Transcript cuyahoga county transition work group on health and human services
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Cuyahoga County Charter
ARTICLE VIII--HEALTH AND HUMAN SERVICES SECTION 8.01 DEPARTMENT OF HEALTH AND HUMAN SERVICES.
There shall be a Department of Health and Human Services, which shall administer all programs and activities for which the County has or has assumed responsibility for the protection and enhancement of the health, education and well-being of County residents and that are not assigned by general law to other boards, agencies or officials, and shall coordinate its activities and cooperate with such other boards, agencies and officers in order to avoid duplication of services and activities. The Council shall provide by ordinance for such deputies and assistants to the Director of Health and Human Services as shall be conducive to the efficient performance of the duties of the Department of Health and Human Services.
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
STATE LAW IMPLICATIONS
Mandates: Funding: Structure: Child welfare, child support, adult protective services, public assistance State and Federal sources, $240 million in local funding (2 Health & Human Services levies) Ohio Revised Code (ORC) 329.021
County Department of Job and Family Services Triple-combined agency (CDJFS/PCSA/CSEA)
Cuyahoga County Board of County Commissioners County Administrator Deputy County Administrator/ Director of Job & Family Services Office of Health and Human Services Children & Family Services Cuyahoga Support Enforcment Agency Employment & Family Services Senior & Adult Services Family & Children First Council System of Care Office of Early Childhood Health Policy Office of Homeless Services Fatherhood Initiative
Cuyahoga County Board of County Commissioners County Administrator Deputy County Administrator/ Director of Job & Family Services Office of Health and Human Services
Special Projects Inter-Governmental Relations Ryan White Part A & B Grants Health & Human Services Levy Healthy Marriage Grant Outside Public System Coordination Overall Health & Human Services Fiscal Coordination The staff in the Office of Health and Human Services oversee and carry out all the above duties and provide any assistance requested by the general public, public officials, administrators and department directors.
PROPOSED: Overall fiscal coordination of the Health and Human Services' programs, departments, and grants; reporting directly to Director of Health & Human Services would insure fiscal support for all needs within the new Department of Health and Human Services.
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Dept.
DCFS
Staff
857
CURRENT SERVICE DATA Service Numbers
1,687 children in custody 19,652 child abuse Hotline intakes (2009)
As of 5/2010
Budget
$153 million EFS 724 140,000 cases $204 m (275,00 residents receive health care coverage) ($133m client benefits)
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Dept.
CSEA
Staff
391
CURRENT SERVICE DATA Service Numbers
476,000 people served DSAS 263 $240 million in support collections (2009) 2009
–
3,000 adult abuse/neglect allegations 2010
–
10,000 Medicaid nursing home cases 10,399 Medicaid waiver cases
As of 5/2010
Budget
$32 m $26 m
H ealth & H um an Services Levies 1992
$50,813,590
4.9 H ealth & Hum an S ervices L evy 3.0 H ealth & Hum an S ervices L evy Health & Hum an S ervices Levies Gen eral Fun d Con trib ution 4.9 H ealth & Hum an S ervices L evy 3.0/2.9 Health & H um an S ervices L evy Health & Hum an S ervices Levies Gen eral Fun d Con trib ution
$53,528,687 $104,342,277 $43,875,155
2000
$77,684,351 $57,554,911 $135,239,262 $22,239,793
4.9/4.8 Health & H um an S ervices L evy 2.9 H ealth & Hum an S ervices L evy Health & Hum an S ervices Levies Gen eral Fun d Con trib ution 2008 Health & Human Services Levies
$136,870,060 $86,982,122 $223,852,182 $0
1993
$50,508,756
1994
$50,738,533 $53,553,051 $104,061,807 $30,234,170
2001
$53,869,952 $104,608,485 $13,165,079
2002
$76,731,586 $56,863,242 $133,594,828 $26,592,301 $78,151,693 $58,022,907 $136,174,600 $73,314,855
2009
$156,375,467
2010 B udg et
$146,787,486 $87,183,234 $243,558,701 $0 $86,027,126 $232,814,612 $0
1995
$51,230,704 $54,359,864 $105,590,568 $2,892,741
2003
$77,657,392 $57,453,541 $135,110,933 $30,583,660
1996
$51,925,258 $54,991,022 $106,916,280 $6,784,529
2004
$136,606,611 $57,856,867 $194,463,478 $0
1997
$52,287,530
1998
$52,957,868 $55,390,225 $107,677,755 $11,295,735
2005
$56,109,649 $109,067,517 $46,863,918
2006
$135,517,270 $57,329,997 $192,847,267 $0 $138,183,432 $58,587,359 $196,770,791 $0
1999
$77,001,289 $57,323,303 $134,324,592 $16,522,481
2007
$137,989,220 $87,555,558 $225,544,778 $0
$200,000,000 $180,000,000 $160,000,000 $140,000,000 $120,000,000 $100,000,000 $80,000,000 $60,000,000 $40,000,000 $20,000,000 $0 H ealth & Hu m an Serv ic es Le vies Ge nera l F un d C on trib ution Budgeted Health & Human Services Levy Expenditures in 2010 Alcohol & Drug Addiction Mental Health Bd. $35,689,229 Employment & Family Services MetroHealth System Ohio State University Extension Executive Office of HHS Cuyahoga Tapestry System of Care Children and Family Services Children Services Board & Care Children With Medical Handicaps Early Childhood – Invest in Children Senior & Adult Programs $40,000,000 $274,000 $1,221,573 $9,371,348 $24,096,742 $50,330,601 $1,180,513 $7,300,338 $13,883,219 Juvenile Court Children Services Criminal Justice Intervention Children Who Witness Victim Witness Victim Treatment Services JC HHS Community Partnership Common Pleas Probation HHS Subsidy Justice Affairs – Office of Re-entry Public Defender HHS Office of Homeless Services HHS Other Programs Family & Children First Council $15,172,473 $1,180,800 $2,615,524 For further information call the Cuyahoga County Office of Health & Human Services at (216) 443-7032. $14,563,974 $14,442,100 $252,888 $617,251 $1,201,507 $986,326 $4,717,395 $1,154,426 $2,126,836 $398,297
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES CHARTER: ARTICLE VIII - CHARGE
• Review existing Health and Human Services operations by department/division and function; and by relationship with other boards, agencies and officials • Recommend an organizational and operational structure that will ~ best enable the Department of Health and Human Services to protect and enhance the health, education and well-being of county residents as mandated by general law and as deemed necessary and desirable for county residents; and, ~ coordinate relationships with related boards, agencies and officials to avoid duplication of services and activities and realize efficiencies • Offer such other recommendations related to best practices in health and human services as deemed necessary and/or desirable so as to achieve transformational realignment and efficiencies Departments/Divisions Affected: Executive Office of Health and Human Services; Children and Family Services; Senior and Adult Services; Employment and Family Services; Cuyahoga Support Enforcement Agency
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES EIGHT OTHER WORK GROUPS TRANSITION EXECUTIVE COMMITTEE HEALTH AND HUMAN SERVICES WORK GROUP Co-Chairs: John Begala and Rick Werner COMMITTEE OF CHAIRS
COMCOMMITTE E OF CHAIRS MITTEE OF CHAIRS
COUNTY GOVERNMENT COLLABORATION WORKGROUP Cuyahoga County and CCS Staff Support Funders Focus Group Community Focus Group Providers Focus Group TIME LINE Cty. Contract Data Initial Meetings Agency Overviews Demographic Public Comment
and GIS Data Focus Group Comments
MARCH APRIL MAY JUNE JULY AUGUST Draft Reports
> Overview for Executive > Overview for Council > Demographic Profiles > Strategic Opportunities > Long Range Issues
SEPTEMBER
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES The Center for Community Solutions
John Begala, Executive Director, HHS Transition Co-Chair Staff Support: Emily Campbell Sheila James Ken Slenkovich
Cuyahoga County
Rick Werner, Deputy County Administrator/Director of Job & Family Services, HHS Transition Co-Chair Staff Support: Janet Carr Mary Louise Madigan Glenda May
Legal Counsel
Jeanne M. Rickert, Esq. - Jones Day
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES COMMUNITY FOCUS GROUP MEMBERS John Begala, Co-Chair Rick Werner, Co-Chair
Kenneth Adams Terry Allan Dennis Anderson Richard T. Andrews Georgia Anetzberger Melanie Assid Paula Atwood Susan Axelrod Marilyn Bagley Jeff Bailey Zerrine Bailey Valerie Baker Celeste Bayorek Mary Bazie Deb Beckwith Susan Biasko Melissa Bilancini Claire Boettler Bernardine Brooks Richard Browdie Latasha Brown Katherine Buleuea Deana Calcagni Emily Campbell Eugenia Cash Richard Cirillo Terrell Cole John Corlett Marcos Cortes Colleen Cotter Maridell Couture Debbie Cowan David Crampton Daniel Cratcha Marc Crosby Debra Lewis Curlee Don Davies Marvin Davies Megan Davis Carol Dayton Joe DeCapite Maureen Dee Mary Denihan William Denihan Kareem Dent Lokeita Dimes Jillian Driscoll Rebekah Dorman
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Lang Dunbar, Jr.
Leslie Dunn George Espy Bill Eyman Melanie Falls Paula Farrell Billie Osborne Fears Jacqueline Fletcher Erika Forde Deborah Forkas Steve Friedman Joe Gauntner Dave Gillespie Ruth Gillett Doug Gray Michelle Gray
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 2 Charity Hall Ann Marie Hanna Solomon Harge Susan Harnden Keith Headen Ginny Hearn Annaliesa Henley Joe Hewitt Anne Hill Vincent Holland Cecelia Huffman-White Liz Hunter Monica Willis Jackson Susan Jankite Julie Jarvis Katherine Johnson Mark Johnson Mike Jones Jacquie Kasprisin Marita Kavalec Ben Kearney Maggie Keenan Mary Kelley Dawn Kolograf Brad Lamb Evan Langholt Catherine Lester Isaiah Lewis Edward Little Gail Long Mary Louise Madigan
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Stacey Maleckar Robin Martin Mike Matoney Glenda Cox May Jacqueline McCray Tim McDevitt Karen McDuffie Mary McElrath William McGivern Sally McHugh Tom Mendelsohn David Merrimen Jason Miller Laurie Miller Rev. Dr. Brian Moore Marvetta Morman
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 3 Debbie Moss Tom Mullen Chris Murray Natalie Leek Nelson Susan Neth David Nodge Angela Norrell Phillip Nunes David Oakley Tom O’Malley Mary O’Shea Scott Osiecki Larn Parks Jaida Patterson Judy Peters Charmaine Pope Bert Rahl Carlos Ramos Denise Rembert Jill Rizika Nicky Roberts Lula Holt Robertson Ron Robinson Kim Rodas Rev. Max Rodas Debbie Rodriguez Judith Ross Jordan Rothkopf Angela Rush Terrence Ryan
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
Muqit Sabur Renay Sanders Jim Schall Sabra Scott Charles See Michael Sering Anthony Sharaba Robert Shields Dave Shopp Judith Simpson Ken Slencovich Don Slocum George Smith Robert Staib Dolores Stewart
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 4 Lorri Stewart Marlene Stoiber-Burroughs Kathleen Stoll Steve Streepy Carolyn Sugiuchi Craig Tame Doug Tayek Ericka Thoms Christian Tobin Mario Tonti Reginald Turner Greg Uhland Luis Vazquez David Visocky Diane Walcott James Walker Mary Warren Alisha Washington Cindy Weiskittel Steve Wertheim Sr. Donna Wilhelm Danny Williams Eboney Williams Thomas Williams Diane Wilson Shane Winnyk Debbie Winston Angela Woodson Dona Wright Denise Zeman
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES WORK GROUP MEMBERS
Terry Allan Susan Axelrod
John Begala, Co-Chair
Richard Browdie Emily Campbell John Corlett Colleen Cotter Debra Lewis Curlee William Denihan Rebekah Dorman Leslie Dunn Marcia Egbert George Espy Deborah Forkas Joseph Gauntner Ron Hill Catherine Lester Gail Long Mary Louise Madigan Jacqueline McLemore Sharon Milligan Thomas Mullen Judith Peters William Ryan Judith Simpson Mario Tonti Natoya Walker-Minor
Rick Werner, Co-Chair
Danny Williams Denise Zeman
Susan Axelrod Mitchell Balk
William Denihan, Co-Chair
Marcia Egbert Deborah Forkas Joseph Gauntner Ruth Gillett Kathleen Hallissey Marita Kavalec Susanna Krey
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES FUNDERS FOCUS GROUP MEMBERS
Mary Louise Madigan Janet Narten Terry Ryan Judith Simpson Deborah Vesy Gordon Wean
Denise Zeman, Co-Chair
City of Cleveland Representative Suburban Cities Representative Veteran Services
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES PROVIDERS FOCUS GROUP MEMBERS
Joyce Able-Schroth Michael Byun Deb Cowen Maureen Dee Jillian Driscoll Joan Englund Stephanie Fallcreek Billie Osborne Fears
Deborah Forkas, Co-Chair
Rich Frank Elaine Gohlstin Aldonis Grimes Mary Hall Ron Hill Dawn Kolograf
DRAFT MEMBERSHIP
Natalie Leek-Nelson Dave Lundeen Mary Louise Madigan Robin Martin Robert Math Dr. B.A. Moore Pat Nobili Betsie Norris Judie Peters Jill Rizika Max Rodas Debbie Rodriquez Maurice Stevens
Mario Tonti, Co-Chair
Luis Vazquez
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
JULY – SEPTEMBER TIMELINE
July: August: September: Funders and Providers Focus Groups Report Out Community Focus Group Work Group Meeting Draft Recommendations Presented to Work Group and Community Focus Group HHS Recommendations to Transition Executive Committee
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES