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HomeMy WebLinkAbout2020-01-24 Meeting Minutes FRANKLIN COUNTY COMMISSIONERS COMMISSIONER’S Human Services Administrator’s Office David S. Keller, Board Chairman Human Services Building John T. Flannery, Vice President 425 Franklin Farm Lane Robert Ziobrowski, Secretary Chambersburg, PA 17202 www.franklincountypa.gov Hearing Impaired Number: (717) 264-8474 Human Services Administrator Telephone: (717) 261-3893 Stacie M. Horvath FAX: (717) 261-0999 smhorvath@franklincountypa.g ov Franklin County Human Services Block Grant External Committee Meeting Minutes Date: January 24, 2020 Time: 3:00 – 4:30 p.m. Location: Franklin County Human Services Building 425 Franklin Farm Lane Chambersburg, PA 17202 Attendance: Staff Public Voting Committee Staff Carey Freeman Stacie Horvath Missy Reisinger Sheldon Intellectual & Developmental Disabilities Human Services Tuscarora Managed Swartz (IDD) Administrator Care Alliance (TMCA) Pastor John Kratz Christy Briggs Stacy Rowe Faith Based Fiscal Fiscal Community Advocate Thomas Reardon Stacey Brookens Cori Seilhamer Housing/Homelessness MH/IDD/EI Mental Health Community Advocate Michelle Sedgwick April Brown Lori Young Early Intervention (EI) Advocate Drug and Alcohol Intellectual & Specialist Developmental Disabilities Michael Straley Erin Nye Stacy Yurko Drug & Alcohol MH/IDD/EI Information & Referral Advocate Specialist (I&R), 211 & Training Coordinator Douglas Wilburne Sharyn Overcash Criminal Justice Human Services Community Advocate Administrative Assistant Arlene Wiseth Aging Advocate Specialist 1 Acronyms C&Y = Children and Youth D&A = Drug and Alcohol HCP = Healthy Communities Partnership HS = Human Services HSBG = Human Services Block Grant HSDF = Human Services Development Fund I&R = Information and Referral TMCA = Tuscarora Managed Care Alliance MH/IDD/EI = Mental Health/Intellectual & Developmental Disabilities/Early Intervention Meeting Documents/Handouts:  Today’s Meeting Agenda  Meeting minutes from the last meeting, September 12, 2019  Fiscal Report  Human Services Data Warehouse Presentation  Proposed Social Security Disability Changes Could Cut Off Disabled Recipients I. I. Welcome to the Public and Introductions of the New Voting Members Stacie Horvath welcomed everyone to the meeting. Everyone introduced themselves. II. Approval of the 9/12/19 Meeting Minutes  Thomas Reardon approved the minutes. Thomas asked for an addendum regarding missing information for the Healthy Communities Partnership (HCP) conversation regarding the proposed funding request of $18,000 to go to the Strengthening Families Program. An email was sent out on 9/17/2019 with the missing information to the 9/12/2019 minutes. Please see the attached Addendum.  Michelle Sedgwick seconded the motion.  Abstained (Not present at the 9/12/19 meeting or was not a member at the time of the meeting). 1. Carey Freeman (Absent) 2. John Kratz (Recent new member) 3. Michael Straley (Michael was not a member at the time of the meeting) 4. Arlene Wiseth (Recent new member)  The remainder of the individuals voted for the minutes to be approved. III. Jessica Brangaccio/Tuscarora Managed Care Alliance (TMCA) – Presentation of the Data Warehouse Update  The presentation starts with: Where the Dashboards initially started. Where the Dashboards are today. The evolutions that are coming in.  Examples of the current Data Warehouse Dashboards: 1. Drug and Alcohol 2. Mental Health 3. Intellectual & Developmental Disabilities 4. Re-investment Programs 5. Administration  The Data Warehouse is all about data driven decision making. Being able to use your data that you are putting into the systems to actually make decisions for your department and the County.  It is going to promote inter departmental collaboration. See if your interventions work. Does one (1) program work better for a specific population group than another?  The Data Warehouse is not an individual Case Management tool. It is a tool that looks at big groups and big populations details about real people.  It can let department needs predict and improve the future. 2  Currently, looking at funding views to be able to help the departments as a whole. See where the funding is coming from, where the funding is going and where their gaps and needs are.  The details in this presentation are for Franklin County.  All of the departments have their own individual data.  How it works: All of the departments have their own individual data. The data goes into the Data Warehouse where the Data Engineer looks and validates it. Checking for the proper format. Then it goes to Development and Analytics and then to reporting. Every department goes through the same process. The only thing that will change is the initial piece. The Data Warehouse is live and can be accessed twenty-four (24) hours a day, seven (7) days a week, as long as you have a Tableau (software) license and are connected to the County VPN. The five (5) sources are routinely refreshed monthly.  Additional sources are: 1. Children and Youth 2. Aging 3. Early Intervention 4. The Jail 5. Department of Emergency Services (DES) 6. 211 – Call in number for resources 7. Homeless Management Information System (HMIS) – The tracking system that is used to track all of the contacts, demographics information and everything for the homeless population.  The dashboards are 100% customizable, powerful and user-friendly.  The initial investment for the Data Warehouse was $150,000.  Currently, there are five (5) Human Services Data Warehouse Programs that are up and running with seven (7) more to come by the end of 2022, with a total of twelve (12) programs.  Currently in the process of looking at some funding stream views to help each department know where their funding is coming from, where it is going and where their gaps and needs are.  Every department head that has the Data Warehouse will have access. The department heads choose which staff member(s) can have access. County Administration has access. The Commissioners will have access to the Administration Dashboard. IV. Fiscal Review & Planning  Stacy Rowe reviewed the Fiscal Year 19/20 summary of where we are to date and where we are projected to be. Recently received the Fiscal Year 19/20 Allocations. o The base allocation was 6.7 million dollars with a Fiscal Year 18/19 eligible carry-over amount of $155,497 and $581,408 for Fiscal Year 18/19 Mental Health State Forensic Funds. The Mental Health funding is restricted to Mental Health only. o The County is required to contribute 2.7% on all State funded expenditures. For Fiscal Year 19/20 is the estimated amount to be is $186,000. o Year to date, the most current information is through November. The amount spent is a little over 2.5 million dollars. The amount of the projected amount to spend is 7.3 million dollars out of the total 7.5 million dollar allocation. Currently, the projection amount is $118,788 to carry-over into Fiscal Year 19/20. o Intellectual & Developmental Disabilities has a source of monies called Waiver Administration. This money is about fifty (50) percent from the Federal Government and fifty (50) percent from the State. The Federal portion cannot be used for direct services for people with Intellectual Disabilities or Autism. As a result of these constraints, Franklin/ Fulton do not typically use all the allocation for waiver administration. As a result, the IDD program will return the federal portion of the unused funds and then use the state portion for services. 3 o The Federal monies for Intellectual & Developmental Disabilities are not eligible for carry- over. The funding is returned to the State at the end of the year. The projected amount to return is $12,747 for Intellectual & Developmental Disabilities (IDD). V. Stacy Rowe reviewed the Fiscal Year 18/19 Retained Revenue Projects.  The State approved the plan for the following projects along with the funds allocated: o Human Services Development Fund – Community Connections/Human Services Housing in the amount of $83,997. The estimated number of individuals served is 625. Stacie Horvath spoke about Community Connections/Human Services Housing. The idea behind the Community Connections would be an actual department housed under the Human Services Administration. It will assist with the planning, development and implementation, of not only the housing programs, but other resources and community life skill situations. Everything that is fragmented would happen through Stacy Yurko (Connect to Home and the entire Coordinated Entry along with 211). Tracy Radtke through Mental Health. The Community Connections program will connect individuals with available programs and services to ensure their emergent needs are met. The thought is to create this mini department, with four (4) or five (5) individuals working together to expand. To have a solid way for individuals who would be looking for assistance with Housing, utilities and other resources. Community Connections will be presented to Carrie Gray who is the County Administrator. The answer from Carrie will either be a “yes”, which will allow the project to move forward to the Commissioners, or “no”, which means the project will end. If the project continues, it will be around April until the project is fully staffed. The $83,997 will be for the first year, implementation of startup. o Human Services Development Fund - Aging Personal Care Services in the amount of $20,000. The estimated number of individuals served is 10. To be spent by June 30, 2020. o Human Services Development Fund - Strengthening Families Program in the amount of $18,000. The estimated number of individuals served is 120. To be spent by June 30, 2020. o Human Service Development Fund Training Days in the amount of $12,000. The estimated number of individuals served is 500. To be spent by June 30, 2020. Stacy Yurko spoke about Training Days. Training Days is April 15, 2020. Breakfast is at 8:00 a.m. and the sessions will begin at 8:45 a.m. Everyone is welcome to attend. The Keynote Speaker will be Tonier Cain. Tonier is a trauma survivor and is recognized as a trauma informed care expert. There are other sessions planned. Anywhere from what the current trends are; Housing, Early Intervention, Waiver system services, down to Self-Care. Out of the thirteen (13) slots, there is one (1) more slot to fill. Open for registration February 27, 2020 is the goal. o Human Services Development Aging Services – Grandparents Partnership Program in the amount of 8,000. The estimated number of individuals served is 25. To be spent by June 30, 2020. o Human Service Development Fund - Data Warehouse/Children & Youth in the amount of $7,000. This project is on hold due to contract difficulties o Drug and Alcohol - Recovery Outreach and Support in the amount of $6,500. The estimated number of individuals served is 200. To be spent by June 30, 2020. 4  May retain up to five (5) percent of the State funding annually.  The Mental Health Forensic Funding is not eligible for Human Services Block Grant carry-over. These funds are utilized for the Forensic SCR and expansion of the Co-Responder Program. The Forensic SCR will not open until April. This is an eight (8) bed facility for adults. The individuals will be supervised twenty–four (24) hours a day. The location is on Ragged Edge Road, Chambersburg. The main focus for this residence is for individuals coming out of jail or out of State hospitals or those who are at risk coming into those systems.  The Block Grant received a proposal from Aging. Aging could use the $42,000 in Personal Care Services, which would provide 2,270 units and would serve an additional twenty-three (23) individuals. Aging is operating at a large deficit this fiscal year. At this time, they are looking at a deficit totaling $380,000. The $42,000 can help fill the gap in Personal Care Services. The Aging Department is not within the Block Grant, but the Block Grant can support them in certain areas. Aging is very confident the $42,000 can be spent.  If the voting members are not comfortable voting at this point, the question can be asked one (1) more time, via email, with additional ideas to use the $42,000. There would need to be a vote within two (2) to three (3) days.  The proposal allocation of $42,000 was originally set aside for Community Connections.  With the time frame of where they are currently, the full $83,000 cannot be expended by the end of June.  Stacie Horvath asked if anyone had further thoughts for the $42,000. o There was a discussion regarding Respite Care.  There was a comment that there is not any kind of Respite Care and there is a shortage of nursing.  Lori Young spoke about Intellectual & Developmental Disabilities. She said that for children under the age of twenty-one (21) Intellectual & Developmental Disabilities cannot duplicate services covered by Medical Assistance. Respite Care is not covered by Medical Assistance. If the doctor would write the order correctly, they can use what is called Flex, through Home Health Aid. They cannot duplicate that service. If they do, it would be Medicaid Fraud. There is Respite Care in their waivers.  Cori Seilhamer mentioned that Mental Health does offer some Respite Care for children, outside of the home. There are not very many providers for Respite Care. It is generally for emergency purposes to keep children in their homes or prevent further placement outside of the home.  Voting of the $42,000 o Thomas Reardon made the motion to re-direct the $42,000 to Aging for Personal Care Services. o Carey Freeman seconded the motion. o All approved VI. Planning for FY 19/20 Retained Revenue (Stacy Rowe)  In planning for the FY 19/20 monies, the committee will not need to vote until the July/August timeframe.  The estimated $118,788 could grow or it could lessen.  The committee members will need to start setting priorities. The Block Grant Community Members are a very large part of this.  There had previously been an Internal Brainstorming Block Grant Meeting of areas where we saw some need to consider planning for Fiscal Year 19/20. o Stacy Rowe had noted Respite Care. 5 o Stacie Horvath said that the ideas the Internal Block Grant Meeting came up with were ways to continue with Community Connections. This would imply there is a “yes” to go forward with this program.  Operation REACH (April Brown) o Operation REACH is a program that is a partnership between the Mental Health Department, the Drug & Alcohol Department and the Veteran Affair’s Department. It is aimed towards helping Veterans, and to a degree, their families who are struggling with Mental Health and/or Substance Use Disorder. The program can fund a variety of services outside of Mental Health and/or Substance Use Disorder. Comprehensive services such as Mental Health treatment costs as well as Drug and Alcohol costs. Case Management to manage each individual’s needs. Costs to cover some recreational therapy that is built in to a Comprehensive Service delivery model. Housing is the highest utilized service of the program and also the most expensive service. This is a pilot program. Going into Fiscal Year 19/20, they may need supplemental funds to continue the program or additional funds from DDAP. This program can service the Veteran’s families when it comes to Housing.  Critical Time Intervention (Missy Reisinger) o Critical Time Intervention is another idea. It is also an evidence based program. Currently, TMCA is funding the program for Medicaid eligible individuals who interface with some level of Crisis services three (3) or more times. There is a part of the population who has trouble engaging. More often than not, their issues/mental health issues, or just their issues are less than mental health, even though that is what they are labeled. Their issues are actually stresses of everyday life. Missy Reisinger said, they are seeing on the Medicaid side really good results from this evidence based program. The Individuals are using the services. They are engaged and staying engaged. This program can be used for many different populations. For the homeless it is a nine (9) month engagement strategy where there is someone working very closely with the individuals. The second phase, the individuals will take responsibility for themselves.  Stacie Horvath talked about a new Aging initiative that has been released from the State and the Pennsylvania Department of Aging. o This initiative is to help seniors with everyday life. Those under sixty (60) with special needs and seniors over the age of sixty (60). This program is to help seniors with mental health, stresses in life, social isolation, loneliness and suicide prevention. This program is also to help seniors with things like house cleaning, personal care within the home and more. Traci Kline can give additional information on this program.  There was a concern regarding transportation for the seniors and how it is such a huge factor for them. o Stacy Rowe added transportation to the list so Traci Kline can look into this important matter.  Suicide Prevention (Stacey Brookens) o There have been many more suicides and attempted suicides recently reported. o In February, Governor Wolf will be presenting to the General Assembly in regards to increasing funds to focus on prevention, increase awareness and training for Suicide Prevention. o In Franklin County there is a Suicide Prevention Coalition.  Medicare Behavioral Health Service Access (Missy Reisinger) o When you hear complaints about Medicaid, it is often about waiting lists and access. o When you look on Medicare’s website, there are an adequate number of Behavioral Healthcare providers in this area. All of those providers have a waiting list. 6 o If you have Medicare as your primary insurance and Medicaid as your secondary insurance, you need to choose a Medicare accepting provider and not a Medicaid provider. o The retained revenue is to work with the Medicare Provider Network to see if they can expand their access or they can be penalized to give better access to Medicare Eligible individuals. VII. Next Scheduled Meeting: To Be Determined VIII. VIII. Adjournment 1. Pastor John Kratz motioned to Adjourn 2. Carey Freeman seconded the motion 3. All approved 7