County of Jefferson Office of the County Administrator Historic Courthouse 4195 Arsenal Street, 2 Floor Watertown, NY 13601-2567 Phone: (318) 785-3075 Fax: (315) 785-5070 ‘November 30, 2017 TO: Members of Health & Human Services FROM: Robert F. Hagemann, IIl, County Administrafor ey SUBJECT: — Health & Human Services Committee Agenda Please let this correspondence serve as notification that the Health & Human Services Committee will meet on Tuesday, December 5, 2017 at 5:30 p.m. in the Board of Legislators’ Chambers. Following is alist of agenda items for the meeting Resolutions: 1, Amending the 2017 County Budget Relative to Veteran P2P Support Pilot Program and Authorizing Agreements in Relation Thereto ‘Appointing/Re-Appointing Members to Jefferson County Public Health Service Health Services Advisory Board 3. Appointing and Re-appointing Members to Jefferson County Public Health Service Professional Advisory Committee 4, Amending the 2017 County Budget Relative to Public Health Department Accounts Informational Items: 1. Monthly Departmental Reports: Office for Aging ‘Community Services Public Health Social Services ‘Veterans Service Agency If any Committee Memier has inquiries regarding agenda items, or would like to add an item(s) please do not hesitate to contact me. RFHjdj ce: Office for Aging Veterans Service Agency ‘Community Services County Attorney Public Health County Treasurer Social ServicesJEFFERSON COUNTY BOARD OF LEGISLATORS Resolution No. ‘Amending the 2017 County Budget Relative to Veterans Peer Support (P2P) Program and Authorizing Agreements in Relation Thereto By Legislator: Whereas, By Resolutions 119 and 231 of 2016 and 47 of 2017 Jefferson County accepted funds from the New York State Office of Mental Health (NYS OMH) as well as from the NYS Senate Initiative, for the Veterans Peer Support (P2P) Program (formerly the PFC Joseph Dwyer Peer to Peer Support Program), for the period of 7/1/2016 - 12/31/2017, and modified the 2016 and 2017 County Budgets to allocate said funds, and authorized agreements with the Jefferson County Mental Health Association, the River Hospital, and the NYS OMH, and ‘Whereas, Additional state aid in the amount of $92,500 has been received from the NYS Office of Mental Health, and Whereas, The additional funding needs to be recognized and contracts authorized for the 7/1/2017 - 6/30/2018 period. Now, Therefore, Be It Resolved, That Jefferson County enter into an agreement with the NYS OMH to receive the grant funds, and agreements with the River Hospital and the Mental Health ‘Association for the new funding and to extend the operation of the Veterans Peet Support (P2P) Program, through June 30, 2018, and be it further Resolved, That the Chairman of the Board of Legislators and the Community Services Director are hereby authorized and directed to execute the above agreements subject to the approval of the County Attomey as to form and content, and be it further Resolved, that the 2017 County Budget is amended as follows: Increase: Revenue 01431000 93490 State Aid Mental Health Services $92,500 Expenditure 01432000 04735 ‘Veterans Peer Support 92,500 Seconded by Legislator:JEFFERSON COUNTY BOARD OF LEGISLATORS Resolution No. Appointing/Re-Appointing Members to Jefferson County Public Health Service Health Services Advisory Board By Legislator: Resolved, That the following individuals be and are hereby appointed/teappointed as members of the Jefferson County Health Services Advisory Board for terms to expire as indicated below: Members ‘Term to Expire Appointments: Anita Seefried-Brown 12/31/2020 Re-Appointments Stephanie A. Graf 12/31/2020 Maja Lundborg-Gray, MD 1231/2020 Seconded by Legislator: State of New York) County of Jefferson ) I, theundersgned, lerkof the Board of Legisators ofthe County of Jefferson, New York do hereby certty that Thave compared the foregoing copy of Resoltion No.of the Board of Legislators of sald County of Setferson with the orignal thereat on fle in my ple and duly adopted by said Board ata meeting of suid Board ont ‘ay of. ‘and that he same isa rue and correct copy oF suc Revoltion and the whole thereok day of In testimony whereo, Ihave hereunto set my hand and affixed the seal of said County this aT LegionsJEFFERSON COUNTY BOARD OF LEGISLATORS Resolution No. Appointing and Re-Appointing Members to Jefferson County Public Health Service Professional Advisory Committee By Legislator: Resolved, That the following individuals be and are hereby appointed/re-appointed as members of the Jefferson County Public Health Professional Advisory Committee for terms to expire as indicated below: Members Term to Expire Appointments: Julie C. Burgenstock 12/31/2019 Re-Appointments: Maureen Gilligan 12/31/2021 Mary Downey 12/31/2021 Robert J. Kasulke 1231/2021 Margaret L. Bootie 12/31/2021 Seconded by Legislator: State of New York) js County of Jefferson ) 1 the undersigned, Cerf the Board of Legislator ofthe Count of Jelferson, New Vork, do hereby certify that Thave compared the foregoing copy of Resolution No.of the Hoard of Legislators of suid County af ‘Tetterson withthe original thereof on fle in my efice and daly adopted by said Board ata meting of sald ‘ay of “20-——xnd thatthe same i true and correct copy of the whole thereof In testimony whereof, have hereunto set my hand and affixed the seal of sid County this__day ofJEFFERSON COUNTY PUBLIC HEALTH SERVICE ADVISORY BOARD/COMMITTEE SUMMARY I. HEALTH SERVICES ADVISORY BOARD As per New York State Public Health Law Article 3, Section 357, in a county where the legislative body constitutes the Board of Health, a Health Services Advisory Board consisting of nine members shall be provided. Two of the appointed members shall be licensed physicians, while the remaining are known as public members and are selected on the basis of interest and knowledge regarding the health needs, resources and facilities of the community. The Health Services Advisory Board counsels the Director of Public Health with respect to the discharge of powers, responsibilities and duties. Meetings are held only if needed to address public health issues. ‘The last meeting was held 06/14/10. I, PROF SIONAL ADVISORY COMMITTEE, As per NYCRR Title 10 Health Chapter V, Section 763.11 (13), the governing authority shall appoint a group of professional personnel which includes one ot mote physicians, registered professional nurses and representatives of the professional therapeutic services provided by the agency to perform the activities required. ‘The findings and recommendations shall be integrated into the agency's quality assessment and assurance program. At least, annually, an evaluation of the agency’s program must be completed. Functions include reviewing policies pertaining to the delivery of health care and services; making recommendations on professional issues including the adequacy and appropriateness of services based on an assessment of health care resources in the community, patients’ needs, available reimbursement mechanisms and the availability of qualified personnel; assisting in maintaining, liaison with other health care providers and reviewing clinical records. Quality Assurance, as a subcommittee, integrates the review activities of all home health care services provided by the agency to enhance the quality of care and treatment provided. ‘The subcommittee reviews a sample of both active and closed clinical records to determine whether established policies are followed in furnishing services directly or under arrangement. Recommendations are made should needs be identified or if further follow-up services are required, Required quarterly meetings are in March, June, September and December on the second Wednesday of the month at the Public Health Facility. phnadmin\healtheommittethc1 11 Nadvisory board committee summary 082717JEFFERSON COUNTY BOARD OF LEGISLATORS Resolution No. Amending the 2017 County Budget Relative to Public Health Department Accounts By Legislator: ‘Whereas, Jefferson County Public Health utilizes Netsmart electronic medical records system and the applicable server software needs to be upgraded to the latest versions in order to continue support by year's end, and Whereas, Public Health received DSRIP (Delivery System Reform Incentive Payment) program funding from New York State in 2017 which can pay for the needed server software upgrades and licenses, and Whereas, It is necessary to amend the 2017 County Budget to recognize the revenue and appropriate the funds in the proper account. Now, Therefore, Be It Resolved, that the 2017 County Budget is amended as follows: Increase: Revenue 01405000 93488 State Aid Other Health $14,000 Expenditure 01405000 04119 Home Health Computer Software Maint $14,000 Seconded by Legislator: State of New York) ) ss County of Jefferson ) 1,theundersigned, Clerk ofthe Board of Legislators ofthe County of Jeferson, New Vor do hereby certify that Ihave compared the foregtng copy of Resoltion No. ve Board of Legsatos of sald County of ‘elferson vith the original there on file in my oie and 20 Tntestimony wheres [have hereunto set my hand and affixed the seal of said County this____day of 2 Clerc ofthe Board of LegsatorsJEFFERSON COUNTY OFFICE FOR THE AGING 475 ARSENAL STREET WATERTOWN, NEW YORK 13601-2528 (@15)795.3101 Fax (315)705-5005 Timothy Rutten, MS, LMHC, CASAC LOUISE J, HARACZKA Dreclor Deputy Decor Office for the Aging Monthly Report to The Health and Human Services Committee November/December, 2017 October, 2017 Data: “Total No. of Home Delivered Meals Provided:_ 71342 Total No. of Congregate Meals Served [7810 Total No. of Clients Receiving Meals: 593 [Number of Clients Receiving Home Care/Case Mgt.: 406 Number of Individuals Receiving Health Insurance Counseling: | 86 Number of Clients Coming Directly Into the Office: 143 Number of NY Connects Contacts: 198 ‘CDSMP ended 10/17 — 5 participated (Chronic Disease Self-Management Prg.) 10/05 ~ Veterans Community Day ~ Watertown — 25 attended, mixed ethnicity, targeted Veterans of all ages and income. 10/06 ~ Senior Health Fair ~ Watertown — over 500 attended, mixed ethnicity and income, targeted all ages and caregivers. 10/19 ~ North Country Coalition for Parkinson's Disease and Movement Disorders ~ Sackets Harbor ~ 40 attended, rural population, targeted Parkinson's disease people and their caregivers, mixed ethnicity and income. 10/24- OFA Director facilitated 2, 2 hour workshops for approximately 50 area Faith-Based Leaders covering addiction intervention and aging services. 10/27 - Carthage Food Pantry ~ 5 people stopped by display, targeted rural area, low income, mixed ethnicity. 10/31- Annual Public Hearing at Italian American Club for approximately 50 seniors.EARLY INTERY. PRESCHOOL, sate sense so Suton ase sesme s4toaaa oe nr ) a a) fotsroz senate szaes0n sea773 roses sanraso 255600 s2m 800 sazos2 seeeaso $0 46250 so7ans ss06705 ssa s7075 ‘OPWOD= OFFICE OF PEOPLE WITH DEVELOPMENTAL DISABILITIES 2017 COMMUNITY SERVICES OFFICE SESE EE SESE SE EESE ESTE SE SSEEESTEESSSEESSSEETSTEEEEEISSETTSSEEESSEESSTETTSSEEESIETEESTSTETTSTETTSTEITSTESTOERS swnizo EXPENSE/REVENUE REPORT max sae ssace sro ss00 sisas7 sso sis20% sioner ‘OASAS* OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES soar * ‘sn t08 0 sex7989 sores srosee stots aus ss. 7258 2 en6 ste rao 226008 ocr Nove e700 suse0 wea710 ‘OMH= OFFICE OF MENTAL HEALTHJeterson County Public Heth Sera Home HealthCare Statistical Performance Tan [PARRROFESTONAL TOURS ea rr sua “crepe pes 2s Ta came ger auas aaa s22see| testy vane cre mom "so 73% 5 te mmecorhain) se 8Jefferson County Department of Social Services [BALANCE | 1,087,092 ]| 1,001,354] 49,860], 2,889,460] 1,040,404] 1,305,276 250,000], 2,017,470] 282] 34,179] State Emergency “Recipient | Medical Family Child | Training | Safety Net Aid to Daycare | Services | Assistance| MMIS | Assistance} Care | Schools | Assistance| Heap Adults 055.46 | sa7oseos_| e104 61008 108.4 e104 e194 e104 euat.d ouiaa |BUDGET 2,401,192 2,259,094] 52,500] 19,165,952|" 4,974,602 "_7,275,000| 250,000] 6,045,739] 37,491 107,600) LOCAL SHARE % ‘0.00%| 36.00% | _25:00%| —100.00%| 0.00% | 30.00% | 70.00% | 77.00% C.00%| 50.00% [AVG BUD 200,099 188,258 4,375 1,597,163 414,550 606,250 20,833 503,812 3,124 8,967. JAN 113,001 | __119,218 ‘315 | 1,842,880 | 265,503 | __671,821 Oo; 418,957 44165 3,852 | FEB 115,097 122,037 ‘585 1,474,304 273,746 586,919 0 396,287 35 7,971 MAR 116,180 207,861 802 1,474,304 413,859 554,296 oO 426,804 7 9,624 ‘APR 710,57 | 102,303 O| 1.487,936| 282,615 | 604,116 O| 415,355 6.080) 3S [way 130,685 | __113,986 | 7,982,420 786,61 | 597,231 oO _ 406,905 | 17,692 3173 | ‘JUN 164,649 116,764 0] 1,487,936 435,629 555,430 o 404,124 9) 3378 | [jut 129,334 122,938 0 1,481,936. 263,570 633,552 0o 399,236 (59)| 4,451 AUG 145,002 | __117,840 402 | 1,852,420 | 201,208 | 620,285, oO} 360,380 271) 9287 [SEP 135,658 T3547 ‘402 | 7,487,936 | _282,606| 505,230 O| 401,495 (168)|___ 6,281 OcT 93,723 131,246 134 1,852,420 249,017 470,877 oO 398,726 (89) 9,638. NOV DEC [torat— 1.314, 100 | 1,227,740 2640 | 16276492 | 3,034,108 5,680,704] Oo 4008760 | 46,873] 7aazT [PROJEXPr Forecast for Remainder lof YEAR 1914308] 1,792514| _15.765| 21,067,980 | 427,848 | 7,708,474] __62,500|_5,599,704| 56.246] 100,24 PROJECTED BALANCE 486,794| 466,581 36,735 | (1.902,020)| _696,754| _(433,474)| _ 187,500] _s06,035| (18,758) 7279VETERANS SERVICE AGENCY OCTOBER 2017 MONTHLY REPORT January 57 698 755 1829 24 24 February 115 655 770 1944 28 19 March 79 680 759 1780 30 16 Sub Total 251 2033 2284 5553 82 59 | April 90 571 661 1702 21 10 May 125 628 753 1913 28 18 June 93 618 711 1739 38 24 Sub Total 308 1817 2125 5354 87 52 duly 76 582 658 1659 30 12 August 117 615 732 1939 38 13 September 74 554 628 1553 27 9 Sub Total 267 1751 2018 5151 95 34 October 100 587 687 1778 25 18 | November December Sub Total *Contact: Personal visit, phone call, or mail received or sent to/from VSA “Service: Amount of assistance provided for each contact Comments: Oct/2017 Total Contact figures are only 3 different than Oct/2016 but the Oct/2017 Service figures are slightly lower than last year. The Oct/2017 New and Maintained claim total is 25% higher than Oct/2016. The Service Officer successfully completed a week long Advanced Training session in Syracuse and the Director manned a booth at the 4" annual Veterans Community Day held in Watertown on 10/5.