HUMAN SERVICES BOARD Thursday, December ... - co.pierce.wi.us › Agendas_Minutes › Agendas... · Pierce County Office Building, Ellsworth, WI. Chairman Kahlow called the meeting

Approved 1/18/18

1

HUMAN SERVICES BOARD

Thursday, December 21, 2017 – 5:00 p.m.

Lower Level Meeting Room – Pierce County Office Building

STATE OF WISCONSIN

COUNTY OF PIERCE

The Pierce County Human Services Board met in the Lower Level Meeting Room of the

Pierce County Office Building, Ellsworth, WI. Chairman Kahlow called the meeting to

order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Ben Plunkett

Stephanie Stark

Dan Reis

Neil Gulbranson

Robert Mercord

Ronald Schmidt – Director

Tami Billeter – Operations Manager

Kristi Frederick – Child Protective Services Manager

Brad Lawrence – Corporation Counsel

Roll Call

Motion by Mercord, seconded by Gulbranson, to approve the December 21, 2017

agenda. Motion carried.

Agenda

Motion by Reis, seconded by Mercord, to approve the November 16, 2017 and

December 4, 2017 board meeting minutes. Motion carried.

Minutes

Stephanie Stark stated that West CAP is looking for some tutors at the jail. Public comments

Motion by Reis, seconded by Gulbranson, with a unanimous roll call vote to convene into

closed session pursuant to Section 19.85(1)(c) Wisconsin Closed Session Statutes, for the

purpose of considering employment, promotion, compensation, or performance evaluation

data of any public employee over which the governmental body has jurisdiction or exercises

responsibility; and pursuant to Section 19.85(1)(g) Wisconsin Closed Session Statutes for the

purpose of conferring with legal counsel for the governmental body who is rendering oral or

written advice concerning strategy to be adopted by the body with respect to litigation in

which it is or is likely to become involved: consideration of employee wage claim and legal

advice of counsel. Motion carried.

Dr. Ogden Rogers arrived at 5:24 p.m.

Closed Session

Motion by Reis, seconded by Gulbranson, with a unanimous roll call vote to return to open

session at 5:58 p.m. Motion carried. Return to Open

Session

Mr. Schmidt stated that this agenda item should not have been on the agenda as it’s no

longer required to get board approval for out of county travel. No action was taken.

Out of County

Travel

Ms. Billeter distributed the November 2017 Accounts Payable Invoice Report for the board

to review. Review Monthly

Vouchers

The October 2017 financial report was reviewed by the board. Expenses continue to be

above target at this point. Child Protective Services and Mental Health placements are

trending higher than budgeted; however Mental Health placements are pacing lower than last

year.

Financial Report

CCS Update – Pierce County received a check for the 2015 reconciliation; Director’s Report

Approved 1/18/18

2

however Chippewa is still in the process of determining what each county gets to

keep. Finance and Personnel is in support of the asset pool for the program.

ABC for Rural Health – Mr. Schmidt discussed a Memorandum of Understanding

(MOU) with several counties in regards to establishing a Health Benefits Tele-

Counseling program. ABC for Rural Health is applying for an outreach grant that

would assist counties with this effort. This will go into effect in 2018 if the grant

is approved. If needed, videoconferencing equipment may be funded through this

grant. There is no financial commitment to all or any parts of the MOU and the

memorandum allows for withdraw at any time by notice.

Child Protective Services Legislative Items – Mr. Schmidt included the Report of

the Speaker’s Task Force on Foster Care in the packet. He has sent letters to four

representative offices to sponsor or co-sponsor the bills.

Human Services Study RFP – There will be a document coming forward soon in

regards to a Request for Proposal (RFP) for a study in Human Services. The

funding is expected to come from the contingency fund.

2018-2021 Civil Rights Compliance Plan – Public Health and Human Services

are working together on the Civil Rights Compliance Plan that must be completed

every three years.

Mental Health Placements – The state facility placements are trending lower than

2016. Placements at Trempealeau County Health Center are pacing higher.

There have been 21 admissions to Winnebago so far in 2017.

Child Placements – Foster Care placements are trending higher than last year due

to increased ongoing caseloads and higher demand. The Residential Care Center

placements are also trending higher than last year.

Director’s Annual Review

Semi-Annual Report

Human Services Study RFP

Closed session in regards to wage claim

Future Agenda Items

The next regular meeting of the Pierce County Department of Human Services Board is

scheduled for Thursday, January 18, 2018 at 5:00 p.m. in the Lower Level Meeting

Room of the Pierce County Office Building.

Next meeting date

Motion by Rogers, seconded by Mercord, that the meeting be adjourned at 6:42 p.m.

Motion carried.

Adjournment

Respectfully Submitted,

__________________________

Tami Billeter

AMENDED AGENDA

HUMAN SERVICES

Thursday December 21, 2017

5:00 p.m.

Lower Level Conference Room, Pierce County Office Building

412 West Kinne Street, Ellsworth, WI

# Action Presenter

1 Call to order

2 Discuss and take action to establish and approve the agenda Members

3 Discuss and take action to approve meeting minutes of

November 16, 2017 and December 4, 2017

Members

4 Public comments—members of the public wishing to address the

Board must register in writing before the meeting begins

Members

5* Board will convene into closed session pursuant to §19.85(1)(c)

Wis. Stats. for the purpose of considering employment, promotion,

compensation or performance evaluation data of any public

employee over which the governmental body has jurisdiction or

exercises responsibility; and pursuant to §19.85(1)(g) Wis. Stats.

for the purpose of conferring with legal counsel for the

governmental body who is rendering oral or written advice

concerning strategy to be adopted by the body with respect to

litigation in which it is or is likely to become involved:

consideration of employee wage claim and legal advice of counsel.

Members

6* Board will return to open session and take action on closed session

items, if required.

Members

7 Discuss and take action to approve staff training/education

requests.

Members

8 Review monthly vouchers Schmidt

9 Financial Report Schmidt

10 Director’s report: CCS update, ABC for Rural Health, Child

Protective Services legislative items, Human Services Study RFP,

2018-2021 Civil Rights Compliance plan, Mental health

placements, Child placements.

Schmidt

11 Future agenda items Members

12 Next meeting date Members

13 Adjourn

Questions regarding this agenda may be made to Pierce County Human Services

at 715-273-6766.

Upon reasonable notice, efforts will be made to accommodate the needs of

individuals with disabilities requiring special accommodations for attendance at

the meeting. For additional information or to make a request, contact the

Administrative Coordinator at 715-273-6851.

A quorum of County Board supervisors may be present. RS: 12/19/2017

Approved 12/21/17

1


Thursday, December 4, 2017 – 4:00 p.m.

County Board Room, Pierce County Courthouse 1st Floor

414 West Main Street, Ellsworth, WI

STATE OF WISCONSIN

COUNTY OF PIERCE

The Pierce County Human Services Board met in the County Board Room in the Pierce

County Courthouse, Ellsworth, WI. Chairman Kahlow called the meeting to order at

4:00 p.m.

Meeting convened

Members

Present:

Also Present:

Michael Kahlow

Stephanie Stark

Dan Reis

Neil Gulbranson

Robert Mercord

Jeff Holst – Finance

Jon Aubart – Finance

Scott Bjork – Finance

Jerry Kosin – Finance

Bill Schroeder - Finance


JoAnn Miller – Administrative Coordinator

Brad Lawrence – Corporation Counsel


Julie Brickner – Finance Director

Ron Kiesler – Community Behavioral Health Program Manager

Kelly Kivel – Mental Health Therapist – CCS

Frank Pascarella – Chippewa County Administrator

Melissa Roach – Chippewa County Finance Director

Kris Korpela – Dunn County Human Services

Dale Auckland – County Board

Jason Matthys – Sheriff’s Office

Dianne H-Robinson – Public Health

Kathy Fuchs – Treasurer

Roll Call

Motion by Mercord, seconded by Stark, to approve the December 4, 2017 agenda.

Motion carried.

Agenda

None. Public comments

Frank Pascarella, Chippewa County Administrator and Melissa Roach, Chippewa County

Finance Director, were available to discuss the Comprehensive Community Services (CCS)

program relative to the cash flow issues in the Western Region Recovery and Wellness

Consortium (WRRWC). Chippewa County (lead agency for the consortium) Administration

reached out to counties to ensure that Finance staff was aware of the working capital needs.

Chippewa County has covered the funding paid to the providers pending the reconciliation.

Since the program has grown significantly and reconciliation has been delayed, Chippewa

County is estimating the annual shortfall to be about $1.3 million. Pierce County’s share of

the deficit is approximately $156,000. There were four options made available to the

consortium. The option that was chosen by the directors was option #2 which the lead

agency withholds the quarterly service facilitation reimbursement to off-set the contracted

cost reconciliation shortfall. This will be reviewed annually by Chippewa County. Mr.

Presentation on CCS

Approved 12/21/17

2

Holst suggested that the Human Services board continue to provide oversight to this program

in collaboration with Finance to ensure transparency regarding operations.

Human Services Director Annual Evaluation

Foster Care Review

CCS Program Update

Future Agenda Items


scheduled for Thursday, December 21, 2017 at 5:15 p.m. in the Lower Level Meeting


Next meeting date

Motion by Mercord, seconded by Gulbranson, that the meeting be adjourned at 4:22 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA


Monday December 4, 2017

4:00 p.m.

County Board Room, Pierce County Courthouse 1st Floor

414 West Main Street, Ellsworth, WI

# Action Presenter

1 Call to order




Members

4 Presentation on CCS from Administrative Lead Chippewa County

– Wellness and Recovery Consortium operations.

Chippewa County


6 Next meeting date – 12/21/2017 Members

7 Adjourn


at 715-273-6766.






Approved 12/21/17

1


Thursday, November 16, 2017 – 5:15 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:15 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ben Plunkett

Dan Reis

Robert Mercord

Ogden Rogers

Stephanie Stark

Neil Gulbranson


Cherie Hotter – Accounting Assistant

Roll Call

Mr. Kahlow suggested removing item # 9 and #10 from the agenda until next meeting.

Motion by Reis, seconded by Rogers, to remove items 9 and 10 and to approve the

November 16, 2017 agenda. Motion carried.

Agenda

Mr. Kahlow requested a change to the Thursday October 19th

minutes on the motions

coming out of closed session. Motion by Rogers, seconded by Reis, with a unanimous roll

call vote to return to open session and to defer evaluation of Director until next meeting.

Motion carried. Motion by Rogers, seconded by Mercord to approve the October 19,

2017 board meeting minutes as amended. Motion carried with Neil Gulbranson

abstaining from the vote.

Minutes

None.

Public comments

The out of county travel requests were presented to the board as well as follow-up notes

from previously approved trainings/meetings. Mr. Schmidt commented that the County

Board has passed the resolution to discontinue the follow-up notes from previously

approved trainings/meetings. Motion by Reis, seconded by Rogers, to approve the out of

county travel requests for Human Services staff as presented. Motion carried.

Training and Travel

Out of County

Travel

Ms. Hotter distributed the October 2017 Accounts Payable Invoice Report for the board to

review. Review Monthly

Vouchers

Mr. Schmidt stated that Humans Services revenue is at 76% as of September 30th and

expenditures are running 3% higher than expected. He also stated that they may expect to see

that rise as we are nearing the end of the year as there will be some fiscal cleanup. Office on

Aging is running at 75% for revenue and 71% for expenses as of September 30th .

Financial Report

Comprehensive Community Services (CCS) Update: Mr. Schmidt met with Larry Winter from the Western Region Recovery and Wellness Consortium

(WRRWC) program to discuss policy issues related to CCS. Chippewa Co is the

fiscal agent for the consortium and is currently examining a cash flow short of an

estimated 1million dollars due to the delay in payments from Medicaid. A meeting in

Dunn Co is set for November 29th to meet with Medicaid individuals to review the

Director’s Report

Approved 12/21/17

2

payment interim rate and to resolve the reconciliation issues.

Emergency Detention Data Sheet. Mr. Schmidt presented a graph to the board

showing the trends for emergency detentions since 2009. It represented the

overall number of people being detained, people detained at community hospitals,

and those detained at Winnebago state psychiatric hospital. Medicaid does not

pay for adults committed to Winnebago. Medicaid does pay 60% for minors

committed to Winnebago. Mr. Schmidt also stated that as a result of contracting

with Northwest Connections for our crisis services and work performed by our

staff, the total number of emergency detentions has decreased.

Child Placements are higher than last year.

Adult placements are lower compared to this time last year.

Winnebago admissions are lower compared to this time last year.

CCS

Director’s Evaluation

Future Agenda Items


scheduled for Thursday, December 21, 2017 at 5:00 p.m. in the Lower Level Meeting


Next meeting date

Motion by Rogers, seconded by Reis, that the meeting be adjourned at 6:25 p.m. Motion

carried.

Adjournment


__________________________

Cherie Hotter

AGENDA

HUMAN SERVICES

Thursday November 16, 2017

5:15 p.m.



# Action Presenter

1 Call to order



October 19, 2017

Members



Members


requests.

Members

6 Review monthly vouchers Billeter

7 Financial Report Billeter

8 Director’s report: CCS update, Emergency detention data sheet,

Child and adult placement data.

Schmidt

9 Closed session discussion and/or action: The Board will convene

into closed session pursuant to Section 19.85(1) (c) Wisconsin

Statutes, for the purpose of considering employment, promotion,



exercises responsibility: Human Services Director 2016-17

Annual Review.

Members

10 Return to open session and take action on closed session item if

necessary.

Members



13 Adjourn


at 715-273-6766.






Amended and Approved 11-16-17

1


Thursday, October 19, 2017 – 5:15 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:15 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ben Plunkett

Stephanie Stark

Dan Reis

Robert Mercord

Ogden Rogers



Jo Ann Miller – County Administrator

Roll Call

Motion by Rogers, seconded by Reis, to approve the October 19, 2017 agenda. Motion

carried.

Agenda

Motion by Stark, seconded by Plunkett, to approve the September 21, 2017 board

meeting minutes. Motion carried with Dr. Rogers abstaining from the vote.

Minutes

None.

Public comments

Mr. Schmidt commented that the County Board is planning to discuss the discontinuation

of the resolution that requires board approval of out of county travel and training

requests.

No action was taken.

Training and Travel

Out of County

Travel

Ms. Hotter distributed the September 2017 Accounts Payable Invoice Report for the board to


Vouchers

Mr. Schmidt stated that expenditures are running slightly higher than expected at 67%

compared to 66% for the year. He also stated that they may expect to see that rise as we are

nearing the end of the year as there will be some fiscal cleanup. More information regarding

the 2015 Comprehensive Community Services (CCS) reconciliation will be coming in

November regarding payment. The 2016 CCS reconciliation is expected to occur on time

and Pierce County should receive payment in December 2017.

Financial Report

Spring Valley Nursing Home-ADRC - Mr. Schmidt stated that since the Spring

Valley Nursing Home is privately owned there is no need for action regarding

this issue.

Database operations - Mr. Schmidt stated he met with Jean Behringer regarding

the elimination of Filemaker Pro in 2018 and incorporating all that information

into Avatar or other existing systems. Ms. Behringer will be meeting with staff to

discuss their needs.

2008 Olson Study Review – Mr. Schmidt had the 2008 Olson Study available for

review. He stated that he would like to have input on the decision regarding

which contractor will be chosen.

Director’s Report

Amended and Approved 11-16-17

2

CCS State Data – Mr. Schmidt stated that the Consortium is trying to use

evidence-based studies and he presented two studies that the board could review.

Administrative Coordinator, JoAnn Miller expressed to the board that she was

contacted by Chippewa County with some concerns regarding the direction that

Pierce County wants to take in regards to the deficit that Chippewa County

currently has. Ms. Miller met with the Finance Director and the Administrator of

Chippewa County along with Tami Billeter and Julie Brickner. There were four

options presented to the directors of the consortium in regards to the deficit.

Chippewa County stated that Mr. Schmidt was advocating for the option that

would make providers wait for their payments until reconciliation rather than

how they are currently being paid. Chippewa County felt that the contracted

direct services would be paid in full, but thought that the service facilitation

portion may not. Mr. Schmidt stated that there were setbacks because the state

did not license the consortium until 4/1/15 rather than 1/1/15. Staff was being

paid by the county during this time. Mr. Kahlow suggested that Mr. Schmidt and

Ms. Miller meet to address these issues and add it as an agenda item for the next

meeting.

Motion by Rogers, seconded by Mercord, with a unanimous roll call vote to convene

into closed session pursuant to Section 19.85(1)(c) Wisconsin Closed Session Statutes, for the purpose of considering employment, promotion, compensation, or

performance evaluation data of any public employee over which the governmental

body has jurisdiction or exercises responsibility: Human Services Director’s 2016-17

Annual Review. Motion by Reis to defer evaluation of Director until next meeting.

Motion carried.

Closed Session

Motion by Rogers, seconded by Reis, with a unanimous roll call vote to return to open

session and to defer evaluation of Director until next meeting. Motion carried. Return to Open

Session

CCS

Director’s Evaluation

Future Agenda Items


scheduled for Thursday, November 16, 2017 at 5:15 p.m. in the Lower Level Meeting


Next meeting date

Motion by Rogers, seconded by Mercord, that the meeting be adjourned at 6:25 p.m.

Motion carried.

Adjournment


__________________________

Cherie Hotter

AGENDA

HUMAN SERVICES

Thursday October 19, 2017

5:15 p.m.



# Action Presenter

1 Call to order



September 21, 2017

Members



Members


requests.

Members

6 Review monthly vouchers Hotter

7 Financial Report Schmidt

8 Director’s report – Spring Valley Nursing Home – ADRC,

Database operations, 2008 Olson Study review, CCS state data

sheet.

Schmidt

9 Closed session discussion and/or action: The Board will convene

into closed session pursuant to Section 19.85(1) (c) Wisconsin

Statutes, for the purpose of considering employment, promotion,



exercises responsibility: Human Services Director 2016-17

Annual Review.

Members

10 Return to open session and take action on closed session item if

Necessary.

Members



13 Adjourn


at 715-273-6766.






Approved 10/19/2017

1


Thursday, September 21, 2017 – 5:15 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:15 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ben Plunkett

Stephanie Stark

Dan Reis

Neil Gulbranson

Robert Mercord

Carolyn Sorenson



Roll Call

Motion by Gulbranson, seconded by Mercord, to approve the September 21, 2017

agenda. Motion carried.

Agenda

Motion by Sorenson, seconded by Mercord, to approve the August 17, 2017 board

meeting minutes. Motion carried.

Minutes

Carolyn Sorenson addressed the board about the concerns of the Spring Valley Nursing

Home possibly closing due to lack of funds. She is wondering whether the cause of this

is the lack of clients or funding. She would like to know if there is any

resources/information that the Aging and Disability Resource Center (ADRC) and Pierce

County could provide. Mr. Kahlow asked Ron Schmidt to look into resources that may

be available through the county and report back next month on his findings.

Public comments

The training report and an out of county travel request were presented to the board as

well as follow-up notes from previously approved trainings/meetings. Motion by Reis,

seconded by Stark, to approve the out of county travel requests for Human Services staff

as presented. Motion carried.

Training and Travel

Out of County

Travel

Ms. Hotter distributed the August 2017 Accounts Payable Invoice Report for the board to


Vouchers

The July 2017 financial was reviewed by the board. Expenses are slightly above target at

this point. Child Protective Services and Mental Health placements are trending higher than

budgeted.

Financial Report

Mr. Schmidt explained to the board that the original reorganization plan for the Child

Protection Services unit having one manager versus two will not occur after further

discussion with Administration and Corporation Counsel. A new reorganization plan was

presented to Finance and Personnel that will keep two managers; however one social worker

from Juvenile Justice unit will move to Child Protection Services unit full-time. Plunkett

had some concerns with the new organization and Mr. Schmidt addressed them. Motion by

Reis, seconded by Plunkett, to approve the changes to the Children, Youth and Family unit

reorganization that was approved at Finance and Personnel on 9/11/17. Motion carried.

Children, Youth and

Family Unit

Reorganization

Adult placements – Pacing for placements is on the same trend as this time last

year. Trempealeau County is approximately $65,000 above last year.

Director’s Report

Approved 10/19/2017

2

Child placements – Placements are trending higher than last year by $50,000 due

to the fact that we had three children in treatment and Residential Care Centers in

the beginning of the calendar year.

Comprehensive Community Services Reimbursement – Counties are working

with the State for 2015 reimbursement. They are looking at how Chippewa

County was coding/processing bills. The errors should be fixed and we are

expecting to be paid 2015 in full by the end of October. Chippewa is anticipating

claims to be error free for 2016 and will be expecting reimbursement by the end

of 2017 for approximately $105,000. Chippewa County is communicating with

Medicaid/State to see if a 1/12th

prepaid contract can offset the cash flow needs to

operate the WRRWC consortium.

2018 increase in WI Department of Children and Families Basic County

Allocation (8.08%) – The County is expecting to see an increase in the Basic

County Allocation by approximately $37,000. Mr. Schmidt will not be ear

marking the funds.

Human Services Director Annual Evaluation

Comprehensive Community Services – Data showing success and failures of the

program by Ron Schmidt

Spring Valley Nursing Home – Pierce County resource options by Ron Schmidt.

Future Agenda Items


scheduled for Thursday, October 19, 2017 at 5:15 p.m. in the Lower Level Meeting


Next meeting date

Motion by Reis, seconded by Mercord, that the meeting be adjourned at 6:25 p.m.

Motion carried.

Adjournment


__________________________

Cherie Hotter

AGENDA

HUMAN SERVICES

Thursday September 21, 2017

5:15 p.m.



# Action Presenter

1 Call to order



August 17, 2017

Members



Members


requests. A. Regular training. B. Out-of-state within 200 miles.

Minneapolis, MN training no additional funds needed. Three staff

to carpool and attend.

Members



8 Discuss and/or take action to approve changes to Children, Youth

and Family unit reorganization approved at F&P on 9/11/2017

Schmidt

9 Director’s report – adult placements, child placements, CCS

reimbursement, 2018 increase in WI Department of Children and

Families Basic County Allocation – 8.08%

Schmidt

10 Future agenda items – HS Director Annual Evaluation Members


12 Adjourn


at 715-273-6766.






Approved: 9-21-17

1


Thursday, August 17, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Ben Plunkett

Stephanie Stark

Dan Reis

Neil Gulbranson

Robert Mercord



Carly Ohman – CYF Manager

Joy Lynn George – Juvenile Justice Lead Social Worker


Jennelle Wolf – Child Protective Services Lead Social Worker

Sarah Olson – Human Services Worker

Caitlyn Hanson – Juvenile Justice Social Worker


Roll Call

Motion by Rogers, seconded by Reis, to approve the August 17, 2017 agenda. Motion

carried.

Agenda

Motion by Rogers, seconded by Plunkett, to approve the July 13, 2017 board meeting

minutes. Motion carried.

Minutes



from previously approved trainings/meetings. Motion by Rogers, seconded by Reis, to

approve the out of county travel requests for Human Services staff as presented. Motion

carried.

Out of County

Travel

Ms. Billeter distributed the July 2017 Accounts Payable Invoice Report for the board to


Vouchers

Ms. Billeter presented the June 2017 financial report to the board. Expenses are slightly

above target at this point. Child Protective Services and Mental Health placements are

trending higher than budgeted.

Financial Report

Mr. Schmidt stated that the proposed 2018 budget was asked to be reviewed by

Administration one week prior to the Human Services board meeting. Mr. Schmidt met with

JoAnn Miller, Julie Brickner, Michael Kahlow, Tami Billeter, and Jeff Holst two days prior

to the board meeting. Three primary areas were discussed – organizational/revenue studies,

department reorganization, and reasonable Mental Health placement budgeting. The current

budget being proposed includes a levy increase of $115,837 using a five-year average for

placement budgeting. It was stated at the meeting that JoAnn Miller would recommend that

the additional levy for placements could come from reserves as long as there is a plan in

place by 1/1/18 to reduce the need for additional levy in 2019. Kahlow stated that he sees it

Administrative Input

to 2018 Proposed

Department Budget

Approved: 9-21-17

2

as a one-time expenditure and the Human Services board will be tasked at studying

department efficiencies in order to be budget neutral in 2019. The mid-year Mental Health

position added in 2016 was also discussed.

Gulbranson arrived at 5:10 p.m.

Mr. Schmidt presented the 2018 proposed budget to the board. The proposed budget

(Budget Option #1) includes a five-year average budgeting method for mental health and

children’s placements, leaving out the high and low years. There have been historical high

placements at the Winnebago Hospital in recent years. There are no changes to positions in

this budget option. There has also been a trend in methamphetamine abuse which has led to

an increase in child maltreatment. Finance and Personnel did not approve additional

resource for the addition of 1.6 full-time equivalent (FTE) positions in Child Protective

Services. They asked Mr. Schmidt to look at using existing resources to reorganize the

department based on current needs. The current budget proposal has an overall levy increase

of $115,837. Mr. Schmidt stated that he does not recommend funding this expense out of

reserves if the funds need to be reimbursed or other conditions.

2018 Proposed

Budget Presentation

Mr. Schmidt presented two departmental reorganization plans. The first option (Budget

Option #2) is essentially budget neutral. It eliminates a 1.0 FTE Administrative Assistant

that was recently vacated. Using those resources and the existing Foster Care Social Worker

.4 FTE resources, a 1.0 FTE Foster Care Coordinator Social Worker would be created. The

plan would also make structural changes from two units – Child Protective Services (CPS)

and Juvenile Justice with two mangers to one Children, Youth, and Families unit with one

manager. One of the managers would be transferred to a 1.0 FTE CPS Ongoing Social

Worker. The essential chain of command for the unit would be from the manager to three

designated lead social workers in the combined unit to the line workers. One ongoing CPS

social worker would be reclassified to a lead social worker. The lead worker positions would

need some Human Resources changes to their lead capacities. This would also eliminate the

need for a temporary Investigation & Assessment (I&A) Social Worker in CPS. The

additional funds needed for this plan would be $1,847.

The second reorganization plan (Budget Option # 3) requires a levy increase of $57,830.

This plan also eliminates a 1.0 FTE Administrative Assistant in order to create a 1.0 Foster

Care Social Worker. Unlike the first reorganization option, this option would leave two

managers in CPS and Juvenile Justice. A reassignment of a 1.0 FTE Comprehensive

Community Services (CCS)/Children’s Long-Term Support (CLTS) social worker to a CPS

Ongoing Social Worker would occur. This plan would also eliminate the need for a

temporary I&A worker in CPS.

Mr. Schmidt recommended the Reorganization/Budget Option #2. If approved, this

reorganization will begin in 2017 and will carry into the 2018 budget year.

Motion by Plunkett, seconded by Reis, to adopt Reorganization/Budget Option #2 as

presented and forward to Finance and Personnel for consideration. Motion carried with

Rogers abstaining from the vote.

2017-2018

Departmental

Reorganization Plans

Motion by Rogers, seconded by Mercord, to approve 2018 proposed budget with Option

#2 which includes an increase in levy of $1,847 for reorganization and forward to

Finance and Personnel for consideration. Motion carried with Kahlow opposing.

Discuss/Take Action

on 2018 Proposed

Departmental

Budget

The department staffing plan was reviewed. No action was needed. Departmental

Staffing Plan

Approved: 9-21-17

3

Reorganization update Future Agenda Items


scheduled for Thursday, September 21, 2017 at 5:15 p.m. in the Lower Level Meeting


Next meeting date

Motion by Rogers, seconded by Gulbranson, that the meeting be adjourned at 6:46 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday August 17, 2017

5:00 p.m.



# Action Presenter

1 Call to order



July 13, 2017

Members



Members


requests.

Members



8 Discuss County Administrative input to 2018 proposed

departmental budget.

Schmidt

9 2018 proposed budget presentation Schmidt

10 Discuss and/or take action on 2017-2018 departmental

reorganization plans.

Schmidt

11 Discuss and/or take action to approve 2018 proposed departmental

budget and forward to F&P.

Schmidt

12 Discuss and/or approve departmental staffing plan. Schmidt



15 Adjourn


at 715-273-6766.






Approved 8/17/17

1


Thursday, July 13, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Ben Plunkett

Stephanie Stark

Dan Reis

Neil Gulbranson

Carolyn Sorenson

Robert Mercord




Agnes Ring – Family Resource Center of St. Croix Valley

Roll Call

A Public Hearing was held for the purpose of receiving the public’s input relative to the 2018

Human Services budget. Agnes Ring was available from the Family Resource Center. Their

agency focuses on at-risk families. The program is dedicated to preventing child abuse and

neglect. In 2016, 53 families were served. Each family is visited twice per month. She thanked

the board for the support and the resources that have been given to the agency. Mr. Schmidt

stated that this is the main prevention expense for children and families in our county and the

funding comes from the Preserving Safe and Stable Families grant.

Public Participation

Hearing

Motion by Rogers, seconded by Sorenson, to close the Public Participation Hearing at

5:13 p.m. Motion carried.

Close Public

Participation

Hearing

Chairman Kahlow called the Human Services Board meeting to order at 5:13 p.m. Meeting Convened

Motion by Rogers, seconded by Gulbranson, to approve the July 13, 2017 agenda.

Motion carried.

Agenda

Motion by Rogers, seconded by Stark, to approve the June 15, 2017 board meeting


Minutes





carried.

Out of County

Travel

Ms. Billeter distributed the June 2017 Accounts Payable Invoice Report for the board to


Vouchers

Ms. Billeter presented the May 2017 financial report to the board. Expenses are on target at

this point. Financial Report

Kristi Frederick, Child Protection Services Manager, was available to discuss Child

Protective Services (CPS) with the board. She stated that the CPS unit is in distress right

now in regards to the current staffing level. Drug addiction issues have really affected the

Child Protective

Services Training

Approved 8/17/17

2

unit. As a result of the dramatic increase in drug abuse, children end up in placements much

longer. Currently, the ongoing social workers have 27 and 18 kids. Guidelines state 16

cases per ongoing worker should be the maximum. Research shows that it costs about

$54,000 to train a new social worker. There is an average of 140 cases being screened in

each year. Ms. Frederick stated that to her knowledge there have been no additional social

workers added from 2000-2016. She also commented that it’s difficult to meet the needs of

the children in Pierce County with five social workers. Foster care licensing requirements

are labor-intensive as well which is why Frederick stated that it’s critical that the department

hire a full-time Foster Care Coordinator position. Plunkett suggested that the Human

Services board take action on this and add as a future agenda item. The board thanked Ms.

Frederick for her hard work and dedication.

Ron Kiesler and Tami Billeter have incorporated the five-year average on mental health

placement costs, tossing out the high and low year’s method into the 2018 budget. The net

difference of $141K would be needed in additional levy in order to fund placements using

this method. Motion by Rogers, seconded by Gulbranson to approve this methodology to

calculate mental health placements costs for the 2018 budget. Motion carried.

2018 Proposed

Mental Health

Placement

Expenditure Forecast

Method

The priorities and needs have not changed since the last meeting; however the Finance and

Personnel action was to not add any additional resources for an additional 1.6 FTE in the

CPS unit. Mr. Schmidt perceived that reorganization is the only option in order to fulfill the

agency’s needs. Schmidt stated that he has some ideas and has met with managers to discuss

these options. A detailed plan will be coming in August. The reorganization must be cost-

neutral.

2018 Proposed

Positions and

Program Priorities

2018 Reorganization Plan

2018 Proposed Department Budget

Future Agenda Items


scheduled for Thursday, August 17, 2017 at 5:00 p.m. in the Lower Level Meeting Room

of the Pierce County Office Building.

Next meeting date

Motion by Rogers, seconded by Sorenson, that the meeting be adjourned at 6:28 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday July 13, 2017

Immediately following Public Participation Hearing at 5:00 p.m.



# Action Presenter

1 Call to order



June 15, 2017

Members



Members


requests.

Members



8* Board Training: Child Protective Services Kristi Frederick

9 Discuss and/or take action – 2018 proposed mental health

placement expenditure forecast method.

Schmidt

10 Discuss and/or take action – 2018 proposed positions and program

priorities.

Schmidt

11 Future agenda items

2018 proposed departmental budget

Members


13 Adjourn


at 715-273-6766.






Approved 7/13/17

1


Thursday, June 15, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Ben Plunkett

Stephanie Stark

Dan Reis

Neil Gulbranson

Carolyn Sorenson

Robert Mercord




Roll Call

Motion by Rogers, seconded by Reis, to approve the June 15, 2017 agenda. Motion

carried.

Agenda

Motion by Rogers, seconded by Mercord, to approve the May 18, 2017 board meeting

minutes. Motion carried with Kahlow and Gulbranson abstaining from the vote.

Minutes

JoAnn Miller was available to discuss the 2018 budget guidelines with the board. She

explained her belief for the reasons for the 2017 Human Services deficit. She also stated

that Finance and Personnel provided more specificity with the budget guidelines this year

that includes a zero percent increase which does not include wage increases and health

insurance increases for existing staff. Departments must budget realistically and if a zero

percent budget is not feasible, a justification must be given. The guidelines include not

spending out of the fund balance as fund balances should only be used for one-time

purchases. Ms. Miller asked the board to direct the Human Services Director to present

the proposed 2018 budget at least one week prior to Administration before it is presented

to the Human Services board in August. It was suggested that a five year rolling average

be used for placements, throwing out the high and the low years.

The board welcomed Neil Gulbranson to the board. He is replacing Ruth Wood who

resigned.

Public comments




carried.

Out of County

Travel

Ms. Billeter distributed the May 2017 Accounts Payable Invoice Report for the board to


Vouchers

Ms. Billeter presented the April 2017 financial report to the board. Expenses are on target at

this point. Financial Report

Mr. Schmidt presented the 2017 semi-annual report. He stated that if the federal proposed 2017 Semi-Annual

Approved 7/13/17

2

cuts to Medical Assistance go into effect, this will greatly impact Human Services. Nearly

all of the programs in Human Services are affected by this potential cut. The 2017-19

proposed state biennial budget is very friendly for Human Services programs. One of the

proposals is to include an increase to the basic county allocation for children’s services. This

would result in approximately a $37,000 increase for Pierce County. Mr. Schmidt stated that

the Child Protective Services unit is in desperate need of a foster care licensing social

worker. Currently the manager is performing the duties of foster care licensing. Approval

was not given by Administration to fill a part-time position that is in the current budget. Mr.

Schmidt suggests adding a .6 FTE position to make it a full-time position in the 2018 budget.

There has also been a significant increase in ongoing cases. Meth cases have increased

dramatically. These cases tend to be long-term cases. Mr. Schmidt stated that he currently

has one case that he’s managing. Dr. Rogers stated that it’s unacceptable for the Director to

have a case. The Comprehensive Community Services (CCS) program is financially not in a

good position to add any positions; however this program is very beneficial from a treatment

perspective. The cost settlement process through the Wisconsin Medicaid Cost Reporting

(WIMCR) tool is how the counties will be fully reimbursed for CCS costs. The board

discussed using a 5-year rolling average on placements. Mr. Schmidt commended the

managers for all of their hard work.

Report

Mr. Schmidt reiterated that Finance and Personnel recommended a 0% budget increase or a

justification is needed for any increase. 2018 Proposed

County Budget

Direction from

Finance & Personnel

The 2018 budget priorities are to set placement levels in Child Protective Services and

Community Behavioral Health at realistic values based on the method decided by Ron

Schmidt and JoAnn Miller. The plan will be to provide a budget based on priorities

presented by Mr. Schmidt.

2018 Proposed

Budget Priorities and

Planning

Adult & child placement data – Placements are trending lower than last year in

mental health.

Comprehensive Community Services revenue report – The reconciliation process

will be done through WIMCR in December, 2017 at this point.

2018 new personnel requests – Administration sent out a list of all proposed new

positions along with the funding needed for those positions. Mr. Schmidt agreed

with the proposal, and will present any 2017-19 state budget approved funding when

available.

Director’s Report

2018 Proposed Budget Planning - July

2018 Public Participation Plan – July

2018 Proposed Budget Presentation - August

Future Agenda Items


scheduled for Thursday, July 13, 2017 at 5:00 p.m. in the Lower Level Meeting Room of

the Pierce County Office Building.

Next meeting date

Motion by Rogers, seconded by Plunkett, that the meeting be adjourned at 6:33 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday June 15, 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order

2 Discuss and take action to establish and approve the agenda. Members

3 Discuss and take action to approve meeting minutes of May 18,

2017.

Members


Board must register in writing before the meeting begins.

Members


requests.

Members


7 Financial report Billeter

8 2017 Semi-Annual Report Schmidt

9 2018 proposed county budget direction from Finance & Personnel

6/5/2017

Members

10 2018 Proposed Budget Priorities and Planning Members

11 Director’s report: Adult and child placement data, Comprehensive

Community Services revenue report and 2018 new personnel

requests.

Schmidt

12 Future agenda items – 2018 proposed budget planning - July



14 Adjourn Members


at 715-273-6766.






Approved 6/15/17

1


Thursday, May 18, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE


Pierce County Office Building, Ellsworth, WI. Vice-Chairman Rogers called the

meeting to order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Ogden Rogers

Ben Plunkett

Stephanie Stark

Dan Reis

Ruth Wood



Luann Berger – Child Support Manager


Roll Call

Motion by Plunkett, seconded by Reis, to approve the May 18, 2017 agenda. Motion

carried.

Agenda

Motion by Reis, seconded by Wood, to approve the April 20, 2017 board meeting


Minutes

JoAnn Miller, Administrative Coordinator, addressed the board and stated that there has

been one meeting between Information Services and Human Services regarding Avatar.

The group is looking at changes that need to be made in Avatar. She stated that

communication is the key factor to the success.

Mr. Plunkett inquired about the possibility of St. Croix County adding a Mental Health

facility. Mr. Schmidt stated that St. Croix County’s sub-committee of the Criminal

Justice Coordinating Committee is trying to find a solution to the problem of taking

people to Winnebago. They are looking at other options at this point.

Public comments


from previously approved trainings/meetings. Motion by Reis, seconded by Stark, to


carried.

Out of County

Travel

Ms. Billeter distributed the April 2017 Accounts Payable Invoice Report for the board to


Vouchers

Ms. Billeter presented the March 2017 financial report to the board. Expenses are right on

target at this point. Human Services ended up with a deficit of $289,985 in 2016. The main

contributing factors were mental health placements, the additional mental health social

worker position that was added mid-year in 2016, and the Comprehensive Community

Services revenue deficit as well as children’s placements.

Financial Report

Luann Berger, Child Support Supervisor, presented on Child Support services. She stated

that paternity must be established in non-marital cases. Wisconsin is a judicial state which

means that all orders must be signed by Judge Boles or Commissioner Gavic and a court

action must be started. All Child Support payments must go through the state system. The

Bureau of Child Support has asked that Child Support units start referring clients to various

Child Support

Training

Approved 6/15/17

2

programs such as Food Support Employment and Training (FSET) or the Wisconsin Works

(W-2) programs. The unit can locate absent parents with various programs and agencies.

There are four Child Support specialists and one Administrative Assistant in addition to the

supervisor. The funding is based on performance measures. The board thanked Ms. Berger

for the information.

Mr. Schmidt stated that the due date for 2018 new personnel requests has been moved up to

June 1st. The first position being requested is a .6 FTE Foster Care Social Worker. The

department already has a .4 FTE position in the budget. This position has been requested

since 2012 and is necessary given the changes in foster care regulations and demand and

having local foster care homes is essential to avoid out-of-county higher cost placements.

Schmidt is relying on some new money from the Department of Children and Families as

well as levy to fund this position. The amount of levy being requested is $14,786. This is the

more critical of the two positions being requested. The second position being requested is a

full-time Child Protective Services social worker due to increased demand and worker

turnover in ongoing case management. This position would be funded by levy in the amount

of $85,129. Motion by Wood, seconded by Plunkett, to approve the 2018 new personnel

form as presented and forward to Finance and Personnel for consideration. Motion carried.

2018 Proposed New

Personnel Form

Adult & child placement data – Mental Health placements ended up very high in

2016. Adult placements are tapering down slightly in 2017. Children’s placements

started high in 2017.

Comprehensive Community Services revenue report – The revenue report remains

the same. The department expects to find out in December of 2017 if 2015 and 2016

expenses will be fully paid. There is a request being drafted to the state to ask for

emergency funding to help cover these costs in the meantime.

Information Services/Human Services Avatar work group - JoAnn Miller, Ron

Kiesler, and Ron Schmidt have met and all seem to be in agreement in regards to the

Avatar changes that need to be made.

Director’s Report

2017 Semi Annual Report - June

2018 Proposed Budget Planning - June

2018 Public Participation Plan - July

Future Agenda Items


scheduled for Thursday, June 15, 2017 at 5:00 p.m. in the Lower Level Meeting Room of

the Pierce County Office Building.

Next meeting date

Motion by Reis, seconded by Plunkett, that the meeting be adjourned at 6:25 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday May, 18 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order


3 Discuss and take action to approve meeting minutes of April 20,

2017

Members



Members


requests.

Members



8 Board Training: Child Support Services Luann Berger

9 Discuss and take action to approve and forward 2018 proposed

new personnel form to Human Resources/Admin by the June 1,

2017 due date.

Members

10 Director’s report: Adult and child placement data, Comprehensive

Community Services revenue report, and IS/DHS Avatar work

group.

Schmidt

11 Future agenda items – 2017 Semi Annual Report - June

2018 proposed budget planning - June



13 Adjourn Members


at 715-273-6766.






Approved 5/18/17

1


Thursday, April 20, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Robert Mercord

Ben Plunkett

Stephanie Stark

Dan Reis

Ruth Wood

Carolyn Sorenson



Heather Rewey-Conway – Aging and Disability Resource Center

Manager


Roll Call

Motion by Mercord, seconded by Plunkett, to approve the April 20, 2017 agenda.

Motion carried.

Agenda

Motion by Wood, seconded by Reis, to approve the February 16, 2017 board meeting


Minutes

None.

Carolyn Sorenson arrived at 5:02 p.m.

Public comments


from previously approved trainings/meetings. Motion by Reis, seconded by Mercord, to


carried.

Out of County

Travel

Ms. Billeter distributed the February and March 2017 Accounts Payable Invoice Report for

the board to review. Review Monthly

Vouchers

Ms. Billeter presented the February 2017 financial report to the board. Revenues are above

target due to the fact that the tax levy is transferred in January. Expenses are below target at

this point. The final December 2016 report is not available since there are audit adjustments

that need to be posted yet. At this point, there is a deficit of approximately $300,000.

Dr. Rogers arrived at 5:05 p.m.

Financial Report

Mr. Schmidt stated that there is one citizen and one board member up for election to the

Human Services board for a 3-year term. Mr. Plunkett was elected for a 3-year term so his

term is not yet up. Motion by Plunkett, seconded by Mercord, to nominate Ruth Wood and

Dr. Ogden Rogers to the Human Services Board for a 3-year term and forward to the County

Board. Motion carried.

Human Services

Board Nomination

Heather Rewey-Conway was available to discuss services provided by the Aging and

Disability Resource Center. She stated that there are basically three categories of services Aging and Disability

Resource Center

Approved 5/18/17

2

provided. The Office on Aging services consists of transportation, nutrition, and grant

funding. The Aging and Disability Resource Center provides options counseling and benefit

specialists. The third category, Adult Protective Services, works with adults at risk who

have a physical or mental condition that substantially impairs his or her ability to care for his

or her needs and elder adults over 60 who have experienced abuse, neglect, self-neglect or

financial exploitation. Conway talked specifically about the Spring Valley congregate meal

site which has been struggling in the past to attract participants. Conway talked to the Spring

Valley community about options and a meal site was established at Sneakers Bar and Grill.

It has been a huge success. There has been a 248% increase in meals served since 2015.

The board commended Conway for her efforts.

Training

Mr. Schmidt wanted the board to be aware that there are rules within the agreement with the

Western Region Recovery and Wellness Consortium that if Pierce County decides to remove

themselves from participating in the consortium without penalty, a notice must be given to

withdraw. Schmidt stated that the department has not yet been fully reimbursed for 2015 and

2016 Comprehensive Community Services (CCS) costs yet. This likely won’t happen until

December of 2017. The rules and direction from the state has not changed in that counties

should be fully reimbursed for their costs through the reconciliation process. No action was

taken.

Wellness and

Recovery

Consortium

Participation

Adult & child placement data – children’s placements are trending slightly high at

this point. Adult placements are quite high at Trempealeau; however hospitalizations

at Winnebago and Mendota remain low.

Foster Care and Admin request for reorganization of current resources – The

department had a foster care coordinator position combined with a Coordinated

Service Teams (CST) position for a total of one full-time equivalent. The person

holding that position has resigned. Since the department doesn’t want to refill the

CST portion of the position, Administration has suggested that the department look

into reorganization within the department. Mr. Schmidt has done that and feels that

there isn’t anyone who could take on the foster care duties as it was determined that a

social worker is needed to do the job. Mr. Schmidt stated that position will remain

vacant at this point.

Coordinated Service Teams – discussed above

Comprehensive Community Services revenue report – discussed above

Proposed 2017-19 state budget Child Protective Services funding increases – an

increase of about $5 million in Basic County Allocation is proposed in the state

budget for 2017-19. This would result in about $55-65,000 for Pierce County. Mr.

Schmidt will propose paying for a full-time foster care coordinator position for 2018

using that money. The proposed state budget is not touching the ADRC funding,

Comprehensive Community Services (CCS) funding continues, Treatment

Alternative Diversion funding will remain, Children, Youth, and Family funding will

increase and additional funding is proposed for opioid abuse.

Avatar programming needs – The Community Behavioral Health unit recently had a

recertification audit and there are electronic forms that need to be added into Avatar

as a result of that. The department is in compliance by doing forms on paper

currently. JoAnn Miller stated that she believes there are some communication

issues between the Information Services and Human Services departments and

offered to be the communication conduit between the two departments. The board

was receptive to the offer.

Director’s Report

Mr. Schmidt stated that the annual report has been approved by the county board. The

board thanked Mr. Schmidt for his work on the report. Motion by Wood, seconded by

Rogers, to approve the 2016 Human Services Annual Report as presented. Motion

2016 Annual Report

Approved 5/18/17

3

carried.

New 2018 budget calendar – semi-annual report Future Agenda Items


scheduled for Thursday, May 18th, 2017 at 5:00 p.m. in the Lower Level Meeting Room


Next meeting date

Motion by Wood, seconded by Rogers, that the meeting be adjourned at 6:39 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday April 20, 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order


3 Discuss and take action to approve meeting minutes of February

16, 2017

Members



Members


requests.

Members



8 Discuss and take action to nominate and forward to the county

board three persons (2 board members/1 citizen board member) for

election to Human Services Board three year terms.

Members

9 Board Training: Aging and Disability Resource Center Heather Conway

10 Discuss and/or take action on Wellness and Recovery Consortium

participation.

Schmidt

11 Director’s report: Adult and child placement data, Foster Care and

Admin request for reorganization of current resources,

Coordinated Service Teams, Comprehensive Community Services

revenue report, and proposed 2017-19 state budget Child

Protective Services funding increases, and Avatar programming

needs.

Schmidt

12 Discuss and take action to review and approve 2016 Departmental

Annual Report

Schmidt



15 Adjourn


at 715-273-6766.






**AMENDED**

AGENDA

HUMAN SERVICES

Thursday March 9, 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order


3 Discuss and take action to approve meeting minutes of February

16, 2017

Members



Members


requests.

Members

6 Review monthly vouchers Billeter/Designee

7 Board Training: Child Protective Services Kristi Frederick

8* Discuss and/or take action on existing budgeted 0.4 FTE Foster

Care Coordinator position.

Schmidt

9 Director’s report: Adult and child placement data, Foster Care

administration, Comprehensive Community Services revenue

report, and proposed 2017-19 state budget Child Protective

Services funding increases.

Schmidt

10 Discuss and take action to review and approve 2016 Departmental

Annual Report

Schmidt

11 Future agenda items – Board training, WCA 2017-19 State budget

review Eau Claire 3/23/2017.

Members


13 Adjourn


at 715-273-6766.





A quorum of County Board supervisors may be present. RS: 3/8/17 * Denotes amended item 3/8/2017

Approved 4/20/17

1


Thursday, February 16, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Robert Mercord

Ben Plunkett

Stephanie Stark

Dan Reis

Ruth Wood



Larry Winter – Chippewa County Human Services Director

Jill Chafee – Chippewa County Western Region Recovery and

Wellness Consortium Operations Manager

Roll Call

Motion by Rogers, seconded by Mercord, to approve the February 16, 2017 agenda.

Motion carried.

Agenda

Motion by Wood, seconded by Rogers, to approve the January 19, 2017 board meeting


Minutes

Ruth Wood stated that she will not be at the March meeting. Public comments




carried.

Out of County

Travel

Mr. Schmidt asked the board to consider approval of three staff to attend the Impaired

Driving Assessment (IDA) training in Phoenix, Arizona in March 2017 funded by the

Treatment Alternative Diversion grant not to exceed $4,240. This assessment tool will be

used for the Operating While Intoxicated (OWI) court. No county funds are required.

Motion by Rogers, seconded by Reis, to approve the out of state travel request and forward

to Finance and Personnel for consideration. Motion carried.

Out of State Travel

Ms. Billeter distributed the January 2017 Accounts Payable Invoice Report for the board to


Vouchers

There was no financial report this month due to year-end adjustments. The 2016 audit will

take place beginning April 3, 2017. Financial Report

Larry Winter and Jill Chafee were available to discuss the Comprehensive Community

Services program with the board. This program is Medicaid funded and actual costs are fully

reimbursable. There are 14 services available within the program. This program provides a

flexible array of individualized community based psycho-social rehabilitation services.

Pierce County served 26 people as of the end of the 4th quarter of 2016. Payments have been

delayed in 2016, but Chippewa is hopeful that 2017 payments will be back on track. There

have been some challenges with the Wisconsin Medicaid Cost Reporting (WIMCR)

reconciliation process. Chippewa is working with state-level partners and the Public

Wellness and

Recovery

Consortium Board

Training

Approved 4/20/17

2

Consulting Group to resolve the reconciliation issues. The board thanked Mr. Winters and

Ms. Chafee for attending.

Adult & child placement data – Adult placements are over budget primarily due to

Winnebago hospitalizations. Children’s placements are more stable. Foster care has

increased slightly over past years.

Foster Care administration – Mr. Schmidt has received a resignation from the

Coordinated Services Team/Foster Care social worker. He is working with JoAnn

Miller to come up with a solution for rehire.

Comprehensive Community Services revenue report – The department has received

interim money through August, 2016. The state’s priority is to get us paid by year-

end for the 2015 reconciliation.

Wood left the meeting at 6:10 p.m.

Director’s Report

Program units board training based on scheduling

Board self-assessment

Future Agenda Items


scheduled for Thursday, March 9th, 2017 at 5:00 p.m. in the Lower Level Meeting Room


Next meeting date

Motion by Reis, seconded by Plunkett, that the meeting be adjourned at 6:24 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

*AMENDED*

AGENDA

HUMAN SERVICES

Thursday February 16, 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order


3 Discuss and take action to approve meeting minutes of January 19,

2017

Members



Members


requests.

Members

6* Discuss and take action to approve out-of-stat staff training: IDA

assessment training – 2017 TAD grant funded

Members



9 Board Training: Wellness and Recovery Consortium Larry Winter &

Jill Chafee

Chippewa DHS

10 Director’s report: Adult and child placement data, Foster Care

administration, and Comprehensive Community Services revenue

report.

Schmidt

11 Future agenda items –Board training - program units based on

scheduling.


13 Adjourn


at 715-273-6766.





A quorum of County Board supervisors may be present. RS: 2/9/17 * Denotes amended item

Approved 2/16/17

1


Thursday, January 19, 2017 – 5:00 p.m.


STATE OF WISCONSIN

COUNTY OF PIERCE



order at 5:00 p.m.

Meeting convened

Members

present:

Also Present:

Michael Kahlow

Ogden Rogers

Robert Mercord

Ben Plunkett

Stephanie Stark

Dan Reis

Carolyn Sorenson

Ruth Wood



Ron Kiesler – Community Behavioral Health Supervisor

Roll Call

Motion by Mercord, seconded by Sorenson, to approve the January 19, 2017 agenda.

Motion carried.

Agenda

Motion by Mercord, seconded by Sorenson, to approve the November 17, 2016 board

meeting minutes. Motion carried.

Minutes



from previously approved trainings/meetings. Motion by Reis, seconded by Stark, to


carried.

Out of County

Travel

Mr. Schmidt asked the board to consider approval of four Children’s Long-Term Support

workers to attend out of state training in Duluth for Children’s Mental Health training April

23-25, 2017 not to exceed the cost of $2,478 which will come out of the regular training

budget. Motion by Reis, seconded by Sorenson, to approve the out of state travel request

and forward to Finance and Personnel for consideration. Motion carried.

Out of State Travel

Ms. Billeter distributed the November and December 2016 Accounts Payable Invoice Report

for the board to review. Rogers arrived at 5:04 p.m. Review Monthly

Vouchers

The 2017 Purchase of Service Contracts list was presented to the board. Motion by Reis,

seconded by Rogers, to approve the 2017 Purchase of Service contracts as presented. Motion

carried. Wood arrived at 5:05 p.m.

2017 Purchase of

Service Contracts

Ms. Billeter presented the November 2016 financial report to the board. Revenues are below

target at this point due to the lag of state revenues that are paid a couple of months after

expenses are incurred. Expenses are on target through November; however December is

typically a larger expense month due to 2016 payroll expenses that are paid in January, but

adjusted back to fiscal year 2016.

Financial Report

Ron Kiesler was available to discuss the Community Behavioral Health programs with the

board. He focused on emergency detentions and Comprehensive Community Services

(CCS). The Continuum of Care chart was distributed which displayed services provided in

the unit which consists of outpatient therapy, targeted case management, CCS, Community

Community

Behavioral Health

Presentation

Approved 2/16/17

2

Support program (CSP), and living arrangements. The goal of the CCS program is to help

people stay in the community. Employment is a requirement of the program. It’s the only

fully-funded mental health program in existence right now for Medicaid eligible recipients.

In 2011, the county became crisis-certified. The workload has increased by 55% since 2010.

Winnebago Hospitalizations have increased significantly. The board thanked Mr. Kiesler for

the report.

Adult & child placement data – covered in semi-annual report.

Comprehensive Community Services revenue report – covered in semi-annual report.

2016 Semi-Annual Director’s Report – The Child Welfare and Community

Behavioral Health units have had the most changes this past year. Placements in

Children, Youth and Families (CYF) were slightly higher than previous years. There

have been more Winnebago inpatient days in 2016 than any average of the last 10

years. Foster care licensing resources continue to be a need. Staff turnover is still

an issue, but seems to be getting slightly better. Methamphetamine usage is a big

problem in western Wisconsin. The ongoing cases in child welfare consist of 80% in

placement, with 90% of those placements being intensive methamphetamine cases.

Juvenile justice has had one stay in a juvenile correctional treatment facility for 180

days. The CCS cost reconciliation happened in December, 2016. The

reports/payments are not accurate. There will be a Wisconsin Medicaid Cost Report

(WIMCR) pick-up session in March, 2017 and payment will be settled in December

2017. Mr. Schmidt is working with Chippewa County on this issue. The biggest

needs for the department are to add an ongoing social worker for Child Protective

Services and CCS positions based on funding.

Director’s Report

Program units board training based on scheduling Future Agenda Items


scheduled for Thursday, February 16, 2017 at 5:00 p.m. in the Lower Level Meeting


Next meeting date

Motion by Plunkett, seconded by Wood, that the meeting be adjourned at 6:45 p.m.

Motion carried.

Adjournment


__________________________

Tami Billeter

AGENDA

HUMAN SERVICES

Thursday January 19, 2017 @ 5:00 p.m.



# Action Presenter

1 Call to order



November 17, 2016

Members



Members


requests.

Members

6 Discuss and take action to approve out-of-state staff

training/education requests and forward to Finance and Personnel.

Members


8 Discuss and take action on 2017 purchase of service contracts. Billeter


10 Board Training: Community Behavioral Health Ron Kiesler

11 Director’s report: Adult and child placement data and

Comprehensive Community Services revenue report. 2016 Semi-

Annual Director’s Report

Schmidt

12 Future agenda items –Board training - program units based on

scheduling.


14 Adjourn


at 715-273-6766.






Documents

HUMAN SERVICES BOARD Thursday, December ... - co.pierce.wi.us › Agendas_Minutes › Agendas... · Pierce County Office Building, Ellsworth, WI. Chairman Kahlow called the meeting