DATE/TIME: Thursday, May 27, 2021
HUMAN SERVICES BOARD: Martha T. Berry Governing Board Meeting COMMITTEE CHAIR: Ms. Janice Nearon
LOCATION: 43533 Elizabeth Rd., Mt. Clemens, MI 48043
MINUTES
1. Call to Order
The meeting was called to order at 10:37 am. Roll call for the Zoom meeting:
Present for the meeting were Ms. Janice Nearon in St. Clair Shores, MI, Rev. Ralph Brown in Sterling Heights, MI, and Dr. Patrick Thompson in Roseville, MI.
Also present were Kevin Evans, Stacy St. Onge, Emily Pelyak, Courtney Flynn, Jeff Ostermeyer, and Kelly Rule.
The Board Meeting was held via Zoom Conference Call due to CoVid-19 precautions in the building.
2. Adoption of Agenda May 27, 2021
Dr. Patrick Thompson motioned to adopt the May 27, 2021 agenda. Rev. Ralph Brown seconded the motion.
The motion passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None 3. Approval of Minutes
April 22, 2021
Rev. Ralph Brown motioned to approve the April 22, 2021 meeting minutes. Dr. Patrick Thompson seconded the motion.
Governing Board
Janice Nearon Dr. Patrick Thompson
Rev. Ralph Brown
Executive Director
The motion passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None 4. Public Participation
None
5. Current Invoices
Dr. Patrick Thompson motioned to approve current invoices and payments as presented. Rev. Ralph Brown seconded the motion.
The Motion Passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None 6. Finance
a) Receive and file
Dr. Patrick Thompson motioned to receive and file the financial statement and census report. Rev. Ralph Brown seconded the motion.
Revenue and expenses
Mr. Kevin Evans and Mr. Jeff Ostermeyer presented Revenue and Expense information. The budget is based on a 185 census. MTB is averaging 181. Incoming millage money will be removed from the 2021 financials and applied to 2020. Wages have been higher than budgeted due to Covid pay and OT, but MTB’s cash position continues to remain strong. Ms. Emily Pelyak continues to aggressively pursue reimbursement opportunities for Covid expenses.
The Motion Passed. Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None
7. Quality Assurance and Compliance Report
Dr. Patrick Thompson motioned to receive and file the May 2021 Quality Assurance and Compliance Report. Rev. Ralph Brown seconded the motion.
Ms. Stacy St. Onge presented the Quality Assurance and Compliance Report and supporting documents.
MTB had three Facility Reported Incidents in April. Two remain open. The State visited on the remaining FRI in April and closed the incident with no concerns. MTB received fifty-five resident concerns in the month of April. All have been resolved.
In April, MTB had two medical record requests, which were completed.
The Motion Passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None
8. HR Director’s Discussion a) Receive and file
Dr. Patrick Thompson motioned to receive and file the Union Summary and Turnover and Personnel Reports. Rev. Ralph Brown seconded the motion. Union Summary presented by Mr. Kevin Evans.
No grievances were filed in the month of April.
Turnover and Personnel Report presented by Mr. Kevin Evans. 0.97%-Turnover, 3-Separations, 14-New Hires
New incentives for staff volunteering to pick up open shifts began in April along with allowing non-clinical staff to help out with 1-on-1’s, resulting in CNAs volunteering to pick up more holes in the schedule and 1-on-1 shifts.
The Motion Passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None 9. Approval Items
a) Policies:
IC 2200.27 Ectoparasites Infection Control Plan
IC 2200.28 Clostridium Difficile Prevention and Control Plan IC 2200.29 Personal Protective Equipment Policy (PPE)
IC 2200.30 Injection and Medication Safety
Rev. Ralph Brown motioned to approve IC 2200.27 Ectoparasites Infection Control Plan, IC 2200.28 Clostridium Difficile Prevention and Control Plan, IC 2200.29 Personal Protective Equipment Policy (PPE), and IC 2200.30 Injection and Medication Safety Policies. Dr. Patrick Thompson seconded the motion. The Motion Passed.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
Abstain – None
10. Director’s Report
a) Infection Prevention/Infection Control
MTB was able to keep residents safe, which continues yet today. Long Term Care has endured a huge increase in State interactions. For example, so far this year, MTB has undergone a SLIC survey, a QIO survey, an IPRAT survey, and two FRI visits, in addition to our normal annual
survey. Three separate agencies have provided guidance and regulations for LTC during the pandemic. Oftentimes the guidance is conflicting from one agency to another. Mr. Kevin Evans expressed pride in the management team as they continue ongoing discussions related to the quickly changing, often conflicting, guidance. Successful results are self-evident when you look at MTB infection rates.
Next month the National Health Safety Network will begin requiring Long Term Care facilities to report staff and resident vaccination rates on a monthly basis.
b) Census
As LTC is allowed to return to normal, normal being defined as a return to family visitation, in-person activities, and communal dining, census should increase quickly. MTB will continue to maintain the safety of all residents while allowing them to reclaim their quality of life.
c) Capital Requests
Macomb County is scheduled to begin receiving money under the American Recovery Act. Mr. Kevin Evans will be requesting funding for MTB
infrastructure updates. The list of requests will include multiple updating projects.
- Our current HVAC system is 30 years old and inefficient. An update would include replacement of air conditioning in each room, and
infection prevention items of air sanitizers, and negative air flow space in the observation area.
- Electrical system updates.
- Green change requests to include a boiler system replacement and washer and dryer replacement. These two updates would decrease energy costs up to 40% along with the use of less water and less waste into water system.
- Shower room remodels to include showers, wall tiles, and flooring. New flooring choice does not require waxing.
- Window replacement. - Replacement of elevators.
d) Macomb County Daily News Article
Ms. Gina Joseph from Macomb County Daily News interviewed Mr. Kevin Evans on the need to reform LTC and struggles related to multiple agencies with conflicting guidance.
11. Adjournment
Rev. Ralph Brown motioned to adjourn the meeting at 11:30 am. Dr. Patrick Thompson seconded the motion.
Vote Summary: (3-0-0)
Aye – Ms. Janice Nearon, Rev. Ralph Brown, Dr. Patrick Thompson Nay – None
