board of commissioners...board of commissioners th 1 s. main st., 9 floor mount clemens, michigan...

BOARD OF COMMISSIONERS 1 S. Main St., 9th Floor

Mount Clemens, Michigan 48043 586.469.5125 ~ Fax: 586.469.5993 www.macombBOC.com

David J. Flynn – Board Chair Kathy Tocco – Vice Chair Steve Marino – Sergeant-At-Arms District 4 District 11 District 10

MACOMB COUNTY BOARD OF COMMISSIONERS

Andrey Duzyj – District 1 Marvin Sauger – District 2 Veronica Klinefelt – District 3 Robert Mijac - District 5 James Carabelli – District 6

Don Brown – District 7 Kathy Vosburg – District 8 Fred Miller – District 9 Bob Smith – District 12 Joe Sabatini – District 13

JUSTICE & PUBLIC SAFETY AND HEALTH & HUMAN

SERVICES COMMITTEES

WEDNESDAY, APRIL 13, 2016

FINAL AGENDA 1. Call to Order 2. Pledge of Allegiance 3. Adoption of Agenda 4. Public Participation (five minutes maximum per speaker, or longer at the discretion of the Chairperson related only to issues contained on the agenda) 5. Agreement with Correct Care Solutions/Inmate Healthcare Services (attached) Management/Sheriff (page 1) 6. Budget Amendment/Medicaid Reimbursement Expenses/Friend of the Court (attached) (page 19) 7. Board Chairman Comments, Dave Flynn 8. Public Hearing/Panel Discussion on Understanding Quality Measures of Long Term Care Medical Care Facilities:

Topic Areas • Explanation of the MCS Five-Star Rating System • Definition of Quality • Public vs. Private Facilities

Panelists • Renee Beniak, Executive Director of Michigan County Medical

Care Facilities Council • Don Haney, Administrator for Thornapple Manor (Hastings, MI) • Ruth MacAlpine, Administrator of Bay County MCF

JUSTICE & PUBLIC SAFETY AND HEALTH & HUMAN SERVICES COMMITTEES FINAL AGENDA APRIL 13, 2016 PAGE 2 9. Presentation on Macomb County Elected Officials Compensation Study/ (attached) Mark Goldberg, Senior Consultant, Fox Lawson and Associates (page 32) 10. Correspondence: a) Macomb Correctional Facility Community Liaison Meeting Minutes (page 66) (attached) 11. New Business 12. Public Participation (five minutes maximum per speaker or longer at the discretion of the Chairperson) 13. Adjournment

To: David Flynn, Board Chair

Macomb County Executive Mark A. Hackel

From: Pamela J. Lavers, Assistant County Executive f{-Date: March 23, 2016

Mark F. Del din Deputy County Executive

RE: Agenda Item- Sheriff, Inmate Healthcare Services Management Agreement

Attached you will find documentation and a resolution from Sheriff Wickersham, to approve the Correct Care Solutions contract to continue healthcare services to prisoners with the incumbent vendor.

The new contract includes an increase in Correct Care Solutions staffing of 1.45 full time employees, totaling approximately $109,262.50.

The Executive Office respectfully submits this agenda item for the Commission's consideration and recommends approval of the Correct Care Solutions contract as stated above.

PJL/smf

cc: Anthony Wickersham Michelle Sanborn

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MACOMB COUNTY, MICHIGAN ri!4J.!Mli·I,IWjj.J.f§.__,..!!li!i•i"l~:t•.f•.t•ij.11i"'~~'~~d•ffi-•.

11i!•,t•jii!I••M11!__, RESOLUTION

Resolution to:

Approve the attached Correct Care Solutions Contract to continue healthcare services to prisoners with the incumbent vendor.

The existing Agreement expired 12/31/15. The contract was bid in 2015 and one bid was received (from the incumbent vendor).

r~"'·Pk4·'

Additional Background Information (If Needed):

The existing agreement expired 12/31/2015. The contract was bid in 2015 and one bid was received (from the incumbent vendor). Notable changes include CCS staffing increases of 1.45 FTE's. Total contract estimated expenses for FY2016 is $5,175,765, $5,331,038 for FY2017 and $5,490,969 for FY2018 for a total contract value of $15,997,772. The adopted budget for inmate healthcare for FY2016 is $5,500,000.

Committee Meeting Date

Andrey Duzyj, Chair, Health and Human Services Committee

Justice & Public Safety/Health & Human Services 4-13-16

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MEMORANDUM DATE: 03/1 0/2016

TO: Office of County Executive

FROM: Anthony M. Wickersham

Sheriff RE: REQUEST APPROVAL I ADOPTION OF

Inmate Healthcare Services Management Agreement SUBJECT:

Approve the Inmate Health care Services Management Agreement with Correct Care Solutions.

PURPOSE I JUSTIFICATION:

The original contract to provide inmate healthcare expired 12/31/2015. The contract was bid in 2015 and the current vendor was the only responding bidder.

FISCAL IMPACT I FINANCING:

This new contract includes an increase in CCS staffing of 1.45 FTE's (totalling approx $109, 262.50).

FACTS AND PROVISION I LEGAL REQUIREMENTS (If applicable):

N/A

IMPACT ON CURRENT SERVICES (PROJECTS):

This contract allows the County to continue required healthcare services to prisoners.

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'77,<:-H!GP"f:' Mark A. H-ackel C04~1;' bK~l~"-"

CONTRACT REVIEW ROUTING FORM November 201 5 REV 4

• ~uen~1 • IJ :::I :I!1~411 1'1 1 :::1 ~1·1~ 1:aeJ~4 111 r!WII e

Department Leader: Department: I Date:

Anthony Wickersham Sheriff 03/10/2016 Contract Contact Person: Contact Phone Number: NOTE: Contracts are returned interoffice mail unless specified below:

Michelle Sanborn 307-9348 D Call for Pick Up: #

el ~ llr£1el•l~ l::l el:l l'lr!WIIe

Contract Title: GRANT Return By Date:

Inmate Healthcare Services Management Agreement 0 AWARD

[]Funded

DEPARTMENT ROUTING & AUTHORIZATIONS NOTES:

DQE.S THIS INVOLVE TE,CHNICAL SUPPVRT RE.LA TEQ TO H ARDWARE OR SOFTWARE '? If No, Skip this step.

D Yes, Send to IT. Ch ief Information Officer review/approval is REQUIRED.

0 Rejected and Return to Requesting Department

~Approved 0 Approved with changes

0 Rejected

RETURN TO

REQUESTING DEPARTMENT

2. FINANCE DEPARTMENT-

12f' Approved

0 Approved with changes

0 Rejected RETURN TO

RISK e. QONTRACT MANAG~M~NT

[) Approved

rtJ Approved with changes

0 Rejected

proved

OC Review Required ------------------------------------

0 pproved with changes

0 Rejected - RETURN TO

Authorized Signature

RISK & C ONTRACT MANAGEMENT -----::--7,..--,-----:-~:-,---,-----

Date

~~~~~~~~~~ 0~ ~sk Management & Safety

RECEI D c.

-E c: <ll a>-E([) t"O <ll Q)

MAR 11 2016

fr ·~MACOMB COUNTY 0 & FINANCE

a. ~ § MAR 1 8 2016 E([) t"O

D

~~ORPORATION COUNSEL Q)

0:::

~ EXECUTIVE -~ OFFICE Q) •• o:::c.

~ § MAR 2 2016 E([) t <ll

~ RECEIVED

4

CONTRACT REVIEW ROUTING FORM November 2015 REV4

ORIGINATING DEPARTMENT INFORMATION Department Leader: Department: Date:

Anthony Wickersham Sheriff 03/10/2016 Contract Contact Person: Contact Phone Number: NOTE: Contracts are returned interoffice mail unless specified below:

Michelle Sanborn 307-9348 Ocall for Pick Up: #

CONTACT INFORMATION Contract Title:

Inmate Healthcare Services Management Agreement Vendor Number (if known): Vendor Name:

Vendor ~Yes Disclosure IFAS

Form Attached: No (N/A) Correct Care Solutions

Original Contract Amount Amendment Amount: Total Amended Contract Amount: Funding Source- Org Key I Object- (If known):

$ 15,997' 772.00 $ $15,997,772.00 Contract Begin Date: Amendment Date: Contract End Date: Targeted Committee Date:

01/01/2016 12/31/2018 Contract: If Renewal or Amendment, what terms have changed (if any): Amendment Number:

~ ~=~ewal l:j Amendment

Contract Bid: If not bid out, please explain: Lowest Bid: If not lowest bid, please explain:

I8J Yes

DNa

I8J Yes

D No Bid Number: How many bidders responded? Winning bidder Macomb County Entity:

DYes 18] No - Explain: 51-15 One

Contract Synopsis:

This contract is for a term of three years and will increase CCS staff by 1.45 FTE's. Total contract estimate expense for FY2016 is $5,175,765,$5,331,038 for FY 2017 and $5,490,969 for FY2018 for a total contract value of $15,997,772. The adopted budget for inmate healthcare for FY2016 is $5,500,000.

OTHER CONTRACT INFORMATION

D CONTRACT REQUIRES SIGNATURE OF COUNTY EXECUTIVE ONLY. DESIGNEE SIGNATURE WILL NOT BE ACCEPTED.

PLEASE CHECK APPROPRIATE ITEM BELOW (IF APPLICABLE):

D 1. AWARDING A CONTRACT OF $35,000 OR MORE FOR SERVICES, SUPPLIES, MATERIALS, EQUIPMENT OR REAL ESTATE.

D D D D D D

2. AWARDING A CONTRACT OF $100,000 OR MORE FOR CONSTRUCTION.

3. AWARDING A CONTRACT MODIFICATION EXCEEDING 1 0% OF THE ORIGINAL APPROVED CONTRACT AMOUNT.

4. AWARDING A CONTRACT THAT EXCEEDS 5 YEARS IN LENGTH.

5. EMPLOYER PAID FRINGE BENEFITS.

6. COLLECTIVE BARGAINING AGREEMENTS.

7. INTERGOVERNMENTAL AGREEMENTS AS DEFINED BY CHARTER SECTION 3.1.

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INMATE HEALTH CARE SERVICES MANAGEMENT AGREEMENT BETWEEN

CORRECT CARE SOLUTIONS, LLC AND

MACOMB COUNTY, MICHIGAN

This Inmate Health Care Services Management Agreement ("Agreement") is made and entered into this 1st day of January, 2016, by and between Correct Care Solutions, LLC (hereinafter ''CCS''), a limited liability company organized under the laws of the State of Kansas, 1283 Murfreesboro Road, Suite 500, Nashville, TN 37217, and the County of Macomb (hereinafter "the County"). a political subdivision of the State of Michigan.

RECITALS

WHEREAS, the County is charged vvith the responsibility of administering, managing and supervising the health care delivery system ofthe Macomb County Jail (the "'Jail"); and

WHEREAS, the objective of the County is to provide for the delivery of quality health care to individuals placed, held, or detained in the Jail, in accordance with applicable law; and

\VHEREAS, CCS is in the business of administering correctional health care services and desires to administer such services on behalf of the County under the terms and conditions hereof.

NOW, THEREFORE, in consideration of the covenants and promises hereinafter made, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows:

ARTICLE I CCS OBLIGATIONS AND ACKNOWLEDGEMENTS

1.0 MANAGEMENT SERVICES. CCS shall manage comprehensive institutional health care services at the Jail according to the te1ms and provisions of this Agreement. CCS shall not be ultimately financially responsible for any costs associated with the provision of medical, dental, or mental health services, as they should all pass through to the County.

1.1 PERSONS COVERED BY THIS AGREEMENT. Any person housed in the Jail or detained in tbe Jail who the County is financially responsible for under law, whether under the custody of the County, a federal agency, or other jurisdiction, shall be covered by the tem1s ofthis Agreement and included in the daily population of the Jail (each such person shall hereinafter be referred to as an "inmate" or collectively as the ''inmates").

1.2 SCOPE OF SERVICES. CCS shall provide comprehensive institutional healthcare services for the County's corrections facilities according to the tenns and provisions of: a) this Agreement. b) applicable law, c) CCS's Proposal to Macomb County

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Request for Proposal 51-15, and d) Macomb County Request for Proposal 51-15, as amended. To the extent of any cont1ict, the documents shall take precedence in the order listed. Infant care and elective treatments are expressly excluded from the scope of services. CCS will provide a training program for security staff as requested covering emergency procedures, first aid, CPR, communicable disease prevention in confom1ity with the standard promulgated by the National Commission on Health Care. CCS will provide emergency medical treatment to Jail staff and visitors.

CCS will meet the requirements of section S. "Off-Site Care and Utilization Review'· on page 19 ofthe RFP as follows. The County will have read-only access to CCS's electronic records management system ("ERMA"). CCS will provide a daily emailed census of inpatients to a recipient designated by the County. CCS will maintain review notes 'vVhich include the clinical status of the patient descriptive of daily hospital progress notes. On Monday of each week, CCS will perfonn retrospective review of weekend admissions/days.

1.3 STAFFING. CCS shall provide staffing in accordance with Attachment 1 -Staffing Patterns unless otherwise agreed to by the parties in writing. If County should become dissatisfied with any health care personnel provided by CCS hereunder, CCS, in recognition of the sensitive nature of correctional services, will, following receipt of written notice from County of its dissatisfaction and the reasons thereof~ exercise its best efforts to resolve the problem, and, if the problem is not resolved, the County shall terminate such personnel's access to the JaiL CCS may be allowed a reasonable time to find a qualified replacement.

1.4 HEALTH CARE STAFF PRACTICES. CCS shall require its health care staff to abide by all the laws, rules and regulations that govern the practices and procedures under which the health care staff is/are licensed and shall act within the parameters of all applicable ethical and professional standards in providing the services. CCS shall require its health care staff to comply with all administrative and security policies adopted by the County to protect the health, safety and welfare of the inmates.

1.5 LICENSING OF HEALTH CARE STAFF. CCS agrees that it, and its health care staff, at all times during this Agreement, shall be properly licensed and/or certified to provide the services they perfom1 pursuant to this Agreement.

ARTICLE II COMPENSATION

2.0 COSTS. This is a Cost Plus Management Fee Agreement in which all operational costs of CCS are passed to the County. Attachment 2 - Budget Cost Worksheets contains anticipated costs to the County for medical care during each year of the initial term (as defined in Section 3.0) of this Agreement. These costs include: 1)

the management fee, a fixed fee which is paid to CCS for administering the

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County's medical care program: and 2) pass through costs as identii1ed in Attachment 2: Personnel Costs, Pharmacy Costs, Off-site Expenses, On-site Variable Expenses, and On-site Administrative Expenses. Included in the budgeted Administrative Expenses is $40,000.00 for purposes of a Contract Monitor. The parties recognize that the foregoing pass-through costs in this section above may vary subject to inmate needs and the actual cost of these items. The parties shall prepare and mutually agree upon reasonable Budget Cost Worksheets for any renewal years or extensions.

2.1 PRICING GUARANTEE. If in any year that this Agreement is in effect, the actual total costs for personnel, pharmacy, on-site expenses, and offsite expenses that CCS manages and passes through to the County pursuant to this Agreement (the ·'Actual Total Costs"), exceed the budgeted ''Total Costs'' line (i.e. the line above the "Management Fee" line) in the Budget Cost Worksheets included in Attachment 2 (the ''Budgeted Total Costs"), then CCS shall reimburse the County 50% of the amount by which the Actual Total Costs exceed the Budgeted Total Costs up to an excess of $150,000 so that CCS' s liability for payment under this Section 2.1 shall not exceed $75,000

2.2 PAYMENT TO CCS. On the P1 of each month, CCS shall submit an invoice to the County for I/ 12th of the management fee and for the costs that are estimated to be incurred during the month. The County shall make payment to CCS within 45 days of the date of invoice. On a quarterly basis, CCS will true up invoices with actual costs for that quarter and submit an adjusted invoice to the County. If actual costs exceeded payments, the County will pay any balance to CCS within 45 days of the date of invoice. If payments exceeded actual costs, CCS will issue a credit to the County in the next monthly invoice.

2.3 ANNUAL FEE ADJUSTMENT. Beginning on January 1, 2017, and each year that this Agreement remains in effect thereafter (including the initial term, renewals, and extensions), the management fee will be adjusted based upon negotiations between the parties, but not to exceed an increase of3.75% ofthe management tee for the previous year. Should there be a change, including but not limited to a significant increase or decrease in population or a change in applicable law or regulation, that materially impacts operations such that a change in the management fee is warranted, either party will have the option to seek a commensurate change in the fee tenns and the paiiies agree to negotiate such change in good faith.

ARTICLE III TERM AND TERMINATION

3.0 TERM. The initial term of this Agreement shall be for a period beginning on January 1, 2016 through December 31, 201 8. 'fhis Agreement may be extended f()r two additional one-year periods upon the mutual written consent of CCS and the County.

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3.1 T'ERMfNATJON FOR LACK OF APPROPRIATIONS. It is understood and agreed that this Agreement shall be subject to annual appropriations by the County.

3.1.1 Recognizing that termination for lack of appropriations may entail substantial costs for CCS, the County will act in good faith and make every etTort to give CCS reasonable advance notice of any potential problem with funding or appropriations.

3 .1.2 If future funds are not appropriated for this Agreement, and upon exhaustion of existing funding, the County may terminate this Agreement without penalty or liability, by providing a minimum of thirty (30) days advance written notice to CCS. The County will be liable for payment to CCS for any services rendered prior to the effective date of tennination.

3.2 TERMINATION DUE TO CCS'S OPERATIONS. The County reserves the right to tem1inate this Agreement immediately upon written notification to CCS in the event that CCS discontinues or abandons operations. is adjudged bankrupt, or is reorganized under any bankruptcy Jaw. Both parties agree that termination under this provision will be considered without cause.

3.3 TERMINATION FOR CAUSE. This Agreement may be terminated for cause under the following provisions:

3.3.1 TERMINATION BY CCS. Failure of the County to comply with any provision of this Agreement shall be considered grounds for tem1ination of this Agreement by CCS upon thirty (30) days advance written notice to the County specifying the termination effective date and identifying the non-compliance. Upon receipt of the written notice, the County will have ten ( 1 0) days to cure the non-compliance. If the County cures the non-compliance to the satisfaction of CCS, the thirty (30) day notice will become null and void, and this Agreement will remain in full force and effect. Termination under this provision will be without penalty to CCS.

3.3.2 TERMINATION BY COUNTY. Failure of CCS to comply with any provision of this Agreement shall be considered grounds for tem1ination of this Agreement by the County upon thirty (30) days advance written notice to the CCS specifying the termination effective date and identifying the non-compliance. Upon receipt of the written notice, CCS will have ten ( 1 0) days to cure the noncompliance. IfCCS cures the non-compliance to the satisfaction of the County, the thirty day notice will become null and void and this Agreement will remain in full force and effect. Tennination under this provision will be without penalty to the County.

3.4 TERMINAriON WITliOUT CAUSE. Either party may, without prejudice to any other rights it may have and \Vithout penalty or liability, tem1inate this Agreement

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for their convenience, for any reason and without cause by giving one hundred twenty (120) days advance written notice to the other party.

3.5 COMPENSATION UPON TERMINATION. If any of the above termination clauses are exercised by any of the parties to this Agreement, the County will pay CCS for all services rendered by CCS up to the date of termination of the Agreement regardless of the County's failure to appropriate funds.

3.6 COPIES OF RECORDS. During the tem1 ofthis Agreement, CCS owns all inmate medical records. Upon tennination or expiration of the Agreement for any reason and thereafter, with respect to any third-party claims related to this Agreement. ownership of the medical records will transfer to the County, and the County will ensure that CCS will be timely provided with copies of any needed medical records for purposes of providing a defense for either the County or CCS. If medical senrices have been transitioned to another provider, the County will require that provider to cooperate with CCS in obtaining copies of records related to the claim. This provision will survive the termination or expiration of this Agreement.

ARTICLE IV LIABILITY AND RISK MANAGEMENT

4.0 INSURANCE COVERAGE. CCS will procure and maintain during the term ofthis Agreement, the following coverage and limits of insurance:

4.0.1 MEDICAL MALPRACTICE/PROFESSIONAL LIABILITY. Medical Malpractice/Professional Liability insurance in an amount not less than $1 ,000,000 per occurrence and $3,000,000 in the aggregate. CCS shall not commence work pursuant to this Agreement until it has obtained such insurance and has provided the County with proof of such insurance.

4.0.2 COMPREHENSIVE GENERAL LIABILITY. Comprehensive General Liability insurance, including coverage for bodily injury, wrongful death, personal injury, property damage, contractual liability, civil rights liability and products/completed operations liability. The minimum acceptable limits of liability to be provided by such insurance shall be as follows: $1,000,000 per occurrence and $3,000,000 in the aggregate.

4.0.3 WORKERS' COMPENSATION. Workers' Compensation coverage fully insuring its employees as required by applicable state law. Said insurance will be obtained from an insurance company which is authorized to do business in the State of Michigan.

4.0.4 CARRIER APPROVAL. CCS's insurance carrier and the format of certificates for CCS's insurance coverage at the time of execution of the contract are approved and deemed compliant with this Agreement.

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4. J PROOF OF INSURANCE. CCS will provide the County proof of professional liability or medical malpractice coverage for CCS's Health Care Staff, employees. agents and subcontractors. for the term services arc provided under this Agreement. CCS will promptly notify the County of any notice it receives of each change in coverage, reduction in policy amounts or cancellation of insurance coverage.

4.2 INDEMNIFICATION. CCS will indemnify the County and its otTicers, agents, servants and all employees from all claims, actions, omissions, lawsuits, damages, judgments. charges. expenses or liabilities, including attorney's fees and court costs, arising out of the negligence or willful misconduct of CCS and its officers, agents, servants, employees or subcontracted staff. For any claim or cause for which the Contractor has indemnification responsibilities pursuant to this provision, Contractor will retain full authority over any related defense, management and settlement decisions, including but not limited to, selection of counsel. CCS will provide the County a full copy of any claim or action within three (3) business days upon receipt. CCS will also disclose to the County within two weeks, any Letters of Intent received from claimant representation that could result in litigation. Nothing herein is intended to waive or forego any defenses that may be available to CCS or the County, including but not limited to sovereign immunity. Nothing in this Agreement will require CCS to indemnify or hold harmless the County from liability for the negligent or wrongful acts or omissions of the County or its officers, agents, servants or employees. The obligations under this Section will survive the termination of this Agreement

4.3 COMPREHENSIVE MEDICAL/MENTAL HEALTH CARE. CCS shall identify to the County those inmates with medical or mental health conditions which may be worsened as a result of being incarcerated at the Jail or which may require extensive care while incarcerated. The County shall use its best efforts to have such an inmate immediately released, transferred or otherwise removed from the Jail. In the event the County fails to immediately release, transfer, or remove the inmate from the Jail, CCS shall not be liable for any harm, damage or Joss caused by such inmate.

4.4 SECURITY OF CORRECTIONAL FACILITIES AND CCS. CCS and the County understand that adequate security services are necessary for the safety of the agents, employees, and subcontractors of CCS, as well as for the security of the inmate population and the County's staff: consistent with a correctional facility setting. The County will provide security sufficient to enable CCS, its employees, agents and/or subcontractors to safely provide the health care services described in this Agreement. CCS, its employees. agents, and/or subcontractors will follow all applicable security policies of the County while at the Jail. It is understood and agreed that, in accordance with the applicable corporate practice of medicine doctrine, the County will not restrict or otherwise interfere with the activities or judgment of the health care staff~ in matters which involve the practice of medicine or provision of health care services. It is further understood and agreed that the Jail is a correctional facility and that matters of institutional safety and security are

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peculiarly within the area of expertise of the County officials. Matters of institutional safety and security will be decided by the County.

ARTICLE V MISCELLANEOUS

5.0 INDEPENDENT CONTRACTOR STATUS. It is the express intent of the parties that this Agreement will not create an employer-employee relationship. CCS, its agents, consultants, subcontractors, independent contractors, or representatives, and any employees of CCS will not be deemed to be employees of the County and employees of the County will not be deemed to be employees of CCS. Neither CCS, its employees, agents, consultants, subcontractors, independent contractors. or representatives, nor the County's employees shall be entitled to any salary or wages from the other party or to any benefits made to their employees, including but not limited to overtime, vacation, retirement benefits, workers' compensation, sick leave or injury leave. CCS shall also be responsible for maintaining workers' compensation insurance, unemployment insurance for its employees, agents, consultants, subcontractors, independent contractors, and representatives, and for payment of all federal, state, local and any other payroll taxes with respect to its employees', agents', consultants', subcontractors', independent contractors', and representatives' compensation.

5.1 EQUAL EMPLOYMENT OPPORTUNITY. In connection with the carrying out of the activities provided herein, CCS, its agents, consultants, subcontractors, independent contractors, or representatives will not discriminate against any client, inmate, independent contractor, employee or applicant for employment, or any other person on the basis ofrace, color, religion, sex, disability, national origin, age, marital status or receipt of public assistance.

5.2 ASSIGNMENT. No party to this Agreement may assign or transfer this Agreement or any pati thereof~ without the written consent ofthe other party.

5.3 RECORDS AVAILABILITY. Any requirement of records disclosure under this Agreement will be subject to all applicable confidentiality provisions set fotih in law, regulation, privilege or ethical rule.

5.4 NOTICES. Any notice of termination, requests, demands or other communications under this Agreement will be in writing and will be deemed delivered: (a) when delivered in person to a representative the parties listed below; (b) upon receipt when mailed by t1rst-class certified mail, return receipt requested, addressed to the party at the address below:

If for CCS: If for County: Correct Care Solutions Michelle Sanborn

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1283 Murfreesboro Road, Suite 500 Nashville, TN 37217 Attn: General Counsel

43565 Elizabeth Road Mt. Clemens, MI 48043

with a copy to: John Schapka 1 South Main, 8'h Floor Mt Clemens. MI 48043

5.5 GOVERNING LAW. This Agreement shall be governed by and construed in accordance with the laws of the State of Michigan without regard to the conflicts of laws or rules of any jurisdiction.

5.6 COUN'fERPARTS. ·rhis Agreernent may be executed in several counterparts, each of which will be considered an original and all of which will constitute but one and the same instrument.

5.7 ENTIRE AGREEMENT. This Agreement including the documents referenced and incorporated herein represents the totality of the parties' agreement and supersedes any other documents or verbal discussions. The terms can be changed only by written agreement signed by both parties. CCS and the County hereby agree that all the terms and conditions of this Agreement shall be binding upon themselves, and their heirs, administrators, executors, legal and personal representatives, successors, and assigns.

[Signatures on Follo>ving Page]

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IN WITNESS WHEREOF, the parties have caused this Agreement to be executed as their official act by their respective representative, each of whom is duly authorized to execute the same.

AGREED TO AND ACCEPTED AS STATED ABOVE:

County of Macomb, Michigan By: Title:

. ·················-·-··-------

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Correct Care Solutions By: Jorge Dominicis Title: Chief

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ATTACHMENT 1

STAFFING AT MACOMB COUNTY JAIL

POSITION Mon Tue Wed Thu Fri Sat Sun Hrs/WK FTE

HSA (Contract Administrator) 8 8 8 8 8 40 1.00

Director of Nursing 8 8 8 8 8 40 1.00

Medical Director 8 8 8 8 8 40 1.00

Mid-Level 8 8 4 20 0.50

RN 28 28 28 28 28 12 12 164 4.10

LPN 36 36 36 36 36 24 24 228 5.70

Administrative Assistant 8 8 8 8 8 40 1.00

Medical Records Clerk 8 8 8 8 8 40 1.00

Dentist 10 10 20 0.50

Dental Assistant 10 10 20 0.50

Psychiatrist 8 8 8 24 0.60

MH Director 8 8 8 8 8 40 1.00

Psychologist* 2 2 0.05

MHP 24 24 24 24 24 16 16 152 3.80

Total Hours/FTE - Day 870 21.75

POSITION Mon Tue Wed Thu Frl Sat Sun Hrs/WK FTE

RN 12 12 12 12 12 12 12 84 2.10

LPN 36 36 36 36 36 24 24 228 5.70

Total Hours/FTE - Night 312 7.80

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ATTACHMENT 2

ESTIMATED BUDGET COST WORKSHEETS

CCS Budget Cost Worksheet- Macomb County, Ml 2016 Fiscal Year- Overall Program Budget

Total Pharmacy Costs

Personnel Costs

Salaries

Backfill

Overtime

Fringe

Pharmacy Costs• •

HIV Medications

Psych meds

All other Meds

On-site Variable Costs

On-site Care (pro fees, radiology, labs, clinics, etc.)

Medical & Dental Supplies/Equipment

Total On-site Variable Costs

Total Off-site Expenses

On-site Administrative Expenses Administrative Expenses toffice supplies. toner, postage, med1ca!

waste. printing office furniture. dues, etc)

Insurance & Legal Fees

Recruitment & Orientation

Travel

ERMA Annual License Fee

Total On-site Administrative

Total Costs:

Management Fee:

s $ $ $

2,028,188 166,819 47,568

364.256

$193,870

$74,062 $187.888

$93,046

$72,000

$91,258

$182,789 $30,000 $10,000

so

%

50.37%

$455,820 8.81%

$165.046 3.19%

$1,000,292 19.33%

$314,047 6,07%,

$4,542,036 87.76%

$633,729 12.24''/o

•T•o•ta6

!•S•t•a8rta-Ump_.c

8o•s•ts._ ____________________________________________ ~S~O~ ~

Total Year One Costs: $5,175.765 100.00%

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CCS Budget Cost Worksheet . Macomb County, Ml 2017 Fiscal Year- Overall Program Budget

%

Personnel Costs

Salaries $ 2,089,033 Backfill s 171,824

Overtime s 48,995

Fringe $ 375,184

50.37%

Ph<:~rmacy Costs''

HIV Medications $ 199,686

Psych meds $ 76,284 All other Meds s 193,525

8.81%

On-site Variable Costs

On-site Care (pro fees, radiology, labs, clinics, etc.) $ 95,837

Medical & Dental Supplies/Equipment $ 74,160

3.19%

Total Off-site Expenses $1,030,301 19.33%

On-site Administrative Expenses Administrative Expenses (office supplies. toner. postage, medical $ 93,996

waste, printing, office furniture .. dues, etc.)

Insurance & legal Fees s 188,273 Recruitment & Orientation $ 30,900

Travel s 10,300

ERMA Annual License Fee $ Total On-site Administrative $ 323,468 6.07%

Total Costs: $4,678.297 87.76"/o

Management Fee: $652.7 40 12.24%

•T•o•ta•l•S•t•a•rt•·U_.e•C•o•s•ts._ ______________________________________________ s~o-. 0.00%

Total Year Two Costs: $5,331,038 100,00%

*The parties agree that price increases for Fiscal Year 2017 will be negotiated; the above figures assume

an estimated annual increase of 3 percent from Fiscal Year 2016.

12

17

Total Costs:

Management Fee:

CCS Budget Cost Worksheet. Macomb County, Ml 2018 Fiscal Year. Overall Program Budget

$4 818 646 87.76%

$672.323 12.24%

•T•o•ta•I•S•t•a•~.-u.p_.c.o.st.s._ ____________________________________________ ~s~o- o.OO%

Total Year Three Costs: $5 490.969 100.00"/o

*The parties agree that price increases for Fiscal Year 2018 will be negotiated; the above figures assume

an estimated annual increase of 3 percent from Fiscal Year 2017.

13

18

To:

From:

Date:

RE:

Macomb County Executive Mark A. Hackel

David Flynn, Board Chair

Pamela J. Lavers, Assistant County Executive fl-March 30, 2016

Mark F. Deldin Deputy County Executive

Agenda Item- Friend of the Court, Budget Amendment Medicaid Reimbursement Expenses

Attached you will find documentation and a resolution from Friend of the Court Director, Thomas Blohm, to approve and amend the Friend of the Court 2016 budget to include an additional $131,809.22. The additional revenue was a result of monies received from the Michigan Department of Health and Human Services Third Party Liability Division.

These incentives are based on the quarterly amounts collected and sent to the Michigan Department of Health and Human Services Third Party Liability Division to reimburse Medicaid expenses.

The Executive Office respectfully submits this agenda item for the Commission's consideration and recommends approval of the budget amendment for Medicaid reimbursement expenses as stated above.

PJL/smf

cc: Thomas Blohm Steve Smigiel

One South Main ,., 8'h Floor '' Mt. Clemens, Michigan 48043 '' Phone (586) 469-7001 '" Fax (586) 469-7257

19

MACOMB COUNTY, MICHIGAN r~~~~IWPhJ4§~~11~~11~:~£•£•Jt~;i~r~~t•§•§aii•;t•j~~•.Mf~il~

RESOLUTION Resolution to:

Resolution to approve and amend the Friend of the Court's 2016 budget to include an additional $131,809.22. The additional revenue was a result of monies received from the Michigan Department of Health and Human Services Third Party Liability Division.

Additional Background Information (If Needed):

In the summer of 2015, all Friend of the Court offices in the State of Michigan were notified that there was a potential for a new income stream. The Friend of the Courts were notified that they would receive an incentive payment equal to 15% of the medical support the Friend of the Court office collected and sent to the Michigan Department of Health and Human Services Third Party Liability Division to reimburse Medicaid expenses. We would receive retroactive payments beginning the period of July 1, 2013. The remainder of the fiscal year, the Michigan Department of Health and Human Services Third Party Liability Division would make quarterly incentive payments for the most recent quarters and retroactive incentive payments for the quarter beginning July 1, 2013. When those payments would be made and the amounts of same were not specified until September 2015. For that reason, they were unable to be included in the 2016 Friend of the Court Budget.

Because of the retroactive payments, we received one payment of a substantial amount, $131,809.22, representing payments from October 1, 2014 through September 30, 2015, requiring Board approval to modify our budget to include the income. To maximize the value of the incentive, the State recommends we use the monies to enhance Friend of the Court services responsible for IV-D funding instead of supplanting current County funds. They suggest replacing existing local funding as a least resourceful way to use the incentive as it fails to take advantage of the opportunity to collect additional federal funds.

Committee Meeting Date

Kathy Vosburg, Chair, Justice and Public Safety Committee

Justice & Public Safety/Health & Human Services 4-13-16

*Further, this budget action addresses budgetary issues only. It does not constitute the Commission’s approval of any County contract. If a contract requires Commission approval under the County’s Contracting Policy or the County’s Procurement Ordinance, such approval must be sought separately. FORWARD TO THE FINANCE COMMITTEE.*(This language was added by Justice and Public Safety Committee Chair Vosburg.)

20

Mark A. Hackel ME M Q RAN DUM Cou11ty Ex"'~utive

DATE: 02/12/2016

TO: Office of County Executive

FROM: Thomas F. Blohm, Friend of the Court

RE: REQUEST APPROVAL I ADOPTION OF

Resolution to Amend 2016 Budget to Include Additional Revenue of $131,809.22

SUBJECT: To add an additional $131,809.22 to the Friend of the Court 2016 budget. That amount represents an additional revenue stream that was not available or known at the time the 2016 budget was developed. The additional revenue resulted from payments from the Michigan Department of Health and Human Services and represents a percentage of medical support collected to reimburse Medicaid expenses.

PURPOSE I JUSTIFICATION:··.··· ... ·· ..

These incentives are based on the quarterly amounts collected and sent to the Michigan Department of Health and Human Services Third Party Liability Division to reimburse Medicaid expenses. At some point, they will be paid on a quarterly basis. These initial payments represent a retroactive period from October 1, 2014 through September 30, 2015.

FISCAL IMPACT/ FINANCING: To maximize the value of the incentive, the State is strongly recommending the funds are used to enhance Friend ofthe Court services eligible for IV-0 funding instead of supplanting current County funds. It is suggested the funds be used to enhance local programs that would not reduce existing federal reimbursement.

Increases to the following categories are being requested through this resolution: Intergovernmental Revenue- $131 ,809.22; supplies and services- $17,500.00; Conference & Training- $3,000.00; Contract Services- $55,000.00; Internal Services- $7,200.00; Capital Outlay$22,200.00; Part-Time Wages- $24,939.00; FICA/Medicaid- $1,907.33; and Worker's Compensation/Unemployment/Other- $62.89.

FACTS AND PROVISION I LEGAL REQUIREMENTS (ffapplfcdbfe):\:i '\ The total sum of the additional revenue requested to be added to the 2016 budget is $131,809.22. This represents four retroactive payments of the 15% medical support incentive payment beginning October 1, 2014 through September 30,2015.

IMPACT ON CURRENT SERVICES (PROJECTS):

Please see attachment.

21

The State is strongly suggesting this money be used to enhance Friend of the Court services eligible for IV-D funding. Replacing existing local funding is the least resourceful way to use the incentive because it fails to take advantage of the opportunity to collect the additional federal funds. The following list contains possible ways to use the incentives to enhance local programs and is not all inclusive:

• Create specialty child support dockets • Meeting unfulfilled staffing targets • Close eligible cases with a more aggressive approach • Meet review and modification targets • Obtain better income information in default cases • Obtain consent judgments in establishment cases • Aggressively fix bad addresses • Operate new orientation programs to secure cooperation of both parties • Create orientation and educational programs • Provide outreach to improve parental cooperation • Implement electronic monitoring and jail alternatives • Consolidate county-level chlld support services • Purchase new computers • Purchase imaging equipment • Restore services that were cut due to budget reductions

22

Steven D, Capps Director

DATE:

TO:

FROM:

RE:

August 26, 2015

Michigan Supreme Court State Court Administrative Office

Friend of the Court Bureau Michigan Hall of Justice

P,O, Box30048 Lansing, Michigan 48909

Phone (517) 373-5975

MEMORANDUM

Chief Circuit Judges Presiding Family Division Judges Circuit Court Administrators Family Division Administrators Friends ofthe Court

Steven D. Capps

Michigan Department of Health and Human Services 15 Percent Medical Support Incentive

The Michigan Department of Health and Human Services (MDHHS) Third Party Liability Division soon will begin sending a 15 percent Medical Support Incentive payment to your county treasurer. The incentive payment is equal to 15 percent of the medical support that your friend of the court (FOC) office collected and sent to the MDHHS Third Party Liability Division to reimburse Medicaid expenses. The first payment will cover the period July 1 through September 30, 2013. 1 For the remainder of this fiscal year, the MDHHS Third Party Liability Division will make quarterly incentive payments for the most recent quarter and retroactive incentive payments from the quatier beginning July 1, 2013.

There are no state guidelines to explain how the county treasurer must handle the incentive payment, but 42 CFR 433.153 requires th~ state to pay the incentive to a local subdivision of the state "such as a prosecuting or district attorney or a friend of the court ... that enforces and collects medical support and payments for the agency." Because the FOC is the local agency that collects and enforces medical support in Michigan, we encourage you to work with your local treasurer to have the incentive payment deposited into the Friend of the Court (215) Fund, which was established under statute to receive deposits related to FOC activities.

The incentives are based on the quarterly amounts collected and sent to MDHHS Third Party Liability Division to reimburse Medicaid expenses and will at some point be paid on a quatierly

t The anticipated payments are in the attached spreadsheet.

23

August 26, 2015 Page 2

basis. However, the initial payments may not be directly associated with the end of the most recent quarter and will contain retroactive amounts.

• The first payment will cover the retroactive period July 1 through September 30, 2013.2

• The next payment(s) (the number and timing of payments has not yet been determined) will include the quarterly amounts from the remainder of the retroactive period (October 1, 2013, through June 30, 2015) plus the quarter ended September 30,2015 and possibly the quarter ended December 31,2015.

• Once the payments no longer include any retroactive amounts they will be paid on a quarterly basis after the end of a quarter.

The Office of Child Support (OCS) asked the federal Office of Child Support Enforcement (OCSE) whether, for accounting purposes, the Medicaid incentive must be treated as federal funds under 45 CFR 304.30 or program income under 45 CFR 92.25.3 Because OCSE has not yet answered how the incentive must be treated, for the rest of this fiscal year the OCS will report the incentive as program income and MDHHS Third Party Liability Division will only pay 34 percent of the incentive to the counties. Therefore, because OCS will report the incentive as program income, the FOC can use the incentive as the local match under the cooperative reimbursement contract.4 Regardless of current treatment, in future fiscal years the MDHHS Third Party Liability Division will pay the entire incentive to the counties and FOCs will have to account for it as OCS directs.5

To maximize the value of the incentive, we recommend you use it to enhance FOC services eligible for IV -D funding instead of supplanting current county funds. Replacing existing local funding is the least resourceful way to use the incentive because it fails to take advantage of the opportunity to collect additional federal funds.

The following list contains some possible ways to use the incentive to enhance local programs that would not reduce existing federal reimbursement:

(a) Create specialty child support dockets. (b) Regionalize certain activities to share an FTE to increase services when funds are

not sufficient to fund a full FTE in one office. (c) Meet unfilled staffing targets. (d) Close eligible cases with a more aggressive approach. (e) Meet review and modification targets. (f) Obtain better income information in default cases. (g) Obtain consent judgments in establishment cases. (h) Aggressively fix bad addresses.

2 The anticipated payments are in the attached spreadsheet. 3 OCS has preliminarily determined that the incentive should be treated as program income. 4 This also allows FOCs that cannot use the incentive immediately to carry it over into another fiscal year and still receive the full reimbursement under the cooperative reimbursement agreement in the current year. 5 In the event OCSE determines that the incentive does not fall within 45 CFR 304.30 or 45 CFR 92.25, the MDHHS will pay the remaining 66 percent of the incentive to the counties and pay the full incentive thereafter.

24

August 26, 2015 Page 3

(i) Operate new orientation programs to secure cooperation of both parties. G) Create orientation/education programs. (k) Provide outreach to improve parental cooperation. (1) Implement electronic monitoring and jail alternatives. (m) Consolidate county-level child support services. (n) Purchase new computers. ( o) Purchase imaging equipment. (p) Restore services that were cut due to budget reductions.

If you have questions concerning this memorandum or would like assistance in determining how various spending options will impact your budget, please contact Steven Capps at 373-9318 or cap [email protected] i. gQY.

25

2nd Payment of the 15% Medical Support Incentive By County, Oct/Nov 2015

The following spreadsheet contains the payment information related to the 2nd payment of the 15% Medical Support Incentive.

This payment contains retroactive amounts from FY14 and therefore as described in IV-D Memorandum 2015-026 this payment

is made under payment method #1.

Counties will receive the amount listed in the 34% column. The payment will be made within the next few weeks.

The information available for the electronic funds transfer (EFT) contains the following information:

Payment in accordance with 42 CFR 433.153, CSFOC 13-XXXX (varies with county)

Do not report the amount received on the DHS-286 in EGrAMS.

···;;·······->\: ......... ;.·•·" ?•-•··· -., .•. _ ... -. iirisi.O.-tr•I=Yi4; •. ·-•··· ~ ......... . 3:;.~- ci1:~; Fv:l:4 'J,: ;"c-4ih'Q.t:f.-r=.vi4 ':' < ....••.• uTAL// ·• > i 2nd Qtr':F:Yi4.> .=.-~/-·

AlCONA $ 1,390.48 $ 1,857.91 $ 1,220.00 $ 1,394.12 $ 5,862.51

ALGER $ 1,381.78 $ 1,534.85 $ 1,322.54 $ 1,056.72 $ 5,295.89

ALLEGAN $ 13,889.01 $ 15,595.10 $ 15,493.32 $ 14,310.77 $ 59,288.20

ALPENA $ 5,169.98 $ 5,938.27 $ 5,991.26 $ 5,179.38 $ 22,278.89

ANTRIM $ 3,315.72 $ 3,612.93 $ 4,157.21 $ 3,751.95 $ 14,837.82

ARENAC $ 3,239.91 $ 3,371.26 $ 4,001.50 $ 3,869.67 $ 14,482.34

BARAGA $ 1,035.63 $ 879.90 $ 1,101.70 $ 735.27 $ 3,752.50

BARRY $ 10,506.47 $ 12,134.32 $ 11,303.52 $ 10,626.24 $ 44,570.55

BAY $ 16,340.64 $ 20,055.73 $ 20,886.94 $ 16,323.50 $ 73,606.81

BENZIE $ 1,570.11 $ 2,197.72 $ 1,618.63 $ 1,541.56 $ 6,928.02

BERRIEN $ 30,653.35 $ 44,971.49 $ 37,951.44 $ 36,083.26 $ 149,659.53

BRANCH $ 9,282.87 $ 10,218.58 $ 11,189.83 $ 10,134.04 $ 40,825.32

CALHOUN $ 30,725.36 $ 37,245.03 $ 34,265.17 $ 34,620.70 $ 136,856.27

CASS $ 7,940.00 $ 9,580.10 $ 9,772.21 $ 9,310.37 $ 36,602.68

CHARLEVOIX $ 3,996.63 $ 4,545.03 $ 4,577.77 $ 4,101.78 $ 17,221.21

CHEBOYGAN $ 6,218.16 $ 6,931.17 $ 7,413.35 $ 4,966.87 $ 25,529.55

CHIPPEWA $ 4,805.40 $ 5,906.66 $ 6,127.20 $ 5,912.18 $ 22,751.44

CLARE $ 5,790.64 $ 6,866.85 $ 6,236.29 $ 6,013.85 $ 24,907.63

CLINTON $ 6,455.05 $ 6,958.58 $ 7,060.17 $ 6,697.81 $ 27,171.61

CRAWFORD $ 3,095.56 $ 3,916.60 $ 3,229.03 $ 3,486.21 $ 13,727.40

DELTA $ 6,956.97 $ 8,614.05 $ 8,337.54 $ 7,829.42 $ 31,737.98

DICKINSON $ 4,001.46 $ 5,195.98 $ 5,251.40 $ 4,127.63 $ 18,576.46

EATON $ 11,230.43 $ 14,373.56 $ 15,232.74 $ 14,015.44 $ 54,852.17

EMMET $ 4,091.88 $ 4,586.12 $ 4,962.02 $ 3,952.60 $ 17,592.62

. ·>/·····'•i-•.·•··34%'•·• ......... -.•• _\•.···.··.-·

$ 1,993.25

$ 1,800.60

$ 20,157.99

$ 7,574.82

$ 5,044.86

$ 4,923.99

$ 1,275.85

$ 15,153.99

$ 25,026.32

$ 2,355.53

$ 50,884.24

$ 13,880.61

$ 46,531.13

$ 12,444.91

$ 5,855.21

$ 8,680.05

$ 7,735.49

$ 8,468.59

$ 9,238.35

$ 4,667.31

$ 10,790.91

$ 6,316.00

$ 18,649.74

$ 5,981.49

26

2nd Payment of the 15% Medical Support Incentive By County, Oct/Nov 2015








'?••••:: 8_ /iC•.-;•,;:.Xi-?1"~;•··.· ... · ... ·-·-······- ···-- ·-·······- -~ .......... -~· .. ·····- ..•. . ..........

Ur.:J.Si•O.t:r'if'(i4'··•.•.i ' '2~d Qtr FY14 : •·?L3rd 0.tf'!=yi4.; r ib\i4i66.tFF¥i4 ){:{ •"{:'iX'it ·li'i.':;;•?J' GENESEE $ 90,470.38 $ 123,619.55 $ 115,949.74 $ 106,575.53 $ 436,615.20

GLADWIN $ 3,465.31 $ 4,593.98 $ 3,929.91 $ 4,013.90 $ 16,003.10

GOGEBIC $ 1,269.24 $ 1,834.07 $ 1,415.01 $ 1,257.69 $ 5,776.01

GRAND TRAVERSE $ 9,471.28 $ 11,981.64 $ 10,650.93 $ 10,093.38 $ 42,197.23

GRATIOT $ 8,237.01 $ 10,088.37 $ 9,198.03 $ 8,626.04 $ 36,149.45

HILLSDALE $ 8,695.02 $ 10,529.81 $ 11,061.58 $ 10,567.70 $ 40,854.11

HOUGHTON $ 3A30.32 $ 3,974.74 $ 4,103.20 $ 4,025.04 $ 15,533.30

HURON $ 2,624.02 $ 2,680.33 $ 3,024.51 $ 2,504.41 $ 10,833.28

INGHAM $ 40,705.85 $ 54,693.04 $ 48,385.45 $ 43,373.09 $ 187,157.43

IONIA $ 9,833.90 $ 13,261.97 $ 10,940.78 $ 10,660.05 $ 44,696.70

IOSCO $ 4,171.94 $ 5,077.07 $ 4,252.52 $ 3,955.56 $ 17,457.08

IRON $ 1,400.69 $ 1,336.40 $ 1,642.97 $ 1,304.21 $ 5,684.27

ISABEllA $ 7,386.05 $ 8,114.33 $ 8,114.78 $ 8,220.83 $ 31,836.00

JACKSON $ 26,857.46 $ 36,037.77 $ 32,342..50 $ 2.9,931.72 $ 12.5,169.45

KALAMAZOO $ 30,516.54 $ 44,009.45 $ 40,280.58 $ 36,953.35 $ 151,759.92.

KALKASKA $ 4,047.62 $ 4,692.95 $ 4,722.59 $ 4,994.94 $ 18,458.10

KENT $ 96,634.59 $ 122,919.11 $ 114,646.63 $ 104,449.73 $ 438,650.06

KEWEENAW $ 141.77 $ 213.99 $ 236.88 $ 176.88 $ 769.51

LAKE $ 2,586.77 $ 3,045.23 $ 2,201.18 $ 2,363.84 $ 10,197.02

LAPEER $ 15,964.52 $ 19,827.62 $ 17,127.07 $ 16,371.12 $ 69,290.33

LEELANAU $ 1,423.16 $ 1,251.96 $ 1,120.88 $ 1,024.30 $ 4,820.29

lENA WEE $ 15,500.98 $ 22,832.99 $ 21,117.29 $ 17,810.84 $ 77,262.09

LIVINGSTON $ 13,520.00 $ 15,157.59 $ 15,399.23 $ 15,827.78 $ 59,904.58

LUCE $ 705.36 $ 802.43 $ 1,204.37 $ 960.23 $ 3,672.38

c;•;•:.!?>/~4% ;;,···.·.·.············· ;'.•·,;•;c.•>:•,::·;;

$ 148,449.17

$ 5,441.05

$ 1,963.84

$ 14,347.06

$ 12,290.81

$ 13,890.40

$ 5,281.32

$ 3,683.32

$ 63,633.53

$ 15,196.88

$ 5,935.41

$ 1,932.65

$ 10,824.24

$ 42,557.61

$ 51,598.37

$ 6,275.75

$ 149,141.02

$ 261.63

$ 3,466.99

$ 23,558.71

$ 1,638.90

$ 26,269.11

$ 20,367.56

$ 1,248.61

27

2nd Payment of the 15% Medical Support Incentive By County, Oct/Nov 2.015






Payment in accordance with 42 CFR 433.153, CSFOC 13-XXXX {varies with county)


MACKINAC $ 1A67.30 $ 1A80.54 $ 1A10.07 $ 1,676.71 $ 6,034.61 $ 2,051.77

MACOMB $ 82,817.33 $ 108,709.79 $ 100,823.57 $ 95,323.49 $ 387,674.17 $ 131,809.22

MANISTEE $ 3,088.70 $ 3,535.87 $ 3,112.19 $ 2,962.65 $ 12,699.40 $ 4,317.80

MARQUETTE $ 7,957.10 $ 9,905.88 $ 8,537.10 $ 8,194.86 $ 34,594.93 $ 11,762.28

MASON $ 2,896.43 $ 3,642.82 $ 3,303.34 $ 3,666.34 $ 13,508.93 $ 4,593.04

MECOSTA $ 8,071.72 $ 9,552.97 $ 8,960.90 $ 8,403.85 $ 34,989.44 $ 11,896.41

MENOMINEE $ 5,169.61 $ 5A68.70 $ 4,722.79 $ 4A08.11 $ 19,769.21 $ 6,721.53

MIDlAND $ 7,651.47 $ 8,287.67 $ 8,594.97 $ 8,339.93 $ 32,874.04 $ 11,177.17

MISSAUKEE $ 2,351.25 $ 2,818.55 $ 2,793.38 $ 2,627.47 $ 10,590.65 $ 3,600.82

MONROE $ 15,259.59 $ 19,718.20 $ 19,121.22 $ 17,569.85 $ 71,668.86 $ 24,367.41

MONTCALM $ 14,645.74 $ 18,337.35 $ 17,287.50 $ 15,340.12 $ 65,610.71 $ 22,307.64

MONTMORENCY $ 1,115.63 $ 1,256.96 $ 1,031.55 $ 1,373.81 $ 4,777.95 $ 1,624.50

MUSKEGON $ 30,552.65 $ 43,516.02 $ 37,901.86 $ 33,823.20 $ 145,793.73 $ 49,569.87

NEWAYGO $ 10,599.98 $ 12,017.86 $ 12,970.35 $ 11,336.62 $ 46,924.82 $ 15,954.44

OAKLAND $ 95,374.84 $ 125,927.45 · $ 118,471.21 $ 103,889.59 $ 443,663.09 $ 150,845.45

OCEANA $ 4,614.42 $ 5,793.36 $ 5,463.63 $ 5,010.59 $ 20,882.00 $ 7,099.88

OGEMAW $ 4,283.48 $ 4,860.69 $ 5,891.97 $ 4A23.34 $ 19,459.49 $ 6,616.23

ONTONAGON $ 609.20 $ 695.87 $ 774.66 $ 734.73 $ 2,814.46 $ 956.92

OSCEOLA $ 5,206.43 $ 6,293.33 $ 61 097.25 $ 5,847.22 $ 23,444.22 $ 7,971.04

OSCODA $ 1,509.30 $ 1,773.28 $ 1,548.26 $ 1,576.82 $ 6,407.65 $ 2,178.60

OTSEGO $ 5,094.66 $ 6,022.02 $ 5,745.68 $ 5,426.31 $ 22,288.67 $ 7,578.15

OTTAWA $ 41,603.00 $ 45,023.95 $ 44,835.70 $ 40,702.50 $ 172,165.15 $ 58,536.15

PRESQUE ISLE $ 2,041.56 $ 2,324.50 $ 2,169.83 $ 2,043.94 $ 8,579.84 $ 2,917.14

ROSCOMMON $ 4,128.99 $ 5,373.51 $ 4,781.12 $ 4,123.06 $ 18,406.68 $ 6,258.27

28

2nd Payment of the 15% Medical Support Incentive By County .. Oct/Nov 2015








SAGINAW $ 39,649.52 $ 51,241.94 $ 46,461.06 $ 44,421.17 $ 181,773.69 $ SANILAC $ 9,150.46 $ 9,885.90 $ 9,192.23 $ 9,022.01 $ 37,250.60 $ STCLAIR $ 30,182.66 $ 36,694.70 $ 34,707.48 $ 32,443.12 $ 134,027.97 $ ST JOSEPH $ 14,693.85 $ 18,432.81 $ 16,943.57 $ $ 64,580.05 $ SCHOOLCRAFT $ 1,318.10 $ 1,709.79 $ 1,558.06 $ $ 6,130.32 $ SHIAWASSEE $ 10,453.51 $ 12,236.61 $ 11,785.31 $ $ 46,814.85 $ TUSCOLA $ 8,116.61 $ 9,984.25 $ 9,305.51 $ 8,924.24 $ 36,330.61 $ VAN BUREN $ 10,819.36 $ 12,654.24 $ 11,684.63 $ 11,295.77 $ 46,454.00 $ WASHTENAW $ 21,730.58 $ 28,722.46 $ 27,632.93 $ 25,487.89 $ 103,573.86 $ WAYNE $ 265,509.05 $ 401,124.88 $ 326,439.86 $ 297,614~28

WEXFORD $ 6,574.14 $ 7,352.03 $ 7,907.12 $ 7,075.84 $ 28,909.13 $ TOTAl $ 1,368,451.50 $ 1,802,040.88 $ 1,641,739.24 $ 1,509,586.50 $ 6,321,818.12 $

66% $ 903,177.99 $ 1,189,346.98 $ 1,083,547.90 $ 996,327.09 $ 4,172,399.96

34% $ 465,273.51 $ 612,693.90 $ 558,191.34 $ 513,259.41 $ 2,149,418.16

61,803.05

12,665.20

45,569.51

2.1,957.22

2,084.31

15,917.05

12,352.41

15,794.36

35,215.11

438,833.94

9,829.10

2,149,418.16

29

Suggestions for use of Medical Incentive Funds

1) Purchase equipment for employee training room- multiple computer monitors, desks, screen

and projector for Powerpoint presentations (this could also be used for community outreach

programs and orientation presentations)

2) Purchase additional computer equipment for staff- specifically additional dual monitors for

increased productivity, monitors for Referee Hearings rooms

3) Purchase telephones for Referee hearing rooms so parties who are out of state may participate

in hearings telephonically- increases access to court and ability for participation -especially

parties in the military

4) Print Friend of the Court Handbooks- required by statute

5) Update legal reference materials for use by Judicial Service Officer staff- purchase severaiiCLE

domestic law reference books- one set to be shared by legal enforcement staff

6) Community Outreach Programs- need to do some advertising to disseminate event information

to public, need printed materials to distribute, need display boards and tablecloths, projector

and screen and laptop to display Powerpoint presentations

7) Develop and print some Friend ofthe Court informational brochures to disseminate at

community outreach events- need several brochures regarding Friend of the Court and its

functions- example: brochure about Parenting Time, brochure about Child Support

Modification and how Child Support is determined, brochure about Child Support Enforcement

8) Orientation Program for cases not required to attend SMILE- open for any party with an FOC

file- need printed materials, hold presentations at FOC or at public venues like libraries,

community centers, need advertising to notify public- need staff to present- best if done

within short time frame of initial order being entered -positive FOC contact- identifies

problems

9) Perform additional Bench Warrant Sweeps in coordination with local law enforcement especially

sweeps intended to pick up parties with bench warrants who reside out of county- funds

needed for additional hours

10) Conduct a bench warrant amnesty event at several public venues with staff onsite with access to

MICSES either remotely or by contacting staff located in office to verify information

11) Conduct a Job Fair in cooperation with Michigan Works and local businesses

12) Conduct annual recreational license suspension programs with added printed materials

indicating potential penalties for hunting/fishing without a valid license

13) Develop specialized enforcement program for liens against real and personal property- added

costs to obtain verification of property ownership, filing liens with Register of Deeds or

Secretary of State, costs to execute liens to take possession of property

14) Develop specialized enforcement program for suspension of occupational licenses- special

mailings to applicable files

15) Develop specialized enforcement program for employer show causes- added costs for sending

certified mail and/or personal service of show cause hearings

16) Develop specialized enforcement program for suspension of driver's licenses for applicable fifes

17} Enhance current Onbase Imaging System to include document generation software, electronic

signature equipment, and label barcoding to eliminate paper and move to a more virtual office

environment.

30

18) Purchase copiers with fax capability and provide staff with fax capability from desktop to

minimize paper, ink costs, and staff time processing faxes manually and move to a more virtual

office environment.

19) Develop program for community service/volunteer work in lieu of jail time for applicable files

need to work with local community groups- set up program parameters, follow-up to confirm

hours fulfilled, create forms for verify hours, brochures about program

20) Develop program to comply with Alternative Contempt statute- which requires probationary

type program activities and monitoring

21) Develop an aggressive program to work on bad addresses and locate activities- may involve

subscribing to some pay services- the work number and etc ... in order to seek to locate

individuals- need funding to purchase copies of death certificates from those localities which

will not provide a copy free of charge

22) Conduct an aggressive case closure project to identify cases eligible for closure under the federal

regulations- example SSI recipients, parties in foreign countries, parties unable to be located

this will help with incentive factors and result in staff being able to focus on other cases needing

enforcement instead of uncollectible files

23) Many of the aforementioned programs would result in additional staff hours which would either

result in some type of compensatory time or overtime or the need to hire additional staff

however- once the programs and materials are developed the staff hours would be more

manageable as would only need to keep materials updated and incur time for actual

presentations or programs to be run.

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ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™

Macomb CountyElected Officials Compensation Survey

MARK GOLDBERG | MARCH 2016

32


Table of Contents

• Project Summary• Project Methodology• Analysis• Future Steps

© 2014 GALLAGHER BENEFIT SERVICES, INC. 2

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ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™© 2014 GALLAGHER BENEFIT SERVICES, INC. 3

Project Summary

• Gallagher Benefit Services (GBS) was contracted by the Macomb County Board of Commissioners (the County) to conduct a compensation and benefits study for elected officials

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Project Summary

• GBS was asked to gather market data on the following positions:o Board Chairmano County Commissionero County Executiveo Clerk/Register of Deedso Prosecuting Attorneyo Public Works Commissionero Sheriffo Treasurer

35


Project Methodology

• To obtain this information, GBS obtained market information through a combination of a custom survey and public records

• In order to provide a comprehensive analysis of the labor market for these positions, GBS gathered data from both within Michigan and other states located geographically close to Michigan

36


Project Methodology

• One of the first steps we needed to take before we can begin the survey was to identify the appropriate peer group for the County

• GBS used 3 factors when choosing these counties:o Geographic proximityo County Populationo Median Family IncomeAll counties, both inside and outside of Michigan, met

these 3 factors

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Project Methodology

• In considering these counties, a number of other factors (such as assets managed, organizational size, operational characteristics, etc.) were considered, but GBS chose to focus on these three as they are most common in the industry and provide the most reliable data.

• These criteria typically are good proxies for organizational complexity, operational characteristics, and scope of operations

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Project Methodology

• The counties within Michigan that we chose were:

Counties to survey Population Median Family IncomeWayne County, MI 1,820,584 $49,176 Oakland County, MI 1,202,362 $75,540 Kent County, MI 602,622 $54,770 Genesee County, MI 425,790 $48,979 Ingham County, MI 280,895 $53,063 Average 862,205 $57,391 Macomb County, MI 840,978 $62,816

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Project Methodology

• The counties outside Michigan that we chose were:

• GBS reviewed all selections for peer counties with Macomb before gathering the data and agreement was reached that they represented appropriate comparisons.

Counties to survey Population Median Family IncomeLake County, IL 703,462 $91,693 Will County, IL 677,560 $85,488 Hamilton County, OH 802,374 $64,683 Franklin County, OH 1,163,414 $62,372 Summit County, OH 541,781 $62,271 Allegheny County, PA 1,223,348 $65,678 Marion County, IN 903,393 $54,142 Average 868,826 $69,475 Macomb County, MI 840,978 $62,816

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Project Methodology

• When surveying counties outside of Michigan, GBS adjusted all compensation based on the cost of labor for that area

• Cost of labor data was obtained from the Economic Research Institute, which draws its data from surveys of salaries paid to similar jobs and related cost of living indexes

• Counties outside of Michigan ranged in their cost of labor from 2% below Macomb County to 7% above Macomb County

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Project Methodology

• The survey asked the following questions:o Number of employees in the Countyo Base pay for the listed elected officialso Was the salary adjusted regularly and if so, how

often? o Is a car allowance provided and, if so, how much?o Is a cell phone/internet allowance provided and, if so,

how much?o What additional compensation or stipends are

provided to these employees?• GBS received responses from every survey

participant except for Franklin County, OH

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Project Methodology

• For each position, the percentage difference has been calculated between the County salary and the market salary in terms of the County salary:

o Positive (+) figure indicates that County pays above the market

o Negative (-) figure indicates that County pays below the market

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Project Methodology

• The following standard professional guidelines are used when determining the competitive nature of current actual compensation:

o +/- 5% (Highly Competitive)o +/- 10% (Competitive)o +/- 11-15% (Possible misalignment with the market)o +/- > 15% (Significant misalignment with the market)

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Analysis

Elected PositionMichigan Average

Annual $Michigan Average

Hourly Rate

Non-Michigan Average Annual

$

Non-Michigan Average Hourly

Rate

Total Market Average Annual

$

Total Market Average Hourly

Rate

Clerk/Register of Deeds $121,945 $58.63 $92,432 $44.44 $104,731 $50.35

Prosecuting Attorney $144,539 $69.49 $146,638 $70.50 $148,066 $71.19

Sheriff $124,418 $59.82 $114,644 $55.12 $120,259 $57.82

Treasurer $133,198 $64.04 $98,609 $47.41 $109,270 $52.53

County Commissioner $38,675 $18.59 $44,017 $21.16 $43,141 $20.74

Board Chairman $44,008 $21.16 $59,654 $28.68 $56,232 $27.03

County Executive $160,067 $76.96 $152,679 $73.40 $159,387 $76.63

Public Works Commissioner $132,546 $63.72 $124,448 $59.83 $128,967 $62.00

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Analysis

Elected Position

Macomb Maximum

SalaryMacomb

Hourly RateMI Market

Comparison

Non-MI Market

ComparisonTotal Market Comparison

How Macomb Position Compares to Total

Market

Clerk/Register of Deeds $106,745 $51.32 -12.46% 15.49% 1.92% Highly Competitive

Prosecuting Attorney $115,482 $55.52 -20.10% -21.25% -22.01%Significant misalignment

with the market

Sheriff $106,913 $51.40 -14.07% -6.74% -11.10%Possible misalignment

with the market

Treasurer $106,745 $51.32 -19.86% 8.25% -2.31% Highly Competitive

County Commissioner $30,746 $30.75 -20.50% -30.15% -28.73%Significant misalignment

with the market

Board Chairman $66,596 $33.30 51.33% 11.64% 18.43%Significant misalignment

with the market

County Executive $139,773 $67.20 -12.68% -8.45% -12.31%Possible misalignment

with the market

Public Works Commissioner $111,540 $53.63 -15.85% -10.37% -13.51%Possible misalignment

with the market

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Analysis

• Based on the market information, there are five positions that appear to be below market:

o Prosecuting Attorneyo Public Works Commissionero Sheriffo County Executiveo County Commissioner

• GBS recommends that the County consider these data when determining the salary for these jobs

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Analysis

• Based on the market information there is one position that appears to be above market:

o Board Chairman

• Only the data for this position displayed a significant level of variance; the rest of the positions surveyed had a normal level of distribution of data

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Analysis

• Although GBS was not asked to examine the pay for appointed officials within Macomb County, it is presented for illustrative purposes only to show how salaries of the elected officials compare to those of the appointed officials

• This data is shown on the next slide

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Analysis

Appointed Position SalaryMedical Examiner 389,340$ Medical Director 156,410$ Circuit Judge 139,919$ Probate Judge 139,919$ Corporation Counsel 134,780$ Finance Director 134,780$ Deputy County Executive 132,600$ Community Services Director 130,050$ Health & Community Services Dir. 130,050$ Human Resources Director 130,050$ Planning Director 127,738$ Director of Roads 121,160$ Health Officer 121,160$ Deputy Finance Director 117,870$ Facilities Operations Director 117,870$ Information Technology Director 117,870$ Circuit Court Administrator 114,542$ Chief Assistant Prosecutor 112,335$ Assistant County Executive 112,200$

Elected Position

Macomb Maximum

Salary County Executive 139,773$ Prosecuting Attorney 115,482$ Public Works Commissioner 111,540$ Sheriff 106,913$ Clerk/Register of Deeds 106,745$ Treasurer 106,745$ Board Chairman 66,596$ County Commissioner 30,746$

Macomb County Appointed and Elected Position Comparison

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Analysis

• Macomb County is required by statute to set the rates of pay for its elected officials for a 4 year cycle, currently for 2016-2020:

• In order to align the pay of elected officials with the market, GBS has projected the pay for these officials out to 2020 using a market standard 2% increase.

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Analysis

• Data from WorldatWork, the international professional compensation association, shows that increases in Michigan over the past several years has been consistent with that of the national average of around 2.75%

• Increasing the salaries of elected officials 2% each year would be in line with salary increase within the County and would allow the elected officials pay to remain market competitive into the future

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Analysis

• GBS used the market average for all positions and increased them by 2% per year except where the current salary was greater than the market.

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Analysis

TitleMacomb 2016

Maximum SalaryCurrent Market Average (2016) 2017 2018 2019 2020

Clerk/Register of Deeds $106,745 $104,731 TBD TBD TBD TBDProsecuting Attorney $115,482 $148,066 $151,028 $154,048 $157,129 $160,272Sheriff $106,913 $120,259 $122,664 $125,118 $127,620 $130,173Treasurer $106,745 $109,270 $111,456 $113,685 $115,959 $118,278County Commissioner $30,746 $43,141 TBD TBD TBD TBDBoard Chairman $66,596 $56,232 TBD TBD TBD TBDCounty Executive $139,773 $159,387 $162,575 $165,827 $169,143 $172,526Public Works Commissioner $111,540 $128,967 $131,546 $134,177 $136,860 $139,598

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Analysis

• In the custom survey for counties outside of Michigan, GBS also asked participants to respond on the following subjects:o Salary Adjustments for elected officialso Car Allowanceo Cell Phone/Internet Allowanceso Additional Compensation or Stipends

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Analysis

• For the question on Salary Adjustments for elected officials: o There were not enough responses to draw any conclusions

from the market

• For the question on Car Allowances for elected officials: o Responses varied on this questiono One participant provides fleet service to those that qualify o Another participant offers $583.33 per month to the County

Chair for a vehicleo The data was inconclusive and too varied to be able to

provide any recommendations on this program

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Analysis

• For the question on Cell Phones provided for elected officials: o Responses varied on this questiono Three participants stated that elected officials are provided

cell phones by the Countyo Another participant stated that cell phone use was subject to

departmental budget limitationso No County provided a budgeted amount for how much is

spent on cell phones for elected officials per yearo The data was not conclusive but does indicate that cell phone

use is a benefit provided to elected officials

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Analysis

• For the question on additional compensation provided for elected officials: o Most participants did not provide data on this questiono One participant stated that the County Administrator received

additional compensation for being on the Liquor Commission in addition to acting as County Administrator

o Another participant stated that the County Administrator would receive an additional retirement benefit

o The data was inconclusive and too varied to be able to provide any recommendations on this program

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Future Steps

• GBS does not recommend adjusting the compensation for the Board Chairman position down due to the extremely high variance in the reported rates and the variance in the nature of the county commissions surveyed

• The positions where the current salary was used to project future wages due to the 2016 salary being higher than the market were:

o Board Chairmano County Commissionero Clerk/Register of Deeds

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Future Steps

• The County asked GBS to provide recommendations on best in class practices for determining the salaries of elected officials

• There are two methodologies we would recommend:

o Aligning pay for elected officials against comparable internal positions

o Aligning pay for elected officials against comparable positions within the State Government

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Future Steps

• Aligning pay for elected officials against comparable internal positions would require:

o Selecting appointed positions within the County whose decision making and impact on the organization would be comparable to each elected official

o This would be the recommended option as the County would have control over the pay for these positions

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Future Steps

• Aligning pay for elected officials against comparable positions in the State Government would require:

o Selecting specific positions within the State whose decision making and impact on the organization would be comparable to those within the County and aligning the pay for the County position directly with that of the State

o Using this option would take control over the pay for these positions out of the County

o If the position in the State were to be reclassified or have a pay change, then the comparable position in the County would also have to be adjusted

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Future Steps

• GBS recommends the County determine if salary adjustments for the following positions are appropriate based on the market data gathered:

o Prosecuting Attorneyo Public Works Commissionero Sheriffo County Executive

• The County should continue to update the salaries annually for elected officials.

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Future Steps

• 2% is a standard increase based on the market in the Michigan area and would allow the salaries for these officials to remain competitive in the future

• In our experience, most elected official salaries are adjusted at the same rate as the average for all other employees

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Thank You Mark GoldbergSenior ConsultantCompensation Consulting PracticeGallagher Benefit Services, Inc.651.234.0841 Main651.635.0980 Fax

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MACOMB CORRECTIONAL FACILITY COMMUNITY LIAISON COMMITTEE MEETING MINUTES

March 22, 2016

MRF Staff present: Deputy Warden George Stephenson, Deputy Warden Darrell Steward, Human Resource Officer Elaine Davis, Business Manager Janine LaCroix, ITO Felix Felder, Inspector Robert Leduc, Prisoner ReEntry Kay Magley, HUM Heather Cooper, and Warden’s Secretary Heather Dery. Community Members: Chief Denny Fouchia, Lenox Twp. Fire Department; Barb Caskey, Macomb Community Corrections Director; Kathy Vosburg, Macomb Board of Commissioners Chair; Vicki Wolber, Macomb Emergency Management and Communications Director; Damon Hawkins, Macomb Parole Office; Jeff White, Chief Paramedic Richmond Lenox EMS . The meeting was called to order at approximately 2:10 p.m. A light lunch and refreshments were provided to the guests. Deputy Warden Steward welcomed the community members to the Community Liaison Meeting shared some highlights since the last meeting. The group shared a round robin of introductions. Darrell Steward, Deputy Warden January 5, 2016, Director Washington came to MRF for a tour and to present Officer Hartzler with a Lifesaving Award. MRF participated in the Lenox Twp Shop with a Cop program during the holidays. The facility raised over $2000 for the program. MRF continues to assist relief efforts in Flint, providing officers and vehicles to the operation. The Leader Dog program has been in the facility for nearly a year. There has been a noticeable positive change within the prisoners that are in the Leader Dog program. There haven’t been any physical plant changes since the last meeting. There is one level one building that houses 120 prisoners. There are four level two buildings that house 912 prisoners. There is one level four general population building that houses 192 prisoners. There is one level four Resident Treatment Program (RTP) building that houses 176 prisoners. MRF continues to maintain the 22 bed Segregation unit. George Stephenson, Deputy Warden Our count is currently 1367, and changes depending on ride ins and ride outs (additions and deletions from other facilities). There are a few vacant positions in the housing division, a resident unit manager (RUM) position, which is currently being filled by an acting RUM, and a prison counselor (PC) which is now being filled with an acting PC and there is one PC vacancy that has not been back filled. Everything will stay status quo until a new manager is hired. There is a vacancy in programs that has been posted and filled by the second week of April. A new recreation director has been hired. MRF is running 32 programs at the facility in addition to what is provided through the school. The newest program is a joint operation with the Detroit Employment Solutions Corporation (DESC). They are a vendor that is working for the city of Detroit and are looking for parolees that are leaving Macomb and going directly to the city of the Detroit. The DESC is working with Mayor Duggan’s office and using his contacts to find employment for those parolees. This is a new program; there is no data to analyze yet.

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There are 154 volunteers from the community that come into the facility on a regular basis to help support our 32 programs at the facility. 73 are religious and 81 are non-religious. The volunteer banquet is tentatively set for May 25, 2016. Ms. Vosburg inquired as to whether the DESC will track the participants through the parole process. Deputy Stephenson confirmed the participants will be tracked, but that responsibility is the DESC’s. Mr. Hawkins inquired about the number of parolees in the program and Deputy Stephenson explained the goal was to have 400 parolees from this facility that parole directly to the city of Detroit. Deputy Stephenson offered to pass some information regarding the DESC program on to Mr. Hawkins. Ms. Wolber explained the Citizen Corps program to the group and suggested it may be beneficial to encourage the MRF volunteers to learn about the organization for emergency preparedness. Janine LaCroix, Business Manager Ms. LaCroix explained the several projects that are currently underway at the facility. A new boiler system will be installed in the near future as well as a new VOIP phone system. The control center has been updated with the new camera systems. The Deputy Suite has been updated with two new offices to house the additional Deputy Warden secretary. The IKON water restriction system project is ongoing at the facility. Housing units four and seven are finished. The facility is still heading toward a central laundry system to combat the increase in water bills over the past three years. Two vehicles have been upgraded for the facility. There are five vacancies in the services department at the facility. There have been several projects within the facility completed over the past several months. The biggest project was the water tower, which was drained and then cleaned and sanitized on the inside. The outside was painted and the water tower was refilled. In the coming months, the facility will be receiving a new phone system and round readers. The round reader system provides more accurate accounting when officers conduct their rounds by reading a sensor on the officer’s person. There have been two new contracts in the recent past. MDOC has contracted with Trinity to provide food service and with Keefe to provide store services. Ms. LaCroix provided a brief explanation of the new kiosk system used to purchase items directly from Keefe. Elaine Davis, Human Resource Officer MRF has recently hired two Prison Counselors, one plumber, an RTP psychologist. A transportation officer transferred to the facility. The facility will soon be hiring a Registered Nurse. There are several positions yet to be filled, but as of February, there are 336 employees at the facility. Kay Magley, Prisoner ReEntry There are 79 prisoners enrolled, 20 of which are headed to Macomb County. Prisoners are now leaving with their Medicaid cards, and instructions on how to activate it upon their departure. Employment Specialist Gamble is helping to ensure prisoners have their social security cards and birth certificates. The BET teacher is helping the prisoners with their resumes. The veterans are being helped with any benefits they may have once they leave the facility. ReEntry is running smoothly.

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Robert Leduc, Inspector There have been a few security enhancement projects that have finished up since our last meeting. The camera system for both inside the facility and outside the facility is 99% completed. The outside lighting project is also 99% completed. The Guard One system is the system the facility will begin using to record rounds electronically. It should be up and running the first week of April. The log books will still be used for the time being. Heather Cooper, Health Unit Manager There is a new Health Services Administrator, Lia Gulick. The Integrated Care Pilot has gone well at MRF and the health care contract has been awarded to Corizon. Felix Felder, Training Officer The 2016 training program is 98% complete. There is a group of Ferris State students that will be coming to the facility in April to participate in an internship program. Facility weapons training starts in May. Jeff White, Richmond Lenox EMS Nothing new to report. Things have not been as busy as they were in the recent past. Damon Hawkins, Macomb Parole Office Nothing specific to report. Mr. Hawkins indicated he has attended a few parole orientations and has found them to be very interesting. Vicki Wolber, Macomb Emergency Management and Communications Director Ms. Wolber explained the COMTEC facility and invited the group to tour the building. She suggested partnering with the facility and sharing camera systems as well as possibly serving as a backup center if needed. COMTEC also has cache radios on the state frequency that are available to MRF if needed. Chief Fouchia, Lenox Twp. Fire Department Chief Fouchia inquired if there had been any physical changes to the tours. Ms. LaCroix confirmed there were not. He asked if there were any plans to reinstitute the community work program. Ms. LaCroix explained the state redeployed the vans MRF had for that purpose. Chief Fouchia stated the department has been average on their call volume. He is heading up the county fire training committee and they are in the process of training 750 firefighters in flashover training from all 25 fire departments. No county in the history of the state has ever attempted to train this number of firefighters.

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Commissioner Kathy Vosburg, Macomb County Board of Commissioners The board of commissioners has recently been reviewing reports and is trying to obtain useful data for the community regarding recidivism and regarding community mental health. The conversation today has been very enlightening. Barb Caskey, Macomb County Community Corrections Community Corrections is responsible for providing interventions to misdemeanor and local felony offenders if they don’t end up in the state system. Macomb County has seen an increase positive drug testing, landing offenders in the state system. There is a big issue with opiate use, and Community Corrections is fighting to get an opiate abuse aspect added to their current program. Deputy Steward asked if Community Corrections had any programs for prisoners that discharge vs. paroling. Ms. Caskey indicated there aren’t any specific programs, but suggested that prisoners call their local re-entry office to see if there are any resources available. Next Meeting: The meeting concluded at 3:02 p.m. The next meeting will be held on June 22, 2016 @ 2:00 p.m. in the Macomb Correctional Facility Training Room. cc: Committee Members Cheryl Wilcox Administrative Staff

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board of commissioners...board of commissioners th 1 s. main st., 9 floor mount clemens, michigan...

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