MN HIV Services
Planning Council Meeting
Council Members Present:
|
Council Members Absent:
|
|
Aaron
Keith Stewart |
Gilbert
Achay - Excused |
|
Ama
|
Lois
Crenshaw - LOA |
|
Andy
Ansell |
Rae
Eden Frank – Excused |
|
Antonio
Marante |
LeMonte
Graham – Excused |
|
Bob
Hanson |
Andrea
Jenkins – Unexcused |
|
Dan
Capouch |
Dean
Halland – Excused |
|
Ephraim
Olani |
Gary
Novotny – Unexcused |
|
Eric Meininger |
Osmam
Ahmed - Unexcused |
Francis Mark
|
Ron
Schut - Excused |
|
Gwendolyn
Velez |
Binta
Johnson - Unexcused |
|
Jim
Lawser |
|
|
John
Cyzon |
|
|
Lee
Lewis |
|
|
Pat
Kramme |
|
|
Paul
Eknes-Tucker |
|
Randy Hornstine
|
|
|
Sarah
Senseman |
|
|
Susanne
Pfeil |
|
|
Willie
Wesley |
|
|
Consultants Present: |
Guests Present: |
|
Becky
Kroll - CLEAR |
Mary
Dwyer - DHS |
|
|
Curt
Peterson – Rural AIDS Action Network |
|
G-HAT Present: |
|
Diane Knust -
|
Julie
Hanson Perez – MDH |
Jonathan Hanft –
|
Joe
Freesmeier – |
John Suhr –
|
Eduardo
Parra – |
|
Staff Present: |
|
Lori
Lippert |
Jennifer
Fisher |
|
|
Wendi
Kistner |
I. Welcome and introductions; lighting of the candle
The meeting was called to
order at
II. Review the minutes and proposed agenda
Aaron Keith reviewed the
minutes. Change made to part VIII –
change B to D
Ephraim wanted to discuss
the issue of translation/interpretation and was asked to bring that up in the open
forum time.
Minutes were accepted by
unanimous consent.
III. Open Forum
Ephraim has concerns about
funds for translation not being used when there is a big need. He suggested that one reason the money is not
used is that there is no money to cover printing costs after something has been
translated. Lori observed that this fund
is for translation and interpretation, not for printing. In general, there are no funds allocated for
printing costs in any language. This
issue was forwarded for discussion to the Planning and Priorities committee.
Curt Peterson, acting
director of the Rural AIDS Action Network, gave a brief update on changes &
plans for RAAN. RAAN is in the process
of moving their offices to more rural locations in January. They are opening five new offices in addition
to moving the main office. Case managers
who are currently working part time out of their homes will begin working
fulltime, out of offices, in 2006.
Leslie Bakken who have been the medical director for RAAN for many years,
is stepping down from her position. She
will be replaced by three regional medical directors.
IV. Co-chairs Update
·
Appreciation for
Mary Dwyer’s years of service
In
November Mary Dwyer left her staff position with the Planning Council after
four years of service. She was asked to
attend today’s meeting so the council could celebrate her new job and thank her
for all that she has done.
V. Staff
Update
·
Facilitation
training is scheduled for the
Training on facilitation and
the role of being a co-chair will be conducted at the January Executive committee
meeting. Anyone who is currently a
co-chair is strongly encouraged to be there as well as anyone else who would
like to attend. The training will be
facilitated by Monica Sausen who is with Hennepin County Human Services and
Public Health Department.
·
We would like to
collect the remainder of these forms – please turn them in by the end of the
meeting.
·
The newsletters
are printed and ready for distribution.
VI. Committee written reports;
time for questions, discussion
A. Executive Committee – The hiring process has
begun for both PC staff positions. The
reauthorization paper is complete (just need to complete cover letter) and will
be sent out to MN Delegation of Legislatures.
B. Needs Assessment and
Evaluation Committee - Focusing in on what assessment activities are going to be for the next
year and how it will fit into the 3 year plan.
C. Planning and Priorities
Committee –
The Comprehensive Plan is ready to be approved by the Planning Council. This vote needs to happen today because it is
due to
MOTION: Francis made a motion to accept the comp plan
as written. Dan has some additional
edits. FRIENDLY AMENDMENT MADE AND
ACCEPTED: Comp Plan is accepted with additional minor edits. DISCUSSION:
Objective 1C (p59) – Andy
inquired as to why the term “sexual orientation” is not included in this
section. After some discussion it was
decided that the terms “sexual orientation” and “men who have sex with men
(MSM)” will be added to this section and all other applicable sections. FRIENDLY AMENDMENT MADE AND ACCEPTED: Comp Plan is accepted with additional minor
edits, including adding “sexual
orientation” and “injection drug use” to Objective 1C and any corresponding
places in the text. ACTION ITEM:
Comp plan has been accepted with minor changes, including sexual orientation
and injection drug use references, by unanimous consent.
BREAK
- Before the group took its break Julie
Hanson Perez announced that she had brought copies of the prevention comp plan
and anyone interested could take one
VII. Committee report, continued
D. Operations Committee - Starting next meeting this
committee will begin giving quarterly attendance reports so people are reminded
of their obligations and know their attendance status. The committee continues to work on By-laws. There will be a Council member election in
February so now is the time to recruit new members. There are 5 applications that we have
already. Blank applications were made
available and people encouraged to recruit new members.
A Council member asked the council to revisit the
policy regarding stipend. It was decided
that further discussion will take place during the open forum at next month’s
Planning Council meeting as well as at Operations Committee. Jim indicated that in order to give
compensation it needs to fit in with HRSA’s allowable reimbursable items, such
as ink cartridges or mileage.
E. Community Voice Committee – Committee agreed to
suspend meeting for December because of being short-staffed and general holiday
busy-ness.
F. Community Participation
Committee –
The newsletter is done.
VIII. Title I update, Jonathan Hanft
·
General Staffing
update – John Suhr is the newest member in contract administration and is
taking Joe Freesmeier’s place. Joe has
been promoted to supervisor.
·
Planning Council
staffing update – still working with HR to get both positions posted. Once posted there will be a 2 week period
where people can apply. Jonathan will
send a link to everyone in the PC so interested people can apply. Mary Dwyer’s position is handled through the
Support Staff Supervisor and the posting is currently out internally.
·
Planning Council
Grantee – The MOU has gone through the process of legal review and no content
changes have been made to the version that was adopted last month by the
Council. Now it is being circulated for
signatures.
·
Diane Knust gave
a brief report on the ‘Train the Trainer’ workshops that
·
Quality Management
– Diane reported that
·
Unit Cost/Unit
Rate Contracting Presentation (Jonathan Hanft and Joe Freesmeier) – Jonathan
and Joe gave a presentation explaining the way in which Hennepin County is
managing some contracts—through a unit rate contracting, versus through giving
a lump grant for a lump set of services.
Not all CARE Act services are under this kind of system yet, but it is
the County’s goal to move as many contracts as possible to this method within
the next few years. This is a change the
County is making throughout all its contracts, not just with the CARE Act
services. Unit Rate contracting is based
on a definition of a service unit and payment is based on how many units of
service were provided to clients. (Examples of a service unit: one home-delivered
meal; one hour of a care advocacy session).
The presentation showed the process for defining a “unit” and for
setting a rate for each unit. They
explained that there is money built into the unit rate to cover a percentage of
administrative time. For example, if a
unit itself cost $80 to provide, the rate would be set higher, say $100, to
allow the provider funding to cover non-client-specific activities such as
attending staff meetings or trainings.
The County expects to move 1-2 services each year to this method of
contracting. There was time for
discussion. Many questions centered
around concerns that agencies operate differently from one another and clients
require varying amount of time and service.
The County staff responded that if more time is needed and more service
is delivered, then the agency will be reimbursed for those services. For example, if a client goes to one agency
and gets one hour of care advocacy service, the agency will get paid for one
hour of service. If another client goes
to another agency and gets two hours of service, the agency will get paid for
two hours of service.
IX. Title II and ADAP update, Dave
Rompa
·
DHS is having a difference of opinion with Gilead Pharmaceuticals over
what is an allowable rebate cost. Until
it is resolved DHS is limiting its dealings with
·
DHS is working on closing the cases of people who have not paid their
portion on the cost share program. To
date, 3 cases out of 24 have been closed.
These are three people DHS has not been able to locate/contact. By the end of the year they will have closed
6 more cases, unless the clients make their cost share payments.
·
Medicare part D has gone in to effect, as has DHS’s cost share
assistance program.
X.
Announcements,
evaluation, next agenda
·
The 2006 meeting calendar for January – March is out. Staff will get the entire calendar to members
when the conference rooms have been scheduled.
·
It is Andy Ansell’s 40th birthday!
Adjourn
Meeting Summary:
·
Facilitation
training is scheduled for the
Planning
and Priorities Committee finished the Comprehensive Plan and brought it to the
Council for a vote. ACTION ITEM: Comp plan has been accepted with minor changes,
including sexual orientation and injection drug use references, by unanimous
consent.
Documents
distributed at or before the meeting:
Planning Council office
612-596.7894, or toll-free 888-638-3224 – web address is
www.mnhivplanningcouncil.org
MDH’s website address for
Epi data is www.health.state.mn.us/divs/idepc/diseases/hiv/index.html
or call 612-676-5414
WK/JF/lgl