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Unfortunately, there is no public
comment or communications on our agenda.

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So, I'm glad to see there doesn't seem
to be anybody that needs to speak. So,

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we'll make sure that we take care of
that for next month and get that back on

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the agenda.
Um, a roll call, please. Where are you,

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Jules? Okay. Good morning. Joe Bara
>> here.

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» Paula Hodic here. Robert Copish
>> here.

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» Head Steven is excused. Dennis Warco
>> here.

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» Nicole Kowiki
>> here.

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» Homo
>> here.

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» Stacy Palmer
>> Gerald Swanson

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» here.
>> Thank you.

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» All right. And thank you.

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So we have uh our vouchers. They should
be going around. Chris is Chris Anne is

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not here to answer any questions. Bob.
So um

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» Oh, she did. Okay, good.

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All right. So, have they gone all the
way around? And they have. Thank you.

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» Can you take this back to Chris Chris's
office?

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» Okay. All right. Uh, so I need a motion
to

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approve Mr. Copish.
>> I'll

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» approve the vouchers.
>> I'll second that motion.

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» Mr. Bradka second that.
Any discussion?

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Hearing and seeing none. All those in
favor?

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Those opposed? Everyone needs to use
your microphones because we have a

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little competition down the hall here.
Oh, well.

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All right. So, that has passed.
New workers introductions. Chana, I

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believe you have someone to introduce to
us. Would you please come to the

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microphone and speak into it, please?
Loud out there. So we have filled

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another position in our unit for
children's waiver and copyright

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community services and then she will
also do crisis. This is Christy

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Casterman.
>> Hi Christie.

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» Christy, would you like to give us a
little bit of a bio of yourself?

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» So I grew up here. I know some of you
and then when I graduated I moved to Los

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Angeles for college and then I was a
special ed teacher there. Ended up

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moving to Phoenix where I was also a
special education teacher. stopped

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teaching, opened my own business to take
the special ed kids when they graduated

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high school. So I had a date program in
a group supported employment and then I

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ended up moving back here this past
August. So very grateful to be here to

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be able to help everybody and it feels
good to be home backed by family and

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surrounded by people I know and have the
four seasons and not the 123 degree

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heat.
>> Well, thank you very much and we welcome

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you back.
>> Thank you. I appreciate it. It feels

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good to be back.
>> Well, good. Well, we're glad to have you

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in the family. Thank you guys.
>> Welcome.

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Thank you, Cha. And the minutes of uh
first our August 12th meeting, our

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regular meeting. And you you'll notice
uh a couple of things that were

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scratched off of there um redlinined
only because they were we were looking

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at setting up the agenda and there
weren't um and there was these were not

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going to be on the agenda. So somehow
they're still on these minutes and they

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they really don't have to be there, but
we'll make sure that when we print the

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copy for we'll make sure that gets uh
fixed. Jules, thank you. Okay, so what's

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your Oh, we could probably both do them
both. We have the public participation

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meeting also that same day and that one
was uh for 5 minutes and 7 seconds only

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because we had a I like to say that
because I we get through that one pretty

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quickly. Although we did have one public
comment at that time. Um just a comment

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on a non-aggenda item. So what is your
pleasure for these two minutes? If we

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could put together presented.
>> Okay.

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» Mr. Wo, Mr. um Swenson. I'm sorry. Um
and any other discussion?

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Okay. Hearing and seeing none. All those
in favor? Those opposed? All right.

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That's done.
So, next year, next year when I'm

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looking for public participation, I'm
I'm panicking that we don't have it. And

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then Jules was the one who said, "Oh,
no, no, no. We do that one at the

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September meeting." So,
>> I thought, "Oh my gosh, we didn't get

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that one done."
>> Mr. Mr. Chair,

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» yes.
>> Um, just a comment, and I wasn't able to

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make it, but um, we never get anybody
coming to this, right? and and we're

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having it later in the day because we
expect we're going to be able to get

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more people.
>> Would it make sense to just have it in

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the normal time because
>> it statutoily we have to have it after

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3:30.
>> Oh, we do?

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» Yeah. So, it's the one meeting that the
in the state statute says you have to

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have it after I think it's 3:30. It's
like a weird time.

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» Yeah. Yeah.
>> 3:30 or 4 p.m.

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» Well, I think it's because they want the
working class to be here, you know, if

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they were working and they have that
chance to come and make a comment.

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» I think we actually Well, did we ever
have it earlier in the day? It seems

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like I remember we used to
>> Well, you would know best because you're

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» I've been here a long time. Yeah. Well,
maybe not.

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» I was going to be really polite.
>> My memor is getting worse, though.

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» Can double check the statutes, but that
was always my understanding for

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» Okay. All right. Just a comment.
>> All right. Thank you. And just for the

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minutes, uh, Patty has joined us online.
>> Patty. Hi, Patty. So,

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» just wave.
>> She probably can't hear us yet, but she

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has joined us.
>> Patty, can you hear us?

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» I hope so. It'd be kind of not fun to be
sitting there staring at us.

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» Anybody know sign language?
Hi, Patty.

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» Send her an email. Maybe she has her
email up. I don't know.

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» That's how I got her.
>> Oh, okay. Good. All right. Well, if we

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can if we can get her on that, that'd be
really nice. But it's good to see her

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there. So, she's not excused. She's a
pres present.

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All right. Opioid committee update. Uh
recommend a list of opioid funding to

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the Health and Human Services Board. You
all were given a copy of the

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recommendations at the last meetings and
you were charged with making sure that

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you looked it over and made any
questions, wrote them down if you had

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anything that you needed to discuss.
Nick is just going to kind of run

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through a little bit of those again to
kind of get your mind set there. So, if

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something jogs your memory that you
wanted to ask, this is the time because

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then we're hoping to um if if it becomes
an issue, then we have to call another

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meeting and we do have one more as an ad
hoc meeting, we we can call one more

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meeting um to address that issue if we
need to. But if we don't, if we can just

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circumvent that and just take it right
on to county board and to approve it,

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that would be really good, too. So, um
Nick, take it away.

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» Sure. So, just to back up. So what this
was is there was a class action lawsuit

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for umarmacies, anybody who provided
opioids or or created the opioids. So

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Purdue was the largest one. Uh that went
through a bunch of settlements. There

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was a whole bunch of
legal ease happening. So in the end what

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happened was uh over the next 20 years
uh counties that were involved and the

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state for this lawsuit will be receiving
funding to mitigate um opioid issues. Uh

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we have received I think it's at the
bottom of the page uh $287,945

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so far. Some of that is prepayment. So,
some of the pharmacies, some of the

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groups decided to get their payment out
of the way or do larger sums up front.

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Uh, we're anticipating about between 10
and $15,000 a year going forward for the

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next I think it's 14ish 15 more years.
So, uh, what the state through this

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process said is you have to have a
opioid committee to review how opioids

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have affected your community. Uh so the
county put together an opioid committee.

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On that committee was I think it was
over a dozen people which represented

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all different areas of the county
including schools, hospitals, uh any

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other medical providers, uh our health
department, our children and youth

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department, law enforcement, the
schools. Uh so we had a whole group of

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individuals. We had we've did four
meetings. The first meeting was

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introducing each of those areas and
saying hey this is how it's affected us.

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So schools talked about how uh we saw
you know children having access or

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experimenting earlier um education it
depends on when you know they had some

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interesting insight law enforcement what
they're seeing with hybrid drugs or the

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escalation of use of methamphetamines
things like that because of the preuse

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or the addictive level of the opioid um
all groups went through um kind of where

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they were dealing with uh the opioid
crisis. Uh so then uh second and third

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meeting we started to discuss okay what
are the available uses. So the state

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released a 200page packet that said
here's how you could use it. The biggest

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thing was you can't supplant. So we
can't what that means is we like say if

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we gave ourselves funding to the health
department we can't say oh look we're

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already doing this education now we
don't have to use our levy dollars and

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or other grant money and we can just
keep that money and use it for something

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else. So it all had to be new or
additional services in your community.

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Um by the time we got to the third
meeting, fourth meeting, um everybody

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kind of presented their ideas on what
might help the community and how to

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spend the the funding. And that's where
we came up with this list of quite a few

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items uh for the first three years. Uh
after the first three years, obviously,

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we'll continue to receive funding, but
at that point, the the rules are you've

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established kind of how you want to
spend them. This group would then just

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continue to recommend how to allocate
that additional funding. So, if certain

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things are working, you would say, "Yep,
keep doing this with that additional

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funding." A lot of the things on here
are one-time um program costs, there are

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some things and and mostly in our our
house, I guess, our county oversight

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would be continued costs that we could
allocate funding. uh when we looked at

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like outside funding um of programs, we
it was more of the one-time um funding.

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So, uh in the end, this is the list we
came up with. Um I would say if the the

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biggest ones were like in-house that
health department uh Kayla the children

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youth so tiff's department with the
health children and youth with Kayla

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they had some really good Janna had some
stuff too um with behavioral health they

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have a lot of good programming additions
to what we're already doing um and

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they're here if there's questions about
that the outside stuff um for example

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was like working with the schools and
allocating money to for them to work

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through either presenters coming in as
one school or as all the schools get

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together to have speakers talk about um
drug abuse or addiction or things that

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um preventative measures uh upfront. Uh
we talked uh to his house of hope which

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they're doing drug rehab programming uh
and allocating funding for some things.

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They they requested very specific stuff.
We set aside money for um because his

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house of hope is for males there. If
there was ever a program in the area

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that would work with females, we have
the money set aside that they would get

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equal amount that uh his house of hope
would. Um some of the other highlights

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were like where we struggle as being
rural is getting individuals to

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programming and or housing them once
they are at programming. So, we set

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aside quite a bit of money for that
where it's it would assist families

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with, you know, staying somewhere. So,
it would be like a grant program um

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whether it's like the hotel or the
location or just getting them there with

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transportation. Um that was a big one
uh that we talked about for the law

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enforcement. They brought up um testing
a machine that would test um any drugs

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that they found for like um
uh not fentanyl. Is that the big one? I

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want to say empetamines, but it's
fentanyl. Uh where it's instead of them

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having to risk their
contact, it's a machine that tests it

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without um contact. It's like
contactless rather than you open the bag

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and something might come out. It's
there's some process or some machine

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that's not cheap that would be available
to all law enforcement. It would be

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centrally located. So when you do have
that uh situation, you could test it.

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What that'll help is preventative
measures in our jail system and it'll

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get people to recovery quicker rather
than waiting to find out if they're have

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blood test iss
um withdrawals. So those are kind of the

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highlights. if you want. Uh staff is
here to highlight what their requests

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are. Otherwise, uh like Paula said is
the next step would be you guys

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approving or we we'll put together a
resolution to approve this to go to the

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full board. And really, some of this can
be done immediately. Some of it's more

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long-term that we'll be looking at.

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» So, are there any questions or
discussion? Joe,

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» so just for the outside groups, um was
the his house of hope the only one that

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requested funding? Um I just just
curious.

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00:14:17,120 --> 00:14:23,519
» Yeah. So we didn't have any Well, we
didn't have them on the committee. So

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there are outside groups, right? like
they still the schools were considered

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outside. But yeah, his House of Hope was
made aware of the uh funding through

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00:14:30,399 --> 00:14:35,600
their drug programming and actually it
was a good education for our staff

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because they presented his house hope
presented on what they're doing, what

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they're working on um who can be their
clientele. So it was good eye opener for

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00:14:44,800 --> 00:14:50,959
if we have clients ourselves that could
be sent there or work with that

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00:14:48,959 --> 00:14:54,959
programming. But yeah, His House of Hope
was the only

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00:14:52,880 --> 00:15:00,839
nonprofit or group that came forward
saying, "Here's specifically what we

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00:14:56,720 --> 00:15:00,839
could use help with." Um,

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00:15:02,000 --> 00:15:05,600
» Madam Chair, may I
>> Sure.

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» I just have a question. I I think it's a
legitimate list. I'm not questioning the

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00:15:07,440 --> 00:15:13,440
list. How is it going to be
administrated? Like, who decides like

199
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promotion, advertising, and education
for preventing misuse of opioids?

200
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Does does an outside entity become aware
of it and come and ask for the money or

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do you already have somebody that it's
your mark to how is this administered?

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Yeah, it Tiff can talk about but yeah
this it's just internally man mon

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monitored so we have to report this
every year I believe so they have to

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track it and bring it forward but you
can talk more about like

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» yeah and so a lot of those activities
initiatives are already in place by our

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um substance use and mental health
coalition um so they can expand upon

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those we have the experts at the table
some of them are are here are on the

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committee um so um we're going to be
using evidence-based information, but it

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would be probably made by those
individuals. Those are the ones that we

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initially requested um that funding.
>> So, it's more of expanding of programs

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than creating the wheel. And none of
this is recreating a you know, or

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creating a specific program.
>> We're enhancing what we already have.

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» Yeah. Or the region has like so to the
west of us, they spent quite a bit of

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money on um billboards and program, you
know, advertisement. Not saying that's

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what we're going to do, but we could
latch on to that and say expand that

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program and put stuff up here.
>> So the framework for administrating this

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is already in place.
>> Oh yeah.

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» The state has some of those campaigns
already in place. So we wouldn't be

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reinventing the wheel. We' be using it
the most efficiently way that we could.

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Just bringing that information here.
>> Good question though.

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» Oh, okay.
>> For now.

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» For now, Mr. Copish.
>> Yeah. How long will the funding

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continue? Do you know as this go on
forly or?

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» We got the bulk of it right now and I
believe we have like 14 years left or it

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was like a 20-year payout.
>> Oh, really?

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» For a lot of these.
>> Okay.

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» The big, you know, we were lucky. We got
money and it's it's going to help.

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There's a lot of programs we can put in
place. We're nowhere near some of the

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big one. Like some are getting a million
bucks plus. And what those are we're

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seeing is they are putting rehab centers
in and bigger things. We don't have

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anywhere near that. We talked as a
region about some of that stuff, but

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even if you pulled eight or 10 of our
counties, it doesn't you'd you'd be

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subsidizing it somehow um as a region.

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» Any other questions?

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» No.
Well, what's your pleasure, board?

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» Are we going to send it back to opioid
committee for some reason or are we

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going to stop it here and move it on to
county board?

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» Yeah, we bring a resolution.
>> Yeah, we'll bring the resolution, but we

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00:17:57,679 --> 00:18:02,320
need to at least say we're going to go
with that.

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» I'd make a motion that we move forward
with the list as presented.

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» I'll second.
>> Okay. Motion by Mr. Baratka, second by

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Mr. hopes to um move this forward and um
any discussion at that time about this.

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00:18:16,320 --> 00:18:23,919
Okay. Hearing and seeing none. All those
in favor? Those opposed?

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00:18:21,600 --> 00:18:25,120
» Oh, there you are. Hi, Patty.
>> Hi.

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00:18:24,240 --> 00:18:29,160
» Hi.
>> Okay, good. There you are.

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00:18:29,679 --> 00:18:35,360
» All right. So, the motion has carried
and we will move that forward. I would

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00:18:33,840 --> 00:18:38,080
like to thank the opioid committee
because we won't see them again. and I'd

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00:18:36,799 --> 00:18:42,160
like to thank them for all the work that
they did and taking the time to bring

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00:18:40,240 --> 00:18:50,960
the research to us and helping us with
that and his house of hope. Um

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00:18:46,320 --> 00:18:56,080
I I guess we can contact Mr. um Dist and
and Robert and see what we can do with

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00:18:52,960 --> 00:18:59,760
that. Okay. All right.
Well, we'll move forward then. So,

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00:18:57,679 --> 00:19:03,600
you'll bring we'll bring that next month
to the resolution, right? And then to

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the county board. So, county board will
see it probably October if you guys have

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an October meeting.
>> Okay, sounds good. All right.

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00:19:11,760 --> 00:19:20,880
» Annual report. You received this last
time as well. Nice big reading. I

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00:19:17,760 --> 00:19:25,200
thought it was well put together and
very informative. I I thought this is

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00:19:23,280 --> 00:19:30,320
something that you should actually just
keep on hand if you really can't

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00:19:27,679 --> 00:19:36,080
remember what that acronym was or what
it meant or what who's in charge of that

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00:19:33,280 --> 00:19:41,360
of that department. And uh I mean it
just if you if you're at a loss of how

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00:19:38,799 --> 00:19:47,440
you need to discuss what what those are,
this is very well done. So all we're

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00:19:45,039 --> 00:19:52,240
going to do here is um it's been
presented to you. So, just wondering if

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00:19:49,840 --> 00:19:56,480
there was anyone that had any questions.
You do have some of the managers here

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00:19:54,559 --> 00:20:01,840
and they can discuss anything that you
had um or comments.

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00:20:00,480 --> 00:20:07,039
Stacey, you didn't get a chance to read
it, but that's okay. If you have

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00:20:04,640 --> 00:20:09,440
questions, you can contact Sarah and go
>> through it today.

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» Oh, at the orientation. That's right.
There is an orientation this afternoon

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in case anyone had forgotten. I
understand uh Supervisor Olrich will be

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00:20:15,520 --> 00:20:22,960
there and Stacy, our new gal here, will
be there. If anyone has uh an inkling to

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go there, you could still get into it
for this afternoon. Okay. Any comments

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00:20:26,640 --> 00:20:33,840
for the for the uh this is just an FYI.
We don't need to approve this and send

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it. It just goes on file.
>> Just a question as going through it. Uh

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something didn't make sense on page 14.
>> Okay.

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And that first uh highlighted one, you
got 26 children referred and 60 children

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served. Does that make sense?

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00:20:56,880 --> 00:21:00,440
» Hi Bob.
>> Hi.

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» Gotcha.
>> So what that means is these kids are in

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this program long term. So, we served 60
children in that year, but they some of

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them were already in and we had 26 new
referrals.

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» And the reason I asked is because the
next item down says 60 children served.

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And I thought maybe
>> Yeah. So,

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00:21:17,360 --> 00:21:22,320
» just
>> the Children's Community Option Program

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00:21:19,679 --> 00:21:25,679
funding. That funding we only use for
children in children's waiver. So, it's

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00:21:24,080 --> 00:21:29,200
a supplemental funding that pays for
things that maybe children's waiver

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00:21:27,039 --> 00:21:33,440
won't pay for. So certain items that
might be helpful to make their life

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00:21:30,480 --> 00:21:39,600
easier that this the regulations that
are put upon CLTS don't cover. So then

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00:21:37,440 --> 00:21:42,080
we go through a process, talk about it
and approve it and then those items are

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00:21:41,280 --> 00:21:45,360
covered.
>> Okay. Thank you. Well, Chris Anne's not

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00:21:44,080 --> 00:21:50,640
here, so I I got to ask somebody.
>> You got to ask somebody.

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00:21:47,280 --> 00:21:52,799
» That's okay. I'm all right with that.
>> All right. That's it. Other words, great

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00:21:52,320 --> 00:21:54,400
report.
>> I I agree.

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00:21:53,440 --> 00:21:56,880
» Really a nice report.
>> Yep. I agree.

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00:21:55,440 --> 00:22:01,000
» Espec Especially the director's
comments. That was just just wonderful.

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00:22:01,520 --> 00:22:08,880
» Yeah, I know. What What are you asking
for?

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00:22:05,679 --> 00:22:13,760
» Any other comments or complaints or
concerns?

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00:22:10,799 --> 00:22:20,240
No. Well, good. Job well done. Thank
you.

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00:22:16,720 --> 00:22:23,840
Lot of work in there.
All right. So, let's go to the

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resolution.
So, we have a resolution in front of us

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to uh s uh support sustainable state
funding for local public health

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00:22:31,440 --> 00:22:36,480
departments. I'm just going to read a
couple things. I'll let Sarah take over.

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00:22:34,880 --> 00:22:41,360
Whereas in Wisconsin, local health
departments, LHDs, are legally required

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to provide a core set of public health
services under state statutes chapter 2

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00:22:44,159 --> 00:22:53,679
251 and Wisconsin administrative code
chapter DHS 140. And whereas

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00:22:50,640 --> 00:22:58,240
responsibilities of LHDs have expanded
significantly in recent years due to

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00:22:55,520 --> 00:23:02,480
emergency public health emerging excuse
me public health threats, workforce

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00:23:00,320 --> 00:23:07,440
shortages, and increasing community
health needs. And whereas local health

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00:23:04,720 --> 00:23:12,960
departments rely on a combination of
limited state aids, categorical grants,

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00:23:10,559 --> 00:23:17,760
and local state tax levy to find these
mandated services. And then it goes on,

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00:23:15,760 --> 00:23:22,799
but I think Sarah can figure that out to
tell us at the end. I'm just going to

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say, but be it be it further resolved
that the state of Wisconsin recognizes

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public health as a core governmental
function and prioritizes sustained

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00:23:28,799 --> 00:23:35,360
investment to ensure consistent services
uh delivery across all jurisdictions.

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00:23:33,520 --> 00:23:38,799
And be it further resolved that a copy
of this resolution be forwarded to the

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00:23:37,039 --> 00:23:42,159
governor of Wisconsin, members of the
Wisconsin state legislature, the

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00:23:40,480 --> 00:23:46,880
Wisconsin Department of Health Services,
and all Wisconsin counties. And in a

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00:23:45,520 --> 00:23:53,039
nutshell, Sarah, I'll take it over. I
was going to ask or Tiffany Tiffany.

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00:23:48,799 --> 00:23:57,720
Tiffany, did you get a chance to talk to
other health officers or

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00:24:00,880 --> 00:24:06,480
uh yeah, there's actually quite a few
other counties that are passing similar

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00:24:04,159 --> 00:24:10,880
resolutions um just because of the fact
of there are those core functions that

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we need to provide and over the the last
few years we are seeing um funding being

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00:24:14,320 --> 00:24:23,760
cut and cut and cut. um just alone um
our the lead grant that we receive. Um

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00:24:20,080 --> 00:24:28,799
it's just to help supplement um the um
the activities that we do for lead um

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00:24:26,400 --> 00:24:34,640
followup on for children um in older
homes and things like that. And um that

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00:24:31,840 --> 00:24:38,960
got sliced in half. Um we're looking I
mean if you look at dollar amounts I

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00:24:36,559 --> 00:24:42,640
don't think $1,500 is a lot of money to
support those funds when you're looking

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00:24:40,480 --> 00:24:46,320
at the number of children in our in our
community. So this is just just that's

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00:24:44,880 --> 00:24:51,120
just an example. Well, there are other
ones too that we are looking at, but um

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00:24:48,640 --> 00:24:58,559
this is just that support um and that
formal um you know look at um what we

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need and um so that we can make sure
that we are keeping our community

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healthy and safe and unfortunately
dollars go along with that and we're

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00:25:04,799 --> 00:25:09,679
trying to take every grant opportunity
that we can to apply for other grants

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which when I give my report in a little
bit you'll get to hear those but some of

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those that are those core functions it
just needs

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So that's it.
>> Yeah.

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00:25:22,960 --> 00:25:25,960
» Okay.

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00:25:26,400 --> 00:25:34,679
» So Sarah said that's it. That's in a
nutshell. That's exactly what it is. So

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00:25:31,279 --> 00:25:34,679
what's your pleasure?

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00:25:35,600 --> 00:25:43,360
» You want to go first, Joe, or should I?
>> I I motion to approve and forward to the

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board.
>> Good.

339
00:25:44,320 --> 00:25:52,240
Okay. Mot motion by Mr. Copish to um
approve and forward this to the county

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00:25:49,360 --> 00:25:56,559
board and Mr. Warco seconds that any
other discussion.

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00:25:54,799 --> 00:25:59,679
» Yeah. Hearing and seeing none. All those
in favor?

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00:25:58,320 --> 00:26:06,880
» Those opposed?
>> Oh, sorry about that. I We got you in.

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00:26:03,440 --> 00:26:11,600
It's that voice above that comes in.
Okay. And uh all and I'll that passes

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00:26:09,919 --> 00:26:17,840
and then we'll see that at county board
then. Thank you.

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00:26:15,840 --> 00:26:22,640
Next, we have public health unit.
Tiffany, you just like that microphone.

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00:26:19,840 --> 00:26:25,200
Come on up.
I understand.

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00:26:24,080 --> 00:26:29,679
» First of all, thank you for that
support. That's much appreciated from

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00:26:27,200 --> 00:26:34,480
public health standpoint. Um, and I'm
sure from the community as well. Thank

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00:26:31,200 --> 00:26:38,480
you. Um, okay. Okay. The first on my
list here is um just a uh it's not

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00:26:37,039 --> 00:26:44,880
anything in paper that you have, just a
a verbal report um on from the health

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00:26:42,080 --> 00:26:48,960
and wellness coalition. Um so just
mentioning back on some of those grants.

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00:26:46,559 --> 00:26:53,120
Um there was a grant opportunity. Um I
had mentioned a while a couple of months

353
00:26:50,400 --> 00:26:59,279
ago um some there were some ARPA funds
that were left. Um we could apply for a

354
00:26:55,440 --> 00:27:05,200
mini grant. Um we requested $2,000 and
after a few things we ended up getting

355
00:27:01,919 --> 00:27:10,880
almost $6,000. So, we welcome that in.
Um, so, um, I was able to get a little,

356
00:27:08,320 --> 00:27:15,200
um, uh, overview from the Health and
Wellness Coalition of what we're kind of

357
00:27:12,240 --> 00:27:20,080
using that for. So, um, we wrote it with
the thought of, um, our physical

358
00:27:17,279 --> 00:27:24,480
activity and our nutritional needs of
our community, which is in our community

359
00:27:22,640 --> 00:27:30,080
health assessment and our community
health improvement plan. Um, so we

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00:27:27,440 --> 00:27:35,120
looked at the they looked at the food
insecurities within our school. Um, one

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00:27:32,400 --> 00:27:40,799
of our schools was already working had a
fuel zone cart. Um, as we know, hungry

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00:27:38,400 --> 00:27:46,960
children have difficulty learning in
school. It's hard to focus and um, if

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00:27:44,080 --> 00:27:52,400
you have a well-nourished uh, belly, you
usually have a well-nourished brain to

364
00:27:48,559 --> 00:27:57,919
be able to learn. So, um, what we ended
up doing was, uh, using some of the

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00:27:54,399 --> 00:28:02,080
funding to purchase, um, a fuel zone
cart for the Philips School District and

366
00:28:00,480 --> 00:28:07,600
for the Apprentice School District. So,
with that, um, they, um, are are going

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00:28:05,919 --> 00:28:11,520
to be able to have some easy accessible
foods for children if they need it, like

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00:28:09,679 --> 00:28:14,720
in the in the morning, in the afternoon,
just to keep them nourished throughout

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00:28:12,960 --> 00:28:18,399
the day. Obviously, we know that our
school systems do a great job during the

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00:28:16,640 --> 00:28:21,520
lunch period and stuff like that, but
again with that's what they can provide

371
00:28:20,320 --> 00:28:25,520
and we know that there's children that
come to school hungry and they go home

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00:28:23,440 --> 00:28:29,679
hungry. So, we're just kind of helping
to offset that. Additionally, they were

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00:28:27,919 --> 00:28:37,919
able the health and wellness coalition
worked with um one of the um local uh

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00:28:35,279 --> 00:28:41,520
medical clinics um to help um look at
food items for those carts too. So,

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00:28:40,080 --> 00:28:45,200
together we were able to combine on
that. Additionally, um, one of the

376
00:28:44,320 --> 00:28:48,159
things that was looked at from the
Health and Wellness Coalition is a

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00:28:46,640 --> 00:28:53,279
couple years ago when they did the bento
boxes, um, they, um, did an assessment

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00:28:51,440 --> 00:28:58,799
to see what was needed in the community.
And a lot of people talked about, um,

379
00:28:56,000 --> 00:29:02,880
wanting cooking classes and how to cook
on a budget and, um, healthy foods and

380
00:29:01,520 --> 00:29:06,480
not knowing how to prepare them and
things like that. Um, since then, we

381
00:29:04,799 --> 00:29:09,440
luckily have like the YMCA that's
providing some cooking classes, but we

382
00:29:08,080 --> 00:29:12,480
were trying to look to see how can we
spread that a little bit more throughout

383
00:29:10,559 --> 00:29:16,240
the community. So with the timeline we
had for the grant, it was kind of

384
00:29:13,600 --> 00:29:21,600
difficult to make another um like food
cooking class. So what we um ended up

385
00:29:18,880 --> 00:29:26,399
doing is we um ordered a bunch of
crockpots with this funding and um the

386
00:29:25,279 --> 00:29:30,559
health and wellness coalition
individuals will be going to a few

387
00:29:28,399 --> 00:29:35,200
events here. Um they're going to be
looking at the Phillips Farmers Market

388
00:29:32,960 --> 00:29:39,200
um later on this month, Park Falls
Market later on this month, and then at

389
00:29:37,200 --> 00:29:42,960
the Senior Living Expo. So with that
comes a crockpot. There's going to be

390
00:29:41,200 --> 00:29:46,480
some education that they're going to
have. Um, our Wick dietitian is going to

391
00:29:44,799 --> 00:29:49,440
be actually at many of those events
talking to them about, hey, these are

392
00:29:47,840 --> 00:29:54,880
food items that are here at the farmers
market. Here's a uh, you know, maybe an

393
00:29:52,559 --> 00:29:59,440
easier way to make them and then the
family or whomever participates in just

394
00:29:57,679 --> 00:30:02,640
that little bit of activity with, you
know, learning, they'll get a free

395
00:30:00,960 --> 00:30:06,080
crock-pot to take that home. So, we're
asking them to try to purchase something

396
00:30:03,919 --> 00:30:11,760
from the farmers market at the same time
and then um, and give us some feedback.

397
00:30:08,640 --> 00:30:16,000
So, um, additionally, um, we're looking
at, um, providing them to some of our

398
00:30:13,679 --> 00:30:20,000
families that are on case management.
Um, even if, um, some of the foster care

399
00:30:18,240 --> 00:30:26,080
families would need an item like that,
we would be able to have those. Um, and

400
00:30:22,880 --> 00:30:30,640
then, um, with the youth Olympics that
we did last year, that was more or less

401
00:30:28,159 --> 00:30:35,520
for socialization, physical activity,
getting the whole family out and about.

402
00:30:32,720 --> 00:30:39,600
So, um, they were able to use that
funding to purchase supplies for that,

403
00:30:37,279 --> 00:30:44,000
too. and then kind of expand on some of
the coalition activities for other

404
00:30:41,919 --> 00:30:48,159
nights, not just that, like the
Wednesday night um live and the music in

405
00:30:46,080 --> 00:30:52,960
the park. They were um wanted to
purchase some more activities for youth

406
00:30:50,480 --> 00:30:57,840
and for families in general. So, it was
like um the larger uh Connect Four games

407
00:30:56,399 --> 00:31:03,600
and just things like that just to add
more activity, Jenga, all of that kind

408
00:31:00,080 --> 00:31:11,279
of stuff. So, um I know these may seem
like small things um at times, but when

409
00:31:07,520 --> 00:31:16,159
um to be able to use this and to see
what it does for each individual that

410
00:31:13,360 --> 00:31:20,480
comes up. I mean, if we're serving 50 50
individuals crockpots, that's 50 more

411
00:31:18,559 --> 00:31:25,919
families that are that are getting that
education that are getting um that

412
00:31:22,559 --> 00:31:31,360
support from um from our coalition. Um
so, any questions on that?

413
00:31:29,600 --> 00:31:37,120
Okay.
And then um the next thing we have on

414
00:31:34,399 --> 00:31:42,799
here is our flu clinic schedule. Um so
this year we have our high dose um which

415
00:31:39,919 --> 00:31:48,880
is 65 and older. Um we're going to have
the flu block and our regular flu zone.

416
00:31:45,919 --> 00:31:53,840
Um so the the cost and everything is on
the one side and then um we showed you

417
00:31:51,519 --> 00:32:01,120
what our October calendar looks like. Um
this will be um us going into the

418
00:31:57,360 --> 00:32:04,640
schools into some of the businesses
um and then our community flu clinics.

419
00:32:03,279 --> 00:32:11,039
So we're kind of here there and
everywhere. Um and then not to mention

420
00:32:07,919 --> 00:32:16,399
do having those um vaccinations as well
at our at our clinic site here and in

421
00:32:13,519 --> 00:32:22,559
Park Falls. And then the last thing we
have on here is our community health

422
00:32:18,559 --> 00:32:27,840
assessment survey. So, um, every 3 to 5
years, um, public health departments,

423
00:32:25,519 --> 00:32:31,440
um, do a community health assessment.
Um, we have typically done it every 3

424
00:32:29,919 --> 00:32:35,039
years because we've partnered up with
medical facilities. Um, by state

425
00:32:33,279 --> 00:32:39,600
statute, we only have to do it every 5
years. Um, the medical group that we had

426
00:32:37,440 --> 00:32:44,960
been working with, they um, are kind of
going with their own because things have

427
00:32:41,440 --> 00:32:48,559
changed for them. Um so we are wanted to
stick with a a similar um community

428
00:32:46,960 --> 00:32:52,720
health assessment that we've been
providing the last couple years um so

429
00:32:50,880 --> 00:32:58,399
that we can continue to monitor the
trend um of the health of our community

430
00:32:55,519 --> 00:33:02,000
during that time. So from you know three
years ago we're hoping to actually

431
00:32:59,679 --> 00:33:07,679
expand this one for 5 years. So this
will is now active. We will be putting

432
00:33:04,399 --> 00:33:11,919
it actually um giving an online format
of it pretty soon here and we're going

433
00:33:09,840 --> 00:33:15,919
to be doing the assessment through the
end of this year. Come beginning of next

434
00:33:14,320 --> 00:33:19,200
year, we're going to look at the data,
bring in all of our secondary data and

435
00:33:17,519 --> 00:33:24,480
then have our stakeholders meeting where
at that time that group will decide

436
00:33:21,760 --> 00:33:29,519
these are the the the the priorities
that public health should be working on

437
00:33:26,880 --> 00:33:33,679
that over the next three to five years.
So, and off spins off of that is the

438
00:33:32,080 --> 00:33:37,360
work on the coalition which we just
talked about back at the, you know, with

439
00:33:35,519 --> 00:33:41,039
the ARPA funds and all of that, you
know, health and wellness coalition and

440
00:33:39,039 --> 00:33:45,120
the um substance use and mental health
coalition. All of that work plays back

441
00:33:43,120 --> 00:33:47,679
into what the community tells us on
these surveys.

442
00:33:47,039 --> 00:33:52,640
So,
>> question about the surveys, Tiffany, how

443
00:33:50,960 --> 00:33:58,799
are you getting these surveys out?
>> Yep. So, um they will be um they will be

444
00:33:56,480 --> 00:34:01,919
um electronic here soon as well. Um
we're going to be taking them to all of

445
00:34:00,159 --> 00:34:08,480
our flu clinics that we have, we do have
them available um at the like our

446
00:34:04,640 --> 00:34:12,159
outside displays in our hallway. Um any
of the community events that we're going

447
00:34:09,919 --> 00:34:16,560
to senior expo, all of that we're going
to be providing um providing these. So

448
00:34:15,040 --> 00:34:20,879
um our public health update will have a
link to them. Um we'll be putting it on

449
00:34:18,800 --> 00:34:24,800
the website. We're going to try to
saturate so that we can get

450
00:34:23,200 --> 00:34:28,480
» back to the senior dining sites.
>> Yes. Yep. Absolutely. Yep. Yep. Yep.

451
00:34:27,440 --> 00:34:32,480
» As well. Mhm.
>> Okay. Good.

452
00:34:30,879 --> 00:34:35,359
Any questions? Yes. Most
>> just a comment. What might be

453
00:34:33,919 --> 00:34:38,320
interesting, you know, I'm looking at
this

454
00:34:36,399 --> 00:34:43,280
» and trying to figure out, okay, what am
I going to how am I going to fill this

455
00:34:39,760 --> 00:34:45,919
out? And um if I wasn't on this board, I
wouldn't be aware of a lot of things

456
00:34:44,399 --> 00:34:50,560
that are going on.
>> So, the average person in the county may

457
00:34:48,240 --> 00:34:55,839
have a a perspective that may be right
or may not be right. I was wondering if

458
00:34:53,359 --> 00:34:59,520
if the department heads would do the
same thing and come up with a consensus

459
00:34:58,000 --> 00:35:02,640
of what the people that are actually
dealing with the problems think the

460
00:35:00,880 --> 00:35:07,839
problems are to compare with what you
get from the public to see if there's a

461
00:35:04,400 --> 00:35:11,680
connection or a mismatch which then we
may have to do something to make sure

462
00:35:09,359 --> 00:35:13,920
the public is better informed.
>> Does that make sense? No, that makes a

463
00:35:13,280 --> 00:35:17,680
lot of sense
>> because you guys have a whole different

464
00:35:15,520 --> 00:35:21,839
knowledge base than I would as the
average citizen being on board.

465
00:35:19,119 --> 00:35:24,160
» But you have a better knowledge base
than the average citizen

466
00:35:23,280 --> 00:35:27,680
» because I'm on this board
>> because we're on the board. Yes. So, I

467
00:35:26,079 --> 00:35:32,400
can see that when I look at that,
>> just think about it. Maybe it'd be worth

468
00:35:30,720 --> 00:35:36,560
» and I think that's a lot that has to do
with the stakeholders meeting as well

469
00:35:34,480 --> 00:35:41,599
because it's usually a lot of those.
It's the schools, it's, you know,

470
00:35:39,359 --> 00:35:46,320
members of, you know, members of the
board. It's all the department heads

471
00:35:43,839 --> 00:35:50,400
that are there. So, we're looking at the
the data. We're looking at one the the

472
00:35:48,640 --> 00:35:54,400
survey results. We're looking at what
the secondary data shows us. So, what do

473
00:35:52,800 --> 00:35:59,920
the county health rankings say? County
health rankings say that, you know, um

474
00:35:56,720 --> 00:36:05,280
14% of our county doesn't live near a
grocery store or 25% of our county

475
00:36:03,119 --> 00:36:09,359
doesn't have broadband access. So we
take all of that and compile it together

476
00:36:07,280 --> 00:36:13,920
and then the individuals that that have
those experiences like you're saying

477
00:36:11,760 --> 00:36:17,520
that directly work with it, we're the
ones that are going to prioritize what

478
00:36:15,920 --> 00:36:19,280
we think are the top three that we need
to work with.

479
00:36:17,920 --> 00:36:21,200
» So we are doing that.
>> Yeah.

480
00:36:19,599 --> 00:36:24,400
» Okay. But it would be interesting to see
the actual public input versus what you

481
00:36:23,920 --> 00:36:26,800
come up with
>> and we can try to break that out too if

482
00:36:26,240 --> 00:36:30,880
we
>> well and Bob I think you know when there

483
00:36:28,400 --> 00:36:35,040
is the stakeholders anybody on the board
here can go to that yeah you know and

484
00:36:32,640 --> 00:36:39,920
it's very very informative because we do
go through all of these so if you have

485
00:36:37,520 --> 00:36:43,599
that interest make sure that you let
Tiffany know. Yes, Joe.

486
00:36:41,920 --> 00:36:46,960
» I think what Bob's trying to get at,
too, is that you have data compared to

487
00:36:45,359 --> 00:36:50,800
present to the board that shows here's
what the public's thinking, here's what

488
00:36:48,400 --> 00:36:54,560
we're thinking as the board and the
professionals. Do we need to do

489
00:36:52,800 --> 00:36:57,920
something more educational wise to get
the public more up to speed on what we

490
00:36:56,240 --> 00:37:00,960
know? I is that kind of what you're
looking for, Bob? Something at this

491
00:36:59,200 --> 00:37:04,960
level to say, okay, here's the public.
Here's us. We're close. We're not. Do we

492
00:37:03,359 --> 00:37:08,880
need to adjust from there? I think what
you're doing is awesome because you're

493
00:37:06,400 --> 00:37:13,040
getting to the root problem, but I think
what Bob's looking at is do we have a

494
00:37:10,800 --> 00:37:16,960
root problem with communication to the
public. Um, and is there a way to

495
00:37:14,960 --> 00:37:21,599
address that? Just
>> Nope. I completely understand that. And

496
00:37:19,119 --> 00:37:25,920
that's where um a lot of our work with
our substance use mental health

497
00:37:23,520 --> 00:37:30,240
coalition and our health and wellness
coalition. That's where we try um the

498
00:37:28,880 --> 00:37:35,920
best that we can to get that information
out to the community. So, um, we're

499
00:37:32,480 --> 00:37:39,200
always open to more ways. I mean, you
know your constituents best. So, if

500
00:37:37,920 --> 00:37:42,720
they're not hearing that information,
bring that back to us. Bring it back to

501
00:37:41,040 --> 00:37:45,599
me. Bring it back to Sarah. Bring it
back to our health and wellness

502
00:37:43,760 --> 00:37:51,760
coalition, our substance use coalition,
and we'll we'll do better. So,

503
00:37:49,040 --> 00:37:56,880
» well, I think what what kind of haunts
me a little bit as a supervisor is I'm

504
00:37:54,079 --> 00:38:00,720
thinking of my my district and it's
pretty remote. I mean, we all are, but

505
00:37:58,560 --> 00:38:06,400
you know, I have Ogma and Spirit. Not
Ogma, I have, you know, down there. Knox

506
00:38:03,119 --> 00:38:10,880
and Spirit and and Emory and and and I
and Hackett. I can think of how many

507
00:38:09,119 --> 00:38:15,520
people out there probably have never
seen this at all, you know, and I'm

508
00:38:13,599 --> 00:38:21,119
thinking, okay, now I think it might be
my responsibility as a supervisor to

509
00:38:18,000 --> 00:38:26,000
maybe take packets of this when I visit
their towns. And maybe that's what we

510
00:38:24,240 --> 00:38:30,160
need to do is make sure that we keep
them in our car and take them there. I I

511
00:38:27,760 --> 00:38:33,680
just I just I just know that there are a
lot of people that aren't getting these

512
00:38:31,520 --> 00:38:38,079
and and you're not you're not getting
the information you need from those

513
00:38:35,680 --> 00:38:42,960
deep-seated areas.
That's what I'm thinking. I'm hoping

514
00:38:41,359 --> 00:38:44,960
» but it's a good it's a good cause. Go
ahead.

515
00:38:43,280 --> 00:38:48,560
» Yeah. And it's nothing coming from the
department that I see it. You guys are

516
00:38:46,640 --> 00:38:51,760
doing an awesome job. It's just being
able to zero in on, okay, we don't know

517
00:38:50,640 --> 00:38:54,720
what we don't know
>> and data will always show you what you

518
00:38:53,440 --> 00:38:59,280
don't know because you guys use it all
the time and I know Bob does all the

519
00:38:56,720 --> 00:39:02,160
time. So that that's I think that's the
key point that we're looking at is is

520
00:39:00,720 --> 00:39:05,599
there one other piece of data that we
can provide to you guys through this

521
00:39:03,839 --> 00:39:08,560
survey that can say, "Oh, there's a
point that we can go after, too." So,

522
00:39:07,440 --> 00:39:10,560
no, I think you guys are doing an
awesome job. So,

523
00:39:09,599 --> 00:39:15,359
» I agree.
>> Just to piggyback on what George said, I

524
00:39:13,200 --> 00:39:19,359
think you guys are doing a great job.
You said you can do better. Well, we're

525
00:39:17,839 --> 00:39:22,320
always looking for ways to improve, but
you're doing a great job.

526
00:39:21,359 --> 00:39:26,720
» Thank you.
>> Always. Thank you.

527
00:39:24,800 --> 00:39:32,000
» All right. That was very good. Thank
you, Tiffany. Uh, aging and disability

528
00:39:29,520 --> 00:39:36,240
and senior services unit. Um, all I see
on here are things that Don can cover.

529
00:39:34,160 --> 00:39:41,119
Oh, and Patricia, she's back on here.
So, we are here. So, are you ready to

530
00:39:38,480 --> 00:39:49,920
give a report on the TCC?
>> Patty.

531
00:39:42,720 --> 00:39:54,160
» Hi. Yes, we held a meeting on Monday the
I don't have a calendar in front of me.

532
00:39:51,920 --> 00:39:58,079
I was absent from the meeting by
mistake, but I was emailed that it was

533
00:39:56,560 --> 00:40:03,760
lowkey
uh just routine reports and everything

534
00:40:00,560 --> 00:40:08,040
is fine and we have another meeting
scheduled in November.

535
00:40:08,240 --> 00:40:12,079
» Okay. Thank you. I think Nick has some
updates. If you don't mind, he'll have a

536
00:40:11,599 --> 00:40:17,040
few. Yes.
>> The only Uh, I don't it's not even

537
00:40:15,200 --> 00:40:21,280
major. The the one thing that did pop
up, I agree with Patty, it was a quiet

538
00:40:19,280 --> 00:40:25,599
meeting. There's not a lot going on
generally in the county besides it's

539
00:40:23,520 --> 00:40:31,680
still got great ridership. It's it's a
great program. Um, what the concern is

540
00:40:28,160 --> 00:40:36,240
is we received a email from the federal
government saying that the funding for a

541
00:40:34,400 --> 00:40:41,520
lot of this programming may be reduced
by about 23%.

542
00:40:38,800 --> 00:40:48,720
So, if that were to happen, it would be
a huge, huge hit to this Bay Area

543
00:40:45,440 --> 00:40:54,079
transit programming. Um, obviously costs
go up every year with fuel or just

544
00:40:51,119 --> 00:41:01,040
buying new buses and paying people. So,
to have a 23% hit on your budget is is

545
00:40:58,319 --> 00:41:06,400
substantial. Um, I had the numbers. It's
it's millions of dollars for uh the

546
00:41:04,240 --> 00:41:11,200
program. So, we're continuing to watch
it. We did reach out to legislators

547
00:41:08,720 --> 00:41:16,880
saying this would not be ideal. This is
a great program for rural um

548
00:41:14,240 --> 00:41:21,200
transportation. I get where some of this
stuff is coming from, right? They're

549
00:41:18,480 --> 00:41:25,680
saying, "Well, why are we helping these
big big big metros with their busing

550
00:41:23,760 --> 00:41:29,680
program, but again, if it's getting
people to work and it's getting people

551
00:41:27,200 --> 00:41:34,400
around the community,
I don't understand how it's not a a

552
00:41:32,240 --> 00:41:38,720
viable or good program." So, we're we're
continuing to watch that. Um but again

553
00:41:37,040 --> 00:41:44,880
that's the biggest concern we're seeing
is if that funding were to be reduced

554
00:41:42,240 --> 00:41:51,200
that's going to be big big changes for
the program. So uh on the local side of

555
00:41:48,800 --> 00:41:58,960
things we are reaching out to the
municipalities that um we service or are

556
00:41:54,400 --> 00:42:05,040
partially servicing uh to request 2027
uh contributions. So, so far we've heard

557
00:42:02,640 --> 00:42:09,119
back, but not guaranteed from Park Falls
and Phillips. We asked uh for an

558
00:42:06,880 --> 00:42:14,960
additional $500 from each of them this
year. So, I believe it's $13,000.

559
00:42:11,920 --> 00:42:20,640
Uh didn't hear anything negative about
We can't have put that in our budget.

560
00:42:16,880 --> 00:42:24,560
So, that should be fine. Uh Field uh
last year gave $1,500.

561
00:42:22,880 --> 00:42:31,359
We reached out to them. They said thank
you, as in we'll probably do it again.

562
00:42:28,240 --> 00:42:35,520
Uh, and then Butternut I haven't heard
back from, but they didn't give anything

563
00:42:33,599 --> 00:42:40,079
last year, but they wanted, you know, we
did it late in the after the budget was

564
00:42:37,760 --> 00:42:44,079
already done last year. So, this year we
made sure to get the request in early.

565
00:42:42,400 --> 00:42:49,359
Um, I haven't heard back, but I'm
assuming they'll have one of us or I'll

566
00:42:46,880 --> 00:42:54,240
go to their evening meeting and request
or kind of explain what the program is,

567
00:42:51,440 --> 00:42:59,119
why it's important. uh Bay Area Rural
Transit also Pat from their group comes

568
00:42:57,119 --> 00:43:04,480
and joins in those meetings because he
has the who rides it and and why it's

569
00:43:02,319 --> 00:43:10,480
important to their community. And then
Eisenstein has requested that we're on

570
00:43:07,440 --> 00:43:17,040
their agenda for the 28th, if that makes
sense. I think it's a Monday. Uh Monday

571
00:43:12,560 --> 00:43:21,599
the 28th um to present I can't remember
how much we requested. Was it 1500 from

572
00:43:19,119 --> 00:43:27,839
them or just I mean even if they get
500, right? So, it's a new contribution.

573
00:43:25,359 --> 00:43:33,040
Uh, we requested 1,500 from them. So,
we'll go to that meeting and explain why

574
00:43:30,560 --> 00:43:39,520
it's important to continue this. Um,
because on our end, we're maxed out on

575
00:43:35,599 --> 00:43:46,960
the the grant that we use. So, we need
any assistance to to maintain this

576
00:43:42,400 --> 00:43:50,319
program going forward. Um, and just back
up a little bit, the reason why we use a

577
00:43:48,720 --> 00:43:54,079
grant for this is because the whole
community or the whole county is not

578
00:43:52,079 --> 00:43:59,680
necessarily served by the program. So,
we do five miles from Park Falls, 5

579
00:43:56,800 --> 00:44:04,240
miles or not from, but five mile radius
from the city center of Park Falls, 5

580
00:44:01,599 --> 00:44:08,400
miles radius from city of Phillips. We
can go a little farther if there's time,

581
00:44:06,240 --> 00:44:13,680
but the buses have been very popular, so
they don't have time to run the seven

582
00:44:10,560 --> 00:44:18,560
miles out to get a rider, but it doesn't
hurt to ask if you're outside those

583
00:44:15,440 --> 00:44:22,720
limits. And then we have a it there's a
bus that runs back and forth Park Falls

584
00:44:20,319 --> 00:44:28,720
to Phillips and then from Park Falls to
Manqua. The Park Falls to Manqua one is

585
00:44:25,599 --> 00:44:33,760
mainly uh used for dialysis. We work
with the hospital over there. We make

586
00:44:31,359 --> 00:44:38,079
sure the dialysis patients all can get
in at the exact same time. So, we pretty

587
00:44:35,839 --> 00:44:41,760
much reserve I think it's four or five
seats over there. They get on the bus,

588
00:44:40,319 --> 00:44:45,359
they get over there together, they can
get back on the bus and not have to wait

589
00:44:43,520 --> 00:44:50,160
four extra hours for the next round
trip. So, that's worked out really well

590
00:44:47,920 --> 00:44:53,839
for families. Uh, and we want to
continue that. So,

591
00:44:51,920 --> 00:44:57,119
» down to Lake
>> We requested to them. I haven't heard

592
00:44:55,280 --> 00:45:00,160
back, but they did receive
>> I feel like we might have heard back

593
00:44:58,319 --> 00:45:05,880
from them as in like we'll put it on the
agenda, but yes, we did reach out town

594
00:45:01,760 --> 00:45:05,880
of Lake um also.

595
00:45:10,000 --> 00:45:18,079
» Okay. Any other comments?
>> Thank you, Patty.

596
00:45:16,160 --> 00:45:24,400
» Yes. Thank you.
>> All right. ADRC governing board. Don, I

597
00:45:21,760 --> 00:45:28,000
have my minutes here, but um they're not
my minutes. They actually sent them to

598
00:45:25,920 --> 00:45:32,000
me, but I'm going to have you report. I
don't think I'm I had my head in the

599
00:45:29,599 --> 00:45:37,599
game during that meeting too much. So, I
had some personal issues going on. So,

600
00:45:34,560 --> 00:45:43,040
all right. Well, good morning. So, um on
the governing board meeting, so um they

601
00:45:40,240 --> 00:45:47,359
went over the year-to-ate financials and
the report was that there was really

602
00:45:44,560 --> 00:45:51,920
nothing uh unusual about them. Pretty
much the same as you would expect for

603
00:45:49,040 --> 00:45:58,319
the first quarter. And then they had a
discussion and action on the 55,500

604
00:45:55,440 --> 00:46:02,960
additional allocation that the ADRC of
the north received from the state. And

605
00:46:00,960 --> 00:46:08,480
so that was approved and the decision
was to split that between the five

606
00:46:05,040 --> 00:46:12,800
counties. So each county got 11,100
in additional allocation for the 2026

607
00:46:11,280 --> 00:46:19,920
year.
And um let's see, they did go over the

608
00:46:16,560 --> 00:46:25,200
first month of using time and task for
billing for the ADRC. So this is um

609
00:46:23,359 --> 00:46:31,280
something different that's coming out of
Pure Place instead of them filling out

610
00:46:27,359 --> 00:46:34,800
those um um spreadsheets. So this is the
first month that they've done that. And

611
00:46:33,040 --> 00:46:38,000
so they did talk about that a little bit
and overall it went pretty well. There's

612
00:46:36,560 --> 00:46:42,480
a few bumps in the road and they're
still working on it, but they feel like

613
00:46:40,079 --> 00:46:48,800
for the first month it's pretty good.
Um

614
00:46:44,319 --> 00:46:52,079
so then uh let's see um
they talked about some openings that

615
00:46:50,480 --> 00:46:56,079
they have on the governing board and
it's uh LCO and Redcliffe. They are

616
00:46:54,240 --> 00:47:01,920
still looking for people to fill those
openings and then some hiring some

617
00:46:58,880 --> 00:47:07,040
positions that are open in the um uh the
tribal update. And I think that's about

618
00:47:04,400 --> 00:47:13,119
all I had notes on. Anything else Paula
that you noted? I'm looking over. I had

619
00:47:09,680 --> 00:47:17,599
Natasha send over her um minutes and I
no I don't see anything that you didn't

620
00:47:15,359 --> 00:47:21,119
that you needed to discuss. Okay. So,
thank you.

621
00:47:18,400 --> 00:47:25,839
» All right.
So, then moving on to the Woodlands

622
00:47:23,680 --> 00:47:28,839
Commission meeting.
So,

623
00:47:29,200 --> 00:47:36,480
uh, so they had elections for, uh, chair
and vice chair and secretary, I should

624
00:47:34,000 --> 00:47:42,079
say, and it looked like to me that the
same people were reelected to those

625
00:47:38,240 --> 00:47:47,760
positions. Um,
they had a policy review,

626
00:47:45,680 --> 00:47:51,520
um, which I found very helpful on why
the commission was established back when

627
00:47:50,000 --> 00:47:55,040
it was done because I didn't have that
background. So, I actually found that

628
00:47:52,800 --> 00:48:01,359
very interesting and it was really nice
that they kind of went over all of that.

629
00:47:57,920 --> 00:48:05,359
And um then they did the 2025 budget
review and I'll just say that they did

630
00:48:02,960 --> 00:48:11,040
very well in 2025. They ended up with a
surplus surplus at the end of the year.

631
00:48:08,160 --> 00:48:16,319
So overall they did well. Uh then they
talked about the 2026 budget where it

632
00:48:13,440 --> 00:48:23,359
stands so far. 2026 is not going as
well. Um so then um the next talk was

633
00:48:20,319 --> 00:48:29,520
about why that's happening and that was
in their census update and their census

634
00:48:26,000 --> 00:48:33,280
is overall down and so that is why um
their budget is not looking as healthy

635
00:48:31,200 --> 00:48:38,800
in 2026.
So they have a number of open beds and

636
00:48:35,760 --> 00:48:43,839
they're kind of working to to get those
filled, but it's been uh a little

637
00:48:41,119 --> 00:48:48,880
concerning. And one of the um one of the
things that was brought up is that the

638
00:48:46,559 --> 00:48:54,880
MCOs, so that would be like Inclusa and
My Choice, have been going in and making

639
00:48:52,160 --> 00:48:59,680
the determination that people that are
at nursing homes do not have a skilled

640
00:48:57,440 --> 00:49:02,800
nursing need. And they're saying if they
don't have a skilled nursing need,

641
00:49:01,040 --> 00:49:08,160
Inclusa will not pay for them to stay
there. So there was a number of people

642
00:49:05,440 --> 00:49:14,400
that were
moved from the nursing home into a lower

643
00:49:12,079 --> 00:49:18,160
um lower need like an assisted living or
stuff like that. So that's one of the

644
00:49:15,839 --> 00:49:21,319
things they were tying into the reduced
uh census.

645
00:49:21,839 --> 00:49:30,559
So then they did the rate setting for
2027 and the enhanced rate for 2027 is

646
00:49:27,200 --> 00:49:33,760
going to be $80 a day which
am I right Paul on saying that's the

647
00:49:32,079 --> 00:49:36,160
same as it was this last year I believe
>> that's right they're just holding the

648
00:49:35,119 --> 00:49:40,000
same yes
>> okay

649
00:49:38,079 --> 00:49:46,000
um then there was another presentation
about population growth and staffing

650
00:49:42,880 --> 00:49:50,400
shortages which we're seeing everywhere
staffing shortages nursing homes that

651
00:49:48,640 --> 00:49:54,960
can't fill beds because they don't have
enough staff to care for the um people

652
00:49:52,240 --> 00:50:00,800
they have there. So that was also very
interesting um presentation I thought

653
00:49:57,760 --> 00:50:08,400
kind of the um might say the wave that
is coming yeah for all of us

654
00:50:04,319 --> 00:50:11,520
» um and I think I'm trying to see if I
missed anything.

655
00:50:10,240 --> 00:50:15,599
I think that was about it.
>> Yeah. If you weren't there in person and

656
00:50:13,040 --> 00:50:17,920
I wasn't as well um they did a campus
tour.

657
00:50:16,079 --> 00:50:22,240
» Yes. Right. Yes. And they did say that
they'd like to offer that again and and

658
00:50:20,480 --> 00:50:24,960
I would suggest that if that does happen
that we take a ride down there.

659
00:50:24,559 --> 00:50:28,640
» Okay.
>> And we can certainly do that.

660
00:50:26,800 --> 00:50:32,720
» It's very interesting. It's been a while
since I went on and I don't even think I

661
00:50:30,319 --> 00:50:37,520
went the extensive one, but you know,
just like getting that report about the

662
00:50:34,960 --> 00:50:41,280
the history of, you know, woodland
enhanced,

663
00:50:38,720 --> 00:50:45,200
» being there to see the the facility
would make sense, too. Also, especially

664
00:50:43,359 --> 00:50:48,400
when you're when you're dealing with
giving all of these, you want to put

665
00:50:46,640 --> 00:50:50,160
something to make sure. So, when that
does come up, let's talk about that.

666
00:50:49,760 --> 00:50:51,920
Okay.
>> Okay. Yeah, that sounds good.

667
00:50:51,520 --> 00:50:55,280
» Okay.
>> I think uh what do I have? The next

668
00:50:53,760 --> 00:50:56,720
meeting is in February. So,
>> February 25th.

669
00:50:56,240 --> 00:51:00,400
» Yeah.
>> So, obviously that'll be weather

670
00:50:59,119 --> 00:51:05,520
committing.
>> Yeah. Weather dependent. Yes.

671
00:51:01,920 --> 00:51:10,200
» Yes. So, any any questions? And if not,
thank you, Don. Oh,

672
00:51:06,480 --> 00:51:10,200
» you're welcome. Thank you so much.

673
00:51:12,480 --> 00:51:20,559
and economic support. I understand Beth
is not here, so Sarah will

674
00:51:18,160 --> 00:51:26,559
um every year we bring this policy to
the boards to be reviewed and approved.

675
00:51:23,760 --> 00:51:32,240
Um this here policy is for energy
assistance. It's no cost um for the

676
00:51:29,599 --> 00:51:37,359
county. It is a state and federal grant
to assist households who are losing

677
00:51:34,559 --> 00:51:41,920
their home energy source. Um, and in
here it explains the guidelines that we

678
00:51:39,920 --> 00:51:46,480
need to occur in order for them to
receive the assistance. Um, and explains

679
00:51:44,480 --> 00:51:49,760
how the department can grant the
exceptions.

680
00:51:48,319 --> 00:51:54,960
I think believe we've kind of gone
through this every year.

681
00:51:52,960 --> 00:51:58,880
We need to have an approval on this.
>> So, we need approval of this. This would

682
00:51:57,359 --> 00:52:01,920
be this one that you have in your
packet.

683
00:51:59,839 --> 00:52:05,839
» And like she like Sarah said, every year
we go through this.

684
00:52:04,400 --> 00:52:10,040
So, who would like to be the lucky
person to make that?

685
00:52:11,119 --> 00:52:20,160
» I'll move to approve.
>> Popish moves to approve.

686
00:52:17,119 --> 00:52:26,880
» Mr. Warco waved his hand. He's um
seconded it. Okay.

687
00:52:23,359 --> 00:52:29,760
Any other discussion?
Hearing and seeing none. All those in

688
00:52:28,480 --> 00:52:33,599
favor?
>> I.

689
00:52:31,680 --> 00:52:37,920
» Those opposed? Okay.
>> Okay. Ask a question. How much money

690
00:52:35,599 --> 00:52:39,680
goes through this program usually in a
year?

691
00:52:39,040 --> 00:52:44,400
» Oh,
>> do you have any idea?

692
00:52:42,800 --> 00:52:49,440
» Grie, do you have an idea of how much
goes through?

693
00:52:47,599 --> 00:52:53,839
» Yeah.
>> Well, we got a huge grant.

694
00:52:50,880 --> 00:52:57,040
» I know what we get for our grants and
then there's a different portion that

695
00:52:55,440 --> 00:53:03,280
kind of just gets funneled through of
the benefits. The benefits should be in

696
00:53:00,400 --> 00:53:10,880
our annual report that the community
received. Um otherwise our grants are

697
00:53:06,480 --> 00:53:18,000
typically around 60. Um we did get
notification that next year it's not

698
00:53:13,680 --> 00:53:22,400
said but it did jump up 90,000.
>> Oh wow.

699
00:53:20,480 --> 00:53:25,119
» Okay.
>> And most people take the whole 1200 I

700
00:53:24,400 --> 00:53:29,359
suppose.
>> Yeah. You know, we don't use this really

701
00:53:27,440 --> 00:53:31,839
a lot. No.
>> Yeah.

702
00:53:30,640 --> 00:53:36,720
» Okay. Well, thank you.
>> Yeah.

703
00:53:33,520 --> 00:53:40,559
» Okay. So, that that motion has carried.
All All did we vote on it? Yeah.

704
00:53:38,880 --> 00:53:45,119
» Yeah. We need a I need approval.
>> We need approval. All those in favor?

705
00:53:43,599 --> 00:53:49,440
» Those opposed?
>> All right. Motion's carried. And the

706
00:53:47,040 --> 00:53:55,359
approval is there.
>> I don't need to sign anything, do I? No.

707
00:53:51,599 --> 00:54:00,160
All right. I ask that every year.
just in case. All right, next one.

708
00:53:57,599 --> 00:54:06,839
Fiscal and administrative unit Carrie,
come on up.

709
00:54:02,640 --> 00:54:06,839
High cost placements reports.

710
00:54:08,319 --> 00:54:16,319
Okay. Um before I jump too much into it,
I did just want to give um Katie Voss a

711
00:54:13,599 --> 00:54:19,599
shout out um on our annual report. She
is the one who kind of put that

712
00:54:17,440 --> 00:54:25,440
together. our units. We just kind of
give her the information and all sorts

713
00:54:22,000 --> 00:54:30,160
of different just not organized at all.
And um she does a really good job of

714
00:54:27,839 --> 00:54:32,079
organizing that all and getting it done
for us.

715
00:54:31,040 --> 00:54:34,960
» Well, thank you for bringing that
forward. You make sure she knows it. We

716
00:54:33,599 --> 00:54:36,720
we really appreciate it.
>> Okay, I will.

717
00:54:36,000 --> 00:54:41,359
» Thank you.
>> Um okay,

718
00:54:39,599 --> 00:54:45,920
I have a lot of stuff going on here, I
guess.

719
00:54:42,880 --> 00:54:50,400
Okay. So, we do have our original
high-cost placement report on the

720
00:54:48,720 --> 00:54:57,280
children and youth and then also the
AODDA um as we've kind of discussed um

721
00:54:54,480 --> 00:55:02,400
those uh expenses do kind of tend to be
about um month and a half to two months

722
00:54:59,680 --> 00:55:06,800
behind and we had kind of let you know
that there were going to be some higher

723
00:55:04,160 --> 00:55:12,559
costs rolling in um that are now
starting to be reflected.

724
00:55:10,240 --> 00:55:17,680
Um, were there any questions on this
report?

725
00:55:14,960 --> 00:55:20,960
» Do you think uh for our upcoming budget
you might be able to do a better job on

726
00:55:19,359 --> 00:55:23,440
the budget?
>> I know you got to work with those people

727
00:55:22,160 --> 00:55:26,880
in accounting, but
>> Yeah. No, I don't know.

728
00:55:25,599 --> 00:55:31,079
» I mean, you don't have much left to
spend.

729
00:55:28,079 --> 00:55:31,079
» No.

730
00:55:32,880 --> 00:55:36,680
» Um, okay.

731
00:55:40,079 --> 00:55:49,839
So then um like we had kind of talked
about um last meeting, we were going to

732
00:55:47,440 --> 00:55:54,160
start working on um giving you guys just
a little bit of something different that

733
00:55:51,920 --> 00:56:01,520
kind of dives a little deeper into some
of these numbers. Um so I do have just a

734
00:55:58,079 --> 00:56:06,720
little snapshot of just an example of a
program to see if this is kind of what

735
00:56:03,760 --> 00:56:13,359
you'd be looking for. And if so, then we
can do some more of the work to um dive

736
00:56:09,440 --> 00:56:17,000
into the a little bit deeper.
>> Oh, she's got it.

737
00:56:38,400 --> 00:56:41,640
Thank you.

738
00:56:57,040 --> 00:57:00,760
We should have called you.

739
00:57:03,200 --> 00:57:07,400
» I just looked over. Oh,

740
00:57:09,200 --> 00:57:12,440
» thank you.

741
00:57:13,440 --> 00:57:17,160
» What What are you saying?

742
00:57:19,760 --> 00:57:22,480
» Okay.

743
00:57:22,640 --> 00:57:31,680
So that was just a joke.
But sometimes that's how I feel some

744
00:57:28,720 --> 00:57:37,359
days trying to explain things. So um I
had just put together just a random

745
00:57:34,720 --> 00:57:39,920
thing because uh Bob did like that one
chart that we had that had stuff all

746
00:57:38,960 --> 00:57:42,559
over the place that didn't
>> I like that too.

747
00:57:40,799 --> 00:57:46,520
» Yeah. It didn't make too much sense. So
>> she's talking about this Joe.

748
00:57:47,119 --> 00:57:51,599
» Waste county resources. So
>> I know

749
00:57:51,680 --> 00:57:59,559
for Bob.
>> Yeah. Yeah. There you go.

750
00:57:56,079 --> 00:57:59,559
» This one is

751
00:58:00,319 --> 00:58:10,960
» okay. So, I do have a real report. Um,
and it's this kinship one. So, kinship,

752
00:58:09,119 --> 00:58:15,680
this one was a little bit easier just to
pull out just by how we have our

753
00:58:12,960 --> 00:58:22,160
accounts and everything set up. Um, but
kinship is embedded into this bigger

754
00:58:19,839 --> 00:58:25,359
report that you get. Um, one of the
things too when we kind of started

755
00:58:23,599 --> 00:58:32,160
looking at it more, it's like, well,
kinship isn't necessarily a high cost

756
00:58:28,720 --> 00:58:36,559
placement. Um, it's a little bit on the
lower end. So, would that be something

757
00:58:34,400 --> 00:58:40,240
that we really would want in the high
cost placements? when we kind of started

758
00:58:38,559 --> 00:58:44,880
looking at everything that goes into
here, um, we could potentially maybe

759
00:58:42,400 --> 00:58:49,359
separate that out a little bit by
placement so you can get a truer picture

760
00:58:47,520 --> 00:58:53,680
of where the high cost placements are
at. Granted, it's a lower cost

761
00:58:51,520 --> 00:58:58,720
placement, so it's not going to have a
huge sway in like the numbers that much.

762
00:58:56,559 --> 00:59:05,760
Um, but we could kind of dive in a
little bit. Um, so for the kinship here

763
00:59:02,559 --> 00:59:09,760
and uh this is just throwing it out
there. You can provide feedback like no

764
00:59:07,760 --> 00:59:15,119
we don't want this or whatever we were
thinking something else like this. But

765
00:59:12,240 --> 00:59:20,000
so this is just a sample. Um we kind of
broke it down by the revenue and

766
00:59:17,599 --> 00:59:24,960
expenses and then what is kind of the
personnel cost that goes into it and

767
00:59:22,400 --> 00:59:33,280
then also like the operational parts of
it. Um and then what that revenue is

768
00:59:29,599 --> 00:59:39,040
that also offsets that expense. So for
kinship we do get a grant. Um we get two

769
00:59:36,880 --> 00:59:44,240
different grants actually for it. Um the
one is an assessment and that one um

770
00:59:42,079 --> 00:59:51,440
does tend to be um for more of our
personnel costs for when they go in um

771
00:59:47,839 --> 00:59:55,599
to assess if a home um is like ready or
get it set up for that placement to be

772
00:59:54,480 --> 01:00:01,920
there.
Then the kinship benefits um that is for

773
00:59:59,359 --> 01:00:06,720
the eligible caregivers who are taking
care of the children. And Sarah, feel

774
01:00:03,760 --> 01:00:12,480
free to interrupt if I'm not explaining
it all entirely. Um but so that's the

775
01:00:11,119 --> 01:00:16,880
funds that then kind of just get
filtered through that go to the

776
01:00:14,240 --> 01:00:22,799
caregivers taking care of that
placement. So that one is technically a

777
01:00:19,200 --> 01:00:30,319
placement cost. Um but it's a benefit.
Um that one too tends to be um 100%

778
01:00:28,640 --> 01:00:35,760
reimburseed that placement does through
our grant. They do kind of look at our

779
01:00:33,440 --> 01:00:39,280
statistics, what our projected case load
is and then throughout the year they'll

780
01:00:37,200 --> 01:00:44,559
kind of re-evaluate and see where we're
at. Um and this funding actually comes

781
01:00:42,319 --> 01:00:48,799
in two separate segments throughout the
year too. So thinking that's kind of

782
01:00:46,319 --> 01:00:53,920
when they take a look and adjust it. Um,
also to the the department at the state

783
01:00:51,359 --> 01:00:58,720
level, if they have extra funding and we
are like, you guys are way off on your

784
01:00:56,000 --> 01:01:01,839
estimating here. We need more money. Um,
they'll sometimes we can we can put in

785
01:01:00,480 --> 01:01:08,319
that request and if there's additional
funding, they'll recoup us for that.

786
01:01:05,359 --> 01:01:13,920
Um, and then I guess also too to note,
um, on your big report, it says how, you

787
01:01:11,520 --> 01:01:19,440
know, expenses come in about one and a
half to two months later. Um that's kind

788
01:01:16,799 --> 01:01:25,839
of also the same thing with the revenue.
So um we report our expenses monthly at

789
01:01:23,200 --> 01:01:31,200
the end of the month. So August just
ended. We will be reporting our August

790
01:01:28,480 --> 01:01:36,880
expenses at the end of September. And
then we get reimbursed um for that then

791
01:01:34,000 --> 01:01:41,280
in October. So you can kind of see how
that's why looking at this right now um

792
01:01:39,359 --> 01:01:48,319
there's more expenses but that's because
not all of our revenues come in yet.

793
01:01:45,440 --> 01:01:54,319
And then on the flip side um is just
kind of breaking um the kinship out by

794
01:01:52,000 --> 01:01:57,880
revenue and expenses throughout the
course of the year

795
01:01:57,920 --> 01:02:07,520
years. Yes. Giving you just kind of that
snapshot. And you can see um in 2025

796
01:02:05,520 --> 01:02:12,720
it's like oh well how did we get more
revenue than expenses? That doesn't make

797
01:02:09,440 --> 01:02:17,599
sense. Um well what happened there was
in one of those cases in 2024 you can

798
01:02:15,119 --> 01:02:22,160
see there's a bigger gap. Um we did end
up getting additional funding but it was

799
01:02:19,680 --> 01:02:27,799
after period 13 much later in the year.
So it kind of just fell and sat into

800
01:02:24,799 --> 01:02:27,799
2025.

801
01:02:28,559 --> 01:02:37,040
So
any questions about that?

802
01:02:34,799 --> 01:02:42,799
Is this information something that you
would maybe like to see for some of the

803
01:02:40,240 --> 01:02:48,960
other different placement types or is
this too much detail, not enough detail?

804
01:02:47,280 --> 01:02:53,119
This was kind of that start of the
breakdown of the chart we normally give

805
01:02:51,599 --> 01:02:56,319
where it just says here's all our high
cost placements and it really didn't

806
01:02:54,799 --> 01:03:02,240
talk about what revenues came in and
what part was levy versus like this one

807
01:02:59,839 --> 01:03:06,000
is all was in that number but really it
was a break even. So it inflates the

808
01:03:04,400 --> 01:03:11,280
total cost.
>> Um but it also gets offset. So

809
01:03:08,799 --> 01:03:16,640
» it's something we're reviewing or
working on, but it is a hard it's hard.

810
01:03:14,319 --> 01:03:20,720
There's so many programs, so many line
items. And every year it seems to change

811
01:03:18,640 --> 01:03:25,599
because some legislator says, "Oh, I
want a different name on the program

812
01:03:22,720 --> 01:03:30,960
cost or the grant should go this way or
you need to apply this way and use it

813
01:03:27,760 --> 01:03:34,720
this way." So, our numbers change like
the wind with some of that, but it all

814
01:03:32,720 --> 01:03:39,920
in the end was a number. We just never
had the re the revenue that showed how

815
01:03:37,119 --> 01:03:42,920
much are we using levy or not using
levy?

816
01:03:45,440 --> 01:03:53,720
» Not as clear as this you're saying?
>> Yeah. So, that would be roughly that was

817
01:03:48,960 --> 01:03:53,720
the start of like the deeper dive.

818
01:03:53,839 --> 01:04:01,760
For those of you who who u cannot see
that this is um I don't know it looks

819
01:03:59,039 --> 01:04:06,720
like a game a kid would play on I don't
know SC whatever. Anyway, it's kind of

820
01:04:04,240 --> 01:04:11,039
fun. I I appreciate it. I thought that
was very informative to to to break that

821
01:04:09,119 --> 01:04:14,880
down a little bit more. So, thank you.
If you can do that every so often,

822
01:04:12,960 --> 01:04:16,160
that's I think it's good.
>> Yeah. Thank you.

823
01:04:15,760 --> 01:04:22,319
» Okay.
>> I do miss your your sheets. You did have

824
01:04:19,760 --> 01:04:28,880
these kinds of things before. She
giggles. Okay. Any questions for

825
01:04:27,359 --> 01:04:35,039
Carrie?
No. All right. Thank you, Carrie.

826
01:04:32,480 --> 01:04:39,760
» Okay. Thank you.
>> Director's report. Sarah Reese Soha.

827
01:04:37,440 --> 01:04:44,960
Agency updates.
Go ahead.

828
01:04:41,280 --> 01:04:50,400
» I'd like to um introduce Stacy Pome and
Stacy is filling our position. Um it's

829
01:04:47,760 --> 01:04:55,680
the RN and we're statutoily have to have
an RN on our board and I'd like to thank

830
01:04:53,039 --> 01:05:01,200
her. Um she's a manager at the Aspire
Regency and Doy.

831
01:04:58,480 --> 01:05:06,480
Um so I'd like to welcome her and really
appreciate her sitting in.

832
01:05:04,400 --> 01:05:09,760
» Thank you.
>> Um

833
01:05:07,119 --> 01:05:13,280
» welcome.
>> Next I have Oh,

834
01:05:11,599 --> 01:05:17,359
» agency updates. I have something.
>> Oh, me too. I received this letter

835
01:05:15,119 --> 01:05:22,000
yesterday in the mail. Well, where else
would I receive it, right? It comes from

836
01:05:20,160 --> 01:05:27,039
the state of Wisconsin Department of
Health Services,

837
01:05:24,559 --> 01:05:31,920
um, Division of Public Health, and it's
addressed to me, uh, carbon copy to

838
01:05:29,039 --> 01:05:36,640
Tiffany, Sarah, and Christa Cop Kapa,
our Western Region Director. I'm going

839
01:05:34,559 --> 01:05:42,000
to read it. I I'm very proud of this,
and I'm I think kudos should go out to

840
01:05:39,520 --> 01:05:46,000
where they need to. Dear Paula Hodk, the
Wisconsin Department of Health Services,

841
01:05:43,760 --> 01:05:50,240
DHS, congratulates Price County Health
and Human Services for demonstrating the

842
01:05:48,240 --> 01:05:54,240
infrastructure and program capacity to
be certified as a level two health

843
01:05:52,000 --> 01:05:57,440
department. I am happy to report Price
County Health and Human Services

844
01:05:55,520 --> 01:06:02,240
provided all services required by
statute and rule. Wisconsin's public

845
01:06:00,079 --> 01:06:06,400
health systems rely on close
partnerships with local entities and

846
01:06:03,920 --> 01:06:10,480
leaders. Local leadership is critical to
ensure public health responsibilities

847
01:06:08,480 --> 01:06:14,799
and services are implemented in ways
that are tailored to local strengths and

848
01:06:12,480 --> 01:06:19,119
needs. I want to acknowledge the work of
Price County Health and Human Services

849
01:06:16,480 --> 01:06:24,400
staff. Health Officer Tiffany Pich did
an excellent job of providing quality

850
01:06:21,520 --> 01:06:28,079
evidence of meeting statutes and rules.
Although Wisconsin administrative code

851
01:06:26,240 --> 01:06:32,160
and statute require the health
departments be reviewed at a minimum

852
01:06:30,079 --> 01:06:37,520
every five years, Price County Health
and Human Services volunteered to be

853
01:06:34,079 --> 01:06:42,079
reviewed early as part of a DHSled
initiative to balance the number of

854
01:06:39,280 --> 01:06:47,520
reviews each year. This will help ensure
adequate DHS 140 program capacity and

855
01:06:45,280 --> 01:06:51,039
support highquality reviews. We
appreciate Price County Health and Human

856
01:06:49,039 --> 01:06:54,559
Services flexibility and willingness to
assist with this project. I also

857
01:06:53,280 --> 01:06:58,720
appreciate the support of the Price
County Health and Human Services Board

858
01:06:56,640 --> 01:07:02,720
for maintaining a strong public health
department. When the basic needs of

859
01:07:00,640 --> 01:07:05,520
people and communities are met, they can
better prevent and recover from

860
01:07:04,240 --> 01:07:09,680
challenges to their health and
well-being. I am sure with ongoing

861
01:07:07,760 --> 01:07:13,599
support for evidence-based quality
public health initiatives by you and

862
01:07:11,520 --> 01:07:18,000
your fellow board of health members, the
Price County Health and Human Services

863
01:07:15,760 --> 01:07:22,000
will continue to project, protect,
excuse me, and promote the health of the

864
01:07:19,760 --> 01:07:25,839
people in your jurisdiction. Sincerely,
Paula Tran, state health officer and

865
01:07:24,160 --> 01:07:29,280
administrator.
I want to make sure I want to read this

866
01:07:27,760 --> 01:07:33,520
to the county board as well. I think
they all need to hear this. This is very

867
01:07:31,359 --> 01:07:37,720
nice. Nice job. Thank you, Tiffany, and
your crew. Thank you.

868
01:07:43,520 --> 01:07:48,640
Actually, I'm going to pass this down to
you, Jules. If you will make sure this

869
01:07:46,319 --> 01:07:51,880
goes in the county board packet, that
would be good.

870
01:07:52,720 --> 01:08:01,200
Okay.
>> Um also um I received a um email from

871
01:07:58,880 --> 01:08:06,559
Steve uh Budnick. He is the Northern
Income Consortium Administrator and he

872
01:08:04,000 --> 01:08:13,760
had indicated that they um Northern
Income um they had a budget training um

873
01:08:11,039 --> 01:08:19,199
to ensure case accuracy and before the
training all staff were required to do

874
01:08:15,599 --> 01:08:25,279
an activity that also had a quiz. Um,
the quiz had some trick questions. So,

875
01:08:22,480 --> 01:08:29,359
anyone who received 100% truly deserves
recognition. Only a fraction of the

876
01:08:27,759 --> 01:08:33,520
Northern Income Maintenance Consortium
staff scored 100%. So, it was really

877
01:08:31,920 --> 01:08:38,239
proud of the Price County team. So,
Deanna Hurtland, Susie, and Christine,

878
01:08:36,640 --> 01:08:43,359
53
took the test and our three out of eight

879
01:08:41,679 --> 01:08:51,040
had 100%.
>> So, that was pretty exciting. That was

880
01:08:45,759 --> 01:08:58,319
pretty awesome for them. Nice job.
>> Okay. Um, next I have for personnel.

881
01:08:56,159 --> 01:09:04,400
» All right. Um, we have interviews for
our behavioral health position um,

882
01:09:01,279 --> 01:09:09,199
social worker on September 14th and also
for our Park Falls nutrition site

883
01:09:07,279 --> 01:09:16,319
managers. We have that on September
14th. Um, we did have two resignations.

884
01:09:13,839 --> 01:09:22,960
Um, one resignation is from Kim
Pollster, who is our fiscal legal

885
01:09:18,799 --> 01:09:28,560
assistant. Um, she will be retiring
um, in December, but she gave us notice

886
01:09:27,040 --> 01:09:33,759
because we're going to need to have some
overlap for the amount.

887
01:09:31,279 --> 01:09:40,400
» Are you wanting to say something? Oh,
>> I saw him pull up and I thought, oh,

888
01:09:37,679 --> 01:09:44,719
» so yes, an extreme amount of knowledge
and what she does. there's um so many

889
01:09:42,960 --> 01:09:49,440
different programs that dealing with in
the children and youth. Um and then

890
01:09:47,440 --> 01:09:53,759
Jasmine Marlinga who is our foster care
coordinator has resigned and so she'll

891
01:09:51,520 --> 01:09:57,920
be done in the beginning of October. So
we will have that position which is a

892
01:09:55,440 --> 01:10:03,199
part-time position.
>> Right.

893
01:10:00,640 --> 01:10:07,679
All right. So I see nothing else on the
board. The next meeting is October 14th,

894
01:10:05,840 --> 01:10:12,080
2026.
And with that being said, hearing no

895
01:10:09,920 --> 01:10:16,719
objection, I call this meeting
adjourned.

896
01:10:13,920 --> 01:10:16,719
Thank you all.