chippewa county

Transcription

chippewa county

CHIPPEWA COUNTY
HEALTH & HUMAN SERVICES BOARD
REGULAR MEETING
MAY 19, 2016
CHIPPEWA COUNTY COURTHOUSE, RM 302
7:45 AM
District 9
Lawrence Willkom
Citizen Rep
John Halbleib
District 1
Harold Steele
District 8
Anson Albarado
Chippewa County
District 3
Matthew Hartman
Citizen Rep
Larry Marquardt
Citizen Rep
James Fenno
Page 1
District 5
Tom Thornton
Citizen Rep
Laura Isaacson
Published 5/12/2016 12:00 AM
Revised 5/18/2016 11:30 AM
Health & Human Services Board
Agenda
Regular Meeting
May 19, 2016
7:45 AM
Chippewa County Courthouse, Rm 302
1.
CALL TO ORDER
2.
ROLL CALL
3.
ELECTION OF CHAIR
4.
ELECTION OF VICE-CHAIR
5.
ESTABLISH REGULAR MEETING DATE/TIME
6.
MEMBERS OF THE PUBLIC WISHING TO BE HEARD
(Comments will be limited to 5 minutes per speaker)
7.
CONSENT AGENDA
(Unless separation of an item is requested, all will be adopted in one motion)
1.
Approve the agenda
2.
Approve the Minutes
Health & Human Services Board - Regular Meeting - Mar 17, 2016 7:45 AM
3.
8.
BUSINESS ITEMS
1.
9.
Schedule next meeting date - June 16, 2016
2015 Public Health Annual Report (Review & Approve) - Angie Weideman
REPORTS
1.
Minutes of Advisory Committees/Boards/Councils (Review)
2.
Policy, Practice, & People - Human Services - Children with Differing Abilities Unit - Erin Craker
3.
Children with Differing Abilities Unit Report - Human Services - Connie Fedie
4.
Director's Program and Financial Report- Public Health - Angie Weideman
5.
Director's Program and Financial Report - Human Services - Larry Winter
6.
Board Orientation of Public Health - Angie Weideman
7.
2016 Scorecard Update - Human Services - Larry Winter
10.
COMMUNICATION
11.
AGENDA ITEMS FOR FUTURE CONSIDERATION
12.
ADJOURN
Chippewa County shall attempt to provide reasonable special accommodations to the public for access to its public meetings, provided reasonable notice of special
need is given. If special accommodations for a meeting are desired, contact the County Clerk’s Office at 726-7980.
Members of the Chippewa County Board of Supervisors who are not members of this committee are entitled to attend this meeting. It is possible that the attendance
Chippewa County
Page 2
Published 5/12/2016 12:00 AM
Revised 5/18/2016 11:30 AM
Agenda
Regular Meeting
May 19, 2016
7:45 AM
of one or more such nonmember Supervisors may create a quorum of some other county board committee, board or commission. Such a quorum is unintended and
the nonmember Supervisors are not meeting for the purpose of exercising the responsibility, authority, power, or duties of any other committee, board or commission.
Chippewa County
Page 3
Published 5/12/2016 12:00 AM
Revised 5/18/2016 11:30 AM
DRAFT
CHIPPEWA COUNTY
HEALTH & HUMAN SERVICES BOARD
REGULAR MEETING
MARCH 17, 2016
7:45 AM
2.
CALL TO ORDER
ROLL CALL
Attendee Name
Lawrence J. Willkom
John Halbleib
Bill Stimeling
Anson Albarado
Doug Ellis
Mike Leisz
Larry Marquardt
Laura Isaacson
James Fenno
Organization
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Title
District 9 (Chair)
Citizen Rep (Vice-Chair)
District 1
District 8
District 12
District 13
Citizen Rep
Citizen Rep
Citizen Rep
Status
Present
Present
Present
Present
Present
Present
Present
Present
Present
Arrived
Departed
8:45 AM
9:20 AM
Others Present: Larry Winter, Human Services Director; Judy Fedie, Interim County Health Officer/Public
Health Director; Pauline Spiegel, Human Services Administrative Assistant; Sue Clemmons, Public Health Fiscal
Manager; Audra Knowlton, Public Health Administrative Assistant; Paul Brenner, Senior Fiscal Manager; Policy,
Practice, and People: Stephanie Abbe, Public Health Nutritionist; Dierdra Lancor, Program Assistant; Barb
Hansen, Hansen's IGA; and Nicci, WIC Consumer.
3.
There were no members of the public wishing to be heard.
4.
CONSENT AGENDA
RESULT:
MOVER:
SECONDER:
AYES:
APPROVED [UNANIMOUS]
Doug Ellis, District 12
Larry Marquardt, Citizen Rep
Willkom, Halbleib, Stimeling, Albarado, Ellis, Leisz, Marquardt, Isaacson, Fenno
1.
Approve the agenda
2.
Approve the Minutes
Health & Human Services Board - Regular Meeting - Feb 18, 2016 7:45 AM
3.
5.
Schedule next meeting date - May 19, 2016
BUSINESS ITEMS
Human Services Program Prioritization approved as ranked by the Health & Human Services Board members.
Chippewa County
Page 1
Published
Packet Pg. 4
Minutes Acceptance: Minutes of Mar 17, 2016 7:45 AM (Consent Agenda)
1.
RESULT:
AYES:
1.
Human Services Program Prioritization Results (Review & Approve) - Larry Winter
Winter reviewed the program rankings. There was little difference in how the Board ranked programs in
comparison to division managers. Winter stated the 2017 budget process is starting and the expectation
is that there will not be an increase in funding. There may be reductions in some areas. He also shared
information about exploration to create efficiency through collaboration with Public Health in the fiscal
area; and also there may be regional opportunities with several other counties for Child Protective
Services and Aging & Disability Resource Center services.
RESULT:
MOVER:
SECONDER:
AYES:
6.
March 17, 2016
7:45 AM
Anson Albarado, District 8
Doug Ellis, District 12
REPORTS
1.
Minutes of Advisory Committees/Boards/Councils (Review)
The minutes of the 02-10-16 Professional Advisory Council, and 03-01-16 Chippewa County Children,
Youth, and Families Committee were reviewed and discussed.
RESULT:
2.
Policy, Practice, & People - Public Health - Nutrition Division - Judy Fedie
Policy, Practice, and People presentation was provided by Public Health's Women Infant & Children (WIC)
Program/Nutrition staff - Stephanie Abbe, Dierdra Lancor, plus WIC vendor Barb Hansen from Hansen's
IGA in Stanley, and WIC consumer Nicci. The focus of the presentation was on the conversion of WIC food
dollar benefits from paper checks to the e-cards that has created great efficiency for WIC staff, WIC
approved retailers, and consumers. WIC is funded by federal dollars.
RESULT:
3.
DISCUSSED
Director's Program & Financial Report - Human Services - Larry Winter
The Human Services Director’s Program and Financial Report was reviewed and discussed.
RESULT:
Chippewa County
DISCUSSED
Nutrition Division Report - Public Health - Judy Fedie
Division/Unit Report: The Public Health Department's division/unit report was provided by Women,
Infants, and Children (WIC) Director Judy Fedie of the Nutrition Division. She shared details of WIC
approved foods.
RESULT:
4.
DISCUSSED
DISCUSSED
Page 2
Published
Packet Pg. 5
Minutes
Regular Meeting
Minutes
Regular Meeting
Director’s Program and Financial Report – Public Health – Judy Fedie
The Public Health Director’s Program and Financial Report was reviewed and discussed. Fedie highlighted
that the current Western Regional Center Director Angela Wiedeman will be the new Public Health
Officer/Director. Discussion held on recent results of the Chippewa County's health ranking in Wisconsin.
RESULT:
6.
Affordable Care Act Update - Human Services - Larry Winter
The 2016 information on the Affordable Care Act was reviewed and discussed.
RESULT:
7.
DISCUSSED
Annual Board of Health Training (Discussion) - Public Health - Judy Fedie
Fedie shared information on plans for a Board of Health training for Wisconsin Association of Local Health
Departments and Board (WALHDAB) to be held later this year that Health & Human Services Board
members are invited to attend. Board members requested to share any training topic suggestions with
her.
RESULT:
7.
DISCUSSED
Final Review of 2015 Scorecard - Human Services - Larry Winter
The 2015 goals and achievements of the Department of Human Services as summarized through the
department scorecard were reviewed and discussed.
RESULT:
9.
DISCUSSED
Annual "Friend of Public Health" Recognition - Judy Fedie
The annual "Friend of Public Health" recognition was awarded to Health & Human Services Board member
and registered pharmacist James Fenno for his dedication and commitment to community involvement
and addressing public health issues, his many years of membership on the Board of Health and
Professional Advisory Committee, as well as his involvement with United Way, American Cancer Society,
Parents against Chemical Abuse of Chippewa Falls, and Family Support Center; plus many other
community contributions.
RESULT:
8.
DISCUSSED
DISCUSSED
COMMUNICATION
Chair Larry Willkom extended appreciation to all the Health & Human Services (HHS) Board members for their
commitment and dedication in serving on this board. A special thanks was also extended to Fedie for doing a
great job as interim Public Health officer/director. Additionally, Winter thanked Stimeling and Ellis (County
Board member representation on HHS Board who are not running for re-election to the County Board) for
their service and engagement on the HHS Board.
8.
Chippewa County
Page 3
Published
Packet Pg. 6
5.
March 17, 2016
7:45 AM
Minutes
Regular Meeting
9.
March 17, 2016
7:45 AM
ADJOURN
Meeting adjourned at 9:35 a.m.
APPROVED [7 TO 0]
James Fenno, Citizen Rep
Anson Albarado, District 8
Willkom, Halbleib, Stimeling, Albarado, Ellis, Marquardt, Fenno
Leisz, Isaacson
RESULT:
MOVER:
SECONDER:
AYES:
AWAY:
Chippewa County
Page 4
Published
Packet Pg. 7
STATEMENT OF EXPLANATION
2015 PUBLIC HEALTH ANNUAL REPORT (REVIEW & APPROVE) - ANGIE
WEIDEMAN
8.1
Angela Weideman, County Health Officer/Public Health Director, will review and ask for
approval of the Department of Public Health's 2015 Annual Report.
Packet Pg. 8
2015
Annual Report
Attachment: 2015 Annual Report Draft (2982 : 2015 Public Health Annual Report (Review & Approve) - Angie Weideman)
8.1.a
Chippewa County Department of Public Health
THIS IS PUBLIC HEALTH
thisispublichealth.org
Packet Pg. 9
2015 was a year of quality improvement for the health department.
As a team, our department was awarded Level III status under
Wisconsin Statutes. This status is rewarded to those health
departments that exhibit at least 14 quality programs and services
provided to their citizens within the state’s health plan. It also
requires the director to be pursuing or have a graduate degree.
We hired a consultant to study our home care program to determine
how we can run more efficiently while maintaining quality care. Of
the 35 recommendations received, over 80% have been
implemented. The home care program also received a
citation-free survey result from our state auditors. In the Nutrition Division, WIC went
electronic with E-WIC so we no longer print checks for clients. This increases efficiency and
quality for those in the program. In public health nursing, I am delighted to add that Carol
Meagher, who has 20+ years in public health nursing, stepped into the Public Health Nurse
Manager role in late December.
In all, it was a great year for us; working with our partners to serve our residents better. As I
look to 2016, this department will hire a new director to lead the team towards continued
improvement. In addition, we will need to tackle a growing number of human health hazard
cases, emerging or re-emerging diseases, and increasing numbers of individuals needing
quality home care. Funding is always a challenge in public health, but one we take head on.
We are committed to serving effectively with the resources we have or can obtain without
undue strain on our citizens.
Thank you for the opportunity to serve the population health needs of this county.
Respectfully Yours,
Public Health
Jen Rombalski, RN, BSN
Director/Health Officer
Vision
“Healthy People in
Healthy Chippewa County Communities”
Mission
“To promote and protect health of
people in Chippewa County”
Packet Pg. 10
8.1.a
2
Chair: Larry Willkom
Vice Chair: John (Jack) Halbleib
Anson Albarado
Doug Ellis
Jim Fenno
Dr. Laura Isaacson
Mike Leisz
Larry Marquardt
Bill Stimeling
Kathy Cernohous
Judy Fedie
Jim Fenno
Dr. Laura Isaacson
Jim Koehler
Linda Lorentz
Karen Maddox
Carol Meagher
Debbie Odden (Jan-Apr)
Jen Rombalski
Angie Weideman
Sarah Zarbock
The pie chart at left shows the
Department's unaudited
expenditures for 2015. Home
Health Care has 50.43% of the
department's expenditures
with General Public Health
next at 16.28%. The total
expenditures for 2015 was
$3,339,224.02.
Packet Pg. 11
8.1.a
3
8.1.a
The Chippewa County Department of Public Health has
successfully passed the state’s health department review.
As a result, the department will increase their level status
from Level II to Level III.
“Local public health staff help make their community a
healthier place in which to live, play, work, and learn,” said
Karen McKeown, State Health Officer. “The department has
an actively engaged and supportive Board of Health (Health
and Human Services Board), and does an excellent job
of connecting and collaborating with their community
partners to meet health needs in the county.”
Larry Willkom, HHSB Chair (Left); Jen Rombalski, PH
Director; receiving the Level III award from Tim Ringhand,
Division of Public Health Regional Director (Right)
The Wisconsin Department of Health Services is required to formally review the operations of all 88
Wisconsin local health departments at the county or municipality level at least every five years. The review
establishes the health department as a level I, II or III agency. A level I agency meets the minimum
requirements and a level III agency meets the maximum requirements established for a local health
department.
Friend of Public Health
The 10 Essential Public Health Services
Health Department Director, Jen
Rombalski presents the “Friend of
Public Health” award to Marcia Kyes
In 2015, the “Friend of Public
Health” award recipient was
Marcia Kyes, RN, Pediatric Nurse
Care Coordinator at the Chippewa
Marshfield Clinic. Ms. Kyes’
compassion, knowledge,
experience, and successful
advocacy for improving the health
and ongoing care for children
including those with special health
care needs, makes her an
outstanding community partner
with Public Health.
CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH EARNS LEVEL III STATUS
The 10 Essential Public Health Services describe
the public health activities that all communities
should undertake and serve as the framework
for the National Public Health Performance
Standards (NPHPS) instruments.
Packet Pg. 12
4
United Way Partnerships
In 2015, Public Health collaborated with two other agencies, Family Support Center and Eau
Claire City-County Health Department, to apply for and receive United Way funding to create
two new initiatives for Chippewa County residents.
Western Region Nurse-Family Partnership
A voluntary, free maternal and childhood health program, Nurse-Family
Partnership gives first-time moms valuable knowledge and support
throughout pregnancy and until their babies reach two years of age.
Partnering first-time moms with caring nurse home visitors empowers
these mothers to confidently create a better life for their children and
themselves.
Bright Starts S.M.I.L.E. Program
River Source Family Center Parent Educators along with Chippewa County
Public Health nurses partnered to receive a United Way grant to provide
families with a Bright Start. This program was created to provide a S.M.I.L.E.
to parents and children and give them opportunities to shine brightly in all
areas of their life. Personal parents as teacher’s visits from parent educators,
parent group connections, screenings, and assistance with resources are just
a few things our new initiative will offer to parents.
Charity Outreach
Thanks to the Chippewa Dental Foundation!
Chippewa County Public Health received $3,000 to
purchase oral health supplies for Women, Infants, and
Children (WIC) families, Prenatal Care Coordination
(PNCC) clients, Nurse-Family Partnership (NFP)
families, along with other families in need of oral
health supplies.
Since 1998, Chippewa County
Public Health has received funds
from Rutledge Charities to assist
clients who “fall through the
cracks” of the health care system.
Assistance with prescription
medications is the most common
identified service. In 2015, help
was given to 13 clients.
Packet Pg. 13
8.1.a
5
Chippewa
County
Adults at Risk
Interdisciplinary
Team
Western WI
Public Health
Readiness
Consortium
Child Death
Review
Multidisciplinary
Team
Children,
Youth &
Families
Committee
Western
Region
Recovery &
Wellness
Consortium
Mentoring/
Workforce
Development
Chippewa
Health
Improvement
Partnership
United Way
Committees
Drug
Endangered
Children
Prevent
Suicide
Nutrition
Advisory
Council-ADRC
HSHS St.
Joseph’s
Hospital
Advisory
Council
Local
Emergency
Planning
Committee
HealthWatch
Chippewa
Valley Care
Coalition
Packet Pg. 14
8.1.a
6
Public health nurses comprise the largest professional segment of the public health workforce.
They have an essential role in improving the population’s health and delivering essential health
services to individuals, families and communities where they live, work, learn and play.
Prenatal Care Coordination (PNCC)
By The Numbers
549
Children Received Fluoride
to Prevent Tooth Decay
(Supplements & Mouth Rinse)
1391
Public Health Nurses help pregnant women get the
support and services they need to have a healthy
pregnancy and baby. PNCC services may include:
•
Monthly visits and personal support
•
Alcohol & tobacco prevention/intervention
•
Preparation for caring safely for baby
In 2015, 51 pregnant women were served through PNCC.
Up-to-Date Immunizations by Age 2
In Chippewa County, 77% of children were up to date with their
immunizations by age two. The State average is 70.5%.
Public Health Nurse Visits
1134
Immunizations Given
Served 841 People
0
WI WINS
Youth Tobacco Sales
by Retailers
168
Cases of Chlamydia Disease
BRIDGES -
Building Responsible Individuals, Dual Protection,
Guidance, Education, and Support
This program aims to “dual protect” against an unwanted
pregnancy and getting a sexually transmitted disease.
•
42 Chlamydia tests given
•
13 people treated with antibiotics
•
99 Plan B given
•
2,250 Condoms Provided
•
19 Pregnancy Tests
Packet Pg. 15
8.1.a
7
8.1.a
Communicable Disease Control
In 2015, 715 cases of diseases were
reported. As a result of follow up, 403
were confirmed cases, 268 were not a
case, and 44 were suspect cases.
Emerging & Re-emerging Infectious Diseases and Local Public Health
New diseases are arising and old diseases are re-emerging as infectious agents evolve and spread as
changes occur in ecology, socioeconomic conditions, and population patterns. In 2015, public health staff
were involved with several emerging and re-emerging diseases including Avian Influenza, Ebola, and
Tuberculosis.
 Avian Influenza
In April 2015, Public Health was notified of a turkey farm in Chippewa County with birds that tested
positive for HPAI H5 influenza. This is a novel (new) influenza virus that has not been found to be
transferred to humans. Public Health monitored workers who had been in contact with the affected birds
offering treatment and education. State and local agencies, along with the business and their employees,
worked closely together on this situation.
 Ebola
Since March 2014, West Africa has experienced the largest outbreak of Ebola in history. The Centers for
Disease Control and Prevention (CDC) and partners have worked to contain this epidemic at its source.
Local public health agencies monitored returning travelers from designated high risk areas as well as
increased our communication with our emergency response and hospital partners.
 Tuberculosis (TB) and Latent Tuberculosis
After two decades of progress toward TB elimination, it appears TB disease and infection is
leveling off. It is important for local public health departments to closely monitor
TB activity in their communities. Chippewa County has seen an increase in
TB infection in 2015 with seven cases identified and case management
services provided, including directly observed therapy (DOT). We also
provided DOT to one case of TB disease.
Packet Pg. 16
8
Access to home health care in Chippewa County is enhanced by our Home Health Care
program and services. Through skilled nursing, personal care, and speech, occupational and
physical therapy, individuals can recover safely at home, right where they want to be.
The Home Care program has been serving clients
in Chippewa County for 49 years…
By The Numbers
268
“We are thankful, as
the nurses and home
health aides go over
and above with extras
for our mother.”
--Mary Beth Ebben
Anna Jaenke, HHA (left) Margaret
Ebben, and Rachel Potaczak, RN (right)
Home Care Survey
On December 3, 2015, surveyors from
the Division of Quality Assurance,
Bureau of Health, completed a recertification
survey at our agency to review continued compliance
with WI Administrative Code DHS 133 and the Federal
Conditions of Participation for Medicare/Medicaid.
Our agency was found to be in compliance and no
citations were issued!
Unduplicated People
Served
79
Average Age of Home Care
Client
2353
Nursing Visits
0
Home Care Survey Citations
3627
Aide Visits
469
During 2015, the Home Care staff and Administrative staff
have phased in electronic forms creating efficiencies.
Additionally, we began electronically communicating
referrals with physicians and therapists, thus speeding the
process of admitting/discharging of patients. This process
also helped us to communicate with hospitals and payors
regarding services.
People Served at
57 Foot Clinics
649
8.1.a
Durable Medical Equipment
Items Loaned Out
Packet Pg. 17
9
Home Care Star Rating
The Centers for Medicare and Medicaid (CMS) have
come out with a new star rating system for home
health providers. The ratings assess quality of patient
care and will incorporate patient survey data in 2016. Chippewa County Home Care received 3 stars. The
ratings summarize an agency’s average performance across nine publicly reported quality measures.
These measures include the following:
Process Measures
1. Initiated patient care in a timely
manner.
2. Provided patient/caregiver drug
education on all medications.
3. Ensured patients received flu vaccine for
the current season.
Outcome Measures
4. Got better at walking or moving around.
5. Got better at getting in and out of bed.
6. Got better at bathing themselves.
7. Was able to engage in activity with less
pain.
8. Experience less shortness of breath.
9. Required acute care hospitalization.
Home Health Consumer Assessment of Healthcare Providers & Systems (HHCAHPS)
HHCAHPS is the first national standardized and publicly-reported survey of home health care patients’
perspectives of their skilled homecare. It is designed to measure the experiences of people receiving
home health care from Medicare certified home health agencies.
HHCAHPS is a 34-item questionnaire and data-collection methodology to measure patients’ perceptions of
their skilled home care. There are 25 “core questions” and 9 “about you” questions on the survey.
Questions cover topics such as communication about care, pain, prescription medication use, the care
received from the home health agency, staying informed about scheduling, and global ratings. Areas
combined for rating include: Care of Patients, Communication between Providers and Patients, and
Specific Care Issues. See the results for the Specific Care Issues Composite below for January 1 through
December 31, 2015. Chippewa County Home Care exceeded the national average!
Packet Pg. 18
8.1.a
10
Environmental health professionals prevent and promote health through inspections of human
health hazards, management of elevated blood lead levels in children, and enforcement of
applicable codes for various facilities in Chippewa County. The goal of the program is to reduce
exposure to food-borne, water-borne or recreational hazards in the community.
Inspection Reports Available Online
By The Numbers
628
Facility Inspections
Conducted
Restaurant inspections are now online
for public viewing. Search Chippewa
County Public Health and click on the
Food Safety and Recreational Licensing
tab and type in a restaurant you would
like to view the latest inspection on.
38
Human Health Hazard
Inspections
59%
Radon Test Results with
High Levels
(99 samples tested)
14
Children (less than age 5)
Received Lead Case
Management
10
Recommended Beach
Advisories or Closures
(10 Beaches regularly tested)
8.1.a
Chippewa County Public Health was able to investigate and
confirm a foodborne outbreak in June 2015 from a catered
wedding reception. The State Department of Health along with
the State Department of Epidemiology worked closely with
Chippewa County Environmental Health staff and verified a
Clostridium perfringens strain resulted in 75 people becoming ill.
The importance of this collaboration indicated we were able to
conclude with the caterer what the cause of the outbreak was and
provide guidance to see it doesn’t happen again.
Packet Pg. 19
11
Public health nutrition focuses on emphasizing the application of food and nutrition
knowledge, policy, and research to the improvement of the health of populations.
“Making the Healthy Choice the Easy Choice”
Women, Infants and Children
Women, Infants and Children (WIC) is the public health
nutrition cornerstone for building healthier women,
infants, children, families and communities.
In 2015, Wisconsin implemented eWIC, a paperless and
convenient way for families to purchase their healthy
WIC-approved foods using an electronic benefit card.
As a result, utilization of the WIC fruit & vegetable
benefit increased and errors resulting in purchase of
unauthorized foods decreased.
By The Numbers
1051
Contracted monthly WIC
Program caseload
1723
Unduplicated number of
women, infants, and children
served
Breastfeeding Peer Counselor Program
The WIC Program continues mother-to-mother support
for breastfeeding by pairing mothers with a
Breastfeeding Peer Counselor.
•
All but one of our breastfeeding outcome
measures in 2015 exceed WI State outcome
measures. Thirteen percent of our WIC-enrolled
moms breastfed to one year or longer while
fifteen percent of all WIC moms in the state
breastfed to one year.
95%
WIC-enrolled babies were
born weighing > 5.5 pounds
81%
Babies Start Out Breastfeeding
40%
Continue 6 months or longer
$835,700+
Revenue to Chippewa County
WIC Program Vendors
•
8.1.a
In 2015, 52 women received peer counselor
breastfeeding support.
Packet Pg. 20
12
Challenge Chippewa
This is the nutrition and physical activity action team of the Chippewa Health Improvement
Partnership (CHIP). Challenge Chippewa completed a new strategic plan for 2015-2018. The
overall goal is to create an environment in Chippewa County that supports and empowers
every resident to make healthy food and beverage choices and to create an environment for
Chippewa County residents that makes physical activity an easy, desirable, affordable, and
accessible choice for all. The Places to Play Guide was promoted (available at
http://www.co.chippewa.wi.us/government/public-health ). During routine well-child care,
Sunrise Family Care Clinic, a partner member of Challenge Chippewa, routinely screens for
sugar-sweetened beverage consumption and distributes books provided by CHIP titled Potter
the Otter Drinks Water.
Fit Families
Fit Families is a successful behavior change program for WIC-enrolled families with 2-4 year old
children, Fit Family Center staff, and the community. Fit Family Care Messages:
•Move More…Watch Less
•Make Every Bite Count…More Fruits/Vegetables
•Make Every Sip Count…More Healthy Beverages
•Eat Healthy, Be Active, Your Kids Are Watching
2014 Fit Family Cohort Outcome Measures
For Children Who Completed, Percent at Recommended Levels at Enrollment and at One Year
Fruit & veg:
≥4/day
Pre
Post
State
Objective
Chippewa
County
Juice:
≤ 6oz/day
Pre
Post
Sweet beverages:
Screen time:
≤1/ week
≤2 hours/day
Pre
Post
Pre
Post
Activity:
≥ 60 min/day
Pre
Post
8.1.a
--
60%
--
75%
--
80%
--
85%
--
N/A
21.4%
57.1%
69.0%
81.0%
66.7%
76.2%
66.7%
92.9%
83.3%
92.9%
Farmer’s Market Nutrition Program (FMNP)
The purpose of the FMNP is to provide WIC-enrolled families fresh,
nutritious, unprepared fruits, vegetables and herbs from approved
Wisconsin farmers markets and farm stands. The WIC FMNP helps grow
community awareness of farm markets, promotes farm to table and eating
local, and increases sales of fruits and vegetables. Authorized Chippewa
County locations included Klinger Farms and the downtown Chippewa Falls
Farmers Market. In 2015, Chippewa County WIC-enrolled families
purchased $3,651 in fresh produce from Wisconsin farmers.
Packet Pg. 21
13
The Western Regional Center for Children and Youth with Special Health Care Needs (WRC)
focuses on improving programs and services through promoting family partnership, medical
home connections, adequate and consistent health insurance, early and continuous
screening, accessible community based services, and transition to adult services.
Western Regional Center (WRC)
The WRC served as the single point of intake for Children
with Differing Abilities for
Human Services for the year.
WRC staff provided intake for
children whose families sought
services through Birth to 3 or
disability waivers. The WRC
completed intakes for 269
children with differing abilities, in 2015.
ForwardHealth
In 2015, health department staff assisted potential
participants with applications and renewals for
Wisconsin’s ForwardHealth programs using ACCESS.
ForwardHealth programs include: Wisconsin Medicaid,
BadgerCare Plus (BC+), Family Planning Waiver and
Wisconsin FoodShare. In total 77 ForwardHealth
applications, 53 food share applications, and 69
applications for BC+ or Family Planning Waivers were
completed with/for county residents.
Wisconsin Sound Beginnings
Wisconsin Sound Beginnings (WSB) is
the state’s Early Hearing Detection and
Intervention (EHDI) Program, ensuring
that all babies born in Wisconsin are screened for
hearing loss at birth, receive timely diagnosis of hearing
loss, and are referred for early intervention. One of the
state’s three Regional Outreach Specialists is housed in
the Chippewa County Department of Public Health. In
2015, 97 infants were screened in their homes.
Approximately 94% were out-of-hospital births that in
prior years would most likely have not received
screening.
By The Numbers
18
Regional Local Health
Agency Partners
152
Services Provided to
Children and Youth
2028
Phone Calls for Referral
150
Unduplicated Households
Served by ForwardHealth
97
Infants Screened for
Hearing Loss
Packet Pg. 22
8.1.a
14
Recognizing staff with 5 or more years of service
Judy Fedie, Nutrition Div Mgr – 29 Years
James Koehler, EH Coordinator – 28 Years
Carol Meagher, RN – 27 Years
Linda Ellis, RN – 26 Years
Sarah Zarbock, HH Div Mgr – 24 years
Sue Cooley, Admin Asst – 19 Years
Dawn Braden, HH Aide – 18 Years
Cheryl Gast, Account Asst – 18 Years
Rose Marsh, Program Consultant – 16 Years
Linda Gilson, RN LTE – 15 Years
Audra Knowlton, Admin Asst – 15 Years
Stephanie Abbe, Nutritionist – 13 Years
Dierdra Lancor, HH Aide – 13 Years
Tanya Sly, Account Asst – 12 Years
Anna Jaenke, HH Aide – 11 Years
Bridgette Stafford, RN – 11 Years
Linda Andresen, LPN – 9 Years
Kim Hoffman, RN – 9 Years
Jenny Lenbom, RN – 9 Years
Pat Westaby, RN – 9 Years
Congratulations for a combined 331 years of service to Chippewa County!
Level III Health Department
Successful Fit Families Audit
Citation-free Home Care Survey
eWIC Implementation
Nurse Family Partnership Program
Department Marketing Plan
Department Comprehensive Communication Plan
Electronic Health Record Implementation
Performance Management Plan
Question, Persuade, Refer (QPR) Suicide Prevention
711 N Bridge Street Room 121, Chippewa Falls, WI 54729
Phone: 715-726-7900 Fax: 715-726-7910
Hours: Monday – Friday, 8:00 a.m. – 4:30 p.m.
www.co.chippewa.wi.us/ccdph
Packet Pg. 23
8.1.a
15
MINUTES OF ADVISORY COMMITTEES/BOARDS/COUNCILS (REVIEW)
9.1
Review of Advisory Committee/Boards/Council Minutes:
March 10, 2016, Aging & Disability Resource Center Board
March 29, 2016, Criminal Justice Collaborating Council
April 5, 2016, Children, Youth, & Families Committee
May 3, 2016, Children, Youth, & Families Committee
Packet Pg. 24
DRAFT
9.1.a
CHIPPEWA COUNTY
ADRC (AGING & DISABILITY RESOURCE CENTER) BOARD
REGULAR MEETING
4:00 PM
1.
2.
CALL TO ORDER
ROLL CALL
Attendee Name
Anson Albarado
David Alley
Paul Nicolai
John Spaeth
Vern Weeks
Mary Quinlan
Susan Peggar
Organization
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Chippewa County
Title
District 8 (Chair)
Citizen Rep
Citizen Rep (Vice-Chair)
Citizen Rep
Citizen Rep
Citizen Rep
Citizen Rep
Status
Present
Present
Present
Present
Present
Present
Present
Arrived
Others Present: Jessica Barrickman, ADRC Manager; Larry Winter, Human Services Director; Pauline Spiegel,
Administrative Assistant; ADRC Options Counselors: Holly Amundson, Sarah Peterlik, and Kathryn White;
Members of the Public: Heather Seibel (for college class); Policy, Practice, & People: Mary Rudd, Elder Benefit
Specialist; Judy Marcellis, ADRC consumer
3.
4.
CONSENT AGENDA
RESULT:
MOVER:
SECONDER:
AYES:
Paul Nicolai, Citizen Rep (Vice-Chair)
John Spaeth, Citizen Rep
Albarado, Alley, Nicolai, Spaeth, Weeks, Quinlan, Peggar
1.
Approve the agenda
2.
Approve the Minutes
ADRC (Aging & Disability Resource Center) Board - Regular Meeting - Jan 14, 2016 4:00 PM
3.
5.
Schedule next meeting date - May 12, 2016
BUSINESS ITEMS
1.
Chippewa County
Aging & Disability Resource Center Program Prioritization (Review & Approve) - Jessica Barrickman
The Aging & Disability Resource Center program prioritization results were reviewed, discussed, and
approved as ranked by Board members.
Page 1
Published
Packet Pg. 25
Attachment: 8.1.1 ADRC Board Minutes 03-10-16 (2984 : Minutes of Advisory Committees/Boards/Councils (Review))
MARCH 10, 2016
9.1.a
ADRC (Aging & Disability Resource Center) Board
RESULT:
MOVER:
SECONDER:
AYES:
2.
Vern Weeks, Citizen Rep
2015 Aging Unit Self-Assessment (Review & Approve) - Jessica Barrickman
The 2015 Aging Unit self-assessment was reviewed, discussed, and approved.
RESULT:
MOVER:
SECONDER:
AYES:
3.
March 10, 2016
4:00 PM
Letter of Intent to Form a New Regional Structure (Review & Approve) - Jessica Barrickman/Larry Winter
Winter provided a history on how regionalization exploration began and formation of the Task Force. He
presented three primary points of this regionalization exploration:
1 - Pepin, Buffalo, and Clark Counties are currently regionalized under one governance, but a county
within this governance can leave (with 120 days notice) to join or form another governance.
2 - At any point in time, the Chippewa County ADRC Board can recommend not to move forward and that
recommendation would be given to the Department of Human Services and the County Administrator.
3 - Winter shared status on Task Force exploration based on recent information but stated that nothing is
set in stone on any level. There are many discussions occurring. The voting action item at this meeting is
just for continuing the regionalization exploration.
Winter and Barrickman reviewed specifics of the Letter of Intent to continue moving forward and outlined
the perimeters the Task Force members are using for guidance to move the effort forward. The goal is to
maintain current staff and services. The regionalization model provides opportunities currently not
existing at the local level, creates depth, and builds on strengths of the current system. Regionalization
would create efficiency, plus resources and funding could be shared. It was noted that board structure
would change. Barrickman shared a very preliminary rough draft of a four county regional flow chart.
Barrickman shared that Eau Claire County has decided not to explore regionalization at this time but
would like the option to do so in the future.
The Board approved the Letter of Intent to continue moving forward in exploration of a new regional
structure.
RESULT:
MOVER:
SECONDER:
AYES:
6.
Susan Peggar, Citizen Rep
REPORTS
1.
Chippewa County
Policy, Practice, & People (Presentation) - Mary Rudd
Page 2
Published
Packet Pg. 26
Minutes
Regular Meeting
9.1.a
ADRC (Aging & Disability Resource Center) Board
March 10, 2016
4:00 PM
Policy, Practice, and People: Policy, practice, and people presentation was provided by Elder Benefits
Specialist Mary Rudd and consumer Judy Marcellis. Mary and Judy talked about the services that Mary has
assisted Judy with and Judy reported how much these services have helped her.
RESULT:
2.
DISCUSSED
Nutrition Advisory Council on Aging Minutes
The Nutrition Advisory Council on Aging minutes were reviewed and discussed.
RESULT:
3.
DISCUSSED
Aging & Disability Resource Center Manager Report (Review/Discuss) - Jessica Barrickman
The Aging & Disability Resource Center’s Manager’s Report was reviewed and discussed. Barrickman
provided an explanation for the areas within the 2015 expenses that were under budget.
RESULT:
4.
DISCUSSED
Aging & Disability Resource Center Board Performance Evaluation Results (Review/Discuss) - Jessica
Barrickman
The Board Performance Evaluation results were reviewed and discussed with feedback requested on
areas for improvement. The survey results indicate Board members are satisfied and no
recommendations were made.
RESULT:
DISCUSSED
7.
COMMUNICATION
8.
9.
ADJOURN
Adjourned at 5:33 p.m.
RESULT:
MOVER:
SECONDER:
AYES:
Chippewa County
Paul Nicolai, Citizen Rep (Vice-Chair)
Page 3
Published
Packet Pg. 27
Minutes
Regular Meeting
9.1.b
DRAFT
CRIMINAL JUSTICE COLLABORATING COUNCIL
REGULAR MEETING
March 29, 2016
7:35 AM
I.
CALL TO ORDER
Chair Cameron called the meeting to order at 7:40 a.m.
II.
ROLL CALL
Attendee Name
Judge Roderick
Cameron
Lawrence Winter
Bill Stimeling
Frank R. Pascarella
Ernan De La Rosa
Jim Kowalczyk
John Manydeeds
Denise Shervey
Karen Hepfler
Louis Eslinger
Melissa
Christopherson
Robert Ferg
Steve Gibbs
Roy Gay
Wendy Stelter
Megan Popenhagen
Vacant
Geri Segal
Robert Igarta
Susan Wolfgram
Cliff Wolterstorff
Steve Norlander
Position
Chair/Chippewa County Presiding Judge or Designee
Vice-Chair/Chippewa County
Department of Human Services Director
Chippewa County Supervisor/
Chippewa County Legal and Law Enforcement Committee
Chippewa County Administrator
Chippewa County Jail Administrator
Chippewa County Sheriff
Regional Office of the State Public Defender
Chippewa County Child Support Director
Chippewa County Clerk of Circuit Court
Outlying Community Chief of Police
Status
Arrived
Present
Present
7:45
Absent
Present
Absent
Absent
Absent
Present
Absent
Present
7:55
Chippewa County Juvenile Court Intake
Present
8:15
Chippewa Falls City Attorney
Chippewa County District Attorney (Shared Membership)
Chippewa County District Attorney (Shared Membership)
Chippewa Falls Chief of Police
Chippewa County Department of Corrections Supervisor
Citizen Representative
Citizen Representative – Jail Chaplain (Shared Membership)
Citizen Representative – Jail Chaplain (Shared Membership)
Present
Present
Present
Present
Present
N/A
Present
Present
Present
Present
Absent
8:00
Others Present: Rose Baier, Criminal Justice Collaborating Council Coordinator; Pauline Spiegel,
Human Services Administrative Assistant; Linda Morning, Chippewa Falls Police Department; Lt.
Matt Kelm, Chippewa Falls Police Department; Dennis Falkenberg, Chippewa County Land
Records; Michael Hoadley, United Way; Laura Baalrud, CHIP; Jesse Peterson, Chippewa Falls
Public Library; Heidi Taylor-Eliopoulos, Chippewa Falls School District; Dave Bebeau, Chippewa
Falls Police Department; Joe Nelson, Chippewa Falls Police Department; Kerry Root, Human
Services Juvenile Intake Worker
Chippewa County
Page 1
Published 03-31-16
Packet Pg. 28
Attachment: 8.1.2 CJCC Meeting Minutes 03-29-16 (2984 : Minutes of Advisory Committees/Boards/Councils (Review))
CHIPPEWA COUNTY
III.
IV.
CONSENT AGENDA
RESULT:
MOVER:
SECONDER:
AYES:
ABSENT:
AWAY:
APPROVED [10 TO 0]
Gibbs
Shervey
Cameron, Shervey, Eslinger, Ferg, Gibbs/Gay, Stelter, Segal, Igarta,
Wolfgram, Wolterstorff
Stimeling, De La Rosa, Kowalczyk, Manydeeds, Hepfler
Winter, Pascarella, Popenhagen, Christopherson
1. Approve the Agenda
2. Minutes of January 26, 2016 Meeting
3. Schedule Next Meeting Date – May 24, 2016
V.
REPORTS
1.
Introduction of New Citizen Representative Member
Susan Wolfgram was introduced as the new citizen member replacing Gary Misfeldt.
RESULT: DISCUSSED
2.
Chippewa County Mapping Project Demonstration and Next Steps
 Larry Winter explained how Human Services is tracking referrals for multiple
Human Services divisions/programs through a mapping application collaboration
project with Dennis Falkenberg of Chippewa County Land Records. This data will
be utilized as a tool for prevention and intervention with community partners
such as law enforcement, River Source Family Center, Chippewa Health
Improvement Project (CHIP), Chippewa Falls Public Library, United Way, Public
Health Department, and Chippewa Falls School District.
 Dennis provided an overview of the application and the data gathered through
this project. Discussion followed on planning the next steps with community
partners in using this data for prevention and intervention. One idea is to pilot a
partner project to target a specific area with prevention activities/programs.
Other agencies’ data could be entered to see how areas overlap. Future plans
involve community and government partners working together to strategically
use resources to focus on root issues. One concept based on an empowerment
model used in La Crosse County is to develop relationships with people within a
targeted area. This creates trust and greater communication (listening to their
needs) with those in that area that can lead to gradual improvement of the area
by community partners and resources working together.
 Pascarella suggested that if there is interest, a model and process needs to be
defined that answers questions (e.g. common goals, how to administer, what are
the needs, etc.)
 Baier stated this fits with Evidence Based Decision Making (EBDM) Policy Team
initiatives, primarily in the change target area of changing Calls for Service (CFS)
codes. This model could be expanded to pilot a program using the mapping data.
The first step is to develop criteria on the use of CFS codes. Currently this is a
subjective process done differently within all county law enforcement
Chippewa County
Page 2
Published 03-31-16
Packet Pg. 29
9.1.b





jurisdictions. There is no training curriculum in place. If the EBDM team chooses
this as a change target to move forward, it could fit in nicely with the above goal.
Eliopoulos definitely sees a partnership/parallel with the geographic component
as their information is organized in the same manner. Another partnership
recently introduced is the school system having building space available to hold
collaborative activities, services, community events, etc.
Wolfgram suggests more discussion and planning with an electronic interactive
presentation by La Crosse County at the next CJCC meeting. We can learn from La
Crosse on how the various data was used. Suggestion made for members and
partners to provide questions ahead of time.
Igarta shared information from his experience when working in California, where
Probation & Parole took the lead to address these kinds of issues and law
enforcement was very involved. From his viewpoint, there must be intentional
commitment by agencies, then a specific plan to connect with community leaders
– success defined by commitment of partners and community. Suggestion to
include employment agencies in the model. Shervey stated that Child Support is
also working on consumers having greater connections with employment
agencies.
Michael Hoadley, United Way, stated they utilize a mapping model showing
resources that can overlap with where the needs are.
Chippewa Falls Police Department offered to provide data for entering into our
mapping system.
CJCC members and the other community partners in attendance all indicated an
interest in proceeding forward in utilizing this data in some kind of partnership
model.
RESULT: DISCUSSED
3.
Chippewa County
Evidence Based Policy Team Updates
A. Pretrial Executive Training Update
Baier attended a Pretrial Executive conference in Colorado, sponsored by the
National Institute of Corrections that focused on maximizing safety, pretrial risk
assessment, and bail changes at state level using a pretrial process. Captain De La
Rosa and Kayce Planert also attended. The Wisconsin State EBDM team was present.
They are on board and moving forward with pretrial reform as a change target.
B. Change Target Progress
There are four EBDM change target workgroups – training on the use of CFS codes,
Deferred Acceptance of Guilty Plea and Intoxicated Driver Intervention Programs ,
jail programming/Huber/electronic monitoring, and high volume criminal justice
system individuals. The workgroups are in the process of gathering and reviewing
data, and looking at program and system improvements around the change target
area. This is a planning phase and implementation takes place in Phase VI. The state
and counties will need to apply for Phase VI. The EBDM Team will create logic models
for each change target at their next meeting in May. An EBDM knowledge survey will
be sent out to gather information about stakeholders’ current knowledge related to
evidence-based decision making. This information will be used to develop a plan to
further educate key stakeholders. The team is also working on a communication plan
to present information to the community and public related to the EBDM initiative.
Baier is also working on writing a federal grant for Drug Court. This is a three year
enhancement grant. If awarded, it will help improve practices within the court.
However, sustainability continues to be a priority.
Page 3
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Packet Pg. 30
9.1.b
9.1.b
4.
Committee Member Agency Updates
 Winter (Human Services) introduced Melissa Christopherson, Children, Youth, &
Families Division Manager (filling Mike Weber’s position on CJCC). Kerry Root,
Juvenile Intake worker, will also attend meetings.
 Baier stated that the Proxy Tool Risk Assessment is fully implemented in all law
enforcement jurisdictions.
 Popenhagen (Probation & Parole) provided information on ACT 79 searches and
stated that Probation & Parole cannot be involved in these searches with law
enforcement.
RESULT: DISCUSSED
VI.
OTHER EMERGING ISSUES
VIII.
Presentation/discussion at May meeting with La Crosse County regarding models that utilize
data from the mapping project in partnership with other agencies/organizations for prevention
and communication activities. Winter will contact La Crosse County. Partners that are not on
CJCC are asked to attend and be part of this presentation/discussion.
IX.
ADJOURN
Meeting adjourned at 8:45 a.m.
RESULT:
APPROVED [14 TO 0]
MOVER:
Gibbs
SECONDER: Shervey
Cameron, Shervey, Eslinger, Ferg, Gibbs/Gay, Stelter, Segal, Igarta, Wolfgram,
AYES:
Wolterstorff, Winter, Pascarella, Popenhagen, Christopherson
ABSENT:
Stimeling, De La Rosa, Kowalczyk, Manydeeds, Hepfler
AWAY:
Chippewa County
Page 4
Published 03-31-16
Packet Pg. 31
RESULT: DISCUSSED
Children, Youth, and Families Committee
Meeting Notes
April 5, 2016
Location:
Chippewa County Courthouse Room 302
Membership:
Attorney - Deb Asher; Chippewa Falls Police Department - Deb Brettingen; Mission
Coalition – Valerie Brooks; Parent/Foster Parent - Tina Buhrow (co-chair); Human
Services Children, Youth, & Families Division Manager – Melissa Christopherson;
Circuit Court Judge - Steve Cray; Manpower Employment Agency – Candi Geist; ;
McDonell Area Catholic Schools - Jeff Heinzen; Marshfield Clinic Pediatrics – Marcia
Kyes; Chippewa Falls Pupil Services - Christine McMasters; United Way – Erica Olson ;
Kim Senn Coaching – Kim Senn; Corporation Counsel - Jim Sherman; Public Health
Department – Angie Wiedeman; Human Services Department - Larry Winter (chair)
Present:
Members Present: Deb Brettingen, Valerie Brooks, Tina Buhrow, Marcia Kyes,
Christine McMasters, Erica Olson, Kim Senn, Jim Sherman
Others Present: Human Services Administrative Assistant – Pauline Spiegel; Chippewa
Falls School District – Sara Radcliff; Chippewa Falls School District Voyageur Program
and Youth Risk Behavior Survey Presentation - Jennifer Griggs-Andress and Mike
Buhrow.
Absent:
Deb Asher, Melissa Christopherson, Steve Cray, Jeff Heinzen, Angie Wiedeman, Larry
Winter
Agenda Item:
Welcome
Co-chair Tina Buhrow welcomed everyone. New member Kim Senn introduced.
Agenda Item:
Presentation by Chippewa Falls School District Voyagers Director
Jennifer Griggs-Andress and Mike Buhrow presented information on the Youth Risk Behavior Survey that
is conducted for middle school and high school youth in the Chippewa Falls School District. This will be
the third year (survey will be distributed May 2016) so there will be enough data to establish trends.
This information is used to make program and curriculum decisions. Questions and responses of the
survey were reviewed and discussed .It was noted that various questions/responses can be cross
referenced for comparison and correlation data. Discussion on adding some questions that would be
helpful in determining additional risky behavior patterns.
Agenda Item:
Trauma Informed Care
 Chippewa County Project Update: Connie Fedie and Melissa Christopherson are at Madison for the
Trauma Project kickoff so Tina Buhrow provided a brief update regarding the Chippewa County
Trauma Informed Care project. For the second component of trauma informed parenting, Tina and
Kim are participating in an intensive parent/foster parent training program April 4 – May 23. Tina is
also being trained as trainer to teach the program in the future. The first meeting was April 4 and
they reported a good diversity of participants.

ACTION: Approve the Trauma Informed Core Implementation Team to be a workgroup under the
Children, Youth, & Families Committee: Discussion on core team being a CYF Committee
workgroup. Motion made by Deb Brettingen to approve this action, seconded by Jim Sherman.
Motion for the Trauma Informed Core Implementation Team to be a workgroup under the Children,
Youth, & Families Committee approved.
1 | P a Packet
ge
Pg. 32
Attachment: 8.1.3 CYF Committee Notes 04-05-16 (2984 : Minutes of Advisory Committees/Boards/Councils (Review))
Date:
9.1.c

Collaboration with Jennifer Andress: Discussion on ways to team with Jennifer utilizing the
information gathered through YRBS in the Trauma Informed Care project. Survey to be given again
in May 2016 and will then have three years of data and be able to establish trends. It was decided to
have Jennifer and Mike present again in June to share the new data and devote the entire meeting
to discussion on utilizing this data and collaborating with the Voyageur Program. Jennifer also
provided information on the various programs coordinated through the Voyager Program. Ideas for
new and creative activities are always welcome. http://cfsd.chipfalls.k12.wi.us/voyagers/

State-wide Update: Tina reported little change occurring at the state level for trauma informed
care. They are working on bringing together all the various pieces/parts. Tina stated she is achieving
and better understanding of how things work at the state/federal level.

Additional Information: Christine and Tina shared how the Chippewa Falls School District reviewed
and rewrote the student code of conduct policy from a trauma informed care perspective.
Reviewers included district stakeholders and a parent. The result is a less harsh/stern, more friendly
(but firm) policy that puts students first. (The two policies – old and new – are attached.)
Agenda Item:
Update on Reaching out to Inactive Members
Jim didn’t have a chance to do this yet but committed to speaking with Judge Cray before the next
meeting.
Agenda Item:
Agenda Items for Next Meeting May 3, 2016
 Trauma Informed Care updates/discussion
 Begin brainstorming Voyager collaboration ideas/activities in preparation for June meeting
2 | P a Packet
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Pg. 33
Meeting Notes
9.1.c
9.1.c
5500 - STUDENT CODE OF CLASSROOM CONDUCT
Respect for law and for those persons in authority shall be expected of all students. This includes
conformity to school rules as well as general provisions of law regarding minors. Respect for the rights of
others, consideration of their privileges, and cooperative citizenship shall also be expected of all members
of the school community.
Respect for real and personal property; pride in one's work; achievement within the range of one's ability;
and exemplary personal standards of courtesy, decency, and honesty should be maintained in the
schools of this District.
The Superintendent of Schools shall establish procedures to carry out Board policy and philosophy, and
shall hold all school personnel, students, and parents/guardians responsible for the conduct of students in
schools, on school vehicles, and at school-related events.
Student conduct on or adjacent to school premises, on school vehicles, and at school-related events and
activities shall be governed by the rules and provisions of the Student Code of Classroom Conduct. In
addition, student conduct on internet-based social media outlets, such as FaceBook, Twitter, MySpace,
YouTube, etc. when such conduct forms a sufficient connection to school or staff, is governed by the
Code of Conduct. This Code of Classroom Conduct shall be reviewed and approved periodically.
Student conduct in the classroom shall be governed by the rules and provisions of the Code of Classroom
Conduct developed in consultation with a committee of School District residents that consists of
parent(s)/guardian(s), students, members of the School Board, school administrators, teachers, pupil
services professionals, and other residents of the School District who are appointed to the committee by
the School Board. The Code of Classroom Conduct shall be adopted by the School Board.
Sec. 120.13, Wis. Stats.
Wis. Admin. Code P.I. 9.03
Wis. Admin. Code P.I. 41
Fourteenth Amendment, U.S. Constitution
20 U.S.C. Section 1681, Title IX of Education Amendments Act
20 U.S.C. Section 1701 et seq., Equal Educational Opportunities Act of 1974
29 U.S.C. Section 794, Rehabilitation Act of 1973
42 U.S.C. Section 2000 et seq., Civil Rights Act of 1964
42 U.S.C. 12101 et seq., The Americans with Disabilities Act of 1990
Vocational Education Program Guidelines for Eliminating Discrimination and Denial of Services,
Department of Education, Office of Civil Rights, 1979
Revised 5/20/10
Revised 2/28/11
Packet Pg. 34
Chippewa Falls Area Unified School District
Bylaws & Policies
9.1.c
Students come first in the Chippewa Falls Area Unified School District. Our schools provide a
positive environment where mutual respect and individual responsibility are learned and
practiced. In order for this to occur, all student behavior should be based on respectful,
responsible, safe and productive actions. Respect for the rights of others, consideration of their
privileges, and cooperative citizenship shall also be expected of all members of the school
community.
Student conduct on school premises, on school vehicles, and at school-related events and
activities, as well as outside school conduct when it negatively impacts students or staff at
school, shall be governed by the rules and provisions of the Student Code of Conduct.
All employees shall share responsibility for supervising the behavior of students and for seeing
that they meet established standards of conduct. In enforcing rules for student conduct, staff
members shall place particular emphasis upon educating students in the ability to manage their
emotions and control their behavior. The Superintendent of Schools shall establish procedures
to carry out Board policy and philosophy.
The Chippewa Falls Area Unified School District does not discriminate against individuals on the
basis of sex, race, religion, national origin, ancestry, creed, pregnancy, marital or parental
status, sexual orientation, or physical, mental, emotional, or learning disability. Federal law
prohibits discrimination in education and employment on the basis of age, race, color, national
origin, sex, religion, or disability.
This Code of Conduct shall be reviewed and approved every 3 years.
Packet Pg. 35
5500 - Student Code of Conduct (*removed the word Classroom)
Meeting Notes
May 3, 2016
Location:
Chippewa County Courthouse Room 302
Membership:
Attorney - Deb Asher; Chippewa Falls Police Department - Deb Brettingen; Mission
Coalition – Valerie Brooks; Parent/Foster Parent - Tina Buhrow (co-chair); Human
Services Children, Youth, & Families Division Manager – Melissa Christopherson;
Circuit Court Judge - Steve Cray; Manpower Employment Agency – Candi Geist; ;
McDonell Area Catholic Schools - Jeff Heinzen; Marshfield Clinic Pediatrics – Marcia
Kyes; Chippewa Falls Pupil Services - Christine McMasters; United Way – Vacant;
Public Health Department – Angie Weideman; Kim Senn Coaching – Kim Senn;
Corporation Counsel - Jim Sherman; Human Services Department - Larry Winter
(chair)
Present:
Members Present: Kim Senn, Candi Geist, Christine McMasters, Deb Brettingen, Tina
Buhrow, Marcia Kyes, Christine McMasters, Jim Sherman, Larry Winter, Angie
Weideman, and Melissa Christopherson
Others Present: Chippewa Falls School District - Sarah Radcliffe; Human Services
Social Worker-Connie Fedie, Circuit Court Judge - Roderick Cameron; and Public
Health Administrative Assistant - Audra Knowlton
Absent:
Deb Asher, Steve Cray, and Jeff Heinzen
Agenda Item:
Welcome
Chair Larry Winter welcomed everyone. Introductions were held.
Agenda Item:
Committee Membership Update
Judge Roderick Cameron will be replacing Judge Steve Cray on the Committee. Larry welcomed Kim
Senn to the Committee.
Agenda Item:
Trauma-Informed Care
 Chippewa County Project Update: Connie and Melissa attended the Trauma-Informed Care Project
kickoff in Madison. An eight-week Trauma-Informed Care parenting series is being offered. The
theme is how trauma affects children. The team will be presenting to the Human Services Fiscal
Staff and Aging and Disability Resource staff the Trauma-Informed Care project and how their
support is vital. Melissa stated there is consumer representation on the team.
Connie shared the Organizational Self- Assessment: Adoption of Trauma-Informed Care Practice.
She reviewed the three focus domains, Number 3-Trauma-Informed, Educated and Responsive
Workforce; Number 5-Create Safe and Secure Environments; and Number 7-Ongoing Performance
Improvement and Evaluation. Connie stated Human Services’ workers deal with secondary trauma
when they work with the clients. Tina asked who took the survey. Currently the team that went to
Madison to train took the survey. Melissa stated they are looking to expand the team in the future.
Larry stated education of the current team is critical before training others. Angie recommends
calling the “consumer” by a different title. Tina stated consumers are called “people with lived
experiences” on the team she serves on.
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Date:
9.1.d
There was money received for the Trauma-Informed Care parenting series for the meal served
before class. Childcare is available while parents attend the class.
Connie will share with the team a presentation from Randy Moss, a psychologist from Alaska, on
developing organizational change.

State-wide Update: Tina co-chairs the Trauma-Informed Care action group. The Wisconsin Office of
Children’s Mental Health has members consisting of people with lived experiences, in addition to
youth on the team. She talked about the three teams and emphasized resiliency. The resiliency
piece strengthens families on the next steps after Adverse Childhood Experiences (ACE) is identified,
teaching people to overcome trauma, and looking to the future.
Agenda Item: Public Health Initiative
 Angie mentioned Chippewa County in collaboration with Eau Claire City-County Health Department
has applied for the Mental Health Matters grant, which is an eight-year grant. Collaboration is with
the two county’s Department of Human Services, law enforcement, and school districts. They
should find out this Friday if awarded the grant. The first year will be the planning stage. There will
be a need to hire a Coordinator and Data Specialist for the project.

The grant for the Nurse Family Partnership (NFP) is currently funded by United Way. Chippewa
County and Eau Claire City-County Health Departments are collaborating to apply for the Families
Foundation Home Visiting grant.
Tina asked if mental health was the number one health ranking for both counties and alcohol misuse
number two. Angie stated they are the same. Angie stated there will be more collaboration
between the two counties, including suicide prevention.
Agenda Item:
2016 Fall Children, Youth, and Families Summit
Larry stated 190 people attended the Summit last year. He asked if the committee would like to hold
the Summit again this year. The consensus of the Committee was to hold another Summit. Topics may
include: Trauma Informed Care - inform the community of the next step; ACE follow up - what the next
steps are utilizing the information they received last year.
Melissa and Deb would like to conduct a Methamphetamine forum in the future to educate the
community.
At a regional meeting last week, Larry met with Secretary Eloise Anderson, WI Department of Children
and Families, on the statistics of the methamphetamine impact for Chippewa, Ashland, Barron, Rusk, St.
Croix, and Washburn Counties and the need for resource help and technical assistance. He shared a
handout showing the numbers.
The Secretary and Governor will be conducting a cabinet tour around the state. Larry is looking to put
together a panel of local partners to communicate with the secretary and governor. The date will be
either July 11 or 12.
Angie believes strongly to instill hope in individuals diagnosed with many ACEs. Tina talked about the
protective factor piece. Deb suggested the need to train Law Enforcement on response to traumainformed care.
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Meeting Notes
9.1.d
Larry would like to have four additional individuals to come forward to help with Summit. This team
would be responsible for the place, food, putting together folders, finding sponsors (e.g. CHIP, Mayo,
DHS, CFSD), etc. Tina and Angie volunteered to share coordination of the team. Melissa may know of
another person from the Trauma Informed Care Team to be on it. Christine volunteered also. The team
will ask Jim if he would serve on it.
Other Communication:
 Larry shared that on May 24, 2016, partners from the La Crosse Area Family Collaborative will be
meeting in the lower level conference room 10 to 11:30 a.m. Larry encourages Committee
members to attend. The funding for the La Crosse Area Family Collaborative is mostly from
foundations in the community without government funding. The Juvenile Justice staff will be
meeting at 7:45 a.m. if this time works better for any members.

Larry stated substance abuse cannot be forgotten along with the need to collaborate on an
evidence-based program. There is interest at the local level for training in the future.
Agenda Item:
Agenda Items for Next Meeting 06-07-06
Jennifer Andress and Mike Buhrow will present updated YRSB data and devote entire meeting to
discussion on using this data to collaborate with Voyager Program.
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Meeting Notes
9.1.d
POLICY, PRACTICE, & PEOPLE - HUMAN SERVICES - CHILDREN WITH
DIFFERING ABILITIES UNIT - ERIN CRAKER
9.2
This presentation by Public Health and Human Services consumers and colleagues educates the
Health & Human Services Board about the policy implications of services received through
Chippewa County Public Health and Human Services departments.
Packet Pg. 39
CHILDREN WITH DIFFERING ABILITIES UNIT REPORT - HUMAN
SERVICES - CONNIE FEDIE
9.3
The Children with Differing Abilities Unit of the Human Services Children, Youth, & Families
Division will give an overview and update on the trauma informed care project.
Packet Pg. 40
5/18/2016
• Program offered through the Wisconsin
Department of Children and Families (DCF)
• The project creates a common goal of becoming
trauma-informed; identifying the needs of children
and family through screening and assessment;
restoring well-being, stability and permanency
through effective intervention; and sustaining
efforts through community involvement.
• Developed in response to a 2011 survey of Child
Welfare staff.
• Trauma was identified as a primary focus due to how
trauma impacts children, parents, and social workers.
• Continued family cycles
• Worker turnover
• Not addressing the root problems but the symptoms =
no positive changes.
• We will provide extremely discounted training for
mental health clinicians in TF-CBT.
• We will provide parent, foster parent, and community
member training regarding Trauma Informed
Parenting.
• We will help shift practice at Chippewa County DHS to
Trauma Informed Care along with our community.
• Chippewa County was selected as part of the
expansion project that will run from 2016 to 2018.
• 1. Trauma Focused-Cognitive Behavioral Therapy
• We are partnering with three local agencies that work
with Child Welfare youth:
1. LE Phillips (2 therapists being trained)
2. Children’s Service Society of Wisconsin-Eau Claire
office (2 therapists being trained).
3. Vantage Point Clinic (2 therapists being trained)
• Evidence Based approach proving highly effective at
improving youth posttraumatic stress disorder (PTSD)
symptoms as well as other trauma impacts in children
3 to 18 years old.
• 2. Trauma Informed parenting training to foster and
biological parents
• 3. Organizational and system training to build a traumaresponsive system of care.
• They start their training in August of 2016 and
conclude in August of 2017.
Attachment: 9.3 Wisconsin Trauma Project for HHSB (2986 : Children with Differing Abilities Unit Report - Human Services -
9.3.a
Packet Pg. 41
1
5/18/2016
• Designed for birth and foster parents.
• Open to community members
• Chippewa County will have 4 local trainers trained
to provide sustainability to project.
1.
2.
3.
4.
Ashley Brott (CPS Ongoing Worker)
Erica Campbell (CPS Initial Assessment worker)
Tina Buhrow (Foster parent, parent, and TIC advocate)
Luke Fedie (LPC).
• Curriculum is based on the National Child Traumatic
Stress Network Resource Parent Curriculum.
• Goal is to better equip birth parents preparing for
reunification and foster parents caring for children
with difficult behaviors.
• How to handle difficult behaviors
• How to recognize trauma triggers
• How to build resiliency
• First training started on April 4th,
2016.
• 1/3 parents, 1/3 foster parents, and
1/3 community members.
• We provide a free meal and
childcare.
• Will offer another series in the fall &
another in January-February 2017.
• Things learned:
•Change the location (Norte Dame
School)
•Create “teams” to manage childcare
with MACS ambassadors.
• Provided by Foster Futures in partnership with
National Council for Behavioral Health, Casey Family
Programs and the Wisconsin Department of Children
and Families.
• Three year experience to support culture change
within Chippewa County DHS and the community at
large.
• Provide Community Stakeholder trainings (e.g. schools,
law enforcement, courts etc.)
• Core Implementation Team (CIT) comprised of 9 members.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Connie Fedie (Lead)
Melissa Christopherson (Selected to collect, analyze, and disseminate
data- in plain words- how do we know what we are doing is making a
difference?)
Brenda Huhn (CPS/JJ supervisor)
Nicholas Schneider (CPS Initial Assessment)
Kyra Secraw (YSS worker)
Tom LaMartina (Clinical coordinator for crisis)
Jenny Jordahl (Former client)
Tracey Strubel (LSS supervisor)
Tami Christianson (LSS supervisor)
9.3.a
Packet Pg. 42
2
5/18/2016
• Home Team:
1.
2.
3.
4.
5.
6.
Laura Baalrud (CHIP)
Erica Campbell (Initial Assessment worker/Waukesha County project)
Jim Sherman (Corporation Counsel/DOA)
Christine McMasters (Executive Director of Student Services-Chippewa
School District)
Kay Hebert (ADRC)
Mariah Bates (former consumer)
• Mission: To expand opportunities for individuals to receive trauma
informed interventions by enhancing efforts for the communities of
Chippewa County and their residents to become skilled in trauma
informed practices.
• Vision: A community that seeks to understand individual’s life
experiences and empowers them to thrive.
• It is not “what is wrong with you?” but
“What happened to you?”
• It is supporting and not punishing
• It is healing and not reinjuring.
• It is providing safety
• It can be a single event
• More often is it multiple events over time.
• If at the hands of authority or trust figure it is more damaging.
• Trauma alters our brain development
• Trauma changes how we see caretakers or people with
authority (I can trust them or I cannot trust them).
• Trauma impacts ones’ ability to use frontal cortex.
• “Trauma-informed organizations, programs, and services are
based on an understanding of the vulnerabilities or triggers of
trauma survivors that traditional service delivery approaches
may exacerbate, so that these services and programs can be
more supportive and avoid re-traumatization.” (SAMHAS)
• We will need to see Trauma as the single most important issue
our consumer is facing and address their trauma and not their
behaviors.
• We will create resiliency and not learned helplessness.
9.3.a
Packet Pg. 43
3
5/18/2016
• Trauma informed care improves desired outcomes
• Support trauma recovery by reducing retraumatization and providing positive emotional
experiences with people in authority.
• Decrease our own vicarious trauma, compassion
fatigue, or burn out.
• LESS colleague turnover.
• Sorry folks, but we have a lot of room to grow. (That’s strengths
based).
• 4 point scale: 1-We do not meet this standard at all
2-We minimally meet this standard
3-We partially meet this standard
4-We mostly meet this standard
• Domain 1: Early Screening and Comprehensive Assessment:
• Domain 2: Consumer driven care and services
• Average score: 1.45
• Example Question: “There is consumer representation throughout
the organization and consumers play an influential role on the
full range of policy related and decision making entities such
as: Policies and procedures committees, key standing
committees, task forces, workgroups, new staff interviewing and
hiring panels, councils, and advisory and agency boards.
• Average score from CIT: 1.24
• Example Question: “Early screening and assessment process is designed to
promote shared decision-making between the consumer and the provider
related to the selection of optimal services. The process involves
identifying trauma related needs, strengths, and available services.
• Domain 3: Trauma-informed, educated and responsive
workforce. (Domain of focus for CIT).
• Example Question: “Support staff receives ongoing training,
performance evaluations, and supervisory assistance in
integrated trauma-informed care principals in their work.
Supervisors clearly demonstrate and reinforce that all staff
have a role in creating a trauma informed care environment.”
• Organizational self-assessment: Trauma-Informed Care through
National Council for Behavioral Health.
• Core Implementation Team took self-assessment and the results
are in……
• Domain 4 Trauma-informed, Evidence-based and emerging best
practices.
• Average Score: 1.47
• Example Question: “Consumers are fully involved in decisions
related to service planning, as appropriate depending on age
or development; the selection of services and methods and
review of progress and changes to their service plan including;
medication changes and choice of practitioners and number
and types of services. Service plans are designed to ensure that
consumers identify their personal strengths, goals, and express
agreement with their service plan.”
9.3.a
Packet Pg. 44
4
5/18/2016
• Domain 5 Safe and secure environments (focus domain for
CIT).
• Average score:1.45
• Example question: “The organization ensures that staff is
educated and trained in using trauma-informed care
approaches to prevent and manage incidences that create
serious emotional distress for both staff and consumers.”
• Domain 6: Community outreach and partnership building.
• Example Question: “The organization engages in traumainformed care awareness building through multiple messaging.
The organization reaches out to family members, consumers,
local organizations, and the general public though social media,
websites, newsletters, posters, billboards, marketing, letters, and
brochures to educate and inform them about the prevalence
and impact of trauma and how to promote healing, recovery
and resiliency.”
• Domain 7: Ongoing performance improvement and
evaluation. (Focus of CIT).
• Average Score: .62
• Example Question: “The organization has a system in place to
regularly measure performance on each of the core traumainformed care domains. Data related to each domain is
tracked, analyzed and used to address challenges and/or
reinforce progress.”
•
•
•
•
•
•
Where to begin? One or two programs or whole organization?
Commitment from leadership
Communicating for buy-in-All division
Developing a plan- has started
Creating a monitoring system
Taking action
1. More upfront training for managers to embrace change. Walk the
talk
2. Senior Managers at trainings
3. More emphasis on secondary trauma
4. Policy revision started early and reviewed
5. Hiring/promoting of staff is strength based
6. Allow staff to be creative
7. Include every person•
•
•
•
•
Admin
Teachers
Maintenance
Food service
Human resources
9.3.a
Packet Pg. 45
5
5/18/2016
9.3.a
Packet Pg. 46
6
DIRECTOR'S PROGRAM AND FINANCIAL REPORT- PUBLIC HEALTH ANGIE WEIDEMAN
9.4
Angela Weideman, County Health Officer/Public Health Director, provides a department
program and financial report.
Packet Pg. 47
9.4.a
Chippewa County Health and Human Services Board
Department of Public Health
Chippewa County Health Rankings:
The Wisconsin County Health rankings for 2016, a collaboration between the Robert Wood Johnson
Foundation and the University of Wisconsin Population Health Institute, ranked Chippewa County 22 out of 72
for health factors, which include: health behaviors, clinical care, social and economic factors, and the physical
environment. Chippewa County is ranked 24 out of 72 for health outcomes which look at length and quality of
life.
http://www.countyhealthrankings.org/sites/default/files/state/downloads/CHR2016_WI.pdf
National Nurses Week:
Friday May 6th to Thursday May 12th is National
Nurses Week! We are happy to celebrate Nurses
Week with our public health and home care nurses
in Public Health! If you see a nurse this week,
please tell him/her thank you for their dedication
to health improvement.
Grant Opportunities
Mental Health matters is a grant that was written by Eau Claire and Chippewa County Public Health
Departments with collaboration from Eau Claire and Chippewa Counties DHS, law enforcement, and school
districts. It is a 1.5 million dollar grant that will last for 8 years. This grant was recently awarded to Eau Claire
and Chippewa County public health departments by the Medical College of Wisconsin. The focus will be on
systems and policy change related to mental health prevention. The first year of this grant will be for planning,
years 2-6 for implementation, and year 7-8 for data analysis and sustainability planning.
Chippewa and Eau Claire County Public Health Departments also collaborated on writing a Family
Foundations Home Visiting (FFHV) grant to expand NFP (Nurse Family Partnership) which is a home visiting
program where nurses work with families prenatally until the child is age 2. This program has tremendous data
supporting better health outcomes for moms and babies as well as keeping children at home with birth families.
Home Care Report
Ashley Zumbrock, RN, joined the Home Health division of the department on March 30, 2016. Barb Nevala,
RN, resigned from the department April 15, 2016. Her position was posted and we are currently advertising for
a home care nurse. The recruitment closes Friday, May 13, 2016.
Environmental Health Report
The Health Officer/Environmental Health Specialist received in April one Human Health Hazard complaint; one
food complaint; one new placard was posted; and one placard was removed due to renovation. Three homes
remain placarded.
Packet Pg. 48
Attachment: May 2016 HHSBd report (2980 : Director's Program and Financial Report- Public Health - Angie Weideman)
May 2016
9.4.a
The Food Safety and Recreational Licensing renewals were sent out and are due back by June 30, 2016.
The Health Officer is required by Wisconsin State Statute 252.05 to report information on current
communicable disease reporting and follow-up to the Board of Health. In April, we received 64 new reports: 32
confirmed (19 Chlamydia, 1 Cryptosporidiosis, 1 Haemophilus influenzae, 3 Influenza-associated
hospitalizations, 1 Hepatitis C, 1 Salmonellosis, 2 Lyme, 2 Streptococcus); 18 suspect (1 Zika, 4 Chlamydia,
1 Gonorrhea, 1 Hepatitis B, 3 Hepatitis C, 6 Lyme Disease), and 14 that did not meet the definition of a case
(10 Pertussis). See the attached report for further break-down by disease type.
Packet Pg. 49
Attachment: May 2016 HHSBd report (2980 : Director's Program and Financial Report- Public Health - Angie Weideman)
Communicable Disease Report
9.4.b
Board of Health
Educational Event
August 4, 2016
10 am—2 pm
Florian Gardens
2340 Lorch Avenue
Eau Claire, WI
Topics Include




Public Health Policy for
Board Members
Board of Health Roles
and Responsibilities
Board of Health Q&A
Panel
Public Health Hot Topics
For new a nd
c ont i nui n g
B oa rd of Healt h
mem ber s
Host e d by t he
West e rn Regi on
Wisc on si n
Ass oc i at i on of
Loc al He a lt h
Dep ar t me nt s a nd
B oa rd s ( WALHDA B )
More information to follow.
Packet Pg. 50
Attachment: BOH Training (2980 : Director's Program and Financial Report- Public Health - Angie Weideman)
Save the Date
1
9.4.c
2016 Chippewa County Department of Public Health Monthly Disease Report for April
Applied filters: Resolution Status equal to Confirmed, Probable, Suspect, Not A Case AND Disease Incident Count not equal to 0
AND Received Year equal to 2016 AND Received Month equal to Apr
Incident Count
Resolution Status Confirmed Probable Suspect
Disease
ARBOVIRAL ILLNESS, ZIKA
VIRUS
BABESIOSIS
CAMPYLOBACTERIOSIS
CHLAMYDIA TRACHOMATIS
INFECTION
CRYPTOSPORIDIOSIS
GIARDIASIS
HAEMOPHILUS INFLUENZAE,
INVASIVE DISEASE
HEPATITIS B, Unspecified
HEPATITIS C, CHRONIC
INFLUENZA-ASSOCIATED
HOSPITALIZATION
LYME DISEASE
LYME LABORATORY REPORT
MYCOBACTERIAL DISEASE
(NON-TUBERCULOUS)
PERTUSSIS (WHOOPING COUGH)
SALMONELLOSIS
STREPTOCOCCAL DISEASE,
INVASIVE, GROUP B
STREPTOCOCCUS PNEUMONIAE,
INVASIVE DISEASE
TUBERCULOSIS, LATENT
INFECTION (LTBI)
VARICELLA (CHICKENPOX)
Total
Not
A Total
Case
0
0
1
0
0
0
1
1
0
1
0
0
2
1
1
19
1
0
0
0
0
4
0
1
0
0
0
23
1
1
1
0
1
0
0
0
0
1
3
0
0
0
1
1
4
3
2
0
0
0
0
0
0
6
1
1
0
4
3
6
1
0
1
0
0
0
0
0
0
0
10
0
1
10
1
1
0
0
0
1
1
0
0
0
1
0
0
32
0
0
0
1
0
18
0
1
14
1
1
64
Provisional data from the Wisconsin Electronic Disease Surveillance System (WEDSS)
Monday, May 2, 2016 8:49:46 AM CDT
Packet Pg. 51
Attachment: April CD Report (2980 : Director's Program and Financial Report- Public Health - Angie Weideman)
Jurisdiction.jurisdiction: Chippewa County
9.4.d
April 30, 2016
33.3%
Program
Public Health
Donations
Home Care
Health Clinics
Charity Outreach
CLPP - Lead (consolidated)
CYSHCN Regional /For U
DHS
Dual Protection
Fluoride Mouth Rinse
Fluoride Supplement
Food Safety Inspections - Retail
FSRL/Agent Licensing
HCET - Healthcare Education Training
Immunization (consolidated)
Maternal Child Health (consolidated)
Medical Home
NFP - Nurse Family Partnership
Prenatal Care Coordination (Medicaid)
Radon Outreach
CYSHCN Nutrition
Targeted Case Management (Medicaid)
WI Wins – Tobacco
WIC
WIC BF Peer Counseling
WIC Farmers Market
YTD Revenue YTD Expense
$433,831
$120,482
173
389,870
425,241
26,705
10,318
33
1,188
1,703
51,163
58,551
244
9,886
23,523
2,931
463
640
15,991
4,509
66,592
35,850
7,000
3,217
758
8,284
5,571
16,015
26,719
18,170
875
300
2,452
594
9,921
1,436
1,251
106,985
92,567
2,173
3,149
147
YTD Budgeted
Exp
$155,397.00
1,000
554,785
21,268
667
2,977
66,661
14,475
11,099
450
891
8,988
59,932
2,333
4,782
11,311
1,024
21,014
1,167
885
6,207
1,190
118,320
7,560
663
YTD +/Total Budget
Budget
Amount
($34,915)
$466,191
(1,000)
3,000
(129,544)
1,664,354
(10,950)
63,805
(634)
2,000
(1,274)
8,930
(8,111)
199,984
(4,590)
43,426
(8,169)
33,298
(450)
1,350
(251)
2,673
(4,479)
26,964
(24,081)
179,795
(2,333)
7,000
(1,565)
14,345
(3,027)
33,934
(1,024)
3,071
16,015
(2,844)
63,042
(867)
3,500
(291)
2,654
(4,771)
18,621
60
3,571
(25,753)
354,960
(4,411)
22,679
(516)
1,989
%
26%
0%
26%
16%
2%
19%
29%
23%
9%
0%
24%
17%
20%
0%
22%
24%
0%
29%
9%
22%
8%
35%
26%
14%
7%
Non-Calendar Year 2015-2016 Programs
July 2015 - June 2016
Public Health Preparedness
36,654
26,196
$34,858
($8,662)
41,830
63%
October 2015 - September 2016
FIT WIC
18,052
10,984
$16,491
(5,507)
28,271
39%
April 2015 - March 2016
Early Hearing Detection Grant
23,815
22,545
$23,815
(1,270)
23,815
95%
October 2015 - September 2016
Prevention Grant
2,136
1,137
$4,468
(3,331)
7,659
15%
July 2015 - September 2016
PHEP Ebola
2,232
2,232
$10,884
(8,652)
18,659
12%
12,270
12,270
13,674.17
(1,405)
16,409
75%
$890,636
$1,179,236
July 2015 - June 2016
ForwardHealth Outreach Grant
+
TOTALS
$1,267,355
-$288,601
$3,361,779
Packet Pg. 52
Attachment: REVEXP Apr 2016 (2980 : Director's Program and Financial Report- Public Health - Angie Weideman)
Calendar Year 2016 Programs
Attachment: BOH HCARE 04 2016 (2980 : Director's Program and Financial Report- Public Health - Angie
9.4.e
Chippewa County Dept of Public Health
Home Care Accounts Receivable
May 7, 2016
Month Ended: April 2016
Total Due
AETNA Medicare
Current Due
30 Days
60 Days
90 Days
April
March
February
Jan & Prior
2,966
0
2,966
0
0
ADRC
0
0
0
0
0
Anthem BC/BS
0
0
0
0
0
2,715
0
543
2,172
0
133
0
0
0
133
Forward Health
0
0
0
0
0
Group Health Medicaid HMO
0
0
0
0
0
Health Traditions
0
0
0
0
0
Humana
0
0
0
0
0
Managed Health Services
0
0
0
0
0
72,116
41,452
1,730
28,042
892
0
0
0
0
0
30,760
13,899
75
8,803
7,983
Tomah VA Medical Care Program
0
0
0
0
0
Ucare
0
0
0
0
0
2,653
993
1,892
0
13,852
14,752
0
$125,195
$71,096
$7,206
Cigna
ContinuUs
Medicare
North American Insurance
Security Health Plan - Advocare
United Healthcare
Veterans Admin
TOTAL
100.00%
56.79%
5.76%
(900)
$38,118
30.45%
(232)
0
$8,776
7.01%
C:\Users\audraknowlton\appdata\local\temp\minutetraq\chippewacountywi@chippewacountywi.iqm2.com\work\attachments\3389.xlsx
Packet Pg. 53
DIRECTOR'S PROGRAM AND FINANCIAL REPORT - HUMAN SERVICES LARRY WINTER
9.5
Larry Winter, Human Services Director, provides a department program and financial report for
review and discussion.
Packet Pg. 54
Director’s report to the health & human services board
Larry j. winter
Board Meeting Date: May 19, 2016
On behalf of our members that will continue to serve on the board (Anson Albarado, Larry Willkom, Jim
Fenno, RPH, Jack Halbleib, Dr. Laura Isaacson, and Larry Marquardt) and all my colleagues with the
department we want to welcome the newest board members: Harold Steele, Matthew Hartman, and Tom
Thorton.
Each month I provided the citizens of Chippewa County and the Health & Human Services Board a report
focusing on policy change at the federal, state, and local levels; the impact on services, and provide a
performance review of the department’s activities.
The Health and Human Service Board has four overarching responsibilities:
1. Review and approve local program policy.
2. Determine the type and level of services the department offers to consumers.
3. Review and approve organizational scorecard (outcomes).
4. Reviews yearly budget July of each calendar year
Colleague: Within the department you will hear employees refer to themselves as colleagues. The purpose is
to view ourselves as a team regardless of title, responsibilities or division. Ideas to enhance the organization’s
operations and improve outcomes for consumers are welcomed and necessary for a healthy organization.
As colleagues we are human beings regardless of the position we have in the organization and we always
need to consider and treat colleagues with dignity and let them know their ideas are worthy. The department
will consider any idea thoughtfully from a colleague and when it improves outcomes for the consumer,
county, department or division it will be implemented.
Colleague is formally defined as a fellow worker or member of a staff, department, or profession.
1.
Wisconsin County Human Service Association (WCHSA) Meeting April 7 , 2016
State of Wisconsin Department of Health Services (DHS):

Income Maintenance (IM) Aging and Disability Resource Center (ADRC) Integration Report
The Department of Health Services’ IM-ADRC Integration Report has been sent to the
Legislature’s Joint Finance Committee and has been posted to the Department’s website.
https://www.dhs.wisconsin.gov/publications /p01241.pdf
State Of Wisconsin Department of Children and Families (DCF):

Division of Safety and Permanency explains the permanency planning and Independent Living
statutory changes in 2015 Wis. Act 128. Act 128 adopts requirements from the Federal Preventing
Sex trafficking and Strengthening Families Act of 2014.
1. Limits on use of Other Planned Permanent Living Arrangement (OPPLA) as a permanency goal,
with OPPLA not allowed for youth under age 16 and must be justified for older youth.
2. Independent Living service plans must be developed starting at age 14. Older youth must be
involved in the development of their permanency plan and certain documents must be
provided to youth.
Page 1 of 4
Packet Pg. 55
Attachment: 9.5 Human Services Director Report 05-19-16 (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
9.5.a

Juvenile Justice Contract – An amendment to the 2016 contract is being issued to counties to
include a juvenile justice scope of services applicable to Youth Aides and related juvenile justice
funds.
The following website is an excellent resource for many things related to Human Services in the State
of Wisconsin. http://www.wchsa.org/
2.
Department and Division Updates
Department –
 The Leadership Team is focusing on six areas in order to begin preparations for 2017 and adjust to
federal, state, local, evidence-based services and best practices. The areas include:
1.
2.
3.
4.
5.
6.

Regionalization of Child Welfare
Regionalization of Aging & Disability Resource Center
Fiscal/Contracts
Pay for Performance
Criminal Justice Management Council
Mapping
Aging & Disability Resource Center (ADRC)
Initially we looked at an opportunity to regionalize with Buffalo, Clark, and Pepin counties. Buffalo
and Pepin are in the process of working with their boards to dissolve the current regional model
and create a new regional model. Buffalo and Pepin have invited Chippewa to become a member.
The model is currently under development and will be presented to the ADRC board. The timeline
for a resolution appears to be June or July. (Attachment 1 - minutes from the last meeting)
Although the ADRC has a board it does have an impact on operations within the department and
as activities progress we intend to communicate develops to the board.

Children, Youth, and Families Division
Communication plan for March 30, 2016 will be in the board packet. (Attachment 2)
The regional Child Abuse & Neglect Reporting (CAN-Report) Partnership continues to move
forward, but is experiencing some bumps as we progress. Initially the desire was to implement
January 1, 2017 if this board and county board of supervisors approve. We met with the Secretary
Eloise Anderson on April 22, 2016, in Madison. She continues to be supportive of the project and
contemplating offering start-up funding.
One result of the meeting is that statutory language in the children’s code Chapter 48 will need to
be clarified or added in order for the access and screening regionalization to be recognized as an
entity. Either a definition of ‘agency’ needs to be defined or specific language added that specifies
counties authority to regionalize access and screening. However, the Secretary expressed a desire
to find an alternative to begin as the statue is in the process of changing.
Another result of the meeting was the timeline of implementation and it appeared from the
states perspective March 2017 was more reasonable. On May 4, 2016, we received an email from
Michelle Rawlings, Bureau Director of Division of Safety and Well Being within the Wisconsin
Department of Children & Families, stating the following, “It is very unlikely that the core
elements of assessment and decision making and, therefore, initiation of the 6-month start-up
period and subsequent implementation will be able to to occur before the end of 2016”. A
director from the CAN-Reporting partnership will be following up with Rawlings to receive further
clarification.
Page 2 of 4
Packet Pg. 56
9.5.a
Also when meeting with the Secretary, I provided her statistics from six counties including
Chippewa. Within the last year approximately 210 children have entered into out-of-home
placement. (Attachment 3) I requested technical assistance for both the western and Northern
Region. The Secretary will be traveling with the Governor to this region July 11 or 12 as part of a
cabinet tour and she wants to look into this as a focus area.
Important: On May 24, 2016, you are invited to attend Community Collaboration Initiative
Presentation by the “La Crosse Area Family Collaborative,” which utilizes a proactive
prevention model to deliver all types of services. (Attachment 4) On the 24th it will occur from 1011:30 a.m. at the Chippewa County Courthouse, Room 003 (lower level). RSVP to Pauline Spiegel
at pspiegel@co.chippewa.wi.us

Economic Support Division
The major portion of the energy assistance season concluded on May 1. The spring pro-active
program is being implemented to ensure consumers that have been unable to pay their winter bill
in full will not result in their energy being cut-off. The consumer is required to pay a small portion
in order to be eligible.
Energy assistant numbers year to date:
Total Households Applied for Energy Assistance:
Total Households Paid Energy Assistance:
Total Household Expenditures:
Total Households Paid Public Benefits Funded
2,061
1,848
$826,221
$340,990
The summer fill program will focus on those with a fixed income including; veterans, and those
that are persons with a disability.
We continue to offer staff voluntary overtime which may continue until this summer. The good
news is that the division has filled all positions with colleagues and is fully operational.
Final numbers are in for the Affordable Care Act enrollment period November 1, 2015 –
February 1, 2016. Chippewa County totaled $3,168. (Attachment 5)

Recovery & Wellness Consortium (RWC)
Earlier this year Washburn County Health & Human Services submitted an application to become
a member of the RWC. We have the capacity to allow them membership, but the state will
require us to submit a new certification which is time intensive task and may affect our flow of
revenue. Kenya Bright, Section Chief, Integrated Services Section Division of Mental Health and
Substance Abuse Services.

Fiscal and Contracts Division
Accountant Ashley Bailey Accountant completed her last day with us May 6, 2016, to take a
similar position with the City of Eau Claire. Therefore, there are two openings, which continue to
pose a workload challenge. Current colleagues are working diligently to meet the extra demands.
Interviews for both positions occurred on May 6, 2016, and an announcement may occur before
our next board meeting.
Page 3 of 4
Packet Pg. 57
9.5.a
3.
Human Services Budget/Contracts Update:
 Department Financial Report
Expenses Paid through February 2016:
Total 2016 Budget:
Amount Over/(Under) Budget:

$ 2,713,436
$10,939,022 = $911,585/month
($ 932,905)
Children and Youth in Placement, YES Program and Children in placement receiving waiver funding :
2016
Month
January
February
April
May
June
July
August
September
October
November
December
*Out of
Home
57
55
45
**YES
Program
1
2
2
Projected Cost
2016 Budget
$657,205
$764,689
$689,288
Over/(Under)
$947,886
$947,886
$947,886
($290,681)
($183,197)
($258,598)
*Total Children and Youth in Placement
**Total number of youth enrolled in YES Program (some may also be in placement).

Adult Mental Health and AODA out-of-home placements:
2016
Month
January
February
April
May
June
July
August
September
October
November
December
4.
Out of
Home
19
16
15
Projected Cost
2016 Budget
$816,431
$764,689
$686,696
$749,993
$749,993
$749,993
Over/(Under)
($66,438)
($78,450)
($63,297)
Human Services Water Cooler:
May Anniversaries: Ann Holm (15 years), Bobbie Jaeger (3 years), Sarah Peterlik (2 years), Mary Zachau
(6 years)
New Colleague Welcome: Julie Follensbee, Administrative Assistant; Lynsey Licht, Economic Support
Specialist; Tara Mathison, Economic Support Specialist
Page 4 of 4
Packet Pg. 58
9.5.a
9.5.b
Minutes: Aging & Disability Resource Centers (ADRC) Regionalization and Integration Team - April 25th
Next Meeting: May 16th 11:45-4:30 Menomonie Government Center
Members Present:
Dave Rynders - Buffalo Cty Department of Health & Human Services (DHHS)Director
Larry Winter – Chippewa Cty Department of Human Services (DHS) Director
Paula Winter – Pepin Cty DHS Director
Cammi DeWyre – Pepin Cty Aging and Transportation Manager
Jessica Barrickman- Chippewa Cty ADRC Manager
Lola Longyhore – Buffalo, Pepin, Clark ADRC Manager
Sonya Hansen – Buffalo Cty Administration Coordinator
Members Absent:
Stephen LaValla – Buffalo Cty Aging Director
Guest Attendees:
Diana Adamski – Office for Resource Development Center (ORDC) Regional Quality Specialist
Pam Steimetz – ORDC Regional Quality Specialist
Jane Mahoney – Greater Wisconsin Agency on Aging Resources (GWAAR)
Kris Korpela – Dunn Cty DHS Director
Sara Olinger – Dunn County ADRC Manager
Interim director update:
ADRC Board of Buffalo, Pepin, Clark has appointed Paul Hoch as Interim Director. He currently is a
Fulltime Time Initial Assessment Social Worker with over 30 years of experience from Pepin County, a
request to hire a Limited Term Employee is being submitted to assist with coverage and cases
ORDC Contract Compliance Discussion
ADRC compliance plan: Diana and Pam
- Late 2016/early 2016 full required review
- Right now some flexibility due to regionalization
- If funding is needed to support changes to meet compliance we should submit funding request as soon
as possible
- Need to have further discussion regarding shared reception space - request waiver
- Signage - all internal, external signage must be in blue and white with logo
- Recommend center for independent living assessment
- Potential to request funds to hire Operational Manager prior to January 1st if funding is needed
GWAAR Discussion
- Alzheimers Family Caregiver Support Program (AFCSP) funds when regionalized, each county will
get their own funds however they can then be shared.
Packet Pg. 59
Attachment: 9.5.1 ADRC Regional Team Minutes 04-26-16 (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
Attachment 1
Three layers of planning were identified
1. Lead County
2. Leadership
3. Direct Service
Charters were established for the Leadership and Lead County levels – Direct Service Charters will be
established in the near future; they will include direct service staff to ensure quality service delivery to
customers is kept at the forefront of planning at the operational level.
Charters: (names in red represent lead person on that Charter)
Lead County:
1. Fiscal: Dave, Sonya, Shawn, Peggy, Chris, Pam, Paul, Marla
a. Multi county budget (receive Northwest fiscal as they have APS)
b. Buffalo lead responsibilities
c. Provider contracts
d. State Contract (fiscal piece)
2. Operations Manager: Paula, Dave, Larry
a. Job description
b. Rate of pay
c. Who does OM report to
d. Hiring process
3. Governance: Paula, Dave, Larry
a. Name
b. Timeline
c. Resolutions
d. Hiring process
e. Advisory Committee’s
f. Central Wisconsin has a 66.03
4. Website, IT, phone, marketing
Leadership Management:
1. Organizational Chart - Jessica, Stephen, Cammi and Lola
2. Contract Compliance and Application - Jessica, Stephen, Cammi and Lola
a. Compliance Contract (checklist) Jessica, Stephen, Cammi and Lola and State Partners
b. Writing of plan
3. Communication Lola, Jessica, Cammi, Stephen
a. Consistent communication (common message)
b. Listening sessions (stakeholders/public) in May (each county), ask Buffalo and Pepin
ADRC Board members to attend the listening session, county administrators, etc.
c. Communication with staff
d. Staff involvement – developing charters
Packet Pg. 60
9.5.b
9.5.b
Direct Service – to be developed in the near future
Packet Pg. 61
9.5.c
CAN REPORTING PARTNERSHIP
COMMUNICATION PLAN: MARCH 30, 2016

Fiscal Model has been updated and includes startup costs in the budget. The Fiscal Model used estimated
salary and benefited numbers. A request will be made to Secretary Anderson for the 2015 start-up costs.

Governance: Intergovernmental Agreement was sent to Andy Phillips who will connect with Therese Durkin
(timeline: back from Attorneys by end of April).

The resolution timeline was adjusted due to the reorganizational meetings for all County Boards in April.

Administrative Meeting on March 7, 2016 went well and good input/feedback from the County Board
Supervisors and other Administrative staff. Paula and Connie will present along with Tammy and Liza, at the
April 13, 2016 Taylor County DHS Board Meeting.

Ewisacwis Charter Group identified additional recommendations that will be communicated to Michelle
Rawlings.

Data Charter Group provided an update. A question still remains who is going to notify the Tribe(s)? Access or
IA? The Charter Group will look into these details and make a decision. The discussion also included: mandated
letters; impact of the IA on new reports; developing a conflict of interest policy; on-call; voice mail verses a
person to answer the phone and how that is monitored; and adding AR and a key to the flow chart.

Thank you Connie for the amount of work you have done, and the great job.

Secretary Anderson: The Partnership wil ask for her support/signature on the project. A Business Plan; Flow
Chart; cover letter; draft governance; agenda, and financial document will be created that will be sent in draft
to John T and Zac/Chrissy. After the final is completed, we will ask John T. to provide the documents to
Secretary Anderson so that she has them prior to the meeting. This will allow her to have individuals present at
the meeting that will be able to answer our questions, provide support, or research prior to the meeting.

Communication with Serena and Michelle. Serena’s role will be behind the scenes (as needed) and in the email
threads. Michelle need the proposed business process description. This description could be a written or could
be laid out as a flow chart as applicable. This info and the Governance info from Andy/Therese is vital to move
to the next stage for the state (ewisacwis).

Identified tasks of this group and/or Charter Groups: telephone system including cell phone (conversation to
occur after Chrissy has conversation with Rock/Dane); backup plan for training dates/all staff meetings, etc.:
Consumer Complaints Policy; and County culture Issues.

Discussions areas that were addressed and will be addressed at future meetings: alternative response;
expectations of OM when staff are not co-located; involving consumer/reporter; process/plan for “other calls”;
OM job description; and the four county hiring process.

Next meeting date was set for May 4, 2016 from 9-1, at Chippewa County DHS.

Agenda items for May 4th meeting: results of study to determine average call time; documentation time and
screening time; recreate time line that starts with the end in mind, and lays out specific items that need to be
accomplished by January 1, 2017; finalized Resolution; copy of updated Flow Chart; Items #3, 5, 6, 8, 10 from
Paula’s notes; update on Boards; update from Taylor County Board presentation; and update from Secretary
Andersons meeting.
Packet Pg. 62
Attachment: 9.5.2 CAN Reporting Partnership Communication Plan - 03-30-16 (2987 : Director's Program and Financial Report - Human
Attachment 2
711 North Bridge Street
Chippewa Falls, WI 54729
Larry J. Winter, Director
715-726-7777
715-726-7788
Attachment 3
WESTERN REGION METHAMPHETAMINE IMPACT
Chippewa County Human Services
Placement Information Related to Parental Meth Use
Number of Meth-Related Children in Placement
Meth Related Children Placement Cost
2013
2014
2015
10
12
30
$32,831
$45,482
$70,234
Multi-County Human Services Comparison
Ashland
Meth Related Cases
8 Families
12 Children
Meth Related Children
in Placement
Meth Related TPRs
Youth & Families Meth
Related Cost
Barron
Rusk
St. Croix
Washburn
131 Access
Reports
52 Families
75 Children
6 Juvenile
Court
Referrals
13 Cases
28 Children
1/3 of worker
caseloads
43 Children
141
11 Cases
22 Children
$871,000
$283,760
Please see page 2 for additional comments/information by Human Service directors.
Aging & Disability Resource Center – Room 118
Jessica Barrickman, Manager
Recovery & Wellness Consortium Division – Room 118
Tim Easker, Manager
Children, Youth, and Families Division – Room 305
Melissa Christopherson, Manager
Brenda Huhn, Supervisor
Fiscal & Contracts Division – Room 305
Mary Zachau, Manager
Economic Support Division – Room 305
Bobbie Jaeger, Manager
Packet Pg. 63
Attachment: 9.5.3 Meth Information Comparison April 2016 (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
9.5.d
Western Region Meth Impact
Page 2
April 19, 2016
Additional Meth Related Comments/Information by Human Service Directors:

Ashland County: This is a huge issue for our small rural county and effects are rippling.

Washburn County’s feedback from workers in regards to the primary challenges identified that are specific
to meth related cases:
o
Parents don’t believe they have a problem, don’t have support systems outside of therapy/treatment,
don’t have employment, mentally ill, or extensively long history of use/abuse that challenges their
ability to get clean and STAY clean. Extensive criminal history plays a part, still in the legal system plays
a part. Haven’t “hit rock bottom, and not addressing the trauma they experienced in their life that led
to the use/abuse up front. Parents need to be willing and accepting they have a Meth problem. They
need to have a positive informal support system, because without it, they typically go back.
o
Assessing child safety is a huge challenge in these cases. Getting treatment for these people seems
difficult and the obstacle is within the system. Clients may be willing to participate in more intensive
treatment but they do not always get referred to more intensive treatment. It is also difficult to work
with the prison system with these folks get prosecuted and sent to prison. Prisons are not necessarily
providing the needed treatment or support to keep families together.
o
Case 1: Parent went through Programs for Change which was very helpful to her. This mother also has
two other children that were not removed and not under a CHIPS. Her concern of having all her
children removed motivated her sobriety. The unannounced visits and random drug screens were also
effective.
o
Case 2: Mother accepted in to drug court was extremely helpful as she was held accountable to her
sobriety - very difficult case with internal discrepancies. Initially, AODA would not support more
intensive treatment for mother as the self-reporting indicated mother was doing fine; collateral
information of positive and drugs screens and observation of mother’s use was not considered. AODA
and Behavioral Health therapists supported mom in how good she was doing in regards to Drug court
conditions, but did not support the challenges of getting mom to cooperate with CHIPS order and
necessary parenting to allow for children to be safe. Other challenges were mom tampering with drug
testing and not having a mechanism to prove this. Mom still struggles with parenting, but not to a
level that risks safety.
o
Case 3: Due to continued use, difficult to move forward with unsupervised visits. Dad was put on the
waiting list for AODA and mental health services; was moved to receive services sooner to threat of
self-harm. Now receiving services at the Department and starting to work on sobriety. The time in
which meth is in the system presents challenges for getting accurate urine screens and hair follicles are
expensive.
Packet Pg. 64
Attachment: 9.5.3 Meth Information Comparison April 2016 (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
9.5.d
Community
Collaboration
Initiative
Presentation
Chippewa County Human Services has been tracking referral data
through a mapping application that can be used as a tool for prevention
and intervention collaboration initiatives with community partners.
La Crosse County is in the process of implementing their “La Crosse Area
Family Collaborative” initiative using a proactive prevention model to
deliver all types of services.
The La Crosse Area Family Collaborative utilizes schools and human
service agencies, along with law enforcement and other community
partners by developing strategies in geographical neighborhoods of the
county. Children, youth, and families are able to develop meaningful
relations with community agencies that are non-adversarial.
La Crosse County will be presenting information about their new
initiative to agencies and stakeholders in Chippewa County.
WHEN:
Tuesday, May 24, 10 - 11:30 a.m.
WHERE:
Chippewa County Courthouse, Room 003 (lower level)
711 North Bridge Street, Chippewa Falls
RSVP/More Information:
Pauline Spiegel, Chippewa County Department of Human Services
pspiegel@co.chippewa.wi.us 715-726-7816
Packet Pg. 65
Attachment: 9.5.4 Flyer for La Crosse Presentation 05-24-16 (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
9.5.e
9.5.f
Attachment 5
Health Insurance Marketplace Plan Selections by County
55001
55003
55005
55007
55009
55011
55013
55015
55017
55019
55021
55023
55025
55027
55029
55031
55033
55035
55037
55039
55041
55043
55045
55047
55049
55051
55053
55055
55057
55059
55061
55063
55065
55067
55069
55071
55073
55075
55077
55078
55079
55081
55083
Adams County
Ashland County
Barron County
Bayfield County
Brown County
Buffalo County
Burnett County
Calumet County
Chippewa County
Clark County
*Columbia County
Crawford County
Dane County
Dodge County
Door County
Douglas County
Dunn County
Eau Claire County
Florence County
Fond du Lac County
Forest County
*Grant County
Green County
Green Lake County
Iowa County
Iron County
Jackson County
Jefferson County
Juneau County
Kenosha County
Kewaunee County
La Crosse County
Lafayette County
Langlade County
Lincoln County
Manitowoc County
Marathon County
Marinette County
Marquette County
Menominee County
Milwaukee County
Monroe County
Oconto County
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
Attachment: 9.5.5 2016 ACA Total Enrollment (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
2016 Open Enrollment Period
Nov. 1, 2015 — Feb. 1, 2016
828
987
2,515
1,114
10,489
963
866
1,786
3,168
1,909
1,856
690
16,581
3,134
2,791
1,620
1,699
4,246
245
3,663
536
2,200
1,447
635
1,062
555
879
3,091
858
6,486
1,130
4,154
822
1,156
1,531
3,770
6,525
2,369
613
37
38,242
1,622
2,109
Packet Pg. 66
9.5.f
Oneida County
Outagamie County
Ozaukee County
Pepin County
Pierce County
Polk County
*Portage County
Price County
Racine County
Richland County
Rock County
Rusk County
St. Croix County
*Sauk County
Sawyer County
Shawano County
Sheboygan County
Taylor County
Trempealeau County
Vernon County
Vilas County
Walworth County
Washburn County
Washington County
Waukesha County
*Waupaca County
Waushara County
Winnebago County
*Wood County
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
2,699
7,223
4,265
458
1,645
2,430
3,384
893
7,151
724
5,007
833
3,399
2,424
983
2,327
4,564
1,169
1,181
1,217
2,145
5,001
993
5,671
14,347
2,585
1,113
6,401
3,820
Attachment: 9.5.5 2016 ACA Total Enrollment (2987 : Director's Program and Financial Report - Human Services - Larry Winter)
55085
55087
55089
55091
55093
55095
55097
55099
55101
55103
55105
55107
55109
55111
55113
55115
55117
55119
55121
55123
55125
55127
55129
55131
55133
55135
55137
55139
55141
*Population Size
Comparable to
Chippewa County
Packet Pg. 67
9.6
BOARD ORIENTATION OF PUBLIC HEALTH - ANGIE WEIDEMAN
Angela Weideman, County Health Officer/Public Health Director, will review the Public Health
section of the Board of Health & Human Services Orientation Manual.
Packet Pg. 68
9.7
2016 SCORECARD UPDATE - HUMAN SERVICES - LARRY WINTER
Larry Winter, Human Services Director, provides a department scorecard update (2016 goals
and objectives).
Packet Pg. 69
Chippewa County Department of Human Services
Balanced Scorecard 2016
Human Service Organization
Pillar
People
Financial
Financial
Financial
Service-Quality
Division
All Divisions
All Divisions
Goal
Maintain a healthy work
environment.
Increase revenue generated
from consumers.
*Not built into overall 2014
DHS
Budget as a revenue source.
 Children, Youth, &
Families Children With
Differing Abilities
 Recovery &
Wellness Division
 Fiscal Contracts
Increase Medicaid revenue.
All Divisions
Achieve the organizational
budget goal.
All Divisions
*Consumer Service
Implementation Team
Consumer Satisfaction –
Consumer Survey
Baseline
Communication survey 3.65
on 5-point scale.
2008-2.99
2013-3.57
2010-3.3
2014-3.73
2011-3.52
2015-3.83
2012-3.65
2010-$96,396
2011-$114,744
2012-$77,400
2013-$95,336
2014-$173,865
2015-$181,950
2008-$237,512
2009-$232,673
2010-$163,655
2011-$576,044
2012-$641,022
2013-$633,300
2014-$633,544
2015-$926,103
Score Key
0 = Not Attained
.25 - .75 = In Progress
1 = Complete
Target
Status
Score
2016 minimum score 3.8
by 12/31/16
Survey will occur in November
0
$190,000
by 12/31/16
$81,232
.42
TBD – Jan billing just received
$1,546,000 million
by 12/31/16
0
$2,713,436
$10,051,948
2014-4.42
$10,051,948
by 12/31/16
2016- 1 new initiative
by 12 /31/16
Not
Applicable
March: Implemented a
Mentorship Program for New
DHS Colleagues
.5
2016-Increase score-4.5
Service
 Children, Youth, &
Families
 Children With
Differing Abilities
 Recovery &
Wellness
Consortium
Serve consumers in the
community
Out of Home Care:
Children & Youth - $947,886
Adults - $729,993
Out of Home Care:
Children & Youth - $947,886
Adults - $729,993
by 12/31/16
Children & Youth $689,288
Adult $686,696
Projected
Under
Page
Packet
Pg.| 170
Attachment: 9.7 2016 Organizational Balanced Scorecard 05-19-16 (2988 : 2016 Scorecard Update -
9.7.a
Pillar
Growth
Division
All Divisions
Goal
Baseline
Increase engagement with
community on prevention.
Implement 1 new initiative
utilizing Mapping Data
Target
Status
Score
TBD
1 initiative
by 12/31/16
0
Growth
Recovery & Wellness
Consortium
Implement Recovery &
Wellness Consortium Strategic
Plan
(Buffalo, Chippewa, & Pepin)
1st year of 3 year plan
Complete Year 1
by 12/31/16
See attached WRRWC
Status Update
Service
Recovery & Wellness
Consortium
Children, Youth, &
Families Division
Develop a plan to increase
Alcohol and Drug
Evidence Based Programs
No plan
Plan Completed
by 12/31/16
Scheduling a time with State –
Division of Mental Health &
Substance Abuse Services
People
Service
Leadership Team
Children, Youth, and
Families Division
Continue leadership &
management development.
Provide the right service at
the right time for children,
youth, and families.
*Strength Based
*Results that Last
*Servant Leadership.
Implement 2 activities and
Team integrates what they
have learned.
No plan
Complete a Plan by 12/31/16
Organizational Workday –
April 28, 2016
Each member of Leadership
Team Integrated 1 new
behavior
Begin after July 1, 2016
.10
.25
0
Page
Packet
Pg.| 271
Attachment: 9.7 2016 Organizational Balanced Scorecard 05-19-16 (2988 : 2016 Scorecard Update -
9.7.a
Chippewa County Department of Administration Status Update
Date: 05/19/16
Certification Update:
 Re-Certification completed for CCS (04/01/16) includes the following counties: Barron,
Buffalo, Chippewa, Dunn, Pepin, Pierce, Polk, and Rusk. No citations. One-year certification.
 Joint certification for CSP and Crisis (05/01/16) includes the following counties: Buffalo,
Chippewa, and Pepin. No citations. Two-year certification.
 Joint certification for telehealth associated with each of the certified programs.
IT Update:
 Chippewa Virtual Private Network (VPN). The VPN allows the lead agency to receive
information from providers and partnering counties. It is a HIPAA compliant file sharing tool.
This has saved so much time and paper.
 Skype for Business. This allows for telehealth as well as video meetings with a number of
parties. It is much more cost effective than the polycom system. It is a bit more complicated to
use than polycom.
 Electronic Health Record. The EHR allows us to have one consumer record for services.
Although there have been and continue to be challenges with this system, it is an absolute
necessity to have an EHR.
Fiscal Update:
 CCS billing began in mid-October, 2015.
 Made internal modifications to assure transparency in financial record keeping.
 Developed a guide that is used to comply with the county purchasing procedures.
 Completing audits.
 Office of the Inspector General (OIG) is completing audits of other counties.
How does Comprehensive Community Services (CCS) benefit all divisions within the Human
Services Department?
 Multi-Systemic Therapy (MST) Grant - $172,000 – This grant funded the implementation of an
evidence-based practice for children and families. This program has proven effectiveness with
children and families and reducing the potential of out-of-home care. The out-of-home care
costs have a direct impact on Chippewa County. Chippewa County alone (there are 7 counties
Packet Pg. 72
Attachment: 9.7.1 WRRWC Status Report 05-19-16 (2988 : 2016 Scorecard Update - Human Services - Larry Winter)
9.7.b





working on this project) would not have received the funds and would not have been able to
sustain the program. This service can be billed via CCS and it focuses on youth who are
typically served by the Juvenile Justice division. This population impacts our out-of-home
placement costs.
Increased revenue for mental health and substance abuse services, because of actual cost
reimbursement as well as state picking up 40% match. Even a portion of out-of-home placement
costs is billable to Medicaid.
Ability to serve people with substance abuse needs with more comprehensive services. Prior to
this time, we were not funded for providing service facilitation/case management for substance
abuse services.
As we implement CCS, we believe there will be impact on Child Protection. We’d like to serve
the parents under CCS, but they need to be willing to be served and we need to be able to expand
the services to do so.
Eliminates the 40% match for youth who are dually enrolled in both CLTS and CCS.
Drug Court participants who have Medicaid may also receive CCS to fund the services. This
will assist with sustainability.
CCS Program Numbers for the 1st Quarter of 2016:
Column 1
DMHSAS Region ( DQA-Certified Programs)
Region Name: Western Region Recovery &
Wellness Consortium (WRRWC)
Certification Date: 04/01/15
County/Tribe 1: Barron
County/Tribe 2: Buffalo
County/Tribe 3: Chippewa
County/Tribe 4: Dunn
County/Tribe 5: Pepin
County/Tribe 6: Pierce
County/Tribe 7: Polk
County/Tribe 8: Rusk
Column 2
Number
Served
(end of last
quarter)
115
Column 3
Number
Admitted
(during this
quarter)
61
Column 4
Number
Discharged
(during this
quarter)
15
Column 5
Number
Served
(end of this
quarter)
161
18
2
37
17
5
20
14
2
6
2
19
8
1
15
5
5
0
0
4
3
2
6
0
0
24
4
52
22
4
29
19
7
Packet Pg. 73
Attachment: 9.7.1 WRRWC Status Report 05-19-16 (2988 : 2016 Scorecard Update - Human Services - Larry Winter)
9.7.b

chippewa county

Transcription

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