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May 21, 2012 (Regular Meeting) Page 1081 <br />functional in order to ensure accountability to funders, the financial <br />solvency of Cardinal Innovations, compliance with state and federal laws and <br />regulations including quality standards, and a service delivery system that <br />is customized for localities and which provides access and choice for <br />citizens in need of mental health, intellectual and developmental <br />disabilities, substance abuse and related services. <br />(1) Membership of the Governing Board shall be comprised of a mix of <br />individuals with the necessary expertise to govern large Managed Care <br />Organizations and individuals who represent the constituencies Cardinal <br />Innovations serves. Membership will be as follows: <br />(a) Two (2) at -large County Commissioners from among the County <br />Commissioners serving on Community Oversight Boards (defined below), selected <br />by the Governing Board, based on diversity of geographic representation; <br />(b) One (1) member from the Regional Consumer and Family <br />Advisory Committee, either the Chair or other elected member; <br />(c) Six (6) members, selected by the Governing Board, with <br />professional experience and expertise in healthcare, insurance, finance, <br />health /behavioral health, intellectual /developmental disabilities, and a <br />physician or other clinical professional, and no more than two members from <br />any single specialty area; and <br />(d) One (1) member from each Community Oversight Board, either <br />the Chair or other elected member. <br />(e) Except for members appointed by the Community Oversight <br />Boards and the Regional Consumer and Family Advisory Committee, the initial <br />members of the Governing Board shall be nominated by the PBH Board, with <br />consultation from the Boards of Five County and OPC Area Authorities, and <br />affirmed by the Secretary of the North Carolina Department of Health and <br />Human Services. <br />(2) The Governing Board's primary responsibilities will include <br />determining policy; strategic planning, including consideration of local <br />priorities as determined by the Community Oversight Boards; budgets; hiring <br />and evaluations of the Chief Executive Officer; monitoring of deliverables, <br />including overall performance and financial management; government affairs <br />and advocacy; reporting to constituent counties; responding to concerns and <br />feedback from the Community Oversight Boards; and ensuring the overall health <br />of Cardinal Innovations. <br />(3) The bylaws of the Governing Board shall establish Community <br />Oversight Boards, one for each Community Operations Center, which shall <br />ensure involvement of local stakeholders, promote understanding and <br />collaboration at the local level, and monitor the performance of each <br />Community Operations Center. Membership of the Community Oversight Boards <br />will be as follows: <br />(a) Three (3) members from each County, appointed by each <br />County's Board of Commissioners, and will include a County Commissioner or <br />designee, a consumer or family member, and another citizen or stakeholder; <br />and <br />(b) One (1) member from the Local Consumer and Family Advisory <br />Committee, either the Chair or other elected member. <br />(4) Each Community Oversight Board's primary responsibilities will <br />include advising the CEO on the evaluation and hiring of the Community <br />Operations Center Executive Director; recommending priorities for expenditure <br />of state and county funds for development of the annual budget; determining <br />local priorities for inclusion in the overall strategic plan; identifying <br />community needs and concerns; monitoring resolution of issues; and monitoring <br />performance at the local level, including access to care, expenditure of <br />service funds, number of consumers served, services delivered, provider <br />network size and composition, outcomes, and consumer satisfaction. <br />(5) Each Community Oversight Board will establish its own bylaws <br />based on local needs, but in compliance with standardized requirements <br />established by the Governing Board for quorums, frequency of meetings, <br />elections of officers, duties of members, committees and committee <br />appointments, and attendance standards. Such bylaws are subject to the <br />approval of the Governing Board. <br />Section 4. Functions <br />Cardinal Innovations shall perform all the functions necessary to carry <br />out the purposes of this Joint Resolution, including, but not limited to, the <br />following: <br />(1) To establish accountability for the planning, development, and <br />management of local systems that ensure access to care, quality of services, <br />and the availability and delivery of necessary services, for individuals in <br />need of mental health, intellectual and developmental disabilities, substance <br />abuse, and related services; <br />