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Minutes May 24, 2011 HS

Wabasha County Human Services Board

Meeting of May 24, 2011

 

The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:04 a.m., May 24, 2011 in accordance with MS 402.01 to 402.10. The previous meeting was recessed to this time and place.

 

The following Board members were present: Hall, Harms, Norman, Roschen, and Wobbe.

Absent: None

 

NORMAN – HARMS

BE IT RESOLVED, that the Wabasha County Human Services Board hereby approves the agenda, with no additions.

Adopted Unanimously.

HARMS – ROSCHEN

WHEREAS, the Minutes of the April 26, 2011 meeting have been presented for review and that no changes have been made to the Minutes;

BE IT RESOLVED, the Human Services Board accepts the Minutes as an accurate reflection of the content and actions taken at its previous meetings.

Adopted Unanimously

HARMS – ROSCHEN

WHEREAS, the Director of Social Services has advised that all Income Maintenance case actions are in conformance with State, Federal, and County laws, rule, regulations and policies;

BE IT RESOLVED, that all Income Maintenance case openings, closings, suspensions, grant changes and any other action affecting client eligibility and payments documented in the Department on listing of proposed case actions, (through MAXIS computerized client files and reports, and MMIS II), Director's Actions, abstracts of payment, and reports of refunds and cancellations for the period 4/26/11 through 5/23/11 are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health and Social Services case actions are in conformance with State, Federal and County laws rules, regulations and policies;

BE IT RESOLVED, that all Public Health and Social Services case openings, closings, payments, placements and licensing actions as documented in the Department on Agency listing for Licensing actions, case records, record of Social Service plan, purchase of service abstracts, reports of refunds and cancellations, payment authorizations and computer printouts for 4/26/11 through 5/23/11are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all personnel actions are in conformance with State and Federal law, Merit System rules, existing labor agreements and personnel policies;

BE IT RESOLVED, that all personnel actions for 4/26/11 through 5/23/11for employees of the Departments of Public Health and Social Services as documented in the Department on proposed personnel actions listing, personnel abstracts, payroll reports and personnel actions forms are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health claims and, Social Services and Welfare claims against the County submitted for payment for 4/26/11 through 5/23/11 have been reviewed and are eligible for payment pursuant to all applicable rules, regulations, laws and policies;

BE IT RESOLVED, that all bills as listed on listing of warrants and claims against the Public Health, Social Services and Welfare funds and warrant registers shall be approved as valid claims against the County and are hereby approved for payment.

WHEREAS, the Directors of Public Health and Social Services have advised that employee requests to attend conferences and/or training have met approval of Administration, and are within the budgetary guidelines of the Agency;

BE IT RESOLVED, that all requests presented by the Directors of Public Health and Social Services are hereby approved.

Adopted Unanimously.

WOBBE – NORMAN

Whereas, the Wabasha County Human Services Board has previously adopted a series of fee policies for services provided by the County; and

Whereas, the fee policies are annually updated to reflect a change in the Federal Poverty Guidelines; and

Whereas, all fee schedules are adopted in accordance with Minnesota Statutes 246.511, 252.27 and 256B.14 and Minnesota Rules 9550.620-3240;

Now therefore be it resolved by the Wabasha County Board of Human Services that the following fee schedule is hereby approved, and effective June 1, 2011: Non-MA Targeted Case Management Sliding Fee Scale.

Adopted Unanimously.

 

DISCUSSION and INFORMATIONAL ITEMS

 

Environmental Health Services Report

Darrin Thompson presented information on Septic installations, soil inspections, permits, well & well abandonments, 1 septic complaint or surfacing that he is currently working on.

 

Social Services Monthly Reports

Social Services Unit Report: Terry Smith shared quarterly client/case count information with the Board members. In the first quarter of 2011, the number of intakes has increased each month and the overall number of open social services cases is now at 530. The number of children in out-of-home placement is currently at 21, of which 4 are Court Services placements.

Children's Services Report: Tim Hunter, Social Worker, was present to share information on the child services review process the department has used to improved service delivery to children & families. Through utilization of a State-developed child abuse & neglect screening tool, and the 23-oint review tool, Wabasha County staff has made significant improvement in the handling of child services cases. The process includes involvement with schools, Public Health Services, Guardian ad Litem, Court Services and other significant partners. The Children's Justice Initiative (CJI) has also played a role to insure timely court activity and handling of cases. Smith complimented staff for their diligence, improving the way services are provided and in the outcomes to children & families of Wabasha County.

Income Maintenance Unit Report: Lisa McNally shared information on Income Maintenance Unit activities that includes comparisons for the last 5 years. The number of active cases has grown in almost all areas of service delivery. The exception being in cash programs for single adults and our MFIP clientele. The agency has lost 2 experienced Financial/Eligibility Workers this year. There is currently 1 vacancy in the Unit. The turnover has required the Unit to set priorities for service delivery. Those priorities are: Renewals, Reported changes, Applications, and Reimbursements. Staff will continue to do their best to meet deadlines and provide service. Lisa also shared the timeline needed to hire/train a new Financial/Eligibility Worker. The Board members then engaged in a conversation on setting County service priorities, potential use of volunteers, and engaging the community.

 

State Community Health Services Advisory Committee (SCHSAC)

Judy Barton reported on the SCHSAC that she attended on May20, 2011. MDH Commissioner Ehlinger reported that the priorities for Federal funding will be to address 6 areas this budget year that CDC considered "winnable battles". 1. Tobacco, 2. Hospital associated infections, 3. Obesity and nutrition, 4. HIV, 5. Teen Pregnancy, 6. Motor Vehicle. Also a great deal of discussion on the Affordable Care Act and the development of ACO's (Accountable Care Organizations). MDH is requesting that all Local Health Depts. consider interventions that can assist in lowering the number of prescription drugs which are being abused. This has become a statewide Public Health issue. Judy informed the Board that a workgroup chaired by Commissioner Ted Seifert from Goodhue County developed a Public Health Emergency Preparedness Plan which was adopted by SCHSAC

 

Reprocurement Update

Smith shared information on the reprocurement process, requiring the County to review health plan materials for consideration by Wabasha County. As a metropolitan statistical area (MSA), the County is required to have 2 health plan options available to our clientele. The Board will receive a recommendation from Smith and Barton for action at the June 28th meeting. The recommendation is then submitted to the Department of Human Services for a final decision.

 

Redesign Update

Terry Smith handed out a 2-page update for the Board to review.

 

PHS/SS Miscellaneous

Barton shared information on a measles outbreak in the Twin Cities in which 65% of the infected children required hospitalization. She reported PHS staff attended a recent Medical Reserve Corps training, on Saturday, in which none of the PHS staff in attendance claimed any County-paid time.

 

ROSCHEN – HARMS

Being no further business to come before the Board, motion was made and duly carried at 11:01 a.m. to recess this meeting until 9:00 a.m. on June 28, 2011

Adopted Unanimously.

Agenda for this meeting

 

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