Minutes November 20, 2018 HS

Wabasha County Human Services Board

November 20, 2018

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, and November 20th, 2018 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 Goihl, Hall, Key, Springer and Wobbe. No members were absent.

Key/Hall

BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda with the addition of a Special Presentation by Leota Lind on SCHA Opioid Case Management.

Adopted Unanimously

Key/Wobbe

WHEREAS, the Minutes of the October 17th, 2018 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.

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 10/17/18 through 11/20/18 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 10/17/18 through 11/20/18 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 10/17/18 through 11/20/18 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 10/17/18 through 11/20/18 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

SPECIAL PRESENTATIONS

A.SCHA Opioid Case Management: Leota Lind from SCHA presented the work SCHA is doing on Opioid Case Management.

B.Ryan’s Bay Community Septic Project: Darrin Thompson, from Public Health, gave an update on the proposed Ryan’s Bay community sewer project. Currently there are 62 out of 87 properties that have committed to participating in the project. The estimated construction cost per connection at this participation rate is $8,500 to $10,000. This would be payable on taxes over a 20 year timeframe or could be paid up front. In addition, there would also be approximately $1000 a year operation and maintenance cost per connection. The project will likely be constructed in 2020.

ACTION ITEMS

Wobbe/Key

WHEREAS, Fillmore County, Goodhue County, Houston County, Mower County, Olmsted County, Minnesota Prairie County Alliance, Wabasha County, and Winona County have agreed to integrate State financial resources into the CREST Initiative; and

WHEREAS, as part of the CREST Initiative, the participating counties have received an ongoing state Mobile Crisis Grant to provide mental health crisis response services in the region; and

WHEREAS, the participating counties recognize the potential need for ongoing county-level funding in support of these services; and

WHEREAS, it is understood that approximately 80% of any county-level costs needed will be related to the servicing of adults and if there are unallocated CREST or community support funds available to the County, they may be used to cover these costs.

BE IT RESOLVED, by the Wabasha County Human Services Board, that it authorizes county-level funding in support of the region's mobile crisis services for 2019 and 2020 . This authorized amount shall not exceed a maximum of $41,309 combined for the two years. This approval is contingent on the understanding that unallocated CREST and/or community support funds may be used by the County to cover the adult-related expenses.

Adopted Unanimously

Wobbe/Key

WHEREAS, Fillmore County, Goodhue County, Houston County, Mower County, Olmsted County, Minnesota Prairie County Alliance, Wabasha County, and Winona County have agreed to integrate State financial resources into the CREST Initiative; and

WHEREAS, as part of the CREST Initiative, the participating counties wish to collaborate with the following parties: Olmsted County, Mayo Clinic, Olmsted Medical Center, UCare;, South Country Health Alliance, NAMI of Southeast Minnesota, Medica; and Blue Cross Blue Shield of Minnesota on the development of a regionally responsive Behavioral Health Crisis Center Program; and

WHEREAS, as part of this collaboration the parties will agree to a two-phased process on the development of a Regional Crisis Center as follows: Phase 1 will include providing necessary partnership, expertise, and resources to respond to the issued bonding RFP to construct a regional Crisis Center. Parties understands that in-kind and/or fiscal contributions to support the ongoing functions of the Crisis Center program would be expected of partners in Phase 2. The exact obligations for these contributions will be determined during Phase 1; and

WHEREAS, any ongoing commitment by parties will be contingent on the obtainment of bonding dollars to proceed with the build of the Regional Crisis Center and an ability to reach an agreement with each partner on any expected contributions and approval from their respective boards.

BE IT RESOLVED, by the Wabasha County Human Services Board, that it approves entering into a Memorandum of Understanding in the development of a regionally responsive Behavioral Health Crisis Center Program as a member of the CREST Initiative. This MOU shall be in effect for one (1) year from its effective date and shall automatically renew for successive one (1) year terms unless terminated. Any party may terminate this MOU at any time by giving the other parties a thirty (30) days prior written notice of such termination without dissolving the entire MOU.

Adopted Unanimously

Hall/Wobbe

WHEREAS, Wabasha County is pleased to offer its commitment to the CREST regional partners in support of its application for state bonding funds to design, construct or rehabilitate, and furnish facilities for regional behavioral health crisis centers; and

WHEREAS, Wabasha County welcomes the opportunity to promote the development of a crisis center in our region to support our mental health system and increase access to mental health services to those in need. We have long recognized the need in our community to provide services to individuals experiencing mental health crises early in the recovery process. Individuals experiencing mental health symptoms struggle to get timely intervention due to overstretched providers with limited capacity to be reactive to acute needs. This puts added stress on other community partners; and

WHEREAS, Wabasha County believes the proposed regional crisis center will increase our access to services by dedicating staff to individuals experiencing acute mental health symptoms. Through enhancing our mobile response system, engaging early to coordinate mental health care and offering rapid access appointments, we hope to see improved outcomes for individuals with mental health symptoms and complex barriers; and

WHEREAS, Wabasha County is committed to support and collaborate with the CREST region and its partners in order to provide crisis response services to individuals experiencing a mental health crisis. Furthermore, Wabasha County acknowledges the need for a safe space for our individuals and families to go for support when in the midst of a crisis.

BE IT RESOLVED, by the Wabasha County Human Services Board, that it is in full support of our proposed regional application for the development of a behavioral health crisis center and urges DHS to provide funding for this important project. Now is indeed the time to support our mental health providers and increase access to services for those in need.

Adopted Unanimously

Goihl/Wobbe

WHEREAS, the Social Services Department has established a Policy & Procedure Manual to help employees maintain consistency in the application of departmental policy; and

WHEREAS, the Policy & Procedure Manual also helps clients better understand the rationale for the development of any specific policy and gives Statutory citations for the required policy; and

WHEREAS, County staff have identified Detox Fees and Billing as an area that would benefit from clarification and establishment of a specific policy; and

WHEREAS, the Director of Social Services recommends approval of the suggested policy updates;

BE IT RESOLVED, by the Wabasha County Human Services Board that is approves the recommended policy manual updates for the establishment of Detox Fees and Billing (Policy 5.301) effective 11-20-2018.

Adopted Unanimously

Wobbe/Hall

BE IT RESOLVED, that Wabasha County Public Health accept the amendment to the agreement with the State of Minnesota, for Child and Teen Checkup Grant funds. This grant agreement is being amended to set the total obligation of State for all compensation and reimbursements to CHB to not exceed $53,795.00 for CY 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 November 20, 2018.

Adopted Unanimously

Key/Wobbe

WHEREAS, Wabasha County has previously entered into a contract with Olmsted County to provide services to rule out or diagnose TB and treat TB in residents referred by Wabasha County and;

WHEREAS, Olmsted County is offering to continue to provide these services to Wabasha County and;

WHEREAS, the Public Health Director has determined that this is a cost effective way to provide this service:

BE IT RESOLVED,, by the Wabasha County Human Services Board that; they authorize renewing the Contract with Olmsted County for services provided in the Olmsted County Tuberculosis Clinic.

Adopted Unanimously

Hall/Wobbe

WHEREAS, the Wabasha County has participated in the development of regional contracting services, hosted by Olmsted County, since 2008; and

WHEREAS, the participating counties include: Fillmore County, Freeborn County, Goodhue County, Houston County, Minnesota Prairie County Alliance, Mower County, Wabasha County, and Winona County and Olmsted County; and

WHEREAS, the contracting service has brought consistency to the participating counties in the area of contract development and management; and

WHEREAS, these contracting services are cost-effective in the delivery of many social and public health services to the citizens of Wabasha County; and

WHEREAS, the proposed memorandum of understanding will extend services through December 31, 2019, with a provision for amending or canceling the memorandum; and

WHEREAS, funding the contracting service is based upon population of the participating counties; and

WHEREAS, the Director of Social Services recommends approval of this memorandum of understanding;

BE IT RESOLVED, that the Wabasha County Human Services Board approves the renewal of this memorandum of understanding to receive contracting services, in conjunction with our participating counties. The anticipated cost for 2019 is $8,435.

Adopted Unanimously

DISCUSSION and INFORMATIONAL ITEMS

A.Social Services Budget Summary & 3rd Quarter Reports: Gwen Resech gave a brief update on the Social Services Budget. As of 10/31/2018, YTD expenses were $4,148,046, Non-levy revenue was $2,566,591 and the cash balance reserve fund was $2,979,166.

B.Sliding Fee for Child Day Care Licensing Request Update: John Dahlstrom reported that he did approve a reduced fee for a licensee based on their household income as this aligned with other programs administered by Social Services. He also reported due to anticipated changes at the state level, that the fee itself may need to be adjusted.

C.Social Services Policy Manual Procedural Updates for Maxis Receipting Process 5.700 and ACS Receipting Process 5.600: Gwen Resech reported on and gave an example of updates made to the policy manual for training purposes. No policy changes were made, but the content was rewritten to make the process easier to understand for employees unfamiliar with the process.

D.DHS Rule 25 Assessment Review Findings: Kayla LaDuke reported that the State commented that their case files were exemplary. The audit went well and no corrective actions were cited.

E.Child Support Performance Report from Human Services Performance Management System-PIP Required: Wabasha County was cited to complete a performance improvement plan from the State for percent of current child support paid. It is a 5 year average and the County missed the target by .3%. Lisa Klees reported that the County will file an extenuating circumstances request due to an extended leave during that period.

F.SFY 2018 Wabasha Region FPI Annual Reports: John Dahlstrom reported that the official state report was released and shared it with the Board. The region's performance results had been discussed at a prior meeting.

G.CD Navigator Program Termination: John Dahlstrom reported that due to declining enrollment and anticipated changes with substance use disorder reform that the region decided to discontinue participation in the program.

H.South Country Health Alliance: The contract with South Country Health Alliance was discussed in relation to financial interest and liabilities for the County.

PHS and SS MISCELLANEOUS:

No additional items were presented.

Goihl/Key

Being no further business to come before the Human Services Board, motion was made and duly

carried at 9:00 AM to recess this meeting until 8:00 AM on December 26th, 2018.

Agenda for this meeting 
 

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