DRAFT  NOT APPROVED BY THE COMMITTEE

Port Washington, Wisconsin

Aug. 21, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Hilber, Callen and Klemz, Board Members Yokes, Bespalec and Dr. Perez, Human Services Director Haupt, Public Health Director Madlom, County Administrator Meaux and Mary Sampont.

Staff: Frank Peterson, Michelle Pike, Eileen Engl, Ann Conners, Eileen Newby, Brad Mueller, Mary DeLuca and Dawn Woda.

Absent: Supervisor Bock and Board Member Lueders-Bolwerk.

Call to Order: Meeting called to order at 3:30 P.M. by Chairperson Klemz.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from July 24, 2007 meeting as received made by Supervisor Hilber, seconded by Supervisor Callen. All members present voting aye. Motion carried (5-0)

Public Comments: Supervisor Callen expressed her thanks to Supervisor Dean for his time as Chairperson for the Health & Human Services Committee.

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, made by Supervisor Hilber, seconded by Supervisor Callen. All members present voting aye. Motion carried (5-0).

Human Services Department Items:

Approval to fill Foster Care Coordinator (Social Worker I) Position Vacancy: After the Committee approved increase of hours from 12 to 20 hours/weekly, the Foster Care Coordinator submitted her resignation. The Director from Washington County is willing to share their Foster Care Coordinator with Ozaukee County.

Mr. Bespalec is now present.

Motion to approve the shared position and authorizing Bob Haupt to negotiate the contract with Washington County made by Supervisor Dean, seconded by Supervisor Hilber. All members present voting aye. Motion carried (6-0).

Approval of County Eligibility Criteria for Long Term Care Funds: Motion to approve the Ozaukee County Policy for Support of Persons Not Family Care Eligible made by Supervisor Dean, seconded by Board member Bespalec. All members present voting aye. Motion carried. (6-0).

Indigent Burial Policy: Ms. Newby was present to explain the background of the Indigent funeral/cemetery payment limit. Motion to postpone this policy made by Supervisor Hilber, seconded by Supervisor Dean. After further discussion on Mr. Hilber’s motion, it was clarified that he meant to make a motion terminating our current practice of providing reimbursement to funeral homes in cases of indigent burials. . All members present voted. Motion carried (5-1). Supervisor Callen voted nay.

Approve Co-Sponsorship of Bill LRB1588-1: Motion to request Bob Haupt and/or Tom Meaux to write a letter to ask legislators to co-sponsor Bill LRB1588-1 made by Supervisor Callen, seconded by Supervisor Hilber. All members present voting aye. Motion carried (6-0).

Update of 2008 Budget Pertaining to Revenue and Cuts: Included in packet for review by Committee and Board members.

Preliminary 2008 Proposed Budget Review: Mr. Haupt was available for any questions regarding the preliminary 2008 Proposed Budget review which was included in the packet.

Set Date, Time and Place for Public Hearing on Proposed Budget: The next scheduled meeting for the Health & Human Services Committee/Board is set for Thursday, September 20 at 5:00 P.M. with the Public Hearing to immediately follow.

Mr. Haupt also informed the committee and board that the Aging & Disability Resource Center (ADRC) funding was approved.

Dr. Perez is now present.

2008 Consolidated Grant Allocations/Objectives: Motion to accept the 2008 Consolidated Grant Allocations made by Supervisor Callen, seconded by Board member Bespalec. All members present voting aye. Motion carried (7-0).

Preliminary 2008 Proposed Budget Review: Ms. Madlom was available for any questions regarding the preliminary 2008 Proposed Budget review which was included in the packet.

General Update of Activities: The tabletop exercise was held on July 31.

Management/Financial Reports: Included in packet for review by Committee.

Items for County Board Report: Nothing to report.

Motion to adjourn made by Supervisor Dean and seconded by Supervisor Callen. All members present voting aye. Motion carried (7-0).

Meeting adjourned at 5:32 P.M.

Secretary

Table of Contents

Port Washington, Wisconsin

July 24, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Hilber, Bock, Callen and Klemz, Board Members Yokes and Bespalec, Human Services Director Haupt, Public Health Director Madlom, Staff: Frank Peterson, Michelle Pike, Eileen Engl, Ann Conners, County Administrator Meaux and Mary Sampont.

Absent: Board Members Lueders-Bolwerk and Dr. Perez.

Call to Order: Meeting called to order at 3:00 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Public Comment: Supervisor Dean asked for an update on the $5,000.00 donation made by Supervisor Barrow for the pen-based technology.

Approval of Minutes: Motion to approve minutes from July 9, 2007 meeting as received made by Supervisor Callen, seconded by Supervisor Klemz. All members present voting aye. Motion carried. (7-0)

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, made by Supervisor Bock, seconded by Supervisor Hilber. All members present voting aye. Motion carried. (7-0)

Human Services Department Items:

Fill Clinical Social Worker Position: Mr. Haupt requested that due to the impending resignation of the current Clinical Social Worker, the position be filled immediately. Motion to approve filling the Clinical Social Worker position made by Supervisor Dean, seconded by Supervisor Callen. All members present voting aye. Motion carried (7-0)

Increase Foster Home Coordinator Position to 20 hrs/week: Mr. Haupt is asking the Committee/Board to approve increasing the Foster Home Coordinator position from 12 hrs/week to 20 hrs/week due to increase foster home placements. He also informed the Committee/Board that the current staff member would not continue in this position with increased hours and Human Services would need to hire a replacement for this position. Motion to approve the increase of hours to 20/week and to replace the current staff position, base on funding be 80% by the State and 20% from Ozaukee County, made by Supervisor Callen, seconded by Supervisor Klemz. All members present voting aye. Motion carried (7-0)

Appointment to Long Term Care Implementation Team: Anyone interested in becoming part of this should contact Mr. Meaux.

Review of Revised Long Term Care Policies: Mr. Peterson pointed out a few changes from the original draft to include the following: The Community Aids maximum asset eligibility is $5,000 for an individual and $6,000 for a couple. This includes savings accounts, certificates of deposit, checking accounts, IRA’s, money market accounts, stocks, trusts and bonds. The rules pertaining to Medical Assistance divestment apply to these assets. Mr. Peterson also noted that in the case of a Guardian, that Guardian’s assets do not apply, only the person receiving assistance. Mr. Peterson also noted that the wording Home and Community Based Waiver programs was included. It was recommended that this Eligibility Policy be tabled until the next meeting as an action item.

Update on Long Term Care Planning Initiative: Mr. Haupt stated that our Long Term Care Planning consortium has responded to the state’s request for proposals to administer Long Term Care Programs. The Department of Health and Human Services intends to make a decision as to who will be awarded this contract by August 4, 2007.

Question on Updated Draft of 2008 Budget Proposal: There is a 10% increase in the Human Services budget for 2008. About 5% of this increase is attributed to the inability to utilize monies from a fund balance. There was a fund balance for fiscal year 2007. There does not appear to be a fund balance for 2008. Ms. Conners distributed a narrative summary explaining the increased cost over 2007.

Updates on Activities of Ad Hoc Committees: Supervisor Bock announced that the Juvenile Justice Initiatives Committee is meeting on Wednesday, July 25. Supervisor Klemz reported that the Collaboration of Non-profits are going after a grant. They are also working with the Public Works Committee. Deadline is August 29, 2007

Human Services Transportation Conference, Aug. 7, 2007: Penny Siedl from Highway Dept. will be attending.

Family Partnership Initiative Ten Year Anniversary, Aug. 3, 2007: Supervisor Bock and Mr. Haupt will be attending.

Environmental Health/Bioterrorism Report: The beach cleanup program held at Lion’s Den on Saturday, July 21 had a very low turnout. Included in packet for review. The Pandemic Influenza tabletop exercise will be held on Tuesday, July 31, in the Auditorium of the Administration Center. Anyone interested is welcome to attend.

Communicable Disease Year to Date Report: Ms. Madlom distributed a report with a breakdown of the various reportable diseases/diagnosed cases for the individual communities in Ozaukee County.

New Department: WI Dept. of Children and Family Services: Concerns are with the effects that would occur with moving WIC and MCH out of the Division of Public Health.

Imaging of Old Records: Public Health is working with Technology Resources to begin imaging our immunization records. Immunization Administration records are required to be maintained permanently with paper records to be held 10 years. The goal is to begin late summer, early fall. Once this is completed and a maintenance system established, we will image other records in the health department.

Health of Wisconsin July 2007 report: Although Wisconsin’s health overall is good, the state is failing to adequately promote good health for some groups.

Wisconsin’s Twelve Essential Services #6: Director Madlom shared the Essential Service #6, which is to enforce laws and regulations that protect health and ensure safety.

Supervisor Dean and Board Member Bespalec were excused at 5:05 P.M. Vice-Chairperson Klemz concluded the meeting.

Medication disposal/Collection progress/update: Ms. Madlom is working with Detective Taylor from the Ozaukee County Sheriff’s Department in setting up a disposal site at the Highway Department. The tentative date is set for Saturday, October 13, 2007 from 8 A.M. – 12 P.M. Flyers will be distributed and an announcement will be posted to the website encouraging all residents of Ozaukee County to participate in this program of disposing all unused medications that have expired.

Customer appreciation correspondences: Ms. Madlom has been receiving several emails and notes of thanks for the distribution of car seats for the underprivileged. They are very grateful for this program.

Management/Financial Reports: Included in packet for review by Committee. Ms. Madlom reported that the department is in good financial shape.

Motion to adjourn made by Supervisor Hilber and seconded by Supervisor Bock. All members present voting aye. Motion carried (5-0).

Meeting adjourned at 5:30 P.M.

Secretary

Table of Contents

Port Washington, Wisconsin

July 9, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Bob Haupt, Anne Conners, Frank Peterson, Michelle Pike, Tom Meaux, Brad Mueller, Joe Dean, Janice Klemz, John Hilber, Cindy Bock, Dale Bespalec, Carol Lueders Bolwerk, and by speaker phone, Katie Callen.

Call to Order: Meeting called to order at 4:10 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed.

Approval of Minutes: A motion was made by John Hilber with a second by Janice Klemz to approve the minutes from June 19, 2007 meeting. All members voting aye. Motion carried.

Public Comment: Director Haupt discussed the hire of an additional ES worker and family support worker. The support documents for these hires were not signed at the board on the June 19^th meeting. The documents in question were signed by the committee.

Director Haupt informed the board of the FPI ten year anniversary being held in Beaver Dam. Board Members will be sent an agenda for this anniversary meeting and are asked to notify Bob if they are interested in attending.

Human Services Department Items:

Budget Discussion:

The impact of non-family care cases was discussed with background given by Frank Peterson. The department presented a proposal for determining functional and financial eligibility for community aids/county funded clients. The expectation is that applicants who are denied by Family Care will be referred to the department by the Resource Center. The agency would like to impose a policy that limits services to persons or couples with low income and assets. Discussion took place regarding what the state defines as a "couple." The topic of legal guardian was also discussed. It was decided that the department would revise the proposal based on suggestions from the committee.

Family care figures are not set in stone, but the committee was informed that an estimated 40% increase in county levy would be needed to replace the $2 million needed to cover the expected county contribution to implement Family Care. The target year for family care is 2008.

The department will soon be initiating dialogue with the Department of Health and Human Services to preserve Community Aids for non Family Care services in order to reduce the impact on county levy. Statewide organizations such as the Wisconsin Counties Association and the Wisconsin County Human Services Association have provided input to administrators and state legislators on this topic. The current proposal is for a gradual reduction of county contribution over five years. Committee members discussed contacting our local state representatives and a public information campaign.

Grants to non profit agencies – Small grants were not of concern. Committee would like a report from Starting Point of Ozaukee (Formerly the Ozaukee Council), but it was agreed that they are heading in the right direction in fundraising and in services. At least one municipal judge is making referrals to Starting Point. The director of Balance, Inc is working to obtain private contributions for the Summer Recreation program. It is difficult for the non profit agencies to demonstrate outcomes that can prove their services divert clients from requiring public tax dollars to meet their needs.

Bob Haupt recommended that the department maintain our undesignated fund balance unless there are cases of dire consequences. It is thought that the transition to developing Family Care here in Ozaukee County may require utilization of most of our fund balance.

Committee concurred with the department’s 2008 budget plans in the following areas: continue current wait list policy of adding clients only when funding becomes available (in those programs were wait list are allowed by law) ; maintain 2007 long term care level of spending for 2008, with no rate increases (providers have already heard from the care management organization that they will receive no less than current rates paid by the county); reserve a shelter care bed at a cost of $85 per day to reduce youth placement difficulties; use the three year average for alternate care costs for children and youth, because it is the most likely predictor of future cost; partner with schools and non profit organizations to support "in school" services that prevent, shorten and transition residential care placements; transfer half time counselor position to Sheriff department and purchase services of that counselor for DHS when necessary; plan to implement Harmony software without the need for overtime pay; budget for grant writer at the same amount as 2007 ($25,000) with the expectation that the position will be able to demonstrate a benefit before the position is renewed beyond 2008.

Information concerning the need for an additional Foster Care Coordinator position was distributed to the committee for the next meeting.

Committee members were asked to rate the list of possible sources for cuts in the budget if needed and submit their preferences to Bob Haupt.

They also made suggestions for the direction the grant writer could take, from the perspective that the county is a facilitator but not the grant recipient.

Homeland Security grants should be investigated as a possible source of income for providing counseling and psychiatric services to jail inmates.

Next meeting is Tuesday, July 24, 2007, at 3 p.m. (An earlier start was recommended for further budget discussions)

Motion to adjourn was made by John Hilber, seconded by Cindy Bock, and unanimously carried. Meeting ended at 6:15 p.m.

Table of Contents

DRAFT  NOT APPROVED BY THE COMMITTEE

Port Washington, Wisconsin

June 19, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Hilber, Bock, Callen and Klemz, Board Member Yokes, Human Services Director Haupt, Economic Support Supervisor Newby, Public Health Director Madlom, County Administrator Meaux and Mary Sampont.

Excused Absent: Board Members Lueders-Bolwerk, Dr. Perez and Bespalec.

Call to Order: Meeting called to order at 3:30 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from May 22, 2007 meeting as amended made by Supervisor Dean, seconded by Supervisor Bock. All members present voting aye. Motion carried. (6-0)

Public Comment: No public comments.

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, made by Supervisor Dean, seconded by Supervisor Callen. All members present voting aye. Motion carried. (6-0)

Human Services Department Items:

Creation of Additional Part-time Family Support Worker Position: Motion to approve the creation of an additional part-time Family Support Worker position made by Supervisor Bock, seconded by Supervisor Klemz. All members present voting aye. Motion carried (6-0).

Approval to Fill Economic Support Worker Position Vacancy: This has been withdrawn due to employee rescinding her letter of resignation.

Discuss Hiring of Additional Economic Support Worker: Motion to approve the hiring of an additional Economic Support Worker, made by Supervisor Klemz, seconded by Supervisor Bock. It was agreed that the cost of this position should be listed as an expense in our effort to meet the state standards for Aging and Disability Resource Centers. We will request reimbursement for this position from the state. All members present voting aye. Motion carried (6-0).

Change in Policy on Referrals Made to Corporation Counsel: Corporation Counsel Kenealy has sent a memo to the Director in regards to the collection of client fees for indigent persons. State Statutes note that "Responsible parties with no ability to pay and without applicable insurance shall not be pursued for payment". He noted that the Department of Human Services can continue with the referrals and collection process that is currently in place. His office will then determine whether or not to pursue payment.

Set Up Special Meeting to Discuss Long Term Care Policies: There will be a special meeting to review the initial draft of the Human Services Budget with the Health and Human Services Committee. This meeting was scheduled for Monday, July 9 from 4:00 P.M. to 5:30 P.M.

Management/Financial Reports: Nothing crucial at this time.

Certificate of Appreciation: Dr. Lorraine Gauthier: Nine years of Service for Well Child Clinic: Dr. Lorraine Gauthier has provided nine years of volunteer services for the Well Child Clinic. She announced that she would no longer be available to help with this program. Director Madlom presented a Certificate of Appreciation for the Committee Chair to sign.

Environmental Health/Bioterrorism Report: Included in packet for review.

National Clean Beaches Week: Supervisor Callen asked that this be brought to the attention of the Committee. Planning, Resource and Land Management Holschbach developed a proclamation declaring the week of June 29, 2007 as National Clean Beaches Week. This will be presented to the County Board of Supervisors on June 20 for approval. Upon approval, each year, the seven-day period ending on July will be observed as National Clean Beaches Week encouraging Ozaukee County residents to visit, enjoy and protect our greatest natural resource.

Reverse 911/Alert Systems: This is a system that calls out to resident phones to give alert messages. Messages can be sent to select groups or the whole community.

Medication Disposal/Collection: Included in the packet is information on the proper methods for disposal of medications. There currently is not an existing take back system in Ozaukee County. Motion to collaborate with Columbia-St. Mary’s Hospital to develop a public awareness campaign and medication collection and disposal program made by Supervisor Bock, seconded by Supervisor Callen. All members present voting aye. Motion carried (7-0).

Wisconsin’s Twelve Essential Services #5: Director Madlom shared the Essential Service #5, which is to create policies and plans that support individual and community health efforts.

Management/Financial Reports: Included in packet for review by Committee.

General Update of Activities: State Press Release on first bird identified positive for West Nile Virus in Wood County; State press release on State Health Officials encouraging men taking charge of their health: Each member given National Incident Command System Field Guide booklet.

Items for County Board Report:

Motion to adjourn made by Supervisor Hilber and seconded by Supervisor Dean. All members present voting aye. Motion carried (6-0).

Meeting adjourned at 5:17 P.M.

Secretary

Port Washington, Wisconsin

May 22, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Hilber, Bock, Callen, Board Members Yokes, Bespalec and Dr. Perez, Human Services Director Bob Haupt, Public Health Director Madlom, County Administrator Meaux and Mary Sampont.

Excused Absent: Supervisor Klemz and Board Member Lueders-Bolwerk.

Absent: Board Member Dr. Perez.

Others Present: Michelle Pike, Eileen Engle, Frank Peterson, and Anne Connors.

Call to Order: Meeting called to order at 3:30 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from April 24, 2007 meeting as amended made by Supervisor Callen, seconded by Supervisor Bock. All members present voting aye. Motion carried. (6-0)

Public Comment: Supervisor Callen wanted to comment on the ‘County Line’ publication from Ozaukee Council. She felt that this was the best one and she commends them for the excellent work.

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, made by Supervisor Dean, seconded by Supervisor Callen. All members present voting aye. Motion carried. (6-0)

Human Services Department Items:

Resolution to Seek Approval for Responding to a Request for Proposals to Administer Family Care: In the last paragraph change Human Services Board to read Ozaukee County Administrator. Motion to approve as changed, made by Supervisor Bock, seconded by Supervisor Dean. All members present voting aye. Motion carried. (6-0)

Request for Limited Term Employee Social Worker II: Motion to approve made by Supervisor Hilber, seconded by Supervisor Bock. All members present voting aye. Motion carried. (6-0)

Overview of WCHSA Conference: Supervisor Bock gave an update on the Wisconsin Counties Human Services Association Conference and that it was well worth going. Supervisor Hilber stated that he felt it was one of the best conferences he has ever attended. Supervisor Bock also stated that Ozaukee County appears to be on the right track as far as Long Term Reform Support. Supervisor Bock felt that there seems to be a lot of support from Racine and Kenosha counties.

Review of Presentations on Long Term Care Reform/Partnership: Ms. Pike and Ms. Engle reported that Saturday’s session was the least attended, but the people in attendance were the most vocal. There were a lot of concerns and questions asked. The Letter of Agreement between Community Care Organization, Inc. and Lasata Care Center. Corporation Counsel Kenealy felt that the word Agreement should be changed to Intent. Motion to approve the Letter of Intent between Community Care Organization, Inc. and Lasata Care Center, made by Supervisor Bock, seconded by Supervisor Hilber. All members present voting aye. Motion carried. (6-0)

Updates on Activities of Ad Hoc Committees: Minutes from the Ozaukee County Human Services Collaborative (Grant Writing) meeting were distributed. Supervisor Bock gave an update on the Justice Initiatives Committee. She has met with Judge Grundahl, who has expressed an interest in attending the next meeting. She is currently working to get the website up and running. The next meeting is scheduled for Wednesday, May 30 in Room 118.

Assessment of Long Term Care Caseloads: Director Haupt gave an update. Mr. Peterson explained the spend-down procedure to the Committee. Director Haupt suggested holding a separate meeting to cover this particular subject.

4:15 p.m. - Dr. Perez now present. Mr. Peterson, Ms. Engel & Ms. Pike now excused.

Need for Additional HHS Committee Meetings to Discuss Specific Topics: Special meetings to be scheduled on an as needed basis.

Management/Financial Reports: Included in the packet for review by Committee.

Director Haupt and Ms. Connors were excused. Joanne Viesselmann now present.

Child Passenger Safety Education/Inspection: Ms. Viesselmann, Public Health Nurse, was available to answer questions regarding the Child Passenger Safety Seat program. Ms. Viesselmann is a trained technician and would be providing car seats from the grants received. Motion to approve the Child Passenger Safety Seat initiative utilizing the revised checklist with waiver statement was made by Supervisor Callen, seconded by Supervisor Bock. All members present voting aye. Motion carried. (7-0)

Ms. Viesselmann excused.

Environmental Health/Bioterrorism Report: Included in packet for review.

Communicable Disease Quarterly Report: Distributed to Committee/Board members for review.

Public Education Initiatives Progress; Tanning; Smokeless Tobacco: A brochure was included in the packet on the Dangers of Tanning. Director Madlom said that the Department has currently mailed letters enclosed with tanning brochures to all school superintendents and their school nurses, as well as, letters mailed to all county tanning businesses with current statutes attached to address the dangers of youth using tanning beds. She did receive one call of concern regarding the letter. Smokeless tobacco information will also be distributed.

Wisconsin’s Twelve Essential Services #4: Director Madlom shared the Essential Service #4, which is to promote community partnerships to identify and solve health problems.

Management/Financial Reports: Included in packet for review by Committee.

General Update of Activities: EPA Grant Pre-Award Cost and Award Confirmation letter; letter from Christ the King Church; letter from Dentist; Children’s Hospital of WI 2006 report of 800 poisonings; Mr. Yuck stickers are available to clients; table top training exercise July 31; Supervisor Brooks approved the Home Rehab Grant.

Items for County Board Report: Resolution to Seek Approval for Responding to a Request for Proposals to Administer Family Care; Public Health volunteer hours data.

Motion to adjourn made by Supervisor Dean and seconded by Supervisor Bock. All members present voting aye. Motion carried (7-0).

Meeting adjourned at 5:10 P.M.

Secretary

AMENDED

Port Washington, Wisconsin

April 24, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Klemz, Hilber, Bock, Callen, Board Members Yokes, and Lueders-Bolwerk, Human Services Director Bob Haupt, Mike Lappen, Joan Kojis, Public Health Director Madlom, County Administrator Meaux and Mary Sampont.

Absent: Board Members Bespalec and Dr. Perez.

Call to Order: Meeting called to order at 3:30 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from March 20, 2007 meeting made by Supervisor Dean, seconded by Supervisor Bock. All members present voting aye. Motion carried. (7-0)

Public Comment: None

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, made by Supervisor Dean, seconded by Supervisor Bock. All members present voting aye. Motion carried. (7-0)

Human Services Department Items:

Approval to fill positions: Motion to approve filling the position of Psychiatric Nurse-Case Management, made by Supervisor Bock, seconded by Supervisor Callen. All members present voting aye. Motion carried. (7-0). Motion to approve filling the position of the Clinical Social Worker made by Supervisor Hilber, seconded by Supervisor Dean. All members present voting aye. Motion carried. (7-0)

Update on Long Term Care Planning Initiative: At 6:00 P.M. there is a presentation regarding Long Term Reform in the Auditorium for consumers and advocates. There are several additional meetings set up for presentations. The first one being scheduled for Tuesday, May 1 at the Grafton High School and on Saturday, May 19 at Crossroads Church from 9-11 A.M. for the consumers. On May 16 the Human Services Department is scheduled to give a presentation to the County Board.

Update on Grant Writer Initiative: Supervisor Klemz gave an update on the meeting held on April 4 with 8 non-profit representatives. The following were chosen as priorities:

Transportation

Family Strengthening Issues

Assisted Living for Developmental Disabled Individuals

Counseling Services

The next meeting will be to pick out a specific topic to target on. A 3^rd possible meeting will be to prepare and present the grant.

Update on Ad Hoc Committee: Supervisor Bock gave an update on the Ad Hoc Committee. The first meeting is scheduled for April 25 from 3:30-5:30 P.M. At this time the Ad Hoc Committee will decide on an appropriate name for the Committee.

WCHSA Conference on May 9-11: This year the conference will be held in Milwaukee.

Management/Financial Reports: Included in the packet for review by Committee.

Directory Haupt was excused. Dawn Woda, Dan Ziegler and Theo from WI Partnership now present.

Home Rehab Grant Application Approval: This is a Community Development Block Grant for $450,000. This is a forgivable grant spread out over a span of 5 years. The preliminary application is due May 7 and will then go to a modified lottery. Motion to support getting the grant and have Ozaukee County administer the grant, made by Supervisor Hilber, seconded by Supervisor Callen. All members present voting aye. Motion carried. (7-0)

Approval to Fill Position – Office Assistant II: This position is being vacated due to a retirement effective May 31. This is the only full-time position in the clerical area. Motion to fill the position of Office Assistant II, made by Supervisor Callen, seconded by Supervisor Hilber. All members present voting aye. Motion carried. (7-0)

Environmental Health-Bioterrorism Report: This report was included in the packet. The next table top discussion is scheduled for July 31. The topic of discussion will be pandemic.

Skin Cancer/Tanning Beds: It has been suggested that the Public Health Department send letters to businesses, school boards and the local newspapers warning the public of the dangers of excessive use of tanning beds.

Smokeless Tobacco: Information was included in the packet.

Wisconsin’s Twelve Essential Services #3: Director Madlom shared the Essential Service #3, which is to educate the public about current and emerging health issues. This is done by informing elected officials, educators and the public. The Public Health Department implements programs, environmental changes and policy strategies that are known to prevent or delay the onset of chronic disease, or prevent or ameliorate injuries.

Management/Financial Reports: Included in packet for review by Committee.

Items for County Board Report: Presentation of Long Term Care at the May 16 meeting. Public Health volunteer hours data.

Motion to adjourn made by Supervisor Bock and seconded by Supervisor Callen. All members present voting aye. Motion carried (7-0).

Meeting adjourned at 5:12 P.M.

Secretary

Port Washington, Wisconsin

March 20, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Klemz, Bock, Callen, Board Members Bespalec, Yokes, and Perez, Human Services Director Bob Haupt, Business Manager Isacson, Public Health Director Madlom, Assistant Director/Deputy Health Officer DeLuca, County Administrator Meaux and Mary Sampont.

Also Present: Paul Soczynski, Chief Operatoring Officer, Community Care and Barb Moore.

Excused Absence: Supervisor Hilber and Board Member Lueders-Bolwerk.

Call to Order: Meeting called to order at 3:00 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from February 20, 2007 meeting as corrected, made by Supervisor Dean, seconded by Supervisor Callen. All members present voting aye (7-0). Motion carried.

Motion to move to closed session made by Supervisor Callen, seconded by Supervisor Bock. All members present voting aye (7-0). Motion carried. Roll call taken. Committee went into closed session at 3:05 P.M.

Motion to return to open session made by Supervisor Dean, seconded by Supervisor Bock. All members present voting aye (7-0). Motion carried. Committee returned to open session at 3:30 P.M.

Public Comment: Supervisor Callen attended the Joint Finance hearing on March 20.

Approval to Write Off Accounts Less than $50 and More than $50: Supervisor Callen approved the write off accounts for less than $50, and more than $50 to be referred to Corporation Counsel, seconded by Supervisor Klemz. All members present voting aye (7-0). Motion carried.

Human Services Department Items:

Update on Ad Hoc Committee: Supervisor Bock gave an update on the Ad Hoc Committee. Supervisor Bock had a phone discussion with DA Williams, met face-to-face with Judge McCormick. She has compiled a list of people to be invited to joint the Ad Hoc Committee. The first meeting is scheduled for April 25 from 3-5 P.M. Packets were distributed to all members present.

Update on Grant Writer Initiative: Director Haupt, County Administrator Meaux and Supervisor Klemz had a phone conference with Mary McCarthy and she has agreed to accept the position. Director Haupt reported that Mary McCarthy was forwarded a list of interested individuals who expressed an interest in working with Mary. There are 3 2-hour meetings tentatively scheduled to discuss the development of services or programs which may achieve outcomes beneficial. To the mission of the Department of Human Services. The target date is the May meeting for recommendations to be presented to the Committee.

Update on Long Term Care Planning Initiative: Paul Soczynski, Chief Operating Officer, Community Care and Director Haupt will be hosting an informational session on Tuesday, March 20, from 5-7 P.M. at the Port Washington High School. This will be the first Provider update from The Family Partnership, Care Management Coalition. On April 24 there will be a meeting in the Auditorium for the Consumer/Family/Advocate Groups immediately following the Health & Human Services Committee meeting.. The Aging & Disability Resource Center Ad Hoc meeting will be meeting on Friday, March 23 at 10:30 A.M. Supervisor Stern will be leading this meeting.

Management/Financial Reports: Included in the packet for review by Committee. Informational item only. County Administrator Meaux distributed the Testimony of Rob Henken, Director of Milwaukee County Dept. of Administrative Services that was presented to the 2007-2009 State Budget Public Hearing on March 20, 2007.

Directory Haupt and Business Manager Isacson were excused at 4:12 P.M.

Director Madlom expressed her thanks to Assistant Director DeLuca for all her help during her absence.

Environmental Health-Bioterrorism Report: This report was included in the packet. Patty Ruth has met with Ozaukee County funeral directors and is working on developing a Draft Mortuary Plan for mass casualties in the event of a Pandemic.

EPA Sanitary Survey Grant Progress: The EPA has accepted Ozaukee County’s proposal for a sanitary survey of Upper Lake Park beach this summer. An application will now be submitted per protocols.

HPV (Human Papillomavirus): The HPV vaccine is available at this time. It protects against HPV types (6, 11, 16 and 18 which cause cervical cancer and precancerous genital lesions (types 16 and 18) and genital warts (types 6 and 11). HPV vaccine is recommended as a three dose series. It is licensed for females between the ages of 9 years through 26 years. This vaccine is covered by the Ozaukee County medical plan. Limited vaccine is available through the state vaccine program with a $5.00 administrative fee through the Health Dept. The vaccine is free and is not mandated at this time.

Wisconsin’s Twelve Essential Services #2: Director Madlom shared the Essential Service #2, which is to identify, investigate, control, and prevent health problems and environmental health hazard in the community. She informed the Committee what is required under Wisconsin Statutes and what were Ozaukee County’s interventions.

Management/Financial Reports: Included in packet for review by Committee.

General Update of Activities: Literature was distributed for the following: The Wisconsin Public Health Association and the Wisconsin Association of Local Health Departments and Boards annual conference is scheduled for May 23 and 24, 2007 at the Radisson Paper Valley Hotel in Appleton, WI.; Update on Federal Programs; State Officials Guide to Wellness; and the National Association of County and City Health Officials Isolation and Quarantine update.

Items for County Board Report: Presentation of Long Term Care at the May meeting, with a June approval date for vote.

Motion to adjourn made by Supervisor Klemz and seconded by Supervisor Dean. All members present voting aye. Motion carried (7-0).

Meeting adjourned at 5:05 P.M.

Secretary

Port Washington, Wisconsin

February 20, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Dean, Klemz, Hilber, Callen, Board Members Bespalec, Yokes, and Lueders-Bolwerk, Human Services Director Bob Haupt, Long Term Care Manager Peterson, Assistant Director/Deputy Health Officer DeLuca, Information and Assistance Specialist with the Aging & Disability Resource Center Ayres,  Michelle Pike, County Administrator Meaux and Mary Sampont

Excused Absence: Supervisor Bock.

Absent: Board Member Dr Perez

Call to Order: Meeting called to order at 3:30 P.M. by Chairperson Dean.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from January 23, 2007 meeting as corrected, made by Supervisor Hilber, seconded by Supervisor Klemz. All members present voting aye (7-0). Motion carried.

Public Comment: Chairperson Dean welcomed Dr. Dale Bespalec as the newly appointed Board Member of the Health & Human Services Board/Committee.

Approval to Write Off Accounts Less than $50 and More than $50: There was nothing presented to the Committee.

Human Services Department Items:

Approval of Resolution to Seek Funding for an Enhanced ADRC Discussion/Updates: Director Ayres distributed additional information showing estimated projections for ADRC expenditures and revenue. She reported that the State requires a resolution to move forward seeking funding and additional assistance. Ms. Ayres also distributed the power point that she will be presenting to the County Board. The State of Wisconsin will fund ADRC’s. They expect that all of the County levy will continue at the current level. They will give additional funding to operate the ADRC. One of the requirements is that there is to be a lot of publicity. The timeline is estimated to have the doors open for the ADRC by November 1, 2007 and then move into the Care Management component of Family Care January 1, 2008. Motion to adopt the Resolution to Seek Funding for an Enhanced ADRC made by Supervisor Callen, seconded by Supervisor Dean. All members present voting aye. Motion carried (7-0).

Director Ayres excused.

Presentations to Stakeholders of Long Term Care Reform: Director Haupt informed the Committee that they need to start giving presentations to other people who are being affected by Long Term Care Reform. This was broken down into three groups: Policy Committees & Oversight Committees is one group; Providers is one group and actual consumers and advocates is the other group. Director Haupt reported that they are looking into setting up trainings for these groups. There is a providers training scheduled for Tuesday, March 20 from 5-7pm tentatively at the Family Enrichment Center in Grafton. Committee and Board members are encouraged to attend. There is another power-point presentation that highlights Care Management Organizations and the need for reform. Dates to be determined at a later time. Director Haupt would like to present the Care Management Organization to the full County Board at the May meeting.

Updates on Special Needs Funding Request: In spite of the negative article in the newspaper regarding the Department of Human Services failure to assist the young man in question, Director Haupt reported that there had been numerous contacts made with the family in regards to the various areas of needs and his age. A funding slot has become available and we are in the process of assisting this family to find an appropriate personal care provider. This is a good example of why Long-Term Care Reform is necessary.

Update on Designation of Special Needs Shelters: Director Haupt and Ms. Pike are currently working with the school districts in Ozaukee County to try to identify a school as a shelter for people who can not stay in a general shelter. The Superintendent from Port Washington will designate one of the schools as a special needs shelter. Ms. Pike has been in contact with the Red Cross. There is a walk-thru scheduled for Thursday, February 22 with the Port Washington schools. They will meet with Northern Ozaukee schools the following week. Director Haupt stated that the goal is to have a designated shelter in each school district.

Michele Brandner is now present.

Update on Utilization of a Professional for Grant Writer: Administrator Meaux and Supervisor Klemz will re-review the applications and/or resumes to select a candidate that has the strategic background needed to coordinate the collaboration step.. They hope to have a coordinator hired by the next meeting scheduled for March 20.

Update on Implementation of Harmony Software: There was a IGSP Project Status Report included in the packet. Ms. Brandner gave an update on the Harmony Case Management project costs. As of the 3^rd week of January the County formally signed off with Harmony. Adult Services Unit is working on it. The Fiscal Unit is not on as yet. The Department expects to go live July 2007. There were some additional costs due to change orders.

Update on Child Welfare Ad Hoc Committee: There was a memo included in the packet. Supervisor Bock will give a follow-up report at the March 20 meeting.

Ms. Brandner was excused.

New Policy on Annual Rate Increase: Included in packet.

Management/Financial Reports: The Financial Report was included in the packet for review. It was reported that in 2006 the expenditures were $100,00 less than our 2006 budget but we also had a revenue shortfall of $300,000 for fiscal year 2006.

Assistant Director/Deputy Health Office DeLuca and Fiscal Manager Woda, Public Health Nurses Kathy Bleau and Diana Noack are now present at 4:50 P.M. Director Haupt was excused.

Request to Carryover 2006 Funds: Ms. DeLuca distributed the corrected summary reports for the Carryover Funds. Motion to approve carryover 2006 funds made by Supervisor Callen, seconded by Supervisor Hilber. All members present voted aye. Motion carried (7-0).

Environmental Health-Bioterrorism Report: This report was included in the packet.

Year End Report of Communicable Diseases: Included in packet.

Influenza Vaccine Charges: The current fee for adults is $20.00. There were 8,400 vaccines given in 2006. The actual vaccine cost is $12.00. 7,000 have been ordered for 2007. The Committee recommended an increase of $3.00, making the fee $23.00 for the 2007 charges.

Healthy 2010 Ozaukee County Progress Report: Included in packet. Brochures will be distributed to all County Board Supervisors. Ms. DeLuca is asking for input as to who should be receiving the brochure. The full report is on the website. It was suggested that the County Supervisors check it out.

Wisconsin’s Twelve Essential Services #1: Ms. DeLuca distributed "Public Health‘s Twelve Essential Services. Ms. DeLuca educated the attending members on the first essential service which is associated with the core function of assessment.

Dr. Bespalec was excused at 5:25 PM.

Management/Financial Reports: Included in packet for review.

General Update of Activities: The Chili Luncheon was a great success and they raised $880.00. The Department was awarded the Car Seat Safety Grant of $2,500. Used car seats are not recommended due to the uncertainty of their history of use.. Car seats are only good for 6 years. There was a report regarding the importance of the Radon testing in a local newspaper article based on the experience of an Ozaukee County employee. There is no funding available for the Agro Terrorism training therefore it has been cancelled. Emergency Management will write a grant for the training and plans are to provide the conference in late winter of 2007.

There was no closed session.

Motion to adjourn made by Supervisor Klemz and seconded by Supervisor Dean. All members present voting aye. Motion carried (6-0).

Meeting adjourned at 5:40 P.M.

Secretary

Port Washington, Wisconsin

January 23, 2007

The Health & Human Services Board/Committee met in Room A-200 of the Administration Center.

Present: Supervisors Bock, Klemz, Hilber, Callen, Board Member Yokes, and Lueders-Bolwerk, Human Services Director Bob Haupt, Long Term Care Manager Peterson, Assistant Director/Deputy Health Officer DeLuca, County Administrator Meaux and Mary Sampont

Excused Absence: Supervisor Dean.

Absent: Board Member Dr Perez

Call to Order: Meeting called to order at 3:30 P.M. by Acting Chairperson Klemz.

Assurance of Proper Notice: Assurance that the meeting was properly noticed, so noted by Ms. Sampont

Approval of Minutes: Motion to approve minutes from December 19, 2006 meeting as corrected, made by Supervisor Hilber, seconded by Supervisor Callen. All members present voting aye (6-0). Motion carried.

Public Comment: There was a question regarding who is eligible to vote on motions throughout the meeting. The Clerk’s office is currently checking to see how the votes should be handled between the Board and Committee members. Supervisor Hilber announced that at the last Home Program Consortium Board meeting, the committee officially approved the funding for the rehab program. Ms. Deluca gave an update on Public Health Director Madlom and reported that all went well.

Update Regarding the Recruitment of Citizen Members for HHS Board: County Administrator Meaux reported that he had a very interesting dilemma in that he has more qualified applicants than he anticipated. Anyone interested in participating in the decision is more than welcome to contact him.

Approval to Write Off Accounts Less than $50 and More than $50: Motion to approve the write offs as presented to the committee approved by Supervisor Callen, seconded by Supervisor Hilber. Supervisor Callen is requesting that the Committee receive an explanation with a little more detail regarding some of the larger amounts that are to be written off. Business Manager Connors explained what some of the charges were in reference to and informed the committee that the write-offs exceeding $50.00 are being referred to Corporation Counsel for further collection efforts. All members present voting aye (6-0). Motion carried.

Ms. Connors was excused.

Human Services Department Items:

Approval to Fill Certified Nursing Assistant Position: Motion to approve filling the Certified Nursing Assistant Position made by Supervisor Callen, seconded by Supervisor Bock. All members present voting aye (6-0). Motion carried.

Approval to Fill Office Assistant III Position: Motion to approve filling the Office Assistant III Position made by Supervisor Bock, seconded by Supervisor Callen. All members present voting aye (6-0). Motion carried.

Discuss/Approve Resolution to Develop Task Force on Effective Interventions: Supervisor Bock is looking for Ozaukee County to create a task force, which she will need help in determining who should all be on this. The notion is to take a look at what you want your Justice System to look like in your county and ask yourselves what kind of Justice System do you want to have and how could you change it for the better and what are the ramifications for changing it. Motion to approve creating an ad hoc committee for Cost Effective Interventions For Children And Families made by Supervisor Klemz, seconded by Board Member Lueders-Bolwerk. All members present voting aye (6-0). Motion carried.

Discuss/Approve Resolution on the Designation as Adult at Risk Agency: Director Haupt reported that many of these things are being done now. After some discussion it was recommended that this be tabled at this time. It was suggested that this be presented to the Wisconsin Counties Association and the Aging and Long Term Committee.

Search for Grant Writer: Administrator Meaux and Supervisor Klemz interviewed 5 candidates. Supervisor Klemz distributed some grant process notes which points out the steps recommended to pursue future grant opportunities. Director Haupt suggested contacting non-profit agencies, schools, etc. in the area to talk about what we need to do to compile a list of needs and why we would like to pursue additional revenue. There may be a potential special meeting before the next scheduled Health & Human Services Board/Committee meeting.

Status Report on Setting Up Special Needs Shelters: Director Haupt reported that the Red Cross is not responsible for food, cots, blankets, or administration of "Special Needs Shelters". The Department of Human Services has this responsibility. He will be working with the School Ad Councils in each school district and seek their approval to designate a school as a "Special Needs Shelter". At some point decisions will also need to be made as to how these designated shelters will be supplied should we need to keep these shelters open for a few days.

Protocol for Assessing Request for Rate Increases: Included in packet. Informational item only.

Ms. Lueders-Bolwerk excused at 5:15 P.M.

Management/Financial Reports: The Financial Report was included in the packet for review.

Assistant Director/Deputy Health Office DeLuca and Fiscal Manager Woda are now present at 5:20 P.M.

2007 Child Passenger Safety Car Seat Grant: This grant, if awarded, will provide car seats and booster seats to low-income county residents. The 25% match is a soft match, which means Public Health Department can use non-grant related activities in the Maternal Child Health program to support this grant. There would be no impact on the levy. Assistant Director DeLuca handed out information on the new child passenger safety booster seat law. Motion to approve the Child Passenger Safety Care Seat Grant application made by Supervisor Bock, seconded by Supervisor Callen. All members present voting aye (5-0). Motion carried.

Environmental Health-Bioterrorism Report: This report was included in the packet.

Dental Grant: Assistant Director Deluca reported that time is too limited and the Department does not have the necessary infrastructure in place to pursue this grant. The due date is February 5, 2007. There is only 1 dentist in Ozaukee County who is currently accepting Title 19 clients.

Goals and Visions for HHSB/Public Health: Included in packet. These goals and activities were identified at a public health staff meeting in December. After review of the 12 essential services, it is anticipated that there will be no doubt they will provide direction in prioritizing goals for the next 2-3 years.

Management/Financial Reports: Included in packet for review. There will be some grant and bioterrorism monies to carryover. The Department took in more revenue and spent less.

General Update of Activities: Assistant Director Deluca distributed brochure ‘Wisconsin County Health Rankings 2006’ from the University of Wisconsin School of Medicine and Public Health. There will be a chili luncheon on Tuesday, Feb. 13th, 11:30am – 1:30pm in the Auditorium, sponsored by the Ozaukee County Public Health Dept. with proceeds to support Ozaukee 100-Women’s Health Needs. The Public Health Dept. reported 8,300 flu vaccines were given. It was announced that Director Madlom was invited to participate on the the Huiras Family Ozaukee Community Health Clinic Advisory Board. Assistant Director DeLuca is working the Quad Co. Consortium to arrange a conference on AgroTerrorism sometime in March/April.

Items for County Board Report: General update on Grant Writer search; Ad Hoc Task Force on Effective Interventions; 8,300 flu vaccines; Ozaukee 100 Chili Luncheon on Feb. 13; Director Madlom to participate on the Huiras Center Family Ozaukee Community Health Clinic Advisory Board; AgroTerrorism Training.

Motion to move to closed session at 5:45 P.M. made by Supervisor Bock, seconded by Supervisor Hilber.

Roll taken and all members present voted aye (5-0). Motion carried.

Meeting went into closed session.

Motion to adjourn made by Supervisor Bock and seconded by Supervisor Hilber. All members present voting aye (5-0). Motion carried.

Meeting adjourned at 6:50 P.M.

Secretary