Minutes March 22, 2016 HS

Wabasha County Human Services Board

March 22, 2016


The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 10:37 AM, March 22, 2016 in accordance with MS 402.01 to 402.10.  The previous meeting was recessed to this time and place.

The following members were present: Commissioners Hall, Goihl, Springer and Wobbe.

Goihl/Hall
BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda as presented
Adopted Unanimously.

Goihl/Hall
WHEREAS, the Minutes of the February 23, 2016 regular board 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

Springer/Goihl
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 02/23/2016 through 3/22/2016 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 02/23/2016 through 3/22/16 are 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 02/23/2016 through 3/22/16 for 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  02/23/2016 through 3/22/16 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.

5.0   Special Presentation
       A.  Introductions of Brittany Dondlinger, SW and Amber Reidt, RN were made to the Board

       B.  Youth Link Mentorship program update: Greg Glomski gave a brief overview of the Youth Link Mentorship program including a summary of activities and future needs of the program.

6.0  Action Items
      
Goihl/Springer
Whereas, the Mayo Clinic, a non-profit, educational, research and healthcare community service provider is in the process of applying for a Center for Medicare and Medicaid Innovation Accountable Health Communities (AHC) grant to help identify and address the community based needs of its patients with the goal of reducing the clinical costs of care while improving overall health outcomes; and

Whereas, the Mayo Clinic will act as the bridge organization for this funding opportunity and form the Southeast Minnesota Accountable Health Communities Coalition to implement an 11-county AHC model that spans the Southeastern Minnesota counties of Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha, and Winona; and

Whereas, the County agrees to enter into a memorandum of understanding with the Mayo Clinic to establish this coalition and to set forth the basis for further negotiation of a definitive agreement outlining the understanding and cooperation between the parties should this collaboration be funded; and

Whereas, the County agrees to provide in-kind support and collaborate with the Mayo Clinic as outlined in the proposed memorandum in order to support the AHC model's design and implementation; 

Now therefore be it resolved by the Wabasha County Human Services Board that the Directors of Public Health and Social Services are authorized to sign the Accountable Health Communities Grant Memorandum of Understanding with Mayo Clinic establishing Wabasha County as a party in the Southeast Minnesota Accountable Health Communities Coalition.
Adopted Unanimously.

      
DISCUSSION and INFORMATIONAL ITEMS

    A. Social Services Child protection report 3 year trend
John Dahlstrom and Luke Simonett discussed the last three years of child protection data in relation to some of the recent policy changes.  The number of intake cases has increased by 86% from 2013 to 2015.  That was expected.  The number of screened out cases has increased slightly from 45.2% to 53.2%, but the number of unduplicated children in out-of-home placement has remained steady at around 50 per year.  In addition, the out-of-home placement expenditures have actually decreased by about 30% since a high of $1.1M was spent in 2013, a major influence of this is the percentage of children in residential settings.  The number of child welfare cases has also significantly decreased.  

    B. Home and Community Based revenue report for 2015
Tammy Fiedler provided the Board with the 2015 yearend financial report for the Home and Community Services unit.  Both the Social Services part of the unit and the Public Health part of the unit showed earned revenue over expenses.  The Public Health dept. earned revenue over expenses was $127,000 and the SS dept. earned revenue over expenses was $17,000.  All expense for this program are figured into this including salary, all benefits, paid time off, mileage, continuing education expenses. 

    C.  DHS lead agency review- Preliminary findings
The Home and Community Based Services unit had a DHS audit last week.  Auditors spent 3 days going over client records, interviewing management, interviewing staff, interviewing providers and vendors to evaluate compliance with program regulations as well as quality of services provided.  Tammy Fiedler reported that the audit went well and that there will be 2 or 3 minor things to correct.  Overall DHS was complementary of our unit, were very favorably impressed with how well the combine unit works together and how well the unit works with its vendors and providers.    A final report will be coming within 4-6 weeks.

    D.  PHS and SS Miscellaneous:
Judy gave an overview of the County Health Rankings and a handout comparing Wabasha County’s results with neighboring counties.  Wabasha County’s Health outcomes ranked 7th in the state this year, an improvement from last year.  Olmsted County ranked higher in SE MN with Wabasha County having the next highest ranking in SE MN.

Judy notified the Board that Lynn Sandstrom has resigned effective April 13, 2016.  She has been employed at Public Health for 16 years.

Judy updated the Board on the transition of River Oaks from a Board and Care facility to a Residential Care with Services facility.  There have been some challenges to both the facility and county staff, but the change is moving forward.

John reported that the 40 hour work week memorandum extended to the social services union for income maintenance staff was not approved.  John stated he will explore other options for meeting business needs for the area. 

John also reported the Wabasha County received $31, 600 in child protection incentive money, a significant increase in the $7,500 that was anticipated.  The change was due to other counties in the state not meeting the performance thresholds; the additional funds were reallocated to counties that did.  This money is earmarked for spending to increase child protection service or capacity.

Lastly, John reported that March is Social Worker Appreciation Month and wanted to recognized the social workers and case managers for the good work they do in meeting the needs of our community. 

Goihl/Wobbe
Adjourn
Being no further business to come before the Human Services Board, motion was made and duly carried at 12:02 PM to recess this meeting until 1:00 p.m. on April 26, 2016.
Adopted Unanimously.

Agenda for this meeting

 

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