Memorandum

To: Lakeland Health Care Center Board of Trustees/Walworth County

Health & Human Services Board

From: Linda Seemeyer, HHS Director/LHCC Superintendent

Date: June 13, 2012

RE: June 20, 2012 Lakeland Health Care Center/ Health & Human

Services Board Agendas

_________________________________________________________________

The agendas for both the Lakeland Health Care Center Board of Trustees and the

Health & Human Services Board are quite brief this month.

In addition to the customary Administrator’s Report and Financial Update,

Administrator Janiszewski would like to begin to discuss the topic of an in-house

staffing pool for nurses and CNAs.

The Health & Human Services Board agenda contains the following items:

Judy Johnson of the Open Arms Free Clinic has submitted some additional

information which is included in your packet. She will attend the meeting and

again present to the Board.

We are continuing to brief the Board on Health & Human Services operations.

This month, Mia Anderson-Inman and Carol Wicklund will present an

overview of the Economic Support operations.

Terese Rutkowski from our Women’s Infants’ and Children’s (WIC) Nutrition

program will present an overview of her program and seek Board approval for

a WIC infrastructure grant.

HHS is now working on a new three year strategic plan. We have a new vision

statement and are asking for Board approval.

The next item on the agenda is somewhat of a place holder. We have been

asked by Jefferson County to consider applying for a SAMSHA grant in

conjunction with Jefferson and Rock counties. At this time we do not have a

lot of information. We hope that by meeting time we will be able to either

provide the Board with more facts and seek approval, or withdraw the item

from the agenda.

Walworth County Health and Human Services Board

Lakeland Health Care Center Board of Trustees MEETING NOTICE

Wednesday, June 20, 2012

Lakeland Health Care Center 1:00 p.m.

Health and Human Services Board 1:15 p.m.

County Board Room

Government Center – 100 W. Walworth

Elkhorn, Wisconsin

Jerry Grant– Chair, Tim Schiefelbein – Vice-Chair,

Joe Schaefer – Supervisor, Tim Brellenthin - Supervisor, Kenneth Monroe – Supervisor,

Ella Eva Pious – Citizen Representative (HHS), Sandra Wagie-Troemel - Citizen

Representative (HHS), Dr. James Seegers - Citizen Representative (HHS)

(Posted in compliance with Sec. 19.84, Wis. Stats.)

It is possible that a quorum of the County Board or any of

its committees could be in attendance at this meeting.

Agenda items are available upon request for the Department of Health and Human Services

or on the county’s web page (co.walworth.wi.us). The agenda packet, including

supporting documents, may be large, depending upon the number of enclosures.

Downloading it will require ample computer memory and may take significant time.

A G E N D A

Note: all agenda items are subject to discussion and/or action.

Lakeland Health Care Center Board of Trustees

1. Call to order

2. Roll call

3. Withdrawals from the agenda, if any

4. Agenda approval

5. Approval of minutes of last meeting (s):

a) May 16, 2012 (Enclosure 1)

6. Public comment period – Lakeland Health Care Center Issues

7. Unfinished business

8. New business

a) In-house Staffing Pool in the Nursing Department (Enclosure 2)

9. Report (s)

a) Administrator’s Report and Financial Update (Enclosure 3)

10. Correspondence

Nancy Russell

County Board Chairperson

Jerry Grant

County Board Vice-Chairperson

11. Announcements

12. Set/confirm next meeting date and time – July 18, 2012 at 1:00 p.m.

Health and Human Services Board

13. Call to order

14. Roll call

15. Withdrawals from the agenda, if any

16. Agenda approval

17. Approval of minutes of last meeting (s):

a) May 16, 2012 (Enclosure 4)

18. Public comment period – Health and Human Services

Issues

19. Unfinished business

a) Open Arms Free Clinic (Enclosure 5)

20. New business

a) Economic Support (Income Maintenance) Overview (Enclosure 6)

b) WIC Infrastructure Grant and Overview (Enclosure 7)

c) Strategic Plan Vision Statement (Enclosure 8)

d) Substance Abuse and Mental Health Services

Administration (SAMSHA) Addiction Technology

Transfer Centers Grant Application

21. Report (s)

22. Correspondence

23. Announcements

24. Set/confirm next meeting date and time – July 18, 2012 at 1:15 p.m.

25. Adjournment - The Health and Human Services Board will Adjourn

Submitted by: Jerry Grant – Committee Chair

Linda Seemeyer – Director, Health and Human Services

Superintendent Lakeland Health Care Center

Posted: June 14, 2012

Enclosure 4

Walworth County Health and Human Services Committee

MINUTES

May 16, 2012 Meeting – 1:15 p.m.

Walworth County Board Room

Government Center – Elkhorn, Wisconsin

The meeting was called to order by Chair Grant at 1:15 p.m.

Roll call – Committee members present included Supervisors Grant, Schaefer, Brellenthin,

Schiefelbein, Monroe and Citizen Representative Wagie-Troemel and Seegers. Citizen

Representative Pious was excused. A quorum was declared.

Others present – Linda Seemeyer, Director of Health and Human Services/Lakeland

Health Care Center Superintendent; Liz Aldred, Deputy Director Health and Human

Services; Juliet Young, Health and Human Services; Nancy Russell, County Chairperson;

David Bretl, County Administrator; Dawn Starck, Health and Human Services Supervisor;

Pat Grove, Health and Human Services Manager; Laura Myers, Health and Human

Services; Carlo Nevicosi, Health and Human Services Manager; Lori Muzatko, Health and

Human Services manager and Jennifer Selz, Health and Human Services Supervisor, Judy

Johnson, Open Arms Clinic

Public in attendance – There were no members of the public in attendance.

There were no agenda withdrawals. Motion and second made by Citizen Representative

Wagie-Troemel/Supervisor Monroe to approve the agenda. Motion carried 7–0.

The Health and Human Services minutes from the April 25, 2012 meeting were approved.

Motion and second made by Supervisors Schaefer/Brellenthin to approve the

minutes. Motion carried 7-0.

Public Comment – There were no comments from the public.

Unfinished business –

Walworth County Community Health Survey Report – Commissioned by Aurora Health

Care – Ms. Seemeyer asked if any of the members had a question regarding this survey.

Supervisor Schiefelbein asked why there was an emphasis on guns. Ms. Grove, Public

Health Officer, stated she was unsure as those were questions designed by Aurora Health

Care.

New Business –

Child Support Overview – Ms. Seemeyer introduced Dawn Starck, Child Support

Supervisor, to give a brief overview of this unit. Ms. Starck gave a PowerPoint

presentation outlining the basic functions of Child Support. She is also currently working

on funding issues due to cut backs at the State and federal levels.

Enclosure 4

Supervisor Schiefelbein asked where cuts would be made in the budget. Ms. Starck stated

at this time she is looking to cut back on service costs, not eliminate any staff. An example

of a service cut is that the State is now mailing out letters previously mailed out at the

County level and therefore can reduce the amount budgeted for the postage account.

Supervisor Monroe asked how she would be able to cut costs with an increasing case load.

Ms. Starck stated that there were areas she could make cuts and she would make it work.

Supervisor Grant stated that making services more efficient would save money. Ms.

Seemeyer added that funding would be found for Child Support if tax levy was not

possible.

ADRC/Aging Overview – Ms. Seemeyer introduced Lori Muzatko, ADRC Director and

Jennifer Selz, ADRC Supervisor to give a presentation on the Aging and Disability

Resource Center. Ms. Selz reported that the county tax levy was not used for ADRC costs.

The ADRC is a “one stop shop” for information about resources for individuals regardless

of income or assets.

Supervisor Grant asked the number of ADRC staff. Ms. Selz stated there are eight

specialists and two benefit specialists.

Citizen Representative Seegers asked how many people are served through the ADRC.

Ms. Selz explained there isn’t a caseload. While it varies greatly, they receive

approximately 3,000 to 4,000 calls per year.

Citizen Representative Seegers asked if the ADRC markets to nursing homes. Ms. Selz

stated that the ADRC markets to nursing homes along with other residential facilities.

There is a federal requirement that nursing homes have to ask residents if they want to

return to the community. Citizen Representative Seegers asked if there was a liability if

they are at home in the community. Ms. Selz stated it is a consumer’s choice.

Citizen Representative Seegers stated he felt this was a wonderful program.

Supervisor Monroe asked ADRC marketing. Ms. Selz passed around a basket filled with a

sample of some of the marketing items used by the ADRC. She also does presentations for

various groups, has booths at health fairs and the ADRC publishes a monthly newsletter.

Citizen Representative Wagie-Troemel asked if Ms. Selz has done a presentation for

AARP. Ms. Selz stated she will be doing a presentation for them in the future.

Citizen Representative Seegers asked if they marketed in newspapers. Ms. Selz stated that

they do.

Supervisor Schaefer asked if the ADRC screens individuals for veterans’ benefits. Ms.

Selz stated they do give out information regarding the Veterans’ Administration.

Enclosure 4

Citizen Representative Wagie-Troemel asked if most of the consumers who use the

ADRC are low income. Ms. Selz stated that because services are available regardless of

income, they do not ask about a consumer’s income and therefore is unaware of their

income status.

Citizen Representative Seegers asked if the ADRC gives referrals to residential facilities.

Ms. Selz stated they only do resources not references.

Citizen Representative Wagie-Troemel asked if they had a list of charges for services. Ms.

Selz indicated they do not.

Ms. Muzatko added that marketing is a priority in the ADRC especially with the recent

cap lifted on the waiting lists for Family Care and IRIS.

Request for Approval of Office of Justice Assistance Grant – Ms. Seemeyer introduced

Carlo Nevicosi, Health and Human Services Manager to give an outline of this grant

request. Mr. Nevicosi stated that this $85,000 grant will be used for at-risk youths and

their families. There is a required 10% match but Health and Human Services is already

spending more $8,500 on this program so the match is already being met.

Citizen Representative Wagie-Troemel stated she is in support of this grant.

Supervisor Schiefelbein asked if this grant requires full board approval. Mr. Bretl asked if

Health and Human Services has received this grant in prior years. Mr. Nevicosi stated that

the Department has not, this is a new grant. Mr. Bretl asked if this grant would be going

on the preapproved grant list. Mr. Nevicosi stated it is not a reoccurring grant at this time.

Mr. Bretl explained that the process is different for each grant and each one is looked at on

a case-by-case basis to determine the appropriate level of approval needed. He stated that

if this committee decides to support the grant his office would determine the proper course

of action.

Supervisor Grant asked if the grant could be renewed after two years. Mr. Nevicosi stated

that at this time it is not a reoccurring grant.

Motion and second made by Supervisor Schaefer and Citizen Representative Wagie-

Troemel to approve this grant request. Motion carried 7-0.

Discussion followed.

Citizen Representative Wagie-Troemel stated that since the Department is not proposing

to hire additional staff with this grant money, she does not see any issues. If after the grant

ends the Department will have to either have to work the consulting services into the

budget or cut back on the services. Mr. Nevicosi stated this was correct.

Enclosure 4

Supervisor Schiefelbein suggested this grant be approved by the County Board so Mr.

Bretl can review it.

Citizen Representative Seegers asked if the services were sustainable after the grant

expires. Mr. Nevicosi stated there would probably be other opportunities that could be

explored.

Presentation by Open Arms Clinic – Ms. Seemeyer introduced Judy Johnson who is

representing the Open Arms Free Clinic. Ms. Johnson gave a brief history on the creation

of this clinic and is asking this committee for $15,000 to $20,000 to help fund opening the

clinic. She explained that there are a number of professionals stepping forward to

volunteer their time, a location has been rented and that equipment has been donated. She

also stated that the Community Health Improvement Plan and Process (CHIPP) that the

Department has been working on for over a year had free clinic as the number one priority

based on survey data. This will not be a faith-based enterprise and the application for tax

exempt status is being filed by the Open Arms Clinic committee.

Supervisor Grant asked when their 501(c)(3) status would be complete. Ms. Johnson

stated that her board should be filing it tonight after it is approved. She estimates it will

take several months to get approval from the State.

Supervisor Grant asked if she had copies of their goals and bylaws. Ms. Johnson stated she

would get this committee that information.

Supervisor Grant asked when they plan to open the doors to this clinic. Ms. Johnson stated

they were hoping for July of this year.

Supervisor Schiefelbein asked if they had a proposed budget for the clinic. Ms. Johnson

explained that they were waiting on quotes from Mercy and Aurora for services and that it

was difficult to develop a budget without a history to base it on. She estimates that the

clinic will need $26,000 for basic operating expenses.

Supervisor Schiefelbein asked if this was going to be an ongoing expense for the county

and would like to see other commitments. Ms. Johnson stated they have secured financial

and in-kind donations for individuals and organizations in the community. She will come

back to this committee with more detailed figures. Supervisor Grant asked for her to

provide budget information along with the goals and bylaws.

Citizen Representative Wagie-Troemel asked how the Department felt about the clinic.

Ms. Seemeyer stated she would also like to see a budget before making an investment in

this endeavor.

Citizen Representative Seegers asked if she had talked with the medical staff at Mercy and

Aurora. Ms. Johnson stated she believed other members of her board had probably talked

with these groups.

Enclosure 4

Citizen Representative Seegers asked about credentialing if a doctor is not on staff with

Aurora or Mercy and if they were using an independent lab. Ms. Johnson stated she would

have to look into those items and come back to this committee.

Mr. Bretl stated he would also like to see a detailed budget and find out if this was a one-

time or ongoing payment.

Ms. Johnson stated that fundraisers were being planned to help support this clinic.

Reports -

Income Maintenance Update – Ms. Seemeyer stated the Call Center statistics are

improving as the answer rate is up and the wait time is becoming shorter. This has caused

a slight slowdown in the processing of paperwork and staff are working to find a balance

between the two. Internal issues mentioned at previous meetings are getting resolved. Ms.

Seemeyer also alerted this committee that the State will be sending out letters regarding

changes in BadgerCare co-payments. If committee members receive any complaints they

can forward them to Ms. Seemeyer.

Supervisor Grant asked if the waiver was accepted by the federal government. Ms.

Seemeyer stated that it was.

Correspondence – There were no correspondences.

Announcements – Citizen Representative Wagie-Troemel announced that the Walworth

County Alliance for Children (WCAC) will be hosting their second annual golf outing

fundraiser on June 21st. She stated that they are hoping to break ground for the WCAC

facility in July.

Supervisor Grant once again graciously stated that he would match funds donated from

this committee to sponsor a hole at this event. Committee members are to notify

Supervisor Grant by Monday if they are interested.

Next Meeting Date – The next meeting is scheduled for June 20, 2012 at tentatively

1:15 p.m. following the Lakeland Health Care Board of Trustees meeting.

Adjournment – On motion and second by Supervisor Monroe/Citizen Representative

Wagie-Troemel. Chair Grant adjourned the Health and Human Services meeting at

approximately 2:32p.m. Motion carried 7-0.

Submitted by Juliet Young, Recorder. Meeting minutes are not considered final until

approved by the committee at the next regularly scheduled meeting.

Economic Support Program Presented by Carol Wicklund and Mia Anderson-Inman

Enclosure 6

Role of Economic Support (also known as Income Maintenance)

Determine eligibility for programs that include:

Medicaid

BadgerCare Plus

Food Share

Caretaker Supplement

Medicare Premium Assistance

Child Care

Energy Assistance

Apply for Economic Support

Applicants are required to provide detailed information regarding household members

Identity and Citizenship

Income

Expenses

Assets

This information is reviewed and updated annually or as changes occur in the household.

Performance Measures

Performance is measured based on timeliness of processing and accuracy of benefits issued. Our current timeliness rating for processing applications within

30 days is 93.58% and our error rate is

0.00% on cases reviewed by the State.

State budget

State

• The budget recommended having the State take over the administration of the Income Maintenance Programs, with the plan being to contract the work with private companies

County

• The 72 counties got together and proposed an alternate work model to retain local administration and presence for these programs, which was accepted by the Joint Finance Committee and was pass in the State budget.

Walworth County is part of the Moraine Lakes Consortium which also includes the following counties:

• Fond du Lac

• Ozaukee

• Washington

• Waukesha

Call Center The Call Center opened on 1/3/2012.

Month Calls Answered

January 14,791

February 12,168

March 11,433

April 14,026

May 15,529

All counties in the Moraine Lakes Consortium are contributing workers to the Call Center.

County Number of Workers

Walworth 2

Fond du Lac 6

Ozaukee 5

Washington 5

Waukesha 7

Case Loads

The number of cases in Walworth County has increased by 33% just from last year. Some of this is due to the fact Walworth County assumed cases that were previously handled by the State.

Month Number of Cases

May 2012 10,243

May 2011 7,709

Caseloads

The Moraine Lakes Consortium currently has a caseload of 51,866 households.

County Number of

Cases Number of Workers

Cases per worker

Walworth 10,243 15.5 661

Fond du Lac 9,287 20 464

Ozaukee 4,312 9 479

Washington 8,253 17 485

Waukesha 19,771 30 659

Benefits Issued

Year Eligible Individuals

Medical Assistance

Food Share

CY2010 21,153 $70,287,129 $13,639,706

CY2011 22,986 $83,511,887 $17,645,230

This is for Walworth County cases only.

Energy Assistance

Energy Assistance is not part of the Moraine Lakes Consortium but is still a part of the Economic Support program.

Year Benefit Issued Households

CY 2010 $1,534,736 2,756

CY 2011 $1,567,653 2,823

Meet our staff • Two supervisors • 15.5 Economic Support Specialists (2 of the 15.5 are

currently in training) • One Energy Assistance Coordinator and one temporary

help during energy season (October through May) • .5 Child Care Coordinator (splits time between this and

ESS duties) • One support person

Women Infants and Children (WIC)

• WIC is a special supplemental nutrition program for Women, Infants and Children through a Federal Grant (USDA-Food and Nutrition Service)

• Mission:

To promote and maintain the health and well-being of nutritionally at-risk low income pregnant, postpartum and breastfeeding women, infants, and children up to age five

• Provide nutritious foods

• Nutrition assessment, education and counseling

• Breastfeeding counseling and support. Promote breastfeeding as the best first food for baby.

• Referrals to health and other social services

• Heights and weights; lead and iron tests

Enclosure 7

Walworth County WIC Program WIC monthly contracted caseload- 1836 active participants

Number of contacts with WIC participants in 2011: ~ 13,000

WIC clinics are held Monday - Thursday (Tuesdays later day), some Fridays as

needed.

WIC staff:

Registered Dietitians (RDs)- 2 full time and 1 part time

WIC clerks- 1 full time and 1 part time

WIC Grant:

2012: $365,290

Farmer’s Market: $2078

Breastfeeding Peer Counselor Program: $10,458

_____________________________________________________

$377,826

Over $1,000,000 in WIC checks were spent at Walworth County vendors in the last

year.

$8,000 spent at Farmer’s Markets with the FMNP checks that are issued June

through September.

WIC is Preventive Public Health Nutrition

Pregnant WIC participants have:

– Fewer premature births

– Fewer low and very low birth-weight babies

– Fewer fetal and infant deaths

– Seek prenatal care earlier

– Consume more key nutrients including iron, protein, calcium, and Vitamins A and C

*Source: NWA- Messages, Walworth County WIC

WIC is Preventive Public Health Nutrition Continued…

Benefits to WIC Children Include:

– Less dental related Medicaid cost for children

– Are more likely to be immunized

– Have lower prevalence of anemia

– Are at a reduced risk for child abuse of neglect

– Have increased intake of iron, potassium, and fiber

– Have an increased consumption of whole grains, fruits, and lower-fat milk

– At ages 4-5 have better vocabulary test scores

*Source: NWA- Messages, Walworth County WIC

WIC is Cost Effective

• Every $1 spent on pregnant women in WIC produces $1.92-$4.21 in Medicaid savings for newborns and their mothers

• Medicaid costs on average are reduced $12K-$15K for every very low birth-weight incident prevented

• In fiscal year 2011 over $1,000,000 in food benefits were spent in Walworth County

*Source: NWA- Messages, Walworth County WIC

2010

Goals

%

2020

Goals

%

Walworth

County

WIC

%

State

WIC

%

National

WIC

%

Breastfeeding

Initiation 75 82 85 69 62

Benefits for Baby & Mother

Lower incidence of viruses, respiratory illness, ear

infections, meningitis, allergies, obesity, and infant

death.

The immune factors in breast milk guard and

protect against many forms of illness.

Hamlet cells in breast milk kill cancer cells.

Research has demonstrated a connection between

breastfeeding and cognitive development (greater

intelligence).

The longer women breastfeed, the greater the

mother’s protection against breast and ovarian

cancers.

Less postpartum depression in breastfeeding

women.

Less taxpayers money is spent on breastfeeding

babies and moms for medical costs

(MA/BadgerCare).

7

WIC is successful

• Breastfeeding rates are the highest in the SE region and one of the highest in the State Breastfeeding classes and Certified Lactation Consultants Breastfeeding Peer Counselor Program A breastfeeding friendly health department—breastfeeding room

• Healthier foods added: fruits and vegetables, whole grains, lower fat milk, soy milk, canned fish in addition to the beans, peanut butter, cereal, 100% juice, cheese, eggs, infant foods and formula

• Promotes more physical activity and future opportunities for fit WIC grant

• Farmer’s Market Program is expanding

• Referrals to other service programs

• Cooking demonstrations, recipes.

• Excellent feedback from WIC participants from our survey

• Fluoride varnishes in WIC

• Screening and billing for lead, hemoglobin, water testing

• Collaboration with other programs such as public health, head start, UW extension-WNEP, car seats, cribs for safe sleep, PNCC, HHS programs

• Excellent Audits

• Person centered approach

Being Person Centered is a WIC requirement

• BEING PERSON-CENTERED THROUGHOUT WISCONSIN WIC

• WIC’s primary focus is with the participant and in order for that interaction to be the best it can be, everyone associated with that WIC participant needs to act in a “person-centered” fashion. This not only includes interactions with participants and their family, but also between local and state WIC program staff, the public health community, the medical community, WIC vendors, and each other.

Being PC Principles:

• Respect

• Empathize

• Listen to Understand

• Individualize

• Motivate

• Acknowledge Success

The Walworth County WIC Program has the opportunity to receive State infrastructure funds in 2012 to make the clinic area more person-centered and private.

We have asked for approximately $11,500 to be used on the following items

• Parking lot signs

• Indoor signs with the new WIC logo

• Washable flooring

• Fresh, colorful paint

• New interactive toys

• Some redecorating of the breastfeeding room

• Computer kiosk for nutrition education on the internet

• New MICR printer that prints the WIC checks

• Display boards for health fairs and nutrition education

• Food preparation equipment for food demonstrations

Wisconsin WIC Vision and Mission

Wisconsin WIC Vision

WIC is the public health nutrition cornerstone for building healthier women, infants, children, families and communities.

Wisconsin WIC Mission

WIC will improve the health and nutrition of women, infants, children, families and communities by:

• Providing superior nutrition services to WIC participants and their families;

• Assuring that WIC service locations, hours and a variety of services are accessible to families and provided in a culturally competent fashion.

• Collaborating and integrating with other health and social service providers and systems to improve the nutrition and health of WIC participants and their families;

• Assuring that WIC staff is diverse, competent, qualified, and well-

trained.

One-time BePC (Being Person Centered) Infrastructure funds for WIC

The purpose of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is to promote

and maintain the health and well-being of nutritionally at-risk pregnant, breastfeeding and postpartum women,

infants and children. WIC provides supplemental nutritious foods, nutrition and breastfeeding information, and

referral to other health and nutrition services. WIC promotes and supports breastfeeding.

The Walworth County WIC Program has the opportunity to receive State infrastructure funds in 2012 to make

the clinic area more person-centered and private. Being Person Centered is a business model that places the

needs and interests of the customer at the forefront of all program activities and is now a requirement. This will

also help with HIPAA privacy laws and the new trauma informed care initiative at HHS.

We have asked for approximately $11,500 to be used on the following items.

1. Parking lot signs that say WIC or Mom and Baby parking only that are close to the East entrance. 2. Indoor signs with the new WIC logo that make it easier for WIC participants to find the WIC

area and the computer kiosk.

3. Washable flooring in the WIC area. 4. Fresh, colorful paint for some of the walls. 5. New interactive toys for the waiting room and some father friendly reading materials. 6. A flat screen TV/DVD to replace the old one in the East waiting room. 7. Redecorating in the breastfeeding room. Replace exam table with a day care quality changing table

(safety issue). Purchase cushions for the rocking chair, and some signage. 8. Computer Kiosk for participants to complete their nutrition education using wichealth.org. 9. Another MICR printer for printing WIC checks. This is a special printer that only prints the WIC checks.

WIC prints checks for about 35 families and an average of 1000 checks being printed daily.

10. Display boards are needed for health fairs and nutrition education displays.

11. Food preparation equipment is needed for our monthly cooking class. Terese Rutkowski, MS, RD, CD, CLS WIC Supervisor 262-741-3137 trutkows@co.walworth.wi.us

Application from the State WIC office: Worksheet and one-time BePC Infrastructure Funds Purpose of funding: WIC projects must provide a service delivery environment that is person-centered. These one-time funds are intended to support the implementation of the Being Person-Centered (BePC) guidelines. Application and project requirements To receive these funds, you will need to: 1. Assess your clinic environment for possible improvements that are allowed. Take “before” pictures if appropriate. 2. Using the EXAMPLES on page 2 as a guide, complete the application (be sure to enter your TOTAL Requested Funds at the bottom). This is a “fillable” form. 3. Save it with your project number in the file name, and email it as an attachment to your Regional Nutrition Consultant (RNC) or Ann White by May 30, 2012. 4. Wait for approval from the State WIC Office, on or before June 15, 2012 5. Encumber the funds by September 28, 2012; complete the project by November 30. 6. Request reimbursement via CARS using WIC Profile 154740 (Tribes Profile 65580) 7. Provide a brief description to the State WIC Office when the project is complete with “before and after” pictures by December 14, 2012. Examples of how this money can be spent General examples of how the money can be spent include: 1. Visible and inviting signage that makes the WIC office easy to find. 2. Making the physical space attractive, comfortable, welcoming and safe. 3. Ensuring that the privacy of participants’ is accommodated. 4. Making the office family and child-friendly. 5. Making the WIC clinic breastfeeding-friendly. 6. Assuring that the clinic “flow” minimizes appointment time. 7. Technology that enhances the clinic environment, service delivery, and WIC experience. 8. Multi-media, understandable, practical, person-centered materials are available to educate and train participants regarding WIC foods and use of food benefits. Examples of how this money may not be spent Specific examples of how the money may not be spent include: 1. Staff time, Indirect costs 2. Technology for emailing and texting participants (this will be in ROSIE) How much money should/may I request? Your fund request may be based on actual or estimated cost as determined by your agency procurement processes, e.g. three bids, county contract UP TO THE MAXIMUM ALLOWED for each category. Funds may be limited; no item over $4,999.

Enclosure 8

Mission

Our Department exists to serve as a Resource for persons who need

assistance, a Safety Net for individuals and families in crisis, and a Partner

for improving quality of life.

Vision Current – We are recognized as Wisconsin’s most innovative and trusted

leader in the provision of services and the employer of choice for those

wanting to make a difference.

Proposed – Leading the way with Exceptional Services through Innovation,

Community Partnerships, and Our Superior Workforce.

Core Values

Organizational Excellence:

We strive to create a culture that embodies integrity, nurtures professional

growth, and promotes accomplishment.

Fiscal Responsibility:

We earn public trust through efficient, cost-effective stewardship of

resources.

Teamwork:

We are a unified force that embraces trust, respect, and collaboration to

achieve common goals.

Communication:

We believe our success depends on a direct, honest, and continuous

exchange of information that helps people feel understood, informed, and

engaged.

Customer Service:

We hold ourselves accountable to promote an environment of compassion

and respect as we strive to meet the needs of those we serve.

Innovation:

We strongly encourage everyone to explore and pursue new ideas, methods,

and technologies to achieve better outcomes.

Quality Service Provision:

We believe in doing what works through evidence based practice and

evaluation.