consolidated health and human services board …

CONSOLIDATED HEALTH AND HUMAN SERVICES BOARD REGULAR MEETING AGENDA

THURSDAY, DECEMBER 5, 2019 – 6:00 PM

I. Call to Order / Invocation / Pledge of Allegiance Chair Lowder

II. Adoption of Agenda

III. Scheduled Agenda Items

1. 2019 State of The County Health (SOTCH) Report Debbie Bennett

2. Home Health Discussion Patricia Hancock

3. 1480 : 2020 Regular Meeting Schedule - Action Required Dolly Clayton

4. Community Alternative Program Conflict of Interest Protections Policy Action Required

Dolly Clayton

IV. D.S.S. Updates

A. DSS Report of Services - October 2019 Dolly Clayton

V. Health Department Updates

A. Expenditures/Revenues - October 2019 (Action Required) Accreditation Activity 33.6

Patricia Hancock

B. 1478 : Activitities Summary - Oct. 2019 / FY2018019 Patricia Hancock

VI. Consolidated Human Services Updates Dolly Clayton

VII. Adoption of Consent Agenda

A. Health and Human Services Meeting Minutes - 11-07-19 Dolly Clayton

VIII. Public Comments

DECEMBER 5, 2019

Consolidated Health and Human Services Board Regular Meeting of 2

IX. Adjournment

Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019 Presenter: Debbie Bennett Department: Consolidated Health and Human Services Board

3.1 Regular Agenda

ITEM TO BE CONSIDERED

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2019 State of The County Health (SOTCH) Report

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Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019 Presenter: Patricia Hancock Department: Consolidated Health and Human Services Board

3.2 Regular Agenda


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Home Health Discussion

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Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019

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2020 Regular Meeting Schedule Consolidated Health and Human Services 2020 Regular Meeting Schedule

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Board approval.

Attachments:

2020_Meeting_Schedule (DOCX)

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Stanly County Human Services Agency 1000 North First Street, Suite 3

Albemarle, NC 28001

Phone (704) 982-9171 Fax (704) 982-8354

www.stanlycountync.gov

G. David Jenkins, MPA

Health & Human Services Director

Dolly Huffman Clayton, MSW, LCSW

Social Services Director/Assistant

Health & Human Services Director

2020 Regular Meeting Schedule

Month Date Time Location

January 9 6:00 PM Commons Meeting Room

February 6 6:00 PM Commons Meeting Room

March 5 6:00 PM Commons Meeting Room

April 2 6:00 PM Commons Meeting Room

May 7 6:00 PM Commons Meeting Room

June 4 6:00 PM Commons Meeting Room

July No Meeting 6:00 PM Commons Meeting Room

August 6 6:00 PM Commons Meeting Room

September 3 6:00 PM Commons Meeting Room

October 1 6:00 PM Commons Meeting Room

November 5 6:00 PM Commons Meeting Room

December 3 6:00 PM Commons Meeting Room

*All dates the 1st Thursday of each month with the exception of January 9th

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Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019 Presenter: Dolly Clayton, Department: Social Services

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Community Alternative Program Conflict of Interest Protections Policy Action Required Request board approval of attached policy.

Attachments:

CAP - Conflict of Interest Protection Policy (PDF)

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Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019 Presenter: Dolly Clayton, Department: Social Services

4.A Regular Agenda


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DSS Report of Services - October 2019

Attachments:

DSS Report of Services - October 2019 (PDF)

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Expenditures/Revenues - October 2019 (Action Required) Accreditation Activity 33.6 Budget Performance Report thru October 2019

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Board Approval

Attachments:

Budget Performance_Rev-Exp_12-05-19 (PDF)

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Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/Account Account Description Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year TotalFund 110 - General Fund

REVENUEDepartment 3500 - Health Department Revenue

330.10 Health & Humans Services 850,172.00 23,338.00 873,510.00 59,631.57 .00 326,010.94 547,499.06 37 751,988.14330.18 Health & Humans Services 18,600.00 .00 18,600.00 .00 .00 .00 18,600.00 0 19,852.00330.30 Title XIX Medicaid 330,000.00 .00 330,000.00 26,894.46 .00 94,851.33 235,148.67 29 299,430.59330.31 Medicaid Settlement 63,000.00 .00 63,000.00 .00 .00 848.00 62,152.00 1 44,882.69330.33 Title XIX Medicaid- Home Health 425,000.00 .00 425,000.00 21,512.70 .00 146,534.88 278,465.12 34 413,087.49330.38 Medicaid Settlement - Dental 575,000.00 .00 575,000.00 .00 .00 39,603.00 535,397.00 7 594,656.31330.50 Title XIX Medicaid-Dental Health 625,000.00 .00 625,000.00 56,195.68 .00 247,817.73 377,182.27 40 596,422.23330.56 HRSA Grant .00 314,347.00 314,347.00 .00 .00 .00 314,347.00 0 .00411.11 Environmental Health Fees 95,000.00 .00 95,000.00 12,097.45 .00 41,738.05 53,261.95 44 92,406.72412.10 Animal Adoptions & Reclaims 14,000.00 .00 14,000.00 1,900.00 .00 6,360.00 7,640.00 45 15,035.00413.10 Patient Fees 90,000.00 150,000.00 240,000.00 5,767.00 .00 67,418.27 172,581.73 28 152,520.73413.12 Patient Fees-Employee Wellness 12,000.00 .00 12,000.00 660.00 .00 2,800.00 9,200.00 23 11,560.00413.14 Patient Fees-Home Health 1,123,522.00 .00 1,123,522.00 8,937.03 .00 334,748.28 788,773.72 30 1,213,035.09413.16 Patient Fees-Dental 76,883.00 .00 76,883.00 8,534.66 .00 28,425.06 48,457.94 37 87,979.90490.15 Fines And Violations 4,000.00 .00 4,000.00 900.00 .00 1,400.00 2,600.00 35 3,156.00840.17 Donations-Animal Control .00 .00 .00 .00 .00 .00 .00 +++ 519.55840.18 Donations-Dental .00 95,000.00 95,000.00 .00 .00 95,000.00 .00 100 65,000.00890.15 Misc Inc. Env. Health 5,000.00 .00 5,000.00 .00 .00 3,150.82 1,849.18 63 3,230.00890.16 Misc Income Health 3,500.00 .00 3,500.00 39.70 .00 460.63 3,039.37 13 1,548.13890.36 Dental Misc Income .00 .00 .00 .00 .00 .00 .00 +++ 3,756.59890.45 Misc Income Home Health .00 .00 .00 30.00 .00 179.07 (179.07) +++ 164.44990.5110 Fund Balance App Medicaid 15,000.00 .00 15,000.00 .00 .00 .00 15,000.00 0 .00990.5138 Fund Balance App Home Hea .00 95,640.00 95,640.00 .00 .00 .00 95,640.00 0 .00990.5158 Fund Balance App Dental 77,294.00 .00 77,294.00 .00 .00 .00 77,294.00 0 .00

Department 3500 - Health Department Revenue Totals $4,402,971.00 $678,325.00 $5,081,296.00 $203,100.25 $0.00 $1,437,346.06 $3,643,949.94 28% $4,370,231.60REVENUE TOTALS $4,402,971.00 $678,325.00 $5,081,296.00 $203,100.25 $0.00 $1,437,346.06 $3,643,949.94 28% $4,370,231.60

Fund 110 - General Fund TotalsREVENUE TOTALS 4,402,971.00 678,325.00 5,081,296.00 203,100.25 .00 1,437,346.06 3,643,949.94 28% 4,370,231.60EXPENSE TOTALS .00 .00 .00 .00 .00 .00 .00 +++ .00

Fund 110 - General Fund Totals $4,402,971.00 $678,325.00 $5,081,296.00 $203,100.25 $0.00 $1,437,346.06 $3,643,949.94 $4,370,231.60

Grand TotalsREVENUE TOTALS 4,402,971.00 678,325.00 5,081,296.00 203,100.25 .00 1,437,346.06 3,643,949.94 28% 4,370,231.60EXPENSE TOTALS .00 .00 .00 .00 .00 .00 .00 +++ .00

Grand Totals $4,402,971.00 $678,325.00 $5,081,296.00 $203,100.25 $0.00 $1,437,346.06 $3,643,949.94 $4,370,231.60

Run by Lora Lee on 11/15/2019 12:12:13 PM Page 1 of 1

Budget Performance ReportFiscal Year to Date 10/31/19

Exclude Rollup Account

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Adopted Budget Amended Current Month YTD YTD Budget - YTD % Used/Organization Budget Amendments Budget Transactions Encumbrances Transactions Transactions Rec'd Prior Year YTDFund 110 - General Fund

EXPENSEDepartment 4380 - Animal Control 409,237.00 .00 409,237.00 31,281.64 9,713.51 145,419.17 254,104.32 38 127,063.70Department 5110 - General Health 2,783,385.00 173,338.00 2,956,723.00 273,719.18 165,377.16 895,432.00 1,895,913.84 36 805,527.39Department 5138 - Home Health 1,548,522.00 .00 1,548,522.00 141,881.82 470,457.77 484,386.68 593,677.55 62 494,784.06Department 5157 - HRSA Grant .00 314,347.00 314,347.00 16,600.04 18,000.00 16,644.67 279,702.33 11 .00Department 5158 - Dental Clinic 1,354,177.00 95,000.00 1,449,177.00 91,698.58 98,814.68 363,912.15 986,450.17 32 351,518.05Department 5180 - Environment Health 482,121.00 .00 482,121.00 37,398.89 .00 166,174.19 315,946.81 34 156,794.16

EXPENSE TOTALS $6,577,442.00 $582,685.00 $7,160,127.00 $592,580.15 $762,363.12 $2,071,968.86 $4,325,795.02 40% $1,935,687.36

Fund 110 - General Fund TotalsEXPENSE TOTALS 6,577,442.00 582,685.00 7,160,127.00 592,580.15 762,363.12 2,071,968.86 4,325,795.02 40% 1,935,687.36

Fund 110 - General Fund Totals ($6,577,442.00) ($582,685.00) ($7,160,127.00) ($592,580.15) ($762,363.12) ($2,071,968.86) ($4,325,795.02) ($1,935,687.36)

Grand TotalsEXPENSE TOTALS 6,577,442.00 582,685.00 7,160,127.00 592,580.15 762,363.12 2,071,968.86 4,325,795.02 40% 1,935,687.36

Grand Totals ($6,577,442.00) ($582,685.00) ($7,160,127.00) ($592,580.15) ($762,363.12) ($2,071,968.86) ($4,325,795.02) ($1,935,687.36)

Run by Lora Lee on 11/15/2019 12:11:00 PM Page 1 of 1

Budget by Organization ReportThrough 10/31/19

Prior Fiscal Year Activity IncludedSummary Listing

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Stanly County Consolidated Health and Human Services Board Meeting Date: December 5, 2019 Presenter: Patricia Hancock Department: Consolidated Health and Human Services Board

5.B Regular Agenda


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Activitities Summany - Oct. 2019 / FY2018019

Attachments:

Activities Summary_12-05-19 (PDF)

FY2018-19 (PDF)

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ACTIVITIES SUMMARY STANLY COUNTY HEALTH DEPARTMENTJuly 2019 through 2020 July Aug Sept Oct Nov Dec Jan Feb Mar April May June FY Total

Front Desk Check-Ins 1064 1174 1022 1450 4710Telephone Calls (Incoming, Outgoing, Internal) 1013 1124 1045 1005 4187Clinical ServicesFamily Planning 61 53 47 68 229Child Health 23 36 26 70 155Maternal Health 21 16 14 16 67General Clinic Services (immunizations, etc.) 19 38 39 129 225TB Nursing Contacts 19 31 57 82 189STD Screenings 73 76 77 90 316Adult Health Services 219 215 148 411 993Child Lead follow-up 20 17 18 14 69Clinical Services Totals 455 482 426 880 0 0 0 0 0 0 0 0 2243Patients Seen # Clients seen by Nurse Practitioner 249 249 195 256 949 # Clients Seen by Public Health Nurse 136 171 181 559 1047 Average Total Clients seen per day 17 19 19 33 22Outreach ServicesPregnancy Care Management (PCM) (clients served) 75 63 50 32 220Care Coordination For Children (CC4C) (clients served) 98 67 60 72 297Healthy Beginnings 10 18 19 25 72Postpartum/Newborn Homevisits - distinct patients 0 2 0 0 2Outreach Services Totals 183 150 129 129 0 0 0 0 0 0 0 0 591Reportable Disease CasesLTBI 0 3 1 0 4 TB 0 0 0 0 0 HIV 2 0 0 0 2AIDS 0 0 0 0 0Gonorrhea 8 4 6 6 24Chlamydia 31 66 28 33 158Syphilis 1 3 1 1 6Vaccine Preventable Diseases 0 0 0 0 0Foodborne Diseases 4 4 5 4 17Bloodborne Pathogens Diseases 7 4 6 3 20Vector borne Disease 3 9 1 2 15Other Reportable Diseases 1 1 0 1 3Bite Investigation/Rabies follow-up 14 17 16 21 68Reportable Disease Cases Totals 71 111 64 71 0 0 0 0 0 0 0 0 317

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DentalAverage Dental Clinic patients/day 36.11 33.93 27.94 37.8 135.78

Dental Clinic Patients seen in OR 8 13 9 10 40Dental Clinic Patients seen in Office 614 475 447 718 2254Dental Unit Services Totals 622 488 456 728 0 0 0 0 0 0 0 0 2294Lab Services In-House Tests 136 108 111 124 479 Labs Collected Here, Sent to Outside Lab 2,111 2,521 1,927 2,301 8,860Laboratory Totals 2247 2629 2038 2425 0 0 0 0 0 0 0 0 9339WICPatient Caseload 1470 1470 1470 1470 5880Participants Served (unduplicated) 760 672 628 748 2808Statistical Breakdown No. of Clinics 23 22 21 23 89 Appts. Made 424 380 301 393 1498Client Services Appts. Kept 372 349 280 351 1352 Walk-ins Served 388 323 348 377 1436WIC Services Totals 760 672 628 728 0 0 0 0 0 0 0 0 2788Home HealthCurrent Caseload 134 141 140 140 555Admissions 21 22 24 16 83Discharges 7 5 5 8 25Patient Visits RN 252 228 266 319 1,065 HHA 110 113 133 109 465 PT/PTA 380 396 436 434 1,646 OT/COTA 241 230 239 261 971 ST 314 339 318 341 1,312 MSW 2 3 4 3 12 Non-Chargable Visit 20 18 17 17 72Home Health Total Visits 1319 1327 1413 1484 0 0 0 0 0 0 0 0 5,543Vital StatisticsBirths - In County 24 28 23 12 87Births - Out of County Residents 17 17 18 11 63Deaths - In County 52 46 33 43 174Deaths - Out of County Residents 2 4 5 4 15Vital Statistics Totals 95 95 79 70 0 0 0 0 0 0 0 0 339

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Health Education/Health PromotionRelationship building - group 19 20 18 29 86Relationship building - individual 13 15 2 10 40Health communications (presentations, press releases, social media, website, Commons media outlets) 26 33 14 33 106Health Promotion Activity Totals 58 68 34 72 0 0 0 0 0 0 0 0 232

Environmental HealthOn-Site Wastewater Quality Assurance Visits 2 2 5 11 20Total Applications Received 42 55 84 63 244 Soil/Site Evaluations Performed 29 29 50 37 145 %Evaluations Completed w/in 10 days of request 53 61 75 35 56.00 %Existing Insp. Conducted w/in 10 days of request 50 67 80 75 68.00 Total On-site Wastewater visits made 92 114 146 122 474Food & Lodging & Institutions Food and Lodging Inspections Completed 25 50 40 52 167 Total Inspections Site Visits 14 11 4 11 40 New Permits (food service) 0 3 3 9 15WellsApplications Received 14 7 16 19 56 Well Permits Issued 11 6 8 20 45 %Well Application Evaluations Conducted w/in10 Days of Request 92 100 55 80 81.75 Well Site Visits 20 19 15 14 68 Well Grout Inspections 6 6 5 8 25 Samples Collected 51 30 27 18 126Other Child Daycare/Schools Inspections 1 2 3 2 8 Child Lead Exposure- Investigations/Visits 1 1 0 0 2Meth Lab Inspections 0 Investigations/visits 0 0 0 0 0Swimming Pool Inspection Applications Received 0 0 0 0 0 Swimming Pool Inspections/Visits 0 0 0 0 0Tattoo Artist Inspections Applications Received 1 1 3 0 5 Tattoo Artist Inspection 0 1 3 0 4Complaints

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Sewage 1 2 1 0 4 Food 1 1 1 0 3 Wells 0 0 0 0 0 Other 0 0 0 0 0Environmental Health Totals 506 568 624 576 0 0 0 0 0 0 0 0 2274

Animal Control Calls (Incoming, Outgoing and Internal) 185 153 146 158 642 Animal Control Contacts 420 433 253 274 1380 Bite Investigations 22 20 16 19 77Animals placed in shelter 205 163 124 143 635Animals Adopted 167 70 88 108 433 Rabies Testing Cases 0 1 2 2 5 # Dogs Euthanized 6 25 21 8 60 # Cats Euthanized 16 40 4 4 64 Violations 6 3 2 0 11Animal Control Totals 1027 908 656 716 0 0 0 0 0 0 0 0 3307

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Health and Human Services Meeting Minutes - 11-07-19 Insert Brief Description

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Insert Recommended Action

Attachments:

11-07-19_HS Meeting Minutes (PDF)

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CONSOLIDATED HEALTH AND HUMAN SERVICES BOARD REGULAR MEETING MINUTES

THURSDAY, NOVEMBER 7, 2019 – 6:00 PM

Call to Order / Invocation / Pledge of Allegiance The Stanly County Consolidated Health and Human Services Board met on Thursday, November 7, 2019 at 6:00 PM in the Commissioners Meeting Room.

Attendee Name Title Status Arrived

Nancy Smoak Board Member Present

Joan Eudy Board Member Present

Ric Cain Board Member Present

Beth Thomas Board Member Present

Tom Norwood Board Member Present

James Marshall Board Member Absent

Shirley D Lowder Board Member Present

Amy Jordan Board Member Present

Georgette Edgerton Board Member Present

Larry Gibson Board Member Present

Mike Barbee Commissioner Present

Tommy Jordan Commissioner Present

Jann Lowder Board Member Present

Elizabeth Teal Board Member Absent

Michael A Williams Board Member Present

TJ Smith Board Member Present

Laura Harbeson Board Member Present

Kristi Small Present

Director Jenkins called the meeting to order with Ric Cain leading the invocation and pledge of allegiance.

Swearing In of Members / Election of Chair and Vice Chair

Jann Lowder, Dr. Joan Eudy, Larry Gibson, Beth Thomas and Kristi Small participated in a swearing in ceremony where each took their oaths of office. This is Mrs. Small' s first term of office and the others were reappointments. The floor was opened for nominations for Chairman and Vice Chairman of the Board.

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NOVEMBER 7, 2019

Consolidated Health and Human Services Board Regular Meeting Page 2 of 6

Motion: A motion was made by Shirley Lowder to nominate Jann Lowder as Chair of the Consolidated Human Services Board, with a second by Larry Gibson. There were no other nominations. Motion carried by unanimous vote in favor of appointing Jann Lowder as Chair. As newly elected Chair, Mrs. Lowder presided over the remainder of the meeting. She opened the floor for nominations for Vice Chair. Motion: A motion was made by Michael Williams to nominate Ric Cain as Vice Chair of the Consolidated Health and Human Services Board with a second by TJ Smith. There were no other nominations. Motion carried by unanimous vote in favor of appointing Ric Cain as Vice Chair.

Adoption of Agenda

With no amendments to the agenda, Dr. Tom Norwood moved to approve the agenda as presented with a second by Shirley Lowder. Motion carried unanimously.

RESULT: APPROVED [UNANIMOUS]

MOVER: Tom Norwood, Board Member

SECONDER: Shirley D Lowder, Board Member

AYES: Smoak, Eudy, Cain, Thomas, Norwood, Lowder, Jordan, Edgerton, Gibson, Barbee, Jordan,

Lowder, Williams, Smith, Harbeson, Small

ABSENT: Marshall, Teal

Introduction of New Staff

Mrs. Dolly Clayton introduced Courtney Shepherd who began work September 23rd in Family and Children's Medicaid. She then introduced Katie Dick, who started as a Social Worker in Child Protective Services on October 28th and BJ Callicutt who began work in Child Protective Services on November 6th.

Scheduled Agenda Items

1. Energy & Crisis Assistance Programs Presentation_11-07-19

Mrs. Dolly Clayton shared a Powerpoint Presentation on Energy and Crisis Assistance Programs offered at Stanly County D.S.S. She explained each program and reviewed guidelines and income limits. These programs include Emergency Assistance, General Assistance, Crisis Intervention Program Low Income Emergency Assistance Program (LIEAP) and Division of Aging and Adult Services. Mrs. Clayton allowed time for questions and comments and was thanked for her presentation.

2. 1458 : Community Linkages to Care Grant (Action Required)

Jennifer Layton used a powerpoint presentation to present the Community Linkages to Care grant that the Health Department recently applied for in the amount of $275,000.00, which is only available to Health Departments in North Carolina. She discussed the rising rates of infectious diseases, such as Hepatitis C, and the solution of access to education and materials. This grant will provide education and materials to those in need through a supporting community partner. The grant runs from December 2019 to Augusut 2022. Time was allowed for questions and comments from board members and then a motion was made by Dr. Joan Eudy to accept and approve funds upon award with notification being November 8th, with a second by TJ Smith. Motion carried unanimously.

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NOVEMBER 7, 2019



MOVER: Joan Eudy, Board Member

SECONDER: TJ Smith, Board Member




3. Repeal of the Stanly County Board of Health Regulations Governing Compulsory Tuberculin Skin Test Rule

As discussed in the October 3rd meeting, Mr. Jenkins discussed the repeal of the outdated regulation regarding the Compulsory Tuberculin Skin Test rule which is currently no longer recommended by the North Carolina Tuberculosis Branch protocols. After the required 10 day public notice was given, a public hearing was opened by Chair Jann Lowder for anyone to address the board regarding the rule. With no one addressing the board to speak for or against, Chair Lowder turned the meeting back over to Mr. Jenkins. Mr. Jenkins stated per NC G.S. 130A-39, he would like to seek a motion to repeal the Compulsory Tuberculin Skin Test rule. Motion was made by Tommy Jordan with a second by Larry Gibson to repeal the Compulsory Tuberculin Skin Test rule. Motion passed unanimously.


MOVER: Tommy Jordan, Commissioner

SECONDER: Larry Gibson, Board Member




4. Home Health Discussion

Mr. Jenkins stated that in regards to Home Health, the top priority has always been patient care and the employees. He recently has had very involved conversations with Debbie Bailey, Home Health Supervisor and Patricia Hancock, Nursing Director who believe with the availability of Home Health and therapy services through the private sector combined with turnover in staffing, difficulty in recruitment and overall competition for patients, they mutually agree they are no longer able to provide the level of patient care that they strive for. He noted that nationally, turnover rates are around 21% due to rising salaries for LPNs, RNs and PTs. At this point they have halted new admissions and with the most recent staff resignation this past week, this leaves them with two full time nurses, one full time physical therapist, one part-time nurse, one full-time processing assistant and one community health assistant. Mr. Jenkins explained they are evaluating options on retaining the longer tenured staff. In previous Home Health discussions, there have been concerns expressed regarding the availability of pediatric therapy services in the county. Mr. Jenkins shared that he has spoke with Cyndi Secura with Moore Pediatric Therapy Services to verify that they have a location in Albemarle and are actively seeing pediatric patients in Stanly County. Based on this information, Mr. Jenkins asked the Board to support recommendation to the Board of Commissioners a resolution of intent to sell the Home Health Agency which is contingent upon the county receiving acceptable proposals. If the Board of Commissioners pass the resolution to sell, this could possibly be a four to six month process and patients will continue to be seen until discharged.

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NOVEMBER 7, 2019


Beth Thomas asked if Home Health has enough staff to take care of the current case load and Mr. Jenkins explained they are actually in the process now of trying to contract an additional nurse. Laura Harbeson asked if there were any possibility of a merger between an existing local private provider and Stanly County Home Health. Mr. Jenkins shared that those discussions would come after the commissioner's vote on the resolution. Commissioner Jordan stated that as discussed in previous meetings, Home Health is competing with private practices in every aspect of service we provide, even pediatric therapy services, which was once a concern. Michael Williams asked what the contingency plan is should staff leave for other jobs once they hear the agency is up for sale, leaving no one to provide care for current patients. Mr. Jenkins answered that the department would have to "scramble" to hire contracted nurses to provide care which would come at an extreme cost and any contract would have to go before the county manager and commissioners for approval because it would require money from Home Health fund balance. He states the current fund balance is $148,569.00 due to utilizing $95,600.00 to cover contracts for speech services which have been in high demand recently, with hopes that revenues will be coming back in to cover cost. Chair Jann Lowder states that there are assets, and to support this discussion and allowing the commissioners to proceed, they do have negotiating power, and the Consolidated Health and Human Services Board does not. She continued, she hopes the commissioners would be involved in the negotiating process and not just hand this to the County Manager, but continue to stay involved. Beth Thomas asked at what point would the current patients be given an opportunity to choose alternative care. Patricia Hancock, Nursing Director, states that they currently have a case load of 134 clients, 44 being nursing clients. They are currently trying to take nursing patients who only need supplies, and link them with companies who can provide those supplies without having nurse visits, in hopes that they can get the case load down to a manageable level for the two nurses that are left. She shared those two remaining nurses are having to take on-call duties alternating every other week. She stated that once a decision is made to sell, they would start a conversation with patients about the process and help them transfer to another agency if they choose. Nancy Smoak asked what will happen to the nursing staff if the agency is closed. Mrs. Hancock explained that we currently have two full time and one part time nurse. She shared that we do have an upcoming vacancy in the clinical unit of the Health Department and if they were interested in that, they would certainly be considered for that position, and every effort would be made to secure employment for remaining staff either with the purchasing agency or another county position, but clarified nothing is guaranteed. Beth Thomas shared that in her line of work, being in and out of homes, she has always heard good things about the agency and the great work they do. Chair Lowder also took a moment to address Home Health staff who were present stating she appreciates everything they have done, the extra work they have put in to answer all their questions and search for efficiency to try to make it work. After questions and discussion by the Board, a motion was made by Commissioner Tommy Jordan with a second by Michael Williams to recommend the approval of the Resolution of Intent to Sell the Home Health Agency. Motion carried unanimously.

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NOVEMBER 7, 2019



MOVER: Tommy Jordan, Commissioner

SECONDER: Michael A Williams, Board Member




D.S.S. Updates

A. DSS Report of Services - September 2019

Mrs. Dolly Clayton gave the DSS update stating that revenue is at 10% with expenditures at 21% through September, 2019 and reviewed the Report of Services included in their packet. She took a moment to recognize excellent work by staff: Food and Nutrition services were able to move a huge load of boxes for scanning; Unexpected Medicaid audit, currently processing the review of findings; September they held an eligibility worker appreciation event. They continue to fill vacancies in Foster Services, Food and Nutrition and Family and Children's Medicaid. They had a performance development plan review in Child Welfare and they continue to review the findings to look for ways for continued improvement. They also had an in-home aide monitoring in October. She reminded Board members that Medicaid transformation will take place in February 2020. Mrs. Clayton shared that in October, they had seven families to complete Model Approach to Partnership and Parenting (MAPP) and after completion of final paperwork, they will have these new foster families to offer service for the children they serve. She shared that due to new federal requirements in child support, all child support workers were fingerprinted at the Sheriff's Department. She closed by stating that she is proud of the staff for their hard work with challenging cases and managing the large case loads they have with limited staff.

Health Department Updates

A. 1462 : Expenitures / Revenue - September 2019 (Action Required)

Mr. Jenkins reviewed the expenditures and revenues which are included on the Budget Summary Report, through September 2019, stating revenue is 25%. He pointed out expenses are a little higher at 33% which he attributes to increased speech therapy services in home health, which was discussed previously. A Motion was made by Commissioner Jordan with a second by TJ Smith to accept as presented the Budget Summary Report. Motion carried unanimously.

B. Activities Summary - Sept. 2019 / FY2018-19

Mr. Jenkins asked Board members if their were any questions in reviewing the Activities Summary Report which is included in their packet. No questions or comments were made.

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Consolidated Human Services Updates

Mr. Jenkins shared that we are working hard to get contracts in place for Medicaid Transformation, and states we are working with Community Care Physician's Network (CCPN) to assist us with Tier 3 to meet those requirements and we hope to have that contract in place soon. Finally, Mr. Jenkins welcomed first term Board member Kristi Small and thanked her for volunteering to serve.

Adoption of Consent Agenda

A motion was made by Dr. Tom Norwood with a second by Larry Gibson to accept the consent agenda as presented. Motion was approved by unanimous vote.


MOVER: Tom Norwood, Board Member

SECONDER: Larry Gibson, Board Member




A. 1467 : HHS Meeting Minutes - 10/03/19

Public Comments

No public members present who asked to speak before the Board.

Adjournment

Motion was made to adjourn the meeting by Shirley Lowder, seconded by Nancy Smoak and unanimously approved by the Board.

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