Agenda - 12-03-2018 8-a - Minutes

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21 1 Members of the Board of Commissioners have referenced various topics over the past year 2 related to Boards and Commissions for Board discussion. Staff met over the summer break to 3 review these topics and develop proposed recommendations/changes to be discussed further 4 at this work session. Attachment A details identified issues to be discussed, and Attachment C 5 depicts a proposed streamlined abstract format/membership roster/applicant interest list for 6 Board appointments. 7 8 1. Discussion Decision Point: 9 -To consider discussing the Adult Care Home CAC and the possibility of the 10 reduction in number of positions (since there are sometimes many vacancies) 11 and/or the option of merging this committee with the Nursing Home CAC. 12 See Attachment B- emails from Autumn Cox, Ombudsman, Area Agency on 13 Aging-TJCOG (attachment b). 14 15 Donna Baker said there were emails in the Commissioners' packets from the 16 Ombudsman, and suggested having her come to a meeting (annual presentations), and the 17 Chair of the Board to participate in any proposed changes the Board of County Commissioners 18 may want to propose. She said this Board wants to remain at its current size. 19 Commissioner Rich said it is hard to fill larger boards, and suggested talking about this 20 during the annual review. She said she would like to reduce this board, and other boards, 21 where possible, as it is frustrating when boards cannot have a quorum due to lack of numbers. 22 Commissioner Marcoplos asked if merging these boards would work, and allow the 23 same amount/type of work to be done. 24 Commissioner Price said she attended the Adult Care Home CAC, which meets in the 25 afternoon. She said this board was reviewing the various adult care homes. 26 Chair Dorosin said yes, one board reviews/monitors adult care homes and the other 27 focuses on nursing homes. He said these two types of homes are defined differently in the 28 statute, thus the two boards. 29 Commissioner Price asked if there are certain requirements for these boards. 30 John Roberts said there are training requirements for both of these boards, and the only 31 other statutory requirements are the minimum numbers. 32 Commissioner Marcoplos asked if these boards visit the actual care facilities. 33 The Board answered yes. 34 Commissioner Marcoplos said this is a capacity question, and if the same work can be 35 done with less people then a smaller board would be fine. 36 Chair Dorosin said the requirement is for a smaller number, and the year-long trainings 37 make it even more difficult to fill these boards. He said he agrees with reducing the number of 38 members. He agreed with Donna Baker and said to have Ombudsman to come and speak on 39 the pros and cons of reducing size or merging. 40 Thom Freeman said the training process changed a few months ago via a House Bill. 41 He said the applicant, once vetted, attends training for a few weeks. He said successful 42 trainees who want to proceed will be put forth to the BOCC for a one year initial term 43 appointment. He said when that first term is successfully completed, the candidate can go on 44 to a full term. 45 Commissioner Price said these boards have requested to come before the BOCC and 46 present their findings on a more regular basis. 47 Commissioner Rich said this opportunity is available at the annual review. 48 Commissioner Price said there is a desire to come before the Board outside of the 49 annual presentations.