CHSPAC Meeting Minutes, August 20, 2008

Comprehensive HIV Services Planning and Advisory Council
2 North Meridian Street, 6-C
Indianapolis, Indiana  46204
Telephone:  317-233-7744
Fax:  317-233-7663
CHSPAC Meeting Minutes
Wednesday, 20 August 2008 12:30p.m. – 3:30p.m.


  • Erma Aker
  • Katie Bennett
  • Tammy Dutkowski
  • Mike Hughes
  • Bill Leisman
  • Yvette Paniagua
  • Fred Steinke
  • Nathan West
  • Kristen Arnold
  • Malinda Boehler
  • Brian Fisher
  • Kellie Kaneshiro
  • Randy Lewis
  • Noelle Redman
  • Kelly Thompson
  • Tom Beatty
  • Portia Duff
  • Tracy Huck
  • Brenda Kreiger
  • Kem Moore
  • Dale Richmond
  • Mike Wallace


  • Jamie Crabb
  • Katie Lesko
  • Linda Santoro
  • Tony Gillespie
  • Dipuo Gloria Manamela
  • Jack Steele
  • Marie Hoadley
  • Tammy Morris
  • Teresa White


  • Alisha Hooks
  • Amy Kay
  • Beatrice Rehfus


  • Sara Bradley
  • Kristi Montgomery
  • Shawn Carney
  • Lisa Lloyd

Meeting began at 12:38 p.m.  The mission statement was read by Brian Fisher and quorum was established.


June 2008 minutes were approved with the change that Kristi Montgomery did attend the meeting and her name was left off of the minutes.

Old Business

  • Committee Reorganization – There are now only two (2) standing committees and they are Planning & Evaluation.
  • Membership and Medical AD HOC will be AD HOC Committees.
  • Comprehensive Plan – HRSA Guidelines – The Planning Committee is working on the Comp. Plan and assignments have been made.  They are in the process of updating sections 1.1 and 1.2 and will be holding a conference call September 19, 2008.  The committee hopes to have the revisions for the October full council meeting.

Committee Reports (July and August)


  • This committee is primarily getting organized.
  • Neal and Kellie looked over the CAB surveys.
  • There will be a committee conference call September 16, 2008.


  • Discussed under old business.

New Business

  • CHSPAC Procedures Manual – Revisions – It was mentioned at the last full council meeting that all suggestions and revisions had been incorporated into the manual.  On pages 6 and 7 of the manual under membership it was decided by the Executive Committee to have 49 members on the board.  The manual needs more clarification regarding the 1 consumer and 1 non consumer rule for Chair and Vice Chair.  There are 17 people on the council whose term will end at the end of the year.  Malinda did acknowledgements for those who are at the end of their terms.  The question was raised; do we revise membership and take out the 2 year term rule?  Mike Wallace suggested that we keep CAB and CHSPAC separate and stated that there are people out in the community that could bring a new perspective to the table and that is why need the 2 year term limit.  It was also suggested that it be stated in the language that if there no other applicants for that seat that you may re-apply six (6) months after your term.  Under attendance it needs to be stated that members are expected to attend the entire meeting unless the Liaison has prior knowledge.  The board will be voting on Chair and Vice Chair of the 2 standing committees at the next meeting.
  • CHSPAC Guidance – Revisions – The same three (3) changes that have been made in the procedures manual will also be changed in the guidance.
  • Town Hall Meetings (Marion and Lake Counties) -   Clients and Care Coordinators find the new Part A programs confusing and are still not aware of all the available services.  Clients and Care Coordinators still think that Part A is using a referral card system.  Clients are discharged from extended care facilities without adequate medications and the extended care facilities are not aware of Care Coordination availability.  Some providers treat HIV as a novel condition and fail to focus on the service they are supposed to be providing.  It was discussed that physician’s bedside manner can vary widely; some physicians are seen as mean, uncaring, and uneducated while others are seen as “warm and welcoming” and encourage clients to stay in care.  Teaching hospitals make clients feel like they are being “studied”.  Physicians do not expect clients to ask a lot of questions and don’t like it when they do.  The quality of care varies from agency to agency.  The voice mail system at Damien Center is frustrating to clients and providers; on-call system is not adequate.  Clients believe that the Wishard clinic residents have “bad attitudes”.  Providers should realize that first impressions last the longest and can prevent clients from returning to care.  Both in-patient and out-patient substance abuse care are vital and in-patient substance abuse care is not well covered by any programs.  DEFA is a poor solution for substance abuse treatment assistance due to the time lag and wait.  Substandard insurance is just as bad as no insurance for the working poor and earning more than 300% FPL can throw clients out of care.  Gas prices are making transportation more difficult even for car owners.  Budget counseling should be coupled with “hard resources” like bus passes.  Services in general are not well advertised “211” system needs more HIV information and traditional support systems (churches, Catholic Charities) seem to be deteriorating.  Referrals should include options when possible (not just the easiest or Care Coordinators favorite resource).

Tony Gillespie could not attend the meeting but asked Chair Brian Fisher to address some questions that he had.

  • Tony asks about the waiting list situation and what is the anticipated date that Part A will be making payment.  Shawn replies that we anticipate applying Part A funds by October 1, 2008.  Part B is not funding any “emergency services”.  The waiting list is managed by ensuring that current enrollees are still eligible for the program (via recertification and Medicaid reapplication processes).  We are not in control of the number of persons seeking services, and the funds are limited.

Public Comments/Announcements

  • Jerry Burkman, Division Director brought in the Delegates from South Africa.  Malinda, Vice Chair introduced them to the board and gave a brief overview of the CHSPAC and Medical Services Program.

Meeting adjourned at 3:10 p.m.