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QUALIFIED PROVIDER NETWORK
SUBCOMMITTEE
OF THE LME
September
16, 2002
3:00
p.m.
711
Executive Place
; Board Room
PRESENT:
Vince Wagner,
Director – Managed Care (chair), CCMHC
Densie Lucas, Assistant Area Director, CCMHC
Don Harrer, Director – Administrative Services, CCMHC
Terry
Eads, Director – MIS, CCMHC
Terri Knight, Director – Developmental Disabilities Services,
CCMHC
Debbie Jenkins, Director – Child and Family Services, CCMHC
William H. McDougal, Director – Substance Abuse Services,
CCMHC
William H. Robinson, Director – Residential Services, CCMHC
Stacy Martin, Clerk to the Area Board, CCMHC
Karen Campbell
Daniel Muldrow, Main Focus
Richard Varela, KV Consultants and Associates
Alice Carter, Loving Care Habilitation Services
Debra Stevenson, CREST, Inc.
I.
Welcome
- Vince
welcomed everyone to the meeting and extended his appreciation for
members taking time out of their busy schedules to participate.
II.
Introductions
- Vince introduced
himself and asked everyone to go around the room and introduce
themselves.
III.
Announcements
None
IV.
Agenda Adjustments
- Minutes
were accepted as written.
V.
Update from “Training/Technical Assistance/Education
Subcommittee”
- There
was a discussion concerning the legality of requiring drug testing
from employees of providers.
- Need
to look at competencies from the State, the licensure rules, APSM
30-1 rules for residential, and what monitoring mechanisms are
utilized.
- Need
to determine LME’s role in requiring background checks as well
as driving record checks for network providers.
- Mr.
Varela informed members that there are LME’s who are charging a
$25.00 processing fee to providers who make application for
network provider membership.
- Ms.
Jenkins informed members that the State intends to come up with
one set of standards that all LMEs across the state will be
expected to utilize in an effort to make a seamless system across
the State.
- Mr.
Varela questioned information he received at a meeting apart from
Cumberland County Mental Health that the State’s desire was to
consolidate into three regions.
Ms. Jenkins clarified that this effort is for the region
and no way affects area programs.
Ms. Jenkins reminded members that House Bill 381 calls for
mergers when programs don’t meet population thresholds.
- Mr.
Varela reported that the committee hasn’t delineated the exact
training needed. Need
to look at NCI training. Feels
like training availability is sufficient but a monitoring
mechanism is needed. Need
a procedure for verification of training. (Ms. Jenkins said that
this will be addressed by the Service Monitoring Committee).
- Mr.
Varela reported that there is a need for a format for
disseminating information to providers regarding new training
requirements and training availability.
- Extremely
important to determine if services provided were of value,
meaningful, etc. Ms.
Jenkins reported that the Evaluation Subcommittee will address
this. Report cards
will actually be produced regarding this topic.
- Mr.
Varela announced that his subcommittee will meet on
September 19, 2002
.
VI.
Discussion of Qualified Provider Network Grid Comments/Ideas
for Implementation (handout-additional sections)
·
Mr. Varela requested
that the grid be emailed to him as it will be easier to manipulate the
data and create a matrix on his computer rather than by long-hand.
·
Only thing that this
Committee can do is explore what kind of services providers are
providing to both the target and non-target populations.
VII.
Round Robin
·
Ms. Jenkins reviewed
deficiencies cited with various providers (without divulging the name
of the providers) and shared the following citations:
-
No CPR or First Aid Training for staff.
-
No Qualified Professional providing services four hours per
week per client as is mandated.
-
No supervision of line staff by Qualified Provider
-
No documentation of staff supervision
-
No measures taken to ensure facility safety for children (i.e.
trash in yard, fire ant infestation, cracked light fixtures).
-
No clinical consultation performed by Qualified Provider.
-
No discharge plans in place
-
No documentation of basic demographic information (i.e gender,
race, emergency information) in the client’s record.
-
Staff were not trained in specific needs of clients (i.e. sex
offender, etc.)
-
No client self governance (i.e. groups running to address
concerns or allow residents to make choices)
-
No log documentation when clients run away.
-
Water temperature too high.
·
Ms. Jenkins pointed out
that although none of the citations were for serious abuse or blatant
neglect, they were sufficient to shut down facilities.)
VIII.
Next Meeting
·
The next meeting is
scheduled for
Monday, September 23, 2002
;
3:00 p.m.
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