delaware health and social services fiscal year 2016 budget hearing office of management and budget...
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Delaware Health and Social Services
Fiscal Year 2016 Budget HearingOffice of Management and Budget
Legislative HallSenate Chambers
Thursday, November 20, 2014Rita Landgraf
Cabinet Secretary
Delaware Health and Social Services
OFFICE OF THE OFFICE OF THE SECRETARYSECRETARY
State Service State Service CentersCenters
Social Social ServicesServices
Aging and Adults Aging and Adults with Physical with Physical DisabilitiesDisabilities
Substance Abuse Substance Abuse and Mental Healthand Mental Health
Long Term Long Term Care Care
Residents Residents ProtectionProtection
Developmental Developmental DisabilitiesDisabilities
Public HealthPublic Health
Child Support Child Support EnforcementEnforcement
Medicaid and Medicaid and Medical Medical
AssistanceAssistance
Management Management ServicesServices
Visually Impaired Visually Impaired
Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable
populations
Delaware Health and Social Services
DHSS Accomplishments
• Health Care Reform (ACA)– Medicaid Expansion and Health Insurance
Marketplace– DHSS and Dept. of Insurance Policy Changes – Information Technology– Outreach and Marketing
Delaware Health and Social Services
DHSS Accomplishments
• State of Delaware and US DOJ Settlement• Reforming Delaware’s Mental Health
System
Delaware Health and Social Services
DHSS Accomplishments
Delaware Health and Social Services
Employing People With Disabilities
• To promote an open atmosphere statewide in which our employees feel comfortable in disclosing their disability.
• To provide education and support on accommodating people with disabilities and the benefits of doing so.
• To provide individuals with disabilities with the same opportunities and environment to succeed as everyone else.
Delaware Health and Social Services
Why This Focus Is Critical:• Highest unemployment/
under-employment rate of any minority population;
• Individuals with disabilities face a high level of poverty; and
• Individuals with disabilities are an untapped, under-tapped resource.
Delaware Health and Social Services
Expectation Is for World of WorkU.S. employment rates for people age 20-24 (March 2013)
24.7% people with disabilities61.1% people without disabilities
Delaware Health and Social Services
Employment Focus• Collaboration with the Healthcare
Association to develop internships.• UD conducted comprehensive
survey of state employees.• Governor launched a partnership
between Specialisterne and CAI. SAP, GlaxoSmithKline and Walgreens all made hiring commitments.
• Employment for individuals with disabilities increased 8.6% between 2011 and 2013.
Delaware Health and Social Services
Changing State Government Culture
New OMB training module:
•Message from Governor.•A snapshot of the Americans with Disabilities Act.•Information on interacting with colleagues who have disabilities.•Resources, including delaware.gov employment page.•Information on hidden disabilities.•Statistics and studies.
Delaware Health and Social Services
DHSS Accomplishments• Increased education and awareness about the
dangers of smoking and the importance of cancer screening.
• Modernized the Mental Health Commitment Law.
• Development of a medical marijuana compassion center.
• Established the Office of Animal Welfare into DPH.
• Created a background check dashboard for employers and law enforcement.
Delaware Health and Social Services
DHSS Accomplishments
• I-ADAPT team
• Volunteerism
• Telehealth
• Community Garden
Delaware Health and Social Services
DHSS Accomplishments• Expanded uses of Stockley Center’s state-of-the-art
medical facility and 750 acres.
• Developed a plan to serve people who will be diagnosed with Alzheimer’s disease.
• Launched PEDS Online.
• Implemented the Civil Union and Marriage Equality laws.
• Strengthened patient safety laws in partnership with the Department of State.
Delaware Health and Social Services
Moving Forward
• Build Upon Our Successes: Affordable Care Act
mandates US DOJ Settlement LTC Transition
• DHSS Mission• Best Practices
Delaware Health and Social Services
Moving ForwardEmerging Issues
• Addictions Services• We know that untreated, or poorly treated, substance use disorders
cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation at a higher rate than other serious illnesses.
U.S. COSTS✓ Cancer (15% tobacco) $128B✓ Diabetes $245B✓ Heart Disease & Stroke
(30% tobacco and drugs) $444B Substance Abuse $559B
Delaware Health and Social Services
Continued Focus
• Community-Based Services:– DSAMH– DDDS– DSAAPD
• Coalition of Caring
Delaware Health and Social Services
Continued Focus
Delaware’s Health Care Innovation
Work
Delaware Health and Social Services
Continued Focus
• Staff and Client Security
• Continued Efficiencies
• Physical Plant
Delaware Health and Social Services
Medicaid Growth
Delaware Health and Social Services
Delaware Health and Social Services
Budget Process(in thousands)
• FY 15 GF Budget $1,113,633.8
• Requested New Dollars $ 21,696.1– FY 16 Door Openers– Resources needed for increased
volume, annualizations
• FY 16 Total GF Request $1,135,329.9 [1.9% Increase over FY 15]
Delaware Health and Social Services
FY 16 GF Budget Request - $1,135,329.9
Door OpenersUSDOJ/DPC Settlement $3,214.0
•Housing Vouchers [$1,125.0]•Coordinated Care Management [$100.0]•Supported Employment [$100.0]•Assertive Community Treatment [$954.0]•Peer Supports [$175.0]•Crisis Services [$760.0]
Delaware Health and Social Services
FY 16 GF Budget Request - $1,135,329.9
Door Openers (Cont’d)DDDS - FY 15 Placements (FYF) $2,124.8
DDDS - New Community Placements/ $3,111.6 Special School Grads
DDDS - Rebase Direct Support $1,169.9 Professional Rates
DSAAPD - Community Svcs. Wait List $ 910.0
DHSS - Lease Escalators $ 119.1
DHSS - FY 15 Salary Policy Contingency $ 447.6
Delaware Health and Social Services
FY 16 GF Budget Request - $1,135,329.9Enhancements
Substance Use Disorder Programs (DSAMH) $3,635.0
Addiction Prevention & School Based Educations (DPH) $ 100.0
Eligibility Modernization System Maintenance & $2,358.3Operations (DMS)
Data Warehouse Maintenance & Operations (DMMA) $ 275.0
Child Care Sliding Fee Scales (DSS) $1,139.3
Department-wide Security Initiatives (DMS) $ 193.0
SIM Care Coordination Fees (DMMA) $1,300.0
Family Support Waiver (DDDS) $ 944.2
Delaware Health and Social Services
FY 16 GF Budget Request - $1,135,329.9
One-Time
Substance Use Disorder Programs (DSAMH) $815.0
Department-wide Telephone $288.5 Upgrades (DMS)
Delaware Health and Social Services
FY 16 GF Budget Request – $1,135,329.9
Structural Changes
•Reallocate Child Care funding to the Dept. ($500.0)
of Education
•Reallocate Medical Examiner operational funds to ($ 37.2)
OMB in support of the Dept. of Safety HomelandSecurity, Forensic Sciences unit
Delaware Health and Social Services
FY 16 Capital Budget Request Project Name
• Maintenance & Restoration $4,750.0
• Minor Capital Improvements $6,000.0
• Roof Repair/Replacement $2,300.0
• Holloway Campus Electrical System Replacement $3,460.0
• IT Projects $7,490.8
Delaware Health and Social Services
FY 16 Capital Budget Request (cont’d)
Project Name
•Drinking Water State $1,850.0Revolving Loan Program
•Critical Equipment $ 150.0Replacement Program
Delaware Health and Social Services
Important Partnerships• CROSS CABINET INITIATIVES
– Delaware State Housing Authority - SRAP
– Early Childhood Education– I-ADAPT - Individual Assessment
and Discharge Planning Teams– Health Care Reform – Behavioral Health - Education and
Prevention - Treatment and Recovery
• COMMUNITY PARTNERS
Delaware Health and Social Services