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First quarter recommendations by the Divi slot' of Heahh 3 Human Services (DHtIS) are as
follows:
• Quality Management Data should be reflected in provider profiles.
• A description of Continuous Quality Improvement efforts should be given for the last two years.
• Revision to the Service Management Section of the Business Plan to reflect changes in the
State Plan.
• Once service authorization protocols are approved by the DHHS, Crossroads will incorporate
them into the authorization system.
• Further develop the provider network and show how consumer care is coordinated.
• Revise appeals and grievances policy and use the Consumer and Family Advisory Committee
(CFAC) in the development of the revisions.
4. Pinaneial report (attachment given to commissioners).
5. • Divestinue Schedule is moving forward according to the Strategic Plan.
-Thirty-seven employees reduced in July 2003 -- all were rehired by contract providers and will
work with the same population and in the same location. Some of the positions are located
in Iredell County, and some live in Iredell County. Crossroads now employs less than
200 professionals.
• Currently, 74 contract providers are working for Crossroads with over $8 million dollars
appropriated to services through the contractors. Thirty-six percent of Crossroads' $22
million budget is now in contracted services and will grow through this fiscal year.
6. Statewide, mergers and consolidations of area programs are occurring that will reduce the
number of Local Managing Entities to 33 from 38 by June 2004.
7. State mandate target population criteria is being used to admit persons for the
enhanced benefit package (treatment).
8. North Carolina Council of Community Programs Position Statement Presented to the North
Carolina County Commissioners Association (attachment given to commissioners).
Swann reminded the board members that mental health reform resulted from a
General Statute change in 2001. He said this led to the 2001 state plan (Blueprint for
Change), and in 2002 revisions were made. Swann said that in July of 2003 there was
a revision to the 2002 plan. hie said there would be new state plans for 2004, 2005, and
probably 2006. Mr. Swann said some county flexibility sections that had been offered
in the state 2002 plan had been deleted, but discussions were occurring in an effort to
have some of the deletions reinstated.
-----------------------------------------CONSENT AGENDA ------------------------------------
Request for a Discussion with the Volunteer Fire Departments not Included
in the County -Wide Tax Service District Regarding Possible Contract
Amendments: Chairman Johnson announced that during the briefing, the board had
agreed to delegate to the fire tax district board, of which Commissioner Williams was a
member, the opportunity to draft new contracts for the VFDs not included in the
county -wide service district. Johnson said the Shepherds, Mount Mourne and Stony
Point VFD chiefs, or their designees, would also be invited to assist with the contract
amendments. Mr. Johnson said it was his understanding the amendments would address
the composition of the VFD's governing body and stipulate that a majority of the board
of directors be non -firemen or that they would not be associated with the department
other than residing in the specific district. Mr. Johnson said Commissioner Williams
had suggested that while the contracts were being reviewed, that other changes, such as
centralized purchasing, be addressed.
OTIO by Commissioner Norman to designate Commissioner Williams as
the commissioners' representative to work with the fire tax district board (county -wide)
along with the chiefs, or their designees, from the Stony Point, Mount Mourne, and
Shepherds Volunteer Fire Departments (VFDs), for the purpose of (1) incorporating
language into the contracts stipulating that the majority of the VFD's governing body
would be non -firemen from the community (2) draft other contract amendments or
revisions as deemed necessary for the efficient and effective operation of the
departments and (3) share the contract amendments with the board of commissioners
upon completion.
VOTING: Ayes - 5; Nays - 0.