HUMAN SERVICES COMMITTEE AGENDA November 1, 2017

2:00 p.m.

1. Approval of Minutes - October 4, 2017

2. Lori Ballengee, Public Health Director

- Monthly Report - Transfer of Funds

3. Madeleine Gasdik, Office for the Aging Director

- Monthly Report - Request to increase revenue and expenditure accounts - Executive Session

4. Vicki Grant, Social Services Commissioner

- Monthly Report - Request to fill Account Clerk Typist - Request to fill Support Investigator

5. Dr. Robert Anderson, Community Services

- 2017 Budget Adjustments

6. Judith Hopkins, Allegany County Heroin & Opioid Abuse Ad Hoc Chair - Committee Update

7. Old Business

8. New Business

9. Good of the Order

10. Adjournment

ALLEGANY COUNTY DEPT. OF HEALTH MONTHLY REPORT – SEPTEMBER 2017

ENVIRONMENTAL HEALTH

August, 2017 September, 2017

Permits Processed 13 10

Septic Permits Issued 19 7

Sanitary Surveys Completed 21 12

Inspections Completed 35 31

Complaints Received 7 5

Rabies Investigations 14 7

Animals Vaccinated 2017 (YTD) Animals Vaccinated 2016 (Total)

649 1008

*Inspections for all regulated facilities to include: Agricultural Fairgrounds, Campgrounds, Mobile Home Parks, Temporary

Residences, Children’s Camps, Swimming Pools, Food Service, Mobile Food Service, Temporary Food Service, Bathing

Beaches, Tattoo/Body Piercing, Tanning, Vending Machines*

EMERGENCY PREPAREDNESS September 2017

Number of Deliverables Due 1st Quarter (July – September): 5 NUMBER COMPLETED: 5

Number of Annual Deliverables for Grant Year Completed: 7/15 Total Number of Deliverables for Grant Year: 28

Current Grant Cycle Runs from July 1, 2017 – June 30, 2018

HEALTH EDUCATION

September 2017: people reached

September 2017 # of events

August 2017: people reached

August 2017 # of events

Total 2017: people reached

Total 2017 # of events

Family Planning Educational Events 1, 2 113 8 19 21 2,737 121 Lead poisoning prevention and Immunization Educational Events 1, 3 12 1 69 14 1,328 61 General Health Topic Educational Events 1, 3 60 5 58 5 988 26 Worksite Wellness Educational Event (Employee Survey) 1, 3, 4 103 1 150 521 1-Educational events include presentations, one on one instruction, outreach, marketing and recruitment. Marketing includes news releases, flyers, display boards at libraries, etc., the number of people reached for these marketing events is not available. 2-Majority of Family Planning educational events are during school/college sessions (January-June & September-December). 3-PHE working on Worksite Wellness, general ACDOH topics, lead poisoning prevention, and immunization educational events. 4-County Employees were counted more than once if they participated in more than one Worksite Wellness event (does not include monthly email to employees with Blue Cross and Blue Shield newsletter; updates from EAP and Worksite Wellness program updates). Total 2017 number of events includes Lose to Win one on one sessions (47 employees signed up for the program and had the opportunity for 12 one on one sessions, 29 completed all 12 weeks).

CLINICAL/MEDICAL SERVICES

September, 2017 September, 2016

Number of Visits 50 64

Total Services Provided 919 1188

Counseling Services 366 504

Medical Services 372 445

STD Services 48 79

HIV Services 48 (22 tests) 79 (23 tests)

Family Planning Benefit Program Applications 22 21

Number of Physicals 22 2

Communicable Disease Investigations 50 28

Meal Site Blood Pressure/Education 9 5

# of Lead Cases Reviewed 158 140

Elevated Lead Level Patients Case Managed 11 8

# of Immunization Patients/# of Immunizations 469/503 611/651

CHILDREN’S SERVICES

Early

Intervention

YTD Preschool YTD Children

With Special

Health Care Needs

YTD Child Find YTD

New Referrals 11 82 6 69 1 1 0 3

# Receiving Service Coordination 55 128 N/A N/A 14 14 N/A N/A

Total Children Served 66 210 95 172 14 14 18 18

# of Services Provided 234 4002 1622 15,828 N/A N/A N/A N/A

# of Evaluations Performed 4 54 10 204 N/A N/A N/A N/A

WOMEN, INFANTS, CHILDREN PROGRAM

JAN FEB MAR APR MAY JUNE

JULY AUG SEP OCT NOV DEC TOTAL

AVG. MONTHLY CASELOAD

1047 1047 1063 1058 1028 1019 1005 1020 1021 9308

BREASTFEED-ING

INITIATION RATES

74% 75.70%

75.40%

74.50%

74.70%

74.80%

75.70% 75.40% 73.70% 74.88%

PEER COUNSELORS

CASELOAD

70 66 62 57 46 46 55 43 78

523

NEW MOMS VISITED AT

JMH

20 10 11 8 14 17 5 13 8

106

FARMERS MARKET

CHECK SETS

0 0 0 0 0 66 371 71 7 515

FARMERS MARKET CHECK VALUE

0 0 0 0 0 $1,584

$8,904 $1,704 $168 $12,360

VALUE OF WIC CHECKS

ISSUED

$100,739

$102,033

$105,134

$105,643

$109,113

$109,994

$112,986 $115,316 $116,444 $977,402

WIC’s Federal Fiscal Year 2017 runs from October 1, 2016 through September 30, 2017 FFY 2017 WIC Budget = $422,443 (This includes $23,836 of unallocated funds)

CANCER SERVICES PROGRAM OF ALLEGANY AND CATTARAUGUS COUNTIES (CSPACC)

TOTAL SEPTEMBER 2017 TOTAL 2017

Screening and Diagnostic procedures 12 139

Cancer/pre-cancerous diagnosis 0 4

Marketing/outreach/recruitment events* 15 68

Individuals reached at events 1,214 4,320

*Marketing/Outreach activities include attending events, hanging posters, leaving brochures, and educating community members to recruit eligible individuals into screening. **Main focus of September was Rabies Clinics and sharing our information on community Facebook pages in Cattaraugus County.

CSPACC DONATED FUNDS FOR CANCER TREATMENT

SEPTEMBER 2017: TOTAL

INDIVIDUALS 2017 TOTAL INDIVIDUALS

Gas Cards for Travel to Cancer Treatment 0 12

Medical Assistance for Cancer Treatment 4 19

KOMEN KARES BREAST CANCER SUPPORT SERVICES

TOTAL SEPTEMBER 2017 TOTAL 2017

Gas Cards for Travel to Breast Cancer Treatment 3 14

Medical Assistance for Breast Cancer Treatment 1 11

Provider Office Visits to Cancer Treatment Centers in Western New York ** 10

**Provider office visits are completed at the beginning of the grant year, starting on April 1, 2017. Komen grant year starts April 1, 2017 and ends March 31, 2018.

CORONER/MEDICAL EXAMINER

SEPT 2016 YTD 2016 SEPT 2017 YTD 2017 CORONER CASES 10 63 13 72

CORONER CALL COSTS $3,450 $23,700 $4,500 $26,400

OLEAN GENERAL (OGH) AUTOPSIES 2 21 4 18

OGH CONSULTATIONS ($200 EACH) 0 4 1 13

OGH COSTS $3,260 $35,188 $6,780 $31,990

MONROE MEDICAL EXAMINER (MME) AUTOPSIES

0 7 0 3

MME COSTS $0 $15,700 $0 $7,500

These costs are without mileage because I don’t always receive all coroner mileage for the month by the time this report is due. Mileage I have through September, 2017 is $823.42. I am missing all of 2017 mileage for one coroner. Mileage through September, 2016 is $999.19.

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: 11/01/2017 From: To: Amount: A4010.101 Regular Pay $14,509

A4189.206 Health Equipment $ 8,699 A4189.403 Maint Conf-Off Mach $ 610 A4189.405 Conference Expense $ 200 A4189.462 Health Contracts $ 5,000

Total $ 14,509 To transfer monies from the Health Department’s payroll account to Health Equipment, Maintenance Contracts, Conference Expense, and Health Contracts on the Bio Terrorism Preparedness general ledger. The equipment being purchased is an on-site replacement pharmaceutical refrigerator, three cool cube portable coolers for transporting vaccine to off-site locations, an inflatable light tower for emergency preparedness events, as well as blood pressure cuffs. The Maintenance Contract supports the existing ARUBA wireless access ring. Conference Expenses will fund refreshments for all participants at the 2018 Point of Dispensing (POD) event. Health Contract appropriations will be utilized to purchase billboard/media advertising materials. Funding to cover these purchases are available through the Public Health Emergency Preparedness grant as the Emergency Preparedness Specialist position has been vacant for the period of March 1st to date.

FISCAL IMPACT: None. For further information regarding this matter, contact: David Rahr, Accountant-Department of Health (585)268-9261

Regular Pay A4010.101 39,937.00 (6,435.00) (11,342.00) 22,160.00 (4,564.00) 17,596.00

Reserve

For New

Staff

11/1/17-

12/31/17

Available

For TransferAccount Title

Account

Number

Original

County

Budget

Expense

Incurred 1/1-

2/28/17

Previously

Transferred

June 2017

Available

@10/1 For

Exp Through

12/31

ALLEGANY COUNTY OFFICE FOR THE AGING

MONTHLY REPORT - SEPTEMBER 2017

Year-to-date 01/01/2017 – 9/31/2017

TOTAL PEOPLE SERVED AGE 60+ 1,076 PERCENT OF TOTAL

LOW INCOME 551 51.2%

LOW INCOME MINORITY 140 13%

FRAIL/DISABLED 509 47.3%

AGE 75-84 340 31.5%

AGE 85+ 283 26.3%

LIVES ALONE 538 50%

VETERANS 131 12.1%

UNITS OF SERVICE

SERVICES PROVIDED # OF

PEOPLE

SERVICE THIS

MONTH

PREVIOUS MONTH

SAME MONTH LAST YEAR

(Aug and Sept)

2017 TOTAL

Telephone Calls At Front Desk 1,318 1,499 2,696 12,765

Health Insurance Counseling 81 132.75 100.5 224 1,149.25

Homemaking/Personal Care (PC II) 34 400.5 389.75 36 3,171

Housekeeping/Chore (PC I) 39 511.5 501.5 823.25 4,141.25

Case Management 92 125.5 133.5 94 901.69

Nutrition Counseling/Education 1 481 447 944 4,067.5

Transportation 38 223 196 264 1,527

Information and Assistance 477 1,482 1,116 3,129 14,207.5

Outreach 1 1 0 17 11

In-Home Contact & Support 9 60 68 44 431

Personal Emergency Response 100 100 96 57 858

Caregiver Services 15 35 90 63 305

Legal Services 9 11.7 11 4.75 60.7

Other (HEAP, Home Repair) 114 288 414.25 524.5 970.25

Meals-On-Wheels 413 8,305 9,643 19,852 78,565

Luncheon Center Meals 188 1,052 2,011 2,857 11,688

TOTAL MEALS 90,253

Alzheimer’s Respite Program This Month 2017 Total

Phone Consultations 16 150

Face to Face Consultations 3 Home Visits 0 Office Visit

33

Family Consultations 1 Home Visit 0 Office Visits 1 Phone Visits

27

Caregivers Served 3 28

ADDITIONAL INFORMATION New HDM Referrals 8 New Starts

Personnel No Changes

Public Presentations 9/7 NY Connects: Jones Memorial Hospital, Laurie Harrier (ID)

9/9 Walk to End Alzheimer’s, Olean Good Times (LO)

9/20-22 NYSOFA Annual Evaluation, Ken Chappell and Colleen Scott, NYSOFA (MG, AM, JS)

9/21 Medicare Basics, 18 Registered/15 Attended (LB)

Nutrition Monitoring 9/5, 6, 12, 19 KVR Kitchen Monitoring (JS)

Nutrition Education None in September

Nutrition Activities 9/28 Cuba Site: Vintage Vibes, Vince

Staff Training All Month Sexual Harassment & Workplace Violence, Webinar (All Staff)

9/5 Tax Counseling, IRS Webcast (KC)

9/6-8 HIICAP Coordinator Training, Sarasota Springs (AM)

9/11, 12, 13 CADER Mental Health and Aging Series: Suicide Prevention Among Older Adults; Mental Wellness and Resilience Among Older Immigrants and Refugees; Mental Health and Aging Issues;

9/12 Legal Basics: Medicaid 101, National Center on Law & Elder Rights Webinar (AM, EB, KC, TD)

9/13 Staff In-Service: Southern Tier Mobile Integration Team, Jennifer Jackson, Alicia Yanni, and Larry Gatioso, NYS Office of Mental Health (AM, CW, CO, EB, KC, LB, LO, SL, SR, TD,

9/18 New Medicare Cards, CMS National Training Program Webinar (AM)

9/21 FLPPS 2017 Poverty Simulation, Alfred University (TD)

9/20 HIICAP Regional Training, Rochester (CO, LB, SR, TD

9/21 PeerPlace Emergency Preparedness Module, Webinar (AM)

9/21 NY Connects Resource Directory Redesign, Webinar (AM)

9/25 PeerPlace Care Plans, Webinar (AM)

9/25 PeerPlace AAA Report Developer, Webinar (AM)

9/25-26 Applied Suicide Intervention Skills, Jones Memorial Hospital (LO, TD)

Support Groups 9/6 How To Talk to Family About Dementia, Wellsville TSC/Daybreak, 3 Attended (LO)

9/19 Safety at Home, OFA, 3 Attended (LO)

WAITING LISTS FOR SERVICES

Program # of People Change from Last Month

WAITING LIST 76 +3 EISEP and Caregiver’s Respite 59 +3 EISEP Only 17 +1 Caregiver’s Respite Only 0 -0

WAITING LIST ON HOLD 22 EISEP and Caregiver’s Respite 18 -1 EISEP Only 3 0 Caregiver’s Only 1 0

Personal Emergency Response (MercyLine) 0 -1

Meals 0 0

Insurance Counseling 0 0

M E M O R A N D U M O F E X P L A N A T I O N

INTRODUCTION NO: ___________________ (Clerk’s use only) Committee of Jurisdiction: Human Services Date: November 1, 2017

The Allegany County Office for the Aging requests a resolution to increase the following revenue and expenditure accounts. This is due to an increase in the number of Home Delivered Meals being reimbursed by the MLTC program over what was budgeted for 2017. Please appropriate funding as follows:

Appropriations ($6,000) A6779.474 Contractor $6,000.00

Revenues ($6,000)

A 6779 1972.00 MLTC-WIN $6,000.00

FISCAL IMPACT: Increase in MLTC revenue

For further information regarding this matter, contact

Madeleine Gasdik, Director Office for the Aging 268-9390

NAME AND DEPARTMENT TELEPHONE

Monthly Report Nov., 2017

MONTHLY REPORT TO THE HUMAN SERVICES COMMITTEE

Submitted Nov. 1, 2017

Sept.,

2016 Aug,

2017

Sept.,

2017

Temporary Assistance Cases 401 369 364

TANF 194 182 186

Safety Net Singles 174 155 149

Safety Net Families 33 31 29

Non-FA Medicaid 4389 3343 3334

Food Stamps Only 2804 2731 2696

Child Care Only 74 59 61

Child Protective Services

Hotline Calls 64 45 68

Total Active Cases 136 82 108

Foster Care & Adoption Services

Number children in DSS care 62 56 57

Number of children in OCFS 0 0 0

Relative Placement 13 13 12

PINS Reform 9 9 7

Preventive Services

Total number receiving services 46 43 44

Adult Protective/Preventive Services

Protective Open Cases 35 24 23

Preventive Open Cases 4 2 10

Home Care & Related Services

Personal Care Cases 39 33 32

Other (Care at Home/Private Duty) 3 1 1

CPPAP Cases 26 30 30

Respectfully Submitted,

Vicki L. Grant, MSW

Commissioner

Monthly Report Nov., 2017

PROGRAM INTEGRITY UNIT

MONTHLY REPORT

Sept.., 2017

Sept., 2017 Year to Date

2017

Year to Date

2016

Number of Investigation Referrals 10 127 132

Number of Investigations Completed 14 107 178

Substantiated 2 36 52

Unsubstantiated 12 78 122

No Determination 0 3 1

Number of Referrals for Criminal Action 0 3 30

Number of Food Stamp Disqualifications 1 12 9

FEDS Applications Referred for Investigation 29 308 197

Total Number of FEDS Investigations Completed 13 197 201

Applications Confirmed Denied/Withdrawn 0 3 15

Collections as a Result of Investigations $7,265.13 $99,532.02 $94,618.43

Bond and Mortgage Satisfactions $75.04 $18,597.06 $15,732.79

Estate Liens Satisfied $0 $0 $344.56

Accident Liens Satisfied $0 $0 $4,573.25

SSI Interim Repayment $1,678.50 $59,431.04 $78,586.69

TANF Grant Savings $0 $112.00 $156.00

Total Savings $9,018.67 $177,672.02 194,012.62

Approved by the Ways and Means Committee on _____________________ Pursuant to Resolution No. 146-03

Form Amended September 27, 2016

Request to Fill Position Form

Date:__11/1/17 Committee of Jurisdiction: _Human Services Request to Fill: Title of Position: __ Account Clerk Typist CSEU (medical leave)

Dept.: _Social Services_________________________ Will any positions be eliminated? __NO_____________________________

If yes, which position(s): ___________________________ This position is an:

Existing position? ___x______ Newly Created Position? _______Created by Resolution #: _________ This position will be:

Full Time? ____x____ Part Time? ________ Permanent? ________Temporary? __x______________ This position will be: Non Union? __x____ Union? __ _____ covered by the _______bargaining unit. Grade: __7_ Step: __Base –Step 7 Hourly pay rate: $16.0782 _- $18.8229 Annual salary of position: $29,262 - $34,2577

Cost of benefits for position: __48% Does position support a mandated program/grant? yes___ Name of program: _TANF

Source of funding for position: offset by TANF collections_% County 0% State 66_% Federal Source of funding for benefits: offset by TANF collections % County 0% State 66% Federal Amount in 2017 year’s budget for this position: _$33,851

Rationale justifying the need to fill this position at this time. Please include in your rational where applicable: 1. The specific duties that cannot be accomplished by another employee. Waiting on customers at the window,

taking payments and building cases, and clerical support work for all aspects of Child Support Collection.

2. The goals your organization will not be able to accomplish as a result of not filling this position. Ability to meet state and federal requirements.

3. The funding available to fill the position from external sources. 66% federal funding.

4. The benefit to the County generated by this specific position. Ability to meet state and federal requirements.

Department Name: __________________________________ Date: ___________

County Administrator Authorization: ___________________ Date: ___________

Approved by the Ways and Means Committee on _____________________ Pursuant to Resolution No. 146-03

Form Amended September 27, 2016

Request to Fill Position Form

Date:__11/1/17 Committee of Jurisdiction: _Human Services Request to Fill: Title of Position: __ Support Investigator (Retirement)

Dept.: _Social Services_________________________ Will any positions be eliminated? __NO_____________________________

If yes, which position(s): ___________________________ This position is an:

Existing position? ___x______ Newly Created Position? _______Created by Resolution #: _________ This position will be:

Full Time? ____x____ Part Time? ________ Permanent? ________Temporary? __x______________ This position will be: Non Union? __x____ Union? __ _____ covered by the _______bargaining unit. Grade: __7_ Step: __Base –Step 7 Hourly pay rate: $20.1598 _- $25.1170 Annual salary of position: $36,691 - $45,713

Cost of benefits for position: __48% Does position support a mandated program/grant? yes___ Name of program: _TANF

Source of funding for position: offset by TANF collections_% County 0% State 66_% Federal Source of funding for benefits: offset by TANF collections % County 0% State 66% Federal Amount in 2018 year’s budget for this position: _$ 48,327

Rationale justifying the need to fill this position at this time. Please include in your rational where applicable: 1. The specific duties that cannot be accomplished by another employee. This position is in the Support

Collection unit and assists with paternity establishment, child support order establishment, enforcement and collection.

2. The goals your organization will not be able to accomplish as a result of not filling this position. Ability to meet

state and federal requirements.

3. The funding available to fill the position from external sources. 66% federal funding.

4. The benefit to the County generated by this specific position. Ability to meet state and federal requirements.

Department Name: __________________________________ Date: ___________

County Administrator Authorization: ___________________ Date: ___________

M E M O R A N D U M O F E X P L A N A T I O N

Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: November 1, 2017 Requesting a resolution for the following budget adjustments for 2017 per New York State allocations: Program Expenses Revenues Amount: Support Housing A 4313.456 A 4313.3490.1078 $ 8,741 C&F C.S.P. A 4313.457 A 4313.3490.146L $ 105 Comm Perf A 4313.459 A 4313.3490.1400 $ 4 Forensics A 4313.459 A 4313.3490.139J $ 60 Fam. Sup. Serv. A 4313.460 A 4313.3490.146L $ 31 Int. Sup. Employ. A 4313.461 A 4313.3490.1037 $ 52 Health Homes Adult A 4313.462 A 4313.3490.1570 $ 1,345 PROS A 4313.463 A 4313.3490.1037P $ (4,328) SPOA Adult A 4313.464 A 4313.3490.039P $ 36 SPOA C&F A 4313.464 A 4313.3490.046A $ 32 Adult IIS A 4313.464A A 4313.3490.175A $ 192 Total for A 4313 $ 6,270 ARC A 4314.456 A 4314.3490.1014 $ 100 ARA A 4314.458 A 4314.3490.1014 $ (386) LVA A 4314.460 A 4314.3490.1014 $ 14 Total for A 4314 $ (272) ARA A 4315.456 A 4315.3490.1200 $ 176 ARC A 4315.457 A 4315.3490.1200 $ 24 Arbor Development A 4315.458 A 4315.3490.1200 $ 28 ACCORD A 4315.460 A 4315.3490.1200 $ 209 Housing Options A 4315.461 A 4315.3490.1200 $ 21 MHA A 4315.464 A 4315.3490.1200 $ 67 Total for A 4315 $ 525 FISCAL IMPACT: None for the County For further information regarding this matter please contact: Robert Anderson, PhD.

Allegany County Community Services (585) 593-1991