MN HIV Services Planning Council Meeting

April 11, 2006

9:00 am to 12:00 noon

Redeemer Missionary Baptist Church

116 East 32nd St, Minneapolis

Minutes

Council Members Present:
Gilbert Achay	Andy Ansell (Co-chair)
Dan Capouch	John Cyzon
Rae Eden Frank	Dean Halland
Bob Hansen	Jim Lawser
Lee Lewis	Antonio Marante
Eric Meininger	Gary Novotny
Ojuolape Olagbaju	Ephraim Olani
Susanne Pfeil	Ama Sabah
Ron Schut	Sarah Senseman
Gwendolyn Velez
Council Members Absent:
Aaron Keith Stewart (excused)	Lois Crenshaw (LOA)
Francis Mark (excused)	LeMonte Graham (excused)
Lee Lewis (excused)	Willie Wesley (unexcused)
Consultant:
Becky Kroll (CLEAR)
Guests:
Lorraine Teel - MAP	Charles – interested person
Dollina Odera – ACTU – U of M	Curt Peterson - RAAN
G-HAT:
Jonathan Hanft - Hennepin County	John Shur - Hennepin County
Eduardo Parra - Hennepin County	Debra Riley - DHS
Joan Otheino - CSAD
Staff:
Lori Lippert	Wendi Kistner

I. Welcome and Introductions; Lighting of the Candle

The meeting was brought to order at 9:02 am. Dan lit the candle for all those who are creatively trying to find ways to prevent the transmission of HIV.

II. Review the Minutes of March 14, 2006 Meeting and Proposed Agenda

Minutes were approved by unanimous consent. Andy asked to add Joan Otheino to the open forum. Agenda, with addition, was approved by unanimous consent.

III. Open Forum I, Topic: “Reauthorization”, Lorraine Teel, MN AIDS Project

Lorraine attended the meeting to talk about the CARE Act Reauthorization.

· It is possible that Congress won’t reauthorize the CARE Act and it will continue to receive funds in the same way it has in the past.

· When looking at advocacy efforts coming from various groups, it is important to understand the perspective of the group. For example, drug companies, AIDS service organizations, the government, health care providers, etc. each have different priorities regarding what should happen with reauthorization.

· Lorraine went over some of the things that have changed since the last time reauthorization has occurred

· Legislation introduced by Senator Coburn’s requires 75% of funding go to healthcare. (Case Management and access services are not included in this number). Another change he proposed is to test people without offering them counseling or getting their consent.

Another proposed bill will be introduced that will be more “centrist”. Still, it is more restrictive than the current form of the CARE Act. This bill would change the case count which, for Minnesota, could be a good thing.

Lorraine invited questions regarding the AIDSLine. MDH chose to pull funding to the AIDSLine (currently funded through CARE Act funds and state funding). Taking away the prevention dollars is a problem because now CARE Act funds can only be used to serve PLWH/A. It may mean that in the future MAP will have to refer people looking for risk information to other (national) resource. MAP is still working on figuring out what they can and can’t do. They are asking the State Legislature for state funds to replace the lost MDH funding. They should know more by May 31^st. They are working internally to figure out what to do if they don’t get additional funding.

Open Forum II, Topic: “CSAD report update”, Joan Otheino, CSAD/Hennepin County

Joan Otheino, from Hennepin County, attended the meeting to talk abut the CSAD report. She passed out the draft copy of the CSAD report. MN is one of 5 sites in the country that had a CSAD study and it has been a challenge to work for two supervisors in different places. Joan is working to get her findings ready for publication as two separate journal articles. Because these findings are “pre-publication” people are asked to not share them with others not on the PC. Joan would like the Council to pay attention to the recommendation process. She invited people to email her with comments. PC staff will make copies available to those who want them.

IV. Title I Update, Jonathan Hanft, Hennepin County

A. Staffing Update – The Planning Council Coordinator position closed yesterday. HR should be getting the applications to Jonathan within a week. Additionally, the Quality Management coordinator position closed last week and interviews should be happening soon.

B. Training update – An all-vendor meeting is set to be held on Friday, May 19^th from 8:30 – 12:00 noon at the Health Services Building. The focus for this meeting is unit rate contracting as well as managing change.

C. Year 11 Budget Proposal – Title I & II allocations have been received. The Planning Council needs to approve final allocations. This was not brought to the P&P committee meeting first because it was not ready in time for the last meeting. Jonathan walked the Council through the budget spreadsheet. The Title I funding went up about $35,000 (1%) while Title II funding stayed the same. Jonathan also walked the Council through the proposed changes and increases in funding. Five service activities would receive small increases and the Planning Council budget will see a small decrease in funds because of the vacant Planning Council Coordinator position. Andy and Aaron Keith have already met and talked about the proposed budget. MOTION: A motion was made to approve the proposal and was seconded. The motion passed by unanimous consent with two abstentions.

V. Title II and ADAP Update, Debra Riley, MN Department of Human Services

A. Update on DHS case closures (cost-share) – People who are 1-6 months behind in making cost-share payments have received a letter letting them know if they do not make arrangements their coverage will be cut off. 170 people were identified and of those 62 clients have made arrangements as of March 31^st. 45 clients were closed from the drug program as of March 31^st. These clients will be called before the end of April to help them get their coverage up and running again. “How many of the 45 have exhausted MAP’s assistance.” Debra isn’t sure but will try and find out. Debra also mentioned that DHS is looking into changing the procedure so funding can be used to pay past invoices. Debra Riley provided the Title II update.

B. SCSN and Title II Comprehensive Plan - Debra made available to members the SCSN and Title II Comp Plan. On March 8^th DHS held a public forum. DHS will now be working with the Planning and Priorities committee to figure out how the Planning Council will monitor the Title II Comp Plan.

VI. Committee Reports (Community Participation Committee on hiatus)

Committee reports were presented in written format. There were no action items.

VII. Presentation from CCCHAP needs assessment on co-factors for high-risk populations, Gary Novotny, MDH

CCCHAP stands for Community Cooperative Council on HIV/AIDS Prevention. Gary discussed the co-factors for HIV positive persons. These co-factors were developed from many different sources. Gary walked Council members though the findings laid out on his handout. It is important to note that the co-factor list was not prioritized so placement on the list is not important. These were used in developing the most recent prevention services RFP. Wendi will put a link to the plan on the website for future review. Ron asked when the next RFP is coming out and was told they are done every 3-5 years.

VIII. Presentation on provider observations about trends in needs and services, Eduardo Parra, Hennepin County

During the last Prioritization and Allocation providers were asked to come to Planning Council meetings to do panel presentations on their service area. This year the Planning & Priorities committee asked contract managers to share the information they have gathered from providers re: trends, gaps, and changes in service delivery. Eduardo walked the Council through the site visit summary.

Concerns were expressed in regard to interpretation and the level of service that is offered. Ama asked how interpreters are trained and how the Council can make sure the appropriate people are sent to interpret for people who receive CARE Act funds. Eduardo stated that Hennepin County manages the interpretation center and contracts with their own interpreters. Eric mentioned that there is no certification to make sure people are properly trained to become an interpreter. A suggested was made to offer a training course to interpreters to teach them about HIV and what services are offered. The Planning and Priorities committee will begin discussion how to proceed.

IX. Brief Training, Topic: Reading Utilization Data, Becky Kroll, CLEAR

Becky gave a brief training on reading a SAR and a SAR summary. A clarification was made that Greater MN data included in the SAR will not mirror the MDH data on Greater MN because they do not define these areas the same way.

X. Learning Stations

Council members rotated in groups through learning stations, receiving service area/activity data at each stop.

A. Greater Minnesota Initiative

B. Outreach Services/Oral Health

C. Food Bank/Home Delivered Meals

D. Referral/Housing Assistance

XI. Announcements, Evaluation, Next Agenda

None.

Meeting Adjourned at 12:08 noon

Meeting Summary:

· Lorraine Teel from MAP spoke during the open forum to encourage Council members to pay close attention to the reauthorization process. Joan Otheino from Hennepin County also spoke during the open forum and gave an update on the CSAD report. Staff will make copies available to Council members.

· ACTION ITEM: The Title I & Title II proposed budgets were approved by the council by unanimous consent with two abstentions.

· Debra gave an update on cost-share closures and distributed the SCSN and Title II Comp Plan.

· Gary presented the CCCHAP needs assessment on co-factors for high risk populations. It is the hope that this information will be used during the prioritization process. A link to this report will be available on the Planning Council website for future review.

· Eduardo Parra presented his provider input from the site visits he conducted between September and December 2005. Planning & Priorities committee will take lead responsibility for learning more about the way translation/interpretation services are delivered and, possibly, make recommendations on how to improve the service.

· Council members attended learning stations where they went over the SAR Summaries for Greater MN, Outreach, Oral Health, Food Bank/Home Delivered Meals, Referral, and Housing Assistance.

Documents Distributed Before or At the Meeting:

· Agenda

· Minutes from 3/14/06 meeting

· Provider Observations

· SAR Summaries for: Dental Care, Greater Minnesota Initiative, Emergency Housing Assistance, Child Care, Referral Services, Outreach Services, Case Management, Emergency Financial Assistance/

· Comp Plan Workplan

· ADAP Executive Summary

· Statistics in Brief

· EHA SAR

· Priority Target Populations and Co-Factors

· Title I Update

· Year 11 Post Awards Allocation Proposal

· Fiscal Year 2006 Post Notifications of Grant Award Allocations

· Utilization Data PPT Handout

WK/lgl