2006-92-Minutes for Meeting November 09,2005 Recorded 1/31/2006~I I 113- -M
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❑ { Deschutes County Board of Commissioners
1130 NW Harriman St., Bend, OR 97701-1947
(541) 388-6570 - Fax (541) 388-4752 - www.deschutes.org
MINUTES OF DEPARTMENT UPDATE -
MENTAL HEALTH DEPARTMENT
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, NOVEMBER 9, 2005
Commissioners' Conference Room - Administration Building - 1300 NW Wall St.., Bend
Present were Commissioners Dennis R. Luke and Michael M. Daly. Also present
were Mike Maier, County Administrator; and Scott Johnson, Mental Health
Department. No representatives of the media or other citizens were present.
The meeting began at 3: 30 p. m.
Please see the agenda and backup documentation (copy attached) for information
on the items discussed.
No formal action was taken by the Board at this meeting.
Being no further items addressed, the meeting adjourned at 4:05 p.m.
DATED this 9th Day of November 2005 for the Deschutes County Board of
Commissioners. _
Michael M.` Daly, Commissioner
ATTEST:
Recording Secretary
1111111111111111111111111111
2006-92
Dennis R. Luke, Commissioner
~DESCHUTES COUNTY OFFICIAL RECORDS CJ ~00~~9~
NANCY BLANKENSHIP, COUNTY CLERK 1~d `V
COMMISSIONERS' JOURNAL 01131112006 0338;25 PM
;
Message Page 1 of 1
Scott Johnson
From: Scott Johnson
Sent: Wednesday, November 09, 2005 8:48 AM
To: Mike Daly; Dennis Luke; Tom DeWolf; Mike Maier
Cc: _MH Program Managers
Subject: Monthly mtg 11/ 9/05
3:30-4:30 Wednesday, November 9
Stan Owen Conference Room, DCMH (Courtney)
Preliminary agenda:
1. MHO Business Plan - add'I financial information from Greg Canfield (per Commissioner request); discussion of
next steps.
2. Acute care services and costs - update on our costs and steps we are taking to manage this system.
3. Children's System of Care Initiative - update on Trillium services, new ABHA contract AND efforts to keep the
residential program on line (important feedback from recent community meeting)
4. Drug Court - a) results of community meeting, b) preparations for grant application in March 2005; c) need for
this to be a 2006 federal AND state priority.
5. Strategic Plan adoption - would you like a briefing or should I put this on the agenda for adoption at a hearing.
Content is similar to the earlier reports on our Plan.
6. Pending
a. A&D equity - response from OMHAS, critical that we continue to make this a priority, invitation to Nikkel for visit
in 2006.
b. Federal Indirect Rate - planning with Maier and Wynne to be scheduled
c. Staff survey under development; being planned for December
Scott Johnson, Director, Deschutes County Mental Health Dept.
2577 NE Courtney, Bend OR 97701
541-322-7502 email: scott_johnson@co.deschutes.or.us
Confidentiality notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and
may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited.
If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
Thank you.
11/9/2005
i
NOTE. Financial analysis relies significantly upon the capitation rate at which OMAP pay's Central Oregon Mental Health providers.
Capitation rates used in this analysis could vary significantly from the actual rates used by OMAP.
DESCHUTES COUNTY MENTAL HEALTH
ANALYSIS - DCMH WITHDRAWAL FROM ABHA - MULTIPLE SCENARIOS
July 1, 2006 - June 30, 2008
CENTRAL OREGON MHO DESCHUTES COUNTY MHO
FISCAL YEAR FISCAL YEAR FISCAL YEAR FISCAL YEAR
2006/07 2007/08 2006107 2007/08
MH Capitation Pius
Standard
Risk Adjustment
Total
Children's System of Care Initiative
CSCI Admin Funds - 8% (excludes > baseline
CSCI Provider Tax - 5.8%
OHP Provider Tax - 5.8%
Administrative Fee to Jefferson/Crook - 7%
CDO Capitation
Interest - CDO
Interest
Miscellaneous
Total Revenue
EXPENDITURES
Personnel - Salary
Data Analyst
Claims Analyst
Allocated Fiscal/Contracts/Support
Admin Assist (incl. Credentialing)
Consumer Affairs
CSCI Coordinator
Executive Director
Utilization Manager
Quality Manager
Personnel - Benefits
All Benefits
Account
FTE
A +0.85%
(Includes 15.3% Capitation Cut Effective 111106)
ap~-2.15% FTE Cap-
_p+0-g5%-
3,854,562
150,700
(120,158)
3,739,900
146,217
(116,584 1
3,885,104
3,769,533
1,318,718
1,290,366
100,937
108,720
82,405
80,056
232,305
225,395
79,573
77,862
484,080
473,672
2,000
2,000
1,000
1,000
1,000
1.000
0.70
22,193
746 ! 0
23
60
1.50
44,494
,
47,609 11
.
.50
0.50
20,761
22,215 0
.50
0.75
31,142
33,322 0
.50
1.00
57,445
61,467 1
.00
0.90
37,371
39,987 0
,75
0.35
14,533
15,550 0
.25
2,739,438
96,022
2,749,673
887,129
68,695
55,390
164,457
484,080
2,000
1,000
19,022
44,494
20,761
20,761
57,445
31,142
10,381
17,100
11/9/2005
3:22 PM
-2.15%
2,680,540
93,957
2,690,555
868,056
72,149
53,913
160,921
473,672
2,000
1,000
20,354
47,609
22,215
22,215
61,467
33,322
11,107
129,905
MATERIALS AND SERVICES
Total Administrative Costs
Total Grants, MHO Development & Other
Total Personnel, Admin & Other Costs (4)
Total CSCI, Hospital, & Consumer Funds
Inpatient Hospital Contracts
Mental Health Outoatlent Services
Crook''County Outpatient Totaf
Jefferson County Outpatient Total
CDO Outpatient Services
Total MHO & C)O Provider Taxes
Total Materials and Services
Capital Outlay
Total Operating Expenses
Total Available for Deschutes County OHP
Total Available for DC OHP Using ABHA
Net Increase (Decrease)
539,234
567,019
497,773
522,115-
1,327,210
1298,675
887,129
868,056
256,386
256 386
256,386
256 386
518,150
507,010
618,602
605,302
446,312
436,716
446,312
436,716
342,787
4048681
332,924
4 004
032
247,923
242 307
,
2 335,523
2 325 579
15,000
5,000
15,000
5,000
4 063 681
4,009,032 I
2,350,523
2 330 579
$ 2,123,442 $
2,020,572
$
2,062,901 $
1,992,686
2,027,152
2,027,152
2,027,152
2,027,152
$ 96,290 $
(6,579)
$
35,749 S
fad deal
SAMental_HealtMManagersWBHA Withdrawal Financial Analysis for MHO Business Plan
Format-$ Avail for MHO Serv
11/9/2005
3:22 PM
NOTES AND ASSUMPTIONS
1) Salary & benefit increases in year 2 are consistent with prior 2 years Deschutes County increases (salary @ +7%, benefits @ +10.9%).
2) County indirect costs are increased at a rate of 7% for year 2, which is consistent with prior 2 years Deschutes County increases.
3) Year 2 has a blended net capitation cut, which includes a 1.7% known capitation increase for the first 6 months of the fiscal year,
followed by a 6% capitation cut for the final 6 months of the fiscal year. The 6% cut is purely speculative, but warranted in a
conservative budget, given historical trends and based upon conultation with others helping us in this analysis.
4) ABHA FY 2005/06 equivelant for Central Oregon and Deschutes County is $651,533 and $449,333 respectively.
5) In the event the County chooses to consider the Clackamas County Model further, additional analysis of the FTE level and the IS/Reporting
& Encountering costs would be warranted. FTE may be lower and IS costs may increase.
In the event you have any questions, comments or concerns regarding the information included in this document, please do not hesitate to contact
Greg Canfield at (541) 322-7509.
S:\Mental_Health\Managers\ABHA Withdrawal Financial Analysis for MHO Business Plan
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