Good afternoon. Everyone. Recording in progress. I'd like to call to order the meeting of the full Board of the Detroit Wayne Integrated Health Network. Today is Wednesday, November the 20th. It's a cloudy day today, but nevertheless, we are here taking care of business. All right. So I've called the meeting to order. Mr. Wash, I'd like a roll call please.
Yes. Madam Chair, Miss been to Z
Miss Brown present.
Miss Bullock present. Dr Carter is excused. Garza do was I'm here. Mr. Glenn present, Commissioner Kinloch is excused. Mr. McNamara, Mr. Parker, Mr. Phillips present, Miss Ruth and Dr tag present, Madam Chair, you
have a quorum, okay, how many members is that? Just for seven? I believe at seven. All right, thank you. All right, I'd like to call for approval of the agenda. I do want to just comment before we entertain the motion that we have one walk on board action, and we will add that board action to our new business, and it will be board action. Let me find the number 2528 we will add that on board action, 2528
Move approval.
Is there support for moved and supported to approve the agenda with the one walk on item. Any further discussion? Seeing no hands All in favor, signify with Aye. Aye. Any opposed, Any abstentions, thank you. At this time, we will pause and take a moment of silence. You.
Thank you. Everyone. All right, we're now going to move on to approval of the board meeting minutes from October and September.
Madam Chair, Madam Chair. Move for approval. Thank
you. Is there support? Moved and supported any further discussion? Seeing no hands. All in favor. Signify with i, i Any opposed, Any abstentions, thank you,
Madam Chair. Yes, I'm sorry to interrupt. If I could just correct there are eight board members here today. Sorry, that's
good to know. All right, thank you. I needed to know that for you'll see when we get to some of the reports. So thank you. All right, we will receive and file the approved Finance Committee minutes from October as well as the October minutes from the program Compliance Committee. We are now at Roman numeral number seven announcements. Are there any network announcements? Any network announcements.
Good afternoon. Tiffany Devin, Director of Communications, I just wanted you all to know. Some of you may have heard that we have won for the second year in a row the top workplaces designation from the Detroit Free Press. All a lovely pin. You should lovely little pin at your area there. So thank you for the applause, and thank you to everyone that helped make that possible. We're extremely, extremely proud of that, and I'm sure there are hopefully many more of those to come. As you all know, we have the my dwin app, so I'm not going to go through all the events that are in it, but a couple that just need highlighting. Next week, we will actually be providing a survivor's day of loss. It'll be a discussion for those that have lost people, and that will be here at the Woodward building, from 11 to two. That's November 23 also, I'm not sure you're all aware, but during the holidays, it's not always a wonderful time for everyone, and we offer online discussion and chats. So on Thanksgiving, we have a Thanksgiving souls chat. It's just for an hour from one to two, and it's for people that we serve that might want to hop online and talk with someone about what they might be going through. Hopefully you're all aware of the fact that we are having our holiday party, and you are all invited on December 12, that is at Ford Field. Ya go lions. I have heard that someone from the North Pole may be joining us. And also, if you have children or grandchildren that are looking to find some fun holiday festivities, we have a wonderful Santa Day celebration on December 14, which is in partnership with several, several of our children's providers, and that is at the heelman Center Community Center. We're also a drop off location for anybody that would like to donate a brand new board game. Every family that goes to San today gets a brand new board game and some other goodies. So there's a box in the lobby, if anybody wants to do that.
Thank you. All right. Thank
you. Thank you. We're now at Item b, and let me, once again, on behalf of the board, extend a very warm welcome to our new CEO, Mr. James White. This is his first board meeting as our new CEO. So welcome. Mr. White. Board Member announcements. Are there any board member announcements? I think I got it that time, last time I got preempted. Of welcoming Mr. White, so we're good. All right, seeing no hands for board member announcements, we'll move on with our agenda. Public Affairs Associates has the presentation for us,
you might need to get closer to the mic or pull it closer to you or something. Thank you.
Thank you. Good
afternoon. It's nice to be here with you. My name is Becky Beckler. I'm one of the managing partners with public affairs associates joining me virtually is my partner, Tyrone Sanders, who was unable to make it in person, but he will definitely be participating in this presentation. We wanted to give you a legislative and policy update as we head into the lame duck session, as well as a little bit of politics as well as you know, as a result of the election, House Republicans will now control the chamber come January, with a 5852 majority. Democrats were unable to hold that line because they lost four incumbencies, while Republicans did not lose any of their incumbents in the election. So as we head into lame duck session, we we're faced with a couple things. First of all, we have a very contentious House of Representatives, where you've got the Republicans that are looking to take control of the House in January, and so they're not really incentivized to do a lot of legislative work. And then you have Democrats who are understanding that they are going to lose their democratic Trifecta at the end of the year. Right now they control the House, the Senate and the governor's office. They will lose that after two years, and so they want to accomplish as many policy objectives as they possibly can before the end of the year. What we don't know is what they will be able to accomplish because of this dynamic. As we look into how this looks going forward, the Republicans will also control the committees come in January as well, so they will be able to redesign and and put committee chairs on as they deem necessary and fit. So you'll see all new committee chairs and possibly all new committee assignments. They could also take away committees that we currently have. What we don't know is if you think about the Subcommittee on mental health that was chaired by Representative Felicia Bay back who has been a strong advocate for mental health services. She's no longer going to be serving in the legislature. Will the Republicans retain that committee assignment? We don't know, and so those are some of the questions that we just don't have answered yet. We do believe, however, that Representative Kurt Vanderwall is likely to chair the Health Policy Committee. He's a known factor within the health care community. He served as chair of the Health Policy Committee in the Senate, so he's very familiar with health policy. We believe that Representative Phil green is likely to chair the Subcommittee on Health and Human Services within the appropriations committee. While it's still undecided who will chair the appropriations there are a couple people that continue to bubble up. Clearly, one of them is Representative Bill shootie from Midland, who has been the Finance Chair of the House Republicans. He's been on the Appropriations Committee very close to leadership, so he very well might be Chair of Appropriations. However, I'm going to talk about the Senate that might change that dynamic a little bit. We also hear Representative Ann Boland from Brighton also her name is coming forward as a possible candidate, chair, chair appropriations. So we're still uncertain as to who that might be. There's new leadership within both chambers, both parties, I should say, for the Democrats that lost control, Speaker Joe Tate elected not to seek an elect a leadership position. And so after a competitive nomination, Representative puree from Canton, will serve as the Democratic leader in January. And for the Republicans, the current leader, Representative Matt Hall is speaker elect, and he will take over as speaker when they take over control in January. For the floor leader, Representative Brian posthumous, who serves as the Republican floor leader at the moment, will become the majority floor leader. And for the Democrats, Representative John Fitzgerald, Democrat from Grand Rapids, will serve as the Democratic Floor Leader. While the Senate was not up for re election, they did have one member that did serve on the ballot, and she was successful. Senator Christian McDonald Ribbit ran for Dan Kildee seat up in the Flint area. She was successful, which will have some implications on the Senate. In January, with her departure, the governor will need to hold a special election for that seat. It's likely that that could shift back to the Republicans in that seat. So whether, how soon the governor wants to call that spec special election is unknown. So right now, coming in January, the Democrats will control the Senate with a 1918, majority. The challenge there is, it takes 20 votes to pass any piece of legislation, so they will need to make sure that they have a bipartisan effort on any type of legislation they bring forward. And if not, they can rely on the lieutenant governor, who does sit in the Senate, and he would be able to offer that 20th vote so that could also have some implications on legislation going forward, I will pause a moment to let my partner, Tyrone, if he wanted to add anything that I may have missed.
Thank you, Becky. Can everybody hear me? Okay, yes. Okay, great, Madam Chair, I appreciate the opportunity to be here with you guys today. I just wanted to talk a little bit about some of the things that that we specifically have been working on since last time we had the opportunity to be in front of you, one of those things would be working with the team at dwinn to get A number of members through dwins new crisis center. We had great representation, obviously at the at the ribbon cutting, but more importantly, we were able to get a number of key members through the center both prior to and after the the ribbon, the ribbon cutting. In addition, we really work tirelessly with staff in dwins effort to secure CCBHC designation. So really, really happy and excited about what that means for the organization moving forward in the service delivery for your constituents. In addition in this year's state budget, we work to secure the matching funds necessary to fund the state CCBHC demonstration project, which was highly successful. Also, I think that we have been instrumental in the transition that happened earlier this year with former dwin President, CEO Eric doe, leaving and the transition to the interim president, CEO Manny sigla, and really ensuring that there was no drop off in our access to key stakeholders, we were able to target a number of stakeholders that we thought would be appropriate for Mr. Sigler to meet at that time, and certainly we will do the same as the new president, CEO takes place. We've already talked about and begun to plan what you know, what we believe would be helpful in this transition. In addition, secured a $500,000 state grant for dwins Community Mental Health Data Platform project, and that just gives you a sense of what we have been doing. We are at a point, and just recently met with staff to begin planning what the what our 2025, priorities might be. If you look at the document that has been provided, a couple of things will be at the forefront of legislative debate. One would be mental health gap funding. It's estimated that there's approximately a $52 million gap in that in that state funding for mental health providers today, and so we believe that there's going to be a significant push to increase reimbursement levels for behavioral health services in the FY 26 budget. So certainly we'll have a place at the table as those decisions are being made. And then, as I'm sure, I don't have to tell anyone really. Ever since COVID, there has been or many, many behavioral health providers have struggled with getting or increasing workforce capacity. That's something that we have been talking with DHHS director Elizabeth Hertel about and the department really is trying to create new models, both to try to meet this workforce challenge, as for behavioral health as well as Sud services. So that's something that we think again will be at the forefront of legislative debate going into 2025, and dwin certainly will have a seat at that table. So with that, I will go ahead and pause and entertain any questions. Along with my colleague Becky, if any board member has any,
are there any board members that wish that have a question. Bernard, you guys have been, I see one hand. Mr. Parker,
yeah, and I know it's early and we don't know who all the chairs will be in the committee assignments for next year. Has been any talk about what was known as 298 298 where they were going to take combined behavioral health with physical health, which was a threat to us a few years back. Is there any discussion on that, as a Republicans take over?
Mr. Parker there, there have not been as of yet. I think that even though we see a transition over to the Go P in the house, in terms of leadership, you know, Democrats still control the Senate as well as the governor's office, which, you know, and so I really, and while there may be a third party or or push from third party advocacy organizations, I really don't, don't see a pathway where, where we'll see any robust debate about that going into 2025 I mean, certainly because of this lack of funding, or this gap in funding, I think that there potentially could be other, other cost cutting measures discussed. But again, I really don't believe, based on the current makeup at the legislature and the administration, that we should, should be under any threat, that you'll see a 298 like solution
to your point. Point the chair, likely Chair of health policy, Representative Kurt Vanderwall was the chair during the time that Senator Shirkey was trying to implement this, so we appreciate you bringing that to our attention. But to Ty's point, I don't think the dynamics are there, and because it was really led by one individual who wanted to move this forward, I don't think you will see the Republicans wanting to pick that up. That was a pretty aggressive fight that he undertook with his caucus, and I don't think they want to go forward with that right now.
That's good news, and hopefully you'll keep us informed. Anything that develops around that. Thank you,
Mr. McNamara, you had a question.
I was I noticed the chair, and so I thought I was thinking the same thing, but the great answer, I can't see them getting it through with the Senate and the governor's office there. So do you see any threats for dwin in this lame duck at all?
So as we look and we go, oh, so as we look at those bills that have been introduced, clearly there's some, there's always potential in lame duck. I believe it's the scariest time of the year for policy individuals and stakeholders, because right now they have eight days scheduled. So the likelihood of them doing big things is probably unlikely, because you've got the dynamics in the house, but should they come up with some master agreement? I always worry about those unintended consequences, or intended consequences. So right now, as we look at the bills that have been introduced, I don't think there's anything glaring that could be a problem. Clearly, going into 2025 with a budget that's going to be more as we've seen in the patent, not as we've seen in the recent it's going to be your normal budget where there won't be a large increases. I always worry about Republicans that talk about wanting to cut the budget, that that would have some implications on us. So I think we need to be very vigilant in the appropriations process. Tyrone, do you have anything to add? Yeah, I
was really only going to talk about the reality that the state is going to face with regard to the budget. I know that we have been very successful over the last several years securing securing funds to help underwrite the cost of many of dwinds development projects. And I will tell you, while I do believe that there will be support for continuing to help expand that footprint, just from the perspective of expanding service delivery, I think that the reality of the of the budget and the lack of extra discretionary funding is going to be something that's going to challenge us to get the type of dollars that that we've gotten in the past, but nevertheless, I think knowing the team that we're going to continue to be vigilant to try to help fund some of these priority projects, because what's at risk is and that is, service delivery is just too important.
All right. Any more questions for our guest? All right, are you guys complete with your report now? Yes, all right. Thank you very, very much. Yes, been very helpful. Thank you very much.
Thank you for the opportunity.
All right, moving on. Then with our agenda, they've given us a lot to think about, but let's go further and look at our board committee reports. So we'll start with the board chair report. I'd like to let you all know that the nominating per our bylaws, it is time for us to establish a nominating committee. After this meeting, Lily will send out email to each of you to see who was interested. I have already received one inquiry. One person is interested in participating on the nominating committee, so please respond if you're interested, and then we will go from there to develop pull that, announce that committee, get you all to approve it in January. What that the what the nominating committee looks like, and then we'll go from there for them to do their work, an update on the Community Mental Health Association meeting that was held in the fall. And we did have a number of members that attended the Grand Traverse resort. We did have one of our board members was, was was elected to the community mental health. Mr. Parker, you want to speak to that your your position as the outcome. I know you didn't make treasure, but you had another position that you were appointed to. Yeah,
we'll be on the contract and budgeting committee that oversees the various contracts and reviews the the ones that are functioning right now. So I have not been to a meeting yet because the first meeting is tomorrow, but I don't know a lot of details exactly what we do, but I hope to represent Wayne County in that committee, trust that
you will. And thank you for volunteering to do that for on our behalf, we also have the Community Mental Health Association. The winter conference is coming up. We'll be in Kalamazoo in February. Miss blackshire. Have Do we have anyone who has from the board, who has volunteered to attend
for the fall conference? Madam Chair, we do have one person that has indicated their interest in going to the, I'm sorry, the winter conference, yes.
So we have one person, so we should have some representation, and thank you to that board member. By the way, I need to pause for a moment and recognize board member Ruth has joined our meeting. She wasn't here for the roll call. So the Regional Chamber of Commerce meeting, Mackinac policy conference is coming up in May. We're still sifting and sorting through their new registration procedure. I know that we will be adequately represented at that conference. The natcon conference is scheduled for next year, 2025 in Philadelphia in in May. I do know that at least one board member is attending, and there may be others. So we are getting out there to be represented where we need to be, to represent the good work that we're doing here. That concludes my report. I don't know if you have any questions for me on that part of my report. All right, we'll go on then to the executive committee. And the Executive Committee met yesterday, and you may know that we did have the metro region virtual meeting was held in October. It was pretty well attended. We had some good information and updates at that time. The next one is hosted by Macomb County, I believe. So we'll be looking out for the date for that particular one. I don't think it's been established. Miss Blackwell, has that date been established for the next one? Not yet. So we'll let board members know when that date has been established. We do have a very important board study session scheduled for December the fourth. It will be at the corner ball park. I would encourage all board members to attend. It's very, very informative. We'll get a lot more information about our plans going forward. In particular, we'll get a little more education around the CCBHC at the executive committee meeting yesterday, the executive committee did a vote to cancel all board and committee meetings for the month of December, bringing that to this body, because you would need to ratify that if you all agree. And we're looking to Lillian has established the board and committee meeting schedule for 2025 there's a few anomalies in there and Lily and you will pass that out. We don't think we need to spend time on that today. You will make sure that all board members get that. So with that, I'd like to entertain a motion to see if you guys agree with the executive committee's recommendation to cancel all board and committee meetings for the month of December. We talk. Okay? All right, that's fast. All right, further any further discussion, no further discussion. All right. All in favor, signify with Aye. Any opposed, Any abstentions? All right, so we'll reconvene in December for the study session, but then full board meeting committees in January. All right. Thank you. That concludes my report. Are there any questions for me at this time? Seeing no hands?
Dr Taylor, oh,
there is a hand. I'm sorry. Mr. Phillips, we
just talked about because we got these votes.
We I did mention that maybe you didn't hear me. Miss Ruth joined us, okay, yeah, I did mention that. Yes. All right, Finance Committee. Miss Brown, thank you, Madam
Chair, the Finance Committee did meet on Wednesday, November the sixth. We did not have a monthly finance report. As you know, the year end was the September the 30th, and our finance area is working to facilitate our fiscal year and audit, we should have the olive available in March of 2025, we did have four board actions that are moved to this meeting today and madam chair that would conclude my finance report.
All right. Thank you. Any questions for Miss Brown. All right. Program Compliance Committee, Mr. Parker, you graciously agreed to share that since our chair of that committee was unable to be here today, yeah,
10 minutes ago. So I read the report, but it was a very good meeting. We had year end reports from assets, call center, Autism Spectrum Disorder, children, initiative, innovation and community engagement, integrated health care and substance use disorder, each of them gave a year end report and discussion on each of those but we accepted those reports. We also got report from our chief medical officer in that she also gave an update on similar size for adults and juvenile particularly in Wayne County. We also heard about the Walter rooter psychiatric hospital that's going well as begin to open in 2026 that will serve 80 youth and 260 adults. And we approved eight board actions that are on your agenda today for approval. Thank you. Thank
you. Any questions for Mr. Parker, all right. All right. Recipient rights. Mr. Glenn,
yes. Thank you, Madam Chair. The recipients rights committee met November 4. During that meeting, there was a staffing update. There were two new hires, pastel Williams, pastella Williams and Albert Cobb, two new investigators there, were hired and a clerical support person, arena car stovich Uh were hired during that during this uh meeting that was discussion many uh members update the R rack. Chairperson, which is myself, and attended the recipients Rights Conference on September 24 through the 27th also Kenya, Ruth and Linda Taylor participated in that in that conference, we discussed the annual semi annual report, and that took place by uh Gwendolyn Jones, which was the intake manager. We had a monitoring manager update by secure pride. We discussed site reviews, process, process and why hospitals have their own recipient rights advisory committee to complete their investigations, we had a director, Polly mccas McAllister, discuss the office of recipient rights report cards in the last cases, and that concludes my report. Madam Chair.
All right. Thank you very much. All right, Mr. Adams, are you here for the substance use disorder update? I don't know if Mr. Adams is here or Oh, Miss Davis is going to do that for us. Thank you.
Okay. Good afternoon. Judy Davis Sud, director on behalf of Mr. Adams, our su D board chair. We did meet on November the 18th. We had updates from our interim CEO report by Ms Brooke Blackwell, also Melissa moody and Dr Fauci. We also had some positive comments from our new CEO, Mr. James White and there was a presentation from Elmhurst home, who is one of our Sud providers, providing Sud residential services as well as CCBHC services. That was followed up by informational reports from our staff. And then we had three board actions that was presented and passed, and that concludes my report.
All right, any questions? No hands. Thank you very much. Okay, so we are receiving and filing all these reports. Thank you. All right, so now we are at our board actions, and we have our unfinished business board actions. We've got quite a few of them, so let's get started the board action, 2444 someone speak to that. This is a direct direct care worker training.
Good afternoon, Madam Chair, esteemed board members. My name is Ray Williams and director of contract management. Before you have board action 2444 are which is for Community Living Services to continue to perform the direct care worker training program, the staff recommends the revision of support action for an additional $300,000 for the next six months. This request is made to allow adequate time for us to facilitate a request for proposal for this program. The total amount of the contract will not exceed $900,000
all right, they have a motion to approve and move support moved and supported any further discussion hearing, none all signify by All in favor. Signify by any opposed. Any abstentions. Thank you. Board action, 2448 revised on the ASF leadership training is that Mr. Connolly, yes.
Good afternoon, everyone. Jody Connolly, Vice President human resources, Detroit, way and greater health network here today requesting approval of a board action for revision to board action 2448 with the American Society of employers for the leadership training and pre employment services in an amount not to exceed $150,000 and an extension through september 30, 2025
All right. Any questions? All right. Miss Ruth, just
a follow up to the question.
Your email, okay,
so in response to your question through the chair, you sponsor your question. Miss Ruth, we have trained 46 directors and managers thus far, and as of right now, the count stands at 20 for the next class of supervision training. Thank you. Thank you, Madam Chair, someone
directors, what? I'm sorry, what positions I mean, I know directors. What industry? Since you train directors, we've
trained our directors here on staff. Yes, right.
So it's been moved by Miss roots, supported by Miss Brown. Any further discussion? Seeing no hands, all in favor. Signify with Aye. Aye. Any opposed? Any abstention. Thank you. What action? 24 No. Excuse me, 2502 board action, 2502 okay. Again.
Good afternoon. Thank you, Madam Chair, here to Judy Davis, here to Sud director here to present on board action, 2502 for substance use disorder treatment services. This is a revision to include the correct treatment allocation grid which we presented back in September. Therefore we are formally resubmitting this action for approval. There will be no increases to the budget.
Thank you. May I have a motion to approve, Madam Chair Move for approval. Supported. Moved and supported. It any further discussion? Seeing no hands All in favor, signify with Aye. Any opposed? Any abstentions? Thank you. Board action, 2510 revised behavioral health homes. Thank you.
Good afternoon,
esteemed board members. Emily Patterson, Director of Health Homes, I'm here for both 2510 and 2511 these are to add additional providers to our behavioral health home and Sud health home programs, which are comprehensive care coordination services for individuals with Medicaid and specific diagnoses. So we'll be adding Elmhurst home as a provider to both our Sud health home and behavioral health home, and NSO to our behavioral health home program. The amounts for each she'll add an additional estimated $360,000 to the budget for the behavioral health home and for Sud health home, the estimated increase is an additional $240,000
All right, so we were doing 2510 and 2511 together. Do I have a motion to approve the moved supported any further discussion? Miss dewash,
yes. I have a question with regard to the note that is on the form that says funding amounts are estimates, and as such, funding amounts may exceed the amount of the board action and will not require Board approval beyond the amount to exceed I don't understand that statement. She's
going to get a little help if that happens. Mr. Rand Yes,
Stacy Durant, Chief Financial Officer, the claims are estimated, because there we don't know how many people will be served. They go through the MH win system, so we estimate based on past amounts that were incurred. So, I mean, just like, for example, they're coming up is another board action for the provider network board action, the bigger board action for like, 800 and some million dollars, those amounts listed on the spreadsheets that you've received in the past are estimated, so they're our best estimate based on prior usage. So it's, it's all claims based activity,
Okay, madam, if I may, so what you're saying then is the the amounts may exceed the amount that we're approving today.
That That is correct. It's, it's estimated. But I do want to note that the health homes are passed our funds, additional funds we get from the state, so to the extent that they the expenses exceed the amount, so will the revenue. So the revenue will come in to pay those claims.
Okay, I guess I'm not underst. Are we saying the individual amounts may exceed the estimated amounts? However, the total cannot exceed what we're approving today. Correct? No,
that's not what I'm saying. No, you're correct. The total amount can exceed what you're approving today. This is just an estimate. However, to the extent that those expenses exceed what you're approving, we get additional revenue to pay for that.
Okay? Thank you. Thank you.
So Mr. Ran so do you have from past experience and estimate of usual expenditure? Is it 10% is it 15% Do you have a few I think Mr. Washer's mouth probably feeling a little uncomfortable without a maximum.
So the amount that I estimated in this board action was based on actual expenses, I believe, for 23 or 24 so it's, it's the best that I got based, you know, we don't know who's going to walk in the door and be and serve, be served under the health homes. So it's the best estimate we have. But again, but again, emphasizing to the extent that the amount exceeds the expenses that you approve, so will the revenue. All right? Mr.
Thank you.
Was that your hand? Thank you.
Just an answer. Why did this not go to Finance?
This is, these are, this is a this is a program. This is not a Finance Board action. This is behavioral health homes and opioid health homes is an actual clinical program. Okay, all
right, any more questions. And I just want to make sure that that the point that Stacy was making was that if, even if the funds exceed the amount of the program, if it if, if they exceed the amount of the program, the funds are going to be available from the state that's correct to support that overage. So it's like you're providing the service, and the funds will come because you're going to be able to support that is correct, whatever services that they provide. So it's, it's almost like a pass through. It is,
it is a pass through, and then we retain a certain percentage for administrative costs, right? But yes, that is correct. Ms
Brown, important point. Thank you, emphasizing that. Thank you. Mr. Washer, good.
That makes sense. Thank all right. No,
we do need a motion to
Madam Chair report.
Okay, is there any further discussion? All in favor? Signify with Aye. Aye. Any opposed? Any abstentions? All right, thank you. All right, we're now at board action. 2525 okay,
can someone speak to did I miss one? 511 2513 I'm sorry we just did 10 and 11. Thank you. 2513
Good afternoon again. Board members. Ray Williams, Director of contract management, here before you, presenting board action. 2513 are for the provider network system. We have a few changes to the network that we are recommending. One is the addition of two residential providers, compassionate care, Haven LLC and humanity outreach. Excuse me, compassionate care is a licensed residential AFC home, and humanity outreach is an unlicensed residential home to provide those community living services. In addition, we are also requesting the addition of down river Therapy Associates LLC as an ADA provider to the network. To join the network. There are some SL Statement of Work provisions, excuse me as well that we are requesting one is the addition of Hera health to the MDHHS CCBHC demonstration. They were made effective October 1. So we do want to request the add the health CCBHC program to the board action, which will increase the board action by $10,478,714 and the addition of the home based services statement of work for those children providers that we have previously proved at the last board of meeting, and those wraparound services as well for those children providers, all of those so W's are attached to the BA as well.
All right, thank you. So we're increasing access with new providers. All right, may I have a motion to approve? So moved, Madam Chair moved and supported? Any further discussion? Yes, yes. Mister Phillips, second
party you mentioned, was the unlicensed correct, okay, provided Well, made to our entity that was not like, I'm
sorry. Can you repeat that
here your question miss
the rationale for hiring an entity that was not licensed.
So we do add both licensed and unlicensed settings to the provider network. So someone may not need the professional care in a specialized residential or AFC setting, but they do need those community living support so someone to come and assist them with their daily activities.
So was there a license entity that could provide the same service
the members may not actually need the services in a licensed setting, so they only need the community living support services.
This is not something new. We've been doing this. No,
we have been doing this for a long time.
What is the percentage of unlicensed I understand it's quite high. I
would have to look at how many providers that we have contracted as unlicensed settings and get back to you guys with that number. I wouldn't know that off the top of my head, top
of my head. Okay, we'd like you to do that Sure. All right. And
how do we monitor those that are are not licensed? How do we
assure they're they're monitored, just like all the other licensed providers? So they do have for provider network managers who oversee their compliance with their contract as well.
Mr. Branch, you have some additional Yeah, yes, I
do. I just want to, because I think the word unlicensed is what is causing some angst here, exactly so, and I hear you. So what unlicenses licensed homes are licensed with the state where they have to require, where they're required to serve and be present and serve members than be there. 24/7, because the acuity of that particular member requires that someone be present at all times. Unlicensed homes is just whereby me, Manny and Mister Smith, I'm sorry, Mister White, go to rent a home from mister Parker, and we're living in a community where roommates together, we don't require 24 hour care, but we want to live in the community and be like everyone else, and we go rent a regular home from Mr. Parker, we sign our lease, and we're independent living in the community. That's what an unlicensed home is. So it's not that there's still certain regulations that, you know, we make certain recipient rights, make certain that members are, you know, the home is safe, and there's safeguarding of the homes, and, you know, smoke detectors and all that. It's just that they're not required to have 24 hour care. So this use of unlicensed is just merely people being free to be able to live in a community like you and I and rent from anybody, apartment from you know, so and so, or a home from Mr. Parker, and hold a lease between it and we. All three of us, are roommates. That's what unlicensed means. Okay,
thank you. Thank you. All right, may I have a motion to Madam Chair Move for approval? Is there support? Was there a motion,
or anyone? Okay?
I don't think there was for 2513 was there? There was already Alright, there was all right. Thank you. Thank you for that clarification. All right, then we'll call the question. All in favor, signify with i? I Any opposed? Any abstentions? Alright, now we're at 2525
Yes, board, board action, 2525 was reviewed by the Finance Committee, vetted and recommended for full Board approval.
All right, support be moved and supported any further discussion. All in favor. Signify with Aye. Aye. Any opposed, Any abstentions? Thank you. Board action, 2538 revised,
Madam Chair, yes, this board action is to increase the contract we have with MMR may for our insurance. And the additional $2,095 is because we added in a vehicle to our insurance, a 2024 forward Odyssey as such, our premium has increased to not to exceed $350,529
thank you. Do I have a so move, Madam Chair, move and support it. Any further discussion? Seeing no hands All in favor, signify with a post Any abstentions. Thank you. All right. We'll now move on to new business and and we will start at the top with the new business. Here we go. Board action. 2541
Hi, Grace Wolf, Vice President of crisis services. This is for lifeline ambulance service to assist if anyone needs transportation to an inpatient facility from the crisis center. $300,000 not to exceed three years.
Thank you, and it was vetted by the program committee.
Yes, ma'am. All right,
may I have a motion to approve been moved. Is there support? Any further discussion? All in favor? Signify with Aye? Aye? Any opposed? Any abstentions? Thank you. Board action 2542 employees, healthcare, Mr. Conley,
thank you. Board action 2542 is being requested for the approval of a one year contract effective January 120, 25 through December 31 2025, for an estimated amount of 7,570,000 foreign 18, $418 for the provision of comprehensive health services, health benefits, medical, dental and vision for 477 enrolled dwin employees, the amount will vary based on the number of enrolled employees in their plan selections.
I thank you. And this has been vetted by so moved. Madam Chair report moved and supported any further discussion.
Do we have additional employees, or is this price increase just based off of yearly increases by Blue Cross,
Blue Shield. Actually,
that amount is because, due to the increase in the number of employees. Okay, great.
Thank you. All right. Um, any further discussion? All in favor?
Aye,
any opposed? Any abstentions? Thank you. All right. 2544 the direct services Co Location, lease, 43 Did I skip one? All right, I'm going to get it together here. 2543 2543 Thank you.
Good afternoon, board chair and board members. My name is Cassandra Phipps, and I am presenting board action. 25 dash, 43 which is our wayne county services as for one year contract for $7,600,000 and it's for three programs. The first one is the clinic for Child Study. Third Circuit Court, which provides predisposition, predispositional screenings for our JJ youth and sexual education group therapy. The second program is Wayne County Juvenile and Youth Services, which is for with our Wayne County and assure family service provider. And the last one is Wayne County Jail mental health services that also provides mental health support for those that are in the jail. Setting, all right,
Madam Chair, Move for approval.
Is there support? Moved and supported? Any further discussion? Seeing no hands All in favor. Signify with Aye. Aye, any opposed? Any abstentions? Thank you. Thank 2544
Good afternoon, Madam Chair, Ebony Reynolds, Vice President of direct clinical services, presenting board action 2544 for a two year Co Location, Co Location lease agreement with Advantage health for the lease term of December 1, 22,024 through November 30, 2026 the amount of the lease is 240,000 the location will serve as an additional site location for CCBHC services. The lease consists of seven office spaces as we're as well as share common areas such as lobby, conference room, electronic locks, parking, janitorial services.
All right, may I have a motion to approve, so moved support. Moved and supported any further discussion. Ain't no hands All in favor. Signify with i? I Any opposed? Any abstentions? All right, thank you. 2545
when I share 45 Yes, go right ahead
board action 2545 is for cyber privacy breach insurance in the amount of ten million this policy will be a primary coverage will serve. This will be a primary policy for us, and it has a deductible of $100,000 the contract, if approved, will not exceed $168,390.25
Thank you. May have a motion to approve, so moved, so moved, moved in a boarded any further discussion?
So the limit is 10 million. That's correct. Okay. Did We? Are we taking a look at other public organizations and seeing what the ransom requests have been made for those organizations as well. How do we come up with a $2 million cap? Sure? In consultation, Atlanta was, was more than that, right? So
in consultation with our VP of IT services, we did review the average cost of a breach with regard to organizations that were similar to ours in size and the amount of records that we have. And it was about ten million
public organizations or private organizations, just
organizations in general. Okay, in addition to that, we should also know that we do have an additional $2 million in coverage, which would be applicable. Should we exceed this ten million under MMR? May
it would so that caps is at 12, but we're billion dollar organization, and I know I think Atlanta was 30 something. They asked from Atlanta, 30 some million, and some of the other larger units, they asked a higher amount. I just think that, you know, I'm going to vote to approve this, because we have to have something. But I would like to hear more on what other larger municipalities, what type of ran they requested from those to assure that we're covered adequately and correctly.
Sure, and if I may add, we are continuing to explore additional coverage and any gaps with our brokers. Should we require more? But we did want to ensure that we could secure the amount, the largest amount available to us immediately.
This is a good start. I just want to make sure that we, you know, again, it's people see a billion dollars, and their eyes get big. And I want to make sure that, you know,
I thank you, mister. Mister Parker, you had a question, honestly, how?
How this was achieved? Was there RFP for the service and they won the RFP? Or how did we select cyber privacy breach insurance as a broker? Miss
Turner, did you hear the question?
No, my apologies.
We do an RFP for this to select them, however they were selected.
So our insurance broker went out into the market, and I believe there were 2827 decline. The other offer that we had was for 5 million at a much higher cost than what it actually will cost us to secure the 10 million
okay, so was RFP, and they were selected. I
wouldn't say it's an RFP, but the broker went out into the market, and they approached several different entities, and out of that, 28 this was the best
available to us. You said they went out to the market. Who is that
that would be our insurance breaker brokers, long insurance, they're the broker, and they will buy in coverage through coalition insurance Solutions, Inc,
if I may, since I deal with this, it's very difficult to buy direct insurance from an insurance agency. We have to go through, generally, you have to go through a broker in order to get to insurance. So when you talk about doing RFP, really can't do a direct RFP. You're going to have to go to your your insurance agents with the hope that they follow a similar process before presenting to you the separate coverage is now the question would be okay if they presented this one, what were the other two or three, or how many we wanted? Did we vet those and then did we make a suggestion? And for what I'm hearing, we did. So is, again, it's, it's very difficult. I've tried it. It's very difficult to go to directly to an insurance company without going through a broker.
All right, any further discussion? All right, all in favor. Signify with Aye. Aye. Any opposed? Any abstentions? All right. Board action, 2547
Madam Chair, 2546
oh, yeah, I jumped only 546 gravity works. Thank you.
Good afternoon. Board, Keith frame, Vice President, IT services. I'm presenting board action 2546, which you have in front of you is a request for $110,040 for the RE development and support of the dwin website for a three year period. This con, this service, went up for bid via the RFP process, and grabby works was the winning bidder.
All right, any questions, may I have a motion to approve their support. Support moved and supported again. Any further discussion? Seeing no hands, all in favor. Signify with Aye. Aye. Any opposed? Any abstentions? Thank you. Board action, 2547 children's waiver.
Good afternoon again. Cassandra Phipps, Director of children's initiatives, presenting board action number 25 dash 47 for our children waiver services. This is for one year contract for a total of 4,000,319 $610 this is Medicaid funding for our 11 SCD waiver providers and for children waiver providers for the services of intensive services to help children remain in the home and out of state hospital.
May I have a motion to Madam Chair Move for approval your support? Is there support? Support? Moved in supported. Any further discussion, seeing no hands All in favor. Signify with aye, any opposed? Any abstentions? Thank you. We do have to walk on one now. This will be our last board action. 2528 Mr. Masky, I think that's you all right.
Good afternoon. Mike maskew, Vice President of Facilities, I'll be presenting board action 2528 this is for a building lease for direct care services located in Wyandotte. This 13,000 square foot facility, we are requesting a five year lease with the with two one year options for extension. The cost of the lease for the term is 1,590,639 I'm sorry, $639 and that would be through May 1 of 2030 as part of this lease rate, there are estimated security deposit, property taxes and operating expenses as they are estimated as we don't. We won't know those until they're incurred.
All right. Are there any questions, Mr. Parker, did you have a comment on this regard?
Yeah, just want to understand I have it. We don't have the contract before us today for the lease, that that is correct. Could you give us explanation on what areas that have not been finalized yet in that contract
I would defer
to legal through the Chair, if I may? Well, I can't give you specifics. I can say that it is not with regard to finances. They're very small areas, such as fees that we would incur in certain situations, very minor language changes. I believe there's one thing outstanding as it relates to us being able to do a complete assessment before taking possession of the building. Very minor push backs that we had on a few things in the lease. But nothing as it relates to the rental amount, nothing as it relates to additional rent that would be incurred, nothing that as it relates to us being able to terminate at three years, which is something that we negotiated in, but it's very minor language change changes here. So what we would be asking is that you would approve the matter, subject to us being able to come to a final agreement between dwin and VA SF in the event we are not able to agree on those language terms, then obviously we come back and notify this body of the same
Mr. Parker as chair of the building committee. Are you comfortable with this approach?
Yes, because it's going to be a CCBHC site, and we need to have them open as soon as possible. I'm in agreement with this lease. I do think that you need to communicate to the Chair of those items have not been resolved yet to make sure there's a comfort level with that as we approve release with it not being finalized.
All right, then I'll entertain a motion to approve.
So moved
subject to, subject to Yes, subject
to the final terms and conditions being agreed upon by d1 and BASF,
yes. Support. Okay, it's been moved and supported. So any further discussion?
Yeah, I have a question. Um, I see the services that we're providing, how many people are we going to have out there? I mean, how many of our Is there any background on how many people we're going to have? Estimate amount of people here that are eligible there, but what's the estimate amount of people we're going to serve on a yearly basis, etc?
This will be Miss
Reynolds. Yes, please speak into the mic. Please.
Ebony Reynolds, VP of direct clinical services, we have our estimate of Medicaid eligible beneficiaries in that area broken down by mile radius. We have roughly about 6400 Medicaid eligible people that are within a five mile radius, 7800 again, these are all going to be brand new members. So these will be brand new individuals. These are not individuals that are currently enrolled in services. After we get in that service location, individuals will be enrolled based on eligibility.
So rather than building they will come, we're renting it, and they will come. And what I'm saying is we don't have an idea of how many we're going to actually,
we know how many people are eligible? But no, we won't be able to actually give you a solid number of people that will actually come into the building.
Okay, so if there's a very low amount of people that we're going to service, and we're in a five year lease, and we don't really need the space because of the amount of people that we're servicing,
I believe this Turner, you indicate there was a termination clause after three years. And you speak to that, okay,
Madam Chair, if I may, yes, presently in the draft lease, there's an option to terminate the lease after three years. Of course, there's a cost associated with the same what's the cost? Off the top of my head, I believe it's roughly, I'd have to look but I want to say it's roughly $140,000
Okay, so we're paying 26 a month right now, which equates to about 300 a year. So we terminate. We have to pay a half years amount to terminate.
Oh, that's what I've been doing, math like this forever.
So and I apologize I don't have my yearly figure in front of me. I thought I did, because it's roughly 20,000 a month.
26
I just calculated well that with
I'm saying for base rent. I'm saying, if it's
60 years, 60 months, at $1.5 million that's 26 a month. That's correct.
That was figures of base base rent, because the additional funds are for taxes and building up, keeping maintenance. Okay,
so if it's 140 then we're paying more than that. If it's if it's 20 a month, then that's 2.4 right? No, 20 a month is 1.2 100,000 Yeah, 240 and we're paying 140 we're paying for over a half a year if we decide to terminate. That's correct. Okay, so we're paying, we're agreeing to do three years. We're based off of not knowing how many people we're going to serve, and if we decide to terminate, we're going to have to pay half a year's worth of lease. I'm not comfortable with that.
I may. Madam Chair,
yes, Mr. Singular,
Mr. Phillips, you know, again, opening any site, there are things that you account for. And I'm, I'm, I know, I'm preaching to acquire, do the assessment of what's the need out there in that area, what presently exists, what you need to serve. And to your point, do we know how many people will be serving? Two aspects to that. One aspect will be, we're building certain capacity from a staffing standpoint, to see what we need to attend to based on the membership that's available. The second aspect is the referral aspect, as we look at our mobile crisis division, where we're going to have opportunities, where we're going to have staff members being served, where crisis has been managed and now they need outpatient services based upon member choice and proximity to the services, these avenues are strategically being picked up so that those members can be redirected to those specific locations to receive outpatient services. Secondly, there's only certain amount of capacity, even at a 707 site, which where we have a crisis services and we're using third floor or providing outpatient member choice has to be extended, so there are more avenues available, both through our provider network as well as dwind direct services, which is why Wyandotte is one of the critical locations where we want to start providing those services and have more members being redirected to receive those outpatient services, and that includes both adults as Well as children. Yeah, I
understand that, and also understand the need, but I also understand that what you spoke to is something that we can adjust, and we could adjust downward, if we have a certain capacity of individuals that are working there, and we find that they no longer be need to be there, we could remove them and save money with this. We really can. And that's my concern. My concern is that we don't know how many people we're going to service, and then we have a high buyout. If, in fact, we decide that we don't need all this space, I would feel more comfortable. And again, this is something we I understand, which is something we can assess in year one. We probably need two years to assess it. But if we're going to leave after year three, I would like to be able to leave at a much cheaper rate than over half of what we would have to pay for the next year to get out of this lease, especially in light of the fact that we don't know, we have no idea how many people we're going to service out there at all. All
right. Thank you for your comments, Mr. Mr. Phillips, and I think that your comments are valid.
I mean, we're spending, I mean, and it speaks to a bigger issue. I mean, we've, we've approved a lot of things this month, in the prior month, at higher rates, right? And we continue to spend money, continue to spend money. Great. We've had it. We've done well. Stacy's done it, and her team has done a good job as relates to finances. But you know, past history as we weren't in the in the greatest position, and I don't want us to position ourselves, put ourselves to go back in that position, especially in light of the fact that in two years, we don't know if we're going to have a Republican in office or a Democrat in office. And so all of the how we're what decisions we're making on our spending today can have an impact on us in the future, and we have to be a little more prudent as it relates to or ask more questions as it relates to if we're going to be tied in for five years over something. We need to ask more questions on what we're you know?
Well, you raise questions. And I think that that informs Mr. Masky Stacy, and then the building committee as we go forward, I don't know that there's much that we can do about this today, but you do raise some good questions. So Mr. Masky, I take that you have noted this. Mr. Singular, Mr. White, also have noted the issues and concerns, which I think are very valid, and we need to look at that going forward before I call for the question. Mr. Parker, did you have anything else you want to say as chair of the building committee? Because you seem to be comfortable with this, and I don't think that what's being proposed here is any different than more recent leases. But do you have any anything you wish to say?
Only say that we're we're doing this without the lease being totally done because of CCBHC, and we may not have, we already decided not to have means to December, which means that it would not come before us into our January meeting that will put us couple months behind and and open up the center. So that's the reason why I'm recommending we move forward. But I think the point that mister Phil has raised is a very valid one, that we need to be cautious of how much we're committing in the future. We have no idea what the situation would be in the future, but I support the lease right now. All right, then I'm
going to go ahead and call the question. We do have a motion on the floor all in favor of this motion. Please signify with i, i Any opposed? No one, one oppose and Any abstentions. All right, thank you very much. Thank you very much. All right, continuing on, then with our agenda, we do have the ad hoc committee reports. And Mr. Phillips, I believe you're first with the bylaw policy and bylaw committee for an ad hoc committee report.
Thank you, Madam Chair, the policy and bylaw committee met this morning, at 10am the committee reviewed the CEO annual review process, discussed development of an interim CEO policy and procedures, which would be a succession plan, and at the request of the chair from the special full board Meeting, reviewed the CEO optional pay performance incentive plan to develop a process for implementation. The committee also reviewed the board bylaws as it pertains to Article Seven, board committees, standing committees, and discuss the development of a policy and by law charter. There's two recommendations that we're going to bring to the board, the first of which is that the committee is recommending to the full board that the policy Bylaws Committee become a standing committee and that language be added to the board bylaws under Article Seven, board committee and policy And the policy by law charter be adopted. The board members should have have a copy of the red line versions of the bylaw and committees charter. The second item again, we're going to request, ask for the bylaws first. But the second item is that the committee also review the CEO annual performance review process and recommend to the full board the adoption of the revised CEO appraisal board policy number 2020, dash, 24 which includes language pertaining To the CEO option, optional pay performance incentive plan. The last thing is that under the policy development the committee requested that legal and human resources review the interim CEO policy and procedures and succession plan and bring back language for which Council is going to speak to shortly to the committee at the next scheduled meeting on February 20 of 2025, at 1pm the topic of disadvantaged businesses were was brought up during The meeting, we requested that the appropriate committee review that issue, and legal noted that that would be properly reviewed by the procurement policy and within the finance committee. So Madam Chair, that concludes my report, but we are going to make requests first, asking for the bylaws change, and we're going to have to do a roll call, because two thirds of a vote is necessary to approve those bylaws follow then, but for approval of the charter, again, we would, we would need a we require a roll call, because the adoption of that charter would also need two thirds of a vote
for approval, all right, so we need to have a motion on the floor to approve, first of all, as you said, that the bylaws policy, Bylaws Committee is no longer a ad hoc committee, but becomes a standing committee. So it's been moved and supported. Is there any further discussion on that? And we will require Mr. Wash, a roll call vote. Any further discussion on that? All right, Mr. Wash, you want to do the roll call vote, please? And we need a two thirds majority, and I believe we have two thirds here. Okay, okay.
Miss Brown, yes.
Miss Bullock, yes.
Myself, yes, Mr. Glenn Yes, Mr. McNamara, yes, Mr. Parker, yes, Mr. Phillips, yes. Miss Ruth, yes. And Dr tag, yes.
So we now, Madam Chair, it's unanimous that passes and we had was that nine people? Was that Eight? Nine? That was nine. So it's a little bit more than the two thirds. Okay, the second item, Mr. Phillips, is for madam chair the charter, yes,
I'm sorry. I have Miss Ruth making the motion, but I didn't hear support for the motion. I'm sorry. Or what's the brown thing? Motion? It
was brown and Ruth, yeah.
The next is approval of the charter I'm associated with the policy and Bible House committee.
Is there a motion to approve? Move for approval? Madam Chair, okay, so moved by Mr. Glenn and supported by Miss Ruth. Any further discussion? Seeing no hands, all in favor. Oh, sorry, Miss Mr. Wash
Yes, Madam Chair, Miss Brown Yes, Miss Bullock, yes, myself Yes. Mr. Glenn Yes, Mr. McNamara, yes, Mr. Parker, yes, Mr. Phillips, yes. Ms Ruth, yes. And Dr tag, yes. It's unanimous. Madam Chair, so
they both have passed. All right, what was the third item? The
last item is the CEO appraisal policy,
and what was the need for a vote?
I'm sorry, CEO performance review process. We had some changes made to it, such that there were two things that we we changed related to the same. First of all is that we would have to bring the policy or the annual appraisals to the board, and that the board, two thirds of the board, would have to approve my career, Madam
Chair, if I may, the changes made were consistent with the current CEO contract. In addition to that, this board requested that the policy committee review how many members were needed to make the performance appraisal valid, and so there was a change added to allow for the performance appraisal to be valid if two thirds of the board voted for the same in addition to that, there was language requested to be added that a faction of the board could not stop the policy the appraisal from being approved. So in the event there are two requests made, and you don't have two thirds members to complete the performance appraisal, there's a process that's been added, I believe, in Section Eight of the policy that's before you to account for that. And then, in addition to that, in the actual process for the performance appraisal, which is connected to this policy. There was language added that with that indicates the CEO and the chair of the board will come to an agreement on the goals. I think it, I'm sorry that's not the language used. It is the performance objectives prior to those being forwarded to the executive committee, who will then, of course, review those things and make a recommendation to the full board, right?
So everybody get that? No, that was a lot. All right, so we do need to make a motion to approve. This is there a motion to approve? So move, moved by Mr. Okay, moved moved by Mr. Phillips and again, supported by Miss Brown. Oh, she already did. Sorry. Mr. Glenn, all right. Any further discussion? Seeing no hands, all in favor. Oh, no. Roll call again. We need two thirds, Yes,
Madam Chair, Miss Brown, yes. Miss Bullock myself, yes. Mr. Glenn, yes. Mr. McNamara, yes. Mr. Parker, yes. Mr. Phillips, yes. Miss Ruth, yes. Dr tag, yes. Madam Chair, it's unanimous. All right, does
that conclude your report? Mr. Phillips, does that conclude your report? Mr. Phillips, that
concludes my report and the vote. All right, thank
you. All right. Strategic Plan Committee, I don't believe they've met. Ms black, did they meet?
Madam Chair, the Strategic Plan Committee did not meet for the month of November.
All right, thank you. Board building committee. Mr. Parker,
there's no report. We did not have a meeting in November. All
right, the CEO search committee, as you all know I chaired, that the work of the CEO search committee is complete, and I would like to have a vote to disband the CEO search committee as it is no longer needed. Moved and supported. Any further discussion. Move to dispense All right, any All in favor signify with aye, any opposed, any abstention? All right, okay. That brings us to the final couple of items on our agenda. And we do are now ready for the President and CEO Monthly Report. Mr. White, you just got here. So however you want to handle that, it's up to you. Good
afternoon, honorable board. I will be yielding some of my time to Mr. Singla to provide some detailed information on the issues that he has historical knowledge on. Started Monday with a welcoming staff. Amen. Been a very busy week. Already had an opportunity to meet with the executive leadership team. I found the meeting to be very productive. Yesterday, had an opportunity to meet with the directors and the some of the vice presidents, and that meeting also was very productive. Today, we had a all command meeting, sorry, a all staff meeting, sorry, sorry about that. All staff meeting today, and I was very impressed, and it's been consistent since I've met the staff and everyone involved in whether it be the people who welcome me here and assisted me, Miss Black charge, Ben Joseph godson, giving me the tools that I need to prepare for this meeting and other things and but not just there's been others meeting with the CFO, our legal personnel and certainly our HR have all been consistent with their attention to detail, the breadth of knowledge and their desire to Move this organization forward. So that has been quite refreshing on the meeting today with the all staff. That meeting, I believe, was led by, and pardon me if I mess her name up, I think it was Tiffany. Was it Tiffany? Okay? She did a phenomenal job. Jody assisted, and the meeting was quite surprising to me, because it was really a celebration of staff, which I think those meetings should be, they were talking through a number of different things that had high energy to it. They acknowledged a couple staff members who were certainly excited to receive those acknowledgements. So it was just really something positive and good to see, particularly when you see how the staff has performed and how it resonates by winning the award now three years or best place to work. So we certainly want to keep that going. This afternoon, I'll be meeting with the network providers, the network of providers, this afternoon, and we'll be prepared to talk through any concerns that they have before I yield my time to Mr. Singular. I do want to take this moment to thank him publicly for managing the organization during the transition. Anytime organization this site goes through a transition, it could be quite disruptive. People could get become uncertain. There could be a drop in productivity. He's done a phenomenal job. I have not seen that since I've been here. Uh, people have not missed the beats. I want to just publicly commend him, as well as Burt Blackwell, for taking my hand this week and getting me through the doors I need to get through. At this time, I'll turn over to Mr. Singla.
Thank you so much. Mr. White. Good afternoon. Board chair and respected board members, many single EVP of operations, a couple of things I would like to go over. I know it's not on the agenda, but I think it's the need of the hour, our CCBHC application. So I just want to provide certain updates. First of all, I want to commend Mr. Ray Williams, Director of MCO, our clinical leadership, abni Reynolds, Melissa Modi, Dr Faheem and several others who have just been working for the last couple of weeks tirelessly to ensure our pmhsp certification, as well as all the documents that were due to be submitted by November 22 which is couple of days from out, look to submit that application this evening, once it's reviewed and completed. So I just wanted to make sure the board is aware of it. Of it. That's something a lot of folks are looking at, and we have had very positive conversations with the folks at the state as well as all stakeholders. What that's going to do once the review is over that's going to put us depending on the outcome of that complete CCBHC status for Jan first 2025 which is which brings me to the second point. In terms of what Mr. Parker and Mr. Phillips stated, a need for ensuring the CCBHC services we have ability to execute those services as flawlessly as possible. That means availability, accessibility and execution. Those are the three aspects we have to work from an operational standpoint, clinical standpoint, and now that, now that I'm little more free with Mr. White here, I will be looking to work with all the remaining stakeholders under under his leadership to ensure we execute that piece. Well, the 707 site, the third floor is our first space where we are pouring service services. As we speak, our next two sites, I know one of the board action was approved, actually two board actions that were approved today. One is the CO location of the FQ. That's going to be our next immediate site where we're going to be putting staffing in the third space, naturally, is going to be the wine dot, and we're going to be little strategic about it, because of the timing of it, the first floor is where we cannot look to, depending upon if we are able to come to an agreement, we're going to be using the first floor to start the adult services immediately, because that's where we have seen, even from a crisis standpoint, our major engagement, as well as the members that are being coming in, receiving services for them To be discharged and continue to receive continuum of care. From an outpatient services standpoint, we want to make sure that we have enough sites, both within the provider network as well. From a dwin standpoint, that's where Mr. Phillips I'm coming back to that point to say we need to create that accessibility. Your point is valid on the financial aspect, from a need standpoint, that's what's driving right now to ensure that we have those sites available and accessible, both in the provider and as well. On the dwin end, I'm going to move over to crisis services. We are, as far as the Seven Mile contract is concerned, we are in contact negotiation with brown Sally group, and once, depending upon the outcome of those conversation, will be coming forward to the board to provide the update on that any any subsequent actions on the Seven Mile construction. One final piece before I move to the next subject on the crisis side, I do want to commend swolf and her staff and Dr MA and others. There have been some very challenging situations over the last couple of weeks, where but we had some very difficult members, but the staff maintained their composure. They were very resilient. Even there were very difficult circumstances that were out there, but they have been continued to serve those members and ensure that both staff safety as well as member safety was preserved. That was truly commendable. I really appreciate that. In terms of our health plan piece, we are scheduled to meet a couple of health plans, and I'm sure to include Mr. White and those conversations, these are going to be on site meetings with leaderships at several health plans that will be coming over to talk about what we what I spoke at our last meeting in terms of health plan integration of us providing behavioral health services to their membership, which will create a new revenue source, both are for our providers, as well as for DWI standpoint, to provide services which in some cases we have been already providing without being getting paid. This creates an opportunity, opportunity for integration of those services in terms of what else is an upcoming meeting with the win Lisa leadership, and I know that's something Mr. Very close to your heart in terms of Children's Services, we looking at at least doing some brainstorming session with the leadership over there on how we can remodel children's services from the core so that one especially when it comes to the schools, so that I know there was a question Ms Brown had asked at one point to say, what have we learned from one of the incident in one school, and how we are incorporating that feedback into other area. It wasn't me, but at the end of the day, what we're trying to look at it how we can use lessons that are out there and put them effectively, not only at the programming level, but also incorporating them as part of a process, so that once we have the buy in at the at the leadership at that level, we know that that's something that leads into ensuring that we are utilizing the resources well, because even we know the schools have lot of mental health resources in terms of dollars available, we can leverage that as part of that partnership and ensure we are able to maximize efficiencies and provide, you know, stable support for the that the students out there. That's one of the things that, depending on you know, how we how we establish that there could be some changes coming to you as part of the learning process from that I I might have something to share at the board study session, since we are meeting before that, and I look forward to providing that detail. The final piece, I do want to commend Mr. Frambo and his IT team. We probably have done better than any of our previous years. I've been here six, seven years, our ICU audits have been more compliant than ever when it comes to that. So kudos to Mr. FAMU and his team on that. And finally, I know everybody probably has heard about the pontiff journal news in the pre pass. Yes, we are very conscious of our membership out there, and working with the both the staff as well as our as well as our hospital partners to ensure there is effective transition and discharge to support the membership, regardless of what comes out of that specific hospital. You want to make sure that we are ahead of that so staff is working around the clock to ensure that member safety is established and ensure there's an effective transition. Those are some of the high level updates I'm available for any questions.
Alright, thank you so much. Yeah, glad you spoke about the recent Pontiac General. Any questions for Mr. Singular or Mr. White? Any questions? All right. Thank you very much. We'll receive your report, and we now have the final agenda item before we review and Madam Chair items and before we do the good welfare. I'm sorry, Mr. Wash,
Madam Chair, at our executive committee meeting yesterday, I believe we were able to say a few words about I was gonna say, Chief Mr. White, and that was at an executive committee, and I really want to repeat what I said at that meeting, because now we have a full board, and we have, you know, staff here.
Can I ask you to hold that up till after the communications report? That will be fine. Okay, then I'll as long as we have the opportunity for board members. Thank you. Okay, thank you. Communications quarterly report. Do we have one? Miss Devon, thank
Good afternoon.
Tiffany Devin, Director of Communications, we are going to provide you with our quarterly communications report. We are going to be discussing some of our new fiscal year, 2425 outdoor billboards, as well as a member highlight, including our media Roundup, community outreach, youth United events, and, of course, social media events. So I'd like to start by first being able to show you the I think it's slide three Trent or Lillian, not sure? Oh yes, you've already known that we received top workplaces. So yay for us again. Next slide please. We have put together some of our creative billboards for fiscal year 2425 when we spoke with Grace Wolf and jakia Callum in our crisis services departments, they wanted us to focus on the children's floor in the Milwaukee building, because a lot of times people don't realize that we offer crisis services for children. So some of our billboards for this next year are focused on us being able to provide Children's Services. So that is just one of the many billboards you will see around town. Another one is we really continue to focus on all of the free resources that dwin has to offer. A lot of times, people don't realize that we have many free resources. We have a text line, especially for young people who don't want to pick up the phone but may want to text someone if they're in trouble or they need somebody to talk to. So we are focusing on some of those free resources, one of them being our reach, usdetroit.org, text line and another billboard. Our billboards are mixed with general media messages as well as substance use disorder messages. So the next one shows that we continue to focus on our free resources, which are also Narcan trainings. So we continue to do that and make sure that people understand that we do provide a lot of different services, and a lot of them don't cost anything. I will tell you also that in our social media calendar for December, we are focusing on 12 days of dwin, like the 12 days of Christmas, and every single one that we focus on each day is a free resource. And I think that's a wonderful thing to be able to tell people that this is free. You can just text and we will answer and we will help you. And before I turn it over to my wonderful content experts and my awesome team, I just wanted to focus on one member highlight for you. This is something that we're going to do on a consistent basis in our reports going forward, because I think it's important to be able to see what our services do for people and how they help on a very real level. So many of you may know that de Maria construction is one of our vendors, and they have graciously donated money to our member engagement program, that's a program underneath customer service, that's a program where members that we serve come to the table and they tell us, you know what, you're not doing this correctly. We need more of this. And Mr. White actually heard some of that today at our all staff meeting, where members have a voice. They want to be heard by the administration, by the board. So de Maria donated these funds to our dreams come true grant program, and we were able to distribute grants to many people. This is just one young man who was three. His mother was the recipient of $500 and she is going to be able to take him to the recreation center in flat rock so he can have fun there. He does struggle with some developmental disabilities, and those are the types of people that we look for when we're looking to hand out those grants. So it's a wonderful program. Member engagements. Done it for many years, and we can, we commend them for that program. And now I'd like to turn it over to my public affairs manager, Mr. Michael McElrath, and noticed the whole team's dressed alike today. I don't know how that happened.
Good afternoon. Board Chair members, Mr. White, I'm the Public Affairs Manager Mike McElrath, and I'm usually calling the media in the newsrooms and housing them and saying, Hey, we're doing some great work. And sometimes it gets some good, good hits. So I like to share some highlights. Mostly it's monthly, because this is a quarterly report. I'm going to share three different, three different big hits. In July, we did have our mobile crisis units fully operational, so we were celebrating that jakia Kellum, she's our, she's our manager for for the mobile crisis units. She's always with me, and she, she was a good sport. WDT did some interviews. I did direct some other reporters to to either jakia or miss grace, who is, who is a director of crisis services for stories regarding fully operational crisis crisis team in August, the next slide, we did a first annual opioid overdose Awareness Day, and that was big. We actually did that at Clark Park cooperative. That was a very great partnership that we had with them. We did a balloon release, and most importantly, we did some Narcan training to the community there. And it was a great outreach effort, because in that community, there were a lot of people who had personal stories and impacts. And Channel Four was there. It was good to have will Jones, a colleague, a really cool guy, you know, share more about it. He sat down with a recipient, a person who was in recovery, a long term recovery, and did a really nice profile of them and the activities there at Clark Park. And then in September, we also continued our partnership with local four. And we had, of course, we had Hank and Frank. They were there to cover. That's them, yeah, Hank Winchester and Dr Frank McGeorge. And they actually covered the all day, covering of our Narcan training. And I think Mr. Glenn was there too. He was hanging out with us there too. And it was a really great time downriver. Before that event, we actually trained the news crews there at Channel Four as well. So we had multiple coverage of our su D team doing their due diligence and doing the awesome work that they do. And I'm glad to present that to you. That's just a quarterly highlight. Those are some of the highlights of some of the news hits that we received. Also, we did have on W, what is that? W, X, Y, Z, we have a banner at their run. So if you're ever following channel seven, and you know, checking out some news, you might see us there too. So that's that's some of the good work that we've done in the media aspect. I'm going to pass it on to my colleague Janelle Hearns, who does community outreach.
You guys are having too much fun.
Good afternoon. Janelle Hearns, visual design and Outreach Manager here to talk a little bit about youth united and community outreach. Mr. White, okay, so our mobile outreach clinician, Kevin Giles, attends some of the largest events in the county, sharing resources, programs and services, and our reports on him are shared each month. So here are some of the quarterly totals. So he attended a number of 31 events this quarter, an estimated total event attendance and potential engagements were 2953 69, follow up calls were made. 95 referrals were made as a result of follow up and 16 connections to the Access Center were made as well. This quarter, dwin participated in various outreach initiatives. Notably, dwin hosted its 10th annual interfaith based wellness beyond the walls Conference, which drew nearly 500 attendees. Dwins member engagement unit hosted a Michigan candidate forum forum in a Men's Health Forum. And then with youth united, this quarter, youth United organized several impactful events, including the Statewide Youth Summit, youth spotlight awards, targeted focus groups, and a very important, courageous conversations that we had last week, I believe, on gun violence, it was supported by the Detroit Police Department. Cease fire and dwinn. Our mental health Youth Council is still going strong. This quarter, we met four times, focusing on the importance of advocacy. Additionally, our council members have collaborated with d1 departments such as youth united and Su d by supporting our presentations and providing very valuable feedback and their their input has been instrumental in enhancing the way that we engage in important conversations with our youth. As far as community outreach events, Tiffany shared a lot of this information earlier. The only event that wasn't shared by Tiffany at the top of the meeting was our the Kevin songs, the Kevin song conference in Saint John, which is happening january 23 through 25th 2015 so I'm going to pass it over to our social media strategist, Marlon Tate.
Thank you, Janelle, seems like the mic is getting shorter every time I come up here, Marlon takes social media strategists. I'm gonna go over some social media analytics and our website analytics as well.
Need you to speak up a little bit more. I
just get a little closer to the mic actually. So on Facebook, Instagram, LinkedIn, YouTube, Tiktok and X, our total audience reached 19,921 we had a 7.8% increase. Engagement rate throughout this quarter. Total engagements, we saw 29,478 and for total impressions throughout the quarter, we saw a little bit over 374,000
now we're also actively elevating mental health awareness on social media by sharing informative content, engaging narratives and fostering a supportive online community. So I included a couple of comments from a couple of our posts throughout the quarter. As you can see, like it's good new, great news. Congratulations. Much needed, well needed, and a lot of clapping hands, prayers hands. See a star, somebody flexing as well. So that was great to you know, highlight those comments as well. Then for some Google Analytics and website analytics, we saw 6525 profile interactions. 13,145 people viewed our business profile throughout this quarter, 6345 searches. 4887 website clicks. And as long as well as providing those comments, as well on our social media, I want to highlight our some comments from our Google business page that we've gotten from one of our social media influencers, Randy Rosario, who says she loves dwihn and the services that we provide, we also provided a short, well, it's not short comments about two sentences, but we also have been doing a good job of actually responding to our like people that respond on our Google business page. You know, just getting that engagement a little bit higher, we also got a comment from, I'm gonna say, Kiki, gave a five star rating. We also responded with that, thanking them for that five star rating and that we're thrilled to know that we made a great impact and a great experience when they came through with the UN and I'll actually conclude the communications report. Thank you.
Thank you. All right. Any questions for our communication team? Good job. You really getting us out there. Miss Bullock,
don't go away. Guys, Yes, last quarter's report, I made some requests about the content, structure and reporting for communications, and I'm just wondering what the timing for that adjustment will be.
We made those adjustments already in our monthly reports that we provide to you, the quarterly port is an opportunity for us to show what we do, and we are a very visual department, so that's why our presentation will look different than most of the other departments. So if you notice in our monthly written presentations that we provide every month. It's more like all the other departments. Thank you.
All right. Any other questions? Yes, Mr. Parker, and then Mr. McNamara me. Then Mr. Phillips No. Mr. Parker, first your billboards.
You have three of them that you presented today. They all have different telephone numbers. My question, are we striving to try to have one number or the win that people could call and then they could be directed to one of these sites, or anybody else that might be there? Just, I think we need to strive for people to start to remember a number. I would love for it to be a three digit number, like 911, but, you know, are we striving to do something that is one number for all of our services, and then it's directed at that point,
if you do call the 800 number, you will get the right the appropriate person. The Crisis Care Center does have a different number, because they do like people to refer call ahead of time if you have to visit the crisis care center. So there is a special number for that. And the mobile units also have their own number. If you call the 800 number, which is the one that we promote almost all the time, then you will get to the right area for your services. You
talking to 241, 4949 Yes, sir. Number so you can call there, and you could connect with somebody from crisis centers for children. Yes. And why do we have different numbers? Why wouldn't we just multi 800 number, I?
Hi, Grace will, VP of crisis services, so the crisis services have direct lines so that people that are experiencing a crisis don't have to go on hold or be transferred. So if you call the standard 4949 number and you get a customer service person or someone in the Access Center, if they're saying, I'm in crisis, I need X, Y and Z, they would have to transfer you to a different department, and you'd have to go on hold, and that call would have to be waited to answer and all that. So it is best practice to have a direct crisis line that's separate from an administrative line, so that if you're in crisis, you can call directly and speak to a person directly.
Does that answer your question? Well, no, I
still think we need to strive to have one number, rather than anybody call for suicide. They're the same thing as another crisis, but we don't hesitate to take care of that case right there. I just think that we need to start to move that people understand that they have mental health challenges, no matter what they are or substance abuse challenges, they call one number and they can be referred for services. Might be a slight delay, but that
does happen. Like Tiffany said, if you call the access number, you're still going to be able to get to mobile crisis or get to the care center or get to anywhere. It's just additional options so that if someone is able to call us directly, we can take care of it quicker.
I understand the rationale behind it, but I think we still should be striving for one number. Thank you. Madam Chair,
okay, Mr. McNamara, and then Mr. Fauci,
the same question, the same response and the same belief that you did. So Ditto. All right. Mr. Phillips,
okay, yeah, I was a little confused from Miss Bullock's question. That's why I had to go around there and ask to get clarification. She had mentioned that she had made certain requests as released a report, and your response was, we put them in the monthly report. Generally, the quarterly reports are a common combination of what we get on a monthly basis, and we were able to compare it towards other quarters. It's not something that's totally different than totally new. And so I'm trying to get an understanding of why we're getting something that is totally new and inconsistent with the request that was made by the board for what we wanted on a quarterly basis, how did we come to a rationale of giving us something that's not a synopsis of what was what should be given to us on a quarterly basis, that the decision isn't being made to give us something totally different? I don't understand that rationale and how it came to that conclusion. Well, I
think that it was we tried to synthesize our numbers in the written report, and then in this current quarterly report, we did synthesize the quarterly visits for community outreach and the number of people that we met. So it's in both reports.
Ms Blackwell, did you have something to add?
Certainly, I know that in this communications portion of the CEO report that's provided in the board report currently, I know that Ms Devin did provide the updated information that misspoke that Judy requested, certainly moving forward, we can make that modification. Moving forward, I know that some of the concern that we, both Tiffany and myself, want to make sure that this body is aware of is all the great work that we do collectively as an organization, whether it is putting forth the PSAs that we do with the media, whether it's putting forth the articles, the billboards, a lot of the YouTube sites that we do that apparently, this body that this body may not know about, and there's no better avenue to make you aware of all those things, then our monthly reports. So if you through the chair and other board members, how would you like us to convey that information to you, if not during the board reports?
All right. Mr. Is that you? Mr. Single, I see a hand over there. I thought, I'll
take that one. Mr. White, yeah. I think we can do both. I think we will provide what the board has asked for, and we'll also highlight the great work that has been done. So let me get engaged in this a little bit. But I don't think that the request is a heavy one, so let's, let's talk that through. Certainly, thanks. Thank you. Thank
you. We do have Mr. McNamara and then
Mr. Just to be clear, I I had lunch today with the camp supervisor in the north of mayor, and we were all comparing notes. Your stuff's showing up in all of our feeds, even next door, and everything else is that we were, we were really impressed. I don't want to be negative here totally, because what you're doing is working. Thank you. Thank
you. Mr. Wash Yes, I agree with Mr. McNamara. I'm seeing a lot of the commercials and a lot of the billboards, and that's the consistency that we need, not just once in a while, but ongoing. So that's wonderful. I'd like for us to take advantage of that consistency by being of that ongoing. You know, publication of what we're doing by consistently putting or spelling out what dwind stands for. Because I know a lot of people are getting used to the the logo, but I don't think they understand. They all know what dwind stands for, and I think if they're on the billboards, that's a great opportunity to spell out the name. We do it on a lot of stuff. I mean, most of our stuff, but I did notice the billboards. It doesn't look like we have it spelled out. So that's my only, you know, comment. But we're out there. We really are. We're out there a lot. Thank
you. Thank you. I like seeing the pictures of the pictures of the billboards, because I miss them a lot. So thank you so much. All right, we're going to move on. Miss Bullock, you got your question answered. You're good, sort of,
certainly the details of whatever evolves, we can take offline. And I want to make clear that this is my request is in no way diminishing the hard work and visibility of the comms team and dwin Overall, I can see it. I appreciate that what we're talking about more is the strategic representation to the board on the what and the why of communications certainly,
right. Okay, thank you guys. Thank you, Ms Devin and Miss Blackwell and all of your team. So thank you, Lillian, do we have any action items that we need to review? I don't want to call hearing any. But do we have any
Madam Chair? There will be one with board action 2545 legal to research and provide what other large organizations are doing in terms of cybersecurity, insurance, all
right, thank you. Okay, do we have any board? Oh, go ahead. Miss Bullock,
I took note of the request for the percentage of unlicensed providers in network and the request for comparative data. Well, that's the one you mentioned, 4025 45 so this was tied to the board action, 2513 I believe.
Thank you for that addition. Thank you. All right, before we do the good and welfare, we're just about ending. I would ask, are there any board member announcements, or any board member comments. Mr. Wash, you wanted to make a comment? Yes, thank
you, Madam Chair. As I mentioned yesterday, we were at our executive committee meeting, and there were a lot of very positive comments and welcoming statements to Mr. White. And I just wanted to kind of repeat what I had said, because, you know, we have the full board, and we also have several of the staff. I happen to sit on the board of police commissioners, and so I have a few year, a few years history with former chief white I was on the board of police commissioners four years ago for a five year term. So I got to know him at, you know, working up the ranks, and then when I came back recently, which was just this past year, he only stayed on for a few months. And then now he's here. And so I have the pleasure of, you know, working with him again, but I do want to say that the Board of police commissioners and several of the community who come to our meetings are very sad that he has left, and are still talking about it and but you know, I wanted everyone to know that he is so committed. He is so dedicated, very hard working. I know that from being on the police commission as the chief, he just is a great leader, and we're very fortunate to have him leading our organization, and I welcome him, and I want him to know that we all have his back, and we're going to, you know, work very diligently with him. And so thank you. Thank you, Mr. Thank
you for that. Thank you appreciate it.
All right, any other board members wishing to make a comment before we do public comment and Mr. Wash, I'm going to ask you to read the statement, yes, okay,
thank you. All right,
no hands. Please go right ahead. Members
of the public are welcome to address the board during this time, for no more than two minutes, the Board Liaison will notify the chair when the time limit has been met. Individuals are encouraged to identify themselves and fill out a comment card to leave with the Board Liaison. However, those individuals that do not want to identify themselves may still address the Board issues raised during good and welfare public comment that are of concern to the general public, and may initiate an inquiry and follow up will be responded to and may be posted to the website. Feedback will be posted within a reasonable time frame. Information that is HIPAA related or of a confidential nature will not be posted, but rather responded to on an individual basis.
Thank you. Are there any persons present before we get to those online, any persons present wishing to make public comment? All right, seeing no one. Trent, would you ask if anyone online wishes to make public comment,
sure. Madam Chair, I have already put out a chat message inviting the members of the public if they'd like to make public comment. We have not received any written request for public comment. It appears that there is one person who has raised their hand to make public comment.
All right, did you call on that one person, please.
Yes.
Caller, would you please speak?
Yes? Good afternoon. May I be heard?
Good afternoon. You're in the public comment section session, please proceed. You have two minutes. Can you hear me? Yes, we can hear you. Okay.
Thank you. Thank you. First of all, I was failing a couple meetings, so I missed some of that, but someone expressed concern about when you call the crisis number, you then you it doesn't go, I think there should be a separate number for crisis versus the getting to administrative offices. Also, I beg to differ with the board member from the board of police commission. When I would go to the board of police commission meeting. I don't remember police chief white ever staying around for public comment. I also am concerned that you're hiring law enforcement types to run dwin, the crisis center. I'm one of the persons that fought the crisis center being put in the building that you're in right now, because we wanted that back as a library, and we would have fully supported you getting some land bank property and build this, you know, build a crisis center that has a nice green space, instead of turning your former office building. I mean, I'm glad you got the Community Care Clinic, but it seems, you know, it's a bit jail like, right? And sometimes when people are in crisis, that's not necessarily what they want to see. Now, I've been in crisis before, and I've had problems with the police. In fact, it was a family member of police chief White who bully slammed me to the ground and falsely arrested me. I also brought up to the board of police commission the mistreatment that happened to me at the Detroit detention center, and no one ever cared about that, right? And so, see, I wasn't properly screened there, but I was properly screened at the medical center before I got to the detention center, but all of a sudden, the lady thought I was suicidal or homicidal, and with me, yes, and are you saying I'm
okay, just need you to wrap up, because your two minutes are okay,
you need to
wrap it up. So in other words, you know there's a lot of issues to be looked at that I don't have time to explore now, but I hope that moving forward, we can explore these things and adjust the care provided even more. Thank you.
All right, thank you for your comments. They are noted and thank you. So is there anyone else online or present in the room wishing to make public comment? Seeing no hands, then I will entertain a motion to adjourn. It's been moved and supported All in favor, signify with I. Any opposed. Any abstentions Thank you, everyone,
