This blog originally founded by Blogger who holds a theological degree and a doctorate in Counseling Psychology. Taught Psychology for 32 years and is now Professor Emeritus. Is a board-certified psychologist and was awarded the Lifetime Achievement Award in his profession. Ministered as a chaplain, and pastored Baptist and Episcopal churches. Publications cover the integration of psychology and theology. Served in the Army, the Merchant Marines and the Peace Corps.

Wednesday, October 26, 2011

Don't Miss This on NRBH

inquiring mind has left a comment that is too good to miss:

Even though we understand that the audited financial statements numbers ( are not correct - that's right, the auditors didn't even catch it (don't be surprised; we have found the same with our County and BOE audited financials), we are going to report

the operating losses according to the financial statements for NRSA (and keep in mind that these numbers were discussed every month as they grew):

2008 Operating Loss reported as ($1,966,208)

2009
Operating Loss reported as ($1,040,132)

2010
Operating Loss reported as ($765,705)

So, how did they stay in business up til now? In 2008, the "fund balance" in the amount of $3,518,763 was transferred from the old entity "New River Behavioral Health Care" (not to be confused with the new entity New River Service Authority dba New River Behavioral Health Care). They have been living off of borrowed time. Once the fund balance ran out and funding dried up they just kept spending. They ignored the "writing on the wall".

They had even scheduled a 4% salary increase and had to backtrack. They didn't want to reduce employees because that meant reduction in revenues. They were missing something- cost of employees was outpacing revenue generation.

Ponzi scheme - isn't that what they call it? And who pays for it? the taxpayers!

34 comments:

inquiring mind said...

Talking about the same ole people running the show: Kenny Poteat, current Chairman of the newly appointed NRSA board and from Avery County, was the original trustee of the NRSA board formed in 2006. He was the treasurer as of 6/30/2008; 6/30/2009; 6/30/2010 and 6/30/2011 and as of 9/16/2011 he is listed as the chairman and the treasurer of the NRSA board.

That's right 2+2 doesn't equal 4 after all. And, they call it incompetence.

inquiring mind said...

9/16/2011 meeting minutes:
Direct Quote from Minutes -

"Kenny Poteat opened the Finance Committee meeting by stating that there was "grave concern" of the committee, SMC, and the county commissioners of the five-county area. He stated that he was certain that SMC would be requesting a copy of the meeting minutes of this meeting. He added that the Avery County Board of County Commissioners met in closed session to discuss NRBHC recently and informed the committee and those present that Commissioners are concerned about the liability of the counties of NR."

ITS ABOUT TIME GUYS!

"Concerns of SMC and comissioners that had been shared with Mr. Poteat:(Ms. Andrews speaks later in the meeting about the inaccuracy of some of these statements)
[Ms. Andrews is the CEO who steps down.]
-"a lot worse than they thought"-speaking about what the county commissioners thought of NR's current financial situation
- Three months advance requested from SMC
- NR is seeking loans
- Accounts receivable at $6 to $7 million
- "in the hole" million of dollars; can't tell how much
- Consumer numbers are unknown; can't tell anyone how many consumers are served
-What is the affect in the five countie sof the 160-A and the possible liabilities ensuing if NR were to cease operations"

inquiring mind said...

Another little tidbit about the 9/16/2011 meeting. Remember that this 160-A agreement was entered into in 2006 and now they want to eat their own:

"Gary L. Blevins asked who wrote the 160-A agreement."

WAY TO GO COMMISSIONER BLEVINS!

"Ms. Andrews responded that it was written by Tony Triplett, Bruce Kaplan, Dan McMillan (former Ashe County Manager), Don Suggs, Pam Andrews and others on the NR Board at the time and community stakeholders."

It is real confusing to keep up with this but when Ms. Andrews (the ex-CEO of NRSA) is referring to NR in this statement she is referring to the New River Behavioral Health Care board before it dissolved and the New River Service Authority dba New River Behavioral Health Care was formed with the 160-A agreement. She is actually being very candid when she says that the "existing board and community stakeholders" because they were doing exactly that protecting their "stake" - their jobs.

inquiring mind said...

9/16/2011 Finance Committee Meeting Minutes also show that members were concerned about SMC exposing them:

"Mr. Poteat stated that following this meeting a meeting had been scheduled of the five County Commissioners on the NRSA Board and the SMC LME Board as well as the five County Managers. He stated that certainly the letter sent to County Commissioners, County Manager, SMC and Crossroads (date 9-9-11) would be discussed at this meeting."

"Mr. Poteat stated that no staff from SMC or NR was to attend this meeting and that if someone from SMC is at the meeting, he would also ask that Ms. Andrews attend. The committee members were supportive of this action."

"Mr. Cox added that he heard that county's were considering their future with the 160-A and, speaking for Alleghany County, he couldn't imagine Alleghany without NR. He stated he felt that NR needed a chance to work this situation out and work through it and whatever work it takes from the board and Finance Committee that that work be done. Clients from Alleghany depend on NR, an while NR is struggling right now, he was for working things out and sticking with NR for the long haul. Mr. Poteat agreed taht NR needed some time to regroup and prove that NR is viable."

DID YOU GET THAT - MR. POTEAT, THE CURRENT NEW CHAIR THINKS THAT THEY "NEEDED SOME TIME TO REGROUP AND PROVE THAT NR IS VIABLE". This guy was with them from the beginning as Treasurer and Chairman of the Finance Committee. What a joke!

Somebody please deliver us from this insanity!

Blogger said...

IM wrote: "Somebody please deliver us from this insanity." Poteat’s approach actually does sound like Einstein’s definition of insanity–“doing the same thing over and over again and expecting different results.” “NEEDED SOME TIME TO REGROUP AND PROVE THAT NR IS VIABLE". What planet has he been on?

Blogger said...

IM Did you get the impression that Poteat thinks that the old New River provider group still exists?

inquiring mind said...

In reading the minutes of 9/16/2006, it appears on page 6 an 7 of 18 that services for Medicaid had been billed to SMC instead of Medicaid. (SMC manages State funds and not Medicaid funds.) NR's chief financial officer (at the time), Larry Aggers was blaming SMC for not sending them a report back:

"SMC normally generates a report back to the provider so the provider may then bill Medicaid for the services. In June, NR found out that SMC had not sent such a report to NR all fiscal year long. NR has since re-billed Medicaid for those instances that have been identified thus far."

He continued with an explanation of the reasons for the projected losses of $3 million as made by Ann Wilson (independent financial consultant):
"As he continued to work to close the books for this past fiscal year he became more and more alarmed. Mr. Aggers showed reports from eNotes showing payer information and transactions. He explained that adjustments made in the system for what was billed and what was actually received was not correct. There is also an issue with credit balances in the system. Mr. Aggers did state that he should have gone back in and audited the system."

DID HE SAY THAT "ADJUSTMENTS MADE IN THE SYSTEM FOR WHAT WAS BILLED AND WHAT WAS ACTUALLY RECEIVED WAS NOT CORRECT."

Right- that sounds like incompetence. I sure hope they like orange suits.

Now, Mr. Poteat, the current newly formed NRSA board member chimes in from the playground: "Mr. Poteat equated it to counties trying to collect taxes and over budgeting due to historical collecting of tax revenue."

I DON'T SEE THE CORRELATION. HOWEVER, MAYBE IT SOUNDED LIKE AN INTELLIGENT COMMENT TO HIM - DON'T ANYONE TELL HIM OTHERWISE. THE BLOW FISH MIGHT BURST.

These minutes go on to explain how Crossroads advanced NR a 3-month advance to operate on. OOCH! And, NR had asked SMC for an advance and they were waiting for a response. "Mr. Miller stated that request doesn't seem to be unreasonable." Mr. Miller would you advance a sinking ship money? Oh, that's right it is taxpayer funds being advanced - no problem.

guy faulkes said...

In all fairness to Mr. Miller, it would seem his actions as an attorney for this group appear to have been to represent them using information they provided. Also, as an attorney, he was an advocate for the group.

I have never had an attorney that I retained question my data that I gave him. (I have had them ask for additional data to help win the case.) In any event Mr. Miller's job at that time was to help his client.

This is why there are two opposing counsels in a criminal trial, One is the prosecutor for the state and the other is the defense counsel. They are both attorneys, but they are serving different interests. The trial portion of the legal profession is the only group I know of that has a 50% success rate. For every side that wins, a side loses.

The defense counsel for the person that vandalized my house was a friend of mine. I could not fault her for being good enough to get the guy acquitted. That was her job and she did it very well. If the prosecutor had been half as professional, the outcome might have been different.

This being said, there is a big difference in being a county commissioner and an attorney. The county commissioner has to be objective. All of the attorneys on the commission (Mr. Miller, Mr. Gable, and Mr. Deal) have to avoid conflicts of interest in preforming their duties as a commissioner.

Rodger Young said...

This all reminds me of the crooked Blowing Rock land trade of a couple years ago. Corruption among govt. officials is very, very high.

inquiring mind said...

Nathan Miller was appointed to the board of NRSA as a representative for Watauga County. The NRSA finance committee was made up of the county commissioner NRSA board members. The attorney representing the NRSA was Bruce Kaplan.

inquiring mind said...

The 9/16/2011 meeting minutes of the NRSA Finance Committee are 18 pages long. You need to know about the highlights.

September 16, 2011 Meeting Minutes of NRSA Finance Committee:

Reading from a letter dated 9-9-2011 from NR to County Commissioners, County Managers, SMC and Crossroad, Ms. Andrews, CEO:

“NRBHC has requested that its auditors search for any evidence of embezzlement or financial malfeasance as they audit the funds. The auditors will be continuing their work on the audit next week. The New River Behavioral HealthCare Board’s Finance Committee will meet on September 16 to discuss current loss estimates and to review the plan of action that has been developed. Minutes of those meetings will be provided to any community stakeholders upon request”

inquiring mind said...

Before we get into the 9/16/2011 minutes, we need to know who the players are:

Nathan Miller (Watauga Co. Commissioner); Judy Poe (Ashe Co. Commissioner; Larry Cox (Alleghany Co. Commissioner); Gary L. Blevins (Wilkes Co. Commissioner); Kenny Poteat (Avery Co. Commissioner); William Sands (Ashe Co. Commissioner)

NRSA CEO - Pamela Andrews

NRSA CFO - Larry Aggers

NRSA Attorney - Bruce Kaplan

inquiring mind said...

Picking up where we left off on the 9/16/2011 minutes:

Ms. Andrews then stops and lays out the plan of correction: 1) “working with healthcare foundation to secure funds”; 2) sell 3 properties to foundation for immediate cash.
Mr. Henderson added: “This should help resolve some of the counties’ concerns.”
“Mr. Cox asked if this wouldn’t instead increase the counties liability.”
“Mr. Miller responded that this is not a loan and the foundation would have the property; the properties are not being held as collateral but are being sold.”
“Mr. Cox stated that he had reservations about this option.”
“Ms. Andrews again stated that NR’s immediate concern is paying account payable and meeting payroll.”
Then Mr. Cox asked about the payment arrangement made with the NC Association of County Commissioners to pay premiums for the employee’s health insurance and “Amy Oliver indicated that those payments have been set up and this has been verified with the NCACC. However, Ms. Oliver added that so far NR has not been able to meet those payments either.”

inquiring mind said...

Continuing with 9/16/2011 minutes (IM's comments are in CAPS):

Then Ms. Andrews goes on with more of the plan of correction: 1) Meet Payroll Obligations; 2) Revise Service Line and Productivity Expectations, 3) Decrease Expenses and Overhead Costs, 4) Address Payment of Outstanding Invoices, 5) Reduce Payroll, 6) Increase Revenue and Improve Payer Mix.
NO KIDDING! THIS SHOULD HAVE BEEN DONE 3 YEARS AGO.
“Mr. Miller expressed his concern for his county citizens if another provider were to come to Watauga County and not be able to provide services such as NR does currently.” THIS ISN’T THE SMARTEST EGG IN THE CARTON!
“Kenny Poteat stated that he was alarmed by the balance on the statement which he receives form the NC Cash Management account as it has dipped down to an all time low since he has been on the board. He was pleased however to see some of the funds had been replenished to the account.” NOTE THAT PRIOR MINUTES SHOW THAT THE AUDITORS SUGGESTED THAT SOMEONE ELSE RECEIVE A COPY OF THE BANK STATEMENT AND MR. POTEAT WAS THE ONE SELECTED. IT APPARENTLY TAKES A TREMENDOUS DROP TO CATCH HIS ATTENTION. HE MUST BE REALLY HAPPY TO BE THE CHAIRMAN OF THIS NEW BOARD.

inquiring mind said...

Continuing on with 9/16/2011 minutes. Stay with me because you will have got to see the conclusion these rock stars come up with.

GET THIS. THESE PEOPLE WERE TALKING BONUSES.
“From page 5, under “Discussion” regarding the Incentive Pay Plan included in the 2011/2012 FY budget: Mr. Poteat asked how much enacting this plan would erode the surplus. Mr. Aggers indicated that it would not at all since revenues would have to be exceeding budget targets before anyone would even be eligible for a bonus. He has a 5% “pad” in the budget to allow for an instance of the occurrence of incentives to be paid out even if, for instance, a couple of units really do poorly at a given time.”
SEE, THESE BIMBOS THINK THE WAY TO FIX THEIR PROBLEM IS TO GIVE EMPLOYEES AN INCENTIVE TO BE PRODUCTIVE. HAVING A JOB, FULLY PAID HEALTH INSURANCE, RETIRMENT, GAS PAID TO AND FROM WORK, ETC ISN’T QUITE CUTTING IT!
“In an effort to collect receivables due NR, Mr. Aggers will be hiring two positions to work collections.”
NOW THEY WANT TO ADDRESS THE COLLECTION OF MISFILED CLAIMS. HOW MANY WERE EMPLOYED TO FILE INCORRECT CLAIMS SO THAT THEY NEEDED TO HIRE TWO TO COLLECT ON THE RECEIVABLES THAT MOUNTED DUE TO THE BUNGLING OF THE OTHERS?

inquiring mind said...

Continuing with the 9/16/2011 minutes. We're almost there. Now with financial statements for 2007, 2008, 2009 and 2010 distributed and graphs shown and with Ann Wilson's projected $3 million in losses explained by the Chief Financial Officer and the letter of 9-19-2011 read aloud, this is what our brilliant commissioners said:
HOLD ONTO YOU HATS. HERE IT COMES. IF I HAVE HEARD THIS ONCE I HAVE HEARD IT 100 TIMES IN DEALING WITH BOARDS AND COMMISSIONS IN WATAUGA:
“Mr. Poteat stated to the Finance Committee that as county commissioners, the members of the NRSA Board make decisions based on information given by those that are paid. He added that, in his opinion, it is certainly not the fault of the board for the current situation. He stated that he didn’t feel there has been anything to hide but that there has been misinformation. He added that minutes elude a lot to what the board was lead to believe.”
WITH ALL DUE RESPECT (I ACTUALLY DON’T HAVE VERY MUCH OF THAT FOR THEM AT THIS POINT) , THE MINUTES ACTUALLY INDICATE THAT THEY WERE TOLD AND HAD BEEN GIVEN MONTHLY FINANCIAL REPORTS AND ANNUAL AUDITS AND HAD AT LEAST ONE CFO THAT ATTEMPTED TO GET THEM TO CORRECT THE PROBLEMS AND THEY ACTUALLY WILLFULLY REMAINED IN VIOLATION OF NC GENERAL STATUTES! DO YOU THINK IF THEY HAD BEEN PAID THAT THEY WOULD HAVE MADE BETTER DECISIONS? WELL YOU HEARD HEAR FOLKS – ELECTED OFFICIALS ARE NOT ACCOUNTABLE; THEY RELY ON PEOPLE WHO ARE PAID TO FEED THEM BS!

guy faulkes said...

IM. Your use of all caps is sort of strange, but if that is your desire, we can do so. I think it makes it hard to read.

DO YOU ACTUALLY EXPECT US TO BELIEVE YOU NEVER RELY ON THINGS TOLD TO YOU OR THAT YOU READ? WHAT ABOUT THE MINUTES THAT YOU POST (WHICH ARE VERY INTERESTING, BY THE WAY)? WERE YOU AT TEH MEETING? CAN YOUS PERSONALLY ASCERTAIN THE MINUTES WERE ABSOLUTEY ACCURATE? IT THEY ARE, THEY ARE THE FIRST SUCH MINUTES EVER PRODUCED. DO YOU FEEL THAT MR. MILLER DOES NOT HAVE A RIGHT TO HIS OPINION, IF IT HAPPENS TO DISAGREE WITH YOURS/ I DISAGREED WITH EVERYTHING THAT LPOV SAID, BUT I NEVER SAID HE DID NOT HAVE A RIGHT OT AN OPINION.

ELECTED OFFICIALS ARE INDEED ACCOUNTABLE FOR WHAT THEY SAY AND DO, AS ARE YOU AND I. YOU ARE STARTING TO LEAVE THE REALM OF OBJECTIVITY WHICH LESSENS THE IMPACT OF YOUR VERY INFORMATIVE POSTS.

inquiring mind said...

Guy

I used CAPS to separate my comments from the quotes so that it would be easy to discern.

In light of what happened I think Mr. Miller's opinion (my opinion) demonstrates reckless disregard for the seriousness of the situation.

Granted Nathan Miller is new on the scene and he is not the only culpable board member. Mr. Miller, however, was present during many meetings where the dire news was issued and despite that he had a flippant attitude, an attitude that was also made clear when I met with him, the county finance director and county manager over the county financial statement. Flippant attitudes are not appropriate when it comes to the taxpayer's financial statement. Until I read the minutes, I had this idea that Mr. Miller was responsible for being one that readily recognized the problem. It turns out that Ashe County Commissioner Jody Poe, was the only one that seemed to see the writing on the wall. I personally don't think that the interest of the public was protected as much as the board members and employees were. (MY OPINION!)

Is the facts that I print (the actual quote of the minutes that raise your ire or is it my opinion in CAPS?

guy faulkes said...

The caps irritate me. They are akin to shouting during a discussion. This is only my opinion, but it seems to me we are getting away from a logical discussion when you use all caps. They are an indication of to much emotion.

This being said, nobody died and elected me God so please feel free to post in any manner you desire.

inquiring mind said...

Now lets address Commissioner Poteat. He has been around since inception and when the new NRSA was formed, he was appointed chair. And, we know that he thinks that the commissioners are not responsible.
So, we are going to go back to 1/24/2008 and see if Mr. Poteat is correct.

First, who are the players in the 1/24/2008 meeting: Amy Oliver (interim CFO), Mary Deni (retiring CFO), Jack Parsons (financial analyst retired from Blue Ridge Service Authority), Pam Andrews (CEO), Ken Richardson (NRSA Board Chair and commissioner from Alleghany county). [Commissioner Richardson was removed from the NRSA board recently because he squealed.]
Now stay tuned for the discussion regarding the same dire financial issues of today.

inquiring mind said...

The 1/24/2008 meeting minutes:

Financial Problem 1:

“By losing access to the LME dollars 7-1-2007, NR lost access to $3.8 million, which helped pay administrative costs.”

[What they are saying is that the old NRBH was an LME and when the old NRBH was dissolved and the new NRBH was formed with the 160-A interlocal agreement, that they lost funding that was available to LMEs and thus funds that helped old NRBH pay for administrative expenses.]

inquiring mind said...

1/24/2008 minute continued.

The solution offered by Ms. Andrews, the CEO who has been referred to by some as the scapegoat.

“Ms. Andrews recommends a 4% salary reduction across the board, use of fund balance amount as to be determined by the Board and moving forward with RIF positions as presented to the Board.”
[To rectify the decrease in revenue situation, Ms. Andrews is offering the above solution.]

inquiring mind said...

1/24/2008 meeting minutes.

Problem #2 discussed (projected deficit of $1.3 million which turned out to be almost $2 million:

“Board members were given revenue and expenditures by service (a copy of those same figures by unit was mailed to Board members 1-28-08). Current deficit is $670,000 as of the end of December (2007). Projected deficit by the end of 2008 fiscal year is 1.3 million if things continue as they are. Community Support is ‘hemorrhaging’. Currently NR is serving 27% of C-IPRS consumers without any state funding. The 20% rate cut in July 2007 for Basic Services is also a factor. Mrs. Andrew’s has learned that DMA is considering another rate cut to BS by February. The attached presentation from Mrs. Andrews covers factors impacting the deficit; Mrs. Andrews and the management team’s plan of actions to increase revenue and decrease expenditures; and options of action for the Board to reduce expenditures. The Board discussed the options. Chairman (Ken) Richardson stated that NR consumers and employees should be in the forethought of any decision.”
“Tony Triplett asked if the salary cut was the 4% cost of living raise the Board approved in September (2007). Mrs. Andrews stated that it was and that employees would go back to their pay before the 4% went into effect for the next five months (the remainder of the fiscal year).”
[The minutes show that this is a savings of $396,580 for the 5-month period remaining in the 2007-2008 fiscal year and $642,000 annually.]
“The Board also discussed the 3.5 million currently in the NRSA fund balance. Several members voiced their difficulty with cutting employees positions, pay and benefits with that large of a fund balance available.”
[This Board refused to reduced expenditures. Instead they wanted to spend down the fund balance knowing that the revenue stream was going to be cut. This is a formula for disaster. And, to make matters worse, they were relying a fund balance that had been accumulated by an LME that had an additional $3.8 million in funding that supported the administrative structure that New River had assumed responsibility for. To not cut salaries (the largest expense), benefits, positions, etc demonstates willfull neglect for the projected $1.3 million in operating losses projected for 2008. Common sense tells one that if you have a business model that is operating on an immediate reduction of $3.8 million in revenues with future reductions in revenues from other revenue streams that you are going to operate in the red. No amount of over-budgeting revenues is going to fix the problem. In fact, that is willful neglect again. They only had the $3.5 million that was transferred from NRBH to operate on. And, there was no chance for them to accumulate these same fund levels because they were operating under a different model with less lucrative funding streams. And, that is exactly what happened. They eventually used up that fund balance. And, they kept spending and accruing liabilities with total disregard as to where those funds were going to come from to pay the bills, or were we the people going to be on the hook all along?

inquiring mind said...

Lets say that you were earning $100,000 per year and lost your job and took a job making $70,000. And, lets say that you have $150,000 in savings. And, instead of living like you have a job making $70,000; you spend like you have a job making $100,000. So where do you get the $30,000 to make up the difference every year? From your savings! Let’s say now that your employer cuts your benefits and you have to pay 100% of health insurance and this amounts to $10,000 per year that you were not counting on having to provide. However, you keep living like you are making the $100,000 plus $10,000 benefits for a total of $110,000. So, where do you get the additional $10,000? You take it from your savings. Now this goes on for 5 years (5 x $40,000= $200,000). Meanwhile you are using that credit card to make your purchases. Then, one day, you realize that you have used up all of your savings and you have expenses coming in on that credit care. BINGO, you have the current situation, you are $50,000 in the hole. However, you still haven’t learned to live within your means and you are still maxing out all of those credit cards (in this case the County fund balances). Now what? Are you going to say that no one told you that this was going to happen. Are you going to blame it on everybody else? These commissioners hold the voting power, power of the fund balance appropriation and the credit card. Sorry, I don’t buy their argument. And, for that willful neglect, they should pay the bill. They accepted the appointments to the board (not to be taken lightly).

They have already started eating their own. We are going to see a shark fest like no other. They are just getting started. And, when they start gnawing on themselves, we will be getting close to the recovering.

inquiring mind said...

12/4/2008 NRSA Meeting Minutes. Commissioner Poteat, who is giving out misinformation?

Ms. Andrews is discussing what she proposed to tell a reporter from the Winston Salem Journal:

"Jack Parson has prepared a draft of information to share with the reporter as she prepares her article. Board members discussed including that early on in the formation of the 160-A, it was not expected that New River would be "in the black". Board members did feel that New River did do better than was projected. They also pointed out that New River seems to now be a leader in North Carolina of the 160-A model."

THE LEADER IN THE 160-A FAILED SOCIALIST MODEL WOULD BE MORE APPROPRIATE!

inquiring mind said...

Talked with State retirement because LGC transferred my question regarding the $1,875,000 Unfunded Actuarial Accrued Liability in the 6/30/2010 financial statement.

The State retirement division said that there was not an UAAL for the retirement plan because they didn't count past service. I am not sure what that means. I sent the rep a copy of the interlocal agreement that showed the employees of NRBH transferred over to the NRSA in 2006 with past service. Anyway, I don't think my question had to do with the retirement system. So, I sent over a copy of the financial statement and directed them to the page in question. They then wanted to know who I was. I was told that they would respond to Ms. Edmundson of the LGC. I think they goofed by calling me in the first place; they are in defense mode now. We'll have to see how this pans out.

inquiring mind said...

Now take this little tiny mountain government mental health sponsored entity and the financial chaos; this is just a mere speck of sand when compared to the financial chaos of the federal socialist plan coined, OBAMACARE!

Blogger said...

In treating the seriously mentally ill, there are really only two effective services worth paying for. One is the worker who goes out where those who are sick live, or stay, or work. These staff check meds, and head off crisis.

The other roles needed are a few physicians, plus psychiatric nurses.

If they could keep just these two positions, they would have all they needed. For years, the mentally ill have been trying to tell their helpers what they need, but the professionals still don’t get it. Thus many of the staff just do what they like to do and the companies do what they can get the most money for. Treating people with serious mental illness (brain disorders) can be done with a lot less cost.

Blogger said...

That Sept 16 meeting was a gathering of ostridges!

Anonymous said...

Blogger, just curious:

What are ostridges?

Blogger said...

ostridges or ostriches spelled both ways are those birds with their head in the sand.

Parrots are those birds that annoy you with Polly wants a cracker, or worse, "What's an ostridge?"

Anonymous said...

Thank you, Blogger, for your definition.

I honestly thought that the term you used was maybe a combination or a play on words that I was not familiar with.

I asked you a simple question and apparently, you took offense.

Why?

Blogger said...

Not offended. I thought I was being cute.

inquiring mind said...

The minutes of the meetings show that the senior board members had the by-laws changed so that senior board members were a shoe-in to be on the board of directors. That just might be why the same ole' senior members are now the dogs still on the board (keeping them the old bones buried).

They want to blame SMC. Ok, explain to me how it is SMC's fault that you ran a deficit of $2 million in 2008, another deficit of $1 million in 2009 and who knows what it really was in 2010 - your financial statements are not correct according the newly appointed consultant?

Does SMC have a vote on the NRSA board? I noted that their are commissioners on the SMC board where you do have a vote. If SMC hasn't got a vote then they can't vote on any of the remedies that you have tabled meeting after meeting after meeting after meeting.....

Yes, they are definitely ostriches!