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HomeMy WebLinkAboutHuman Services Board - Minutes - 7/24/2014BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING Bayfield County EOC July 24, 2014 Board Members Present: Rusty Williams, Pat Carver, Bill Bussey, Fred Strand, Jim Crandall, John Bennett, Lona Schmidt, Deb Pyne, Kent Seldal Board Members Absent: Others Present: Elizabeth Skulan, Nikki Revak, Carrie Linder, Anita Haukaas, Jeanine Spuhler Call to Order and Introductions Williams called the meeting to order at 4:02 p.m. Ken Seldal was welcomed as a new Citizen Member and introductions were made. Review of the June 26, 2014 Meeting Minutes Motion by Crandall, seconded by Schmidt, to approve the minutes with the correction of “Close the floor for Public Hearing at 5:03 p.m.” instead of 4:03 p.m. as previously stated. Motioned passed unanimously. Public Comment – Limited to 3 minutes per person No public comment. Program Presentation - Family Services, Emergency Detention, Social Worker Cheryl Hanson Law Enforcement can take an individual into custody against their will (Emergency Detention), when there is a substantial probability of physical harm to themselves or others. Depending on the circumstances surrounding the case an individual can either be placed at the Northland Crisis Bed, which is not a locked facility; or the Behavior Health Unit at Memorial Medical Center, which is a more restrictive setting. Individuals can be detained up to 72 hours, which does not include weekends or holidays. Clients will either have a commitment hearing or work towards a settlement agreement. To date, there have been fewer Emergency Detentions in 2014 than in 2013. Hanson believes this is due in part to increased access to preventative services via Medicaid for single adults who do not have dependent children and a decline in the availability of synthetic marijuana. Monthly Section Reports Support Services – Nikki Revak With the request from Board Member Harold Maki for treatment outcome data, Revak spent a considerable amount of time collecting data for Skulan to disseminate – this will be presented later in the meeting. Auditors John and Beth, from Maitland, Singler & Van Vlack were here this week. The financial part of the audit is complete. The compliance part of the audit is scheduled for the end of August or first part of September. Staff did a great job of pulling information for the auditors before their arrival. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING Bayfield County EOC July 24, 2014 2 Currently, the main focus is Budget 2015. Family Services – Anita Haukaas Haukaas is working with the Comprehensive Community Services (CCS) Coordinating Committee on policies and procedures. Family Services staff, Stacy Schmidt, Lacie Prenderville and Haukaas attended the Kinship Care Policy Training that was held in the Bayfield County EOC on July 16th. Family Services staff Cheryl Hanson and Haukaas participated in a telephone conference with CCCW (Community Care Connections of Wisconsin) regarding continuity of care for individuals participating in CSP (Community Services Program). Family Services staff Cheryl Hanson, Rebecca Kruit and Haukaas met with the Bayfield County Family Treatment Court members. An action plan was created to collaborate between departments to develop policies and procedures. Transportation issues could be a barrier to the success of the Court so sessions and some services will be scheduled to coincide with the BART schedule. Karen Johnson, case manager for the Risk Reduction Treatment Court, Criminal Justice Department has submitted her resignation. A complaint was lodged with the Attorney General’s Office about a Bayfield County Child Protective Services case. Staff from the Department of Children and Families reviewed the case. It was determined that screening and substantiation decisions were sound, but there was a lack of consistency with Family Services staff in the use of an interpreter and in interviewing a “non-maltreated” child . Whenever an allegation of child abuse is made, standards require staff to interview all of the children in the family. An action plan will be developed and implemented. Family Services staff has been instructed to use an interpreter in all situations regarding this case. One Family Services staff person is out of the office on an extended leave. Economic Support Services – Jeanine Spuhler Currently, 32 households have taken advantage of the Summer Propane Fill Program. Direct outreach will begin the week of July 28th to contact the remaining 67 potentially eligible households. Face to face training for the entire Northern Income Maintenance Consortium (NIMC) was held on July 22 in Phillips. This was a very good opportunity for remote teams to meet face to face. NIMC is currently meeting performance standards. The State will begin implementing a new web based computer system for the Wisconsin Heating and Energy Assistance Program. Trainings will be web based. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING Bayfield County EOC July 24, 2014 3 The Economic Support Services unit received a new RICOH copier and staff is extremely satisfied. The previous Toshiba copier had been plagued with jams, breakdowns and other performance issues the last six months. Aging & Disability Services – Carrie Linder Linder reported that she worked on the new process for staff reclassifications with Skulan. Social Worker Megan Collins has become a certified client’s rights specialist. Collins completed the training for certification online. Linder is working on A&D section of the 2014 Annual Report. Family Care enrollments of tribal members can be time consuming and complicated. Information and Access staff participated in a teleconference with Wisconsin Department of Health Services to improve the process for these enrollments. Staff is currently working on a challenging case with a protective placement client. The last of the cross section meetings between Family Services and Aging & Disability staff was held. Discussed were target individuals served under Wisconsin State Statues 51, 54 and 55 (mental health, protective placements, and guardianships). Roles and responsibilities were shared. The Age Wave, a workshop that builds awareness on the impact of the aging population in Bayfield County, was conducted today. There were good comments and feedback from people attending the workshop. Five Bayfield County Board members attended the meeting. Monthly Reports The monthly reports were reviewed and placed on file. The 2013 preliminary figure is $119,000 under budget. The 2014 Budget is currently on track. Resolution DHS- 2014-04 Request that Governor Walker Reconsider His Decision Not to Accept Federal Enhanced Medicaid Funding. Skulan reported that the County Administrator and the County Board Chair requested that the resolution requesting Governor Walker reconsider his decision not to accept federal enhanced Medicaid funding that passed at the November 2013 County Board Meeting, be placed back on the County Board July Agenda for review and approval. Motion by Strand, second by Pyne, to approve Resolution DHS-2014-04 Request that Governor Walker Reconsider His Decision Not to Accept Federal Enhanced Medicaid Funding and forward to full county board. Motion passed unanimously. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING Bayfield County EOC July 24, 2014 4 Resolution DHS 2014-03 Amended to Place a Health Care Advisory Referendum on the November 4, 2014 Bayfield County Ballot Skulan reported that she was asked to amend the Health Care Advisory Referendum and present it to the DHS Board for review and approval. Skulan reviewed the amended Resolution DHS 2014-03. Note by Bussey to remove the “and” before “Now, Therefore, Be It Resolved”. Skulan also noted to replace “Legislate” with “Legislative” in the “A “yes”: vote…..” paragraph. Motion by Bussey, second by Schmidt, to approve Resolution DHS 2014-03 Amended to Place a Health Care Advisory Referendum, with noted changes, on the November 4, 2014 Bayfield County Ballot. Motion passed unanimously. 2015 Budget Discussion and Board Input Skulan reported per the memo from County Administrator Mark Abeles-Allison, each Department must include 2015 budget discussion on their committee agenda. Skulan reminded members that an additional one time county levy of $175,000 was added to the DHS 2014 budget and that amount must be removed from the 2015 Budget. DHS must increase the elderly nutrition program expenses by $10,000 due to increased vendor prices. Agency vehicles and copiers were discussed. Board members also inquired if DHS is receiving any complaints about the non-emergency medical transportation broker, Medical Transportation Management (MTM, Inc.). DHS has not received any complaints. Treatment Outcome Data 2009 to 2013 County Board Member Harold Maki requested outcome data for treatment provided to individuals with MH (Mental Health) and AODA (Alcohol and Other Drug Abuse) issues. Because these are mandated services, DHS is obligated to provide the services under State law, and outcome data does not drive decision making, DHS does not often review the outcome data for the services. Revak spent a great deal of time compiling the data and Skulan presented the data in a summary format. Skulan will provide the information to the full County Board at the July 29th meeting. The Department of Human Services Board may entertain a motion to move in and out of Executive Session pursuant to S19.85(1)(c); considering employment, promotion, compensation or performance evaluation data of any public employee over which the governmental body has jurisdiction or exercises responsibility. Motion by Crandall at 5:12 p.m., second by Carver, to move into Executive Session. Roll Call vote. Motion passed unanimously Motion by Schmidt, second by Bussey, to allow Skulan and Revak (to take minutes) to participate and excused Haukaas, Linder and Spuhler from the executive session. Motion passed unanimously. Haukaas, Linder and Spuhler left the meeting at 5:14 p.m. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING Bayfield County EOC July 24, 2014 5 Motion by Carver, at 5:32 p.m., second by Crandall, to move out of Executive Session. Roll Call Vote. Motion passed unanimously. Discussion and possible action(s) regarding Executive Session Motion by Schmidt, second by Carver, to approve Kruit’s request for reclassification from a Social Worker I to a Social Worker II. Motion passed unanimously. Other (Informational Items) A. Northlakes Community Clinic “How Health Insurance Works” brochure. Future Meetings A. August 28, 2014 B. September 23, 2014 (Change in Meeting Date) C. October 23, 2014 Adjournment The meeting adjourned at 5:34 p.m. Submitted by Nikki Revak, Financial Manager