wake county human services board - wake county, north carolina · approval of minutes mr. julian...

No. 1692

Wake County Human Services Board Minutes

March 27, 2014

Members Present: Mr. Pablo Escobar, Chair Dr. James Smith, III, Vice Chair Mr. John Myhre Mr. Julian Smith Ms. Angie Welsh Commissioner James West Ms. Margaret Raynor Dr. Seth Wexler Mr. McKinley Wooten, Jr. Ms. Fiorella Horna-Guerra Dr. Rosine Sanders Mr. Frank Eagles Ms. Tameko Piggee Dr. Paul Scruggs Members Absent: Dr. Jacqueline Tavárez Dr. Sharon Foster Ms. Leila Goodwin Ms. Stephanie Treadway

Executive Staff: Mr. Ramon Rojano, Human Services Director Ms. Regina Petteway, Staff to the Board/Director of Division of Administration & Office of Community Affairs Ms. Ingrid Bou-Saada, Program Consultant Mr. Ken Murphy, Assistant County Attorney Ms. Michelle Ricci, Staff to Public Health Committee Ms. Caroline Harper, Human Services Data Analyst Mr. Britt Stoddard, Environmental Services Water Quality Director Ms. Rosena West, Staff to Social Services Committee Mr. Joseph Threadcraft, Environmental Services Director Dr. Kimberly McDonald, Human Services Medical Director Mr. David Stratton, Information Technology Business Analyst Ms. Maria Robayo, Public Health Educator Ms. Karen Morant, Program Consultant, Community Affairs Mr. Bob Sorrels, Human Services Deputy Director Staff Absent: Mr. Scott Warren, County Attorney Ms. Martha Crowley, Division Director ESS Mr. Joe Durham, Deputy County Manager Ms. Rebecca Crawford, County Budget & Management Services Ms. Laura Jernigan, Interim Executive Assistant Ms. Denise Foreman, Assistant to the County Attorney Mr. Warren Ludwig, Child Welfare Division Director Ms. Katherine Williams, Cooperative Extension Director & Human Capital Development

Presenters: Mr. Paul Gross, Human Services Finance Officer Ms. Annemarie Maiorano, Housing and Community Revitalization Ms. Emily Fischbein, Program Specialist Housing Services Ms. Dena Hansley, Consumer Records Director Mr. Robert Cardoso, Co-Chair Western CAC

Guests: Ms. Septina Florimonte, Wake County Commission for Women Ms. Lindy Brown, State Social Services Commission Sharon Peterson, Western CAC Kathleen Lee, Western CAC Quorum Present: yes

Agenda Item

Discussion, Conclusions, Recommendations Action, Follow-up Responsible

Party Due Date

No. 1693

Agenda Item

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

Due Date

I. Call to Order Chair Pablo Escobar called the meeting to order at 7:32 a.m. Dr. Paul Scruggs gave the reflection. He reflected that spring was a time of renewal, rebirth. Similarly the Board has spent the last several months planning and setting goals that will hopefully bear fruit. He ended with a quote from Mother Teresa: “The fruit of silence is prayer. The fruit of prayer is faith. The fruit of faith is love. The fruit of love is service. The fruit of service is peace.”

N/A

II. Approval of Minutes Mr. Julian Smith motioned, seconded by Dr. James Smith, to approve the January 23, 2014, Board meeting minutes. The motion passed unanimously.

N/A

III. Confirmation of Next Board Meeting

The next Board meeting is scheduled for April 24, 2014, at the Wake County Human Services Center, 220 Swinburne Street, Rm. 2132, 7:30 a.m. – 10:00 a.m.

N/A

REGULAR AGENDA

IV. 2nd Quarter Data Report Ms. Caroline J. Harper

Ms. Caroline Harper presented the second quarterly report for the Human Services Board. She brought to the Board’s attention a follow up from the last report, to clarify the name of the vocational joblink program. The name of the program is Capital Area Workforce Center at Swinburne. The Millbrook Center closed in the middle of the quarter. So the count for employment shown on the report reflects work that was done through the closing of the Millbrook Center and the remainder of the quarter. There was a two week period where no services were offered during a renovation. So the services are now available in the newly renovated Center in Swinburne. The other item that she was asked to follow up on was to get as close as possible to the caseload count for Food and Nutrition Assistance Program. They have a number that was provided by the program. The caseload count they will follow quarterly as they have done in the past. The number as close to the date as possible was 34, 996 active Food and Nutrition cases. That was as of December 31. The last follow up update is the language that they use in the Child Care Subsidy Program report. The numbers are there for the Child Care Subsidy program. The State changed their criteria for the wait list for wait county. Their numbers reflect the families who are no longer eligible for the wait list. The numbers on the report are the families who are eligible. Dr. Smith commented that he was glad to see the numbers down for several Sexually Transmitted Diseases. Ms. Harper said that the official reporter of those numbers was the State. Dr. Smith asked if they often see those numbers change drastically. Ms. Sue Lynn Ledford said the numbers do fluctuate. (Cont.)

No. 1694

Agenda Item


Due Date

IV. 2nd Quarter Data Report (Cont.) Ms. Caroline J. Harper

(Cont.) Ms. Fiorella Horna-Guerra asked about the numbers for Adult Medicaid, stating that in the comment portion it states that the caseload decreased but the numbers, 232 in Quarter 1 to 524 in Quarter 2, shows an increase. Ms. Harper said the overall caseload is all the cases that are active at the time. The numbers shown in the Quarter section should reflect the new cases that were added. Those are the people that started the year on Adult Medicaid but may or may not end the year. Mr. Ramon Rojano stated that they had some delays in processing applications, that it doesn’t reflect necessarily all the applications coming in or the applications approved. Ms. Horna-Guerra reiterated that the quarterly numbers show an increase when the comments state a decrease. Mr. Rojano stated that they needed to change the narrative. It’s not that the caseloads have changed but because of the new system there have been delays in approving the cases. That means there have been additional cases added to the waiting list of pending applications in Medicaid. It’s not actually accurate to say that the caseload decreased, when there has been in general like a 5% increase. Ms. Horna-Guerra suggested that should be reflected. Mr. Rojano said that many people applied to the market place and there was a delay in sending the applications finally they came in about 2 weeks ago and they had close to 5,000 applications. Ms. Harper said she would address the issue of the discrepancy. Ms. Angie Welsh stated it seemed noteworthy that Child Protective Services In Home services are up. Also the new entries into the foster care system are up. The In Home service numbers going up could be a good thing. In the sense that they want more people to have In Home services. She wanted to know if it was considered a red flag. Mr. Rojano stated that the dynamic was they lost 8 positions in In Home services but last year the legislature added back at least 60% of that so they hired additional staff and the numbers started to go up again. In general Child Protective Services across the whole state, and foster care services, have gone up. They’re hoping that as the economy improves they can show some better results. Ms. Horna-Guerra stated that it might be good to restate that in the report to reflect that they are now meeting a demand that has been there all the time. Ms. Harper said she will speak with the program about the best way to reflect the change in service. Any increase in the In Home service reflects children that are now being serviced in their homes and not being removed from their homes. Chair Escobar added one other thought about the numbers, saying that maybe they could be put in perspective of ratios like they are in Public Health, just to say how this number might compare to a state average. That may be useful as a yearly report. (Cont.)

No. 1695

Agenda Item


Due Date

IV. 2nd Quarter Data Report (Cont.) Ms. Caroline J. Harper

(Cont.) Mr. Rojano said it would take a couple of months, but they could do that. Chair Escobar said for Child Welfare and some others, just to see what information is available and where they can compare it to the state wide average. Ms. Harper asked that information be given to Ms. Regina Petteway and herself. Mr. Rojano suggested they concentrate on Child Welfare because the numbers he has seen over the past two years of Wake County numbers compared to the state have not been that good. They want to analyze this in lieu of new programs coming into the County. Chair Escobar said they often say they are above average, so let’s put some numbers behind it. Ms. Margaret Raynor stated that it would be helpful to do all of this at the same time. So they could really look at things that affect something like Healthiest Capital County such as the numbers for venereal diseases, low birth weight and foster care. Mr. Rojano stated that in the group INFORM they have been talking about combining the Public Health report with these Social Services reports. Ms. Regina Petteway said they should be able to bring that to the Board in May. Mr. Rojano said he thought they would be interested in a full Child Welfare report. This will help build the case as they ask for additional case workers. Ms. Petteway said they would work with Mr. Rojano on that.

Comprehensive report comparing Wake numbers to State numbers. Comprehensive report combining Public Health and Social Services reports. Comprehensive report on Child Welfare comparing Wake and State numbers.

Mr. Rojano, Ms. Petteway, Ms. Harper Ms. Petteway and INFORM Mr. Rojano, Ms. Petteway, Ms. Harper

As soon as possible. May As soon as possible

V. Annual Housing Action Plan Ms. Annemarie Maiorano

Ms. Annemarie Maiorano stated that she was there to ask the Board to endorse the 2014-2015 Affordable Housing Action Plan. A couple of Board meetings back there was a public hearing on the Affordable Housing Action Plan where they accepted comments. They incorporated those comments into the plan and now there are cross categories and proposed expenditures to go through. She then introduced Ms. Emily Fischbein, who is the planner for Housing and Community Development and she wrote the Action Plan. The Action Plan is a one year plan that describes how they are going to use federal dollars on housing to address the needs in the community. They get about $4 million, there’s some County money that’s going to be incorporated into the budget, they cannot address the entire housing short fall in Wake County with this money. So they must target their resources so they can be the most effective with the small funds they have. (Cont.)

No. 1696

Agenda Item


Due Date

V. Annual Housing Action Plan (Cont.) Ms. Annemarie Maiorano

(Cont.) The three grants are the Federal Community Development Block Grant (CDBG), the HOME Investment Partnerships (HOME) and the Housing Opportunities for Persons with AIDS (HOPWA). They get these grants directly from the Federal Government because 9 towns pooled their population base, so that they have enough of a population to be an entitlement community. If the towns did not do that they would have to apply like most other places in North Carolina through the State. The priority populations are the lowest income people, homeless individuals and families with special needs. They chose this because these people are priced out of housing in Wake County. Without a subsidy they would have a difficult time maintaining housing or would be homeless. The Action Plan public process included two public hearings, one before the Human Services Board and one before the Board of Commissioners. They then had several community meetings with community consultants. Commissioner West asked Ms. Maiorano to go over how the community consultants fit together. She said that for the five year consolidated plans they had probably 25 community meetings. So the community consultants this time were a microcosm. These are probably the partners they work with most directly. For example the Partnership to End Homelessness, they really can’t do effective housing models unless they tap into the real need. They tap into the need by being a part of the Partnership to End Homelessness. Then they listen to the providers who are having difficulty getting their folks housed. The Raleigh Housing Authority is the biggest landlord in Wake County. They need to consult with them and find out what they’re priorities are. It’s the same with the Wake County Housing Authority. They are a valuable partner and a significant one because the Commissioners appoint that Board. Dr. West asked why the Wake County Housing Authority was different from the Raleigh Housing Authority. Ms. Maiorano didn’t know anything about the legislation but knew that the Authorities act as independent agencies, because the State or federal government actually creates the authorities. She didn’t know why there were two. They are very different. The Wake County Housing Authority is more rural. The Raleigh Housing Authority is more urban. They have about 2,000 units and then they run the Section 8. Dr. Smith asked why it sounded like Holy Springs was separated out. Ms. Maiorano said they have chosen not to be a part of this consortium. They are the one town that still can get money from the State. They apply every three years and get money from the State. They use a lot of their financing for economic development, like having Walgreens come in. They focus a lot on single projects every couple of years. Her argument it that Walgreens is coming anyway. (Cont.)

No. 1697

Agenda Item


Due Date


(Cont.) Holy Springs did contact them and say they might be interested in joining. The Town of Cary is also its own community development. The Town of Cary gets about $200,000 a year in CDBG. Town of Cary does partner with them on the HOME grant. Ms. Tameko Piggee commented on the two separate housing authorities, saying that all though they are separate, once you have a voucher in one it transfers to the other. Dr. West commented on the fact that in Raleigh the landlord gets less money with the Section 8 Voucher because of sequestration. Ms. Maiorano agreed saying that Raleigh decided to keep the number of vouchers but to pay less per voucher. For the higher income folks it doesn’t matter as much but for the people battling homelessness it prices them out. Due to time Ms. Maiorano skipped right to the plan. She stated that the bottom line is the revenue for FY 2014-15 is $4,735,822, and that includes program income. They get revenue off of the loans. The money is put right back into the program. With the Community Development Block Grant is the Public Facilities Projects. The towns’ biggest interest in these is the Public Facilities money so they can do roads, sidewalks, streets and other improvements in the community that they don’t have the budgets for. The ones that went to the top this year are Morrisville, Rolesville, Wake Forest, and Zebulon. The process is they have them on a list with the five year consolidated plan. The towns have to commit a 20% match, it has to meet a low income benefit, and the money has to be ready now. She pointed out that Zebulon is a repeat customer. They started a sidewalk two years ago and ran into problems with the Department of Transportation because the sidewalk made a bridge heavier and it had to be re-engineered. They got a grant from the Department of Transportation for $100,000 and it still wasn’t enough. Chair Escobar asked if the low income benefit is because these projects are placed in areas where the housing is for low income individuals. It’s a low income neighborhood, but that doesn’t mean there is subsidized housing. It’s a neighborhood where more than half the residents are low income. The whole purpose of the grant is to help low income people, if they can’t prove that then they are not spending the money appropriately. Ms. Horna-Guerra asked if it connected them to jobs. Ms. Maiorano said the sidewalk in Zebulon connected the middle school to the Boys and Girls club. The sidewalks also have a nice link to the Healthiest Capital County initiative because it provides people with a safe place to exercise. For the Community Development Block Grant (CDBG) they have the ongoing Rehabilitation Programs. There is the Elderly and Disabled Program that’s up to $15,000 that helps people stay in their homes. They make Emergency Grants, so that when someone’s well or septic tank goes out and the households are at or below 40% Area Median Income (AMI). There are also the loans for rehabilitation of substandard housing. (Cont.)

No. 1698

Agenda Item


Due Date


(Cont.) Also with CDBG are Public Services. These include the Homeless Employment Initiative. The homeless need employment, they need a place to live, and they need transportation. The initiative attacks two of these with job training and placement for homeless men at the South Wilmington Street Center. They also provide up to 3 months of rental and utility assistance to rapidly rehouse homeless people who are working. They do development with their entire HOME grant. That is new units of housing for people of very low income and disabled, they disseminate funds through a request for proposals process. They have one going right now. They also are working on reviewing two tax credit applications. Chair Escobar asked if the Affordable Housing Development was 22 units. Ms. Maiorano confirmed that. Chair Escobar said he thought it was important for there to be a kind of denominator with those dollars, so that when they see $692,761 they know that equals 22 units. Ms. Maiorano said it was actually 25. They use $25,000 as their per unit cost. This is a little low. It costs about an average of $25,000 to put one unit into service. With their HOPWA grant they provide rental assistance and case management for people who are living with HIV/AIDS. They get money every year from the Commissioners, $830,000. They use some of that for development. They also provide some vouchers with that for homeless and disabled and they fund the Support Circles Coordinator with Catholic charities. The next steps include a public comment period March 30-April 30, 2014. Then the plan goes to the Board of Commissioners for approval on May 5, 2014. The plan is sent to the U.S. Department of Housing and Urban Development (HUD) after the Board of Commissioners approval. Ms. Maiorano and Chair Escobar opened the floor for questions. Ms. Horna-Guerra asked why the $35,000 for the Homeless Employment Initiative and Rental Assistance was so low. Ms. Maiorano said it was low for two reasons. One was because of a grant requirement. They can only use a certain percentage of the CDBG for service. The second reason is because that is about the amount of money that the shelter can spend in a year. The worst thing to happen is to have money that they can’t spend. Ms. Horna-Guerra asked how many people they serve at $35,000 a year. Ms. Fischbein said about 5-6. Ms. Horna-Guerra asked what the homelessness in Wake County was right now. Ms. Maiorano said 1100. She would argue that it’s a lot more than that. There are many complicated issues. The outcome isn’t the job training it’s the job. The budget is tight and they want to put the money where they know it’s going to get spent in a year. (Cont.)

No. 1699

Agenda Item


Due Date


(Cont.) Mayor Frank Eagles motioned, seconded by Mr. McKinley Wooten, to endorse the action plan and move it forward to the County Commissioners. Ms. Horna-Guerra requested that as the Board was moving forward with Human Capital Development they would love to hear where those barriers and challenges are so that if it’s not ready they know they still have homework to do. Chair Escobar suggested that Ms. Maiorano set up a seminar to go further in depth with Board. Ms. Maiorano said she would welcome that opportunity. Chair Escobar suggested setting up that seminar through Mr. Rojano to include the Board. Mr. Rojano suggested a 2 hour seminar. Chair Escobar asked for the vote. The motion passed unanimously.

The Board voted to endorse the Wake County Housing 2014-2015 Action Plan and move it forward to the County Commissioners. 2 hour seminar on Housing.

Ms. Annemarie Maiorano and Mr. Ramon Rojano

As soon as possible

VI. Retention of DSS Paper Records, Document Management System PRIME Ms. Dena Hansley

Mr. Rojano introduced David Stratton who is the manager of the medical records programs as well as the call center. Ms. Dena Hansley started by giving an update on where they are with document management in the Department of Social Services and how it effects their retention of records. There are 2 different retention schedules that the Department of Social Services has to abide by. One is done by the North Carolina Department of Cultural Resources the other is controlled by the North Carolina Controller’s Office. The latter is divided out by funding. Depending on what funding comes for each of those programs decides how long they have to keep those charts. They have to go with the more restrictive of the 2. They met with Representatives from Cultural Resources and their guidance included:

• Keeping records 12 years should cover all record types, with the exception of certain Child Welfare Records.

• Notify the Board of our plans based on the retention schedules. • The Cultural Resource schedule must be approved by the governing Board before we are permitted to destroy records according to the schedule. That approval should be made in a regular meeting and recorded as an action in the minutes.

(Cont.)

No. 1700

Agenda Item


Due Date

VI. Retention of DSS Paper Records, Document Management System PRIME (Cont.) Ms. Dena Hansley

(Cont.) • Purge information that has met Retention on a yearly basis.

They started scanning information into the PRIME system in September 2012. They started with:

• Family and Children Medicaid • Adult Medicaid • Food and Nutrition • Child Care Subsidy – started since Sept. 2012

They are in the process of preparing to start scanning Child Welfare Information relatively soon. The steps that they’ve taken to see if they can destroy those paper records now that they are electronic are: 1) Record Imaging Protocol has been approved through the Wake County Human Services Protocol Database and Cultural Resources 2) QA Protocol has been drafted and is in the process of being tested 3) Notifying our Governing Board for approval Cultural Resources approved their policy. The next steps are:

• Have to have our QA Protocol Completed and Approved by the Agency

• Notify NC Cultural Resources as to what types of program records information that has been scanned that we will start destroying based on our approved process

Dr. James Smith asked for clarification on Cultural Resources. Ms. Hansley said Cultural Resources were required by General Statutes to come up with the retention schedule for the records. They have every record that you could ever want to think of a retention schedule for. They are preserving history. Chair Escobar reminded the Board of the legal briefing that they received at the retreat where Mr. Ken Murphy went over some of the regulatory responsibilities of the Board. This is one of them. They need to be aware of such things as the retention policy for the agency so they can make sure they are doing things properly according to the law. Chair Escobar asked if the Board had any concerns about this. (Cont.)

No. 1701

Agenda Item


Due Date

VI. Retention of DSS Paper Records, Document Management System PRIME (Cont.) Ms. Dena Hansley

(Cont.) Mr. Julian Smith asked if in the future there is a cause to retrieve records that might be off of the paper record pile is there an option for an attorney to request records under the Freedom of Information Act? Ms. Hansley replied that even with them being electronic they still have the same rights, they would just need to print off the records and save it on a disc. Mr. Smith asked if there was no such thing as it being too confidential to release a record. Ms. Hensley said no, people have rights to records. Chair Escobar asked if any action was needed from the Board. Ms. Hansley said it was just needed in the minutes that is was discussed and agreed upon. Ms. Margaret Raynor motioned, seconded by Dr. James Smith, to accept the report. The motion passed unanimously. Mr. Rojano told Mr. Smith for the record that they have protocols that describe different options and actions when they don’t want to disclose something and what the rights of the people are. If anyone wants to see the protocols, they have very strict protocols.

The Human Services Board voted to accept the report on the Retention of Department of Social Services Paper Records.

VII. WIC Expansion in Western Wake Mr. Robert Cardoso

Chair Escobar stated that before they got started he wanted to recognize the work of Mayor Frank Eagles who has been instrumental in the whole process. He has really spurred this on. Chair Escobar asked Mayor Eagles if he wanted to make some comments. Mayor Eagles said it was a long time coming. He said the Western Region needs some support and help. He wants to put the services where the people are. The Community Advisory Committee has worked really hard to get this going. Mr. Robert Cardoso introduced himself and said he was part of a unique group from the West. This group is made of volunteers, people from the community, business owners, church groups, etc. They worked very hard over the last year trying to identify what was needed in the West. One of the things they came up with was Women, Infants and Children’s (WIC) service expansion. The West is Apex, Cary, Morrisville, and some unincorporated areas. The reasons for the presentation are: Introduce our WR-CAC to the Human Services Board

Share our current work and advocacy priority – Expansion of WIC (Women, Infant and Children’s) Services in the West

Ask for your endorsement, help and advice (Cont.)

No. 1702

Agenda Item


Due Date

VII. WIC Expansion in Western Wake (Cont.) Mr. Robert Cardoso

(Cont.) Mr. Cordoba gave some background on the Western Regional Community Advisory Committee (WR-CAC):

Summer of 2012, the Wake County Human Services Board recommended to the Human Services Director that a Western Regional Community Advisory Committee be formed

Recommendations from the Board, past participants of community assessments of the West, and other community partners were consulted.

Wake County Human Services interviewed 17 applicants and 14 were selected. The WR-CAC is comprised of leaders from business, faith partners, education, local government, and the community at large.

The First Meeting was in December, 2012. Meetings are monthly at rotating locations in the Western part of the

County. Many months have been spent reviewing data, having staff

presentations, strategically planning, and becoming familiar with the strengths and needs of the community.

Mr. Cardoso showed slides with pictures from meetings where the following things happened:

• Strategic Planning/Orientation Session Using Geographic Information Systems Mapping Date

• Orientation on Housing and Transportation Needs in the West • Strengthening Community Connections

(Cont.)

No. 1703

Agenda Item


Due Date


(Cont.) The first priority identified for their “Work Plan” was to increase WIC Services. That decision was based on the following information:

WIC served 18,725 participants in FY 2012. 25% resided in the West. That was 6,643 participants. Of those - 4,417 sought WIC services in Wake County. Potentially 2,000+ clients from the West were not using services at all

in Wake County. If 1,000 of those WIC participants used a new Western WIC location,

Wake County would have generated a potential about $200,000 in additional Federal funding.

According to demographics for the West, additional participants may also be identified.

Mr. Cardoso gave the example that if someone lived in the West, say on High House Road, the closest office is 16 miles. If that person were to take a cab it would cost $44. That person would probably also have to take the whole day off of work to apply at one of the offices. The people that need these services cannot take a day off and cannot take a cab. According to WCHS Division leadership, WIC expansion in the Western Region of Wake County can be done with existing staff resources. County resources are needed to support the operational cost of rental space. Their past and current work on this project include:

Presentations and Meetings with WIC Program Manager, Division Director and Wake County Deputy Director

The Wake County Deputy Director is working with County General Services to identify a potential site and scope of need

(Cont.)

No. 1704

Agenda Item


Due Date


(Cont.) Securing support from additional community partners (pediatricians

and OBGYN practices, municipalities) They are asking the following:

1. Endorse and support the Wake County Human Services Expansion Request for funding rent for WIC services in the West for the coming fiscal year (FY 2014 – 2015).

2. Connect us to advocacy opportunities to support this expansion. 3. Add this to your Human Services Board advocacy agenda. 4. Advise us on how to successfully advocate for our priority. 5. Inform us about any priorities or advocacy opportunities from the

Wake County Human Services Board. Mr. Cardoso stated that he had the same goal as everyone else in the room, to help people in the community. It is something they believe that can be done and that is needed. They need the Board’s support. Mr. Cardoso introduced some of the members of the WR-CAC that were present, Ms. Kathleen Lee and Ms. Sharon Peterson. Staff that worked on the project were also introduced, Ms. Karen Morant and Ms. Maria Robayo. Chair Escobar explained some of the Board history involving the advisory committees. There used to be a standing committee of Regional Networks. When the Board reorganized that committee went away, however the advisory committees did not. Mayor Eagles is the Board’s liaison to the advisory committees. Mr. Rojano stated that there are 5 advisory committees now that one has been established in Millbrook. Mayor Eagles said the push was to let the advisory committees be self-governing. They still have to report to Human Services but at one time they all had to report to the Committee and the Committee had to give its endorsement. He felt they should be self-governing because they are community leaders. He thinks the advisory committees have done an outstanding job, especially this one that has worked so hard on this project. The concept originally was to erect a building, but they found out they have some facilities that they can work with and rent and do a combination of services where some already exist. Chair Escobar said that the Board did have a recommendation that had been presented to them that involves some expense on the part of the County for space and equipment. (Cont.)

No. 1705

Agenda Item


Due Date


(Cont.) The 2012 geo-map of the WIC program in Wake County was projected. Mr. Rojano spoke about the map. The red colors are the hot spots with the highest concentration of cases of WIC. There is a total population of around 20,000 WIC cases. There are roughly around 5,000 in the Western Region. Mr. Bob Sorrels spoke about the specifics of the request. He stated that there was a great opportunity between Dorcas Ministries and WCHS on High House Road in Cary. They’ve been waiting for over a year for a space to be available to them to work with. There is a 1,400 square foot space available for the. The proposal is to up fit that space, because right now it’s just a shell. It would cost $85,000 to up fit and get it ready. The low market price that Dorcas is willing to offer them in rent is $10 a square foot. It would be about $16,000 a year. These are 2 figures that are not in the WCHS budget. This has to go before the county and compete with other items in expansion request. Mr. Sorrels will be presenting that at General Services this afternoon and he will have a better feel the kinds of things they are up against. There is not a lot of operating cost that would escalate because they are going to rededicate staff that is currently in Sunnybrook. In the future they would hope to be able to get more space and have a fully rounded team. This is really half the size of what they would desire to send to a region. They did the same thing at Millbrook until they grew the need, grew the expectation and then rounded it out with a full team. 6 people in 14,000 square feet would get them started and hopefully in a year or two they would double that. Ms. Margaret Raynor asked what was needed to refit the space because $85,000 sounds like a lot. Mr. Paul Gross said that is was absolutely a shell right now. It needs dry wall and finishings like carpet and paint. The air duct system would have to be up fit depending on how they want to configure their walls. State standards dictate how you do the work. Mayor Eagles said this would be a lot cheaper than building a new building. Ms. Raynor spoke about churches that don’t use their facilities during the week. Mr. Cardoso said they were looking at Dorcas because they have plenty of parking and access to public transportation. Mr. Rojano said Dorcas just bought the plaza and it has 280 parking spaces. With it there is the possibility of expansion and consolidation. Ms. Horna-Guerra said she thought it was a wonderful opportunity that aligned with their goals. She said that she knew that there were some things they had to invest in, but wondered if there were other things like drywall and painting that could be done through collaborations with the (Cont.)

No. 1706

Agenda Item


Due Date


(Cont.) community. Mr. Sorrels said this figure was quoted through Dorcas and that’s how they do business. They are a coalition of volunteers in the community and churches, a lot of services come to them in that manner. They are already taking into account that the community will be assisting with some of this. Ms. Regina Petteway said that the Western CAC would need an indication as to whether or not the Board supported the proposal. Mr. Escobar asked Mr. Gross to explain how this proposal figures in to the budget. Mr. Gross said in terms of Capital Improvement Project (CIP) requests, Mr. Sorrels has indicated he will be going before the CIP review committee that afternoon. Most likely they will absorb the FY 15 rental charges into their existing budget. If additional funds are needed they would have an expansion request in FY 16. Dr. Paul Scruggs said he thought this was a no brainer. Commissioner West said he hoped they were right. He saw a lot of ownership on the part of the community. That’s what they are trying to do, empower the citizens. He observed that what they have done is narrow their focus in terms of high priority needs. With WIC, hopefully this will begin by establishing a base and then expand. Chair Escobar said his understanding was that this project was kind of a pilot project to see how they can offer this service in that part of the county. They have a lot to learn from this experience and he thinks they need to focus on this as something to carry forward into the future as far as learning from it. Mayor Eagles said it was a partnership. He envisions them doing this in other places in Raleigh and the County. They can put the services where the people are. Chair Escobar said he would like to entertain a motion. Ms. Raynor motioned, seconded by Ms. Fiorella Horna-Guerra, that they show support for the application to CIP. Ms. Horna-Guerra stated that she wanted to make sure they use the proper language going forward, that this was a community investment. Important that they show that this is being used to strengthen and grow that assets of Wake County. Mr. John Myhre said that this is something the Board can be proud of. Chair Escobar called for a vote on the motion to recommend that the agency go forward with the request for CIP funds and that they endorse this as an indicator of their beliefs in partnerships and investment in the community and also of taking the service out into the community where people are. The motion passed unanimously. (Cont.)

The Board voted to recommend that the agency go forward with the request for CIP funds and that they endorse this as an indicator of their beliefs in partnerships and investment in the community and also of taking the service out into the community where people are

No. 1707

Agenda Item


Due Date


(Cont.) Ms. Raynor reiterated Mayor Eagles' point that all the services should be offered in a convenient location. Chair Escobar said he thought they needed to show that there is the traffic there and go on from there. He asked Commissioner West if he agreed with that strategy because eventually it was going to go to the Commissioners when they wanted to expand. Commissioner West said he was preaching to the choir. Mayor Eagles stated that Commissioner Caroline Sullivan was also strong on this issue. Ms. Raynor said that if they could get the areas to buy into this they could get a whole lot more out of it.

VIII. Board Committee Chairs’ Report Ms. Angie Welsh

Chair Escobar stated that Dr. Sharon Foster could not make it to the meeting but asked Ms. Angie Welsh to report on the Social Services Committee. Ms. Welsh stated that the Social Services Committee has identified Human Capital Development as their priority. Both of the strategies that the Committee has come up with have to do with increasing and building partnerships. Approving the WIC expansion is a great example of that. For the first of the two strategies they have committed to help host a partner fair. The fair will include all the partners currently working in Human Capital Development. The goal is to get them together in a room and discuss together additional ways for these partners to support Human Capital Development and to work closely with the staff to identify the needs and gaps in the services that they’re providing and to see how they can fill some of those gaps. The other strategy that the Committee has identified is trying to build partnerships for Human Capital Development in the regions. This goes hand in hand with trying to bring services out into the community. These are the two strategies for the Committee and they will be putting meat on those bones at the April meeting. (Cont.)

No. 1708

Agenda Item


Due Date

VIII. Board Committee Chairs’ Report Ms. Angie Welsh

(Cont.) Commissioner West asked about Human Capital Development being focused on the individual vs. the group. Groups being regions and identified communities. Mr. Rojano said this was correct; the Human Capital Development Campaign has been focused on individual outcomes, trying to follow people for five years, particularly in the Middle Class Express. They are trying to show some sort of economic progress in that individual. They are working on a new project with the Crosby building where they are going to target neighborhoods for socio-economic development. This is a different way of thinking, trying to rally the community, so they can have not only individuals but a community moving forward. He thinks the Board of Commissioners is supporting doing one pilot to see a model of socio-economic development for a particular neighborhood. Chair Escobar said he thought there was a particular item in the budget proposal that addresses the partnership and how to mobilize the community around Human Capital Development. Chair Escobar asked for a member from the Public Health Committee who could give an update on their last meeting. Dr. James Smith, Vice Chair, said he’d be pleased to. Dr. Smith said they have been very busy trying to fine tune their priorities and goals. They are looking forward to narrowing it down and putting some flesh on the tree, so to speak. He thinks they are going to achieve this. They are going to work very hard on reducing some of these indicators that will help them be the healthiest capital county in the United States. Mr. John Myhre said the one thing the Public Health Committee has failed on is incorporating five minute exercise into this meeting. The Board took a moment to stand and stretch. Chair Escobar asked for any other comments from the Public Health Committee. Ms. Raynor commended the work of the group in the Committee working on dental health. Mr. Paul Scruggs said they had a new pediatric dentist on the Public Health Committee.

No. 1709

Agenda Item


Due Date

IX. Environmental Services Director’s Report Mr. Joseph Threadcraft

Mr. Threadcraft said he had 5 major items from Environmental Services to discuss.

• Bond Street Well Water o They are doing a case study on a neighborhood that has

contaminated ground water wells. There are 5 distinct neighborhoods in this donut hole (an unincorporated area surrounded by a corporate area). They are not connected to city water or city sewer. When they first started the study they were not coordinating as closely as they should have with the citizens from the neighborhood. They have rectified that and Mr. Threadcraft thinks they are well on their way to creating a viable report that when presented to Commissioners they will be very pleased with it. There is a solution but they have to look at the funding. Hopefully they will have a draft in about 5 weeks.

• Risk Analysis – Coal Ash Spills Risk to Wake County o Michael Orbon, the Environmental Services Manager, is going

to spear head the risk analysis to Wake County water from coal ash spills. They will develop a matrix to determine what the threats could be. This will not be limited to coal ash spills but to other threats as well.

• Regulating Waters and Beaches Program o The Environmental Protection Agency (EPA) has provided

additional updates that outline how the water should be tested. Once they have that draft they will give an update to the Commissioners and then it will be approved by the Board.

• Animal Services – CIP o Playing for Life – this programs allows them to improve the

socialization of the animals. If they can socialize the animals they have a better chance of getting the animals adopted.

o Consulting Services – they want to be critical thinkers. They realize in the next 5-7 years they will have outgrown that facility based upon the growth of Wake County. They are starting now to bring on a viable consultant to project what their needs will be in the future.

(Cont.)

No. 1710

Agenda Item


Due Date

IX. Environmental Services Director’s Report (Cont.) Mr. Joseph Threadcraft

(Cont.) • Interlocal Agreements

o They have been working closely with Mr. Ken Murphy in the County Attorney’s office. These interlocal agreements define how organizations do business with animal services. They want to be efficient.

Chair Escobar asked about the hydrogeologist that was hired and if she could present to the Public Health Committee or the Board or both. Mr. Threadcraft said they look forward to that opportunity and that Dr. Caroline Loop, the hydrogeologist, has been very helpful to their team. Chair Escobar reminded the Board that Water Quality is one of their top priorities. He commended Environmental Services for all the work they were doing in that area. Commissioner West spoke about outreach education and what a beautiful job Environmental Services has done in the Bond Street community. Dr. Paul Scruggs talked about the devastation after the chemical spill in West Virginia and the economic impact. Chair Escobar said as Board members this was one of their main responsibilities and they needed to keep asking the tough questions. Ms. Sue Lynn Ledford spoke about a joint expansion request between Environmental Services and Human Services involving the educational aspects of insuring water quality. Chair Escobar said it was so important to receiving various funding that we have an educational aspect to our programs. Chair Escobar asked Mr. Threadcraft to elaborate on that. Mr. Threadcraft said they were always looking to take advantage of grant opportunities. So far the only group to secure a grant has been Environmental Health and Safety. They would like to continue to try to bring grants in to supplement the existing resources.

No. 1711

Agenda Item


Due Date

X. WCHS Budget Presentation Mr. Paul Gross

Mr. Gross stated that his purpose today was not just to update the Board on the FY 15 expansion budget requests but also to engage them in a conversation about their proposals so as to fulfill an accreditation requirement. This is the time when the policy makers and the Commissioners have a chance to set their priorities. Mr. Gross shared some important dates. On February 14 the Commissioners held a budget retreat. On the website under the Commissioners’ retreat there are lots of interesting documents to review. One summarizes the FY 15 Operating and Capital requests. He encouraged the Board to review it. The preliminary projections coming out of the Wake Budget Office is that there will be approximately $23.4 million worth of new money available for general fund expansion requests. It’s estimated that there will be about $31 million worth of requests for the $23.4 million. That money is based on a formula which has historically given a certain amount of dollars to the Wake County Public School System. Right now that number is penciled in at about $5.8 million. We’re already seeing a gap of about $7.5 million. According to the news media the Wake County Public School System is going to request $39 million in expansion. These are the challenges that are going to be faced by the Board of Commissioners. Lots of needs in Wake County and a limited amount of revenue to go around. Mr. Gross next reviewed a summary of the FY 15 expansion budget requests (document attached). By stepping back and looking at the document one can see that it touches upon every division in Wake County Human Services. Mr. Gross then went over the document. The following are the items specifically discussed by the Board. For Item 2 – Request for 36 Full-Time Employees (FTE) for Economic Self Sufficiency programs to address challenges with NC FAST – Chair Escobar asked where those revenues came from. Mr. Gross said the revenues come from any of their direct service providers, case managers who are processing applications; they get reimbursed 50% of the salaries and benefits from the State. For Item 3 – Customer Support Call Center – Chair Escobar asked if the one time expenditure under that item was for equipment. Mr. Rojano said it was for the temporary workers. Item 6 – Increased Funding for Vaccines. This item is revenue neutral, they are not asking for any county dollars. They believe they can be reimbursed for these vaccines through their insurance contract with Blue Cross Blue Shield. For Item 9 – Long Active Reversible Contraceptives – requesting an additional $167 thousand to purchase and adequate supply. Chair Escobar noted that there was quite a bit of revenues associated with that and asked where it was coming from. Mr. Gross said it always comes through insurance and Medicaid. He said it was always good when they can recoup their expenditures through revenues and not rely on County dollars. (Cont.)

PH Accreditation #33.1a, 33.5b, 33.6b, 39.2

No. 1712

Agenda Item


Due Date

X. WCHS Budget Presentation (Cont.) Mr. Paul Gross

(Cont.) For Item 13 – This is a residual financial challenge that comes from their behavioral health areas. There’s a little known general statute that when a Wake County citizen is involuntarily committed, for example at UNC Hospital, and that patient has to be transferred to one of the State psychiatric hospitals for continuing care, Orange County Sheriff’s Department does that transportation. The General Statute allows the Orange County Sheriff’s Department to bill back those transportation costs to the County of residence of that patient. Mr. Gross gets invoices for this every week. They are estimating to spend about $25,000 this fiscal year. They have never been budgeted for this. The Wake LME used to pay for it, they’ve gone away, and WCHS doesn’t have the funding, so they have to absorb this $25,000 into their existing budget. Ms. Raynor asked if they could bill other counties whose citizens end up in Wake County for commitment. Mr. Gross said he was researching those general statutes now. Mr. Gross said he would follow up on that and give them some feedback. Mr. Seth Wexler asked who determines the department expansion priorities in terms of number 1 versus number 13. Mr. Gross said number 1 came down from the Wake Budget Office. This was a request for proposal (RFP) that was bid out this year, the contract has already been awarded and they know they’re going to have to assume those costs. The rest was a combination of things. There was a group of them in administration (the budget office, the director’s office, Mr. Bob Sorrels, Ms. Regina Petteway) that reviewed all the expansion requests. There were actually two additional ones that were not on this list that they decided they could absorb into the FY 15 base budget. Ms. Maiorano requested approximately $23,000 for the South Wilmington Street Center due to some lost revenues and they felt they could absorb that request in their FY 15 base so they are realigning her budget and providing those extra funds to her. The other one is to provide public access to Wi-Fi at Sunnybrook and Swinburne. That cost was estimated around $10,000 - $12,000. Mr. Gross went back to Mr. Wexler’s question as to how they are prioritized. He says they are prioritized by a group of 4 or 5 people in administration based on the business justifications that are put forth primarily by the division directors. Mr. Rojano said they have a long process and that there is a budget cabinet. Each division every year presents possibilities. They check those with reality in dialogue with the county manager’s office. They also look politically at the (Cont.)

No. 1713

Agenda Item


Due Date

X. WCHS Budget Presentation (Cont.) Mr. Paul Gross

(Cont.) possibilities that something will actually get funded. There is a lot of dialogue back and forth between Commissioners, County Management, the budget office, and division directors. NC FAST economic self-sufficiency is becoming the top priority in the department. The Board will see a lot of impetus in that area. Ms. Raynor asked if that was also what happened with the Child Welfare 6 FTEs. Mr. Rojano said yes. Dr. Rosine Sanders asked about padding, for example with expansion priority number 8, where the department expenditure is $73,000, also the position for the Social Worker for priority number 11. She asked if that included salary. Mr. Gross said it included salary, benefits, and all other operating costs. Mr. Rojano said that priority came from this Board. Mr. Gross said they had approximately 13 expansion requests last year and successfully received funding for approximately 10 of them. He is hopeful they will be just as successful this year. Mr. John Myhre asked if they will be looking at instances of out of state participation when they do their research into the transportation services offered for mental health. Mr. Gross said absolutely. He then went on to address the other $50,000 in that item. Since the reorganization of mental health in North Carolina created these MCOs they are experiencing some challenges in their child welfare division. If a judge sentences a young juvenile to a residential facility they are not always able to get Alliance Behavioral Health to approve reimbursement. Ms. Horna-Guerra asked about the rent for the WIC expansion with Dorcas ministries. Mr. Gross said the rent for FY15 they would absorb into their operating budget. They may have to come back with an expansion request in FY 16 for that. Chair Escobar entertained a motion and motioned, seconded by Mr. John Myhre, that the Board has accepted the expansion requests, discussed them, and agreed with them. Motion passed unanimously.

PH Accreditation #39.3 The Board voted that they accepted the expansion requests, had discussed them, and agreed with them.

No. 1714

Agenda Item


Due Date

XI. Human Services Director’s Report Mr. Ramon Rojano

Mr. Rojano started by saying they had a new County Manager. He asked Commissioner West to talk about him. Commissioner West spoke about Jim Hartmann and how pleased the Commissioners were with his selection because of the previous experience he has and his goal to take politics out of the process. Mr. Rojano said that Mr. Hartmann embraces the same principals as the county has. Chair Escobar said that he has emailed Mr. Hartmann congratulating him on his new position. The email also invited him to meetings, shared the Board’s charter and priorities, and invited him to continue the tradition that a Board member meet with him on a monthly basis. Mr. Rojano then announced that Wake County was named the Healthiest County in North Carolina for the fifth year in a row. He shared the newest county health rankings of 2014 compared to 2013. He alerted the Board that June 12 at the Wake County Commons they would be launching the Healthiest Capital County campaign for staff. Mr. Rojano then asked the Board to discuss the County’s new mission and vision statements. Mission: Wake County Human Services, in partnership with the community, will facilitate full access to high quality and effective health and human services for Wake County residents. Vision: Wake County will be one of the healthiest places to live and all residents will have opportunities to improve their lives. Chair Escobar said that he likes the new mission and vision statements, and thought that is was great that they were short. Ms. Raynor likes that is encapsulates the Healthiest Capital County campaign. Chair Escobar asked if something was missing. Is it too short? Mr. Rojano said that they had a short mission and vision statement so that then they can have goals that go into more detail. Mr. Julian Smith wondered why the emphasis in Human Capital Development was not jumping out at him but that Mr. Rojano’s comment explained why not. Dr. Rosine Sanders wanted to highlight the “high quality” piece of the mission statement. She thought that was very significant. Ms. Elizabeth Scott gave a briefing on NC FAST. FNS program

• On schedule to complete all overdue applications/recertifications that are showing on the list provided daily. We have reported the cases with system problems to the state and are awaiting a resolution. (Cont.)

Board discussed WCHS’ new Mission and Vision Statements. +

No. 1715

Agenda Item


Due Date

XI. Human Services Director’s Report (Cont.) Mr. Ramon Rojano

• (Cont.) We have changed business processes on the front end in order to prevent overdue applications from growing in the future.

• We continue to be a little behind on recertifications; we will not complete all March recertifications by the end of March. We continue to have staff vacancies which affect our ability to become completely current. Some FNS staff has been diverted to working on Medicaid cases.

Medicaid applications backlog • As of Wednesday, March 26 we have received just under 5,000

applications from the Marketplace, which must have a determination before the individual can move on to be evaluated for a subsidy and purchase insurance. We began receiving these applications at the end of February. As soon as the applications are processed any that are not eligible for Medicaid will be transferred back to the Marketplace.

• It will be very challenging to complete this large number of applications, as we also have about 4,800 pending Medicaid applications that we have received through our other portals, such as online, by mail and in person. We anticipate that there will be duplication between these two groups and are trying to analyze the data to determine if we can identify the duplicates.

• We expect there to continue to be heavy activity with Marketplace applications through the enrollment deadline of March 31.

Recertifications for Family Medicaid • DHHS obtained a waiver within the last week which changed the

strategy for working the Family Medicaid recertifications beginning in March. Initially these cases were going to be manually entered into NC FAST by county staff. The waiver allows the state to continue to use the old system (EIS) through December of 2014. This will allow cases to be completed more quickly.

• Because certifications were extended by three months at the end of 2013, we have double the number of reviews due in March, April and May. The state is going to extend any cases we don’t complete by the end of March for another month. We have not yet been notified if the same approach will be taken in future months. (Cont.)

No. 1716

Agenda Item


Due Date

XI. Human Services Director’s Report (Cont.) Mr. Ramon Rojano

(Cont.) • We have shifted some staff from FNS to Medicaid in order to

handle the volume of cases in this group. Recruitment of new staff

• New positions have been advertised through March 31, 2014. A dedicated team is working to recruit the new case manager positions and all currently vacant existing positions.

• We are targeting early May to begin to train the first group of staff hired.

• A new approach for assessing technical competence and aptitude is being used in the recruitment of this staff, since the job has changed significantly and a different skill set is needed.

Chair Escobar said that he and Vice Chair Smith met with Mr. Joe Durham on this issue. They discussed giving the client an accurate view of the delays. They thought it was important to carefully monitor the productivity of the agents. Ms. Scott said one of the things they’ve done is impose a crisis management model. There are team leads and there are productivity targets for staff. Ms. Lindy Brown said she applauded Wake County for reducing the case load, and asked if it was impacting new cases coming in. Ms. Scott said they generally get 2,800 new cases a month. In trying to get through the backlogs they incorporated all of the new ones as well. The State also began sending a report every morning so they could see where they were as far as the backlog and new cases. Mr. Julian Smith wanted to know, with all the extra pressure, how the staff was holding up. Ms. Scott said that staff was very tired.

No. 1717

Agenda Item


Due Date

XII. Chair’s Report Mr. Pablo Escobar

Chair Escobar said he had to things he would like to talk about. The first was that he is trying to get a summary of all retreat notes and will share that with the Board. The second thing was that in the expansion items that Paul presented there were 13 items. He said that was close to the number of Board members. He wanted each member to pick one of those items and at the Public Comments on June 2 go to the Commissioners and say they support these items. Each member can “adopt an expansion item”. Mr. Julian Smith commented on the retreat saying he saw little connectivity between retreats and wanted to know to what extent were things they had come up with in previous years met or exceeded. Mr. McKinley Wooten said that sometimes it’s better to have more than one retreat. Chair Escobar stated that this was a new Board and they were doing things differently. Before adjournment Ms. Horna-Guerra made one more comment about the new mission statement. She wondered if they could make it “will facilitate and sustain full access to high quality and effective health and human services”. Ms. Raynor said she did not know how they could guarantee the “sustain” part.

XIII. Adjournment With no other business, the Board meeting was adjourned at 10:09 a.m. Board Chair Approval Pablo J. Escobar, Chair

4/21/2014 1 of 2

WCHS FY 2015 EXPANSION SUMMARYUpdated February 21, 2014

Request Title Brief Description Budget Impact

Dept Expansion

Priority

FTEs Dept Expenditures -

Ongoing

Dept Expenditures -

One Time

Revenues Total Costs Net Costs (County Share)

9719 - Administration/Operations - Call Center Hosted Platform

Annual maintenance costs for a Hosted Contact Call Center platform due to the retirement of the existing solution and award contract to Siemens/ inContact. HS programs impacted are: Customer Service, Child Welfare, Transportation and Child Support.

Significant 1 76,857 - - 76,857 76,857

10072 - Economic Self Sufficiency - Request 36FTEs for ESS Programs

Annualize and appropriate an expansion request approved by the BOC on 2/17/14 at $1,967,968 and establish 36FTEs to address workload needs associated with NC FAST implementation and the administration of the Medicaid and FNS programs.

Significant 2 36.00 1,967,968 - 1,113,062 1,967,968 854,906

9627 - Economic Self Sufficiency - NC FAST Implementation

The functions of a Customer Support Center are integral to the operation of Economic Services programs in the years ahead. This expansion is for additional permanent staff to augment our Customer Support Center.

Significant 3 10.00 404,360 1,884,384 1,129,372 2,288,744 1,159,372

9486 - Children Youth & Family - PH Nurse Expansion for WCPSS

Provide essential PH nursing to 157,000 students in WC schools; provide care to preschool students with complex medical conditions; keep pace with increase demands of healthcare needs as a direct result of student population growth.

Significant 4 10.00 702,988 23,860 - 726,848 726,848

9738 - Child Welfare - 6FTEs for the CPS Assessment Unit

Add four new HSSP positions and two HS Supervisor II positions to handle the increased number of CPS reports and strengthen the capacity to respond to emergencies after hours.

Significant 5 6.00 362,796 12,000 42,231 374,796 332,565

9542 - Public Health - Increased Funding for Vaccines

Increase funding for the purchase of vaccines by $50,000 to maintain level of immunization coverage for patients to conform to rules, contracts, and laws, and to promote community health.

Significant 6 50,000 - 50,000 50,000 -

9646 - Economic Self Sufficiency - Adult Guardianship Funding

1.) Rate increase for 2 contract agencies of Adult Guardianship services in response to RFP, 2.) Funding for a new contract agency in order to reduce the Adult Guardianship Teams caseload.

Significant 7 177,627 - - 177,627 177,627

9895 - Administration/Operations - Human Capital Development FTE

Funds to support a Community Coaching Volunteer Coordinator responsible for recruiting, training and managing approx 30 volunteer coaches to expand the Middle Class Express in at least 10 community settings.

Significant 8 1.00 73,821 3,000 - 76,821 76,821

Department Request

4/21/2014 2 of 2

WCHS FY 2015 EXPANSION SUMMARYUpdated February 21, 2014

Request Title Brief Description Budget Impact

Dept Expansion

Priority

FTEs Dept Expenditures -

Ongoing

Dept Expenditures -

One Time

Revenues Total Costs Net Costs (County Share)

Department Request

9544 - Health Clinics - Long Active Reversible Contraceptives

This request will be used to purchase an adequate supply of highly effective Long Active Reversible Contraceptives (LARCs), along with injectable Depo-Provera.

Significant 9 167,364 - 118,645 167,364 48,719

10003 - Administration/Operations - Reclassify 2.5FTE from WBH

Redeploy and reclassify 2.5FTEs assigned to closeout Wake Behavioral Health services to support emergent HS needs (Data Mgmt, Pharmacy, GE Centricity Training) ensuring quality assurance in service delivery.

Significant 10 2.50 149,196 - - 149,196 149,196

10082 - Public Health - Gonorrhea Partner Services (GPS)

New FY 15 funding to support hiring a Social Worker whose mission is to conduct screening, education, treatment and Partner Counseling and Referral Services among target populations at risk, for or who have gonorrhea.

Significant 11 1.00 70,741 - 70,741 70,741 -

9952 - Public Health - .50FTE Public Health Educator

Public Health and Environmental Services submit a joint proposal requesting one (1) FTE to provide Health Promotion/health education support services to the Regional Centers and Environmental Health Services Department.

Moderate 12 0.50 27,544 - - 27,544 27,544

9750 - Behavioral Health - Mental Health Related Costs to HS

Provide funding for transportation services offered through Orange County Sheriffs Dept; in addition, support children in DSS custody requiring MH treatment services.

Moderate 13 75,000 - - 75,000 75,000

67.00 4,306,262 1,923,244 2,524,051 6,229,506 3,705,455 Total FY 2015 Expansion Requests

wake county human services board - wake county, north carolina · approval of minutes mr. julian...

Documents