wake county human services and environmental services board

1 of 2

www.wakegov.com

Wake County Human Services and Environmental Services Board

May 24, 2012 AGENDA

Human Services Center 220 Swinburne St., 2nd Fl., Rm. 2132 Standing Time: 7:30AM – 10:00AM

Dianne Dunning, Chair Pablo Escobar, Vice Chair

Purpose: Advocacy, Policy, Advisory, Accountability

7:35 am Executive Committee: Dr. Dianne Dunning, Chair

• Board Fund Request for LINKS Program (Human Services Foster Care Annual Graduation & Promotion Ceremony)

7:40 am Board Advocacy Workgroup: Dr. Sharon Foster, Chair

• Update on Board Advocacy - Dr. Sharon Foster

7:30 am Meeting Called to Order

Invocation

Approval of Minutes: April 26, 2012

Next Board Meeting: June 28, 2012

Regular Agenda:

7:45 am HS&ES Directors' Q & A

8:00 am Chair's Report

Closed Session: 8:05 am Review WCHS Director's Job Description and Begin Process to

Participate and Gather Input in Director's Annual Performance Review

Board’s Planning Session for WCHS Strategic Plan: 8:30 am - 10:00 am

Engage the Board for participation and input into the development of the WCHS Two-Year Strategic Plan

10:00 am Adjournment

Information Packet Items

http://www.wakegov.com/

2 of 2

Human Services Mission Statement

Wake County Human Services in partnership with the community will anticipate and respond to the public health, behavioral health and the economic and social needs of Wake County residents. We will coordinate and sustain efforts that assure safety, equity, access and well-being for all. - December 2006 _____________________________________________________________________________

Environmental Services Mission Statement

To protect and improve the quality of Wake County’s environmental and ensure a healthy future for its citizens through cooperation, education, management and enforcement. Environmental Services combines:

• water quality

• air quality

• solid waste (recycling, landfills, etc.)

• environmental health and safety (sanitation inspections, pest management, swimming pool regulations, animal control)

________________________________________________________________

FY 2011 Board’s Top Six Priorities:

#1 Prevent Child Abuse and Support Families

#2 Housing for Vulnerable Populations

#3 Obesity Prevention and Nutrition

#4 Access to Mental and Physical Health Services

#5 Protect Wake County’s Water Resources

#6 Human Capital Development (added 10/28/10)

Human Services and Environmental Services Board Quarterly Meeting Schedule

June 2012

SunSunSunSun MondayMondayMondayMonday TuesdayTuesdayTuesdayTuesday WednesdayWednesdayWednesdayWednesday ThursdayThursdayThursdayThursday FridayFridayFridayFriday SatSatSatSat

1

9am-10:30am Social Services,

Rm. 5032

2

3 4

BOC 2pm----

5 6 7 8

11:30am – 1:30pm

Environmental Services – Library Admin., 4020 Carya Dr.

9

10 11 12 13 14

8am – 10am Bd. Executive

Cmte. Rm. 5032

15

11:30am – 1pm LME Human

Rights, HS Millbrook Ctr., 2809 E. Millbrook Rd. __________

Noon – 2pm Public Health, Rex Women Ctr.,

Rm. 100B

16

17

18

BOC 2pm---- ___________

11:30am – 1:30pm

Wake County Links Annual

Graduation & Promotion

Ceremony (2012

Graduating Class) –

Commons Bldg.

19

Noon – 2pm - LME

Advisory, 401 E.

Whitaker Mill Rd., Rm. 210

20

Board Packet

Distribution

21

3:30pm – 5:15pm - Housing

& Cmty. Revitalization, Rm.

5032

22 23

24 25

12:45pm – 2pm HRC – Rm.

5032

26 27 28

7:30am – 10am HS & ES

Board Mtg. Rm. 2132

29 30

July 2012


1 2

BOC 2pm----

3 4 County Holiday)

5 6

9am-10:30am Social Services,

Rm. 5032

7

8

9 10 11 12

8am – 10am Bd. Executive Cmte. Rm. 5032

13

11:30am – 1:30pm Environmental Services –

Library Admin., 4020 Carya Dr.

14

15 16

No BOC Mtg. ----

17

Noon – 2pm - LME Advisory, 401 E.

Whitaker Mill Rd., Rm. 210 (Dissolved???)

18

Board Packet Distribution

19

3:30pm – 5:15pm - Housing & Cmty. Revitalization, Rm.

5032

20

LME Human Rights Subcommittee (moved to MCO) __________

Noon – 2pm Public Health, Rex Women Ctr.,

Rm. 100C*

21

22 23

12:45pm – 2pm HRC – Rm. 5032

24 25 26

7:30am – 10am HS & ES Board Mtg. Rm. 2132

27 28

29 30 31

August 2012


1

2

3

9am-10:30am Social Services, Rm. 5032

4

5

6 BOC 2pm----

7

8

9

8am – 10am Bd. Executive Cmte. Rm. 5032 __________

10

11:30am – 1:30pm Environmental Services –

Library Admin., 4020 Carya Dr.

11

12

13

14

15

16

3:30pm – 5:15pm - Housing & Cmty. Revitalization, Rm.

5032

17

9:30am – Noon Regional Networks Cmte. & Community

Advisory Committees Joint

Mtg., N.C. Rural Ctr., Carya Drive __________

Noon – 2pm

Public Health, Rex Women Ctr.,

Rm. 100B

18

19

20 BOC 2pm----

21

Noon – 2pm - LME Advisory, 401 E.

Whitaker Mill Rd., Rm.

210 (Dissolved???)

22

23

7:30am – 10am HS & ES Board Mtg. Rm. 2132

24

25

26

27

12:45pm – 2pm HRC – Rm. 5032

28

29

30

31

Assignments to Committees

Executive

Committee 2nd Thursday

8am – 10am

Rm. 5032

Community and

Public Health 3rd Friday, noon

Rex Women Ctr.

Environmental

Services 2nd Fri., 11:30am, Library

Admin. Carya Dr.

Social Services 1st Friday

9am – 10:30am

Rm. 5032

LME Advisory 3rd Tues., Noon,

401 E. Whitaker Mill Rd.

Rm. 210

Dianne Dunning

Pablo Escobar

Frank Eagles

Leila Goodwin

Melissa Jemison

Paul Norman

Benny Ridout

Stephanie Treadway

Staff:

Regina Petteway

Joe Durham

Ramon Rojano

Joseph Threadcraft

Bob Sorrels

Benny Ridout

Burton Horwitz

Sharon Foster

Staff:

Michelle Ricci

Sue Lynn Ledford

Brent Myers, EMS

Peter Morris

Regina Petteway

Andre Pierce

Yvonne Torres

Community:

Laura Aiken

Kevin Cain

Barbara A. Hughes

Anne McLaurin

Leena Mehta

Ann Rollins

Heidi Swygard

Penny Washington

Leila Goodwin

Dianne Dunning

Frank Eagles

Benny Ridout

Melissa Jemison

Jeff Smith

Staff:

Joseph Threadcraft

Sue Lynn Ledford

Deborah Peterson

Andre Pierce

Matt Roylance

Community:

Rodney Dickerson

Les Hall

Glenn Harris

Suzanne Harris

Don Haydon

Bryan Hicks

Lana Hygh

Buck Kennedy

Jacob Reynolds

Bob Rubin

Henk Schuitemaker

Paula Thomas

Liz Turpin

Kenny Waldroup

Julie Wilkins

Phillip White

John Whitson

Paul Norman

Burton Horwitz

Julian Smith

Staff:

Katherine Williams Giang Le

Liz Scott

Natasha Adwaters

Martha Crowley

Vielka Gabriel

Warren Ludwig

Jenny Wheeler

Community:

Lisa Bireline

David Cottengim

Pam Dowdy

Lisa Draper

Dudley Flood

Glenn Harsh

Marjorie Menestres

Rick Miller

John Parker

Bob Robinson

Georgia Steele

Lynn Templeton

Cherie Thierrault

Brandon Trainer

Tracy Turner

Angie Welsh

April Womack

Marc Zarate

Stephanie Treadway

Pablo Escobar

Kent Earnhardt

Melissa Jemison

Staff:

Carlyle Johnson

Ann Wood

Community:

James Hartye, WakeMed

Marc Jacques

Rhonda Spence

Affordable

Housing &

Community

Revitalization 3rd Thursday

3:30pm – 5pm, Rm. 5032

Regional

Networks

Development Qtrly, Rm. 5040

Human Rights/

Consumer Affairs 4th Mon., 12:45-2pm

Rm. 5032

LME

Human Rights

Subcommittee Bi-monthly, 3rd Friday,

Varying Times HS Millbrook Ctr.

Melissa Jemison

Dianne Dunning

Staff: Annemarie Maiorano

Bob Sorrels

Community:

Emmett Curl

Steven Hess

Michele Grant

Teresa Piner

José M Serrano

Mark Shelburne

Trace Stone-Dino

Yolanda Winstead

Frank Eagles

Benny Ridout

Staff:

Darryl Blevins

Rosena West

Ross Yeager

Regina Petteway

Staff:

Matt Burton

Sharon Brown

Andre Pierce

Bob Sorrels

Community: Arsenio Carlos, ERC

Rev. Lenwood Long, NRC

Eugenia Pleasant, NRC

Lunette Vaughan, SRC

Pablo Escobar

Kent Earnhardt

Osama Said

Staff:

Brian Gunter

Leticia Mendez

Fabiola Sherman

Community:

Laura Goddard

Phillis Ross

Don Wiseman

Rich Greb Laura Goddard

Bruce Benedict

Martha Brock

Kent Earnhardt

Marc Jacques

Martha Pitts

Staff:

Glenda Reed

HUMAN SERVICES AND ENVIRONMENTAL SERVICES BOARD

AGENDA ITEM

Agenda Date: May 24, 2012

Committee/Item: Executive Committee: Wake County Human Services Foster Care Annual Graduation & Promotion Ceremony

Specific Action Requested:

The Human Services Board Executive Committee recommends that the Board attend the LINKS Program

graduation celebration on June 18, 2012 at 11am and designate $1,000.00 _ funding from the Human Services Board Voluntary Fund for 12 students graduating from high school and on to self-sufficiency; 8 students graduating from 8th grade and 3 students graduating from college. Invitation flier is attached.

Item Summary:

For the past several years, the Board has supported the LINKS Program by attending the graduation celebration and making a contribution to be used to purchase gifts for foster care students graduating from high school and on to self-sufficiency. This year, twelve (12) students are on target to graduate (8 females, 4 males). Even though youth have aged out of foster care or terminated their placement agreement, we still like to acknowledge their educational accomplishments. All of the seniors have set goals for themselves and are looking forward to putting these plans into action. This school year the LINKS Program has been able to work with the youth more closely during their career planning process. The LINKS Program is very proud to announce that six (6) of this year’s graduating class plans to continue their education by attending college. Two (2) youth are planning to join the selective service (Air Force and Navy). Two (2) youth have been accepted to Fostering Bright Futures through the WCHS partnership with Wake Tech Community College. All other youth plan to pursue trade/technical schools or establish themselves independently in the community. Wake County Human Services LINKS Program/Graduation Committee is making every effort to ensure that the graduates receive the assistance they need to move forward. We are very proud of the efforts that our youth are making and would like to wish them much success.

We hope that you are able to assist us in this effort by offering a donation and by honoring us with your attendance. (Reference): --Human Services Board Voluntary Fund Balance as of May 1, 2012: $1,161.71

--The HS Bd. Contributed $1,200 for 15 students in 2011. $1,260 for 21 students in 2010. $1,500 for 15 students in 2009.

$1,000 for 10 students in 2008. $1,800 for 18 students in 2007. $1,800 for 18 students in 2006.

$1,400 for 14 students in 2005. $1,700 for 17 students in 2004. $1,400 for 12 students in 2003. $1,800 for 21 students in 2002.

Submitted by: Kimberly W. Herrington, Social Work Supervisor/LINKS Supervisor

Save the Date!!

WAKE COUNTY LINKS ANNUAL GRADUATION & PROMOTION

CEREMONY

Join us as the LINKS Program Celebrates our

2012 Graduating Class!

Monday, June 18 , 2012 11:30am - 1:30pm

Wake County Commons Building 4011 Carya Drive

Raleigh, NC 27610

Wheeler: Wake Tech program gives foster children a fighting chance

BY Burgetta Eplin Wheeler - [email protected] PUBLISHED IN: WHEELER

News & Observer Friday, May 4, 2012

Fostering Bright Futures

The program is looking for tutors and mentors. For more information, see www2.waketech.edu/blogs/fosteringbrightfutures or call coordinator Michelle Blackmon at 919-866-5504.

More information

By the numbers

550: The average number of children in the Wake County foster care system

40: The percentage of former Wake foster youths who are incarcerated

40: The percentage of young women formerly in Wake County’s care who become pregnant before age 19

[email protected]

Veronica Armstrong is set to be the first graduate of Wake Tech's Fostering Bright Futures program next month. She is seen walking to a practical in her Biology class at the school in Raleigh, NC on April 19, 2012.

http://www2.waketech.edu/blogs/fosteringbrightfutures

http://www.newsobserver.com/2012/05/04/v-story_images/2042141/wheeler-wake-tech-program-gives.html?KeepThis=true&TB_iframe=true&height=650&width=600

During Veronica Armstrong’s childhood, her small shoulders carried large burdens into chaotic houses all over Wake and Johnston counties and in and out of two group homes and two foster homes.

The instability, the scars from her mother’s mental illness and the sadness from losing touch with beloved siblings dispersed into adoption and foster care could have been weights that pulled her under.

But Armstrong, now 24, carried something else with her as well: the conviction that she would be the first in her family to graduate from college.

On Saturday, she will defy long odds – only 50 percent of foster children even graduate from high school; 2 percent from post-secondary education – when she accepts an associate’s degree in criminal justice from Wake Tech Community College.

In her navy-blue cap and gown, she also will stand before the crowd as the first graduate of Wake Tech’s Fostering Bright Futures program, a private-public partnership that provides scholarships, tutors and life coaches to former Wake foster children who qualify.

“Without the program, I would still be successful,” says Armstrong, who lives in Raleigh. “I had a made-up mind when I joined. But I would have been walking a bit bent over. And I’d be lost.”

In 2007, Raleigh architect Kenn Gardner, then a Republican county commissioner, was founding chairman of an investment fund that gave college scholarships to foster children. Gardner soon realized, however, that money alone was not enough to help ill-equipped kids whose most finely honed life skill was coping.

The resulting Fostering Bright Futures program adds one-on-one assistance to financial aid.

“Obviously, we can’t undo their lives,” says Acton Archie, chairman of the program’s advisory board and a former foster child himself. “But we take away a lot of the challenges they have and free them up to really focus on school.”

Armstrong was among the first five students accepted into the program in 2008. The fact that it took her four years to earn a two-year degree underscores her persistence, as does her status as the program’s first graduate.

“The transition was not good because I got lazy on the school front,” says Armstrong, explaining that she has been working since she was taken from her mother at age 14. “My second two years were great. I’ve seen A-B honor roll. I made the Dean’s List.”

That’s one of the things that commend the program, which will have 13 participants next fall. There has been enough oversight that problems have been corrected.

“At first we were all idealists,” says Archie, an analyst at SAS in Cary. “We thought, ‘Every child we can get our arms around we’re going to bring in.’ After the first year, we had to step back. Now we have some pretty serious demands for the children.”

Program coordinator Michelle Blackmon says incentives have replaced outright monetary help in several areas. Instead of just helping with a cellphone bill, now the program offers $100 for every A earned with no absences, $50 for every B. A report card with all A’s earns double.

“Fall semester, they did exceptionally well,” Blackmon says. “… Our students went from a 0.9 average GPA to a 2.5.”

The advisory board, which interviews applicants referred by Wake’s Department of Health and Human Services, also has tweaked its techniques.

“We’re not looking for perfect students, just somebody who is going to put forth the effort,” Archie says. “Many of these kids try to grow up very quickly, try to find houses, try to find a means for survival. They don’t have time to spend toward education.”

It’s hard to imagine a group with more obstacles to overcome than foster children aging out of the system.

“I just try to learn from my mistakes, and I try to learn from other people’s experiences,” Armstrong says.

“If you’ve seen what I’ve seen,” she says more quietly, “it beats going through ’em.”

Though her mother was diagnosed with schizophrenia and bipolar disorder when Armstrong was 12, she says the signs were evident long before. She enumerates a list of homes she had around Raleigh even while her family, with nine children, was intact. Armstrong, who works as a hostess at WakeMed, has lived on her own since age 17.

“My environment is a part of me, but I’m not a product of my environment,” Armstrong says. “I’m not ashamed, but I want more. I’ve seen more. I’m destined for more.”

This month, Armstrong will take an even larger step toward more when she enrolls at UNC Greensboro. Without the help of Blackmon and Bright Futures life coach Robin Sheffield, Armstrong says, she never could have maneuvered the application process or envisioned such a move.

“There’s just no words, no one word to sum up where I’d be without them,” she says. “I guess just lost.”

[email protected] or 919-829-4825

HUMAN SERVICES AND ENVIRONMENTAL SERVICES

BOARD AGENDA ITEM


Committee/Item: Executive Committee:

Board Procedure for Participation in the Annual Performance Evaluation of WCHS Director

(37.5) and annual review of the WCHS director’s job description (37.4a)

Specific Action Requested:

The Board approved the Procedure for Participation in the Annual Performance Evaluation of the

WCHS Director on February 24, 2011 (Amended May 26, 2011).

Purpose of Action: State law mandates that Board members participate in the annual

performance evaluation of the agency director (37.5), and annual review of the director’s job

description (37.4a).

Next Steps:

Thursday, May 24 HS&ES Board meeting: Start Process and Discuss.

Friday, June 8: Due Date for written or verbal input from Board Members (to Chair Dianne

Dunning and Jonica Hinton).

Monday, June 11: Compile responses (Jonica).

Thursday, June 14: The Executive Committee reviews input from the Board members and

prepares a written or verbal report to submit to the County Manager and the WCHS director.

June – July:

1. The Board Chair will discuss the report with the director.

2. The Board Chair will submit the Board report as input to the County Manager in the

month of July.

Thursday, July 26: Results of the evaluation will be shared with the HS&ES Board. It should be

documented in the Board minutes that the performance appraisal of the WCHS director was

done, that any Board member had the opportunity for input, and the results were reported back to

the Board.

Attachments: 1. Board Procedure for Participation in the Annual Performance Evaluation of the WCHS

Director – (Version 200 1.2)

Opportunities for Advocacy, Policy or Advisory:

Creating this document provides the opportunity for board members to define their expectations

of job performance for the director of WCHS and convey that to the county manager.

Connections to Other Committees:

All committees may participate in implementing the procedure, depending on the decision of the

Board.

Participation in the Performance Evaluation of the Wake County Human Services Director

WCHS Board Procedure 200 1.2

Countywide or X Department: Human Services X

Division: Human Services Board

Supersedes: N/A Effective Date: 2/24/2011

Authority: North Carolina Administrative Code (NCAC) 10A NCAC 48B .1304; 10A NCAC 68 .0303; 10A NCAC 01B .0301; 10A NCAC 27G .0507; GS 108A-12

Originating Department: Human Services

Page 1 of 10 Printed copies of this document may not be current

Approved

I. Purpose: To comply with state and federal regulations and describe the responsibility and

procedure of the Wake County Human Services (WCHS) Board to provide input into the annual job performance evaluation of the Human Services Director in fulfilling the functions of public health director, social services director, and mental health director. This procedure aligns with the County personnel performance evaluation process.

• “Each local human service agency that receives funds through the department from a federal program that has a requirement for the establishment and maintenance of personnel standards on a merit basis must comply with "Standards for a Merit System of Personnel Administration," which are established by the federal Office of Personnel Management.” (10A NCAC 01B .0301)

• “The board of health has the responsibility for the performance review of the health director on an annual basis. If the county requires the health director to be reviewed by the county manager, this does not relieve the board of this responsibility. A joint process would be acceptable if the board maintained its responsibility and involvement.” (HDSAI Interpretation Document, NC Accreditation Board, January 1, 2009)

II. Procedure Statement:

a) Every Board member has the opportunity to provide input into the performance evaluation of the director. Members of the WCHS Board annually review a copy of the director’s position description, the Wake County PDMS Key Skills for Managers and Supervisors, and any other relevant materials prior to the evaluation discussion.

b) In June members of the Board give written or verbal input into the evaluation of the director.

c) The Executive Committee of the Board reviews input from the Board members and prepares a written or verbal report to submit to the County Manager and the WCHS director.

d) The Chair of the WCHS Board will discuss the report with the director. e) The Chair of the WCHS Board will submit the Board report as input for the performance

evaluation of the WCHS Director to the County Manager annually in the month of July. f) Results of the evaluation will be shared with the board. “It should be documented in

the Board minutes that the performance appraisal of the health director was done, that

Participation in the Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1

Page 2 of 10 Printed copies of this document may not be current

any board member had the opportunity for input and the results were reported back to the Board.” (HDSAI Interpretation Document, NC Accreditation Board, January 1, 2009)

III. Definitions:

HDSAI – Health Department Self-Assessment Instrument NCAC – North Carolina Administrative Code PDMS – Performance Development and Management System

IV. Applicability and Exceptions: This procedure applies to current members of the Wake County Human and Environmental Services Board and the Director of Wake County Human Services

V. Procedure Responsibility and Management:

• This procedure will be included in the WCHS Board Resource Manual, to be reviewed by each new Board member during orientation and annually prior to participation in the evaluation process.

• The Chair of Wake County Human and Environmental Services Board will review this procedure annually the month of May to determine if any changes are needed. Any proposed changes or additions to this procedure will be discussed with the WCHS Quality Assurance director and a representative from Human Resources to assure compliance with federal, state and county regulations.

VI. Related Publications: Health Department Self- Assessment Instrument (HDSAI) Interpretation Document, January 1,

2009, North Carolina Health Department Accreditation Board, http://nciph.sph.unc.edu/accred/health_depts/materials/

VII. Appendices:

• Appendix A Wake County PDMS Key Skills for Managers and Supervisors • Appendix B Position Description for WCHS Director • Appendix C Competencies for Public Health Directors • Appendix D Duties and Responsibilities of Social Services Director

VIII. History:

Effective Date Version Section(s) Revised Author

5/10/2012 1.2

Deleted reference to LME in Section I, Section III and Section VII. Deleted Appendix C.: LME Director’s job description, and renumbered appendices. J. Hinton

5/26/2011 1.1 Section II c) Added “or verbal”, d) deleted “written” as requested by the Board J. Tallis

2/24/2011 1.0 Original J. Tallis

Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1

Appendix A Page 3 of 10 Printed copies of this document may not be current

Wake County Performance Development and Management System

Key Skills for Managers/Supervisors

OVERVIEW The Key Skills list specific performance areas in which supervisors are appraised and take into consideration the variety and differing levels of responsibilities. These areas cover a wide variety of essential tasks that keep a supervisor’s work unit functioning efficiently. The Behavioral Expectations Guide provides specific behaviors for each of the six Key Skill areas, which are: I. MANAGEMENT This section evaluates how the supervisor handles daily operational activities and expectations. This area covers a wide variety of essential tasks that keep a work unit functioning efficiently. a. Understands and Interprets Policies and Procedures b. Manages Major Resources c. Develops and Maintains Accurate Records d. Interviews and Recommends Applicants e. Develops and Manages Budget f. Identifies and Eliminates Work Hazards II. PLANING AND ORGANIZING This section relates to establishing a course of action for self and/or others to accomplish a specific goal, planning proper assignments of personnel, managing time and anticipating future needs. a. Develops Long and/or Short-range Goals b. Sets Goals and Objectives c. Structures and Staffs Programs/Work Assignments d. Manages Program/Project/Team Direction III. ANALYSIS AND DECISION-MAKING This section relates to the development of strategies to obtain organizational goals. This area covers diagnostic/analytical skills, determining alternatives, competence in making critical decisions and implementation. a. Analyzes, Assesses and Defines Organizational Problems b. Evaluates Alternative Structures for Effective Operation c. Develops Realistic And Effective Solutions d. Makes Sound Decisions to Meet Goals

Participation in the Performance Evaluation of WCHS Director WCHS Board Procedure 200 1.1

Appendix A Page 4 of 10 Printed copies of this document may not be current

IV. COMMUNICATION, LEADERSHIP, AND INTERPERSONAL BEHAVIOR This section involves skills needed in forming effective work group relationships, coaching and counseling, resolving conflicts and complaints, communicating clear expectations and leading with respect. a. Provides Positive Leadership For The Department/Division/Unit/Team b. Establishes Effective Internal/Work Group Relationships c. Establishes Effective External Communication d. Conducts Effective Meetings e. Speaks Clearly and Concisely f. Provides Concise, Accurate and Understandable Written Documentation V. PERFORMANCE MANAGEMENT This section evaluates how the supervisor handles tasks related to developing and explaining performance and work habit expectations, observing and monitoring performance, regularly conducting performance and Workplan reviews and administering rewards and sanctions. a. Establishes and Maintains Performance Objectives b. Coaches and Conducts Periodic Reviews c. Rewards Work Appropriately d. Uses Appropriate Disciplinary/Corrective Action e. Maintains and Models Effective Work Habits VI. PROFESSIONAL EXPERTISE AND DEVELOPMENT

This section evaluates how the supervisor maintains and enhances his technical and administrative skills. This section allows the supervisor and employee to CUSTOMIZE sub-tasks, d, e, f, etc. Both need to agree upon the added expectations. a. Applies Professional Expertise (Non-supervisory Responsibilities) b. Increases Job Knowledge Skills and Abilities c. Demonstrates Initiative in Enriching One’s Own Job


Appendix B Page 5 of 10 Printed copies of this document may not be current

Wake County, NC Classification 0270 Classification Title: Human Services Director FLSA Status: Exempt BRIEF DESCRIPTION: Directs all activities of a consolidated human services agency. Primary functional areas include Economic Services, Child Welfare, Family Support, Community Health, Clinical Services, Adult Services and Operations. ESSENTIAL FUNCTIONS:

1 Reviews and authorizes program development at all levels of the agency. Works with external organizations to receive input on services and programs and to develop meaningful partnerships.

2 Develops networks throughout government to establish connections with the County. Meets with community leaders individually and collectively and attends human services functions.

3 Develops marketing and communications plans to identify profiles, better understand demographics and determine long and short-range plans. Identifies major issues and determines timing of program information release.

4 Directs staff in all human services functions by making site visits, reviewing reports and attending meetings, retreats and planning and evaluation sessions.

5 Supports a policy board by developing and presenting agendas, attending committee meetings, participating in strategy sessions and meeting with individual board members as necessary

CLASSIFICATION REQUIREMENTS:

Education Bachelor's degree in Human Services, Health or related field. Experience Eight years experience in public sector management. Equivalent Education & Experience Accepted? Yes Certification and Other Requirements

None

Reading Advanced Math Intermediate Writing Advanced Managerial Receives Broad Direction. Budget Responsibility

Has responsibility for the final approval of at least one departmental budget and presents the budget(s) to County Manager. Monitors progress toward fiscal objectives and adjusts plans as necessary to reach them.

Supervisory / Organizational Control

Work requires managing and monitoring work performance of senior department managers including evaluating program/work objectives and effectiveness, establishing broad organizational goals and realigning work and staffing for the department.

Interpersonal / Human Relations Skills

Work requires very frequent and regular contact with others in a direct reporting relationship as well as others outside of a direct reporting relationship. The purpose of the contact is broad reaching and dynamic and may include the communication of specific issues and/or general policies. Interaction with others outside of the department requires exercising participative management and negotiation skills that support County strategy and organizational goals. Work also requires the communication with direct reports to ensure maximum productivity in work assignments. Makes presentations and answers questions with regard to presentation materials and findings.


Appendix C Page 6 of 10 Printed copies of this document may not be current

Competencies for Health Directors NC Public Health Academy

Human Resources Skills • Applies basic human relations skills to the management of organizations, motivation of

personnel, and resolution of conflicts

Financial Management Skills • Develops and presents a budget that includes a long term perspective • Develops strategies for determining and funding budget priorities • Manages programs within budget constraints • Monitors program performance • Prepares proposals for funding from external sources • Projects future funding needs

Information Skills • Uses information technology to increase individual effectiveness as a public health

professional (e.g., web-based applications for searching and retrieving information, distance-learning technologies for ongoing learning)

• Manages information systems for collection, retrieval, and use of data for decision-making • Develops, implements, and evaluates a community public health assessment • Creates and employs assessment models to assess organizational environment, needs,

assets, resources and opportunities with respect to mission and policy development and assurance functions

Performance Improvement • Integrates a focus on quality into staff orientation and development, program planning and

service delivery, and the day to day work of the local health jurisdiction • Establishes a quality improvement structure, and develop and implement a quality

improvement plan for the agency or functional area of responsibility • Engages agency employees and community partners and stakeholders in quality

improvement efforts and communicate performance results • Uses public health standards, best practices, benchmarking, research data, trend analysis

and customer input to assess and improve services and agency operations.

Basic Public Health Sciences Skills • Identifies the individual's and organization's responsibilities within the context of the

Essential Public Health Services and core functions • Defines, assesses, and understands the health status of populations, determinants of health

and illness, factors contributing to health promotion and disease prevention, and factors influencing the use of health services

Performance Evaluation of WCHS Director WCHS Procedure 200 1.1


Policy Development Skills • States policy options and writes clear and concise policy statements • Identifies, interprets, and implements public health laws, regulations, and policies related to

specific programs • Articulates the health, fiscal, administrative, legal, social, and political implications of each

policy option

Communication Skills • Communicates effectively both in writing and orally, or in other ways • Solicits input from individuals and organizations • Advocates for public health programs and resources • Leads and participates in groups to address specific issues • Uses the media, advanced technologies, and community networks to communicate

information • Effectively presents accurate demographic, statistical, programmatic, and scientific

information for professional and lay audiences

Team Building Skills • Facilitates development of shared mission, vision, and value statements • Facilitates development of clear goals and objectives • Develops team structures and required systems regarding customer service and continuous

quality improvement • Facilitates outcomes-based team activities related to strategic planning and evaluation

objectives

Community Partnering Skills • Facilitates networking and participation of all community stakeholders including broad and

diverse representation of health care, business and community-based organizations

Political Skills • Identifies and communicates political processes and variables operating at federal, state

and local levels • Develops, implements and evaluates advocacy, community education and social marketing

strategies to achieve national, state and local health goals and objectives • Translates policy decisions into organizational and community structure, programs and

services

Program Planning/Evaluation Skills • Utilizes current techniques in decision analysis and health planning • Develops a plan to implement policy, including goals, outcome and process objectives and

implementation steps



• Develops mechanisms to monitor and evaluate programs for their effectiveness and quality

Cultural Competency Skills • Utilizes appropriate methods for interacting sensitively, effectively and professionally with

persons from diverse cultural, socio-economic, educational, racial, ethnic and professional backgrounds, and persons of all ages and lifestyle preferences

Change Management Skills • Applies systems thinking to strategic development • Articulates the difference between transforming changes affecting general direction

/policies and changes affecting day-to-day implementation and operations • Develops and implements evaluation systems in relation to change strategies • Identifies, creates and balances critical dynamic tension in relation to change strategies • Facilitates application of change theories to practical situations

System Thinking Skills • Identifies internal and external issues that may impact delivery of essential public health

services (i.e., strategic planning) • Uses the legal and political system to effect change • Applies theory of organizational structures to professional practice • Translates policy into organizational plans, structures, and programs

Visionary Leadership Skills • Creates a culture of ethical standards within the organization • Articulates future scenarios in terms of alternatives for change • Develops and articulates vision • Encourages and facilitates others to share the vision • Applies innovative concepts and methods into strategic decision making process

http://ncpublichealth academy.org/competencies for health directors.pdf


Appendix D Page 9 of 10 Printed copies of this document may not be current

Duties and Responsibilities Social Services Director North Carolina General Statutes § 108A-14

(a) The director of social services shall have the following duties and responsibilities:

(1) To serve as executive officer of the board of social services and act as its secretary;

(2) To appoint necessary personnel of the county department of social services in accordance with the merit system rules of the State Personnel Commission;

(3) To administer the programs of public assistance and social services established by this Chapter under pertinent rules and regulations;

(4) To administer funds provided by the board of commissioners for the care of indigent persons in the county under policies approved by the county board of social services;

(5) To act as agent of the Social Services Commission and Department of Health and Human Services in relation to work required by the Social Services Commission and Department of Health and Human Services in the county;

(6) To investigate cases for adoption and to supervise adoptive placements;

(7) To issue employment certificates to children under the regulations of the State Department of Labor;

(8) To supervise adult care homes under the rules and regulations of the Medical Care Commission;

(9) To assist and cooperate with the Department of Correction and their representatives;

(10) Repealed by Session Laws 2003-13, s. 7, effective April 17, 2003, and applicable to all petitions for sterilization pending and orders authorizing sterilization that have not been executed as of April 17, 2003.

(11) To assess reports of child abuse and neglect and to take appropriate action to protect such children pursuant to the Child Abuse Reporting Law, Article 3 of Chapter 7B of the General Statutes;

(12) To accept children for placement in foster homes and to supervise placements for so long as such children require foster home care;


Appendix D Page 10 of 10 Printed copies of this document may not be current

(13) To respond by investigation to notification of a proposed adoptive placement pursuant to G.S. 48-3(b) and (c); and

(14) To receive and evaluate reports of abuse, neglect, or exploitation of disabled adults and to take appropriate action as required by the Protection of the Abused, Neglected, or Exploited Disabled Adults Act, Article 6 of this Chapter, to protect these adults.

(b) The director may delegate to one or more members of his staff the authority to act as his representative. The director may limit the delegated authority of his representative to specific tasks or areas of expertise. The director may designate, subject to the approval of the Commissioner of Labor, additional personnel outside his staff to issue youth employment certificates.

FROM YOUR WAKE COUNTY HUMAN SERVICES STRATEGIC PLANNING TEAM MEMBERS APRIL 13, 2012, COMMUNICATION #5

Wake County Human Services Mission

Wake County Human Services, in partnership with the community, will anticipate and respond to the public health, be-havioral health and the economic and social needs of Wake County residents. We will coordinate and sustain efforts that assure safety, equity, access and well-being for all.

Wake County Human Services Vision

All Wake County residents will have full and easy access to high quality and effective health and human services and access to opportunities to improve their quality of life.

Wake County Human Services Goals

Well-being/Health/Safety - Maximize the well-being, health and safety of individuals and families

Self Sufficiency/Human Capital - Enhance the ability of consumers to attain and maintain economic inde-pendence and self sufficiency

Consumer Experience - Enhance the consumer experience with accessible, timely and holistic services

Internal Operations - Ensure fiscal accountability, data driven decisions and alignment with county, state and national objectives and priorities

Integrated/Collaborative Solutions - Promote integrated and collaborative solutions for human service needs

Workforce - Support and maintain a competent and competitive workforce and an environment that fosters professional development, workforce diversity and effective communication

Technology - Provide innovative technology solutions that support cost-effective automation, e-Services and data management

The MORE

Feedback we get

The BETTER We can

plan and serve

Strategic Planning Update #5

Hello Wake County Human Services Colleagues!

We are making good progress with strategic planning! Please find below, the Wake County Human

Services Goals adopted by Ramon Rojano and the Senior Management Team on Tuesday, May 1,

2012. Our Mission and Vision remain the same.

Please become familiar with our goals. Between now and July 15, 2012, you will be us-

ing them to help your division and the agency develop specific objectives, strategies and

action steps for our strategic plan. We really want you to think about how the work that

you do, in collaboration with other services, divisions, and partners, will contribute to

the accomplishment of these goals.

If you are a member of the Human Services Council, be sure to reserve June 13, 2012 from 1 – 4:30

PM on your calendar. At this meeting you will receive instructions on how to develop your part of

the strategic plan!

INFORMATION

ITEMS

• Board Fund Report (Separate)

• Articles

• Update on Septic Systems Subcommittee

• Committee Reports/Minutes

• Commissioners’ Agenda Items Related to HS&ES May 7&14, 2012

HUMAN SERVICES AND ENVIRONMENTAL SERVICES

BOARD AGENDA ITEM


Committee/Item: Update on the Septic System Subcommittee

Specific Action Requested: None - for information only.

Item Summary:

The Subcommittee includes Board and community members from the Environmental Services

Advisory Committee and the Public Health Committee, as well as subject experts. The Purpose

of this update is to provide Board members with the subcommittee roster, work plan, and

summary of the 1st meeting. We anticipate bringing recommendations to the Board sometime in

the 4th quarter of 2012.

Purpose for Action (Proposed Solutions/Accomplishments):

No action requested at this time.

Attachments:

Septic System Subcommittee Roster

Purpose & Process from Meetings 1 and 2

Summary of Meeting 1 on Mar 30-2012

Opportunities for Advocacy, Policy or Advisory:

NA

Connections to Other Committees:

Environmental Services Advisory Committee

Public Health Committee

ROSTER: SUBCOMMITTEE MEMBERS AND STAFF

Subcommittee

Benny Ridout, Co-chair Leila Goodwin, Co-chair Ed Buchan Mayor Frank Eagles Dr. Sharon Foster Dr. Mike Hoover Dr. Anne McLaurin Leena Mehta Billy Myrick Ann Rollins Dr. Bob Rubin Core Staff

Dr. Edie Alfano-Sobsey Steve Bristow Kent Daeke Ed Duke Andy Sachs, facilitator, Dispute Settlement Center Bill Shroyer Britt Stoddard, staff contact for this project: 856-2641 or [email protected]

PURPOSE

The subcommittee will conduct research and discussions as needed to develop consensus on this question: What should the County do to manage risks associated with malfunctioning septic systems?

MEETING CONCEPTS

These concepts are flexible and were developed from staff conferences with subcommittee co-chairs. The subcommittee may amend these concepts or their sequence at any time.

Future Subcommittee Meetings: Meetings 3 through 6 Based on the subcommittee discussion on March 30, the subcommittee chairs propose

the following:

Meeting #3 Evidence-based knowledge regarding the public health and environmental risks associated with malfunctioning septic systems. • Presentation on what we know in general

• Presentation/discussion to clarify what we know in particular about the risks in Wake County’s

situation.

• Identify important questions about risks in Wake County that we won’t answer in this process but

could recommend for further investigation.

Meeting #4 Reducing public health and environmental risk associated with malfunctioning septic systems in Wake County • Discussion/decision: Which management systems that we learned about on April 24 hold most

promise for reducing the risks in Wake County’s situation we learned about in meeting #3?

• Discussion to flesh out the best management options.

• Identify any important questions about management systems that we won’t answer in this process

but could recommend for further investigation.

Meeting #5 • Prepare to communicate subcommittee findings: What are our key points? Key audiences?

How/when to deliver key points to key audiences?

Meeting #6 Optional, as needed.

SUMMARY OF MARCH 30, 2012 MEETING OF THE HUMAN SERVICES

BOARD’S SEPTIC SYSTEM SUBCOMMITTEE

Meeting Hours and Location 9:00AM to noon, Conference Room 10035, Cary Town Hall, 316 N. Academy Street, Cary.

Attendance

Subcommittee: Ed Buchan, Dr. Sharon Foster, Co-chair Leila Goodwin, Dr. Mike Hoover, Dr.

Ann Mclaurin, Leena Mehta, Billy Myrick, Co-chair Benny Ridout, Ann Rollins, and Dr. Bob

Rubin (by telephone from 9:00 to 10:00AM,

Staff: Dr. Edie Alfano-Sobsey, Steve Bristow, Kent Daeke, Ed Duke, Andy Sachs (facilitator,

Dispute Settlement Center of Orange County) Bill Shroyer, and Britt Stoddard

Welcome and Introductions

After Co-chairs’ welcomes, participants introduced themselves.

Meeting Overview

Members heard facilitator Andy Sachs explain his role and gave permission for him to act in that

capacity.

Members agreed to meeting ground rules, objectives, and agenda. Objectives were:

(1) Understand basics of our septic program including its strengths and weaknesses. (2) Identify

key program area(s) or issue(s) to focus on in future meetings.

Presentations

Members received and discussed two presentations described below:

Mapping of Enteric Illness and Septic Malfunctions within Wake County Census

Tracts

Members heard Dr. Alano-Sobsey’s (epidemiologist) and Bill Shroyer’s briefing on their March

2012 study. Main points included:

Study Purpose

To determine if enteric illness and septic system malfunctions affect populations in the same

geographic areas of Wake County.

Study Objectives (1) Map cases of gastrointestinal (GI) illness within Wake County census tracts as reported in

the NC Electronic Disease Surveillance System for 2009.

(2) Map septic systems malfunctions within Wake County census tracts as reported to

Environmental Services for 2009.

(3) Determine the number and location of census tracts with statistically significant increased

proportion of either septic systems malfunctions or GI illness.

(4) Determine if any census tracts contain both statistically significant increased proportions of septic

system malfunctions and GI illness.

Dr. Alfona-Sobsey and Mr. Shroyer used ArcGIS to perform the analysis and determined

statistical significance by Z statistic (alpha = 0.05) using Microsoft Excel 2010.

Conclusion (1) A statistically significant increased proportion of both septic system malfunctions and GI illness

occurred in only 1 in 104 census tracts.

(2) Data are not currently available to determine if there was a link between illness and septic system

malfunctions in Census Tract 537.11 in 2009.

Basics of Wake County’s Current Septic System Program

Members heard Steve Bristow’s briefing on Wake County’s program including strengths and

weaknesses as determined by benchmarking Wake’s program against (1) North Carolina’s

mandated program-standards and (2) EPA’s recommended guidelines. Main points included:

Wake County Program Components Surpassing Both Benchmarks

Five of the County’s eight program components met or surpassed State standards and EPA

guidelines:

• Planning

• System design

• Construction and inspection of construction

• Training and certifications

• Public education

Wake County Program Components Surpassing One Benchmark

Two of the County’s eight program components met or surpassed State standards and some but

not all of EPA’s recommended guidelines:

• Site evaluation

• Record keeping

For site evaluation, the County meets EPA’s basic guidelines that programs characterize

landscape, soils, ground and surface water location, lot size, and other conditions. The County

does not in all cases have resources to continually meet EPA’s advanced guidelines that local

governments assess cumulative watershed impacts and long-term specific pollutant trends.

For record keeping, the County does not meet EPA’s basic guideline to have complete, up to

date inventory information on all its estimated 60,000 systems. And the County does not meet

EPA’s advanced guideline of providing GIS-based comprehensive inventories, including web-

based monitoring and O&M data input for administrative reporting and watershed assessment

studies.

Program Components Surpassing No Benchmarks

One of the County’s eight program components—operation and maintenance-- does not meet

state standards or EPA’s guidelines. The State requires the County to inspect all 3b (pump

systems) at least once every five years. The County has approximately 8,000 such systems and

has resources to inspect about 10% of them per the five year schedule.

The County does meet EPA’s basic guideline to initiate homeowner education. The County has

a CD educating homeowners on maintenance responsibilities, which the County provides to

realtors for distribution to people buying homes with septic systems. The County partially meets

the EPA basic guideline to provide reminder programs for maintenance. The County prioritizes

areas of the County and sends postcard reminders prior to the County inspecting 3b (pump)

systems; however, the County does not have a reminder program for all the estimated 60,000

systems aside from web information, statements on initial permits, and the like.

Take Away Points and Possible Areas to Focus on in Future Meetings

Andy facilitated a conversation about take away points and possible areas of focus for future

meetings and recorded member comments on a flip chart. Flip chart notes are attached to this

summary.

Future Meetings

After discussion the group agreed to more education and that a good starting point would be an

optional tour of septic systems to start one hour before the next meeting and be at NCSU’s Field

Learning Lab as offered by Dr. Hoover.

The next meeting will be April 25, 2012 with the optional tour from noon to 11:45 at NCSU’s

Booth Field Learning Lab, 4000 Chi Road, Raleigh, with the regular meeting convening at 1:00

in the classroom on the same site.

Meeting Evaluation

Facilitator Andy Sachs asked members and staff to evaluate the meeting. Everyone responded with

positive comments.

Adjourn There being no further business the meeting adjourned on or about noon.

FLIP CHART NOTES

“What issues/concerns should the subcommittee focus on over the next 4-5 meetings?”

Causative factors for malfunctions (design, construction, operations).

How to know which systems are malfunctioning, especially if inspections not required.

Technology?

How to reduce malfunctions (education on operating)?

Prevention through planning, education, design.

What systems are out there?

Beyond education, what incentives and sticks are available for operation and maintenance?

System failures: research-based information. Mike happy to provide.

Disease incidence data

Design of future research on disease incidence.

Reporting on what we already know.

Designing something to find out more re: incidence of diseases

Leaking sewers?

High end microbial contaminants

How inspection relates to operation and maintenance

Story on how improved operation and maintenance made a difference in outcomes. What made

the difference?

Relationships of reported illness to SES, other factors.

Are owners not recognizing/understanding what to look for? Barriers to reporting by owners.

Relevance of commode efficiencies?

Proactive (80%) then deal with remaining 20%

A management system appropriate to the level of risk.

Three tiers:

• Knowing the risk (nutrients, costs, illnesses)

• How to minimize the risk?

• Communicating the risk

Penalties. Fines. Analogy to other public health issues.

Dollars/cost savings?

Information. Common sense. Nobody sick.

Prevention. Education. Plan � Do � Act � Evaluate.

Sustainable approach.

Carrot and stick.

Approach the multiple layers strategically. Systematized over time: start with low hanging fruit.

Strive for gold standard, but approach it incrementally.

Future generations. Help ourselves in spite of ourselves.

Communicate: 10% failure rate means feces on the ground. And study the relationship of sick

children and feces.

Need a system to identify malfunctions: document, find them, and get them fixed.

Water supply concern.

Education, plus inspection too. Can’t find it unless we look.

Inform each other in response to concerns.

ANDY’S INITIAL SORT OF FLIP CHART IDEAS

“What issues/concerns should the subcommittee focus on over the next 4-5 meetings?”

Understanding malfunctioning septic systems

• Causative factors during design, construction, operations for the different kinds of systems in Wake County

• What do we already know: Research-based information

• Relevance of commode efficiencies?

Reducing incidence of malfunctioning septic systems

• Prevention through planning, design, education on how to operate systems

• Incentives and sticks for proper operation and maintenance

• Story on how improved operation and maintenance made a difference in outcomes. What made the difference?

• Relevance of commode efficiencies?

• Proactive (80%) then deal with remaining 20%

• Penalties. Fines. Analogy to other public health issues.

• Communicate cost savings associated with well-functioning systems

• Common sense solutions

• Goal is to ensure that no one gets sick

Identifying malfunctioning septic systems

• How to know which systems are malfunctioning, especially if inspections not required. What technology would be useful?

• Understanding how inspection relates to operation and maintenance

• Are owners not recognizing/understanding what to look for? Barriers to reporting by owners.

• Need a system to identify malfunctions: document, find them, and get them fixed.

• Can’t find it unless we look

Understanding the risks of malfunctioning septic systems

• Disease incidence data

• Study the relationship of sick children and feces.

• Design of future research on disease incidence.

• In context with leakage from sanitary sewer

• High end microbial contaminants

• Relationships of reported illness to SES, other factors.

• A management system appropriate to the level of risk.

• Risk to water quality (nutrients)

• Costs associated with malfunctioning systems, savings associated with well-functioning systems

Management Systems

• Communicating the risk to decision makers and the public. 10% failure rate means feces on the ground.

• Plan � Do � Act � Evaluate.

• Sustainable approach

• Carrot and stick.

• Approach the multiple layers strategically. Systematized over time: start with low hanging fruit. Strive for gold standard, but approach it incrementally.

1

Wake County Human Services Board

Social Services Advisory Subcommittee

Friday, March 2, 2012

9:00 am – 10:30 am

Swinburne Building, Room 5032

Minutes

Board Members:

Paul Norman Julian Smith

Guest:

Committee Members:

Angie Welsh Anna Troutman Lisa Draper Lynn Templeton Marjorie Menestres

Staff:

Giang Le Katherine Williams Liz Scott Martha Crowley Nikki Lyons Ramon Rojano Vielka Maria Gabriel Warren Ludwig

Agenda

Item

Discussion, Conclusions, Recommendations Action,

Follow-up

Responsible

Party

Due Date

I. Welcome & Introductions

The meeting was called to order at 9:00 p.m.

Paul

Norman

II. Review and approval of the minutes

Minutes were reviewed and were accepted.

Vielka

Gabriel

2

III. Business Discussion And Updates

Advocacy Group:

• Wine & Cheese Social was held at the home of Dr. Foster for the Wake County

Delegates. The purpose of the event was to get to know the delegates in an informal

session.

Julian

Child Abuse Prevention Summit:

• Finance Committee: Created the budget of $5,000 revenue

• Program Committee:

o Summit will be held on April 23, 2012 – 9:00 am – 12:00 noon - JC Railston

Arboretum

o Details are being worked on where participants may be eligible for CEU’s for

attending the summit.

• Marketing Committee: The name and logo has been identified by the committee and

the use of a private graphic design firm. The firm also gave the committee a 50%

discount for the work.

o Theme of the summit Building Foundation – Strengthening Families.

o SSA Committee members are asked to please sign up to help with the setup

and/or clean up to help reduce the cost of the event.

o Invitees Contact Sheet has been sent electronically to members. Please send

contact information to Holly Myanker at [email protected] by February

17th. Invitations will be mailed out on February 23rd. (Online webpage

invitation/registration will be live on February 22nd.

o Event is Free. The budget has included breakfast and a boxed lunch.

Child Abuse Summit.pdf

Anna

mailto:[email protected]

3

III. Business Discussion And Updates continue…

WCPSS Kindergarten Registration: Guest Presenter Cris Mulder- WCPSS Chief of Family & Public Engagement.

• Registration is no longer happening at the local schools or Central Services Office.

Registration is done online. As of February 2nd 12,081 students are currently enrolled

in WCPSS Kindergarten (2011-2012). 67.6% of upcoming kindergarten students

have been preregistered for 2012-2013 school year. Heavy concentration has been

place on the Eastern Regional, Apex, and South East Raleigh area due to low

registration numbers.

o Partners in the community are helping to spread the word and assist in the

registration process. Depending on skill set and information of the school of

choice the process can be done in as little as 20 minutes. However, due to

language, skill set, and knowledge of school the process can become very time

consuming.

o Challenges: There are many challenges preventing or delaying the registration

process including missing documentation (certified birth certificates,

vaccination records), transportation, accessing resources.

(Handouts)

Giang


WCHS Budget Overview/Update: (See attached handouts)

• $32 million net decrease from FY 2009 Adopted to FY 2012 Adopted

• Did not have to lower the Adopted Budget for FY11, and should not have to for FY12

due to revenues stabilizing.

• Summary of Department Submitted Reductions: Line item 46- Human Services –

Total Expenditures ($1,146,578).

o $1.46 million reduction with the elimination of the LME

(Handouts)


Child Care Subsidy:

• Renee Chou with WRAL interviewed a WCHS Child Care Subsidy clients followed

by an interview with Gloria Cook, WCHS Child Care Subsidy Program Manager.

Interview is scheduled to air this week. (see attached article)

(Handout)

4


Consolidated Wake County Human Services Board:

• With the LME being dismantled from WCHS there will be a shift in the WCHS

Board. (Draft Handout)

o The consolidated human services board shall be composed of 21 members,

and reasonably reflect the population makeup of the county and shall

included:

1. Eight public health professionals

2. Four social services professionals

3. One member of the board of county commissioners

4. Four persons who are consumers of human services, public advocates,

or family members of clients of the consolidated human services

agency

5. Four representatives of the general public


Announcements:

• Saturday, February 4, 2012 from 1:00-3:00 pm SouthEast Raleigh Positive Youth

Development Day. Tarboro Road Community Center

• March 6, 2012 from 8:30 am -2:00 pm – 8th Annual Youth Summit of Wake &

Johnson County. Ages 14-21 – Wake Tech Main Campus Raleigh, NC

• The VITA Program generally offers free tax help to people who make $50,000 or less

and need assistance in preparing their own tax returns. IRS-certified volunteers

provide free basic income tax return preparation to qualified individuals in local

communities. They can inform taxpayers about special tax credits for which they may

qualify such as Earned Income Tax Credit, Child Tax Credit, and Credit for the

Elderly or the Disabled. VITA sites are generally located at community and

neighborhood centers, libraries, schools, shopping malls, and other convenient

locations. WCHS Swinburne JobLink center is currently offering these services daily.

• HCD Presentation at the next BOC Meeting April 13th at 2:00 pm

V. Next Meeting

March 2, 2012 9- -10:30 am ~ Swinburne Building, Board Room. – Agenda: Child Welfare Presentation

http://www.irs.gov/individuals/article/0%2C%2Cid=96406%2C00.html

http://www.irs.gov/newsroom/article/0%2C%2Cid=106182%2C00.html

http://www.irs.gov/faqs/faq/0%2C%2Cid=199783%2C00.html

http://www.irs.gov/faqs/faq/0%2C%2Cid=199783%2C00.html

5

VI. Adjournment

The meeting adjourned at 10:35 am.

DRAFT

1

Environmental Services Committee

April 13, 2012

Library Administration – Wake County Office Park

11:30 a.m. Wake County Board of Commissioner

Present

Human Services Board Members

Present:

Leila Goodwin

Frank Eagles

Melissa Jemison

Human Services Board Members

Absent: Clarence (Benny) Ridout

Jeffrey Smith

Kent Earnhardt

Dianne Dunning

Community Members Present:

Rodney Dickerson

Bob Rubin

Donald Haydon

Ed Buchan

Community Member Absent:

Buck Kennedy

Les Hall

Henk Schuitemaker

Phillip White

Bryan Hicks

John Whitson

Suzanne Harris

Julian Prosser

Paula Thomas

Kenny Waldroup

Glenn Harris

Liz Turpin

Julie Wilkins

Staff Present:

Joseph Threadcraft

Matt Roylance

Andre Pierce

Deborah Peterson

Sue Ledford

John Roberson

Staff Absent:

Britt Stoddard

Sarah Williamson-Baker

Guests/Others:

DRAFT

2

Agenda Item

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

Date

I. Call to Order

II. Minutes

III. Introduction of

New Environmental

Services Director

IV. Recognition of Dr.

Jack Sowter

Chair Leila Goodwin called the meeting to order at 11:41 A.M.

The February 10, 2012 minutes were approved as written.

Highlights Leila Goodwin introduced the new Environmental Services Director,

Mr. Joseph Threadcraft. Mr. Threadcraft began his role on March 26.

He is from Mobile, Alabama. Mr. Threadcraft’s goal as Environmental

Services Director is to add value to the organization.

Highlights Chair Leila Goodwin and Environmental Services Committee

Members gave a moment of silence to acknowledge the passing of Dr.

Jack Sowter. Dr. Sowter was a "Founding" member of the HS&ES

Board. He served as Human Services and Environmental Services

Board Vice Chair and Chair. Dr. Sowter became a member of

the Environmental Services Committee in 2004.

Committee

Member

Leila Goodwin

Joseph Threadcraft

Leila Goodwin

DRAFT

3

Agenda Item


Date

V. Public Health

Update

Highlights

State Fair Health Task Force:

• The process has been completed and recommendations have

been submitted to Commissioner Steve Troxler. Once the

recommendations have gone through all formalities required,

they will be released to the public.

• The recommendations were centered around 2 or 3 areas of

logistical change

(1) Traffic Flow (Animals/People)

(2) Handwashing Stations

(3) Loading and Unloading Areas

• The goal of the Task Force was not to make any changes in the

public being able to view the livestock.

• Interns will assess the differences in the way people utilize

Handwashing Stations (Waterfall type) – Comparison Study

• Improvements in water access points

• Increased Education

Sue Ledford stated formal recommendation should be released within a

month.

DRAFT

4

Agenda Item


Date

V. Public Health

Update (Continued)

Highlights

Health Rankings:

• Wake County was named Healthiest County in North Carolina

for the third year in a row. A report by the University of

Wisconsin Population Health Institute and the Robert Wood

Johnson Foundation compared Wake County to other North

Carolina counties and these findings ranked Wake first in

overall health and second in factors that affects people’s health.

The study began in 2010.

• There are five areas that were measured. Wake’s ranking was

as follows:

(1) Health Outcomes – Ranked #1

(2) Health Factors Behaviors – Ranked #2

(3) Social and Economic Factors – Ranked #3

(4) Clinical Care – Ranked #4

(5) Physical Environment – Ranked #93

Sue Ledford offered to schedule a detailed presentation for Committee

Members next month that will explain each measure. Chair Leila

Goodwin accepted her offer.

DRAFT

5

Agenda Item


Date

VI. Animal Services

Division

FY2013 Budget

Highlights

Animal Services Division:

• There was not a recommendation for hire from the first round

of interviews.

• Designated staff have gone back through the pool and

identified additional candidates.

• Phone interviews are being conducted. Once the phone

interviews are concluded, there will be a recommendation for a

short list in the form of a summary report. Candidates will then

be invited in for personal interviews with a committee.

• Final candidates will be evaluated by Joe Durham and Joseph

Threadcraft and then there will be an offer for hire.

FY2013 Budget:

• Budget presentations to the County Manager and his Deputies

were held on April 12th for Water Quality, Environmental

Health and Safety and Animal Services. Joseph stated staff did

an excellent job.

Joseph Threadcraft

DRAFT

6

Agenda Item


Date

FY2013 Budget

(Continued)

VII. Construction and

Demolition Ordinance

Amendment

Highlights (Continued)

• April 13, 2012 John Roberson and Anarosa Jones, Solid Waste

Business Officer presented the Solid Waste Budget to the

County Manager and his Deputies. They did an excellent job

as well.

• Budget Management in the Environmental Services

Department is being decentralized and pushed back to the

Division Directors. Each Division Director is responsible for

their budget. The monitoring process will be centralized and

have one Business Officer for the department. The ultimate

goal is to:

(1) Increase the level of service

(2) Improve the return of investment of taxpayers’ money

(3) Be accountable for taxpayers’ money

(4) Be customer oriented

Highlights

John Roberson presented Committee Members with a copy of the

Construction and Demolition Ordinance Amendment. This

Amendment clarifies a lot of things that were not clear about

Franchise. John stated Wake County will see a lot of activity in the

next few months because of this Amendment. This amendment was

approved at the Board of Commissioners March meeting.

John Roberson

DRAFT

7

Agenda Item


Date

VII. Construction and

Demolition Ordinance

Amendment

(Continued)

Highlights (Continued)

The Shotwell Landfill wants to significantly increase their waste

tonnage. For a revision to a franchise of an existing C&D landfill, the

Wake County Board of Commissioners may issue a revised franchise

upon presentation. This request to increase tonnage will be discussed

at the next Wake County Board of Commissioners meeting. John also

informed Committee Members that the WCA facility has been bought

by Waste Industries and any changes to this facility will also have to

go before the Board of Commissioners.

10-Year Solid Waste Management Plan:

John Roberson informed Committee Members that the 10-Year Solid

Waste Management Plan has been completed and is on the Wake

County website for viewing. John and Solid Waste staff plans to meet

with each municipality and their board and request comments/changes.

John Roberson and Deborah Peterson will get the link to the 10-Year

Solid Waste Plan emailed to Committee Members

DRAFT

8

Agenda Item


Date

VIII. Adjourn THE NEXT MEETING IS SCHEDULED FOR FRIDAY, MAY

11, 2012 @ THE LIBRARY ADMINISTRATION BUILDING,

WAKE COUNTY OFFICE PARK, ROOM 102,

4020 CARYA DRIVE.

Leila Goodwin

Wake County Human Services Board LME Advisory Committee Meeting Community Services Center – 401 E. Whitaker Mill Road, Rm. 210

Minutes – April 17, 2012

Members Present: Staff Present: Guests/Community:

Ms. Stephanie Treadway, Committee Chair / HS Board

Mr. Pablo Escobar, Committee Vice Chair / HS Board

Dr. Jim Hartye, Horizons Healthcare / WakeMed

Ms. Melissa Jemison, HS Board

Members Absent:

Dr. Kent Earnhardt, HS Board / HRC

Ms. Rhonda Spence, Advocate

Ms. Denise Foreman, Assistant to the County Manager

Mr. Paul Gross, HS Finance Officer

Dr. Carlyle Johnson, LME Administrator

Ms. Beth Nelson, Networks Development

Mr. Ramon Rojano, HS Director

Mr. Bob Sorrels, HS Deputy Director

Mr. Grady Britt, Advocate

Mr. Tad Clodfelter, SouthLight, Inc.

Agenda Item

Discussion, Conclusions, Recommendations, Follow-up

Call to Order The LME Advisory Committee meeting, facilitated by Ms. Stephanie Treadway, opened at 12:03 p.m.

Approval of Minutes

Upon consent, the committee approved the March 20, 2012, committee minutes.

Agenda Items

Agenda: •Business/Finance Report •LME Director/Administrator Updates •MCO Transition Updates •Good of Order •Wake County Behavioral Health Services Update

LME Director’s Report Mr. Ramon Rojano

Mr. Rojano’s report was moved up on the agenda because he had to leave early for another appointment. Mr. Rojano gave a summary of the activities regarding the three tracks. Three Tracks:

1. Building the new MCO 2. Operating the current Wake LME until July 1; then operating Wake/Durham LME July 1 thru December 31 3. Closeout the current Wake LME

Key Highlights included: • Project management continues to go well. There has been lots of progress, but there are still things to be worked out such as

shortage in funding, figuring out how to manage closeout costs, payments to providers. Mr. Rojano has met with Mr. Steve Jordan, State Division of MH/DD/SA, to help work out some issues.

• Out of 98 LME staff outsourced, 94 have been accounted for.

• The HS&ES Board will need to stay engaged with dialogue.

Agenda Item


LME Budget/ Finance Report

Mr. Paul Gross and Ms. Beth Nelson presented the LME Monthly Financial Reports as of April 17, 2012. The committee reviewed and discussed the reports. Highlights included:

• LME is currently overspending by $796,210 in the LME Purchase of Service (POS) UCR Expenditures. The state has approved the county to transfer uncommitted LME Systems Administration dollars to cover the overspending and the state clarified that Wake does not need to ask permission. Wake County has $765,462 of uncommitted LME Systems Administration dollars to transfer, and the LME will cover the remaining gap through its operational budget.

• The state denied Wake’s request to use uncommitted LME Systems Admin. dollars to cover $222,000 in vacation payout and $498,000 in severance payout for LME staff. The county will have to use lapse salaries/vacancy rate to cover.

• Mr. Rojano said staff has worked with community providers in order to not sacrifice services to clients. Dr. Johnson said education and conference requests made by staff have been denied in order to focus on providing services.

• Dr. Johnson said three things have been done to reduce the overspending:

o Medicaid rate cut

o Changed the Benefits Plans as of January 2012 (providers had to right size)

o Used unexpended dollars to meet gap

• Dr. Johnson referenced the decrease in Adult Mental Health (AMH) spending in the report. AMH category has had the highest increase in demand for services.

• The HHH/County contract is being reviewed. The county’s intention is for the MCO to manage the HHH/Co. contract. The MCO would be involved with any renegotiations. Mr. Rojano said the HHH/Co. contract has been a godsend in the lack of adequate state hospital beds and with no other options or community partners.

• Ms. Nelson said the state has admitted that they have a glitch in their system for funding drawdown of IPRS UCR earnings in the Child Mental Health category. This will be corrected so that Wake LME can drawdown funding correctly.

Committee Request:

Data on the wait list (number and length) and number of unfunded patients served. The committee believed this would be a good benchmark to monitor as the MCO takes over. $23 million in Wake County funding for uninsured will be transferred to the MCO. Dr. Johnson reiterated that the contract between Wake and the MCO has not yet been written.

Agenda Item


MCO Transition Updates

Dr. Carlyle Johnson and Ms. Denise Foremen gave an update on the MCO Transition. Highlights included:

• MCO Organization Chart (handout). Care Coordination is an area that has the most positions to fill. The Board has to vote on salary/benefits and empower staff to make employment offers.

• Alliance Behavioral Healthcare is the new name for the MCO.

• The Board is meeting today for training in the areas of policies and procedures.

• Actions by the Wake County Board of Commissioners on April 16, 2012 included:

o Appointed Ms. Barbara Gardner as its 6th member to the Board. Ms. Gardner is a retired Assistant Hospital Director of Dorothea Dix Hospital.

o Approved a joint resolution with Durham County to establish the multi-county area authority to manage MH/DD/SA services for Durham/Wake counties. The joint resolution allows the new area authority to become a legal entity with the powers to formalize their Board, obtain a tax ID number, approve a budget and other actions necessary to begin operations as a LME/MCO on July 1, 2012. Durham County is scheduled to vote on the joint resolution on April 23.

o Accepted $2 million of revenues from the Wake County ABC Commission and appropriated the revenues to be applied to Wake County’s $4 million start-up funding commitment to the multi-county area authority. Approved the schedule of disbursement and repayment.

o Authorized the county manager. . . to execute a Tripartite Funding Agreement with Durham County and the new area authority.

The committee discussed changes with care coordination (change in definition, and taking care coordination out of CABHAs and putting them into the MCO). Thoughts included: defining adequate staffing, doing a work analysis/parameters, and applying same formula in all counties. Staff is continuing to work with state on what is considered consistent across the state versus what is local. Dr. Hartye suggested that staff compare what the clients have been getting to what the clients will be getting (pluses and minuses).

Agenda Item


Wake County Behavioral Health Services Updates – Ms. Denise Foreman

Ms. Denise Foreman gave an update on Wake County Behavioral Health Services (WCBHS).

Summary: Some divestiture will occur. Timeframe: 8 to 18 months. Medicaid Billable Services will be divested first. Then the county will take time to evaluate programs that are all locally funded. Highlights included:

• Decisions about the future of Wake County Behavioral Health Services (WCBHS) will be made in the next 8 to 18 months timeframe. The county is undergoing a process to decide what services have to be divested. There will be some divestiture, the minimum being Medicaid Billable Services. The state has ruled a conflict of interest with the county being able to appoint MCO Board members while also conducting Medicaid Billable Services. Wake County believes its best interest is to have influence on the Board; therefore as of January 1, 2013, Wake County will not be able to conduct Medicaid Billable Services. However, Wake is checking the state’s ruling with the federal Centers for Medicaid/Medicare Services (CMS).

• Mr. David Cooke, Wake County Manager, met with WCBHS staff this morning. Mr. Cooke believed it was important to get staff engaged at the preliminary point. The county needs to move quickly, but prudently, and wants staff to be at the forefront.

• UNC Hospital’s study on community gap analysis should be completed within the next two weeks. Ms. Foreman believes the study will help inform the process. Wake will continue discussions with UNC Hospitals on what a partnership would look like. The MCO is involved and will lead most of this discussion as we move through the process.

• WCBHS will not compete for services.

• WCBHS is undergoing a major process to quantify and articulate outcomes that have been achieved. Much work has already been done, but there is much work to do to get ready for a private model.

• Part of the process is how to figure out how we get quality services.

• Finding a good partner will be important.

• Wake is trying to learn from other LMEs that have gone through this process.

• WCBHS has a lot of blended funding areas.

• The thinking is that providers cannot do these services with state/federal dollars alone. A question is if county funding remains in the system and flows to providers, will they be willing to provide these services. Ms. Foreman said there is a sense that providers would be willing. Ms. Jemison and Ms. Treadway expressed concern for the uninsured clients.

• Mr. Gross said staff and Human Resources issues will be more challenging with this process. There are 236 FTEs and not many county vacancies. Dr. Johnson foresees WCBHS staff applying for the care coordination positions.

• WCBHS will have a 6-month IPRS contract with the MCO as of July 1. WCBHS will have to drawdown funds.

Good of Order • NAMI Walk – Saturday May 5, Dorothea Dix Campus. Details are on the NAMI NC website.

• WakeBrook Recovery Center 1st Year Anniversary Celebration – Sunday, May 6, 1pm – 5pm, 111 Sunnybrook Rd.

Meeting Adjourned

Meeting adjourned at 1:43 pm. Next meeting is May 15, 2012, CSC 12:00 pm– 2:00 pm

Public Health Committee Meeting Minutes –20 April, 2012

Committee Members Present: Benny Ridout, Leena Mehta, Barbara Ann Hughes, Penny Washington, Sharon Foster Staff Members Present: Ramon Rojano, Sue Lynn Ledford, Peter Morris, Randy Marsh, Andre Pierce, Michelle Ricci Guests: Kristina Orton, Kelsey Walker (NCSU

Agenda Items

• Welcome

• Approval of Minutes

• Chair’s Privilege

• Behavioral Health Update

• Obesity/Overweight

• Advocacy Agenda

• Human Services Director’s Report

• Public Health Division Director’s Report

Welcome and Call to Order Benny Ridout

Benny welcomed committee members and called the meeting to order.

Approval of Minutes

Benny asked for a motion to approve the minutes. Penny Washington made a motion that was seconded by Leena Mehta. The minutes were unanimously approved.

Chair’s Privilege Benny Ridout Update on Wastewater Treatment Systems (Septic Tank) Subcommittee Proposed New Member-Lynette Tolson

The Wastewater Treatment Systems Subcommittee met for the first time with a focus on educating the committee about septic tanks and how problems were identified using GIS mapping. Information included:

• A study on septic tanks. (The sample in the study was so small it is not possible to draw firm conclusions.)

• State standards on the placement and function of septic tanks and strategies employed by Wake County Environmental Services (WCES) to meet them.

The committee will meet again on March 25th at the NC State Farm to observe a working septic tank system and learn more about causes of septic tank failure. The subcommittee will begin to address the issues after that meeting. The committee would like to address septic tanks from design to failure. That not being possible, the committee is deciding upon its focus. Benny noted that action on new Public Health Committee members has been on hold

• as a new structure is determined for the Human Services and Environmental Services Board (Board) due to the departure of the LME from Human Services and

• so the Public Health Committee can determine representation needs in terms of behavioral health.

In the meantime Lynette Tolson was recommended to the committee. Ms. Tolson is Executive Director of the NC Association of Local Health Directors and the North Carolina Public Health Association and brings a strong and varied Public Health background to the committee. Committee members were provided her membership application for review. After discussion and a review of the application, Benny asked for a vote on her membership. The committee unanimously approved Ms. Tolson’s membership.

Public Health Committee Meeting Page 2

Dental Medicaid Rates

At the last Board meeting Dr. Horwitz suggested that the issue of the state Medicaid reimbursement rate for dentistry be included with the Board’s Advocacy Agenda. It was suggested that it come back to the Public Health Committee for discussion. Discussion included:

• Discussion of this by the Executive Committee at their meeting on April 19 included maintaining competitive Medicaid rates for providers, increasing Medicaid rates for dentists and avoiding further reduction of rates for physicians (Under Advocacy Priority: Decrease disparities in key disease indicators such as infant mortality and chronic disease morbidity and mortality.)

• There is data about school age children and numbers of absentee days related to dental issues. There is also data on how good oral health can prevent disease. The Public Health Committee should have data or statistics to illustrate the Public Health implications in Wake County when funds are cut.

• Public Health implications include: o Heart disease. Teeth should be taken care of before any heart

procedures because of the risk of infection etc. o Dental pain is the first or second reason people seek narcotics in

emergency rooms.NC is now 3rd worst state in the Union for over prescription of narcotics.

o Association of dental caries and gingivitis and preterm labor. A lot of children don’t go or rarely go to the dentist and there is not much documented on the public health effects of that.

• Would putting dental services back in Medicaid increase accessibility? Penny made a motion that the committee delay making a recommendation on this issue until there is more data. Barbara Ann seconded the motion and the Committee unanimously agreed.

Behavioral Health Update Randy Marsh

Purpose: Provide committee members with an update on changes in mental health programs and services. Action: None needed On July 1, 2012, Durham and Wake Local Management Entities (LMEs) merge and become Alliance Behavioral Health. When Alliance Behavioral Health assumes management of Medicaid funds on January 1, 2013, it becomes a managed care organization (MCO). The Division of Medical Assistance issued a ruling that the County can’t be in a position of providing services that receive federal funds and govern or manage federal funds. When Alliance Behavioral Health begins management of Medicaid mental health funds in 2013, Wake County Behavioral Health services can no longer provide any mental health services to Medicaid eligible consumers. Wake served 1830 Medicaid consumers in 2011. These clients will need to have another provider by January. The new MCO will contract with Wake for services for the time being but expects over the next 18-24 months all services will be transitioned out to other providers. The County Manager and Human Services have entered conversation with UNC Health Services to determine the possibility of UNC taking on a management role or some other capacity of services provided by Behavioral health. There are two possible scenarios:


1. The MCO agrees that Wake’s services would continue to be provided. UNC’s role might be to manage those services it starting July 1. 2.UNC may pick up some services, but not others Conversation is also taking place with Alliance Behavioral Health about the contract with them. The current contract is through Wake LME. To be addressed as the transition progresses are:

• the manner in which services now provided to consumers is impacted

• the impact on integrated and collaborative service arrangements with health and social services (i.e. social workers in the HIV/AIDS clinic, support of the maternal health depression services in maternal and children’s services and substance abuse work with work first providers, services in child protective services and regional centers)

• services that might remain in Human Services because their loss would negatively impact health and social programs.

Discussion included:

• Addressing Human Services and County management when advocating for/assuring specific services for disenfranchised clients

• How the Public Health Committee can serve in an advisory capacity during the transition to assure that the interests of Wake County consumers are met

• Utilization of the per member per month model to provide mental health services

• The importance of establishing and building a relationship between Alliance Behavioral and Public Health and Social Services

• The outcome of health care reform in the Supreme Court and the ramifications of that outcome

• The needs of those in the mental health system that are also served through Public Health and Social Services

• How effectiveness of the new system (MCO) will be measured

Obesity/Overweight Benny Ridout

Purpose: Continue discussion from March meeting on committee activities to address Board and Committee priority of overweight/obesity. Action: None needed This agenda item was deferred. Leena Mehta agreed to share information she brought to the committee at the next meeting.

Advocacy Agenda Sharon Foster

Purpose: Review disparities item on Board Advocacy Agenda and identify action steps to reach the identified stakeholders. Action: Discuss action steps to reach identified stakeholders.

The Executive Committee asked the Public Health Committee if it might generate more specific strategies on how to involve the stakeholders who aid in advocacy. The priority established for Public Health is to decrease disparities in key disease indicators such as infant mortality, chronic disease morbidity and mortality. Key speaking points were reviewed including:

• The need for technology. At the Wake Legislative Session on April 19, the advocacy work group stressed for NC FAST, a program to improve how Health and Human Services delivers care particularly as a provider of Medicaid services.


• Physician involvement will likely increase with ease of use.

• More providers to accept Medicaid. There are only 5 Medicaid providers in the community for obstetrics in contrast to (estimated) 75-100 pediatric providers.

• Maintaining competitive rates for providers. It is difficult for Medicaid recipients to find primary medical care homes as Medicaid rates are inadequate to attract providers. Generally internal medicine clients are more complex in their medical needs and more is needed for Medicaid for these patients.

• Support and fund campaigns maximizing enrollment of citizens who qualify for Medicaid and maintain enrollment. Those who do not stay enrolled are likely to find themselves in emergency care. This is not optimal because continuity of care is really needed.

Discussion included:

• Addressing certain diseases where disparities are seen. Diseases identified include:

o Diabetes. This disease crosses all age groups and caries significant disease knowledge. Diabetes disproportionally affects Hispanics and African Americans. Addressing diabetes also encompasses the issue of obesity which in and of itself have a diagnostic code.

o Sexually transmitted diseases/ infections such as HIV, chlamydia and gonorrhea.

o Cancers--Prostate breast, colorectal and cervical

• Alignment of efforts to address disparities with the Centers for Disease Control and Prevention (CDC) “Winnable Battles”. Locally monies are not available to conduct the research the way the CDC has. Look at local data and the research that has been done and utilized those proven strategies.

• Development of Human Services’ strategic plan to identify and target 10 primary conditions in the next 2-3 years, a call to action and identify groups/entities to address those conditions.

Time did not permit the committee to generate more specific strategies on how to involve the stakeholders who aid in advocacy.

Human Services Director’s Report Ramon Rojano County Health Rankings

Highlights of the most recent County Health rankings were presented to the committee including:

• North Carolina’s overall health ranking (32) among the 50 states as ranked by the United Health Foundation (americashealthrankings.org). Five years ago North Carolina ranked 36.

• Wake County’s ranking of number 1 in health outcomes and 2 in health factors.

• The indicators used in determining the ranking; the county’s score for each of the indicators, the national benchmark, the margin of error and rank in the state for health outcomes and behaviors.

• The additions of fast food restaurants as an indicator Committee members were given the rankings for 2010 and 2011 as well as 2012 so the results could be compared over the past 3 years. Committee members were also encouraged to visit the website www.countyhealthrankings.org to get more information about the rankings.

http://www.countyhealthrankings.org/


Public Health Division Director’s Report Sue Lynn Ledford State Fair E. coli 0157:H7 outbreak. Public Health Month

The State Fair Study Commission on the E. coli 0157: H7 Outbreak has submitted its final recommendations to Commissioner Troxler and is awaiting the publication of the report. Proposed recommendations include:

• Change the flow of pedestrian and animal traffic while maintaining the agricultural purpose and spirit of the State Fair.

• Enhanced education of fair goers in disease prevention

• Hand washing stations. Costs prohibit complete redesign of hand washing stations. Some demonstration stations are proposed enlisting university students to conduct comparison studies of the utilization of demonstration stations.

Many opportunities to highlight Public Health and its contributions were created during April—Public Health Month. The Board of Commissioners (BOC) linked it with County Government Month. The County Health Rankings were recognized during the last BOC session. A Public Health Information Fair was conducted with Orange, Wake and Durham Counties on the Halifax Mall near the General Assembly. The desired visibility and participation were not attained as the first location choice for the Fair was not available. There were several media spots and news articles about Public Health month as well as vaccine clinics (Tdap and rabies), a downtown walk, car seat safety checks and health screenings with some partner groups. Rex Hospital along with WCHS, Wake Health Services, the Alliance Medical Ministry and other community partners is holding Community Health Screening Day on May 9 at the State Fairgrounds. The event will offer education, screenings and linking to health care services. Human Services Vital Records And Emergency Preparedness will hold a workshop on May 18 from 10am to 2 pm at the Andrews Center (WakeMed) on cultural issues related to death and preparedness in the event of mass fatalities. Committee members were invited to attend. Presentations on Health Disparities and how community groups can address them have been given to Strengthening the Black Family, the Raleigh Community Advisory Councils and on April 19 to the Wake Missionary Baptist Association. Close to 200 faith leaders attended that presentation.

Adjournment Benny thanked committee members for their participation and adjourned the meeting.

wake county human services and environmental services board

Documents