Disability Systems Change Committee
DRAFT MINUTES
Thursday, February 11, 2016
1:15 p.m. to 3:00 p.m.
Hilton Garden Inn, Cary, NC

Members Present: Adonis Brown, Wendy Boyd, Eric Chavis, Christina Carter, Joe Piven, Desiree Peterson, Mya Lewis, Wing Ng, Vicki Smith, Nessie Siler, Verla Insko, Paula Woodhouse, Ron Reeve

Members Absent: Kelly Woodall Beauchamp, Dave Richard, Peggy Terhune
                
Staff in Attendance:  Steve Strom, Chris Egan, Yadira Vasquez

Guests:  Nancy Warren, Kate Walton, Elizabeth Kahn, Jill Hinton, Karen Luken, Cas Shearin  

Introduction:

Welcome: Adonis Brown called the meeting to order, welcomed all members.

Mr. Brown called for a motion to approve the November 2015 Disability Systems Change Committee minutes.  Eric Chavis made a motion to approve the minutes.  Nessie Siler seconded the motion.  Motion carried.  

Mr. Brown called for a motion to approve the December 8, 2015 Disability Systems Change Committee special meeting minutes.  Vicki Smith made a motion that the minutes be amended to include that the motion for continuation funding reflect the inclusion of the three deliverables as contingencies.  Eric Chavis seconded the motion.  Motion carried.

Fiscal Update:

Council Staff Yadira Vasquez presented a review of the Disability Systems Change initiative budgets and explained the details.  Ms. Vasquez’s fiscal update provided budget information on the initiatives, “Adult Care Home Transition“, “Medical and Health Home with I/DD”, “Medicaid Reform Stakeholder Engagement”, and “Rethinking Guardianship”.  Following the presentation of the initiative budgets, Ms. Vasquez presented the current and projected budgets and expenses by Federal Fiscal Years showing the awards by year, identified initiatives pending Council approval, and the unexpended balances in each fiscal year.  Mr. Brown thanked Ms. Vasquez’s on behalf of the Committee for her report.

Initiative Updates:
Rethinking Guardianship Initiative year 2

Mr. Strom reviewed the purpose of the Guardianship initiative and the deliverables of the initiative.  He introduced Linda Kendall-Fields from the Jordan Institute who was recently hired and will be the key person from UNC working on the Guardianship initiative.  Ms. Kendall-Fields joined the meeting via Skype to provide an update on the beginning of the second year of the initiative.  Ms. Kendall-Fields provided information on the January Guardianship stakeholder meeting and the progress made toward the common agenda, the pilot project applications, and the assignments of the three workgroups.  Members had several questions and comments regarding the initiative.   After Ms. Kendall-Fields’ presentation, Nancy Warren and Kate Walton reviewed the Year 1 report and provided a forum for members to ask questions about findings from the report.  Mr. Brown thanked Ms. Warren and Ms. Walton for their work and the presentation to the members.  

Medical Health Home Initiative year 3

Mr. Brown introduced Karen Luken to give an update on the latest work of the Medical Health Home initiative.  Ms. Luken provided an update on the latest activities which included a dental clinic, a health care summit with representatives from 4 other states, as well as their ongoing work with two MCOs, CCNC, and leading CAP stakeholder meetings that have been informing the Department and the Division during the work on Medicaid reform.  The members of the Disability Systems Change committee thanked Ms. Luken for her work.

Adult Care Home Transition Initiative year 3

Mr. Brown introduced Cas Shearin from DRNC to give an update on the activities for the final year of the Adult Care Home initiative.  The presentation provided a graphic depiction of the need to create a blueprint to transition individuals with I/DD from Adult Care Homes and the challenges to support individuals once they were in the community.  Members had questions and expressed concerns over the  individuals who were supported as part of the pilot program of the initiative and the condition of the placements they were leaving to enter the community.  Representative Insko asked for a copy of the report and reminded members that not all Adult Care Homes were subpar.  Vicki Smith informed the group that DRNC will have the final report ready in August and a decision will be made on how the findings in the report will be used.  The members thanked Ms. Shearin for her presentation. 

Wrap Up and Reminders:

Mr. Strom reminded members that an update on the Stakeholder Engagement initiative was included in the Council packet and asked members to review the materials and send questions to him about the Stakeholder Engagement initiative.  

Following the discussion and action on the initiatives, Mr. Strom asked Mr. Brown and Nessie Siler to provide a brief overview of the new Five Year Plan and the Council committees. Ms. Siler asked the Disability Systems Change members to review the new committee names and missions and to wait until the presentation at 3:30 before making a committee prefence.  

Before the meeting was adjourned, Mr. Strom asked Mya Lewis to give an update on the upcoming listening sessions.  Ms. Lewis reminded the members that the upcoming listening sessions are on the Division and Council websites and encouraged members to attend one of the listening sessions in their area.  

Mr. Brown asked members to complete their travel forms and give to Cora Gibson.  Mr. Brown thanked the members for their input and called for a motion to adjourn.  Eric Chavis made the motion to adjourn.  Wing Ng seconded the motion.  Motion carried.  The meeting was adjourned.