wake county human services and environmental services board
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www.wakegov.com
Wake County Human Services and Environmental Services Board
May 24, 2012 AGENDA
Human Services Center 220 Swinburne St., 2nd Fl., Rm. 2132 Standing Time: 7:30AM – 10:00AM
Dianne Dunning, Chair Pablo Escobar, Vice Chair
Purpose: Advocacy, Policy, Advisory, Accountability
7:35 am Executive Committee: Dr. Dianne Dunning, Chair
• Board Fund Request for LINKS Program (Human Services Foster Care Annual Graduation & Promotion Ceremony)
7:40 am Board Advocacy Workgroup: Dr. Sharon Foster, Chair
• Update on Board Advocacy - Dr. Sharon Foster
7:30 am Meeting Called to Order
Invocation
Approval of Minutes: April 26, 2012
Next Board Meeting: June 28, 2012
Regular Agenda:
7:45 am HS&ES Directors' Q & A
8:00 am Chair's Report
Closed Session: 8:05 am Review WCHS Director's Job Description and Begin Process to
Participate and Gather Input in Director's Annual Performance Review
Board’s Planning Session for WCHS Strategic Plan: 8:30 am - 10:00 am
Engage the Board for participation and input into the development of the WCHS Two-Year Strategic Plan
10:00 am Adjournment
Information Packet Items
2 of 2
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)
Human Services and Environmental Services Board Quarterly Meeting Schedule
June 2012
SunSunSunSun MondayMondayMondayMonday TuesdayTuesdayTuesdayTuesday WednesdayWednesdayWednesdayWednesday ThursdayThursdayThursdayThursday FridayFridayFridayFriday SatSatSatSat
1
9am-10:30am Social Services,
Rm. 5032
2
3 4
BOC 2pm----
5 6 7 8
11:30am – 1:30pm
Environmental Services – Library Admin., 4020 Carya Dr.
9
10 11 12 13 14
8am – 10am Bd. Executive
Cmte. Rm. 5032
15
11:30am – 1pm LME Human
Rights, HS Millbrook Ctr., 2809 E. Millbrook Rd. __________
Noon – 2pm Public Health, Rex Women Ctr.,
Rm. 100B
16
17
18
BOC 2pm---- ___________
11:30am – 1:30pm
Wake County Links Annual
Graduation & Promotion
Ceremony (2012
Graduating Class) –
Commons Bldg.
19
Noon – 2pm - LME
Advisory, 401 E.
Whitaker Mill Rd., Rm. 210
20
Board Packet
Distribution
21
3:30pm – 5:15pm - Housing
& Cmty. Revitalization, Rm.
5032
22 23
24 25
12:45pm – 2pm HRC – Rm.
5032
26 27 28
7:30am – 10am HS & ES
Board Mtg. Rm. 2132
29 30
July 2012
SunSunSunSun MondayMondayMondayMonday TuesdayTuesdayTuesdayTuesday WednesdayWednesdayWednesdayWednesday ThursdayThursdayThursdayThursday FridayFridayFridayFriday SatSatSatSat
1 2
BOC 2pm----
3 4 County Holiday)
5 6
9am-10:30am Social Services,
Rm. 5032
7
8
9 10 11 12
8am – 10am Bd. Executive Cmte. Rm. 5032
13
11:30am – 1:30pm Environmental Services –
Library Admin., 4020 Carya Dr.
14
15 16
No BOC Mtg. ----
17
Noon – 2pm - LME Advisory, 401 E.
Whitaker Mill Rd., Rm. 210 (Dissolved???)
18
Board Packet Distribution
19
3:30pm – 5:15pm - Housing & Cmty. Revitalization, Rm.
5032
20
LME Human Rights Subcommittee (moved to MCO) __________
Noon – 2pm Public Health, Rex Women Ctr.,
Rm. 100C*
21
22 23
12:45pm – 2pm HRC – Rm. 5032
24 25 26
7:30am – 10am HS & ES Board Mtg. Rm. 2132
27 28
29 30 31
August 2012
SunSunSunSun MondayMondayMondayMonday TuesdayTuesdayTuesdayTuesday WednesdayWednesdayWednesdayWednesday ThursdayThursdayThursdayThursday FridayFridayFridayFriday SatSatSatSat
1
2
3
9am-10:30am Social Services, Rm. 5032
4
5
6 BOC 2pm----
7
8
9
8am – 10am Bd. Executive Cmte. Rm. 5032 __________
10
11:30am – 1:30pm Environmental Services –
Library Admin., 4020 Carya Dr.
11
12
13
14
15
16
3:30pm – 5:15pm - Housing & Cmty. Revitalization, Rm.
5032
17
9:30am – Noon Regional Networks Cmte. & Community
Advisory Committees Joint
Mtg., N.C. Rural Ctr., Carya Drive __________
Noon – 2pm
Public Health, Rex Women Ctr.,
Rm. 100B
18
19
20 BOC 2pm----
21
Noon – 2pm - LME Advisory, 401 E.
Whitaker Mill Rd., Rm.
210 (Dissolved???)
22
23
7:30am – 10am HS & ES Board Mtg. Rm. 2132
24
25
26
27
12:45pm – 2pm HRC – Rm. 5032
28
29
30
31
Assignments to Committees
Executive
Committee 2nd Thursday
8am – 10am
Rm. 5032
Community and
Public Health 3rd Friday, noon
Rex Women Ctr.
Environmental
Services 2nd Fri., 11:30am, Library
Admin. Carya Dr.
Social Services 1st Friday
9am – 10:30am
Rm. 5032
LME Advisory 3rd Tues., Noon,
401 E. Whitaker Mill Rd.
Rm. 210
Dianne Dunning
Pablo Escobar
Frank Eagles
Leila Goodwin
Melissa Jemison
Paul Norman
Benny Ridout
Stephanie Treadway
Staff:
Regina Petteway
Joe Durham
Ramon Rojano
Joseph Threadcraft
Bob Sorrels
Benny Ridout
Burton Horwitz
Sharon Foster
Staff:
Michelle Ricci
Sue Lynn Ledford
Brent Myers, EMS
Peter Morris
Regina Petteway
Andre Pierce
Yvonne Torres
Community:
Laura Aiken
Kevin Cain
Barbara A. Hughes
Anne McLaurin
Leena Mehta
Ann Rollins
Heidi Swygard
Penny Washington
Leila Goodwin
Dianne Dunning
Frank Eagles
Benny Ridout
Melissa Jemison
Jeff Smith
Staff:
Joseph Threadcraft
Sue Lynn Ledford
Deborah Peterson
Andre Pierce
Matt Roylance
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
Paul Norman
Burton Horwitz
Julian Smith
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
Brandon Trainer
Tracy Turner
Angie Welsh
April Womack
Marc Zarate
Stephanie Treadway
Pablo Escobar
Kent Earnhardt
Melissa Jemison
Staff:
Carlyle Johnson
Ann Wood
Community:
James Hartye, WakeMed
Marc Jacques
Rhonda Spence
Affordable
Housing &
Community
Revitalization 3rd Thursday
3:30pm – 5pm, Rm. 5032
Regional
Networks
Development Qtrly, Rm. 5040
Human Rights/
Consumer Affairs 4th Mon., 12:45-2pm
Rm. 5032
LME
Human Rights
Subcommittee Bi-monthly, 3rd Friday,
Varying Times HS Millbrook Ctr.
Melissa Jemison
Dianne Dunning
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
Benny Ridout
Staff:
Darryl Blevins
Rosena West
Ross Yeager
Regina Petteway
Staff:
Matt Burton
Sharon Brown
Andre Pierce
Bob Sorrels
Community: Arsenio Carlos, ERC
Rev. Lenwood Long, NRC
Eugenia Pleasant, NRC
Lunette Vaughan, SRC
Pablo Escobar
Kent Earnhardt
Osama Said
Staff:
Brian Gunter
Leticia Mendez
Fabiola Sherman
Community:
Laura Goddard
Phillis Ross
Don Wiseman
Rich Greb Laura Goddard
Bruce Benedict
Martha Brock
Kent Earnhardt
Marc Jacques
Martha Pitts
Staff:
Glenda Reed
HUMAN SERVICES AND ENVIRONMENTAL SERVICES BOARD
AGENDA ITEM
Agenda Date: May 24, 2012
Committee/Item: Executive Committee: Wake County Human Services Foster Care Annual Graduation & Promotion Ceremony
Specific Action Requested:
The Human Services Board Executive Committee recommends that the Board attend the LINKS Program
graduation celebration on June 18, 2012 at 11am and designate $1,000.00 _ funding from the Human Services Board Voluntary Fund for 12 students graduating from high school and on to self-sufficiency; 8 students graduating from 8th grade and 3 students graduating from college. Invitation flier is attached.
Item Summary:
For the past several years, the Board has supported the LINKS Program by attending the graduation celebration and making a contribution to be used to purchase gifts for foster care students graduating from high school and on to self-sufficiency. This year, twelve (12) students are on target to graduate (8 females, 4 males). Even though youth have aged out of foster care or terminated their placement agreement, we still like to acknowledge their educational accomplishments. All of the seniors have set goals for themselves and are looking forward to putting these plans into action. This school year the LINKS Program has been able to work with the youth more closely during their career planning process. The LINKS Program is very proud to announce that six (6) of this year’s graduating class plans to continue their education by attending college. Two (2) youth are planning to join the selective service (Air Force and Navy). Two (2) youth have been accepted to Fostering Bright Futures through the WCHS partnership with Wake Tech Community College. All other youth plan to pursue trade/technical schools or establish themselves independently in the community. Wake County Human Services LINKS Program/Graduation Committee is making every effort to ensure that the graduates receive the assistance they need to move forward. We are very proud of the efforts that our youth are making and would like to wish them much success.
We hope that you are able to assist us in this effort by offering a donation and by honoring us with your attendance. (Reference): --Human Services Board Voluntary Fund Balance as of May 1, 2012: $1,161.71
--The HS Bd. Contributed $1,200 for 15 students in 2011. $1,260 for 21 students in 2010. $1,500 for 15 students in 2009.
$1,000 for 10 students in 2008. $1,800 for 18 students in 2007. $1,800 for 18 students in 2006.
$1,400 for 14 students in 2005. $1,700 for 17 students in 2004. $1,400 for 12 students in 2003. $1,800 for 21 students in 2002.
Submitted by: Kimberly W. Herrington, Social Work Supervisor/LINKS Supervisor
Save the Date!!
WAKE COUNTY LINKS ANNUAL GRADUATION & PROMOTION
CEREMONY
Join us as the LINKS Program Celebrates our
2012 Graduating Class!
Monday, June 18 , 2012 11:30am - 1:30pm
Wake County Commons Building 4011 Carya Drive
Raleigh, NC 27610
Wheeler: Wake Tech program gives foster children a fighting chance
BY Burgetta Eplin Wheeler - [email protected] PUBLISHED IN: WHEELER
News & Observer Friday, May 4, 2012
Fostering Bright Futures
The program is looking for tutors and mentors. For more information, see www2.waketech.edu/blogs/fosteringbrightfutures or call coordinator Michelle Blackmon at 919-866-5504.
More information
By the numbers
550: The average number of children in the Wake County foster care system
40: The percentage of former Wake foster youths who are incarcerated
40: The percentage of young women formerly in Wake County’s care who become pregnant before age 19
Veronica Armstrong is set to be the first graduate of Wake Tech's Fostering Bright Futures program next month. She is seen walking to a practical in her Biology class at the school in Raleigh, NC on April 19, 2012.
During Veronica Armstrong’s childhood, her small shoulders carried large burdens into chaotic houses all over Wake and Johnston counties and in and out of two group homes and two foster homes.
The instability, the scars from her mother’s mental illness and the sadness from losing touch with beloved siblings dispersed into adoption and foster care could have been weights that pulled her under.
But Armstrong, now 24, carried something else with her as well: the conviction that she would be the first in her family to graduate from college.
On Saturday, she will defy long odds – only 50 percent of foster children even graduate from high school; 2 percent from post-secondary education – when she accepts an associate’s degree in criminal justice from Wake Tech Community College.
In her navy-blue cap and gown, she also will stand before the crowd as the first graduate of Wake Tech’s Fostering Bright Futures program, a private-public partnership that provides scholarships, tutors and life coaches to former Wake foster children who qualify.
“Without the program, I would still be successful,” says Armstrong, who lives in Raleigh. “I had a made-up mind when I joined. But I would have been walking a bit bent over. And I’d be lost.”
In 2007, Raleigh architect Kenn Gardner, then a Republican county commissioner, was founding chairman of an investment fund that gave college scholarships to foster children. Gardner soon realized, however, that money alone was not enough to help ill-equipped kids whose most finely honed life skill was coping.
The resulting Fostering Bright Futures program adds one-on-one assistance to financial aid.
“Obviously, we can’t undo their lives,” says Acton Archie, chairman of the program’s advisory board and a former foster child himself. “But we take away a lot of the challenges they have and free them up to really focus on school.”
Armstrong was among the first five students accepted into the program in 2008. The fact that it took her four years to earn a two-year degree underscores her persistence, as does her status as the program’s first graduate.
“The transition was not good because I got lazy on the school front,” says Armstrong, explaining that she has been working since she was taken from her mother at age 14. “My second two years were great. I’ve seen A-B honor roll. I made the Dean’s List.”
That’s one of the things that commend the program, which will have 13 participants next fall. There has been enough oversight that problems have been corrected.
“At first we were all idealists,” says Archie, an analyst at SAS in Cary. “We thought, ‘Every child we can get our arms around we’re going to bring in.’ After the first year, we had to step back. Now we have some pretty serious demands for the children.”
Program coordinator Michelle Blackmon says incentives have replaced outright monetary help in several areas. Instead of just helping with a cellphone bill, now the program offers $100 for every A earned with no absences, $50 for every B. A report card with all A’s earns double.
“Fall semester, they did exceptionally well,” Blackmon says. “… Our students went from a 0.9 average GPA to a 2.5.”
The advisory board, which interviews applicants referred by Wake’s Department of Health and Human Services, also has tweaked its techniques.
“We’re not looking for perfect students, just somebody who is going to put forth the effort,” Archie says. “Many of these kids try to grow up very quickly, try to find houses, try to find a means for survival. They don’t have time to spend toward education.”
It’s hard to imagine a group with more obstacles to overcome than foster children aging out of the system.
“I just try to learn from my mistakes, and I try to learn from other people’s experiences,” Armstrong says.
“If you’ve seen what I’ve seen,” she says more quietly, “it beats going through ’em.”
Though her mother was diagnosed with schizophrenia and bipolar disorder when Armstrong was 12, she says the signs were evident long before. She enumerates a list of homes she had around Raleigh even while her family, with nine children, was intact. Armstrong, who works as a hostess at WakeMed, has lived on her own since age 17.
“My environment is a part of me, but I’m not a product of my environment,” Armstrong says. “I’m not ashamed, but I want more. I’ve seen more. I’m destined for more.”
This month, Armstrong will take an even larger step toward more when she enrolls at UNC Greensboro. Without the help of Blackmon and Bright Futures life coach Robin Sheffield, Armstrong says, she never could have maneuvered the application process or envisioned such a move.
“There’s just no words, no one word to sum up where I’d be without them,” she says. “I guess just lost.”
[email protected] or 919-829-4825
HUMAN SERVICES AND ENVIRONMENTAL SERVICES
BOARD AGENDA ITEM
Agenda Date: May 24, 2012
Committee/Item: Executive Committee:
Board Procedure for Participation in the Annual Performance Evaluation of WCHS Director
(37.5) and annual review of the WCHS director’s job description (37.4a)
Specific Action Requested:
The Board approved the Procedure for Participation in the Annual Performance Evaluation of the
WCHS Director on February 24, 2011 (Amended May 26, 2011).
Purpose of Action: State law mandates that Board members participate in the annual
performance evaluation of the agency director (37.5), and annual review of the director’s job
description (37.4a).
Next Steps:
Thursday, May 24 HS&ES Board meeting: Start Process and Discuss.
Friday, June 8: Due Date for written or verbal input from Board Members (to Chair Dianne
Dunning and Jonica Hinton).
Monday, June 11: Compile responses (Jonica).
Thursday, June 14: The Executive Committee reviews input from the Board members and
prepares a written or verbal report to submit to the County Manager and the WCHS director.
June – July:
1. The Board Chair will discuss the report with the director.
2. The Board Chair will submit the Board report as input to the County Manager in the
month of July.
Thursday, July 26: Results of the evaluation will be shared with the HS&ES Board. It should be
documented in the Board minutes that the performance appraisal of the WCHS director was
done, that any Board member had the opportunity for input, and the results were reported back to
the Board.
Attachments: 1. Board Procedure for Participation in the Annual Performance Evaluation of the WCHS
Director – (Version 200 1.2)
Opportunities for Advocacy, Policy or Advisory:
Creating this document provides the opportunity for board members to define their expectations
of job performance for the director of WCHS and convey that to the county manager.
Connections to Other Committees:
All committees may participate in implementing the procedure, depending on the decision of the
Board.
Participation in the Performance Evaluation of the Wake County Human Services Director
WCHS Board Procedure 200 1.2
Countywide or X Department: Human Services X
Division: Human Services Board
Supersedes: N/A Effective Date: 2/24/2011
Authority: North Carolina Administrative Code (NCAC) 10A NCAC 48B .1304; 10A NCAC 68 .0303; 10A NCAC 01B .0301; 10A NCAC 27G .0507; GS 108A-12
Originating Department: Human Services
Page 1 of 10 Printed copies of this document may not be current
Approved
I. Purpose: To comply with state and federal regulations and describe the responsibility and
procedure of the Wake County Human Services (WCHS) Board to provide input into the annual job performance evaluation of the Human Services Director in fulfilling the functions of public health director, social services director, and mental health director. This procedure aligns with the County personnel performance evaluation process.
• “Each local human service agency that receives funds through the department from a federal program that has a requirement for the establishment and maintenance of personnel standards on a merit basis must comply with "Standards for a Merit System of Personnel Administration," which are established by the federal Office of Personnel Management.” (10A NCAC 01B .0301)
• “The board of health has the responsibility for the performance review of the health director on an annual basis. If the county requires the health director to be reviewed by the county manager, this does not relieve the board of this responsibility. A joint process would be acceptable if the board maintained its responsibility and involvement.” (HDSAI Interpretation Document, NC Accreditation Board, January 1, 2009)
II. Procedure Statement:
a) Every Board member has the opportunity to provide input into the performance evaluation of the director. Members of the WCHS Board annually review a copy of the director’s position description, the Wake County PDMS Key Skills for Managers and Supervisors, and any other relevant materials prior to the evaluation discussion.
b) In June members of the Board give written or verbal input into the evaluation of the director.
c) The Executive Committee of the Board reviews input from the Board members and prepares a written or verbal report to submit to the County Manager and the WCHS director.
d) The Chair of the WCHS Board will discuss the report with the director. e) The Chair of the WCHS Board will submit the Board report as input for the performance
evaluation of the WCHS Director to the County Manager annually in the month of July. f) Results of the evaluation will be shared with the board. “It should be documented in
the Board minutes that the performance appraisal of the health director was done, that
Participation in the Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Page 2 of 10 Printed copies of this document may not be current
any board member had the opportunity for input and the results were reported back to the Board.” (HDSAI Interpretation Document, NC Accreditation Board, January 1, 2009)
III. Definitions:
HDSAI – Health Department Self-Assessment Instrument NCAC – North Carolina Administrative Code PDMS – Performance Development and Management System
IV. Applicability and Exceptions: This procedure applies to current members of the Wake County Human and Environmental Services Board and the Director of Wake County Human Services
V. Procedure Responsibility and Management:
• This procedure will be included in the WCHS Board Resource Manual, to be reviewed by each new Board member during orientation and annually prior to participation in the evaluation process.
• The Chair of Wake County Human and Environmental Services Board will review this procedure annually the month of May to determine if any changes are needed. Any proposed changes or additions to this procedure will be discussed with the WCHS Quality Assurance director and a representative from Human Resources to assure compliance with federal, state and county regulations.
VI. Related Publications: Health Department Self- Assessment Instrument (HDSAI) Interpretation Document, January 1,
2009, North Carolina Health Department Accreditation Board, http://nciph.sph.unc.edu/accred/health_depts/materials/
VII. Appendices:
• Appendix A Wake County PDMS Key Skills for Managers and Supervisors • Appendix B Position Description for WCHS Director • Appendix C Competencies for Public Health Directors • Appendix D Duties and Responsibilities of Social Services Director
VIII. History:
Effective Date Version Section(s) Revised Author
5/10/2012 1.2
Deleted reference to LME in Section I, Section III and Section VII. Deleted Appendix C.: LME Director’s job description, and renumbered appendices. J. Hinton
5/26/2011 1.1 Section II c) Added “or verbal”, d) deleted “written” as requested by the Board J. Tallis
2/24/2011 1.0 Original J. Tallis
Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Appendix A Page 3 of 10 Printed copies of this document may not be current
Wake County Performance Development and Management System
Key Skills for Managers/Supervisors
OVERVIEW The Key Skills list specific performance areas in which supervisors are appraised and take into consideration the variety and differing levels of responsibilities. These areas cover a wide variety of essential tasks that keep a supervisor’s work unit functioning efficiently. The Behavioral Expectations Guide provides specific behaviors for each of the six Key Skill areas, which are: I. MANAGEMENT This section evaluates how the supervisor handles daily operational activities and expectations. This area covers a wide variety of essential tasks that keep a work unit functioning efficiently. a. Understands and Interprets Policies and Procedures b. Manages Major Resources c. Develops and Maintains Accurate Records d. Interviews and Recommends Applicants e. Develops and Manages Budget f. Identifies and Eliminates Work Hazards II. PLANING AND ORGANIZING This section relates to establishing a course of action for self and/or others to accomplish a specific goal, planning proper assignments of personnel, managing time and anticipating future needs. a. Develops Long and/or Short-range Goals b. Sets Goals and Objectives c. Structures and Staffs Programs/Work Assignments d. Manages Program/Project/Team Direction III. ANALYSIS AND DECISION-MAKING This section relates to the development of strategies to obtain organizational goals. This area covers diagnostic/analytical skills, determining alternatives, competence in making critical decisions and implementation. a. Analyzes, Assesses and Defines Organizational Problems b. Evaluates Alternative Structures for Effective Operation c. Develops Realistic And Effective Solutions d. Makes Sound Decisions to Meet Goals
Participation in the Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Appendix A Page 4 of 10 Printed copies of this document may not be current
IV. COMMUNICATION, LEADERSHIP, AND INTERPERSONAL BEHAVIOR This section involves skills needed in forming effective work group relationships, coaching and counseling, resolving conflicts and complaints, communicating clear expectations and leading with respect. a. Provides Positive Leadership For The Department/Division/Unit/Team b. Establishes Effective Internal/Work Group Relationships c. Establishes Effective External Communication d. Conducts Effective Meetings e. Speaks Clearly and Concisely f. Provides Concise, Accurate and Understandable Written Documentation V. PERFORMANCE MANAGEMENT This section evaluates how the supervisor handles tasks related to developing and explaining performance and work habit expectations, observing and monitoring performance, regularly conducting performance and Workplan reviews and administering rewards and sanctions. a. Establishes and Maintains Performance Objectives b. Coaches and Conducts Periodic Reviews c. Rewards Work Appropriately d. Uses Appropriate Disciplinary/Corrective Action e. Maintains and Models Effective Work Habits VI. PROFESSIONAL EXPERTISE AND DEVELOPMENT
This section evaluates how the supervisor maintains and enhances his technical and administrative skills. This section allows the supervisor and employee to CUSTOMIZE sub-tasks, d, e, f, etc. Both need to agree upon the added expectations. a. Applies Professional Expertise (Non-supervisory Responsibilities) b. Increases Job Knowledge Skills and Abilities c. Demonstrates Initiative in Enriching One’s Own Job
Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Appendix B Page 5 of 10 Printed copies of this document may not be current
Wake County, NC Classification 0270 Classification Title: Human Services Director FLSA Status: Exempt BRIEF DESCRIPTION: Directs all activities of a consolidated human services agency. Primary functional areas include Economic Services, Child Welfare, Family Support, Community Health, Clinical Services, Adult Services and Operations. ESSENTIAL FUNCTIONS:
1 Reviews and authorizes program development at all levels of the agency. Works with external organizations to receive input on services and programs and to develop meaningful partnerships.
2 Develops networks throughout government to establish connections with the County. Meets with community leaders individually and collectively and attends human services functions.
3 Develops marketing and communications plans to identify profiles, better understand demographics and determine long and short-range plans. Identifies major issues and determines timing of program information release.
4 Directs staff in all human services functions by making site visits, reviewing reports and attending meetings, retreats and planning and evaluation sessions.
5 Supports a policy board by developing and presenting agendas, attending committee meetings, participating in strategy sessions and meeting with individual board members as necessary
CLASSIFICATION REQUIREMENTS:
Education Bachelor's degree in Human Services, Health or related field. Experience Eight years experience in public sector management. Equivalent Education & Experience Accepted? Yes Certification and Other Requirements
None
Reading Advanced Math Intermediate Writing Advanced Managerial Receives Broad Direction. Budget Responsibility
Has responsibility for the final approval of at least one departmental budget and presents the budget(s) to County Manager. Monitors progress toward fiscal objectives and adjusts plans as necessary to reach them.
Supervisory / Organizational Control
Work requires managing and monitoring work performance of senior department managers including evaluating program/work objectives and effectiveness, establishing broad organizational goals and realigning work and staffing for the department.
Interpersonal / Human Relations Skills
Work requires very frequent and regular contact with others in a direct reporting relationship as well as others outside of a direct reporting relationship. The purpose of the contact is broad reaching and dynamic and may include the communication of specific issues and/or general policies. Interaction with others outside of the department requires exercising participative management and negotiation skills that support County strategy and organizational goals. Work also requires the communication with direct reports to ensure maximum productivity in work assignments. Makes presentations and answers questions with regard to presentation materials and findings.
Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Appendix C Page 6 of 10 Printed copies of this document may not be current
Competencies for Health Directors NC Public Health Academy
Human Resources Skills • Applies basic human relations skills to the management of organizations, motivation of
personnel, and resolution of conflicts
Financial Management Skills • Develops and presents a budget that includes a long term perspective • Develops strategies for determining and funding budget priorities • Manages programs within budget constraints • Monitors program performance • Prepares proposals for funding from external sources • Projects future funding needs
Information Skills • Uses information technology to increase individual effectiveness as a public health
professional (e.g., web-based applications for searching and retrieving information, distance-learning technologies for ongoing learning)
• Manages information systems for collection, retrieval, and use of data for decision-making • Develops, implements, and evaluates a community public health assessment • Creates and employs assessment models to assess organizational environment, needs,
assets, resources and opportunities with respect to mission and policy development and assurance functions
Performance Improvement • Integrates a focus on quality into staff orientation and development, program planning and
service delivery, and the day to day work of the local health jurisdiction • Establishes a quality improvement structure, and develop and implement a quality
improvement plan for the agency or functional area of responsibility • Engages agency employees and community partners and stakeholders in quality
improvement efforts and communicate performance results • Uses public health standards, best practices, benchmarking, research data, trend analysis
and customer input to assess and improve services and agency operations.
Basic Public Health Sciences Skills • Identifies the individual's and organization's responsibilities within the context of the
Essential Public Health Services and core functions • Defines, assesses, and understands the health status of populations, determinants of health
and illness, factors contributing to health promotion and disease prevention, and factors influencing the use of health services
Performance Evaluation of WCHS Director WCHS Procedure 200 1.1
Appendix C Page 7 of 10 Printed copies of this document may not be current
Policy Development Skills • States policy options and writes clear and concise policy statements • Identifies, interprets, and implements public health laws, regulations, and policies related to
specific programs • Articulates the health, fiscal, administrative, legal, social, and political implications of each
policy option
Communication Skills • Communicates effectively both in writing and orally, or in other ways • Solicits input from individuals and organizations • Advocates for public health programs and resources • Leads and participates in groups to address specific issues • Uses the media, advanced technologies, and community networks to communicate
information • Effectively presents accurate demographic, statistical, programmatic, and scientific
information for professional and lay audiences
Team Building Skills • Facilitates development of shared mission, vision, and value statements • Facilitates development of clear goals and objectives • Develops team structures and required systems regarding customer service and continuous
quality improvement • Facilitates outcomes-based team activities related to strategic planning and evaluation
objectives
Community Partnering Skills • Facilitates networking and participation of all community stakeholders including broad and
diverse representation of health care, business and community-based organizations
Political Skills • Identifies and communicates political processes and variables operating at federal, state
and local levels • Develops, implements and evaluates advocacy, community education and social marketing
strategies to achieve national, state and local health goals and objectives • Translates policy decisions into organizational and community structure, programs and
services
Program Planning/Evaluation Skills • Utilizes current techniques in decision analysis and health planning • Develops a plan to implement policy, including goals, outcome and process objectives and
implementation steps
Performance Evaluation of WCHS Director WCHS Procedure 200 1.1
Appendix C Page 8 of 10 Printed copies of this document may not be current
• Develops mechanisms to monitor and evaluate programs for their effectiveness and quality
Cultural Competency Skills • Utilizes appropriate methods for interacting sensitively, effectively and professionally with
persons from diverse cultural, socio-economic, educational, racial, ethnic and professional backgrounds, and persons of all ages and lifestyle preferences
Change Management Skills • Applies systems thinking to strategic development • Articulates the difference between transforming changes affecting general direction
/policies and changes affecting day-to-day implementation and operations • Develops and implements evaluation systems in relation to change strategies • Identifies, creates and balances critical dynamic tension in relation to change strategies • Facilitates application of change theories to practical situations
System Thinking Skills • Identifies internal and external issues that may impact delivery of essential public health
services (i.e., strategic planning) • Uses the legal and political system to effect change • Applies theory of organizational structures to professional practice • Translates policy into organizational plans, structures, and programs
Visionary Leadership Skills • Creates a culture of ethical standards within the organization • Articulates future scenarios in terms of alternatives for change • Develops and articulates vision • Encourages and facilitates others to share the vision • Applies innovative concepts and methods into strategic decision making process
http://ncpublichealth academy.org/competencies for health directors.pdf
Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1
Appendix D Page 9 of 10 Printed copies of this document may not be current
Duties and Responsibilities Social Services Director North Carolina General Statutes § 108A-14
(a) The director of social services shall have the following duties and responsibilities:
(1) To serve as executive officer of the board of social services and act as its secretary;
(2) To appoint necessary personnel of the county department of social services in accordance with the merit system rules of the State Personnel Commission;
(3) To administer the programs of public assistance and social services established by this Chapter under pertinent rules and regulations;
(4) To administer funds provided by the board of commissioners for the care of indigent persons in the county under policies approved by the county board of social services;
(5) To act as agent of the Social Services Commission and Department of Health and Human Services in relation to work required by the Social Services Commission and Department of Health and Human Services in the county;
(6) To investigate cases for adoption and to supervise adoptive placements;
(7) To issue employment certificates to children under the regulations of the State Department of Labor;
(8) To supervise adult care homes under the rules and regulations of the Medical Care Commission;
(9) To assist and cooperate with the Department of Correction and their representatives;
(10) Repealed by Session Laws 2003-13, s. 7, effective April 17, 2003, and applicable to all petitions for sterilization pending and orders authorizing sterilization that have not been executed as of April 17, 2003.
(11) To assess reports of child abuse and neglect and to take appropriate action to protect such children pursuant to the Child Abuse Reporting Law, Article 3 of Chapter 7B of the General Statutes;
(12) To accept children for placement in foster homes and to supervise placements for so long as such children require foster home care;
Performance Evaluation of WCHS Director WCHS Procedure 200 1.1
Appendix D Page 10 of 10 Printed copies of this document may not be current
(13) To respond by investigation to notification of a proposed adoptive placement pursuant to G.S. 48-3(b) and (c); and
(14) To receive and evaluate reports of abuse, neglect, or exploitation of disabled adults and to take appropriate action as required by the Protection of the Abused, Neglected, or Exploited Disabled Adults Act, Article 6 of this Chapter, to protect these adults.
(b) The director may delegate to one or more members of his staff the authority to act as his representative. The director may limit the delegated authority of his representative to specific tasks or areas of expertise. The director may designate, subject to the approval of the Commissioner of Labor, additional personnel outside his staff to issue youth employment certificates.
FROM YOUR WAKE COUNTY HUMAN SERVICES STRATEGIC PLANNING TEAM MEMBERS APRIL 13, 2012, COMMUNICATION #5
Wake County Human Services Mission
Wake County Human Services, in partnership with the community, will anticipate and respond to the public health, be-havioral 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.
Wake County Human Services Vision
All Wake County residents will have full and easy access to high quality and effective health and human services and access to opportunities to improve their quality of life.
Wake County Human Services Goals
Well-being/Health/Safety - Maximize the well-being, health and safety of individuals and families
Self Sufficiency/Human Capital - Enhance the ability of consumers to attain and maintain economic inde-pendence and self sufficiency
Consumer Experience - Enhance the consumer experience with accessible, timely and holistic services
Internal Operations - Ensure fiscal accountability, data driven decisions and alignment with county, state and national objectives and priorities
Integrated/Collaborative Solutions - Promote integrated and collaborative solutions for human service needs
Workforce - Support and maintain a competent and competitive workforce and an environment that fosters professional development, workforce diversity and effective communication
Technology - Provide innovative technology solutions that support cost-effective automation, e-Services and data management
The MORE
Feedback we get
The BETTER We can
plan and serve
Strategic Planning Update #5
Hello Wake County Human Services Colleagues!
We are making good progress with strategic planning! Please find below, the Wake County Human
Services Goals adopted by Ramon Rojano and the Senior Management Team on Tuesday, May 1,
2012. Our Mission and Vision remain the same.
Please become familiar with our goals. Between now and July 15, 2012, you will be us-
ing them to help your division and the agency develop specific objectives, strategies and
action steps for our strategic plan. We really want you to think about how the work that
you do, in collaboration with other services, divisions, and partners, will contribute to
the accomplishment of these goals.
If you are a member of the Human Services Council, be sure to reserve June 13, 2012 from 1 – 4:30
PM on your calendar. At this meeting you will receive instructions on how to develop your part of
the strategic plan!
INFORMATION
ITEMS
• Board Fund Report (Separate)
• Articles
• Update on Septic Systems Subcommittee
• Committee Reports/Minutes
• Commissioners’ Agenda Items Related to HS&ES May 7&14, 2012
HUMAN SERVICES AND ENVIRONMENTAL SERVICES
BOARD AGENDA ITEM
Agenda Date: May 24, 2012
Committee/Item: Update on the Septic System Subcommittee
Specific Action Requested: None - for information only.
Item Summary:
The Subcommittee includes Board and community members from the Environmental Services
Advisory Committee and the Public Health Committee, as well as subject experts. The Purpose
of this update is to provide Board members with the subcommittee roster, work plan, and
summary of the 1st meeting. We anticipate bringing recommendations to the Board sometime in
the 4th quarter of 2012.
Purpose for Action (Proposed Solutions/Accomplishments):
No action requested at this time.
Attachments:
Septic System Subcommittee Roster
Purpose & Process from Meetings 1 and 2
Summary of Meeting 1 on Mar 30-2012
Opportunities for Advocacy, Policy or Advisory:
NA
Connections to Other Committees:
Environmental Services Advisory Committee
Public Health Committee
ROSTER: SUBCOMMITTEE MEMBERS AND STAFF
Subcommittee
Benny Ridout, Co-chair Leila Goodwin, Co-chair Ed Buchan Mayor Frank Eagles Dr. Sharon Foster Dr. Mike Hoover Dr. Anne McLaurin Leena Mehta Billy Myrick Ann Rollins Dr. Bob Rubin Core Staff
Dr. Edie Alfano-Sobsey Steve Bristow Kent Daeke Ed Duke Andy Sachs, facilitator, Dispute Settlement Center Bill Shroyer Britt Stoddard, staff contact for this project: 856-2641 or [email protected]
PURPOSE
The subcommittee will conduct research and discussions as needed to develop consensus on this question: What should the County do to manage risks associated with malfunctioning septic systems?
MEETING CONCEPTS
These concepts are flexible and were developed from staff conferences with subcommittee co-chairs. The subcommittee may amend these concepts or their sequence at any time.
Future Subcommittee Meetings: Meetings 3 through 6 Based on the subcommittee discussion on March 30, the subcommittee chairs propose
the following:
Meeting #3 Evidence-based knowledge regarding the public health and environmental risks associated with malfunctioning septic systems. • Presentation on what we know in general
• Presentation/discussion to clarify what we know in particular about the risks in Wake County’s
situation.
• Identify important questions about risks in Wake County that we won’t answer in this process but
could recommend for further investigation.
Meeting #4 Reducing public health and environmental risk associated with malfunctioning septic systems in Wake County • Discussion/decision: Which management systems that we learned about on April 24 hold most
promise for reducing the risks in Wake County’s situation we learned about in meeting #3?
• Discussion to flesh out the best management options.
• Identify any important questions about management systems that we won’t answer in this process
but could recommend for further investigation.
Meeting #5 • Prepare to communicate subcommittee findings: What are our key points? Key audiences?
How/when to deliver key points to key audiences?
Meeting #6 Optional, as needed.
SUMMARY OF MARCH 30, 2012 MEETING OF THE HUMAN SERVICES
BOARD’S SEPTIC SYSTEM SUBCOMMITTEE
Meeting Hours and Location 9:00AM to noon, Conference Room 10035, Cary Town Hall, 316 N. Academy Street, Cary.
Attendance
Subcommittee: Ed Buchan, Dr. Sharon Foster, Co-chair Leila Goodwin, Dr. Mike Hoover, Dr.
Ann Mclaurin, Leena Mehta, Billy Myrick, Co-chair Benny Ridout, Ann Rollins, and Dr. Bob
Rubin (by telephone from 9:00 to 10:00AM,
Staff: Dr. Edie Alfano-Sobsey, Steve Bristow, Kent Daeke, Ed Duke, Andy Sachs (facilitator,
Dispute Settlement Center of Orange County) Bill Shroyer, and Britt Stoddard
Welcome and Introductions
After Co-chairs’ welcomes, participants introduced themselves.
Meeting Overview
Members heard facilitator Andy Sachs explain his role and gave permission for him to act in that
capacity.
Members agreed to meeting ground rules, objectives, and agenda. Objectives were:
(1) Understand basics of our septic program including its strengths and weaknesses. (2) Identify
key program area(s) or issue(s) to focus on in future meetings.
Presentations
Members received and discussed two presentations described below:
Mapping of Enteric Illness and Septic Malfunctions within Wake County Census
Tracts
Members heard Dr. Alano-Sobsey’s (epidemiologist) and Bill Shroyer’s briefing on their March
2012 study. Main points included:
Study Purpose
To determine if enteric illness and septic system malfunctions affect populations in the same
geographic areas of Wake County.
Study Objectives (1) Map cases of gastrointestinal (GI) illness within Wake County census tracts as reported in
the NC Electronic Disease Surveillance System for 2009.
(2) Map septic systems malfunctions within Wake County census tracts as reported to
Environmental Services for 2009.
(3) Determine the number and location of census tracts with statistically significant increased
proportion of either septic systems malfunctions or GI illness.
(4) Determine if any census tracts contain both statistically significant increased proportions of septic
system malfunctions and GI illness.
Dr. Alfona-Sobsey and Mr. Shroyer used ArcGIS to perform the analysis and determined
statistical significance by Z statistic (alpha = 0.05) using Microsoft Excel 2010.
Conclusion (1) A statistically significant increased proportion of both septic system malfunctions and GI illness
occurred in only 1 in 104 census tracts.
(2) Data are not currently available to determine if there was a link between illness and septic system
malfunctions in Census Tract 537.11 in 2009.
Basics of Wake County’s Current Septic System Program
Members heard Steve Bristow’s briefing on Wake County’s program including strengths and
weaknesses as determined by benchmarking Wake’s program against (1) North Carolina’s
mandated program-standards and (2) EPA’s recommended guidelines. Main points included:
Wake County Program Components Surpassing Both Benchmarks
Five of the County’s eight program components met or surpassed State standards and EPA
guidelines:
• Planning
• System design
• Construction and inspection of construction
• Training and certifications
• Public education
Wake County Program Components Surpassing One Benchmark
Two of the County’s eight program components met or surpassed State standards and some but
not all of EPA’s recommended guidelines:
• Site evaluation
• Record keeping
For site evaluation, the County meets EPA’s basic guidelines that programs characterize
landscape, soils, ground and surface water location, lot size, and other conditions. The County
does not in all cases have resources to continually meet EPA’s advanced guidelines that local
governments assess cumulative watershed impacts and long-term specific pollutant trends.
For record keeping, the County does not meet EPA’s basic guideline to have complete, up to
date inventory information on all its estimated 60,000 systems. And the County does not meet
EPA’s advanced guideline of providing GIS-based comprehensive inventories, including web-
based monitoring and O&M data input for administrative reporting and watershed assessment
studies.
Program Components Surpassing No Benchmarks
One of the County’s eight program components—operation and maintenance-- does not meet
state standards or EPA’s guidelines. The State requires the County to inspect all 3b (pump
systems) at least once every five years. The County has approximately 8,000 such systems and
has resources to inspect about 10% of them per the five year schedule.
The County does meet EPA’s basic guideline to initiate homeowner education. The County has
a CD educating homeowners on maintenance responsibilities, which the County provides to
realtors for distribution to people buying homes with septic systems. The County partially meets
the EPA basic guideline to provide reminder programs for maintenance. The County prioritizes
areas of the County and sends postcard reminders prior to the County inspecting 3b (pump)
systems; however, the County does not have a reminder program for all the estimated 60,000
systems aside from web information, statements on initial permits, and the like.
Take Away Points and Possible Areas to Focus on in Future Meetings
Andy facilitated a conversation about take away points and possible areas of focus for future
meetings and recorded member comments on a flip chart. Flip chart notes are attached to this
summary.
Future Meetings
After discussion the group agreed to more education and that a good starting point would be an
optional tour of septic systems to start one hour before the next meeting and be at NCSU’s Field
Learning Lab as offered by Dr. Hoover.
The next meeting will be April 25, 2012 with the optional tour from noon to 11:45 at NCSU’s
Booth Field Learning Lab, 4000 Chi Road, Raleigh, with the regular meeting convening at 1:00
in the classroom on the same site.
Meeting Evaluation
Facilitator Andy Sachs asked members and staff to evaluate the meeting. Everyone responded with
positive comments.
Adjourn There being no further business the meeting adjourned on or about noon.
FLIP CHART NOTES
“What issues/concerns should the subcommittee focus on over the next 4-5 meetings?”
Causative factors for malfunctions (design, construction, operations).
How to know which systems are malfunctioning, especially if inspections not required.
Technology?
How to reduce malfunctions (education on operating)?
Prevention through planning, education, design.
What systems are out there?
Beyond education, what incentives and sticks are available for operation and maintenance?
System failures: research-based information. Mike happy to provide.
Disease incidence data
Design of future research on disease incidence.
Reporting on what we already know.
Designing something to find out more re: incidence of diseases
Leaking sewers?
High end microbial contaminants
How inspection relates to operation and maintenance
Story on how improved operation and maintenance made a difference in outcomes. What made
the difference?
Relationships of reported illness to SES, other factors.
Are owners not recognizing/understanding what to look for? Barriers to reporting by owners.
Relevance of commode efficiencies?
Proactive (80%) then deal with remaining 20%
A management system appropriate to the level of risk.
Three tiers:
• Knowing the risk (nutrients, costs, illnesses)
• How to minimize the risk?
• Communicating the risk
Penalties. Fines. Analogy to other public health issues.
Dollars/cost savings?
Information. Common sense. Nobody sick.
Prevention. Education. Plan � Do � Act � Evaluate.
Sustainable approach.
Carrot and stick.
Approach the multiple layers strategically. Systematized over time: start with low hanging fruit.
Strive for gold standard, but approach it incrementally.
Future generations. Help ourselves in spite of ourselves.
Communicate: 10% failure rate means feces on the ground. And study the relationship of sick
children and feces.
Need a system to identify malfunctions: document, find them, and get them fixed.
Water supply concern.
Education, plus inspection too. Can’t find it unless we look.
Inform each other in response to concerns.
ANDY’S INITIAL SORT OF FLIP CHART IDEAS
“What issues/concerns should the subcommittee focus on over the next 4-5 meetings?”
Understanding malfunctioning septic systems
• Causative factors during design, construction, operations for the different kinds of systems in Wake County
• What do we already know: Research-based information
• Relevance of commode efficiencies?
Reducing incidence of malfunctioning septic systems
• Prevention through planning, design, education on how to operate systems
• Incentives and sticks for proper operation and maintenance
• Story on how improved operation and maintenance made a difference in outcomes. What made the difference?
• Relevance of commode efficiencies?
• Proactive (80%) then deal with remaining 20%
• Penalties. Fines. Analogy to other public health issues.
• Communicate cost savings associated with well-functioning systems
• Common sense solutions
• Goal is to ensure that no one gets sick
Identifying malfunctioning septic systems
• How to know which systems are malfunctioning, especially if inspections not required. What technology would be useful?
• Understanding how inspection relates to operation and maintenance
• Are owners not recognizing/understanding what to look for? Barriers to reporting by owners.
• Need a system to identify malfunctions: document, find them, and get them fixed.
• Can’t find it unless we look
Understanding the risks of malfunctioning septic systems
• Disease incidence data
• Study the relationship of sick children and feces.
• Design of future research on disease incidence.
• In context with leakage from sanitary sewer
• High end microbial contaminants
• Relationships of reported illness to SES, other factors.
• A management system appropriate to the level of risk.
• Risk to water quality (nutrients)
• Costs associated with malfunctioning systems, savings associated with well-functioning systems
Management Systems
• Communicating the risk to decision makers and the public. 10% failure rate means feces on the ground.
• Plan � Do � Act � Evaluate.
• Sustainable approach
• Carrot and stick.
• Approach the multiple layers strategically. Systematized over time: start with low hanging fruit. Strive for gold standard, but approach it incrementally.
1
Wake County Human Services Board
Social Services Advisory Subcommittee
Friday, March 2, 2012
9:00 am – 10:30 am
Swinburne Building, Room 5032
Minutes
Board Members:
Paul Norman Julian Smith
Guest:
Committee Members:
Angie Welsh Anna Troutman Lisa Draper Lynn Templeton Marjorie Menestres
Staff:
Giang Le Katherine Williams Liz Scott Martha Crowley Nikki Lyons Ramon Rojano Vielka Maria Gabriel Warren Ludwig
Agenda
Item
Discussion, Conclusions, Recommendations Action,
Follow-up
Responsible
Party
Due Date
I. Welcome & Introductions
The meeting was called to order at 9:00 p.m.
Paul
Norman
II. Review and approval of the minutes
Minutes were reviewed and were accepted.
Vielka
Gabriel
2
III. Business Discussion And Updates
Advocacy Group:
• Wine & Cheese Social was held at the home of Dr. Foster for the Wake County
Delegates. The purpose of the event was to get to know the delegates in an informal
session.
Julian
Child Abuse Prevention Summit:
• Finance Committee: Created the budget of $5,000 revenue
• Program Committee:
o Summit will be held on April 23, 2012 – 9:00 am – 12:00 noon - JC Railston
Arboretum
o Details are being worked on where participants may be eligible for CEU’s for
attending the summit.
• Marketing Committee: The name and logo has been identified by the committee and
the use of a private graphic design firm. The firm also gave the committee a 50%
discount for the work.
o Theme of the summit Building Foundation – Strengthening Families.
o SSA Committee members are asked to please sign up to help with the setup
and/or clean up to help reduce the cost of the event.
o Invitees Contact Sheet has been sent electronically to members. Please send
contact information to Holly Myanker at [email protected] by February
17th. Invitations will be mailed out on February 23rd. (Online webpage
invitation/registration will be live on February 22nd.
o Event is Free. The budget has included breakfast and a boxed lunch.
Child Abuse Summit.pdf
Anna
3
III. Business Discussion And Updates continue…
WCPSS Kindergarten Registration: Guest Presenter Cris Mulder- WCPSS Chief of Family & Public Engagement.
• Registration is no longer happening at the local schools or Central Services Office.
Registration is done online. As of February 2nd 12,081 students are currently enrolled
in WCPSS Kindergarten (2011-2012). 67.6% of upcoming kindergarten students
have been preregistered for 2012-2013 school year. Heavy concentration has been
place on the Eastern Regional, Apex, and South East Raleigh area due to low
registration numbers.
o Partners in the community are helping to spread the word and assist in the
registration process. Depending on skill set and information of the school of
choice the process can be done in as little as 20 minutes. However, due to
language, skill set, and knowledge of school the process can become very time
consuming.
o Challenges: There are many challenges preventing or delaying the registration
process including missing documentation (certified birth certificates,
vaccination records), transportation, accessing resources.
(Handouts)
Giang
III. Business Discussion And Updates continue…
WCHS Budget Overview/Update: (See attached handouts)
• $32 million net decrease from FY 2009 Adopted to FY 2012 Adopted
• Did not have to lower the Adopted Budget for FY11, and should not have to for FY12
due to revenues stabilizing.
• Summary of Department Submitted Reductions: Line item 46- Human Services –
Total Expenditures ($1,146,578).
o $1.46 million reduction with the elimination of the LME
(Handouts)
III. Business Discussion And Updates continue…
Child Care Subsidy:
• Renee Chou with WRAL interviewed a WCHS Child Care Subsidy clients followed
by an interview with Gloria Cook, WCHS Child Care Subsidy Program Manager.
Interview is scheduled to air this week. (see attached article)
(Handout)
4
III. Business Discussion And Updates continue…
Consolidated Wake County Human Services Board:
• With the LME being dismantled from WCHS there will be a shift in the WCHS
Board. (Draft Handout)
o The consolidated human services board shall be composed of 21 members,
and reasonably reflect the population makeup of the county and shall
included:
1. Eight public health professionals
2. Four social services professionals
3. One member of the board of county commissioners
4. Four persons who are consumers of human services, public advocates,
or family members of clients of the consolidated human services
agency
5. Four representatives of the general public
III. Business Discussion And Updates continue…
Announcements:
• Saturday, February 4, 2012 from 1:00-3:00 pm SouthEast Raleigh Positive Youth
Development Day. Tarboro Road Community Center
• March 6, 2012 from 8:30 am -2:00 pm – 8th Annual Youth Summit of Wake &
Johnson County. Ages 14-21 – Wake Tech Main Campus Raleigh, NC
• The VITA Program generally offers free tax help to people who make $50,000 or less
and need assistance in preparing their own tax returns. IRS-certified volunteers
provide free basic income tax return preparation to qualified individuals in local
communities. They can inform taxpayers about special tax credits for which they may
qualify such as Earned Income Tax Credit, Child Tax Credit, and Credit for the
Elderly or the Disabled. VITA sites are generally located at community and
neighborhood centers, libraries, schools, shopping malls, and other convenient
locations. WCHS Swinburne JobLink center is currently offering these services daily.
• HCD Presentation at the next BOC Meeting April 13th at 2:00 pm
V. Next Meeting
March 2, 2012 9- -10:30 am ~ Swinburne Building, Board Room. – Agenda: Child Welfare Presentation
5
VI. Adjournment
The meeting adjourned at 10:35 am.
DRAFT
1
Environmental Services Committee
April 13, 2012
Library Administration – Wake County Office Park
11:30 a.m. Wake County Board of Commissioner
Present
Human Services Board Members
Present:
Leila Goodwin
Frank Eagles
Melissa Jemison
Human Services Board Members
Absent: Clarence (Benny) Ridout
Jeffrey Smith
Kent Earnhardt
Dianne Dunning
Community Members Present:
Rodney Dickerson
Bob Rubin
Donald Haydon
Ed Buchan
Community Member Absent:
Buck Kennedy
Les Hall
Henk Schuitemaker
Phillip White
Bryan Hicks
John Whitson
Suzanne Harris
Julian Prosser
Paula Thomas
Kenny Waldroup
Glenn Harris
Liz Turpin
Julie Wilkins
Staff Present:
Joseph Threadcraft
Matt Roylance
Andre Pierce
Deborah Peterson
Sue Ledford
John Roberson
Staff Absent:
Britt Stoddard
Sarah Williamson-Baker
Guests/Others:
DRAFT
2
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
I. Call to Order
II. Minutes
III. Introduction of
New Environmental
Services Director
IV. Recognition of Dr.
Jack Sowter
Chair Leila Goodwin called the meeting to order at 11:41 A.M.
The February 10, 2012 minutes were approved as written.
Highlights Leila Goodwin introduced the new Environmental Services Director,
Mr. Joseph Threadcraft. Mr. Threadcraft began his role on March 26.
He is from Mobile, Alabama. Mr. Threadcraft’s goal as Environmental
Services Director is to add value to the organization.
Highlights Chair Leila Goodwin and Environmental Services Committee
Members gave a moment of silence to acknowledge the passing of Dr.
Jack Sowter. Dr. Sowter was a "Founding" member of the HS&ES
Board. He served as Human Services and Environmental Services
Board Vice Chair and Chair. Dr. Sowter became a member of
the Environmental Services Committee in 2004.
Committee
Member
Leila Goodwin
Joseph Threadcraft
Leila Goodwin
DRAFT
3
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
V. Public Health
Update
Highlights
State Fair Health Task Force:
• The process has been completed and recommendations have
been submitted to Commissioner Steve Troxler. Once the
recommendations have gone through all formalities required,
they will be released to the public.
• The recommendations were centered around 2 or 3 areas of
logistical change
(1) Traffic Flow (Animals/People)
(2) Handwashing Stations
(3) Loading and Unloading Areas
• The goal of the Task Force was not to make any changes in the
public being able to view the livestock.
• Interns will assess the differences in the way people utilize
Handwashing Stations (Waterfall type) – Comparison Study
• Improvements in water access points
• Increased Education
Sue Ledford stated formal recommendation should be released within a
month.
DRAFT
4
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
V. Public Health
Update (Continued)
Highlights
Health Rankings:
• Wake County was named Healthiest County in North Carolina
for the third year in a row. A report by the University of
Wisconsin Population Health Institute and the Robert Wood
Johnson Foundation compared Wake County to other North
Carolina counties and these findings ranked Wake first in
overall health and second in factors that affects people’s health.
The study began in 2010.
• There are five areas that were measured. Wake’s ranking was
as follows:
(1) Health Outcomes – Ranked #1
(2) Health Factors Behaviors – Ranked #2
(3) Social and Economic Factors – Ranked #3
(4) Clinical Care – Ranked #4
(5) Physical Environment – Ranked #93
Sue Ledford offered to schedule a detailed presentation for Committee
Members next month that will explain each measure. Chair Leila
Goodwin accepted her offer.
DRAFT
5
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
VI. Animal Services
Division
FY2013 Budget
Highlights
Animal Services Division:
• There was not a recommendation for hire from the first round
of interviews.
• Designated staff have gone back through the pool and
identified additional candidates.
• Phone interviews are being conducted. Once the phone
interviews are concluded, there will be a recommendation for a
short list in the form of a summary report. Candidates will then
be invited in for personal interviews with a committee.
• Final candidates will be evaluated by Joe Durham and Joseph
Threadcraft and then there will be an offer for hire.
FY2013 Budget:
• Budget presentations to the County Manager and his Deputies
were held on April 12th for Water Quality, Environmental
Health and Safety and Animal Services. Joseph stated staff did
an excellent job.
Joseph Threadcraft
DRAFT
6
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
FY2013 Budget
(Continued)
VII. Construction and
Demolition Ordinance
Amendment
Highlights (Continued)
• April 13, 2012 John Roberson and Anarosa Jones, Solid Waste
Business Officer presented the Solid Waste Budget to the
County Manager and his Deputies. They did an excellent job
as well.
• Budget Management in the Environmental Services
Department is being decentralized and pushed back to the
Division Directors. Each Division Director is responsible for
their budget. The monitoring process will be centralized and
have one Business Officer for the department. The ultimate
goal is to:
(1) Increase the level of service
(2) Improve the return of investment of taxpayers’ money
(3) Be accountable for taxpayers’ money
(4) Be customer oriented
Highlights
John Roberson presented Committee Members with a copy of the
Construction and Demolition Ordinance Amendment. This
Amendment clarifies a lot of things that were not clear about
Franchise. John stated Wake County will see a lot of activity in the
next few months because of this Amendment. This amendment was
approved at the Board of Commissioners March meeting.
John Roberson
DRAFT
7
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
VII. Construction and
Demolition Ordinance
Amendment
(Continued)
Highlights (Continued)
The Shotwell Landfill wants to significantly increase their waste
tonnage. For a revision to a franchise of an existing C&D landfill, the
Wake County Board of Commissioners may issue a revised franchise
upon presentation. This request to increase tonnage will be discussed
at the next Wake County Board of Commissioners meeting. John also
informed Committee Members that the WCA facility has been bought
by Waste Industries and any changes to this facility will also have to
go before the Board of Commissioners.
10-Year Solid Waste Management Plan:
John Roberson informed Committee Members that the 10-Year Solid
Waste Management Plan has been completed and is on the Wake
County website for viewing. John and Solid Waste staff plans to meet
with each municipality and their board and request comments/changes.
John Roberson and Deborah Peterson will get the link to the 10-Year
Solid Waste Plan emailed to Committee Members
DRAFT
8
Agenda Item
Discussion, Conclusions, Recommendations Action, Follow-up Responsible Party Due
Date
VIII. Adjourn THE NEXT MEETING IS SCHEDULED FOR FRIDAY, MAY
11, 2012 @ THE LIBRARY ADMINISTRATION BUILDING,
WAKE COUNTY OFFICE PARK, ROOM 102,
4020 CARYA DRIVE.
Leila Goodwin
Wake County Human Services Board LME Advisory Committee Meeting Community Services Center – 401 E. Whitaker Mill Road, Rm. 210
Minutes – April 17, 2012
Members Present: Staff Present: Guests/Community:
Ms. Stephanie Treadway, Committee Chair / HS Board
Mr. Pablo Escobar, Committee Vice Chair / HS Board
Dr. Jim Hartye, Horizons Healthcare / WakeMed
Ms. Melissa Jemison, HS Board
Members Absent:
Dr. Kent Earnhardt, HS Board / HRC
Ms. Rhonda Spence, Advocate
Ms. Denise Foreman, Assistant to the County Manager
Mr. Paul Gross, HS Finance Officer
Dr. Carlyle Johnson, LME Administrator
Ms. Beth Nelson, Networks Development
Mr. Ramon Rojano, HS Director
Mr. Bob Sorrels, HS Deputy Director
Mr. Grady Britt, Advocate
Mr. Tad Clodfelter, SouthLight, Inc.
Agenda Item
Discussion, Conclusions, Recommendations, Follow-up
Call to Order The LME Advisory Committee meeting, facilitated by Ms. Stephanie Treadway, opened at 12:03 p.m.
Approval of Minutes
Upon consent, the committee approved the March 20, 2012, committee minutes.
Agenda Items
Agenda: •Business/Finance Report •LME Director/Administrator Updates •MCO Transition Updates •Good of Order •Wake County Behavioral Health Services Update
LME Director’s Report Mr. Ramon Rojano
Mr. Rojano’s report was moved up on the agenda because he had to leave early for another appointment. Mr. Rojano gave a summary of the activities regarding the three tracks. Three Tracks:
1. Building the new MCO 2. Operating the current Wake LME until July 1; then operating Wake/Durham LME July 1 thru December 31 3. Closeout the current Wake LME
Key Highlights included: • Project management continues to go well. There has been lots of progress, but there are still things to be worked out such as
shortage in funding, figuring out how to manage closeout costs, payments to providers. Mr. Rojano has met with Mr. Steve Jordan, State Division of MH/DD/SA, to help work out some issues.
• Out of 98 LME staff outsourced, 94 have been accounted for.
• The HS&ES Board will need to stay engaged with dialogue.
Agenda Item
Discussion, Conclusions, Recommendations, Follow-up
LME Budget/ Finance Report
Mr. Paul Gross and Ms. Beth Nelson presented the LME Monthly Financial Reports as of April 17, 2012. The committee reviewed and discussed the reports. Highlights included:
• LME is currently overspending by $796,210 in the LME Purchase of Service (POS) UCR Expenditures. The state has approved the county to transfer uncommitted LME Systems Administration dollars to cover the overspending and the state clarified that Wake does not need to ask permission. Wake County has $765,462 of uncommitted LME Systems Administration dollars to transfer, and the LME will cover the remaining gap through its operational budget.
• The state denied Wake’s request to use uncommitted LME Systems Admin. dollars to cover $222,000 in vacation payout and $498,000 in severance payout for LME staff. The county will have to use lapse salaries/vacancy rate to cover.
• Mr. Rojano said staff has worked with community providers in order to not sacrifice services to clients. Dr. Johnson said education and conference requests made by staff have been denied in order to focus on providing services.
• Dr. Johnson said three things have been done to reduce the overspending:
o Medicaid rate cut
o Changed the Benefits Plans as of January 2012 (providers had to right size)
o Used unexpended dollars to meet gap
• Dr. Johnson referenced the decrease in Adult Mental Health (AMH) spending in the report. AMH category has had the highest increase in demand for services.
• The HHH/County contract is being reviewed. The county’s intention is for the MCO to manage the HHH/Co. contract. The MCO would be involved with any renegotiations. Mr. Rojano said the HHH/Co. contract has been a godsend in the lack of adequate state hospital beds and with no other options or community partners.
• Ms. Nelson said the state has admitted that they have a glitch in their system for funding drawdown of IPRS UCR earnings in the Child Mental Health category. This will be corrected so that Wake LME can drawdown funding correctly.
Committee Request:
Data on the wait list (number and length) and number of unfunded patients served. The committee believed this would be a good benchmark to monitor as the MCO takes over. $23 million in Wake County funding for uninsured will be transferred to the MCO. Dr. Johnson reiterated that the contract between Wake and the MCO has not yet been written.
Agenda Item
Discussion, Conclusions, Recommendations, Follow-up
MCO Transition Updates
Dr. Carlyle Johnson and Ms. Denise Foremen gave an update on the MCO Transition. Highlights included:
• MCO Organization Chart (handout). Care Coordination is an area that has the most positions to fill. The Board has to vote on salary/benefits and empower staff to make employment offers.
• Alliance Behavioral Healthcare is the new name for the MCO.
• The Board is meeting today for training in the areas of policies and procedures.
• Actions by the Wake County Board of Commissioners on April 16, 2012 included:
o Appointed Ms. Barbara Gardner as its 6th member to the Board. Ms. Gardner is a retired Assistant Hospital Director of Dorothea Dix Hospital.
o Approved a joint resolution with Durham County to establish the multi-county area authority to manage MH/DD/SA services for Durham/Wake counties. The joint resolution allows the new area authority to become a legal entity with the powers to formalize their Board, obtain a tax ID number, approve a budget and other actions necessary to begin operations as a LME/MCO on July 1, 2012. Durham County is scheduled to vote on the joint resolution on April 23.
o Accepted $2 million of revenues from the Wake County ABC Commission and appropriated the revenues to be applied to Wake County’s $4 million start-up funding commitment to the multi-county area authority. Approved the schedule of disbursement and repayment.
o Authorized the county manager. . . to execute a Tripartite Funding Agreement with Durham County and the new area authority.
The committee discussed changes with care coordination (change in definition, and taking care coordination out of CABHAs and putting them into the MCO). Thoughts included: defining adequate staffing, doing a work analysis/parameters, and applying same formula in all counties. Staff is continuing to work with state on what is considered consistent across the state versus what is local. Dr. Hartye suggested that staff compare what the clients have been getting to what the clients will be getting (pluses and minuses).
Agenda Item
Discussion, Conclusions, Recommendations, Follow-up
Wake County Behavioral Health Services Updates – Ms. Denise Foreman
Ms. Denise Foreman gave an update on Wake County Behavioral Health Services (WCBHS).
Summary: Some divestiture will occur. Timeframe: 8 to 18 months. Medicaid Billable Services will be divested first. Then the county will take time to evaluate programs that are all locally funded. Highlights included:
• Decisions about the future of Wake County Behavioral Health Services (WCBHS) will be made in the next 8 to 18 months timeframe. The county is undergoing a process to decide what services have to be divested. There will be some divestiture, the minimum being Medicaid Billable Services. The state has ruled a conflict of interest with the county being able to appoint MCO Board members while also conducting Medicaid Billable Services. Wake County believes its best interest is to have influence on the Board; therefore as of January 1, 2013, Wake County will not be able to conduct Medicaid Billable Services. However, Wake is checking the state’s ruling with the federal Centers for Medicaid/Medicare Services (CMS).
• Mr. David Cooke, Wake County Manager, met with WCBHS staff this morning. Mr. Cooke believed it was important to get staff engaged at the preliminary point. The county needs to move quickly, but prudently, and wants staff to be at the forefront.
• UNC Hospital’s study on community gap analysis should be completed within the next two weeks. Ms. Foreman believes the study will help inform the process. Wake will continue discussions with UNC Hospitals on what a partnership would look like. The MCO is involved and will lead most of this discussion as we move through the process.
• WCBHS will not compete for services.
• WCBHS is undergoing a major process to quantify and articulate outcomes that have been achieved. Much work has already been done, but there is much work to do to get ready for a private model.
• Part of the process is how to figure out how we get quality services.
• Finding a good partner will be important.
• Wake is trying to learn from other LMEs that have gone through this process.
• WCBHS has a lot of blended funding areas.
• The thinking is that providers cannot do these services with state/federal dollars alone. A question is if county funding remains in the system and flows to providers, will they be willing to provide these services. Ms. Foreman said there is a sense that providers would be willing. Ms. Jemison and Ms. Treadway expressed concern for the uninsured clients.
• Mr. Gross said staff and Human Resources issues will be more challenging with this process. There are 236 FTEs and not many county vacancies. Dr. Johnson foresees WCBHS staff applying for the care coordination positions.
• WCBHS will have a 6-month IPRS contract with the MCO as of July 1. WCBHS will have to drawdown funds.
Good of Order • NAMI Walk – Saturday May 5, Dorothea Dix Campus. Details are on the NAMI NC website.
• WakeBrook Recovery Center 1st Year Anniversary Celebration – Sunday, May 6, 1pm – 5pm, 111 Sunnybrook Rd.
Meeting Adjourned
Meeting adjourned at 1:43 pm. Next meeting is May 15, 2012, CSC 12:00 pm– 2:00 pm
Public Health Committee Meeting Minutes –20 April, 2012
Committee Members Present: Benny Ridout, Leena Mehta, Barbara Ann Hughes, Penny Washington, Sharon Foster Staff Members Present: Ramon Rojano, Sue Lynn Ledford, Peter Morris, Randy Marsh, Andre Pierce, Michelle Ricci Guests: Kristina Orton, Kelsey Walker (NCSU
Agenda Items
• Welcome
• Approval of Minutes
• Chair’s Privilege
• Behavioral Health Update
• Obesity/Overweight
• Advocacy Agenda
• Human Services Director’s Report
• Public Health Division Director’s Report
Welcome and Call to Order Benny Ridout
Benny welcomed committee members and called the meeting to order.
Approval of Minutes
Benny asked for a motion to approve the minutes. Penny Washington made a motion that was seconded by Leena Mehta. The minutes were unanimously approved.
Chair’s Privilege Benny Ridout Update on Wastewater Treatment Systems (Septic Tank) Subcommittee Proposed New Member-Lynette Tolson
The Wastewater Treatment Systems Subcommittee met for the first time with a focus on educating the committee about septic tanks and how problems were identified using GIS mapping. Information included:
• A study on septic tanks. (The sample in the study was so small it is not possible to draw firm conclusions.)
• State standards on the placement and function of septic tanks and strategies employed by Wake County Environmental Services (WCES) to meet them.
The committee will meet again on March 25th at the NC State Farm to observe a working septic tank system and learn more about causes of septic tank failure. The subcommittee will begin to address the issues after that meeting. The committee would like to address septic tanks from design to failure. That not being possible, the committee is deciding upon its focus. Benny noted that action on new Public Health Committee members has been on hold
• as a new structure is determined for the Human Services and Environmental Services Board (Board) due to the departure of the LME from Human Services and
• so the Public Health Committee can determine representation needs in terms of behavioral health.
In the meantime Lynette Tolson was recommended to the committee. Ms. Tolson is Executive Director of the NC Association of Local Health Directors and the North Carolina Public Health Association and brings a strong and varied Public Health background to the committee. Committee members were provided her membership application for review. After discussion and a review of the application, Benny asked for a vote on her membership. The committee unanimously approved Ms. Tolson’s membership.
Public Health Committee Meeting Page 2
Dental Medicaid Rates
At the last Board meeting Dr. Horwitz suggested that the issue of the state Medicaid reimbursement rate for dentistry be included with the Board’s Advocacy Agenda. It was suggested that it come back to the Public Health Committee for discussion. Discussion included:
• Discussion of this by the Executive Committee at their meeting on April 19 included maintaining competitive Medicaid rates for providers, increasing Medicaid rates for dentists and avoiding further reduction of rates for physicians (Under Advocacy Priority: Decrease disparities in key disease indicators such as infant mortality and chronic disease morbidity and mortality.)
• There is data about school age children and numbers of absentee days related to dental issues. There is also data on how good oral health can prevent disease. The Public Health Committee should have data or statistics to illustrate the Public Health implications in Wake County when funds are cut.
• Public Health implications include: o Heart disease. Teeth should be taken care of before any heart
procedures because of the risk of infection etc. o Dental pain is the first or second reason people seek narcotics in
emergency rooms.NC is now 3rd worst state in the Union for over prescription of narcotics.
o Association of dental caries and gingivitis and preterm labor. A lot of children don’t go or rarely go to the dentist and there is not much documented on the public health effects of that.
• Would putting dental services back in Medicaid increase accessibility? Penny made a motion that the committee delay making a recommendation on this issue until there is more data. Barbara Ann seconded the motion and the Committee unanimously agreed.
Behavioral Health Update Randy Marsh
Purpose: Provide committee members with an update on changes in mental health programs and services. Action: None needed On July 1, 2012, Durham and Wake Local Management Entities (LMEs) merge and become Alliance Behavioral Health. When Alliance Behavioral Health assumes management of Medicaid funds on January 1, 2013, it becomes a managed care organization (MCO). The Division of Medical Assistance issued a ruling that the County can’t be in a position of providing services that receive federal funds and govern or manage federal funds. When Alliance Behavioral Health begins management of Medicaid mental health funds in 2013, Wake County Behavioral Health services can no longer provide any mental health services to Medicaid eligible consumers. Wake served 1830 Medicaid consumers in 2011. These clients will need to have another provider by January. The new MCO will contract with Wake for services for the time being but expects over the next 18-24 months all services will be transitioned out to other providers. The County Manager and Human Services have entered conversation with UNC Health Services to determine the possibility of UNC taking on a management role or some other capacity of services provided by Behavioral health. There are two possible scenarios:
Public Health Committee Meeting Page 3
1. The MCO agrees that Wake’s services would continue to be provided. UNC’s role might be to manage those services it starting July 1. 2.UNC may pick up some services, but not others Conversation is also taking place with Alliance Behavioral Health about the contract with them. The current contract is through Wake LME. To be addressed as the transition progresses are:
• the manner in which services now provided to consumers is impacted
• the impact on integrated and collaborative service arrangements with health and social services (i.e. social workers in the HIV/AIDS clinic, support of the maternal health depression services in maternal and children’s services and substance abuse work with work first providers, services in child protective services and regional centers)
• services that might remain in Human Services because their loss would negatively impact health and social programs.
Discussion included:
• Addressing Human Services and County management when advocating for/assuring specific services for disenfranchised clients
• How the Public Health Committee can serve in an advisory capacity during the transition to assure that the interests of Wake County consumers are met
• Utilization of the per member per month model to provide mental health services
• The importance of establishing and building a relationship between Alliance Behavioral and Public Health and Social Services
• The outcome of health care reform in the Supreme Court and the ramifications of that outcome
• The needs of those in the mental health system that are also served through Public Health and Social Services
• How effectiveness of the new system (MCO) will be measured
Obesity/Overweight Benny Ridout
Purpose: Continue discussion from March meeting on committee activities to address Board and Committee priority of overweight/obesity. Action: None needed This agenda item was deferred. Leena Mehta agreed to share information she brought to the committee at the next meeting.
Advocacy Agenda Sharon Foster
Purpose: Review disparities item on Board Advocacy Agenda and identify action steps to reach the identified stakeholders. Action: Discuss action steps to reach identified stakeholders.
The Executive Committee asked the Public Health Committee if it might generate more specific strategies on how to involve the stakeholders who aid in advocacy. The priority established for Public Health is to decrease disparities in key disease indicators such as infant mortality, chronic disease morbidity and mortality. Key speaking points were reviewed including:
• The need for technology. At the Wake Legislative Session on April 19, the advocacy work group stressed for NC FAST, a program to improve how Health and Human Services delivers care particularly as a provider of Medicaid services.
Public Health Committee Meeting Page 4
• Physician involvement will likely increase with ease of use.
• More providers to accept Medicaid. There are only 5 Medicaid providers in the community for obstetrics in contrast to (estimated) 75-100 pediatric providers.
• Maintaining competitive rates for providers. It is difficult for Medicaid recipients to find primary medical care homes as Medicaid rates are inadequate to attract providers. Generally internal medicine clients are more complex in their medical needs and more is needed for Medicaid for these patients.
• Support and fund campaigns maximizing enrollment of citizens who qualify for Medicaid and maintain enrollment. Those who do not stay enrolled are likely to find themselves in emergency care. This is not optimal because continuity of care is really needed.
Discussion included:
• Addressing certain diseases where disparities are seen. Diseases identified include:
o Diabetes. This disease crosses all age groups and caries significant disease knowledge. Diabetes disproportionally affects Hispanics and African Americans. Addressing diabetes also encompasses the issue of obesity which in and of itself have a diagnostic code.
o Sexually transmitted diseases/ infections such as HIV, chlamydia and gonorrhea.
o Cancers--Prostate breast, colorectal and cervical
• Alignment of efforts to address disparities with the Centers for Disease Control and Prevention (CDC) “Winnable Battles”. Locally monies are not available to conduct the research the way the CDC has. Look at local data and the research that has been done and utilized those proven strategies.
• Development of Human Services’ strategic plan to identify and target 10 primary conditions in the next 2-3 years, a call to action and identify groups/entities to address those conditions.
Time did not permit the committee to generate more specific strategies on how to involve the stakeholders who aid in advocacy.
Human Services Director’s Report Ramon Rojano County Health Rankings
Highlights of the most recent County Health rankings were presented to the committee including:
• North Carolina’s overall health ranking (32) among the 50 states as ranked by the United Health Foundation (americashealthrankings.org). Five years ago North Carolina ranked 36.
• Wake County’s ranking of number 1 in health outcomes and 2 in health factors.
• The indicators used in determining the ranking; the county’s score for each of the indicators, the national benchmark, the margin of error and rank in the state for health outcomes and behaviors.
• The additions of fast food restaurants as an indicator Committee members were given the rankings for 2010 and 2011 as well as 2012 so the results could be compared over the past 3 years. Committee members were also encouraged to visit the website www.countyhealthrankings.org to get more information about the rankings.
Public Health Committee Meeting Page 5
Public Health Division Director’s Report Sue Lynn Ledford State Fair E. coli 0157:H7 outbreak. Public Health Month
The State Fair Study Commission on the E. coli 0157: H7 Outbreak has submitted its final recommendations to Commissioner Troxler and is awaiting the publication of the report. Proposed recommendations include:
• Change the flow of pedestrian and animal traffic while maintaining the agricultural purpose and spirit of the State Fair.
• Enhanced education of fair goers in disease prevention
• Hand washing stations. Costs prohibit complete redesign of hand washing stations. Some demonstration stations are proposed enlisting university students to conduct comparison studies of the utilization of demonstration stations.
Many opportunities to highlight Public Health and its contributions were created during April—Public Health Month. The Board of Commissioners (BOC) linked it with County Government Month. The County Health Rankings were recognized during the last BOC session. A Public Health Information Fair was conducted with Orange, Wake and Durham Counties on the Halifax Mall near the General Assembly. The desired visibility and participation were not attained as the first location choice for the Fair was not available. There were several media spots and news articles about Public Health month as well as vaccine clinics (Tdap and rabies), a downtown walk, car seat safety checks and health screenings with some partner groups. Rex Hospital along with WCHS, Wake Health Services, the Alliance Medical Ministry and other community partners is holding Community Health Screening Day on May 9 at the State Fairgrounds. The event will offer education, screenings and linking to health care services. Human Services Vital Records And Emergency Preparedness will hold a workshop on May 18 from 10am to 2 pm at the Andrews Center (WakeMed) on cultural issues related to death and preparedness in the event of mass fatalities. Committee members were invited to attend. Presentations on Health Disparities and how community groups can address them have been given to Strengthening the Black Family, the Raleigh Community Advisory Councils and on April 19 to the Wake Missionary Baptist Association. Close to 200 faith leaders attended that presentation.
Adjournment Benny thanked committee members for their participation and adjourned the meeting.