Wake County Human Services Board December 20, 2012 AGENDA ... · Brent Myers, EMS . Regina Petteway...

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www.wakegov.com

Wake County Human Services Board December 20, 2012

AGENDA Human Services Center

220 Swinburne St., 2nd Fl., Rm. 2132 Standing Time: 7:30AM – 10:00AM

Pablo Escobar, Chair Leila Goodwin, Vice Chair

Purpose: Advocacy, Policy, Advisory, Accountability

--Paul E. Scruggs (Dentist) - Nov. 15, 2012 - Nov. 14, 2016

7:40 am Update: Groundwater Contamination Issues – Mr. Britt Stoddard

8:00 am Update: Western Regional Community Advisory Committee - Mr. Ramon

Rojano

8:20 am Update: Wake County FY’14 Budget Development Overview and Timetable - Deputy Manager Joe Durham & Mr. Paul Gross

8:40 am Update: Board Vacancies and Recruitment Plan – Mr. Ramon Rojano

8:50 am A Report from the Alliance Behavioral Healthcare - Ms. Ellen Holliman, Director

-over-

7:30 am Meeting Called to Order

Invocation

Approval of Minutes: November 15, 2012

Next Board Meeting: January 24, 2013

Oath of Office – Mr. Scott Warren, County Attorney

Regular Agenda

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Human Services Mission Statement

Wake County Human Services in partnership with the community will anticipate and respond to the public health, behavioral health and the economic and social needs of Wake County residents. We will coordinate and sustain efforts that assure safety, equity, access and well-being for all. - December 2006 _____________________________________________________________________________

Environmental Services Mission Statement

To protect and improve the quality of Wake County’s environmental and ensure a healthy future for its citizens through cooperation, education, management and enforcement. Environmental Services combines:

• water quality • air quality • solid waste (recycling, landfills, etc.) • environmental health and safety (sanitation inspections, pest management,

swimming pool regulations, animal control) ________________________________________________________________

FY 2011 Board’s Top Six Priorities: #1 Prevent Child Abuse and Support Families #2 Housing for Vulnerable Populations #3 Obesity Prevention and Nutrition #4 Access to Mental and Physical Health Services #5 Protect Wake County’s Water Resources #6 Human Capital Development (added 10/28/10)

9:15 am Human Services Director's Q&A --Q1, FY’13 WCHS Data Report - Ms. Regina Petteway & Ms. Caroline

Harper

--Update & Initial Discussion: Public Health Fee Policy/Schedule (accreditation # 33.7, 33.5a/b, 37.2, 39.3) – Ms. Sue Ledford

--Summary of the Eastern Regional Center 10-Yr. Anniversary Event

9:30 am Environmental Services Directors' Q & A

9:35 am Chair's Report

10:00 am Adjournment

Information Packet Items

***PLEASE ADD THE BOARD MEETING DATES TO YOUR 2013 CALENDAR***

WAKE COUNTY HUMAN SERVICES BOARD 2013 MONTHLY BOARD MEETING SCHEDULE

7:30 AM– 10 AM (4th Thursday, except 3rd Thursday in November/December)

220 Swinburne, 2nd Fl., Rm. 2132 January 24, 2013 February 28, 2013 (Board Retreat/Orientation) – 7:30am - Noon March 28, 2013 April 25, 2013 May 23, 2013 June 27, 2013 July 25, 2013 August 22, 2013 September 26, 2013 October 24, 2013 *November 21, 2013 *December 19, 2013 Standing Committee Meetings: Social Services: ............................................................................. Monthly, 1st Friday, 9-10:30am, Rm. 5032 Community/Public Health: .......................................... Monthly, 3rd Friday, 8-10am, Duke Raleigh Hospital Human Rights/Consumer Affairs: ............................................. Monthly, 4th Monday @ 12:45pm, Rm. 5032 Advisory Committees will meet quarterly or as needed (these decisions are still being considered): Environmental Services: .................................................................................................................................... Housing: ............................................................................................................................................................ Regional Networks: ...........................................................................................................................................

Human Services Board Quarterly Meeting Schedule

January 2013

SUN MON TUES WED THURS FRI SAT

1 2 3 4 5

(County

Holiday)

9am-10:30am Social Services,

Rm. 5032

6 7 8 9 10 11 12

8am – 9am Agenda Planning Conference Call

11:30am – 1:30pm - Qrtly. Environmental Services –

Library Admin., 4020 Carya Dr.

13

4

14 15 16 17 18 19

4-6pm - Board

Social @ Dr.

Foster’s Home

3:30pm – 5:15pm – Housing Cmte., Rm. 5032

8am – 10am Public Health,

Duke Raleigh Hospital, Cardinal Conf. Rm., 1st Fl., Wake Forest

Rd.

20 21 22 23 24 25 26

(County Holiday) 7:30am – 10am HS Board Mtg. Rm. 2132

27 28 29 30 31

12:45pm – 2pm -

HRC – Rm. 5032

February 2013


1 2

9am-10:30am Social Services, Rm. 5032

3 4 5 6 7 8 9

10 11 12 13 14 15 16

8am – 9am Agenda Planning

Conference Call

8am – 10am

Public Health, Alice Poe Center,

224 Sunnybrook Rd.

17 18 19 20 21 22 23

3:30pm – 5:15pm - Housing Cmte., Rm. 5032

24 25 26 27 28

12:45pm – 2pm HRC

– Rm. 5032 7:30am – Noon - HS Board

Retreat/ Orientation –

Location T/B/A

March 2013


1 2

9am-10:30am Social Services,

Rm. 5032

3 4 5 6 7 8 9

10 11 12 13 14

8am – 9am Agenda Planning

Conference Call

15 16

17 18 19 20 21

3:30pm – 5:15pm - Housing

Cmte., Rm. 5032

22

8am – 10am Public Health,

Duke Raleigh Hospital, Cardinal

Conf. Rm., 1st Fl., Wake Forest Rd.

23

24 25

12:45pm – 2pm - HRC

Rm. 5032

26 27 28

7:30am – 10am HS Board Mtg. Rm. 2132

29

(County Holiday) 30

31

Assignments to Committees As of January 2013

Social Services

Monthly 1st Friday

9am – 10:30am Rm. 5032

Community and Public Health

Monthly 3rd Friday, 8am – 10am Duke Raleigh Hospital

Cardinal Conf. Rm. 1st Fl.

Environmental Services Quarterly or as needed

2nd Fri., 11:30am, Library Admin. Carya Dr.

Pablo Escobar John Myhre Tameko Piggee Rosine Sanders Julian Smith McKinley Wooten Staff: Katherine Williams Giang Le Liz Scott Natasha Adwaters Martha Crowley Vielka Gabriel Warren Ludwig Jenny Wheeler Community: Lisa Bireline David Cottengim Pam Dowdy Lisa Draper Dudley Flood Glenn Harsh Marjorie Menestres Rick Miller John Parker Bob Robinson Georgia Steele Lynn Templeton Cherie Thierrault Tracy Turner Angie Welsh April Womack Marc Zarate

Sharon Foster Margaret Raynor Paul Scruggs James Smith Staff: Michelle Ricci Sue Lynn Ledford Brent Myers, EMS Regina Petteway Andre Pierce Joseph Threadcraft Yvonne Torres Community: Laura Aiken Kevin Cain Barbara A. Hughes Anne McLaurin Leena Mehta Ann Rollins Heidi Swygard Penny Washington

Leila Goodwin Frank Eagles Staff: Joseph Threadcraft Sue Lynn Ledford Deborah Peterson Andre Pierce Community: Rodney Dickerson Les Hall Glenn Harris Suzanne Harris Don Haydon Bryan Hicks Lana Hygh Buck Kennedy Jacob Reynolds Bob Rubin Henk Schuitemaker Paula Thomas Liz Turpin Kenny Waldroup Julie Wilkins Phillip White John Whitson

Affordable Housing & Community

Revitalization As Needed

Regional Networks

Development Quarterly or as needed,

Rm. 5040

Human Rights/ Consumer Affairs

Monthly 4th Mon., 12:45pm-2pm

Rm. 5032

Staff: Annemarie Maiorano Bob Sorrels Community: Emmett Curl Steven Hess Michele Grant Teresa Piner José M Serrano Mark Shelburne Trace Stone-Dino Yolanda Winstead

Frank Eagles Staff: Darryl Blevins Rosena West Ross Yeager Kris Ramsundar Regina Petteway Staff: Matt Burton Lucinda Rice Diana McBride Sharon Brown Andre Pierce Bob Sorrels Community: Arsenio Carlos, ERC Bryan Hicks, NRC Eugenia Pleasant, NRC Lunette Vaughan, SRC

Pablo Escobar Osama Said Staff: Brian Gunter Leticia Mendez Fabiola Sherman Community: Laura Goddard Naima Moussa Martha Pitts Olivia Simons Don Wiseman

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Western Regional Community Advisory

Committee

Western Regional Service TeamMichele Crenshaw, Program Assistant, Division of Administration

Karen Morant, Program Consultant, Office of Community Affairs

Maria Ines Robayo, Health Educator, Child Welfare

Lisa Sellers, Supervisor, Child Welfare

Western Regional CAC: Background

• The Wake County Board of Commissioners developed a regional network model of service delivery in 1988.

• In 2011, WCHS, completed a Western Regional Review of Service Delivery in the Western Region of the county (Apex, Cary, and Morrisville).

• One of the final recommendations of the review is that a Community Advisory Committee be established for the Western Region.

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Western Regional CAC: Purpose

• The Western Regional CAC will create a unique collaboration that will allow all members of the committee to work together in partnership and alongside WCHS, to develop and establish the Western Regional Network of Care.

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Western Regional CAC: Methodology

• Phase One: Review of documentation including but not limited to the 2010 Community Assessment, The Western Regional Review, WCHS’s Regional Network Operational Procedures and Bylaws

• Phase Two: Develop the recruitment process and plan as well as a candidate profile and present information to the RNC on Aug. 9, 2012.

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Western Regional CAC: Methodology

• Phase Three: Brainstorm candidate list, contact possible candidates and complete candidate interviews and tally interview scores

• Phase Four: Final report presented to the RNC on Nov. 8, 2012, including brief biographies for each candidate

• Phase Five: Presentation to Human Services Director on Nov. 26, 2012, for his approval of the recommended slate of the candidates

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Western Regional CAC: Recommended Candidates

• Faith Based Organizations:

‐ Craig Ham, Genesis United Methodist Church, Cary (serves Apex, Cary and Morrisville)

‐ Classy Preston, Pleasant Grove Church, Cary (serves Apex, Cary,Morrisville)

• Businesses:

‐ Roberto Cardozo, Havana Grill, Cary

‐ Paul Gregg, Glenaire, Cary

• Education:

‐ Sharon McMillian, Wake Tech Community College (serves Apex, Cary, Morrisville)

‐ Kathleen Herndon, Scholastic Achievement, resident of Apex

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Western Regional CAC: Recommended Candidates (continued)

• Human Services Organizations:

‐ Howard Manning, DORCAS, Cary (serves Cary, Morrisville)

‐ John Collins, YMCA, Cary (serves Apex, Cary, Morrisville)

• Governmental Officials:

‐ Tracy Stone‐Dino, Town of Cary Sr. Planner, Housing and Community Development

‐ Ira Jones, Chief of Morrisville Police

• Community At Large:

‐ Cheng Wang, resident of Cary

‐ Carlos Villamarin, resident of Apex (business owner in Apex)

• Wake County Staff:

‐ Sharon Peterson, Community Services

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Western Regional CAC: Final Recommendations

• The WCHS’ Director, Ramon Rojano, assign a designated WCHS Staff Liaison to support and guide the Western Regional CAC from the initial meeting forward.

• The WCHS’ Director, Ramon Rojano, assign a Program Assistant/Administrative Assistant to work with the Staff Liaison for the benefit of the Western Regional CAC.

• The initial Western Regional CAC meeting be held on December 19, 2012.

• Recruitment efforts continue to engage “buy in” from the elected officials in the three towns, especially Apex and Morrisville. Mayor Weinbreicht, of Cary, did appoint a representative from Town Management to serve on the Western Regional CAC.

• Recruitment efforts continue to engage the Asian Indian community with Morrisville being a specific target.

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FY14 Budget Kick‐off 28

Operating Budget CalendarMonth Day Activity

Dec 12 BUDGET KICKOFF: Special meeting for operating budget kickoff

DecJan

184

PB training for New Users

Jan 18 Departments Enter FY13 Revenue Projections into PB to support Mid-year Projections

Jan 2430

PB Open Lab for Refresher Purposes

Feb 4 Departments submit base requests, expansions, business plans, proposed reductions, contract listings, user fees, budget book text, performance measures, updated service matrices

Feb 15 Board of Commissioners Retreat (Includes mid year review and updated Financial Model)--Materials will be ready one week prior

March / April

Departmental Budget Meetings (CIP & Operating) with David and Joe. Analysts' preliminary analysis complete one week prior to meetings.

May 20 County Manager recommends FY14 Budget to BOC

June 3 Public Hearings

June 10 Budget Work Session with Board of Commissioners

June 17 Adoption of FY14 Budget

WCHS Board Existing Structure and Assignments-

December 2012

Position Category Notes

1 Pablo Escobar Chair General Public Sworn Nov. 15 2012

2 Leila Goodwin Vice-Chair Engineer Sworn Nov. 15 2012

3 Frank Eagles At large General Public

4 Sharon Foster PH Committee Chair Physician

5 Julian Smith At large Consumer

6 Osama Said At large Optometrist Problems with attendance

7 Rosine Sanders At large Psychologist New member

8 John H. Myhre, At large Pharmacist To begin on January 2012

9 Margaret Raynor At large Nurse New member

10 Tomeeko Piggee At large Social Worker New member

11 James Smith At large Psychiatrist New member

12 McKinl Wooten At large Consumer New member

13 James West Commissioner Commissioner

14 Paul Scruggs At large Dentist Swear in Dec. 2012

15 Veterinarian Vacant Veterinarian In recruitment process

16 General Public Vacant General Public Candidates Available

17 General Public Vacant General Public Candidates Available

18 Consumer Vacant Consumer In recruitment process

19 Consumer Vacant Consumer In recruitment process

Total

Consumer Candidates General Public Candidates

1. Stephanie Treadway (former member)

2. Other Consumer (recruited by Ramon)

1. Kristen Trolenberg (interviewed in Aug.)

2. Fiorella Horna-guerra (HRC cmte.)

3. Angie Welsh (social services cmte.)

4. James Roberson (ERC-CAC cmte.)

Summary - Wake County Human Services Board Skills Inventory, December 2012

1

Experience/Skill

Bd. = Board Exp. Bus = Business Exp. Ld = Leadership Exp. F

rank Eagles

Pablo Escobar

Sharon Foster

Leila Goodwin

John Myhre

Tameko Piggee

Margaret Raynor

Rosine Sanders

Osama Said

Paul Scruggs

James A. Smith, III

Julian Smith

McKinley Wooten jr

TOTALS

Advocacy

Bd Bd Bd Bd 4

Bus Bus Bus Bus Bus Bus Bus Bus 8

Ld Ld Ld Ld 4

Accountability

Bd Bd Bd Bd 4

Bus Bus Bus Bus Bus Bus Bus 7

Ld Ld Ld 3

Accounting

Bd 1

Bus Bus 2

Ld 1

Business/Financial Mgmt.

Bd Bd Bd Bd Bd Bd 6


Ld Ld Ld Ld 4

Community Mobilization/Engagement

Bd Bd Bd 3

Bus Bus 2

Ld Ld 2

Community and Public Health

Bd Bd Bd Bd 4

Bus Bus Bus Bus Bus 5

Ld Ld Ld 3

Data Analysis

Bd 1

Bus Bus Bus 3

Ld Ld 2

Education

Bd Bd Bd 3

Bus Bus Bus Bus 4

Ld Ld Ld 3

Environmental Services

Bd Bd 4

Bus Bus Bus 3

Ld Ld 2

Government/Political

Bd Bd Bd 3

Bus Bus Bus Bus 4

Ld Ld Ld Ld 4

Housing

Bd Bd 2

Bus 1

Ld 1

Human Rights

Bd Bd 2

Bus Bus Bus Bus 4


2

Experience/Skill

Bd. = Board Exp. Bus = Business Exp. Ld = Leadership Exp. F

rank Eagles

Pablo Escobar

Sharon Foster

Leila Goodwin

John Myhre

Tameko Piggee

Margaret Raynor

Rosine Sanders

Osama Said

Paul Scruggs

James A. Smith, III

Julian Smith

McKinley Woten,

Jr TOTALS

Leadership Development

Bd Bd 2

Bus Bus 2

Legal

Bus 1

Ld 1

Marketing

Bd 1

Organizational Planning

Bd Bd Bd Bd Bd Bd Bd 7

Bus Bus Bus Bus Bus 5

Ld Ld 2

Partnership Development

Bd 1

Bus 1

Ld 1

Planning (business &/or strategic)

Bd Bd 2

Bus Bus 2

Policy Development

Bd Bd Bd Bd Bd Bd Bd 7

Bus Bus Bus Bus Bus Bus Bus Bus 8

Ld Ld Ld 3

Public Health Services

Bd 1

Bus Bus 2

Public Relations

Bd Bd Bd Bd Bd 5

Bus Bus 2

Ld 1

Public Speaking

Bd Bd Bd Bd Bd Bd 6


Ld Ld 2

Social Network Communications e.g., Facebook, twitter, etc.)

Social Services – Adults and Seniors

Bd Bd 2

Bus Bus Bus Bus 4

Ld 1

Social Services – Children, Youth Bd Bd Bd 3


3

and Families Bus Bus Bus Bus 4

Ld Ld 2


4

Influence With F

rank Eagles

Pablo Escobar

Sharon Foster

Leila Goodwin

John Myhre

Tameko Piggee

Margaret Raynor

Rosine Sanders

Osama Said

Paul Scruggs

James A. Smith, III

Julian Smith

McKinley Wooten, Jr

TOTALS

Business/Financial X X 2

Local Government X X X X X 5

State Government X X X X X 5

Wake Legislative Delegation X X X 3

Faith Community X X X X X X X X X 9

Education X X 2

Legal X 1

Media X X 2

Medical X X X 3

Dental X 1

Wake HS Quarterly Report by Service Designated IndicatorFY 13 ‐ Q1

PROGRAM or SERVICE Caseload Size at End of Fiscal Year FY 08 ‐ FY 12

Indicator Tracked

Q1 FY13

COMMENTS FROM PROGRAM ABOUT LEVEL OF CHANGE AND IMPACT ON SERVICE DELIVERY (For this quarter only)

FY08, 18,352 Cases

FY09, 18,960 Cases

FY10, 19,997 Cases

FY11, 21,051 Cases FY12, 22,088 Cases 5% ↑ in caseload from FY11 to FY12FY08, 424 WardsFY09, 489 WardsFY10, 532 WardsFY11, 583 WardsFY12, 605 Wards4% ↑ in caseload from FY11 to FY12FY08, 1235 Reports MadeFY09, 1294 Reports Made)

FY10, 1152 Reports Made

FY11, 247 Reports Accepted**FY12, 267 Reports Accepted**8% ↑ in caseload from FY11 to FY12FY08, 5,107 Assessments in FY

FY09, 4,834 Assessments in FY




5% ↓ in Assessments FY11 to FY12FY08, 738 New In Home Cases Opened

FY09, 817 New In Home Cases Opened




14% ↓ in caseload from FY11 to FY12FY08, 232 New Placements in FYFY09, 240 New Placements in FYFY10, 264 New Placements in FYFY11, 319 New Placements in FY

FY12, 333 New Placements in FY

4% ↑ New Placements FY11 to FY12

Childcare Subsidy

FY12 8,112 Caseload Count End of FY (NOTE: The number children being served

is fairly static; it may change slightly

depending on funding.)

**Counts Children

New Cases

Opened for

Service per

Quarter

**Counts Children

655

The number of children opened for services this quarter is less than the previous

quarter, Q4 FY12. The number for this reporting period, Q1 FY13, is higher than the same

reporting period the previous year. The number of children opened for subsidy is

contingent upon available funding. It is too early to determine if new cases opened will

continue to be higher for the remainder of the fiscal year.

Waiting List July 2008, 3,580





1% ↓ in Wai ng List from FY11 to FY12

Childcare Subsidy

New Cases

Added to Wait

List per

Quarter

**Counts Children

‐2,585

This fiscal year Wake County Child Care Subsidy program implemented a new quarterly

cleanup process for the waiting list. During this process we removed several thousand

children from the waiting list. The number of children removed from the list created a

large decrease in the waiting list. The new system seeks to keep a more accurate

reflection of people waiting for services based on regular review.

This represents a 28% decrease in new referrals to Child Protective Services (CPS) In

Home Services compared to the first quarter of FY 2012. The decrease is due to a

federal administrative cost review that is requiring North Carolina to tighten its criteria

used to determine children's eligibility for federal reimbursement for CPS In Home

Services. Child Welfare is shifting resources from In Home Services to CPS assessments

and foster care, both of which are seeing increased caseloads.

Foster Care

New

Placements per

Quarter

Counts Children

64

This represents a 21% decrease in new entries into foster care compared to the first

quarter of FY 2012. Variability in new entries from quarter to quarter is not unusual, and

it is too soon to know if this will be a trend. Because the number of children entering

foster care was dramatically higher the last two years, our caseload of children in foster

care (600) is 20% higher than in FY 10.

Child Welfare In Home

New In‐Home

Service Cases

Opened per

Quarter Counts Cases Opened for Families

138

The number of reports accepted/ screened in for the reporting quarter is about the

same as the first quarter the previous two years. The number of courtesy visits during

this reporting period was a little higher than normal.

Child Welfare CPS Assessments

Accepted

Assessments

per Quarter1,287

This represents a 16% increase in accepted CPS assessments and assists compared to the

first quarter of FY 2012.

Adult Protective Services

Accepted

Reports per

Quarter

(**Indicator changed FY11)

56

In the first quarter of the current fiscal year 2,896 applications were received and 27% of

those were approved. In fiscal year 2012 an average of 31% of applications were

approved every quarter.

Adult Guardianship Wards Added

per Quarter35

Caseload continues to grow. As of 9/30/12, the total caseload was 627.

Adult Medicaid New Cases

added per

Quarter804

12/5/20127:44 AM Wake County Human Services Quarterly Report 1

Wake HS Quarterly Report by Service Designated IndicatorFY 13 ‐ Q1

PROGRAM or SERVICE Caseload Size at End of Fiscal Year FY 08 ‐ FY 12

Indicator Tracked

Q1 FY13

COMMENTS FROM PROGRAM ABOUT LEVEL OF CHANGE AND IMPACT ON SERVICE DELIVERY (For this quarter only)

FY08, 36,558 Cases

FY09, 41,495 Cases

FY10, 45,317 Cases

FY11, 47,870 Cases

FY12, 51,751 Cases

8% ↑ in caseload from FY11 to FY12

FY 08, 20,416

FY 09, 25,998

FY10, 27,816

FY11, 28,166

FY12, 38,828 (includes 10,441 served at Millbrook)

8% ↑ in caseload from FY11 to FY12

FY08, 19,866 Cases

FY09, 25,892 Cases

FY10, 30,408 Cases

FY11, 35,809 Cases

FY12, 39,063 Cases 9% ↑ in caseload from FY11 to FY12

Calendar Year 2008, 37




Calendar Year 2012, (Jan‐July), 42

9.5% ↓ from Calendar Year '10 to '11*Calendar Year 2008, 321



Calendar Year 2011, 249Calendar Year 2012, (Jan‐July), 121

12.6% ↓ from Calendar Year '10 to 11*Calendar Year 2008, 1030




8.5% ↑ from Calendar Year '10 to '11*Calendar Year 2008, 3121




5%↑ from Calendar Year '10 to '11*

The numbers represent officially counted cases, that Wake County has reported to the

state, for that particular quarter. NOTE: due to workload changes at the state, chlamydia

numbers for Q1 FY13 are preliminary at this time and come directly from the North

Carolina Electronic Disease Surveillance System (NCEDSS) database.

Chlamydia Services* (* % ↑or↓ calculated at end of

calendar year)

New Cases

being Served1,249


state, for that particular quarter. NOTE: due to workload changes at the state, HIV/AIDS

numbers for Q1 FY13 are preliminary at this time and come directly from the Raleigh

Regional HIV/STD Office case database.

Gonorrhea Services* (* % ↑or↓ calculated at end of

calendar year)

New Cases

being Served347


state, for that particular quarter. NOTE: due to workload changes at the state, gonorrhea

numbers for Q1 FY13 are preliminary at this time and come directly from the North

Carolina Electronic Disease Surveillance System (NCEDSS) database.

HIV/ AIDS Services * (* % ↑or↓ calculated at end of

calendar year)

New Cases

being Served*46

The number reported for this quarter may be lower than actual services opened. The

Food and Nutrition (FNS) program is transitioning to using the NCFAST cases ‐ reporting

from NCFAST is not yet available. Therefore, the cases that were opened in NCFAST

during the first quarter are not included in the number given for Q1 FY13. The numbers

will be adjusted as new data for the period are received.

Syphilis Services* (* % ↑or↓ calculated at end of

calendar year)

New Cases

being Served23

Sexually Transmitted Disease (STD) numbers for the reports made quarterly to the Board

of Health come directly from the state:

http://epi.publichealth.nc.gov/cd/stds/figures/std11rpt.pdf


state, for that particular quarter. NOTE: due to workload changes at the state, syphilis

numbers for Q1 FY13 are preliminary at this time and come directly from the Raleigh

Regional HIV/STD Office case database.

Food and Nutrition (FNS)

New Cases

Opened for

Services per

Quarter

577

This represents the total number of applications approved from July 2012 through

September 2012.

Workforce Development

New & Repeat

Customers

Served by Job

Link &

Employment/

Vocational

Services

10,812

This number represents Workforce Investment Act Caseload Carryover + New Q1 = 248;

Supportive Employment Caseload Carryover + New Q1 = 60; JobLink Swinburne New and

Repeat Customers Q1 = 7593; JobLink Millbrook New and Repeat Customers Q1 = 2911.

Total decrease of 3.5% over first quarter last year ‐ Workforce Investment Act and

Supportive Employment caseloads increased by 20%. Future reporting in FY13 for Q2,

Q3 and Q4 will include only NEW caseloads from Workforce Investment Act and

Supportive Employment Program.

Medicaid ‐ Children and Families

New Cases

Opened for

Services per

Quarter

7,766

12/5/20127:44 AM Wake County Human Services Quarterly Report 2

Setting Fees for Public Health and Environmental Services

Board Policy 301

Countywide or X

Department: Human Services and Environmental Services X

Division(s): Health Clinics; Environmental Services

Supersedes: none Effective Date: 10/2011

Authority: G.S.130-A-39(g), NC Division of Public Health, NC Division of Medical Assistance, Federal Title X Program Guidelines, Wake County Human Services Board, Wake County Board of Commissioners

Originating Department/Division/Section/Work Unit: Human Services and Environmental Services Administration

Page 1 of 2

Approved

I. Purpose: To set fees for public health and environmental health services with

consideration of cost of providing service, cost recovery, and client ability to pay; and to maximize receipts from self-pay collections, fees, Medicaid reimbursement, third party reimbursement, and cost settlement while not denying access to services based on an inability to pay.

II. Policy Statement: The Wake County Human Services and Environmental Health Board will

set fees for services in accordance with GS 130-A-39(g) to assure fair and competitive fees for services, adjusted based on family size and income, based on costs, comparative fees from other community providers, and collections. WCHS will adhere to billing procedures as specified by federal, state, or program regulations.

The following methods will be used for setting rates: A. The “Medicaid Cost Analysis” or any similar methodology or chart of fees provided

by the Office of Medicaid Reimbursement will be used to compare agency costs with other departmental and state costs.

B. Fees will be compared with Medicare, surrounding community rates (ex: community physician rates, local labs, hospital rates, etc.), plus a comparison of surrounding counties’ Health Department fees.

C. Sliding fee scale based on family size and income will be considered in setting fees. D. Environmental health fees will be set in comparison to private laboratory fees,

considering cost recovery. III. Definitions: None

IV. Applicability and Exceptions:

Applies to fees set by WCHS and environmental health services board. V. Policy Responsibility and Management:

of 2

• This policy will be reviewed annually by the human services director, environmental services director, health clinic director and clinic staff in consultation with medical director and other staff as needed. Any changes will be reviewed by the Board.

VI. Related Publications:

ADM.BOP.QUA Policy 300 Public Health Fee Collection

VII. Appendices: none VIII. History:

Effective Date Version Section(s) Revised Author

10/2011 1.0 Original Peter J. Morris, MD

INFORMATION ITEMS

• Board Fund Report (Separate)

• Committee Reports/Minutes

Human Services Regional Networks Committee - M inutes November 8, 2012

1

Committee Charge: Create advocacy, awareness, and community and political support for the need and value of regional networks of care.

Members Present Human Services Staff Present Agenda

Mayor Frank Eagles, Chair

Bob Sorrels Ross Yeager

Sonya Peterkin Rosena West

Regina Petteway (via conference call) Lisa Sellers

Michelle Crenshaw Karen Morant

RNC Clerk Matt Burton

I. Call To Order/Welcome II. Review recommended changes to board

committee structure III. Western CAC and candidates overview IV. Eastern Regional Center Update V. Southern Regional Center Update VI. Northern Regional Center Update VII. 2013 Meeting schedule (if necessary) VIII. Good of the Order IX. Adjourn

Agenda Item Discussion Conclusions, Recommendations Action, Follow-up Responsible

Party Due Date

I. Call to Order/Welcome by Chair

Meeting called to order by Mayor Frank Eagles at 10:05 AM. N/A N/A N/A

II. Review recommended changes to board committee structure

Mayor Eagles announced that he received a letter from the Eastern Regional Center about wanting to remove a member from their CAC. He said this is a good example to lead into the discussions of changes to the Human Services Board, this Regional Networks Committee, and the feasibility of the regional CACs being autonomous and self-governing. Mayor Eagles asked for feedback from Regina on this issue. Regina suggested that the CACs could report annually to the Human Services Director (Ramon) and Human Services Board. Any changes in this direction would take effect after Mayor Eagles reports to the Executive Committee and they approve it. Mayor Eagles said that the executive committee is no longer meeting in person, but rather now on a monthly basis via teleconference, and this item can be on their December agenda. The group agreed that January 2013 would be a good date for these changes

Continue inaugurating a Western CAC. CACs begin to draft their own sets of operational procedures. Mayor Eagles and Regina report back to the RNC, if necessary, on any approvals or changes, from the executive committee, Human Services Board, or Lela Goodwin

Western CAC leadership (county). Mayor Eagles; Regina Petteway.

ASAP

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Agenda Item Discussion Conclusions, Recommendations Action, Follow-up Responsible Party

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to become effective. The group discussed CAC bylaws, and Ross suggested a creation, or revision, of the operating procedures, with a collaboration and operation under the same operational procedure for each CAC. Each CAC chair would act as decision-maker with regard to membership, and the like, on his or her own CAC, and this would no longer need to be reflected in the Human Services Board Operational Procedures. The group agreed that the name of the CAC operational procedures should not be ‘bylaws.’ Bob said it is important that the regional directors have monetary support for the CACs, and Mayor Eagles agreed. Ross inquired about the anticipated CAC joint meetings now serving as a Regional Networks meeting. Regina and Mayor Eagles suggested the CACs meet jointly at least annually for networking between groups, reporting on progress in the regions, and sharing any needs and feedback from consumers and the community. The group discussed the future of the Regional Networks Committee as currently known. The group agreed that the RNC would now function as an ‘ad hoc’ committee, and meet if or when needed. The RNC members would be a group invited to the CAC joint meeting. The RNC should still report annually to the Human Services director and Human Services Board on the progress of service delivery in the regions, and on any needs or feedback from consumers and the communities. Regina said she would forward these details and developments to Lela Goodwin.

III. Western CAC and candidates overview

Lisa, Karen, and Michelle passed around a handout describing the Western CAC interview process, questions asked, scores for the candidates, and other candidate data and timetables for moving forward (copy of this report included at: S\NRC\Administration\Regional Networks Human Services Board Meetings\2012\November\Meeting Handout

Mayor Eagles presents the recommended members to the Human Services Board and to Ramon for final appointment.

Mayor Eagles; Human Services Board; Ramon Rojano.

At next Human Services Board meeting, and before

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Western CAC Process). Lisa reminded everyone of the process and how the 4-person team got to this point. She welcomed Michelle Crenshaw to the team who succeeded Kathleen Nilsson. Lisa said the process has been one of intentional recruitment. Informational letters were sent out to prospective applicants, and those interested responded. In-person interviews followed, and the results were printed in the packet. The recommended candidates were listed on page four. The next step is for Ramon to approve the recommendations and designate two staff members to oversee the Western CAC, who will need to update their own job descriptions to reflect sufficient time to work on the Western CAC project.

The Western CACs first meeting will be on December 19 at St. Michael’s Catholic Church in Cary at Noon. There will be continued recruitment efforts, especially in Apex and Morrisville. Lisa noted that the Town of Cary mayor has appointed someone on the CAC (Tracy Stone-Dino).

Mayor Eagles asked if the director of Human Services has to approve the recommendations, how does that make the CAC self-governing? Regina agreed, but noted that this may be an initial procedural matter to get the individuals into the structure. Mayor asked about the entire CAC voting and decide on their membership. Regina believed the CAC chair should approve and remove members of a CAC. Ross suggested embedding some language in the new CAC bylaws (procedures) affirming the self-governance nature of CACs in these matters. Rosena suggested adding language about ensuring the recommended and approved candidates possess the requisite qualities and criteria to serve on the CAC.

Rosena asked when the nominees are notified of their status. Lisa answered when Ramon approves, or rejects, them. Ross asked what questions were used in the interview process. Michelle gave Ross a copy. Ross asked

December 19, 2012.

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where the interviews were conducted. Lisa said the Western Regional Library and the Eva Perry Library. Mayor Eagles said the Town of Cary mayor is on board with our efforts.

Bob asked why the panel did not recommend some people. (Names on the not chosen list). Lisa responded that there were three interviewed who were not recommended. The panel wanted to ensure sufficient diversity; one candidate’s employer did not want them to serve; or an individual may not have lived in the community. Another individual had a lower score and less experience than those recommended. Another candidate’s focus was on state matters, and not the western area. Michelle added that two slots remain vacant, and the panel hopes a person of Indian descent can be appointed to represent this population in the western part of the county. Mayor Eagles said that one individual on the not recommended list would be a good candidate, and asked the panel to consider them further.

Karen said the current operational procedures say a “maximum of 15 voting members…” Therefore, this can allow for an ad hoc/ex officio/honorary member(s) added to this number. Bob asked if county staff on a CAC would be non-voting. Karen answered yes. Michelle said those interviewed were a dynamic group, and noted that Human Services is not marketed well in the western part of the county, and they showed interest in remedying this.

Regina asked who would draft the first meeting’s agenda and what type of meeting it would be. Karen said the first meeting will be an orientation, and lunch will be provided. Bob said Human Services should advocate a very modest budget line for the Western CAC in the upcoming budget process.

Regina said in order to move this forward, the RNC needs to vote on the matter, and Mayor Eagles would take the result

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to the Human Services board. A vote was taken, and by unanimous consent, the recommended members were approved.

IV. Eastern Regional Center Update

Sonya announced that the ERCs 10th anniversary celebration will be December 12 from 6:00 – 8:30 p.m. Rep. Darren Jackson will be a guest speaker, and they are trying to secure Commissioner Bryan as another speaker. Bob reminded Sonya to be sure and invite all commissioners.

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V. Southern Regional Center Update

Rosena said the SRC now has a Facebook page, and she thanked Matt for his help with it, and for assisting Therese with content and wall edits.

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VI. Northern Regional Center Update

Ross said the NRC hosted early voting for the recent presidential election, and the center saw a total of 12,167 early voters. Ross said the implementation of the Service Integration project is going well, with the Wheel of Services and One-Pagers both displayed on the NRC lobby wall. Ross reported from an inventory chart on how many one-pagers have been printed and used, and noted that over 2,300 total pages have been posted for client use. He thanked Matt for carefully monitoring both inventories and replacing them as needed.

VII. 2013 Meeting schedule (if necessary)

Given the developments in Agenda Item II, the group did not discuss this topic.

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VIII. Good of the Order

Karen said that she has been meeting with the SI Management Team, and thanked Bob for coming to these meetings. There were no additional good of the order recognitions.

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IX. Adjourn Hearing no further business, the meeting adjourned by unanimous consent at 10:50 A.M.

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Wake County Human Services Board December 20, 2012 AGENDA ... · Brent Myers, EMS . Regina Petteway...

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Transcript of Wake County Human Services Board December 20, 2012 AGENDA ... · Brent Myers, EMS . Regina Petteway...