June 12, 2008

 

I.                   DD Coordinator's Report

A.    Sandra passed as she had no report to present

 

II.                General Issues

A.    Nothing to report

 

III.             Brief Reports

A.    Treasurer's Report (Tom Nowak)

1.      Current balance in checking account is $1788.54 w/ $100.00 in deposits

2.      Current balance in money Markey is $2500.00

B.     Training Initiative (Mary Schinkowitz)

1.      08/22/08 Personality Disorders w/ Dr. Marcus at MCFI

2.      10/06/08 Positive Behavior Supports w/ Tom Pomarans at the Zoofari center

3.      November Holistic Approaches to Anxiety and Depression w/ Linda Dryers

4.      Planning for 2009 calendar

C.     SE WI Training (Mary Schinkowitz)

1.      06/26/08 Life Skills Coaching w/ Sue Marshall at Gateway in Burlington from 9am to 12pm

D.    Transition Committee (Hope Lloyd via Mary Schinkowitz)

1.      Had a successful spring event!

2.      No July or August meetings due to summer vacation

E.     Transit Committee (Holly Nygro)

1.      Introduced new Paratransit Communication Form

a.)    discussed expecting call backs rather than fax back responses

b.)    will be available through the MADDSA website

c.)    positive comments are also encouraged as staff is recognized for achievements

F.      Health Disparities (misc.)

1.      Steering committee to meet later that afternoon - location TBD

G.    People Can't Wait (Lois Degner)

1.      At their recent meeting, they discussed housing development changes with a guest speaker and changes in managed care in the area.

 

IV.             Membership

A.    Nothing to report

 

V.                Other Business

A.    Nothing to report

 

VI.             Guest Speakers

A.    Carmi Peot - Transit Plus

1.      Public policy forum published a report, "Milwaukee County's Transit Crisis," that highlights the area's unique needs, projections for the future, suggestions and hypotheses of the causes.  It is available online at the public policy forum site or via the handout.

a.)          Rob Henken, current chair of the committee, would be willing to speak to us

b.)          Upcoming meetings are posted online

2.      2009 budget is being composed

a.)          Requirements include a zero tax levy increase which also requires a decreased budget thus decreased services and/or increased fares

b.)          It will be finalized in October 2008

c.)          Currently working with Milwaukee County representatives

d.)         Need advocates as we were effective last year!

B.     Christy Smith - State Center Relocation

1.      In 2007, 14 clients were relocated to community placements

2.      In 2008, thus far, 3 clients have been relocated to community placements

3.      CWC and SWC currently each have approximately 60 Milwaukee County clients left

4.      Obstacles to community transitions include complex medical, behavioral, etc. needs and guardian opposition.  Therefore, it is imperative to have skilled nursing staff in the community.

5.      Current activities to facilitate the transitions include guardian information meetings hosted by residential and work/day programs, tours at residential sites and advocating for the change in language in protective placement reviews w/ Watts workers.  With this, an order for community residential assessments by providers would be possible.

6.      Contact if interested in assisting with the relocation at cjsmith@wi.rr.com

C.     Geri Lyday - Long-term Care Update

1.      Resource center proposal being composed

a.)          would begin the end of the first quarter of 2009

2.      Initially, they were looking at a separate CMO for financial, but now there are concerns about the lack of programmatic understanding in addition to an urgency to incorporate into the Family Care system by the end of the biennium.

3.      State has expressed concerns regarding the presence of a resource center and a CMO but Milwaukee County is unique due to its size and they would allow consumers w/ more choices

4.      Programmatic challenges

a.)          State's allowable costs and actual needs leave for approximately a $2.8 million disparity

b.)          State's formula is lower than that for Milwaukee County employees

c.)          What happens to purchase for service clients that will not be eligible for Family Care?  How many are there?  Who will fund and to what extent?

5.      Disabilities Rights group composed a paper which highlighted concerns of transition into a CMO program.

a.)          there are major differences between older and younger adults

b.)          choices for employment, school transitions, small providers and shared leadership

c.)          CMO needs to be integrated for all generations not just overlapped for aging model

6.      Overall, the longer we stay in the current system, the worse we will be as no new funds are coming in and all new funds are being allocated to conversions.

7.      The state is allowing 12 months to convert the existing clients and within 3 years, all eligible clients will have an entitlement benefit.  This means that an average 344 individuals will have to be transitioned per month within the first year.

8.      Three other options aside from Family Care will be:

a.)          Self directed supports

b.)          Integrated care model by CCO

c.)          ICare expansion

9.      The primary focus is the resource center implementation and the secondary is the capitated rate discussions.