Agenda - 05-18-2021; 8-a - Minutes

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23 1 Slide #29 NEXT STEPS Tub BOCC Is being aalted co endorsetm reeommendationprezen<ed in this mporeTne Is in:nporeanr,huepreiminarywp toward realization of the Ideas cnnurwd In thq Ncon.nendauan AddldonaIr rkn nwded to adv ncetlre propcc co an operating Faclllty In Or ngq Ccunq The nextsteps are outlined below- • Risk Mkilladom Canplleaddraanal data andmndnctaddmwnalstudlw to rsdtrq the wnoertalnty In curnintprcpcdcns of the number and type of patlentz who will he zerred by the Faelllq_rcfiese esdmarn of cosh and henefin.and Idetsdfyhraluaee iundingeptiem. 09AWn•Cenducc a prernlnarydes*gnvt Fadllty space to prvrdna pmperbam For a financial awesanent Tha+A Includedentl¢rr-gard ameestng pocenid Iocatlons forthe Picky.. • LioemWg and Staff Planning.IdeN*licensing optionslregr:rcrneru,asbotiated staff µin and Fulllq am•Ihutn,itlurance billing polleles and practices,and K%ntlfyfe ghats phenol Fadrgr operators Go rtsertee.Determine and asxss options reprdingr nershipand"mincefortheFaellleg- PaRcyTroaetlures•Iderncflcatltn of nwded poaq and procedvm enhancerntnts For ad wri"htlders to-elwure county-wide nftbormm Ieasna to realmhg the fbcllleg'z fLA 56ten5sa • Proiectad Sari nqs.f]ewleprrgkw pro salon of savings that may accrue dw to reduwd ducal and crin irral imtice burden - 5eWrcea and Uf of pundi.Prelate upitauepensp2 briers forFuarey.Idenufy,numt fundlhgarrandentenn for the Runt fine years of operation inUudilsd prAxx philanthropic orgpnlzatlons. Read Map,DwRlop an mplemer4uon plan or road map for umb4hing an operating Faoaq m OraM County in an erywdItW mamgr. 2 3 4 Commissioner McKee rejoined at 10:13 p.m. 5 6 Commissioner Fowler said the committee outlined the need in a very thorough manner. 7 She said she recognizes there are a large number of moving parts, but there is an extreme 8 need for this. She said it is a reimagining of crisis response, transforming from punishment to 9 rehabilitation and support. She asked if there is a most immediate next step. 10 Tony Marimpietri said consensus, and then some funding, will be needed to take any 11 next steps. He said they need studies for mental health facility design and costs. 12 Commissioner Hamilton said based on her experiences as a mental health professional 13 this type of facility is very needed. She said she also approaches this issue as an economist, 14 and thinks about economies of scale, data on the cost of running facilities, etc. She said she 15 would like to gather data from other existing facilities, and wonders if a more regional approach 16 would be more appropriate. She said this will be an expensive endeavor, as this is essentially a 17 specialized hospital, and the county needs to have as much detail as possible to be realistic, but 18 there is no doubt of the need. 19 Tony Marimpietri said the group needs to tighten its numbers. 20 Barbara-Ann Bybel, Director of Psychiatric Services at the University of North Carolina- 21 Chapel Hill and WakeBrook, discussed funding and said Wake County provides $13 million 22 annually for WakeBrook, which only serves Wake County residents. She said UNC also 23 contributes $5 million per year to WakeBrook, but that commitment ends this year, and 24 discussions are underway about continuing that funding and bringing in other partners. She 25 said behavioral health patients languish in emergency departments, not getting the help they 26 need. She said a facility like this would be ideal, and there is room for County funding, UNC 27 backing, and other partnerships. She said the relationship between Alliance and Wake Brook 28 has been positive. She said this could be a smaller facility than WakeBrook, and a facility like 29 this would give options to law enforcement to take people to an appropriate place. 30 Commissioner Greene said she is supportive of the idea, and appreciates the care and 31 analysis. She said having a facility like this provides indirect savings, and it is important to look 32 at these issues comprehensively. 33 Chair Price thanked the presenters, and said being a role model is important. She said 34 the County will pay for the care either way, and having appropriate care makes more sense.