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HomeMy WebLinkAboutHuman Services Board - Agenda - 1/26/2023 (2)K:Agendas & Minutes/DHS Board/Agendas 2024 FROM: Elizabeth Skulan, Director DATE: February 14, 2023 RE: MEETING NOTICE The Bayfield County Department of Human Services Board will hold the regular monthly meeting on Thursday, January 26, 2023, at 4:00 p.m. An in person and remote meeting will originate from the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information below. Microsoft Teams meeting Join on your computer, mobile app or room device Click here to join the meeting Meeting ID: 251 459 204 515 Passcode: tH8H2H Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,272486062# United States, Eau Claire Phone Conference ID: 272 486 062# Find a local number | Reset PIN Learn More | Meeting options To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891 - 0100 Telephone (715) 373 - (715 Fax 6144 - )373 - 6130 Email: baycodhs@bayfieldcounty.wi.gov K:Agendas & Minutes/DHS Board/Agendas 2024 Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Any person wishing to attend who, because of a disability, requires special accommodation, should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. The agenda: Approval of the December 5, 2023, Meeting Minutes; 2024 Provider Contract Status; Program Presentation; Department Section Reports; Monthly Financial and Training Reports; Bayfield County Comprehensive Plan; Future DHS County Levy; Informational Items; and other business that may come before the Board. c: County Board Chair County Board of Supervisors Post (bulletin boards and website) e-mailed: DES Ashland Health Department DCS, Rhinelander New Day Shelter Greater Wisconsin Agency on Aging Resources, Inc. Daily Press Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES BOARD MEETING James Crandall - Chair Marty Milanowski Mary Dougherty Jeremy Oswald – Vice Chair Madelaine Rekemeyer Susan Rosa Lona Schmidt Stephanie Defoe-Haskins Patrick Irvine RE: February 22, 2024, Department of Human Services Board Meeting Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Dear Committee Members: Please be advised that the monthly meeting of the Bayfield County Department of Human Services Board will be held on Thursday, February 22, 2024, at 4:00 p.m. Remote connectivity is available. The meeting will originate from the Emergency Operations Center of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information listed below. Microsoft Teams meeting Click here to join the meeting Meeting ID: 251 459 204 515 Passcode: tH8H2H Download Teams | Join on the web Or call in (audio only) +1 715-318-2087,,272486062# United States, Eau Claire Phone Conference ID: 272 486 062# Find a local number | Reset PIN Learn More | Meeting options Join on your computer, mobile app or room device To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Any person wishing to attend who, because of a disability, requires special accommodations, should contact the Department of Human Services at 715 -373-6144 at least 24 hours before the scheduled meeting time, so appropriate arrangement can be made. The agenda for this meeting is as follows: AGENDA 1. Call to Order 2. Welcome and Introductions 3. Opportunity for Public Comment (Limit 3 minutes please.) 4. Discussion and Possible Action – Review and approval of the December 5, 2023, meeting minutes 5. 2024 Provider Contract Status 6. Program Presentation – Forensic Interviewing, Social Worker III Katie Bland, Family Services 7. Monthly Section Reports A. Support Services – Stephanie Eder B. Aging & Disability Services – Carrie Linder C. Behavioral Health and Community Programs – Tom Croteau D. Economic Support Services – Jeanine Spuhler E. Family Services – Mary Anich 8. Monthly Reports A. Financial B. Training 9. Bayfield County Comprehensive Plan – DHS Status Report 10. Future DHS County Levy 11. Other (Informational Items) A. Email 11/29/2023 from Northern Income Maintenance Consortium (NIMC) Administrator Steven Budnick, regarding Ann Marie Mackin B. Email 12/04/2023 from child of client regarding Brynna Watters C. Email 12/08/2023 from NIMC Administrator Steve Budnick recognizing staff and their contribution to the performance of the NIMC. D. Email 12/15/2023 from NIMC Administrator Steve Budnick regard Danielle Colby E. Email 01/24/2024 from individual recognizing Bayfield County’s efforts on behalf of their family. F. Email 02/08/2024 from Carolyn Novak regarding opening of the Cable congregate meal site. G. Email 02/08/2024 from Carrie Linder regarding opening of the Cable congregate meal site. 12. Future Meetings A. March 28, 2024 B. April ?, 2024 C. May 23, 2024 13. Discussion and Possible Action - Motion or Chair’s Statement to Adjourn Thank you and have a safe trip home! Sincerely, Elizabeth A. Skulan Elizabeth A. Skulan, Director c: Mr. Mark Abeles Allison, County Administrator Bayfield County Board of Supervisors Bayfield County Department of Human Services Board Bayfield County Department of Human Services Managers Lynn Divine, Bayfield County Clerk Email to: Other Interested Parties Requesting K/agendas & minutes/DHS Board/agendas K: agendas & minutes/DHS Board/agendas/agenda narrative DEPARTMENT OF HUMAN SERVICES (DHS) BOARD MEETING February 22, 2024 4:00 PM AGENDA NARRATIVE 5. 2024 Provider Contract Status. – A decision was made not to reissue a provider contract. in 2024. General information regarding the services is included in the board packet. A status report will be made at the meeting. 9. Bayfield County Comprehensive Plan – A link to the Bayfield County Comprehensive Plan was provided to Department Heads at a meeting on Wednesday, January 24, 2024. Instructions from the County Administrator were to review the plan for references to the Department. Identify where there are goals, activities, or actions the Department is expected to have a role in and begin reporting on a regular basis to the Department’s oversight committee. Included in the packet is the first monitoring report. 10. DHS County Levy – The county levy provided to the Department of Human Services annually, $1,807,778, has been stagnant for eleven years, since 2014. Since that time, the Department has provided wage and fringe increases and expanded services using two strategies. The first, to leverage additional state and federal dollars whenever possible and the second, by reducing the services that are purchased from other providers. While the first option, aggressively seeking additional state and federal funding to the benefit of residents and Bayfield County will endure, the second strategy cannot continue without negative impact, either failing to provide services Bayfield County residents need and/or by failing to balance the Department’s budget. Discussion around this agenda item will focus on potential solutions. 12.B. April DHS Board Meeting – The Director will be out of the office most of the last week of April 2024 and cannot attend the DHS Board meeting as it is scheduled. Please bring your calendars to determine a different date for the meeting. Thank you. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual December 5, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-12-05_BCDHS_Board_meeting_minutes -DRAFT.docx 1 Board Members Present: James Crandall, Mary Dougherty, Lona Schmidt, Sue Rosa, Madeline Rekemeyer, Marty Milanowski, Jeremy Oswald, Patrick Irvine*, Stephanie Haskins-Defoe* (*attended virtually) Not Present: None Others Present: Elizabeth Skulan, Jeanine Spuhler, Stephanie Eder, Sarah Traaholt, Carrie Linder, Tom Croteau, Mary Anich, Carolyn Novak* Call to Order and Introductions Crandall called the meeting to order at 4:00 p.m. Introductions were made. Opportunity for Public Comment (Limit 3 minutes please.) No Public Comment Discussion and Possible Action – Review and approval of the October 26, 2023, meeting minutes. Motion by Milanowski, seconded by Schmidt to approve the October 26, 2023, meeting minutes. Motion passed. Program Presentation – 2022-2024 Plan Period Nutrition Program Assessment, Carolyn Novak, Aging Services Coordinator, Aging and Disability Services Section Carolyn Novak introduced herself. Novak oversees the Senior Nutrition programs in the Aging and Disability Services Section; including Congregate and Home Delivered Meals. Novak reviewed the letter received from Greater Wisconsin Agency on Aging Resources (GWAAR) representative, Pam VanKampen, who met with Novak and Linder in August 2023 to complete the Bayfield County Elderly Nutrition Program 2022-2024 plan period Nutrition Assessment. Van Kampen’s comments/acknowledgements included: • Novak’s positive attitude and expertise as a registered dietitian. • The center manager, site manager and staff at the Cornucopia meal site do everything they can to make dining and socialization a special event for the participants. • County Jail Food Service Manager, Lori Fibert, is innovative and is very detail oriented. • The meal prepared at the jail was delicious, healthy, and beautifully presented. • Proper food safety was followed. The jail kitchens were clean and in good condition. • Fibert’s “look book” that had photos to show staff how meals should be placed in containers will be shared with others as a best practice. • Partnerships with Chartwells, local restaurants, and Red Cliff are outstanding. DRAFT: Subject to change at the next BCDHS meeting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual December 5, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-12-05_BCDHS_Board_meeting_minutes -DRAFT.docx 2 Highlights of the Nutrition Program included: • Compliments to the Nutrition Advisory Council for meeting regularly as required (quarterly) and having actively engaged committee members. • Many materials developed by the Council were identified as best practice and will be shared with peers. • Appreciation was extended for the innovative work performed, their dedication, input, and direction. • Senior dining and home delivered meal brochures are excellent and will be shared as best practice. • Recognized Ann Marie Mackin for her informational and timely Facebook posts. • Recognized staff and support staff for entering data in a timely manner. • Noted Bayfield County uses a suggested donation range for participant contributions. • Noted Bayfield County contributes local funds of approximately 50% of the senior nutrition program budget, which is rare. • Notes participants contributions make up 18% of the funds. The letter included the following areas that needed improvement: • Since there is no meal served in Bayfield County on Mondays, either a meal must be served, or a waiver must be completed and submitted to GWAAR for their consideration. • Now there is no longer a pandemic, Home Delivered Meal assessments must be conducted in person at the individual’s home within twelve weeks of beginning to serve the meal and annually afterwards. Some discussion followed. • Novak noted A & D hopes to open a congregate meal site in Cable the first and third Mondays of the month in 2024. • Novak will begin conducting the assessments as required. Goals for 2024 include: • Writing emergency preparedness information for each site. • Consistent volunteer and staff site trainings. • 2024 site in Cable. • Having the Nutrition Advisory Committee complete a site survey to provide them with a sense of ownership in the program. There was some discussion about donations to the programs and if donations online. Skulan will make some inquiries of the County Administrator regarding this. Novak thanked the group for their time and invited them to eat at a congregate meal site. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual December 5, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-12-05_BCDHS_Board_meeting_minutes -DRAFT.docx 3 Monthly Section Reports Economic Support Services – Jeanine Spuhler • Energy intake workers have provided outreach recently for the Wisconsin Home Energy Assistance Program (WHEAP) at the Town of Bell Community Center and at the St. Louis congregate meal site. • Spuhler notes that staff are busy taking energy applications. • Desktop monitoring process has begun for WHEAP. Staff will be working with the state to complete the reviews. • Maggie Morrison, newest hire, has completed the new worker training and is now taking calls independently on the call center. • Northern Income Maintenance Consortium (NIMC) has been plagued by technology problems. Unfortunately, this has negatively affected customer service and increased staff frustration. Spuhler is hoping the State will get the situation resolved soon. • NIMC is allowing staff to work voluntary overtime. • NIMC staff are busy processing application referrals from the federal marketplace. • Some staff are taking much needed time off this month. • Children will be afforded a one-year extension of health care coverage beginning January 1, 2024. Training on policy change will occur in the next few weeks. • Spuhler has been completing annual staff performance evaluations. Family Services – Mary Anich • Anich accepted the resignation of Alice Wilson, a child welfare case manager. Wilson’s last day was December 1, 2023. We wish Alice the best in her future endeavors! • Several staff have been out sick, and the section has been significantly short-staffed some days. • Anich and Linder have been preparing for January 2024 when the Children’s Long-Term Support (CLTS), Children’s Community Options Programs (CCOP) and Birth to Three (B-3) all transition from the Aging and Disability Services Section to the Family Services Section. Anich has been attending CLTS and Birth to Three meetings to acquaint herself with these programs. • Family Services will apply for funding to administer the Coordinated Services Team (CST) program beginning in 2024. • There is currently a posting for a CLTS supervisor. This newly created mid-level management position would start on the first of the year, supervise the CLTS staff, and handle most of the day- to-day CLTS administrative duties. • Anich reported two youth high-cost placements. One youth, currently in adult jail, will return to Lincoln Hills the second week of December, where he will stay until February when he ages out. Another youth is currently placed in secure detention. • Skulan, Anich, Linder, CLTS staff and financial staff attended a CLTS training by Milwaukee County staff. Bayfield County would like to maximize the use of tax dollars while continuing to meet the needs of children. Milwaukee County is currently doing this. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual December 5, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-12-05_BCDHS_Board_meeting_minutes -DRAFT.docx 4 Support Services – Stephanie Eder • Eder reports that Support Staff section is fully staffed. Newest hire, Angie Lazorik, doing well. Lazorik has shared that working at Bayfield County is one of the best jobs she has ever had. Lazorik worked at Ashland County in the county jail and the Ashland County Clerk’s office. • Performance evaluations are complete. • One support staff is currently out of the office on family medical leave. • Eder and staff are beginning to work on year-end financials. Behavioral Health and Community Programs – Tom Croteau • Croteau reported Emergency Detentions (ED) have stabilized. Currently getting one to two a week, instead of five. • There has been an increase in three-party petitions which involves extra staff time. • Working on coordinating services with Anich’s team for adolescents with behavioral issues. • Hailey BeBeau has been doing a great job coordinating monthly meetings between law enforcement, DHS staff, school systems, and Red Cliff. • Croteau worked with corporation counsel and the hospital to ensure the paperwork required for an emergency detention paperwork is done correctly. • CCS client population is currently stable. • There have been no applications for the new Mental Health Professional position in the CCS program. Space will be tight once the new person is hired until the county does some remodeling to create new offices. • Congratulations to Stephanie Tutor who received her Substance Abuse Counselor in Training (SAC-IT) certificate and was reclassified. Croteau noted all three CCS Service Facilitators can complete AODA assessments and it is working out well. • CCS is still experiencing issues with the new ECHO software. Billing has not been submitted successfully since May. Eder will reach out to Baker Tilly to discuss how this might affect the 2023 financials. • There are more CCS vendors. This will alleviate some of the burden of the CCS staff who provide direct services when vendors are not available. • The Community Support Program (CSP), which has been understaffed, will be able to take on twelve clients in January 2024. There are several referrals waiting, so this is very good news. • Croteau reported the coordination between Human Services section is successfully helping clients access needed services. • Rekemeyer inquired about CCS vendors and what they provide. Croteau gave examples including peer support, psychotherapy, and individual skill development. Croteau also noted that CCS is a recovery-based program, so the goal is to work with the client until they can do things independently without formal paid supports. • Rekemeyer questioned how a three-party petition worked. Croteau explained the process. Aging & Disability Services – Carrie Linder • Linder noted several staff have been out sick over the last few weeks. • Linder has been participating in transitioning CLTS, CCOP, and Birth to Three to Family Services in 2024. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING EOC & Virtual December 5, 2023 K:\Agendas and Minutes\DHS Board\Minutes\2023 DHS Board Minutes\2023-12-05_BCDHS_Board_meeting_minutes -DRAFT.docx 5 • Linder reported there were eight CLTS referrals recently. Five of the referrals are complete. A few were for critically high needs children. • Linder participated in three interviews for a Dementia Care Specialist. They are hoping to fill the position soon. • Linder is close to completing evaluations. • Linder partnered with UW-Extension and Public Health to produce the next edition of the Living Well Newsletter. This edition will be distributed countywide. • Linder continues to work on 2024 grant applications ensuring 2023 allocations are expended. Monthly Reports Monthly Financial and Training reports were reviewed and retained. Discussion and Possible Action – Review and Approval of the 2024 Bayfield County Department of Transportation Grant (s85.21) Application The annual application for funds from the Department of Transportation requires Board review and approval. The Transportation Coordination Committee reviewed the application, a Public Hearing was noticed, but could not proceed due to the lack of quorum. Despite the lack of quorum, input from the public was solicited, received, and included in the meeting notes. The application is being recommended for approval. Motion by Milanowski, seconded by Schmidt to approve the 2024 Bayfield County Department of Transportation Grant (s85.21) Application. Motion carried. Other (Informational Items) A. none Future Meetings • January 25, 2024 • February 22, 2024 • March 28, 2024 Crandall Adjourned the meeting at 5:11 p.m. Submitted by Sarah Traaholt, Clerk III Children’s Long Term Support (CLTS) offers a comprehensive suite of supports and services to eligible children and their families. Services must meet a need as stated on the outcomes / goals portion of the child’s individual service plan. Qualified providers interested in serving children in Bayfield County provide those services through CLTS. All CLTS providers, regardless of service type, must meet their contractual requirements to be considered qualified before services can be authorized. One of the CLTS service types is called Counseling and Therapeutic Services, offered to “maintain or improve the health, welfare, and functioning of the participant in the community. Counseling and therapeutic services include the provision of professional evaluation and consultation services to participants with identified needs for physical, personal, social, cognitive, developmental, emotional, or substance abuse services” (DHS publication p-02256). Counseling and Therapeutic Services include seven different billing categories: music, hippotherapy, equine assisted, massage, dance, art, or other (DHS publication p-02283). These are not straight Medicaid covered services. Rather, they are available via CLTS as a Medicaid Wavier program specifically to meet the needs of children with disabilities. A popular category for Counseling and Therapeutic Services in our county is Equine Assisted Counseling and Therapeutic Services. Providers of this type commonly hold a certification in equine assisted learning. Children interact with a horse in various ways, like grooming, leading, and riding, during their session as they work toward therapeutic outcomes. Bayfield County CLTS presently has one Equine Assisted Counseling and Therapeutic Services provider, which is Unbridled Hope. For children dually enrolled in Comprehensive Community Services (CCS), equine-based services could also be available from Arena de la MAR, Beautifully Broker Refuge Range, and The Equine Connection. In the second quarter 2024, Bayfield County CLTS will partner with our CCS program and with CLTS in neighboring counties to try expanding qualified CLTS provider options. Information provided by Children with Disabilities Supervisor Hayley Weyers What is a forensic interview? -Response to allegation of abuse or exposure to violence -Developmentally sensitive -Trained professional -Research and practice-informed -Part of a larger investigative process Typically in a Child Advocacy Center -Not-for-profit,eligible for federal funds -Neutral,child-friendly space -One interview minimizes stress on children -May provide other related services Why a multidisciplinary team approach? Forensic interviewing in Wisconsin -16 CAC’s in Wisconsin -Training through DOJ and CACs of WI Forensic interviewing in Bayfield -Numbers of interviews and trained staff -Neutral,child-friendly space for interviews Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 1 Human Services is referenced in the plan 16 times. Of those 16, three references are related to tribal human services, so are not relevant. The other 13 references will be monitored and are included in this report. Housing Vision Statement Bayfleld County strives to ensure that County residents are afforded the opportunity to live in the communities of their choosing with a variety of attainable housing opportunities that can meet the needs of residents throughout their lives. Equity Goal: Bayfleld County will actively increase development of new attainable housing opportunities for County residents across the spectrum of age, income, and ability. Objective 2: Bayfleld County will support development of new housing opportunities for elder residents, including independent living and assisted living opportunities that can serve residents across the income spectrum. Action 2: Support the development of a flnancial sustainability (plan) for Northern Lights Health Care. (Page 10-5) Target Timeline: Complete plan by December 2026. Responsible Parties: County Board, Northern Lights Board, City of Washburn, Human Services Update February 2024: 1) In July 2023, DHS Director Elizabeth Skulan and Aging and Disability Services Manager Carrie Linder toured part of the Northern Lights Health Care building to determine if it would be suitable for offices. It was determined the space was not move in ready and would require substantial renovation prior to being useful office space. 2) Aging and Disability Services Manager Carrie Linder, as a “key staff member”, was invited to participate in a workgroup that met for a short time to make recommendations to the County Board regarding Northern Lights. Her role ended when the recommendations were flnal. 3) Northern Lights Health Services has contracted with Health Dimensions Group (HDG) to manage the facility. Together with a new administrator, HDG will provide professional management services to all aspects of the Northern Lights operation. HDG will also be instrumental to the Northern Lights Board for long term planning and visioning the future. The goal of this contract is to ensure the long-term viability of Northern Lights in Bayfleld County. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 2 Objective 5: Increase the supply of transitional housing to address homelessness and housing insecurity in the region. Action 2: Seek flnancial and technical support to ensure the continued success of the existing transitional housing providers. Target Timeline: Ongoing with annual conversation to address emerging needs by December 2023. Responsible Parties: NWCSA, Ashland County, Human Services, Veterans Affairs, Criminal Justice Coordinating Council Update February 2024: 1) Bayfleld County DHS collaborates with the Northwest Community Services Agency (Northwest CSA) which operates the Ashland Community Shelter, transitional housing for the homeless. Individuals and families living in the shelter must be getting services from a human services agency to be housed in the shelter. Transportation Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 3 Vision Statement Bayfleld County and the Wisconsin Department of Transportation will provide a safe and efficient local, regional, and statewide transportation system. The roadway network will support the land use vision and all other elements of the Comprehensive Plan. Bayfleld County will strive to incorporate new technologies to support the transition to electric vehicles and provide an appropriate level of service to sustain community residents and businesses. Bayfleld County will strongly encourage the development of bicycle and pedestrian trails throughout the County as a means of enhancing healthy communities, providing transportation alternatives, and addressing recreational needs. Goal 1: The transportation system in Bayfleld County shall facilitate the safe and efficient movement of its citizens with the County, while preserving the identity of the community. Objective 1: Coordinate with other jurisdictions, agencies, and committees in enhancing transportation services. Action 1: Establish open lines of communication with WisDOT and local or regional transit authorities to maintain and enhance transportation facilities throughout the County. (Page 10-14) Target Timeline: 2024 Lead Agencies: County Administration, Highway Involved Agencies: WisDOT, WTA, Red Cliff Tribe, Medical Transit, Human Services, Veterans Office Update February 2024: 1) DHS has contact with DOT representatives regarding the DOT projects, progress, and reports on an ongoing basis. 2) Aging and Disability Services Manager Carrie Linder and Social Work Aide Michele Reiswig met with Bay Area Rural Transit (BART) staff on Monday, February 5, 2024, to discuss how to improve lines of communication and the coordination of transportation services to the elderly and disabled in Bayfleld County. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 4 Action 4: Enhance the ability for older adults and adults with disabilities to travel within and between communities to maintain independence, health, and social connections. (Page 10-15) Target Timeline: Ongoing Lead Agencies: County Administration, Human Services, Highway, Transportation Coordination Committee Involved Agencies: WisDOT, Red Cliff Tribe, Transit, Veterans Office, Private Transit Providers Update February 2024: 1) The Transportation Coordination Committee (TCC) is an advisory committee to the Human Services Board. They are an active committee reviewing existing projects and seeking additional, alternatives that might enhance transportation for the elderly and disabled residents of Bayfleld County. 2) The Find Your Own Driver program is a new transportation option that is being analyzed, developed, and should be implemented in 2024. The Find Your Own Driver project is meant to complement existing DOT funded projects, such as the Door2Door and the Volunteer Driver Program. The existing Door2Door project will be prioritized, and referrals will be made whenever possible to maximize its use. However, when transportation via the Door2Door project has been denied, the Find Your Own Driver project may be offered as an alternative. Once the Find Your Own Driver program is implemented, DHS hopes to use the Volunteer Driver Program primarily for long distance medical needs. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 5 Goal 3: The future transportation system should be fiexible, multi-modal, incorporate technologies to support the transition to electric vehicles, and provide for the needs of citizens and businesses in Bayfleld County. Objective 4: Encourage and work with commercial industry to establish alternative transportation and ride sharing options. Action 1: Identify and meet with stakeholders. (Page 10-17) Target Timeline: 2023 Lead Agencies: County Administration Involved Agencies: FHWA, WisDOT, WTA, Red Cliff Tribe, Medical Transit, Human Services, Veterans Office, Highway Update February 2024: 1) On October 26, 2023, the DHS Board approved a request to access the Department’s DOT Trust fund to transfer $15,000 to Bay Area Rural Transit (BART). The funds will be used to cover most of the local share needed to purchase a larger, electric van for the BART Fleet. The vehicle will primarily be used for the DHS Door2Door project. Action 2: Develop options and research funding opportunities. (Page 10-17) Target Timeline: 2023 Lead Agencies: County Administration Involved Agencies: FHWA, WisDOT, WTA, Red Cliff Tribe, Medical Transit, Human Services, Veterans Office, Highway Action 3: Finalize options and apply for possible funding opportunities. (Page 10-17) Target Timeline: 2024 Lead Agencies: County Administration Involved Agencies: FHWA, WisDOT, WTA, Red Cliff Tribe, Medical Transit, Human Services, Veterans Office, Highway Update February 2024: 1) DHS has yet to participate in Actions 2 and 3 above. NOTE: Commercial carriers Lyft and Uber are now available in Bayfleld County. Uber offers two options for transportation X and an XL. Uber offers two options as well, Standard and Plus. Both companies’ options carry four and six passengers respectively. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 6 Utilities and Community Facilities Vision Statement Bayfleld County will be served by renewable, safe, and resilient utilities including broadband, energy infrastructure, and community facilities which will be accessible and beneflcial for all. Bayfleld County will prioritize infrastructure, services, including healthcare and senior care, and programs that protect and sustain the natural environment, well-being for all, and are consistent and contribute to the County’s goal of net-zero carbon emissions by 2050. Goal 2: Sustain the health, well-being, recreation, and safety of residents and visitors and improve the quality, quantity, and affordability of social services and education for all community members, including children, youth, teens, seniors, and people with disabilities. Objective 1: Health care, child, and senior care programs are available throughout the County. Action 1: Develop a countywide plan to address senior isolation, with a goal of three new initiatives by 2033. (Page 10-21) Target Timeline: 2026 Responsible Party: Human Services Update February 2024: 1) There is Social Isolation Resource Guide posted to the DHS Aging and Disability Services Section on the DHS website. 2) DHS invited community members to volunteer their time to participate in a workgroup to focus on social isolation. The workgroup has met once. 3) The Social Connections Team was formed after some of its founding members attended a June 28, 203 meeting in Washburn on social isolation. a) The team, which functions as part of the Cable Today group, is working independently to focus on addressing social isolation locally. b) The Social Connections Team has met monthly since August 2023. c) Their purpose is to “address the internationally identifled issue of social isolation in our rural, frigid, Northern Wisconsin community, how it impacts the Cable community, and take steps to help mitigate its risks.” d) The Social Connections Team has been infiuential in establishing and supporting the new congregate meal site that opened in Cable on February 5, 2024. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 7 Action 3: Develop a short-term study group of County Board members tasked with evaluating childcare and eldercare needs across the County and making recommendations for programs to address gaps. (Page 10-21) Target Timeline: 2026 Responsible Parties: Human Services, County Administrator Update February 2024: 1) DHS has not worked on this action item yet. Objective 2: Identify and support efforts by home health, health care, and supportive care organizations to address the need for recruitment and retention of caregivers for seniors and children. Action 1: Explore options for collaborative partnerships, using County access to data, funding, and facilities, that increase caregiving options through the County. (Page 10-21) Target Timeline: 2027 Responsible Party: Human Services, County Administrator Update February 2024: 1) DHS has not worked on this objective or action item yet. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 8 Objective 4: Bayfleld County government departments support school districts, libraries, and municipal and tribal human services programs. Action 1: Develop a best practices guidance document detailing opportunities for County support of schools, libraries, and municipal and tribal human services programs. (Page 10-22) Action 2: Develop an ongoing calendar of County grant or other funding opportunities that beneflt school district, libraries, and municipal and tribal human service departments. Target Timeline: 2025 Responsible Party: Human Services, Health Department Update February 2024: 1) DHS has not yet worked on this objective or action items yet. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 9 Economic Development Vision Statement Bayfleld County seeks to become a regional leader in sustainable economic development by adopting a countywide economic development platform that is based in the foundation of Triple Bottom Line thinking: balancing the need of People, Planet, and Proflt (the 3Ps) in order to positively affect the long-term, socio-economic sustainability and viability of the County thereby increasing quality of life for all residents. Goal 1: Bayfleld County will actively support initiates that support recruitment and retention of a skilled workforce. Objective 2: Bayfleld County will support initiatives that increase childcare and eldercare opportunities, in order to increase the labor force participation rate. Action 1: Develop a short-term study group of County Board tasked with evaluating childcare and eldercare needs across the County and making recommendations for programs to address gaps. (Page 10-31) Target Timeline: March 2024 Responsible Party: County Administration, Human Services Update February 2024: 1) DHS has not worked on this objective or action item yet. Bayfleld County Comprehensive Plan 2023 – 2043 Department of Human Services References and Expectations 10 Intergovernmental Cooperation Vision Statement Bayfleld County will work cooperatively with towns, cities, adjoining counties, school districts, state and federal agencies, and the Red Cliff Band of Lake Superior Chippewa to provide residents with a wide variety of cost-efficient, non-duplicative services for the betterment of residents. Goal 1: Determine need for agreements with state, federal, and municipal agencies, and the Red Cliff Band of the Lake Superior Chippewa to improve efficiency. Objective 4: Maintain strong working relations at the Board, Administration, and Department levels with the Red Cliff Band of Lake Superior Chippewa. Action 3: Support and encourage collaboration between Bayfleld County and Red Cliff Tribe Transportation and Health and Human Services Departments. ()Page 10-38) Target Timeline: Annual Responsible Party: Health Director, Human Services Director, County Administrator Update February 2024: 1) There are ongoing efforts in DHS to improve communication or collaboration between DHS, other governmental entities, and/or the Red Cliff Tribe to minimize duplication of efforts and to maximize services to Bayfleld County residents. Human Services County Levy Included in Budget Fiscal Year DHS County Levy Budgeted Increase Compared to Prior Year 2004 1,535,050$ (34,619)$ 2005 1,581,953$ 46,903$ 2006 1,717,853$ 135,900$ 2007 1,782,953$ 65,100$ 2008 1,895,788$ 112,835$ 2009 1,850,788$ (45,000)$ 2010 1,770,778$ (80,010)$ 2011 1,770,778$ -$ 2012 1,770,778$ -$ 2013 1,770,778$ -$ 2014 1,770,778$ -$ 2015 1,807,778$ 37,000$ 2016 1,807,778$ -$ 2017 1,807,778$ -$ 2018 1,807,778$ -$ 2019 1,807,778$ -$ 2020 1,807,778$ -$ 2021 1,807,778$ -$ 2022 1,807,778$ -$ 2023 1,807,778$ -$ 2024 1,807,778$ -$ 2/14/2024 DHS History of Lapses to General Fund Bayfield County Human Services 2023 Court Ordered Expenses Account #Account Name YTD Expenses 02 05 2024 Expenses 235-03-54559-299.000 FS, Kinship Care - Dir Serv 28,372.00 235-03-54561-299-.014 FS, Youth Aids, Dir Serv - Secure Det 21,000.00 235-03-54561-299.909 FS, Youth Aids, Dir Serv - FC 3,198.10 235-03-54561-299-911 FS, Youth Aids, Dir Serv - Juv Cor 1,679.64 235-03-54561-299-912 FS, Youth Aids, Dir Serv - RCC 249,558.00 235-03-54564-299-907 FS, Non-YA, Dir Serv - TFC 7,140.00 235-03-54564-299-909 FS, Non-YA Dir Serv - FC 249,935.64 235-03-54564-299-910 FS-Non-YA Dir Serv - Group Home 74,967.64 235-03-54564-299-912 FS-Non-YA Dir Serv - RCC 50,169.93 235-05-56568-299.939 AD, Adult Protective Placements - 235-05-56568-299-000 AD, APS, Dir Serv (Evals)4,583.50 235-07-54310-299.287 BHP, MH, Direct Serv- MHBG 13,590.15 235-07-54310-299.938 BHP,MH, Direct Serv, MH inpatient 29,786.36 235-07-54310-299.939 BHP - MH Dir Serve, MH Institutions 366,730.50 235-07-54310-299.940 BHP, MH, Direct Serv.MH medications 708.04 235-07-54310-604.000 BHP, MH, Case Mgmt 16,766.46 235-07-54314-299.000 BHP, AODA, Direct Serv- Essentia HRSA grant 7,504.68 235-07-54315-299.962 BHP, AODA, Direct Serv- AODA grant 1,200.00 235-07-54315-299.167 BHP, AODA, Direct serv- SABG Supp CAA 9,000.00 235-07-54315-604.000 BHP, AODA, Case Mgmt 303.79 Total Expenses 1,136,194.43$ Revenues Less Insurance Payments MH Institutions (149,323.56) 235-03-46323.000.909 FS, SubCar CCI/GH/FC (CS, SSI)(32,086.46) Less Essentia Grant AODA Grant, SABG, Ess HSRA, MHBG (31,294.83) Total Revenues (181,410.02)$ Net Expenses 954,784.41$ 2023 Court Ordered Services 2/14/2024 Bayfield County Human Services 2023 Court Ordered Expenses Account #Account Name 2023 2022 2021 2020 2019 Expenses 235-03-54559-299.000 FS, Kinship Care - Dir Serv 28,372.00 33,646.00 29,464.00 31,790.00 14,884.00 235-03-54561-299-.014 FS, Youth Aids, Dir Serv - Secure Det 21,000.00 - - 20,750.00 - 235-03-54561-299.909 FS, Youth Aids, Dir Serv - FC 4,547.21 - - 4,972.52 17,932.88 235-03-54561-299-911 FS, Youth Aids, Dir Serv - Juv Cor 249,558.00 170,810.00 - - - 235-03-54561-299-912 FS, Youth Aids, Dir Serv - RCC 53,739.00 97,731.85 124,653.80 134,116.93 170,042.90 235-03-54564-299-907 FS, Non-YA, Dir Serv - TFC 7,140.00 40,675.89 32,186.55 33,427.09 39,539.64 235-03-54564-299-909 FS, Non-YA Dir Serv - FC 250,432.65 302,922.59 263,500.43 231,491.00 165,354.87 235-03-54564-299-910 FS-Non-YA Dir Serv - Group Home 74,967.64 - - 17,572.72 - 235-03-54564-299-912 FS-Non-YA Dir Serv - RCC 50,169.93 248,123.35 222,011.45 136,314.69 4,428.23 235-05-56568-299.939 AD, Adult Protective Placements - - - - - 235-05-56568-299-000 AD, APS, Dir Serv (Evals)4,583.50 2,997.50 44.27 1,170.00 957.96 235-07-54310-299.287 BHP, MH, Direct Serv- MHBG 20,000.00 - - - - 235-07-54310-299.938 BHP,MH, Direct Serv, MH inpatient 78,711.51 27,073.00 35,998.00 102,638.00 132,255.00 235-07-54310-299.939 BHP - MH Dir Serve, MH Institutions 240,539.50 164,714.00 236,027.00 98,664.00 132,728.00 235-07-54310-299.940 BHP, MH, Direct Serv.MH medications 708.04 248.00 - 315.64 1,933.00 235-07-54310-604.000 BHP, MH, Case Mgmt 20,026.27 4,281.00 4,545.00 12,804.00 - 235-07-54314-299.000 BHP, AODA, Direct Serv- Essentia HRSA grant 45,501.71 - - - - 235-07-54315-299.962 BHP, AODA, Direct Serv- AODA grant - - - - - 235-07-54315-299.167 BHP, AODA, Direct serv- SABG Supp CAA - - - - - 235-07-54315-604.000 BHP, AODA, Case Mgmt 3,061.20 102.00 1,563.00 3,252.00 7,014.00 Total Expenses 1,153,058.16$ 1,093,325.18$ 949,993.50$ 829,278.59$ 687,070.48$ Revenues Less Insurance Payments MH Institutions (149,323.56) (117,106.04) (121,047.84) (51,752.63) (31,395.66) Kinship Allocation (28,372.00) (28,372.00) (28,372.00) (28,372.00) (28,372.00) 235-03-46323.000.909 FS, SubCar CCI/GH/FC (CS, SSI)(32,086.46) (31,536.87) (24,275.76) (35,949.90) (36,008.42) Less Essentia Grant AODA Grant, SABG, Ess HSRA, MHBG #REF!- - - - Total Revenues (209,782.02)$ (177,014.91)$ (173,695.60)$ (116,074.53)$ (95,776.08)$ Net Expenses 943,276.14$ 916,310.27$ 776,297.90$ 713,204.06$ 591,294.40$ Five Years Court Ordered Services 2019 - 2023 2/19/2024