|
|
|
|
|
|
|
|
|
|
|
Dear Board of Trustees:
Although there are no formal actions for the month of January,our goal is to keep you up-to-date of the happenings at the board. Included in this newsletter is an update on many of the activities board staff are working on.
As we embark on a new year, we look forward to your continued leadership and support.
If you have any questions or need further information about any item in the newsletter, please feel free to call me at 614.222.3760.
Happy New Year!
David |
|
2009 Closeouts
Financial Reports
Board Administrative Spending
The ADAMH Board of Franklin County continued its commitment to Franklin County taxpayers to spend 95 cents of every dollar on consumer care. The Board finished calendar year 2009, 9.10% under its administrative budget. The complete administrative financial report will be available for you at the February Board Meeting.
Provider Expenses
The overall growth in consumer service dollars from calendar year 2005 through 2009 is represented in the graph below. It represents all funding sources, levy, state and federal and both discretionary dollars and non-discretionary dollars.
There were notable increases in the services budget during 2007 and 2008 which represents the first two years of the new levy revenues. Many of the new discretionary dollars were allocated as treatment or prevention block grants in 2007 and 2008.
Medicaid growth was prevalent during these five years especially in 2008 and 2009. The Board's central pharmacy investment notably decreased in 2006 as a result of a Board/provider initiative to utilize other payer sources for consumer medications.
The overall "take away" from this report is that despite revenue reductions from the state and increased hospitalization costs, overall spending on community consumer care in Franklin County continues to grow. This is attributable to the continued growth in Medicaid.
 |
|
2010 Year Ahead
State Budget Update
408 Funds Restored
Passage of HB 318 restored $14.7 million ($7.35 million each year) to the Ohio Department of Mental Health's budget. Franklin County will receive $746,701 in each year of SFY 2010-11 ($1.5 million over the biennium). This represents a 3.2% increase from the original 408 funding allocation. ODMH used prevalence data to allocate these funds to boards across the state. This methodology benefited Franklin County as it more accurately reflects current demand for mental health services. Just as important as the distribution of funds, is ODMH's concurrence with our policy view that the distribution formula needed significant updating. Based on this new methodology, we received significantly more 408 funds than the Hamilton County Board and just $60,000 less than the Cuyahoga County Board. This policy decision will have significant funding implications for our community for years to come.
New 505 Funds Received
Thanks in large part to your leadership as a Board, in January we received an electronic transfer from ODMH of a one-time allocation of $1.3 million of funds from the 505 funding line item to assist the Franklin County ADAMH Board with outpatient mental healthcare. ODMH's funding decision was based on updated factors that considered the historic and current changes in prevalence of severe mental illness, population and poverty.
Where do we go from here?
Given Ohio's precarious fiscal environment, which is challenged by a ballooning state deficit that must be remedied by 2011 and the uncertainty of the federal stimulus funds that are set to expire around the same time, we as a planning board will have many public policy choices in front of us during this new year. We will be seeking your guidance in the distribution of both the 408 & 505 funds in light of these budget uncertainties and unmet community needs.
Other Updates
Legislative Breakfast Planned
We are working with Steve Votaw and Michelle Ward of the Provider Leadership Association to schedule a breakfast event with the Franklin County legislative delegation. This event will give our system an opportunity to deliver key messages to legislators about the current budget environment for 2010 and impact on consumer care here in Franklin County. The event date, time, and final agenda are still in development (sometime in mid- to late February) and we will share details with you as they are finalized.
System Clinical Planning with Providers
Board staff hosted and facilitated a meeting with provider agency executive, clinical and medical directors on December 17, 2009 to begin discussions of how to effectively and efficiently prioritize care in light of the budget reductions. The meeting began with a short presentation covering the relative proportion of dollars spent on services to consumers without Medicaid, the number of new consumers served each year and the number discharged annually; Netcare hospitalization rates; the improvement in reducing Medicaid rates for patients in the state hospital and provider agency linkage with consumers following hospital discharge.
The group then split into smaller discussion/work groups: adult intake & assessment; adult treatment; child practices & strategies; data needs; and termination/discharge criteria. Each of the smaller workgroups reported out on a goal, steps to achieve the goal, challenges, desired work product, due date and proposed provider lead. Minutes from each subgroup were forwarded to the Board and will be disseminated to the participants. Dr. Kathy Burns, ADAMH Medical Director and Stephanie Patrick, ADAMH Clinical Director will re-convene the workgroups to develop the work products. However, provider agency ownership of these initiatives as well as the products is vital so that they are not viewed as "un-funded mandates" or ADAMH impositions. Later board action may be required to adopt policies, amend contract language or support grant submissions to follow through on the products generated by the workgroups.
Mental Health Outcomes
For over ten years now, the ADAMH system of care has been able to demonstrate that "Treatment Works and Recovery Happens" through our quality treatment and reporting of consumer outcomes. Although the Ohio Department of Mental Health no longer requires our providers to submit reports, we will continue to collect and use outcomes. We have significantly streamlined the process by reducing the number of reports generated. This decision significantly decreases administrative burden on our providers while still allowing ADAMH to measure our treatment quality and consumer outcomes.
Managing for Results 2010 Business Plan
The 2010 MFR Strategic Business Plan is almost complete and will be forwarded to each of you with the February Coordinating Committee packet. Staff have been working hard to develop the operational results that align the five new Strategic Results for 2010-15 that were established by the Board of Trustees. Once the 2010 operational results are finalized in the MFR Strategic Business Plan, staff then complete their individual performance goals that align with those results.
ADAMH Audit
State auditors are on-site and plan to stay for two weeks. They working on cash basis accounts, and compliance areas. After this two week period, auditors will leave and return again when we inform them that financial statements are complete.The second phase will begin in April and conclude in May, with the Auditor of State (AOS) issuing a report by June 30, 2010. Once the audit is complete, the AOS will review the report with the Board Audit Committee in an exit interview prior to final issuance. The Board Audit Committee will forward to the full board.
|
Public Affairs
Business First: Agency maps out ways to quell mental health crises
Netcare was highlighted in the January 1, 2010 edition of Business First, with a full page article describing Netcare's mission to serve individuals in psychiatric crisis regardless of their ability to pay, recent service trends related to the economic downturn and specifically focusing on the building of the 16-bed psychiatric facility slated to break ground Summer 2010.
The article, written by freelance writer Melissa Kossler Dutton, briefly depicts a story of an Upper Arlington woman helped by Netcare through her recent time of crisis as well as Netcare's work with OSU, Ohio Health, Mt. Carmel and local State Hospital to routinely collaborate in finding available inpatient psychiatric beds to treat patients. The $925,000 16-bed unit, a collaboration between ADAMH, the Netcare Foundation and the Ohio Department of Mental Health is targeted to reduce the numbers of patients that will have to go elsewhere in the state for inpatient psychiatric care and thus promote continuity of behavioral health treatment services at the local level.
Columbus Dispatch: Help with holiday blues
The P.E.E.R. Center was highlighted in The Columbus Dispatch on December 29, 2009. The article highlighted the support group, Coping with Holidays, as well as featuring consumer stories from participants who attend the support group. The article, written by Suzanne Hoholik also mentioned the state budget reductions and the impact on The P.E.E.R. Center.
| |
|
|
|
|
|
|
|
|
