Minutes April 18, 2017 HS

Wabasha County Human Services Board

April 18, 2017

The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 8:00 AM, April 18, 2017 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, Key, Springer and Wobbe.  No members were absent.

Springer/Key

BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda as presented.

Adopted Unanimously.

Key/Wobbe

WHEREAS, the Minutes of the March 21, 2017 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

Key/Wobbe

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 3/21/2017 through 4/18/2017 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 3/21/2017 through 4/18/2017 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 3/21/2017 through 4/18/2017 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 3/21/2017 through 4/18/2017 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 affirmed as valid claims against the County 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

ACTION ITEMS

Springer/Wobbe

Be it resolved that Wabasha County Public Health enter into a award agreement with the Minnesota Department of Health, for Early Hearing Detection & Intervention Follow up/Birth Defects during the period from January 1, 2017 through December 31, 2021.

The Public Health Director is hereby authorized to execute such agreements and amendments as are necessary to implement the project on behalf of Wabasha County Public Health and to be the fiscal agent and administer the award.

I certify that the above resolution was adopted by the Wabasha County Human Services Board of Wabasha County on April 18th, 2017.

Adopted Unanimously

Hall/Key

Be it resolved that Wabasha County Public Health enter into a award agreement with the Minnesota Department of Health, for Local Public Health Grant during the period from January 1, 2017 through December 31, 2017.

The Public Health Director is hereby authorized to execute such agreements and amendments as are necessary to implement the project on behalf of Wabasha County Public Health and to be the fiscal agent and administer the award.

I certify that the above resolution was adopted by the Wabasha County Human Services Board of Wabasha County on April 18th, 2017.

Adopted Unanimously

Springer/Key

Be it resolved that Wabasha County Public Health enter into a award agreement with the Minnesota Department of Health, for Title V Maternal and Child Block Grant during the period from January 1, 2017 through September 30, 2019.

The Public Health Director is hereby authorized to execute such agreements and amendments as are necessary to implement the project on behalf of Wabasha County Public Health and to be the fiscal agent and administer the award.

I certify that the above resolution was adopted by the Wabasha County Human Services Board of Wabasha County on April 18th, 2017.

Adopted Unanimously

Springer/Wobbe

Be it resolved that Wabasha County Public Health enter into a award agreement with the Minnesota Department of Health, for Public Health Emergency Preparedness Grant during the period from October 18, 2016 through June 30, 2017.

The Public Health Director is hereby authorized to execute such agreements and amendments as are necessary to implement the project on behalf of Wabasha County Public Health and to be the fiscal agent and administer the award.

I certify that the above resolution was adopted by the Wabasha County Human Services Board of Wabasha County on April 18th, 2017.

Adopted Unanimously

Wobbe/Hall

Whereas, the Wabasha County Human Services Board has maintained Worker Agreements with the Wabasha County DAC to provide document shredding, copy and collating tasks for the Public Health and Social Services Departments; and

Whereas, the Wabasha County DAC has submitted Worker Agreements for 2017 requesting a billable rate of $9.69 per hour multiplied by the number of crew hours worked per month for services provided; and

Whereas, the Directors of Public Health and Social Services both recommend approval of these Worker Agreements;

Now, therefore be it resolved by the Wabasha County Human Services Board that the Directors of Public Health and Social Services be authorized to sign the Wabasha County DAC Worker Agreements for 2017.   The billable rate will be $9.69 per hour multiplied by the number of crew hours worked per month for services provided.

Adopted this 18th day of April 2017 by the Wabasha County Human Services Board.

Adopted Unanimously

Wobbe/Key

Whereas, the Wabasha County Human Services Board has maintained a service agreement with Stericycle for disposal of Medical Waste; and

Whereas, the Stericlye has submitted a Agreement that starts on October 1, 2016 requesting a billable rate of $29.17 per month; and

Whereas, the Director of Public Health recommends approval of this Agreement;

Now, therefore be it resolved by the Wabasha County Human Services Board that the Director of Public Health be authorized to sign the Stericylce Agreement.   The billable rate will be $29.17 per month.

Adopted this 18 day April 2017 by the Wabasha County Human Services Board.

Adopted Unanimously

Springer/Key

Whereas, the Wabasha County Human Services Board has maintained a agreement with Winona State University to be a Clinic site for their Bachelor of Science in Nursing Students; and

Whereas, the Winona State University has submitted a Agreement that starts on May 1, 2017 and ending on April 30th, 2022; and

Whereas, the Director of Public Health recommends approval of this Agreement;

Now, therefore be it resolved by the Wabasha County Human Services Board that the Director of Public Health be authorized to sign the Winona State University Agreement.    

Adopted this 18 day April 2017 by the Wabasha County Human Services Board.

Adopted Unanimously

Wobbe/Key

Appoint Lori Haley, Joan Bignell, and Tammy Moyer to Health and Human Services Advisory Committee

Whereas, there are current open position on the Health and Human Services Advisory Committee; and

Whereas, the Public Health Director and the Social Services Director have recommended Lori Haley, Joan Bignell, and Tammy Moyer for consideration for appointment; and

Whereas, Lori Haley, Joan Bignell, and Tammy Moyer have agreed to serve on the committee if appointed by the Health and Human Services Board;

Now therefore be it resolved by the Wabasha County Board of Human Services that they

appoint Lori Haley and Joan Bignell  of Wabasha, MN and Tammy Moyer of Lake City, MN to the Wabasha County Health and Human Services Advisory Committee effective immediately.

Adopted this 18th day of April 2017 by the Wabasha County Human Services Board.

Adopted Unanimously

Springer/Hall

The Human Services Board of Wabasha County supports increasing the minimum MA reimbursement for all public health nurse family home visits, as proposed in HF1385/SF1143, which would help maintain and strengthen home visiting programs throughout Minnesota.

WHEREAS, The Human Services Board of Wabasha County recognizes that Minnesota’s local public health departments are a  primary provider of family home visiting for at-risk women and families throughout Minnesota; and

WHEREAS, Family Home Visiting is a voluntary, strength based service provided in the family’s home environment beginning prenatally and continuing through the early years of a child’s life; and

WHEREAS, Family Home Visits provide parenting support and social, emotional, and health-related education to families and connects families to appropriate community resources; and                                

WHEREAS, 85% of brain growth occurs before age 3, and brain growth is impacted greatly by a child’s early experiences.  And nearly 200,000 Minnesotan children under the age of 6 are at risk of poor physical and mental health outcomes; and

WHEREAS, the Association of Minnesota Counties (AMC) Legislative Policy Positions supports stable, flexible state funding and public policy to support healthy families and supports additional state funding for county-delivered maternal and child health services, such as evidence-based home visiting programs; and

WHEREAS, The Local Public Health Association of Minnesota (LPHA)’s 2017 LPHA Legislative Priorities recognizes that “family home visits are an effective way to prevent child maltreatment, promote healthy childhood development and foster self-sufficiency among Minnesota’s most at-risk families- all of which help reduce health care and public program costs” and that “the current minimum MA reimbursement rate falls far short of covering the cost of services,” leaving counties to rely heavily on local tax levies to fill the gaps; and

WHEREAS, LPHA’s 2017 Legislative Priorities support “increasing the minimum MA reimbursement for family home visits in order to provide needed resources to maintain and strengthen family home visiting programs that lessen the negative impacts of poverty and improve outcomes for children of our most at-risk families”;

NOW, THEREFORE IT BE RESOLVED, that Wabasha County Human Services Board is submitting a Letter of Support for increasing the minimum MA reimbursement rate for all public health nurse family home visits, as proposed in HF1385/SF1143; and

BE IT FURTHER RESOLVED that the Wabasha County Human Services Board authorizes its chair to sign on its behalf a Letter of Support for increasing the minimum MA reimbursement rate for all public health nurse family home visits, as proposed in HF1385/SF1143.

Adopted this 18th day of April 2017 by the Wabasha County Human Services Board.

Adopted Unanimously

 

DISCUSSION and INFORMATIONAL ITEMS

 

A.  Community Health Rankings

Tammy Fiedler provided an update on the Community Health Rankings.  Wabasha County is currently ranked at 9th in the state.  In 2016, Wabasha County was ranked 15th and in 2015, ranked 25th.   Tammy indicated that this improvement is reflective of our work with our community partners in both the mental health task force and the senior work group. 

B.  Minnesota Health Equity Learning Community

Tammy Fiedler informed the Board that she had recently applied for a small grant to help advance health equity in our area. There were many applicants and the County was not chosen at this time.  However, the State did indicate that because of the great level of interest they will explore other learning communities in the future.

C.  Social Services Budget Update

Cindy Berg presented the Social Services financial statements and explained the format has been changed to show the county levy costs by program area.  Overall, the Social Services levy impact is 25% of budget at 25% of the year.  The Income Maintenance levy impact is 19% of budget.  This is due to two property sales that resulted in more MA recoveries than anticipated.  Also, DHS made a duplicate payment of $12,300 that they will adjust off of the next quarterly payment.  The Social Service levy impact is 27% of budget. Cindy Berg pointed out that AMH services expenses were higher than budgeted because of a Regional Treatment Center placement at a cost of $53,625 from 12/01/16 to 01/12/17 ($1,375 per day).  The Out of Home Placement levy impact is 25% of budget.  Cindy also highlighted the MA Estate Recoveries for quarter 1 2017 are off to a good start at $114,931 compared to prior years.

D. Additional SNAP E&T Funding

Lisa McNally reported that the four-county service area of Wabasha, Goodhue, Mower and Houston received an additional $100,000 in Food Support and Employment Training funding to cover able-bodied adults.  The grant was secured with the assistance of Wanda Jensen at WorkForce Development, Inc.  This allows these individuals to be referred to Employment & Training Services to get assistance with obtaining employment.  This as a large grant for the four-county area.  It is estimated we can help an additional 34 individuals with job search.

E.  FPI Meeting Update

Cindy Berg updated the board on the FPI Grant meeting that was held on April 12th, 2017.  The attendees were Mary Mccarthy and Karl Schreck from DHS, Rodney Bartsch, Luke Fratzke, John Dahlstrom, Cindy Berg, Beth Wilms, Nina Arneson, and John Pugleasa.  Karl and Mary from DHS stated that they can do refresher trainings for Financial Workers and Child Support Workers about referrals to fraud.  The training is about 2 hours long.  Commissioners should be invited.  Winona and Goodhue agreed to host the trainings; one in the morning and one in the afternoon at each location.  Karl and Mary stated our region is a successful program and they use our region as the "model" for discussions with other program/counties.  The purchase of a new FPI vehicle was discussed.  Sheriff Bartsch stated it will cost $28,000 for a new vehicle.  All members present agreed that Wabasha County will charge an administrative fee to the other the counties to help offset costs in excess of the grant.  An administrative fee of $1,500 per county per year was proposed and agreed to.  This will need to be approved at each of the member County Boards as part of  the individual cooperative agreements with Wabasha.

PHS and SS MISCELLANEOUS:

 

  1. MNSure Update

Lisa McNally updated the board on MNSure.  System performance is still an issue.  She stated they are watching both legislation at the State and Federal level as it will have an impact on clients.  Any impact from proposed legislation will most likely adversely affect recipients and may involve migrating individuals from one eligibility system to another, creating additional work for staff. 

  1. May Meeting Date Change

The next scheduled meeting of the Human Services Board is May 16, 2017.  There is a conflict on the Commissioner's calendar for this day.  The meeting was rescheduled for May 23, 2017 at 8:00 AM.

  1. Hiawatha Valley Mental Health Update

Tammy Fiedler and Tim Hunter updated the board on recent vacancy of a local mental health provider and the consequence on some of our mental health clients.

 

Springer/Hall

Adjourn

Being no further business to come before the Human Services Board, motion was made and duly carried at 8:45 AM to recess this meeting until 8:00 AM on May 23, 2017.

Adopted Unanimously.



Agenda for this meeting

 

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