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Home My WebLink About03-29-2016 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD March 29, 2016 1:00 PM Health Center Health Center - 1445 North 4th St., New Richmond, Wisconsin CALL TO ORDER The March 29, 2016 Special Meeting of the Health and Human Services (HHS) Board was called to order at approximately 1:00 PM by Health and Human Services Board Chair Chris Babbitt. ROLL CALL Attendee Name Organization Title Status Arrived Christopher Babbitt St. Croix County HHS Board Chair Present Heather Logelin St. Croix County Board Member Late 1:15 PM Howard Novotny St. Croix County Supervisor Late 1:30 PM Chris Kilber St. Croix County Supervisor Absent Ron Kiesler St. Croix County HHS Board Vice Chair Present Paulette Anderson St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Lisa Ramsay St. Croix County Board Member Present Deb Rasmussen St. Croix County Board Member Present Others in Attendance: Health and Human Services Director Fred Johnson, Dr. Eric Biltonen from the UW Extension, County Board Chair Roger Larson, County Board Supervisor Dave Ostness, Behavioral Health Supervisor Steve Kirt, Public Health Administrator Deb Lindemann, Aging and Disability Resource Center (ADRC) Administrator Brad Beckman, Economic Support Administrator Ronda Brown, Records Administrator Tammy Wilson, Nursing Home Administrator Sandy Hackenmueller Excused Absences: NA Unexcused Absences: Chris Kilber APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – March 8, 2016 5:30 PM Health and Human Services (HHS) Board Chair Chris Babbitt asked for any corrections or additions to the minutes from the March 8, 2016 HHS Board meeting. With nothing noted a motion was made by Supervisor Anderson to approve the minutes and was seconded by Supervisor Kiesler. A voice vote was taken and the minutes were approved as submitted. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Ron Kiesler, HHS Board Vice Chair AYES: Christopher Babbitt, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber EXCUSED: Heather Logelin, Howard Novotny PUBLIC COMMENT No public comment. BUSINESS ITEMS 1. Health and Human Services Board Priorities for At-Risk Populations Dr. Eric Biltonen led the Health and Human Services Board and the Health and Human Services Division Administrators through activities aimed at identifying and establishing priorities for the Health and Human Services Board. The process and the results are highlighted below. Health and Human Services Board Priorities for At-Risk Populations March 29, 2016 1:00 PM Health Center Room 102 1445 North 4th St., New Richmond, Wisconsin SWOT Analysis: Results of the SWOT analysis clarify various issues the organization may need to address moving forward - either as a strength to enhance or a weakness to overcome. 1. Introduction and Expected Output (5 Minutes) 2. SWOT Analysis (40 Minutes) 2.1. Strengths (Internal) - What is being done well? What are the assets? 2.2. Weaknesses (Internal) - What could be improved? 2.3. Opportunities (External) - What changes are happening outside of the organization that might help you fulfill your purpose? 2.4. Threats (External) - What changes are happening outside of the organization that might undermine or prevent you from doing your work? 3. Cross Analysis to Identify Strategic Issues (40 Minutes) Strategic: “Relating to the identification of long-term or overall aims and interests and the means of achieving them.” Consider: What are the consequences of not resolving each issues. Which ones are most urgent? Combine: Should some issues be addressed jointly? Order: Is there a natural order for dealing with certain issues? 3.1. Make the most of your strengths? 3.2. Circumvent your weaknesses? 3.3. Capitalize on your opportunities? 3.4. Manage your threats? Cross Analysis Matrix Opportunities Threats Strengths Weaknesses 4. Voting and Wrap-up (5 Minutes) Health and Human Services Board Priorities for At-Risk Populations March 29, 2016 1:00 PM Health Center Room 102 1445 North 4th St., New Richmond, Wisconsin GROUPS Group 1: Heather Logelin, Sandy Hackenmueller, Dave Ostness, Chris Babbitt, Howard Novotny, Ronda Brown, Deb Rasmussen Group 2: Paulette Anderson, Shaela Leibfried, Roger Larson, Deb Lindemann, Steve Kirt, Pat Thompson Group 3: Fred Johnson, Brad Beckman, Tammy Wilson, Lisa Ramsay, Ron Kiesler, Colleen Linder STRENGTHS Group 1 Strong leadership - board chair encourages questions and discussion, “brings the human back to human services.” Cycle of presentations by HHS staff keeps board informed/grounded in the work of HHS Board increasingly focused on health, conversations/presentation are informative for those watching on TV. Board doesn’t micro-manage. Group 2 Committed, engaged, and knowledgeable Experienced, knowledgeable, and organized staff who are a valuable resource to the Board Good representation of County - rural vs urban, young vs old, diverse experience and interests. Group 3 Responsive to legislation Listen to concerns of staff and community Interested in hearing from HHS staff Action oriented Diversity of representation Recorded/Electronics Engaged Commitment ADRC and HHS strong support Exploring to expand service to county residents WEAKNESSES Group 1 Not connected in a way that has made us successful influencing elected officials Not very connected with what’s happening in Madison - legislation/advocacy efforts Not clear about our role in “upstream” work - health promotion, policy re: prevention (vs tx/reimbursement). Not connected with other HHS boards, not leveraging the collective knowledge and experience. Not clear on expectations between meetings. Group 2 Term limits Steep learning curve Difficult to be proactive with constant change and demands. Lack of follow-up from state regarding resolutions. Group 3 Lack of understanding of what HHS does (details) Agendas can be overwhelming - lots to cover Size of HHS difficult to take in Operation/Policy? Need for sub-committee - staff-driven, not board-driven How to interface with HHS staff Length of term - get up to speed then done (turnover) Budget is challenging Location of meetings - taping? Required? Open hearing/joint - low participation OPPORTUNITIES Group 1 Leverage WALHDAB Watch televised meetings of other Boards of Health ACA/Population health => providers will be motivated to partner with county in new and innovative ways. Increased interest in partnerships Collective impact - e.g. advocacy more effective when coordinated, focused. Leverage growing body of knowledge re: ROI on investments in evidence-based prevention. Group 2 Partnering with other counties and organizations; and between departments/divisions ACA - increased funding Increase access to evidence-based practice (can implement what works) CJCC (Community Justice Coordinating Council) More involvement of consumers County Growth Group 3 Look for other ways for open hearing Use of sub-committees CHIP process - further goals for community > broader public input Work with other counties or community organizations. Collaborations? o Schools o Townships o Cities Align Strategic Initiatives with county-wide strategic plan More connection at state level/Federal - be proactive Make services more available - be a leader THREATS Group 1 ACA Impact staffing/financials (decreased flexibility with part-time staff) Aging population = increased demand for services, decreased skilled workforce Lack of public transportation, especially with aging population, low wage workers seeking employment. Threat of decreased funding for workshops providing employment to disabled Increased housing costs. Limited resources for those looking to leave abusive situations. Legislation moves so quickly that we don’t have time to react. Increased number of children in poverty (presume also families in poverty). Group 2 Funding Transportation County growth Global society Major interstate through county Change of leadership at any level: Local, federal, state Divisiveness around “progress and development” - industrial wind turbines, frac sand Climate change Group 3 Funding - state, local - levy limits Wait lists concerns Demographic shift of population, languages Transportation Keeping community engaged - volunteers Staff turnover - Board turnover Border of Minnesota - staff drawn to better wages Outsourcing Keeping up with technology Funding - property tax limits Strategic Issues Votes Group Board leverages knowledge and interest in evidence-based health initiatives and their own relationships/influence to share info with others => catalyze conversation/change 13 1 Create sub-committees to address: state policy/legislation - report to HHS; plan projects for board to work on 12 3 Increase knowledge of funding streams to educate public how it is used (Federal, State, Levy, Billing) 11 3 Strengthen our partnerships (counties, state, feds, community, consumers, businesses, etc.) to assure we have the resources to meet needs. 6 2 Explore staggered terms for board members 5 2 Leverage relationships to get info/build strategic relationships (think about add/needed strategic relationships/memberships). 5 1 Improve follow through/follow-up on Board actions: reporting back from resolutions; professional organizations - WCA, WCHSA, WALHDAB, WPHA 4 2 Develop a long-range (3-5 years) staffing plan to address growth 1 3 RESULT: DISCUSSED-NO ACTION REQUEST FOR FUTURE AGENDA ITEMS Nothing at this time. ANNOUNCEMENTS & CORRESPONDENCE Nursing Home Administrator Sandy Hackenmueller shared that April is Occupational Therapy (OT) month and the Health Center's Rehabilitation Department will be celebrating with a luncheon and ice cream social on April 21, 2016 from 10:00-2:30. For more information contact the Rehab Dept. at 715-246-8297. Board member Heather Logelin announced that a Community Health Dialogue will be held Thursday night at 6:00 PM at the First Lutheran Church in New Richmond . More community involvement would be appreciated. ADJOURN Health and Human Services (HHS) Board Chair Chris Babbitt called this special meeting of the HHS Board adjourned at approximately 2:30 PM DATE OF NEXT MEETING May 10, 2016 @ 5:30 PM in the Government Center Boardroom Hudson