consideration of Interlocal Participation Agreement with the Local Government Purchasing Cooperative, “Buy Board” On a motion by Priscilla Rayford, seconded by Terri Plumlee, the Board approved the Center’s entering into the attached Interlocal agreement to participate in Buy Board activities and approve the resolution


20.07.13. Information Items • Texas Council Annual Conference-San Antonio June 24-26• SUD Licensure Status – Mrs. Heaton announced that we have received

our SUD License.• CCBHC Certification Status – Mrs. Heaton said that the information

has been submitted. Waiting on a reply.• Hoops, Dreams & Goals – March 27 – Mrs. Farrar said the Hoops,

Dreams & Goals basketball tournament, along with half timeperformances is scheduled for March 27 in Big Spring.

Community and/or Staff Meetings for the CEO – Mrs. Goode provided a review of the meetings that she and executive staff attended for the month.

20.07.14. Adjournment The meeting was adjourned at 6:53 p.m. with all business being completed. The next meeting was set for April 7, 2020 at 5:15 p.m.

APPROVED:

______________________________ _________________________________ Chair, Board of Trustees Secretary, Board of Trustees

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Agenda Item: #20.08.06. April 7, 2020 Subject: Financial Reports, February, 2020 ........................................................... Mr. Mabry 1. Recommendations: That the Board accept the February, 2020 Financial Reports

as presented. 2. Background: Please see the information in the pages that follow for summary

reports through the end of February 2020.

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Financial Report

February 2020

Assets 14,212,855 13,911,789 301,066

Liabilities 1,616,472 1,540,791 75,681

Equity 12,596,383 12,370,998 225,385

Assets, Liabilities and Equity were all up from prior year.

Patient Fees/Insurance 855,449 1,695,373 50% 703,029

Medicaid Service Coord/TCM 857,617 2,109,292 41% 920,294

Medicaid Rehab 435,255 1,289,900 34% 532,039

Medicaid SST‐ECI 129,050 327,000 39% 130,063

Medicaid Admin Claiming 223,251 450,521 50% 193,558

Early Childhood Intervention 363,683 777,912 47% 334,221

YES Waiver Program 45,925 175,000 26% 72,772

TCOOMMI 66,090 126,384 52% 51,426

1115 Waiver 546,355 1,092,709 50% 577,173

State/Local Income 3,544,160 7,648,433 46% 3,761,138

All Other Revenue 139,835 274,025 51% 959,316

TOTAL REVENUE 7,206,670 15,966,549 45% 8,235,029

= Expected Variance

February 2019February 2020 Change Since 2019

YTD February 2020 Budget (target 50%) YTD February 2019

= On Plan

= Increase over PY

= Exception ‐ See

Comments

= Unchanged over prior

year= Decrease Over PY

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YTD February 2020 Budget (target 50%) YTD February 2019

Salaries 3,711,812 8,091,497 46% 4,148,915

Benefits 1,012,306 2,313,729 44% 1,047,396

Contracts/Consultants 1,353,056 3,087,739 44% 1,500,360

All Other Expense 1,286,613 2,473,584 52% 1,404,312

TOTAL EXPENSE 7,363,787 15,966,549 46% 8,100,983

Net Income (157,117) ‐ ‐ 134,046

We experienced 2 Inclement Weather Days in February.

Still some opportunity to improve Medicaid Rehab, Targeted Case Management, Service Coordination, and YES.

The center experienced a loss of ($50,622) for the month and is at a deficit of ($157,117) for the year.

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YTD 2.29.20 YTD 2.28.19

Adult Behavioral Health (163,183) 162,488 Elm Creek Psychiatry (16) (483) Child & Adolescent Services (11,962) 46,370 YES Waiver Program (70,272) (48,048) IDD (33,839) 68,802 Early Childhood Intervention 91,804 18,984 HCS - (261,343) Training/ UGMS Unallowable 31,590 121,984 Med Records/ CBU / RMAP (1,239) 25,292

Adult BehavioralHealth

Elm CreekPsychiatry

Child & AdolescentServices

YES WaiverProgram

IDD Early ChildhoodIntervention

HCS Training/ UGMSUnallowable

Med Records/ CBU/ RMAP

YTD 2.29.20 (163,183) (16) (11,962) (70,272) (33,839) 91,804 ‐ 31,590 (1,239)

YTD 2.28.19 162,488 (483) 46,370 (48,048) 68,802 18,984 (261,343) 121,984 25,292

(300,000)

(250,000)

(200,000)

(150,000)

(100,000)

(50,000)

‐

50,000

100,000

150,000

200,000

Net Income

FYTD 2.29.20 Net Income by Program

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Betty Hardwick CenterStatement of Revenues and Expenditures

Actual 2/29/2020

Budget 2/29/2020 Variance

Actual 2/29/2020

Budget 2/29/2020 Variance Annual Budget

Month-To-Date Year-To-Date

10 - General Fund

Revenues

129,045 141,401 )(12,356 855,449 846,962 8,487 1,695,373 Patient Fees/Insurance

129,918 175,774 )(45,856 857,617 1,054,646 )(197,029 2,109,292 Medicaid Service Corrd/Targeted Case Mgmt

67,857 107,492 )(39,634 435,255 644,950 )(209,695 1,289,900 Medicaid Rehab

20,907 27,250 )(6,343 129,050 163,500 )(34,450 327,000 Medicaid SST - ECI

35,780 37,543 )(1,763 223,251 225,260 )(2,010 450,521 Medicaid Administrative Claiming

34,457 70,731 )(36,275 363,683 353,525 10,159 777,912 Early Childhood Intervention

9,235 14,583 )(5,349 45,925 87,500 )(41,575 175,000 YES Waiver Program

11,058 10,532 526 66,090 63,192 2,898 126,384 Texas Council on Offenders with Mental Impairment

91,059 91,059 0 546,355 546,355 0 1,092,709 1115 Waiver

481,077 637,369 )(156,293 3,544,160 3,824,216 )(280,057 7,648,433 State/Local Income

18,615 21,585 )(2,970 116,155 129,513 )(13,358 259,025 Other Income

10,088 1,250 8,838 23,681 7,500 16,181 15,000 In Kind Revenue

1,039,096 1,336,571 )(297,475 7,206,670 7,947,119 )(740,449 15,966,549 Total Revenues

Expenditures

631,412 678,942 47,530 3,711,812 4,017,844 306,032 8,091,497 Salaries

167,554 193,541 25,987 1,012,306 1,152,483 140,176 2,313,729 Fringe Benefits

17,653 20,646 2,993 103,801 114,741 10,940 238,617 Travel and Training

19,497 29,392 9,895 128,752 176,350 47,598 352,700 Drugs/Medical Supplies/Laboratory

10,821 9,317 )(1,505 56,327 55,900 )(427 111,800 New Generation Medications

124,589 257,047 132,458 1,353,056 1,545,451 192,395 3,087,739 Consultants/Contracts

)(29,546 27,096 56,643 95,200 162,579 67,378 325,157 Vehicle Related Expense

9,600 7,950 )(1,649 71,359 47,702 )(23,656 95,405 Supplies

33,335 31,659 )(1,677 192,649 189,952 )(2,697 379,905 Building Expenses - Rent, Utilities, Phone

3,491 4,713 1,222 23,086 26,512 3,427 54,790 Equipment Purchase, Lease, Rent, Repair

19,470 19,762 292 109,659 118,572 8,913 237,145 Client Support

46,737 32,653 )(14,085 323,702 195,917 )(127,785 391,835 Other

20,782 18,323 )(2,459 122,723 109,938 )(12,785 219,875 Use Fees

1,579 521 )(1,058 13,463 3,125 )(10,337 6,250 Capital Outlay

2,655 3,759 1,104 22,212 22,553 341 45,105 "UGMS" Unallowable Expenses

10,088 1,250 )(8,838 23,681 7,500 )(16,181 15,000 In Kind Expense

1,089,718 1,336,571 246,853 7,363,787 7,947,119 583,332 15,966,549 Total Expenditures

)(50,622 0 )(50,622 )(157,117 0 )(157,117 0Total Revenue over Expenditures

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Betty Hardwick CenterStatement of Revenues & Expenditures

Actual 2/29/2020

Actual 2/29/2020


20 - Health Fund

Revenues

20-420855 INTEREST INCOME 222 84020-487020 INSURANCE PREMIUMS (ISF) 98,565 590,08220-487030 COBRA INS PREMIUMS (ISF) 0 1,943

98,786 592,865Total Revenues

Expenses

20-606000 ADMINISTRATION EXPENSES 11,357 33,90520-712010 CLAIMS PAID 92,185 525,84320-714000 ISF - STOP LOSS 47,760 141,217

151,302 700,966Total Expenses

)(52,515 )(108,101NET SURPLUS/(DEFICIT)

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Betty Hardwick CenterStatement of Revenues & Expenditures

Actual 2/29/2020

Actual 2/29/2020


30 - Fixed Asset Fund

Revenues

30-420855 INTEREST INCOME 5,613 39,61630-420880 INSURANCE PROCEEDS 10,257 30,06730-482510 TRANSFER IN 1,579 13,46330-488310 EQUIPMENT USE FEES 12,316 71,14830-488320 BUILDING USE FEES 8,904 54,46030-488340 FLEET MILEAGE FEES )(32,667 88,082

6,002 296,836Total Revenues

Expenses

30-626000 BUILDING REPAIRS & MAINTENANCE 1,210 24,02730-656010 DEPRECIATION-FURN & EQUIP 12,434 71,71230-658010 DEPRECIATION - VEHICLES 8,491 57,91030-660010 DEPRECIATION - BUILDINGS 13,023 76,10130-706020 INSURANCE-VEHICLE 4,639 27,83430-706030 INSURANCE-GEN LIABILITY 0 1430-722000 JANITORIAL SERVICES 308 1,75030-754000 SECURITY SERVICES 58 29430-758000 SMALL EQUIPMENT / SMALL EQUIPM 270 1,69730-766000 TELEPHONE / TELEPHONE 169 )(5630-767000 TELECOMMUNICATIONS 16 1630-778000 UTILITIES 354 2,40730-782010 VEHICLE OPERATING EXP 4,456 28,69830-782020 VEHICLE REPAIRS & MAINTENANCE 2,559 14,167

47,986 306,573Total Expenses

)(41,983 )(9,737NET SURPLUS/(DEFICIT)

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BETTY HARDWICK CENTERBalance Sheet

February 29, 2020

Assets General Fixed Asset Health Worker's Total Funds Total FundsFund Fund Fund Comp 2/29/2020 2/28/2019

CURRENT ASSETSCash On Hand - Petty Cash 1,305 - - - 1,305 1,555 First Financial Bank 534,376 18,080 172,213 - 724,668 455,830 Tex Pool 2,245,224 3,157,339 5,175 - 5,407,738 4,929,530 TexStar 1,855,781 727,027 28,092 - 2,610,899 2,882,552 Certificate of Deposits 490,000 484,776 - - 974,776 1,471,231 Pre-Paids 149,720 26,234 - - 175,954 111,316 Deposits 4,003 - - - 4,003 4,003 Accounts Receivable Net 1,604,775 14,360 - - 1,619,135 987,931 Land - 534,201 - - 534,201 617,594 Buildings, net of depreciation - 1,478,560 - - 1,478,560 1,757,320 Equipment & Furniture, net of depreciation - 395,827 - - 395,827 443,042 Vehicles, net of depreciation - 285,788 - - 285,788 249,962 Due To/From Other Funds 826,681 (525,764) (627,077) 326,160 (0) (0)

Total Current Assets 7,711,863$ 6,596,429$ (421,597)$ 326,160$ 14,212,855$ 13,911,866$

Liabilities

CURRENT LIABILITIESAccounts Payable Trade 83,481 787 440 - 84,706 144,111 Accrued Expenses 117,766 - - - 117,766 319,519 Other Payables (0) - 44,389 - 44,389 207,935 Payroll Taxes/Misc Payroll Payables 39,040 - - - 39,040 47,957 Worker's Compensation Payable - - - - - - Health Run-Off - - 0 - 0 0 Deferred Income 1,330,570 (0) - - 1,330,570 821,269

- - Total Current Liabilities 1,570,856 787 44,829 0 1,616,472 1,540,791

EquityFUND EQUITYFund Balance 6,030,124 5,182,895 (588,041) 326,160 10,951,138 10,047,659 Fund Balance - Current Year (157,117) (11,568) 275 (168,410) 50,411 Contributed Capital - 1,424,315 121,340 - 1,545,655 2,004,928 Non-Spendable - Inventory/Prepaids 135,000 - - - 135,000 135,000 Committed - Potential Liability 10,000 - - - 10,000 10,000 Assigned - 1115 Waiver - - - - - - Assigned - Compensated Absences 123,000 - - - 123,000 123,000

Total Equity 6,141,007 6,595,642 (466,426) 326,160 12,596,383 12,370,998

Total Liabilities & Equity 7,711,863$ 6,596,429$ (421,597)$ 326,160$ 14,212,855$ 13,911,789$

Accounts Receivable:Client Billing 529,481 HCS (0) TXHML - Medicaid Admin Claiming 272,912 MH GR State Match Reconciliation - City/Counties 18,425 A/R - DADS 36 PASRR 3,963 MFP ECC 20,312 DSHS (10% GR Withhold) (1) HB 13 Grant 84,132 MHFA (6,221) ECI Grant 133,007 MH Block Grant 92,050 TANF 25,464 A/R - Other 175,265 TCOOMMI Grant 39,074 A/R Motel/Hotel Tax 1,216 DSRIP 1115 Waiver 292,674 Interest Receivable 15,528 Title XX 11,394 Allowance for Uncollectible Accounts (147,411) DSRIP 1115 Waiver IGT Funds -

1,561,300$

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Previous CurrentMonth Month Balance

Total Cash and Investments 1/31/2019 5,793,831

February Earned Revenue 1,039,096February Expenditures (1,089,718)February Net (50,622)

Prepaid Assets 157,141 149,720 7,422Deposits 4,003 4,003 0Accounts Receivable 1,586,894 1,604,775 (17,880)Accounts Payable 409,910 240,287 (169,623) Deferred Revenue 1,727,335 1,330,570 (396,765) Due To/From Other Funds (787,004) (826,681) (39,677)

Total Cash and Investments 2/29/2020 5,126,685

CASH BALANCE EXPLANATIONDeferred Revenue - GR MH 690,343.73Deferred Revenue - Veterans Funds 10,648.84Deferred Revenue - Veterans Counselor Funds 53,023.48Deferred Revenue - Supported Housing 27,914.55Deferred Revenue - IDD GR 297,239.25Deferred Revenue - Child and Adolescent 73,679.23Deferred Revenue - City of Abilene 0.01Deferred Revenue - Callahan County 1,299.98Deferred Revenue - Shackelford County 0.13Deferred Revenue - Jones County 0.00Deferred Revenue - Fundraising 336.54Deferred Revenue - Miscellaneous (4,176.39)

Total Restricted Funds 1,150,309 Available Operating Funds 3,976,376 Total Cash and Investments 5,126,685

Cash on Hand and In Bank 535,681 Investment Accounts 4,591,004 Total Cash and Investments 5,126,685

September - Net (125,827)October - Net 76,710November - Net (94,353)December - Net 17,369January - Net 19,606February - Net (50,622)March - NetApril - NetMay - NetJune - NetJuly - NetAugust - Net Year-To-Date Net (157,117)

Statement of Cash FlowsGeneral Fund

February 29, 2020

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Fixed Asset Fund Purchases Over $1,000

For Quarter Ending February 29, 2020

DATE VENDOR TOTAL DESCRIPTION RU# USE FEES

Equipment

12/3/2019 PC Connection 5,846.78$ Cisco Meraki 2500 Yes









1/8/2020 ASI 1,862.00$ OptiPlex 3070 SFF XCTO 238 No

1/23/2020 ASI 1,579.00$ Latitude 5491 XCTO Laptop 260 Yes

1/23/2020 ASI 1,862.00$ OptiPlex 3070 SFF XCTO 310 No

2/12/2020 ASI 1,428.00$ OptiPlex 3070 SFF XCTO 450 Yes

2/11/2020 ASI 1,579.00$ Latitude 5491 XCTO Laptop 945 No

2/12/2020 ASI 1,666.57$ Latitude 5500 XCTO Laptop 930 Yes

Vehicles

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BETTY HARDWICK CENTERInvestment and Cash Activities For The Quarter Ended February 29, 2020

Following is a recap of investment and cash activity by Fund and Investment Type.TEXPOOL GENERAL HEALTH FIXED ASSET Total

Average Rate: 1.918% FUND FUND FUND All FundsBalance 11/30/2019 2,451,998.32$ 5,154.41$ 3,205,606.78$ 5,662,759.51$ Operating Transfer (8,835.65) 0.00 (60,924.57) (69,760.22) Quarterly Interest 12,339.81 20.72 12,656.88 25,017.41 Balance 2/29/2020 2,448,494.16$ 5,175.13$ 3,157,339.09$ 5,611,008.38$

TEXSTAR GENERAL HEALTH FIXED ASSET TotalAverage Rate: 2.367% FUND FUND FUND All Funds

Balance 11/30/2019 1,848,582.62$ 18,021.79$ 724,207.12$ 2,590,811.53$ Operating Transfer (0.00) (0.00) (0.00) (0.00) Quarterly Interest 7,197.91 70.16 2,819.84 10,087.91 Balance 2/29/2020 1,855,780.53$ 18,091.95$ 727,026.96$ 2,600,899.44$

FFB CHECKING/CREDIT UNION SAVINGS GENERAL HEALTH FIXED ASSET TotalAverage Rate: 2.382% FUND FUND FUND All Funds

Balance 11/30/2019 369,659.34$ 19,851.26$ 20,871.33$ 410,381.93$ Operating Transfer 23,760.36 137,914.41 1,827.69 163,502.46 Quarterly Interest 1,441.07 658.05 54.34 2,153.46 Balance 2/29/2020 394,860.77$ 158,423.72$ 22,753.36$ 576,037.85$

CERTIFICATES OF DEPOSIT GENERAL HEALTH FIXED ASSET TotalMatures 9/2/19 to 3/11/22 (.75% to 3.00%) FUND FUND FUND All Funds

Balance 2/29/2020 493,325.42 - 495,422.90 988,748.32$

TOTAL INVESTMENTS & CASH 5,195,965.04$ 181,690.80$ 4,402,542.31$ 9,780,198.15$

Interest ReceivableBalance 11/30/2019 13,335.62$ -$ 13,936.38$ 27,272.00$ Quarterly Interest 20,978.79$ -$ 15,531.06$ 36,509.85$ Quarterly Payments (7,885.22)$ -$ (12,765.68)$ (20,650.90)$ Balance 2/29/2020 15,528.39$ -$ 14,360.36$ 29,888.75$

24

THE BETTY HARDWICK CENTERInvestment Report

For the Quarter Ended February 29, 2020

BREAKOUT OF INVESTMENT POOLS BY INVESTMENT TYPE

TexPool ** Portfolio by Type of Investment: Interest Rate: (1) 12/31/19 1.6104% Agency Notes 42.40% 01/31/20 1.5968% Money Market Funds 3.00% 02/29/20 1.5908% Treasuries 23.40% Repurchase Agreements 31.20% Interest Earned: (2) 25,017.41$

100.00%

TexStar ** Portfolio by Type of Investment: Interest Rate: (1) 12/31/19 1.5661% Agency Notes 49.27% 01/31/20 1.5736% Mutual Funds 0.00% 02/29/20 1.5643% Treasuries 16.32% Repurchase Agreements 34.41% Interest Earned: (2) 12,054.98$

100.00%

CERTIFICATES OF DEPOSITMaturity Date

Western Bank 09/02/20 250,423 0.7500% Abilene Teachers FCU Closed Closed 0.8000% First Bank Texas 03/11/22 245,000 3.0000% First Abilene FCU 03/03/20 248,325 2.5000% Coleman County State Bank Closed Closed 0.0000% BBVA Compass Bank 09/21/20 245,000 1.0000%

988,748Interest Earned: (2) $4,469.36

Total Interest Earned $41,541.75Weighted Average Maturity of Investments: 31 days

***The Investment report is generated in compliance with the Investment policy and in accordance with the Public Funds Investment Act.

______________________________________Chief Financial Officer

* Agency securities are debt instruments issued by U. S. Government agencies, departments, and government sponsored corporations which are backed by full faith and credit of the U.S. government. Example: Freddie Mac, Sallie Mae, and Federal National Mortgage Association (FNMA)

(1) Interest rates represent the average monthly return for the quarter

(2) Interest earned represents the interest earned for the quarter

** Detailed reports are on file to show itemized composition of investment pools.

25

TexPool 61%

TexStar 28%

CD's (per policy limited to 75% of investments )

11%

Betty Hardwick Center's InvestmentsFebruary 29, 2020

Agency Notes 42%

Money Market Funds

3%

Treasuries24%

Repurchase Agreements

31%

Tex Pool Portfolio by Type of Investment

February 29, 2020

Agency Notes 49%Treasuries

16%

Repurchase Agreements

35%

Tex Star Portfolio by Type of Investment

February 29, 2020

26

Betty Hardwick CenterQuarterly Report for Retirement Plans

AnnualizedBalance Investment Service Roll-Ins/Other Loan Issuances/ Forfeitures/ Balance Return on

12/1/2019 Income Fees Contributions Additions Repayments Distributions 2/29/2020 InvestmentISC 6,340,772 (252,680) (11,177) 184,593 4,010 8,051 (69,783) 6,203,786 -15.94%

27

BETTY HARDWICK CENTERIn-Kind PAP and Sample Medications

February 29, 2020

In-Kind: FY 2020 MTD FY 2020 YTD FY 2019 YTD VarianceIn-Kind Pt Assistance - Regular Meds 193,307 1,057,256 897,518 159,738In-Kind Pt Assistance - NGM Meds 164,530 956,821 1,027,504 (70,683)In-Kind Samples - Regular Meds 4,503 33,640 5,639 28,001In-Kind Samples - NGM Meds 64,389 349,062 146,251 202,811 Total In-Kind 426,728$ 2,396,779$ 2,076,912$ 319,867$

28


Board of Trustees Meeting Agenda Item: #20.08.07. April 7, 2020 Subject: Consideration to increase Ocean’s Behavioral Hospital PPB Contract ... Mr. Mabry 1. Recommendations: That the Board approve the increase in the Oceans PPB

Contract from $654,600 to $783,786. 2. Background: In March, we received an HHSC Contract amendment that

includes new funds from last legislative session. PPB (Private Psychiatric Beds) is one budget category that permits us to purchase inpatient beds for indigent clients who need that level of care.

We presently have two contracts with Oceans – one is this PPB Funding and the

other is PESC Funding. They are separate because the reporting requirements are different.

Today, the PPB contract is $654,600 per year for FY20 and FY21. These new

dollars increase the amount each year to $783,786. The PESC Contract, which you approved with the FY20 budget reflects another

$884,943 in potential contract expenditures with Oceans Abilene.

29




Subject: Consideration of Quarterly Personnel Report ............................................ Mr. Jones

1. Recommendations: That the Board approve the FY 2020 Second quarter Personnel Report as presented.

2. Background: Report includes: Second Quarter Turnover SummaryTurnover Summary:Quarterly turnover for the Second Quarter of FY20 is 5% which reflects a total of 11 separations from regular/full-time or part-time/temp positions. Total number of active employees at the end of the quarter was 196. We successfully hired 15 new employees this quarter. During this Second Quarter, BHC received 119 online applications for employment.

30

TURNOVER REPORT 2nd Quarter FY20

2nd Quarter (Dec Jan, Feb) FY20 FY19Number of Active Employees 196 205Number of Separations 11 15Number of Separations YTD 20 282nd Qtr Turnover Rate 6% 7%Overall Turnover Rate 10% 14%

2nd Qrt%1st Qtr

2nd Qtr

3rd Qtr

4th Qtr YTD FY20 FY19

INVOLUNTARY SEPARATIONS 1 2 3.0 14% 7%VOLUNTARY SEPARATIONS 9 9 18.0 86% 93%Totals 10 11 0 0 21.0 100% 100%

SEPARATIONS BY REASON1st Qtr

2nd Qtr

3rd Qtr


Discharged 1 2 3 14% 6%RIF 0 0 0 0% 0%Dissatisfied 2 1 3 14% 4%Relocation 0 1 1 5% 25%New Job 3 3 6 29% 35%Personal 2 2 4 19% 11%Health 1 1 2 10% 11%School 0 1 1 5% 4%Temp 0 0 0 0% 0%Retirement 0 0 0 0% 0%Death 0 0 0 0% 0%Unknown 1 0 1 5% 4%

Totals 10 11 0 0 21 100% 100%

SEPARATION BY EEO CATEGORY1st Qtr

2nd Qtr

3rd Qtr


Officials and Managers 0 0 0 0% 0%Professionals 5 6 11 52% 67%Technicians 0 0 0 0% 11%Admin Support 4 2 6 29% 11%Para Professionals 1 2 3 14% 4%

0%

10%

20%

FY20 FY19

6% 7%10%14%

4

31

Service/Maintenance 0 1 1 5% 7%Totals 10 11 0 0 21 100% 100%

SEPARATIONS BY TENURE1st Qtr

2nd Qtr

3rd Qtr


0-1 Year 4 7 11 52% 29%1-2 Years 3 0 3 14% 21%2-3 Years 1 1 2 10% 18%3-5 Years 1 1 2 10% 21%5-10 Years 1 2 3 14% 4%10-15 Years 0 0 0 0% 7%15+ Years 0 0 0 0% 0%Total 10 11 0 0 21 100% 100%

SEPARATION BY DEPARTMENT1st Qtr

2nd Qtr

3rd Qtr


MH 5 4 9 43% 39%IDD 2 5 7 33% 36%ECI 0 0 0 0% 7%Admin/Other 3 2 5 24% 18%Total 10 11 0 0 21 100% 100%

NEW HIRES1st Qtr

2nd Qtr

3rd Qtr


Officials and Managers 0 0 0 0% 0%Professionals 11 9 20 57% 47%Technicians 1 2 3 9% 13%Admin Support 2 3 5 14% 6%Para Professionals 6 0 6 17% 28%Service/Maintenance 0 1 1 3% 6%

Totals 20 15 0 0 35 100% 100%

32

Worker's Comp Claims

Auto Liability Claims

Professional Liability

Property Claims

Total WC Claims

Total Open WC

Claims2020 $888 $13,018 $0 $1,990 3 22019 $8,139 $0 $0 $25,500 19 02018 $22,268 $23,743 $13,650 $0 35 02017 $8,414 $43,411 $0 $851 45 02016 $5,657 $2,851 $3,035 $5,363 43 02015 $23,840 $26,039 $36,339 $0 65 02014 $15,030 $311,976 $34,300 $154,004 25 02013 $45,585 $3,629 $0 $2,684 53 02012 $34,107 $3,810 $0 $777 24 0

$0 $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $350,000

2020

2019

2018

2017

2016

2015

2014

2013

2012

Total Open WC Claims Total WC Claims Property Claims

Professional Liability Auto Liability Claims Worker's Comp Claims

33


Board of Trustees Meeting Agenda Item: #20.08.09. April 7, 2020 Subject: Consideration of Quarterly Quality Management Report ......................Mrs. Heaton 1. Recommendations: That the Board approve accept the 2nd Quarter QM Report

as presented. 2. Background: See following pages.

34

THE UTILIZATION MANAGEMENT (UM) REPORT for 02/29/2010% Withhold Measures

2.57%

0.55% 0.65%

1.79%

0.00%

0.50%

1.00%

1.50%

2.00%

2.50%

3.00%

2nd Half 2019 FY20 Q1 FY20 Q2 1st Half FY20 Q1 &2

Hospitalization <1.9%

60.5% 62.9% 58.4% 60.5% 58.2% 55.1% 57.8%

0%

20%

40%

60%

80%

100%

Sept Oct Nov Q1 Jan Feb Q2

Adult Provision >65.6%

82.40%88.40% 83.00% 84.80% 86.20% 86.50% 87.70% 87.90%

0%

20%

40%

60%

80%

100%

Sept Oct Nov Q1 Dec Jan Feb Q2

Child Service Provision >65%

53%

30%

65%

28%

15%25%35%45%55%65%75%

2nd Half FY 19 1st Half FY 20

Improvement

Adults > 20% Children > 25%

100% 100%

20%

40%

60%

80%

100%

2nd Half FY 19 1st Half FY 20

Juvenile Justice Avoidance > 95%

87.3% 86.9% 87.8%84.1% 84.4%

89.5%87.8%

75%

80%

85%

90%

95%

100%

Sept Oct Nov Q1 FY20 Dec Jan Feb Q2 FY20

Effective Crisis Response >75.1%91.7% 92.9% 90.6% 91.7% 92.5% 93.2% 91.8%

50%

60%

70%

80%

90%

100%


Access to Crisis Response >52.2%

77.5%

100.0%

81.9% 78.2% 81.9% 81.9% 80.9% 80.9% 80.9%

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

2019 2ndHalf


Employment Improvement >39.8%

33.1% 32.8% 29.4%

0.0%10.0%20.0%30.0%40.0%50.0%

1st Half 2019 2nd Half 2019 1st Half 2020

AMH Educational & Volunteering Improvement >26.5%

97.80%99.80% 99.40% 99.80% 98.90% 99.10% 98.20%

80.0%82.0%84.0%86.0%88.0%90.0%92.0%94.0%96.0%98.0%

100.0%

2019 2ndHalf

Sept Oct Nov Q1 20 Q2 20 2020 1st Half

Community Tenure Adult & Child >96.8%

64%

15%25%35%45%55%65%75%

1st Half 2020

CMH Family & Living Improvement >67.5%

67% 68%

15%25%35%45%55%65%75%

2nd Half 2019 1st Half 2020

CMH School Improvement >60.0%

35

10% Hold Measures

0.50%

0.40%

0.30%

0.50%

0.40% 0.40%

0.50% 0.50%

0.00%

0.10%

0.20%

0.30%

0.40%

0.50%

0.60%


Frequent Admissions < 0.3%

0.0%2.0%4.0%6.0%8.0%

10.0%12.0%14.0%16.0%18.0%

Sept Oct Nov Q1 FY20 Dec 1st Half FY20 Jan Q2 FY20 1st Half FY20

0.0%

12.7% 13.4%

9.0%

17.0%

12.6%

8.9%

12.5%11.0%

Family Partner Services >10%

42%

45%

40%

41% 42%43%

45%

44%

37%38%39%40%41%42%43%44%45%46%

Sept Oct Nov Q1 Dec Jan Feb Q2

Counseling > 12%

80.00%

85.00%

90.00%

95.00%

100.00%

ACT >54 %

88.9%87.8%

80%82%84%86%88%90%92%94%96%98%

100%

2nd Half 2019 1st Half 2020

AMH Residential Stability Improvement >84.0

36

IDD- ECI

Legislative Budget Board (LBB)

68.0095.00 95.00

50.00

95.00 95.00 95.00

267

100.00 97.00

0.12

100.00 100.00 100.00

0.00

50.00

100.00

150.00

200.00

250.00

300.00

Total GR Served >68 Percent Enrolled in HCS meeting timelines>95

Percent Permanency Plans completedmeeting timelines

Interest List Contacts CLOIP Meetings Attended CLOIP Process CLOIP Worksheet on Time

IDD Measures

Target

Encounter Data

100%

96%

100%

79%

100%

0% 20% 40% 60% 80% 100% 120%

Timely & Accurate TKIDS Data Entry 100%

Timely Services- IFSP Services within 28 days 100%

Services in Natural Environments 98%

45-Day Timeline 100%

Transition Plans and Timeliness 100%

ECI

Encounter Target

2.75

2.84

270%

272%

274%

276%

278%

280%

282%

284%

286%

Delivered Services - Ratio of Delivered service hours/child 2.75

ECI Delivered Service Hrs/Child

Target

Encounter

95.0%

20.0%

1.9%

1.9%

75.1%

100.0%

4.9%

1.8%

0.0%

80.0%

0.0% 20.0% 40.0% 60.0% 80.0% 100.0% 120.0%

Percentage of persons discharged from state facilities with community support plan >95%

SMHF Readmissions <20%

Equity Adjusted Hospital Bed Rate- Quarter <1.9%

Equity Adjusted Hospital Bed Rate- Annual < 1.9%

Follow-up face to face within 7 days >75.1%

Performance Measures from LBB

Encounter Target

37

Crisis Services

128

2

Admissions For the Month to Date

PESC/Hospital AdmissionsPPB/Hospital AdmissionsBSSH Hospital

15

5

27

1214

5

1210

1110

9

5

0

5

10

15

20

25

30

PESC PPB

Hospital Discharges by Month

SepOctNovDecJanFeb

20

13

39

27

19

12

22

14

21

1314

9

05

1015202530354045

Total Discharges Total Follow Ups

Crisis Follow up Within 7 Days of Discharge

SeptOctNovDec

372

248

372

205

360

161

372

186

360

222

336

199

0

50

100

150

200

250

300

350

400

Max Days in Month Used Days in Month

Respite Max Days vs Used Days in the Month

Sept

Oct

Nov

Dec

Jan

Feb

44

50

38

51 5348

0

10

20

30

40

50

60

# of Clients who Used Respite

Number of Clients who Used Respite

Sept

Oct

Nov

Dec

Jan

Feb

38

Number Served

64

24

340

690020

147

010

Crisis Services Provided in the Community by Location

CommunityGen Medical HospHomeJuvenile DetentionTaylor JailJones JailCallahan JailShakelford JailStephens JailOfficeRespite Home

147 153

101109109 107

115 117108 114107 112

0

20

40

60

80

100

120

140

160

180

Crisis Calls False Alarm Calls

Hotline Crisis Calls by Month

Sept

Oct

Nov

Dec

Jan

Feb

307

1600

325

1616

333

1635

344

1641

343

1664

343

1618

358

1564

0200400600800

10001200140016001800

CMH AMH

MH Target (FLOC)

Sept

Oct

Nov

Dec

Jan

Feb

Target

1704

333

0200400600800

10001200140016001800

Open MH LOC /IDD service assignment (Anasazi)

Clients 'Open' to Services

AMH

CMH

32 3034 34

4541

0

10

20

30

40

50

Unduplicated Clients Served

Jail Transition Program -Unduplicated Clients ServedHouse Bill 13- FY 19 Target - 20

71

19

56

28

64

9

64

17

67

4261

34

251

96

0

50

100

150

200

250

300

Jail Clinic Services Jail Intakes

Jail Services

Sep

Oct

Nov

Dec

Jan

Feb

FY20

85

99

95

98

101

93

75 80 85 90 95 100 105

Sep

Oct

Nov

Dec

Jan

Feb

Elm Creek Clinic Unduplicated Clients ServedHouse Bill 13- FY19 Target - 100

39

Compliance

Hedis Measures

33%

21%

30%

46%

72%

55%

67% 67%72%

54% 52% 52%

66%

75%

50% 50%

60%

74%

54%58%

80%

71%

53%60%

83%77%

62%66%

80% 78%

63%

72%

82%78%

62%

73%

82%77%

62%

72%

83%75%

64%

74%82%

91%

62%

74%

91% 93%

64%

75%

58%

78%

37%

72%

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

M-105 M1-147 M1-160 M1-160

28 421 576 576

Tobacco Use: Screedning and Cessation Intervention Adult Body Mass Index (BMI) Screening and Follow-up Follow-up After Hospitalization for Mental Illness 7 day Follow-up After Hospitalization for Mental Illness 30 day

1115 Hedis MeasuresFY18 Baseline

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

DY8 Target

003

451

20

Audits Completed

Audits Completed IDD: (HCS, GR) Mental Health Individual Staff Audits Progress Note Reviews Treatment Plan Reviews

2

0

43

37

112

0

Trainings Completed

Cerner Beginners Cerner Intermediate Progress Note Training Treatment plan training

Scheduler Training Refresher Training Other Assistance/Training

40



Agenda Item: #20.08.10. April 7, 2020 Subject: Consideration of Quarterly PNAC Report .............................................Mrs. Heaton 1. Recommendations: That the Board accept the 2nd Quarter FY 20 PNAC Report

as presented. 2. Background: See following pages.

41

Betty Hardwick Center

Planning & Network Advisory Committee 2020 Second Quarter Report to the Board of Trustees

Meetings The PNAC met three times during the 2nd quarter of FY 2020; December, January and February. Members During the 2nd quarter, we added a member to the committee, we continue to have an adequate membership to meet the performance contract requirements. Regular attendance by members would make for a stronger committee. Training & Education 2nd quarter training/education topics included:

• 1st quarter Utilization Management Reports • Work on improving Satisfaction Surveys • Pharmacy RFP review of proposals • FY20 Budget review • Annual Training • 25 TAC annual training • Review of renewal application for HB13 • Review of Substance program licensing application • Review of where we are on CCBHC

FY20 Board Charges and Second Quarter FY20 Recommendations:

• Provide recommendations regarding customer satisfaction survey tools and comparative reviews. Recommendations: Make the satisfaction surveys/customer satisfaction specific to the area of service provided i.e. C&A, Adults, Clinic, Intake, Front Desk, IDD, etc. and not have more that 5 or 6 questions. Find a way to make them more accessible and electronic if possible.

• Provide oversight and input into local planning and network development activities. Recommendations: None this quarter.

• Provide on-going oversight and input into Intellectual & Developmental Disability Services design and delivery. Recommendations: None this quarter.

42

• Provide ongoing oversight and Input into Local Behavioral Health services design and delivery. Recommendations: PNAC was in agreement and support of the Executive Teams review of and recommendation for the Pharmacy RFP.

• Report to the Board regarding needs and priorities of the Local Service Area. Recommendations: None this quarter.

CEO/Board Response to FY20 2nd Quarter PNAC Recommendations: We have explored some electronic options for surveys in recent weeks. We have some issues to sort out – client access to email, text messages – and BHC having current contact for those methods. Until we can improve upon those, we will seek to improve service specific cards that can be mailed or handed to clients and summarized. This is an ongoing project. The Board approved the Pharmacy contract award at it’s March meeting and staff are working to transition between Envolve to IPM by June 1, 2020.

43


Board of Trustees Meeting Agenda Item: #20.08.11. April 7,2020 Subject: Consideration of PNAC Member...........................................................Mrs. Heaton 1. Recommendations: That the Board approve the appointment of James Calvery. 2. Background: See application on following pages.

44



Agenda Item: #20.08.12. April 7,2020

Subject: Consideration of COVID-19 Leave ........................................................... Mr. Jones

1. Recommendations: That the Board approve an additional pool of leave forCOVID-19 and enable the CEO to formalize a policy to implement.

2. Background: The current pandemic is creating a challenging situation for allbusiness. There have been several state and federal bills passed, many of whichinclude some provisions for paid time off, but at this point, it’s unclear if any ofthose will benefit the Center. We’re working diligently to find ways to workwithin those provisions as they are passed by Congress and ruled on by theDepartment of Labor. However, in the interim, we’re finding it criticallyimportant to assure staff that their employment and pay are secure for a host ofreasons.

Board Policy C-1, 2 (b) indicates that “significant modifications to the…. Fringe benefit plan shall be reviewed by the Board prior to implementation and shall be presented to the Board for final approval.” We are seeking authorization from the Board to establish a special form of leave for up to 80 hours for a COVID-19 qualifying event for full and part time employees, regardless of other leave balances. Time off work due to absences related to the Coronavirus include:

• An employee who has a current diagnosis of COVID-19;• An employee who is quarantined (including self-imposed quarantine) at the

instruction of a health care provider, the Center, or government official inorder to help prevent the spread of the COVID-19 guidelines (Center and self-imposed quarantine will need to meet the current CDC guidelines);

• The employee is caring for another person who has COVID-19 or who isunder quarantine related to the COVID-19 at the instruction of a health careprovider or government official;

• The employee who is caring for a child or other individual who is unable tocare for themselves due to COVID-19 related closing of their school,childcare facility or other care program.

If an employee is off work due to unrelated events due to the Coronavirus such as already approved PTO/ELB, FMLA events, Worker’s Compensation unrelated to the Coronavirus, etc. then the original Leave policy will prevail. On-going non-related need to take time off work will fall under the original Employee Benefits policy, including waiting periods for new hires.

47


Board of Trustees Meeting Agenda Item: #20.08.13. April 7, 2020 Subject: Information Items................................................................................... Mrs. Goode

• Texas Council Annual Conference-San Antonio June 24-26 • Donation Report • Military One Stop Discussion • HB 19 ESC Position • Crisis Counseling Program

Other Community and/or Staff Meetings for the CEO during the month: 4th – On this date, Mrs. Goode met with our West Texas Behavioral Network partners in Big Spring. 5th – Mrs. Heaton attended the Special Interest Group meeting in Austin for our Cerner EMR. Mrs. Farrar participated in IDD monthly meetings for groups held remotely. Mr. Jones and Mr. Mabry and their team held several training and support calls to implement the new ADP Timekeeping and Payroll system which we began using in March. 24th – Mrs. Goode participated in a teleconference with the Health Opportunities Workgroup. 25th – Mrs. Goode hosted a statewide Community Center Executive Director call in lieu of just the Executive Committee to discuss COVID-19 related issues that Centers are facing. Throughout this month, all our leadership team has engaged in numerous calls with HHSC, Tx Council, Medicaid representatives and other partner agencies to coordinate our work and response to the COVID-19 virus.

48

Betty Hardwick Center Quarterly Donations Report Form 2nd Quarter FY 20

Name of Donor Contribution Recipient/Purpose Cash In-Kind Current Quarter Total

Year-to-Date Total

Domino’s Pizza 2 Pizza Coupons Breakfast at Betty’s $12.00 $6,351.24 $6,451.24 TaMolly’s Restaurant

Dinner for 2 “ $25.00

Absolute Perfection

30 Minute Massage

“ $50.00

Advance Auto Parts

52 Pc. Socket Set

“ $18.99

Bill Williams Tires Oil Change and Tire Rotation

“ $163.00

Cold Stone Creamery

5 free Love It size ice cream

“ $31.25

Inner Creations Custom T shirt “ $25.00 Cookies by M.E. 2 coupons for 2

doz. Cookies ea. “ $96.00

Judy McDowell 2 Cinnamon Streusel Bundt Cakes

“ $30.00

Red River Hospital

Cross, Easter Décor, Praise the Lord Gift Basket

“ $100.00

Abilene Christian Schools

8 Christmas gift packages

ECI Christmas $4,000.00

Mr. & Mrs. David Cantu

Santa & Mrs. Clause

“ $200.00

Walmart Angel Tree Gifts “ $1,600.00

49

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