West Virginia Rural Health Education Partnerships/Area Health Education CentersWest Virginia Rural Health Education Partnerships/Area Health Education Centers

 

West Virginia Rural Health Education Partnerships/

Area Health Education Centers

 

West Virginia Rural Health Advisory Panel

Minutes

Monday, September 21, 2009

Conference Call

 

 

 

Voting Members in Attendance:  Dennis McCutcheon, Alison Witte, David Bowyer, Anna Reno, Sandra Elza, JoAnn Raines, Norman D. Ferrari, III, Georgia Narsavage Carla See, Grace Mitchell

 

Guests in Attendance: Chuck Conner, Susan Coyle, Lora Adkins, Malinda Turner, John Walters, Sonnie Strader, Carla Campbell, Lew Holloway, Parr Thacker, Elizabeth Richmond, Sherri Douglas, Patricia Crawford, Elaine Soper, Alicia Tyler, Beth High, Brenda Michael

 

Staff in Attendance: Robert Walker, Hilda R. Heady, April L. Vestal, Sandra Y. Pope, Sharron Giles, Jacki Novacich, Derrick Day, Margaret Novacich

 

Roll Call of those in attendance by Jacki Novacich was conducted.  The above listing in attendance reflects that role call.

 

 

 

Motion to Approve the Consent Agenda: (Anna Reno/David Bowyer)

 

 

New Business:

 

Revised Policy 2007-09: "Requirements Governing the Purchase, Management and Disposition of

Property and Equipment Purchased with RHEP Administered Funds"

 

The policy was acted in 2007 to clarify requirements for purchase management and disposition of property and equipment.  This is an area that was identified in the Legislative Post Audit Division Findings, which will be discussed later in the meeting.  We are purposing a wording revision to the policy to reflect the need for change from the findings in the audit.  Please see area's in read in Appendix A.

 

Note, inventory tags for RHEP will be placed on equipment and will not interfere with Lead Agency inventory tags already in place.  Both will be placed on equipment.

 

It was decided that Policy 2007-02 (revised 9-21-09) would be placed on the WVRHEP/AHEC website http://www.wvrhepahec.org/ under "What's New" for the panel to review for approval.  An e-mail with the link and a link to www.doodle.com will also be included for the panel to vote online.  For those unable to view the website and vote via the web a hard copy of the policy and a voting form will be mailed out for return to the Office of Rural Health.  Reason for urgency for approval is to have the policy in place before the end of the calendar year, and start its procedures immediately after approval.

 

Addendum to minutes:  Policy 2007-02 (revised 9-21-09) was voted on and approved via web and mail votes on Friday, October 9, 2009 with 17 members yes's and 1 no, and 8 members refrained from voting.

 

Request to Remove Weirton, WV from the restricted Cities List:

 

John Walters from Northern WV Rural Health Education Center Region 1 brought to the panels consideration that Weirton, WV be removed from the Rural Rotation Restricted Cities list.  Weirton has seen a population decline for the past 7 years, and the unemployment level and level of employed outside the region.  Weirton's large land mass which is physically located in both Brooke and Hancock Counties disperses the population and limits health care access.  Its zip code encompasses Weirton Medical Center which is physically located in a rural area of Brooke County. 

A motion to approve Weirton's removal from the restricted cities list was brought before the panel (Norman D. Ferrari, III/ JoAnn Raines) Motion was approved

 

Another motion was brought before the panel for this take immediate effect:  (Norman D. Ferrari, III/ JoAnn Raines) Motion was approved

 

Hilda R. Heady will discuss this with Jodie Jackson to make sure this will not affect reporting at this time.

 

 

Post Audit Division Findings:

 

Dr Walker stated that the Higher Education Policy Commission (HEPC) responded to the Legislative Post Audit, and we need to now move on and leave the finding behind.

 

April L Vestal has been working on the findings and creating a way to remedy them.  She goes on with discussing each finding and how we will remedy the findings.

 

·         Finding 1: Internal Control Weakness

1.       Training and in-service with Lead Agencies Administrators and Chief Financial Officers (CFO's) to make sure they understand their responsibilities and roles of being a Lead Agency.  Also, to clarify roles and responsibilities and answer questions they may have on managing RHEP funds.

2.       Train the Advisory Boards and the Advisory Panel of their roles and responsibilities as well.

3.       Develop a memorandum of understanding between HEPC and WVU on roles and responsibilities within that.

 

·         Finding 2: No Inventory Management (Policy 2007-02 was in place at the time of this audit)

1.       We are exploring methods of maintain a schedule of technology equipment.  Changes proposed in Policy 2007-02 (revised 9-21-09)

2.       Looking at keeping inventory sheets of items such as PDA's (Personal Digital Assistants), Net books and Printers that are priced at $1,000.00 or less.

3.       Inclusion of inventory tag system outlined in Policy 2007-02 (revised 9-21-09)

 

·         Finding 3: Unsupported Expenditures - Agreements that were made with different organizations and funding was given to those organizations to meet specific program goals.  Although, that wasn't really outlined as specifically as the auditors felt like it needed to be.

1.       Recommendation to develop what's called a "Second Entity Agreement" with any vendor which funding is given in order to meet specific program goals in order to outline exactly what the funding was given for and then what goals are being met.

 

 

·         Finding 4: No Safety Evaluations of Student Housing

                 We have been doing some research by contacting the institutions, so we can develop a

                 process to meet the guidelines of existing Policy 94-01 "Minimum requirements for

                 student rural rotations and Requirements for school based student orientations" for revision.

 

·         Finding 5: Inadequate Procedures Governing Student Housing Rental Contracts - We are talking with institutions as well concerning this finding.  We are reviewing current housing leases, seeing if there are cancellation clauses, month to month option after the lease is expired and possibly creating a more uniformed lease for RHEP housing.

 

·         Finding 6: Unsupported Travel Reimbursement - Again, we will conduct an in-service for Lead Agencies to discuss travel reimbursements as travel reimbursement is per each lead agency standards.

 

·         Finding 7: WVRHEP Funds Used as Rewards, Gifts, and Prizes

1.       We will look at developing an ethics policy that will cover

§         Rewards

§         Gifts

§         Prizes

§         Other ethical situations

2.       The policy in regards to the gifts, prizes and rewards will follow the standards of that of state ethics policy and that of the lead agency. 

 

·         Finding 8: Raises Given Absent Proper Approval Documentation - Again, we will conduct an in-service to discuss roles, and requirements of the lead agency and advisory board.

 

·         Finding 9: Inadequate Leave Procedures - We Looking at leave polices from each of the lead agencies and insuring that there is proper documentation and approval of any paid time off.

 

These are just some of the items we have discussed for development of remedying the nine findings. 

 

 

Executive/ Associate Director's Report:

 

WV AHEC Update:

 

We have received the notice of grant award for the five centers.  Unfortunately it was less than we were expecting to receive.  We had to revise the budget and submitted it today.  We will be meeting with center staff and others to provide their statewide work plan to reflect the actual awards received for the current year.

 

The SEARCH application was received and there was a request to revise the budget, which was a good indication that we may receive the funding.

 

WV RHEP Update:

 

April continures to work on making changes and improvements to the Legsislative Post Audit Division's findings.

 

 

WVRHEP/AHEC Dinner Update:

 

An e-mail was sent out recently to update the Partnership about the 2010 WVRHEP/AHEC Partnership award dinner.  It will be held in conjunction this year with the West Virginia State Rural Health Conference on Wednesday, October 21, 2009 at The Resort at Glade Springs Daniel, WV.  This is in hopes to low the cost of the dinner.  The Partnership awards will be given out Wednesday night along with a dinner and program.  The Earl Ray Tomblin Award for Legislative Excellence will be awarded during the Rural Health Day at the Legislature in February.  The award will be given to the recipient in his respective chamber.  This has yet to be confirmed, as Dr. Walker will speak with President Tomblin for confirmation.

 

Nominations for the Partnership awards are currently open and the Nomination form and description of the Awards are available on the WVRHEP/AHEC website.  All nominations are due by September 25, 2009. 

 

Unfinished Business:

 

Policy 2007-02 (revised 9-21-09) is no available on the web for the panel's review.  An e-mail will go out to the list service Tuesday, September 22, 2009 and a mailing to those not able to view and vote via the web later in the week

 

Adjournment: Motion to Adjourn the meeting (Anna Reno/Norman D. Ferrari, III) Motion Approved.


Appendix A

 

 

 

Policy 2007-02

                                                                                                                                                                                           Page 1 of 5

 

 

West Virginia Rural Health

Education Partnerships      

 

Policy and Procedure

---

 

Title of Policy:                                   Requirements Governing the Purchase, Management and Disposition of Property and Equipment Purchased with RHEP Administered Funds

 

Formulated By:                                  HEPC and WVRHEP Administrative Office

 

Approved By:                                    Advisory Panel

Date:                                       August 13, 2007

Date:                                       September  , 2009 Revised

 

Effective Date:                                  Updated Equipment Schedule to be included                                                                                    within FY 07 Audit and Full Implementation in                                                                                    FY 08

 

Implementation

            Responsibility:                      Site Coordinator

                                                            WVRHEP Administrative Office

                                                            Lead Agency

 

Oversight Responsibility:               WVRHEP Administrative Office

                                                            HEPC

 

Policy Statement:

 

This policy outlines uniform standards governing the purchase, management and disposition of property and equipment purchased with WVRHEP administered funds.   Effective November 17, 2003, WVREHP funds are not to be used to purchase property or vehicles, however, reporting requirements for items purchased prior to this date are still in effect.

 

The further intent of this policy is to safeguard RHEP property purchased with state grant funds to ensure that uses of the asset will remain with the RHEP program per the oversight of the grantor agency - HEPC. 


Procedure:   

 

Purchases

 

1.    The purchase of equipment is an allowable expense and is defined as an asset that has an individual purchase price of $1,000 or more and a useful life greater than one year and all computers (including laptops, netbooks, and central processing units (CPU) with an acquisition cost of $300 or more.  (This policy will take precedent regarding any other prior policy that may have an area that contradicts this policy, for example, purchase price different than $1,000).  All electronic equipment (i.e. PDAs, printers, cell phones, etc) will be inventoried on a separate list.  This items will not be tagged, but will be subject to the same management as other equipment purchases. 

 

 

2.   All equipment purchases must be approved by the RHEP Administrative Office prior to purchase.  Purchase requests are to be itemized with the original or revised budget for the RHEP program along with the estimated purchase prices.  An approved budget or revision, itemizing equipment will be included in your grant agreement or change order. 

 

3.   The purchase of property or vehicles with WVRHEP funds is a non-allowable expense, effective November 17, 2003.  Property or vehicles purchases prior to this date still must follow the RHEP management requirements outlined in this policy.  Property purchased prior to November 17, 2003, should be capitalized in the Lead Agency's audit.  Footnotes to the financial statement shall also reflect that the property was purchased with RHEP funding and property belongs to the RHEP program.

 

4.   Routine repairs/maintenance and capital improvement expenses are not considered equipment.

 

5.   All Lead Agencies shall follow their organization's procurement standards when purchasing equipment with RHEP funding.  In addition, no item may be purchased that exceeds a cost that is reasonable or customary - unless approved by the Commission.

 

Management

 

6.   Lead Agencies/Consortiums must maintain a RHEP Cumulative Property and       Equipment Schedule listing all items purchased completely or partially with         RHEP administered funds.  Only items that had an individual purchase price of $1,000 or more and a useful life greater than one year should be listed, as well as computers, netbooks, and central processing units (CPU) with an acquisition cost of $300 or more.  This list shall include the following information. 

a.   Date of Acquisition

b.   Identification number (serial number, model number or other identification number, etc.)

c.   Description of equipment/asset

d.   Quantity

e.   State Account Number

f.     Grant Number

g.   Total cost

h.   RHEP % of Cost

 

Basic repairs/maintenance expenses or capital improvement expenses are not to be maintained on this list.  These items generally do not reflect a tangible individual item that can be inventoried separately (examples include paint, windows, carpet, etc.).  Exceptions may occur for any property purchased with RHEP funds that are on the cumulative list that may have their value increased by a capital improvement expense, therefore, these items may be added to the cumulative list.

 

7.   A physical inventory of equipment shall be taken and the results reconciled with the records at least once every two years.  Any discrepancies between the quantities determined by the physical inspection and those reflected on      the RHEP Cumulative Property and Equipment Schedule shall be investigated to determine the cause of the difference.  Findings shall be reported to the RHEP Administrative Office.

 

8.   A control system shall be in effect to insure adequate safeguards to prevent loss, damage, or theft of the equipment.  All equipment meeting the definition in item #1 will be tagged with an WVRHEP inventory tag provided by RHEP Administratin.  Adequate maintenance procedures shall be implemented to keep the property and equipment in good condition.   Any loss, damage, or theft of equipment shall be investigated and fully documented; and the WVRHEP Lead Agency shall promptly notify the RHEP Administrative Office.

 

9.   Effective for FY 07 and thereafter, the RHEP Cumulative Property and Equipment Schedule is to be included within the Lead Agency's annual audit.  This schedule will be reconciled to the cumulative schedule on file at the RHEP Administrative Office.

 

Prior to the FY 07 audits being completed, the Commission will send each Lead Agency their Consortium's RHEP Cumulative Property and Equipment Schedule in the revised format listed above.  The purpose of this confirmation will be to ensure accuracy and to inform the Lead Agency that the individual items less than $1,000 will be removed from the list.  Once the list is verified to be accurate, the Lead Agency will be held accountable for the items on the list per this policy.  The Lead Agency will also be required to keep this list up to date with additional purchases and disposals.  The updated format and list must be included within the FY 07 audit as noted above.  Note: All required information to be included on the schedule may not be available for prior years, however, effective for FY 08, all information will be required to be included on the schedule.

 

Items with a purchase price less than $1,000 removed from this Schedule shall still remain and be administered within the RHEP program as long as their useful life will allow.

 

10.  Title to equipment and property acquired by a WVRHEP Lead Agency with WVRHEP funds shall vest in the WVRHEP Lead Agency subject to the conditions of this policy.

 

·         The Lead Agency shall use the equipment in the project or program for which it was acquired.

·         The Lead Agency shall make the property or equipment available for use for similar programs if such use will not interfere with the work on the original project or program for which the equipment was originally acquired.

 

·         When no longer needed for the original project or program, or if the Lead Agency is no longer a Lead Agency (ex cancellation of the grant agreement, etc), then property and equipment purchased with RHEP administered funds and identified on the RHEP Cumulative Property and Equipment Schedule must be returned to the RHEP program via the following procedures:

o        Equipment - a request to dispose, sell or transfer the equipment must be submitted to the RHEP Administrative Office for approval.  The disposal procedures listed below must be followed. 

o        Property (real and Personal) - HEPC and the RHEP Administrative Offices must be notified.  HEPC and the RHEP Administrative Office, will request

§         Title to transfer to the grantor agency - HEPC, per the direction of the RHEP Administrative Office, HEPC will issue a lease for a nominal value to another entity so the property will continue to be used for RHEP purposes,

§         Or, per the discretion of HEPC and the RHEP Administrative Office, in lieu of signing over title to the real or personal property, HECP will pursue and agreement or lease with the Lead Agency that will allow the RHEP program (or like program) to benefit from the use of state purchased property for reasonable life of the asset. 

·         An example of this situation would be if the property has been jointly purchase with state RHEP funds and another entity's fund, or another entity own a portion of the building/land on which the property resides.

11.  The Lead Agency shall, at a minimum, provide equivalent insurance coverage for property and equipment purchased with RHEP administered funding that same as other equivalent property and equipment insurance purchased with other funding. 

 

Disposal

 

12.  A Property and Equipment Disposition Form must be submitted to the RHEP Administrative Offices when a Lead Agency (Consortium) is planning to dispose, sell or transfer an item.  Signature approval by both the RHEP Administrative Office and the Commission must be secured on this form.  Once signature approval is obtained, a copy of the form will be returned to the Lead Agency validating the decision.  The original will be maintained at the Commission and a copy will also be maintained at the RHEP Administrative Office.

     

·         Equipment and property transferred to another Lead Agency (Consortium) will be added to their RHEP Cumulative Property and Equipment Schedule.

·         Proceeds from the sale of equipment and property must be used for the RHEP program.  The sale of property must conform to the Lead Agency's procurement policies and the sales price shall be reasonable and at fair market value.

 

13.  A denial of the disposal request will be communicated with the form being returned and being marked denied and a reason will be disclosed.

14.  Approval or denial of disposition will be made within 60 days of submission. 

 

 

 

 

_____________________________                  ________________________

Robert Walker, MD                                                     Hilda R. Heady, MSW

Vice Chancellor for Health Sciences              Executive Director, WVRHEP