Needs, Resources and Allocations Committee Thursday, October 18, 2018 Old South Church, Guild Room 3:00-5:00pm

Transcription

1 Needs, Resources and Allocations Committee Thursday, October 18, 2018 Old South Church, Guild Room 3:00-5:00pm Summary of Attendance Members Present Stephen Corbett Shawnna Smith Deb Winters Edward Rewolinski Bryan Thomas Sarah McPhee Rob Quinn Wendy LeBlanc Jazzz Bennett Emerson Miller Brian Holliday Brian Butler Harry Shanmugam Richard Swanson PCS Staff Masill Miranda Prakrity Silwal Karki BPHC Staff Members Absent Orlando Colon Verny Samayoa Members Excused Alison Kirchgasser Adelina Alves Lorraine Jones Topic A: Welcome Moment of Silence and Introductions Brian Holliday, Chair of NRAC, led the group in a moment of silence. He welcomed everyone and asked them to introduce themselves for the record. Everyone took turns reading the ground rules. Icebreaker: Birthright Icebreaker Topic B: Review and Approve Meeting Minutes Review and approve minutes as amended of the May 21, 2018 NRAC Meeting. Motion: Wendy LeBlanc Second: Edward Rewolinski Amendments: Adelina was present on May 17, 2018 NRAC meeting. Edits to all-day NRAC meeting from May 17, 2018: Alison Kirchgasser- Medicaid: No big changes on state funding but on the federal side it is uncertain. NH is one of the states asking for Medicaid waivers on work requirements permits. (Sarah McPhee) NH got the waiver but we want to understand the definition and work with them as they make up the rules. Result: The minutes were approved with a correction; (6) Abstentions Brian went over overview of the meeting. Masill went over NRAC s workplan. -Brian asked the committee if everyone was able to access the allocation video and doodle poll about meeting times for May 2019 meeting. 1

2 Topic C: Introduction of Member Spotlight Brian, Chair of NRAC went over member spotlight. He shared a description of what member spotlight is and talked about general guidelines. Topic D: Review Committee Charge and Discuss Leadership Responsibilities Masill reviewed the committee charge and leadership responsibilities of chair and vice chair for NRAC. Vice-Chair elections will be held at the end of the meeting. Topic E: NRAC Committee Orientation Timeline of Projects: Masill went over the timeline of main projects of NRAC. Needs Assessment (November-February) Funding Principles (December-January) Assess Availability of Resources (February-April) o Current Funding Environment Updates o Funding Streams Annual Allocation of Funds (May) o Under-Expended Funds (Sweeps) o Unexpended Funds (Carry Over) o Funding Scenarios Masill went over Needs Assessment section: Definition: o The needs assessment is a process of collecting information about the needs of PLWH both those receiving care and those not in care in order to identify what services are needed, what services are being provided, and what service gaps remain, overall and for particular groups of PLWH. o Results from the needs assessment are used to inform the priority setting and resource allocation process Components of the Needs Assessment Process: o Epidemiologic Profile o Estimates of the number and characteristics of PLWH who are out of care and unaware of status o Assessment of service needs for PLWH in and out of care (Surveys, Interviews, Focus groups) o Resource inventory o Profile of provider capacity and capability o Unmet need/ service gaps The three-year needs assessment plan (based on Planning Council term) was explained by Masill as well. Questions/Comments: o Listening Circle: Will we be informed about the information gathered from these listening circles? Not sure but this could be something that can be requested. A weekly announcement was sent out about listening circles and PC members are encouraged to attend. 2

3 Consumer Study: Collaboration between NRAC, PCS and RWSD. Surveys will be distributed to Part A funded agencies. PCS and RWSD will report back to NRAC. NRAC will report to the Planning Council. Masill went over the Consumer Study timeline. Questions/Comments: o For needs assessment refer to recommendations for the NRAC committee: Look at where new infections are happening. Tools that are used for needs assessment is not evidence based. We aren t seeking IRB approval, so we cannot make any conclusions. Seek collaboration from other departments including Department of Public Health. Using different social work universities and if they are willing to take them as projects since they have gone through the IRB process. o Action Items: Add aging population. Be more inclusive and specific about what aging means. Everyone is aging so reword aging population. NRAC s Role: o Revision of the Needs Assessment Report o Establish structure of needs assessment, roles and data sources o Identify trends of interest with Part A client population using E2Boston o Provide input to design of data collection tools and feedback on projects o Help recruit survey and focus group participants o Provide ongoing input on all sections of the needs assessment document o Develop Presentation to the Planning Council o Provide an update on completed sections and proposed plans to complete report Funding Principles o Richard Swanson, member of NRAC went over the definition of Fundin o Overall directives guiding the work of NRAC in the creation of its funding recommendations to the Council. Assess Availability of Resources Current Funding Environment Updates o Representatives from the Boston Public Health Commission, Massachusetts Department of Public Health, New Hampshire Department of Health and Human Services, and the Massachusetts Office of Medicaid provide the committee with updates on state and federal budgets. Funding Streams o A summary report provided by PCS that outlines all the sources of funding and the respective services funded within the Boston EMA including client demographics. Funding streams: Types of funds for annual allocation: o Under Expended (Sweeps): Under-expended funds are money that is reallocated due to underutilization during the fiscal year in order to maximize expenditure. 3

4 o Unexpended (Carry-Over): Unexpended funds are formula money that is not spent at the end of the current fiscal year. These funds are eligible to be carried over into the next fiscal year. o Funding Scenarios: The funding scenarios is a plan on how to allocate money during the next fiscal year (ex. the Council will develop a plan for funding allocations in FY19). $500,000 decrease below level-funding $1 million decrease below level-funding $1.5 million decrease below level-funding Level-funding $500,000 increase above level-funding $1 million increase above level-funding Over $1 million increase above level-funding Review Year End Recommendations o Brian introduced the YER and the work that NRAC worked on the prior year. o Lexi Schneider went over Year End Recommendations more in detail for NRAC, Planning Council and SPEC. Identify Committee Conflicts of Interest: o Brian explained Conflict of Interest. o If a member is working for a Ryan White Part A funded agency it is a conflict, so he/she needs to disclose that. Topic F: Vice-Chair Nominations Brian shared his experience being a Vice-Chair last year. Masill asked members if there is anyone who would like to nominate themselves for the Vice-Chair position. Wendy nominated Jazzz Bennett for Vice-Chair but since he is already a member-at-large he cannot take this position. Richard nominated Rob as Vice-Chair and he accepted the nomination. Edward and Lamar were nominated as Vice-Chair as well. Members interested to be Vice-Chair will have to send a statement a week from now. Wendy made a motion to: Recommend to the Executive committee to stick with the language of Chair and Vice-Chair for the NRAC Committee. Topic I: Other Business, Announcements and Evaluations Announcements: o Brian reminded everyone to fill out their evaluations. o Weekly announcements: Listening Circle. o New England AIDS Education Training Center has announced several trainings which Brian will forward to PCS. o Building futures: Living with HIV- Toolkit. o Boston Living Center, Celebration of Life in late November. o DPH with New England AIDS Initiative-Hep C Training and Clinical mentoring to Primary Care Providers to increase the number and amount of Hep C Treatment done in health centers. Deb can share the letter with everyone. 4

5 o All Day Allocations Meeting: o Majority of the members raised hands for 9am-3pm. This will be the new time for the all-day allocations meeting. Please share any suggestions for icebreakers that are brief and meaningful with PCS as well as job opportunities. Motion to adjourn: Brian Holliday Second: Brian Thomas Results: The meeting was adjourned. 5