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MADDSA MEETING MINUTES

9/13/2007

 

I. DD Coordinator Report - Sandra Butts

  • 2008 Applications- Currently being reviewed by DSD. This was the first time that applications were available on-line, which was helpful to providers.
  • Health Log- DSD is in the process of launching the health log. Sandra stated that they are piloting the log here in Milwaukee Co. and providers can expect to be hearing more about it.
  • Employment Initiative Sessions- Received positive feedback on location and timing of the session. The hope is that future sessions on other topics can be offered in a similar manner in the future.

 

II. General Issues

  • LTC Reform- Tom distributed copy of maps with updated information on rollout of LTC reform state wide- info. received at residential LTC conference.

 

III. Brief Reports

A. Treasure's Report - Tom Nowak

·         CD has been opened at Marine Bank $2500 at 5.35% interest rate

·         Checking account- $503.54

 

B. Milwaukee Training Initiative - Mary Schinkowitch

·         Upcoming Trainings

-          October 16th- A repeat of "Behavioral Signs of Medical Conditions"- this will be the final training of 2007.

 

C. SE WI Training Group - Martha DeGraw

·         Upcoming Trainings

-          "Independence in the Community" session in Racine

-          November- Aging and DD at Walworth Country Center in Elkhorn- last training for 2007

 

D. Transition Committee- Hope Lloyd

·         Mc-Tab's had meeting last Tuesday- next meeting October 9th 1-2:30 at UCP- all are welcome to attend

·         "Focus on Future" forum being held for Students and their families October 20th- maximum of 50 people sessions and a panel of youth in the community

 

      E. Transit Committee - Lori Paprocki

·         No meeting held in August

·         Loris has not received many calls for complaints or compliments.

·         Independence First is taking an active lead on addressing the proposed cuts in Transit. Lori asked if they could have a brief meeting following MADDSA today to discuss how to work with Independence First to address these issues.

·         The question was raised about involvement of Goodwill, as their workers would be so greatly affected by these changes. Tom stated that he would follow up with Goodwill about this.

 

      F.  Health Disparities -Martha DeGraw

Next Steering committee meeting- today

 

  • Health Log: Continuing to push for use of the Health Log to provide medical providers with more comprehensive information about patients when they come for medical services. It was discussed that the log is still not available electronically- Martha will follow up on this.
  • Oral Health Group: Continues to focus on prevention. MATC is sending a representative to the work being done with WCTC to see about doing the same at their location. Continuing relationships with Curative and MCFI. MCFI continues to work with Marquette Dental
  • Crisis/Psych Group: Students at Medical College plan to sponsor a Grand Rounds at the Medical College. They are also in the process of putting together a list of psychiatrists that take T-19. They look to have about 20 new psychiatrists on the list and are just having a few software issues, as the work to have the list easily updated.

 

G. People Can't Wait  Report - Lois Degner

  • Focus has changed to addressing budget concerns. There are numerous listening sessions being held to address budget issues, transportation, and advocacy cuts.
  • Next meeting is today at 1:30 and Corey Hoze will be there.
  • Planning Council has set up listening sessions for Oct. and Nov.- please encourage people to get out to these.

                                                                                                              

IV. Membership

  • Caregiver Recognition: 11/28/07 at Summit Place (70th and Washington) $15 per person cost.
    • Looking for speaker ideas:
      • Nutrition
      • Behaviors
      • Crisis Intervention Trained Police officers
      • Relaxation/ Stress Reduction (Sandy Henderson from St. Anne's)
      • Motivational Speaker (Chris Ireland - willing to cut a deal, Martha will send contact info. to Tom)  

V. Geri Lyday

  • Family Care Progress- Geri discussed plans for Resource Center that continue, including plans for a mobile team to take referrals and to make specific linkages with non-traditional settings such as churches, Hmong Community, UCC. Also, plan assumes 1 CMO located in the Department of Administrative Services (fiscal arm of county- not in DSD or DOA). There is a concern about state budget and it is unknown what the effects will be at this point. They are also waiting on an actuarial analysis, ensuring that the capitated rate will be sufficient to cover costs for individuals with DD and PD.  Plan to start conversion of CIP/COP clients to Family Care January 1st 2009.
  • Long Term Care Reform Forums- Geri distributed flyer on information sessions for individuals with disabilities and their families. Plan to provide similar sessions for providers in October/November 1) Residential Providers 2) Work/Day Providers 3) PC/HHC Providers
  • Changes in Service Provision for 2008- Geri stated that they do not expect many changes in 2008 in providers. However, they are moving towards a change in payment from recurring payments prior to service to payments after services have been provided. These changes are in response to ongoing issues with the IRS and auditors concerning the current reimbursement system for providers.
  • County Budget- DSD was working to cut $1.5 million from their budget. Initially, they planned to cut $176,000 in advocacy, however it is looking as though the County Exec. Will be restoring this funding and DSD will be able to maintain their current budget as is. However, the issue of rate increases are not on the table. With regards to transit, they are working hard to get additional participation by the federal government, so that they do not have to cut any routes. It is expected that there will be somewhat of a rate increase, however, they are hopeful that routes will remain and the ¾ mile issue will be resolved.
  • Housing- DHHS is taking responsibility for housing that used to be housed in the Economic Development office. They are looking at increased funds for housing for people with MI and those with physical needs.
  • Personal Funds- In 2008, DSD is also looking at addressing the ongoing concerns about consumer funds, how personal funds are determined and how this money is handled. Geri stated that they are exploring the possibility of a fiscal intermediary to act as the rep. payee instead and no longer having residential providers act as rep. payee's. There was a great deal of discussion about concerns with this. Most immediately, Geri stated that they are looking at doing some spot audits and expressed the need for Case Managers to know how individual's money is being spent.
  • Residential Expansion- Geri explained efforts to expand residential options in a more plan-ful way. She stated that they are targeting expansion for specific individuals needs and it no longer works for a provider to get a license and then expect the county to fill these vacancies.

 

 

 

Next Meeting: October 11th  9:00am at UCP

 

 

 

Prepared by Jenny Flemal

     
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