[0:01] Unfortunately, there is no public
comment or communications on our agenda.
[0:06] So, I'm glad to see there doesn't seem
to be anybody that needs to speak. So,
[0:11] we'll make sure that we take care of
that for next month and get that back on
[0:14] the agenda.
Um, a roll call, please. Where are you,
[0:19] Jules? Okay. Good morning. Joe Bara
>> here.
[0:23] » Paula Hodic here. Robert Copish
>> here.
[0:26] » Head Steven is excused. Dennis Warco
>> here.
[0:30] » Nicole Kowiki
>> here.
[0:32] » Homo
>> here.
[0:33] » Stacy Palmer
>> Gerald Swanson
[0:35] » here.
>> Thank you.
[0:38] » All right. And thank you.
[0:42] So we have uh our vouchers. They should
be going around. Chris is Chris Anne is
[0:47] not here to answer any questions. Bob.
So um
[0:54] » Oh, she did. Okay, good.
[0:58] All right. So, have they gone all the
way around? And they have. Thank you.
[1:04] » Can you take this back to Chris Chris's
office?
[1:07] » Okay. All right. Uh, so I need a motion
to
[1:12] approve Mr. Copish.
>> I'll
[1:16] » approve the vouchers.
>> I'll second that motion.
[1:18] » Mr. Bradka second that.
Any discussion?
[1:24] Hearing and seeing none. All those in
favor?
[1:27] Those opposed? Everyone needs to use
your microphones because we have a
[1:32] little competition down the hall here.
Oh, well.
[1:36] All right. So, that has passed.
New workers introductions. Chana, I
[1:41] believe you have someone to introduce to
us. Would you please come to the
[1:45] microphone and speak into it, please?
Loud out there. So we have filled
[1:52] another position in our unit for
children's waiver and copyright
[1:56] community services and then she will
also do crisis. This is Christy
[1:59] Casterman.
>> Hi Christie.
[2:02] » Christy, would you like to give us a
little bit of a bio of yourself?
[2:06] » So I grew up here. I know some of you
and then when I graduated I moved to Los
[2:10] Angeles for college and then I was a
special ed teacher there. Ended up
[2:14] moving to Phoenix where I was also a
special education teacher. stopped
[2:18] teaching, opened my own business to take
the special ed kids when they graduated
[2:21] high school. So I had a date program in
a group supported employment and then I
[2:26] ended up moving back here this past
August. So very grateful to be here to
[2:30] be able to help everybody and it feels
good to be home backed by family and
[2:34] surrounded by people I know and have the
four seasons and not the 123 degree
[2:38] heat.
>> Well, thank you very much and we welcome
[2:41] you back.
>> Thank you. I appreciate it. It feels
[2:43] good to be back.
>> Well, good. Well, we're glad to have you
[2:46] in the family. Thank you guys.
>> Welcome.
[2:51] Thank you, Cha. And the minutes of uh
first our August 12th meeting, our
[2:56] regular meeting. And you you'll notice
uh a couple of things that were
[3:01] scratched off of there um redlinined
only because they were we were looking
[3:05] at setting up the agenda and there
weren't um and there was these were not
[3:10] going to be on the agenda. So somehow
they're still on these minutes and they
[3:13] they really don't have to be there, but
we'll make sure that when we print the
[3:17] copy for we'll make sure that gets uh
fixed. Jules, thank you. Okay, so what's
[3:23] your Oh, we could probably both do them
both. We have the public participation
[3:26] meeting also that same day and that one
was uh for 5 minutes and 7 seconds only
[3:34] because we had a I like to say that
because I we get through that one pretty
[3:38] quickly. Although we did have one public
comment at that time. Um just a comment
[3:43] on a non-aggenda item. So what is your
pleasure for these two minutes? If we
[3:48] could put together presented.
>> Okay.
[3:51] » Mr. Wo, Mr. um Swenson. I'm sorry. Um
and any other discussion?
[4:01] Okay. Hearing and seeing none. All those
in favor? Those opposed? All right.
[4:06] That's done.
So, next year, next year when I'm
[4:10] looking for public participation, I'm
I'm panicking that we don't have it. And
[4:15] then Jules was the one who said, "Oh,
no, no, no. We do that one at the
[4:18] September meeting." So,
>> I thought, "Oh my gosh, we didn't get
[4:22] that one done."
>> Mr. Mr. Chair,
[4:24] » yes.
>> Um, just a comment, and I wasn't able to
[4:28] make it, but um, we never get anybody
coming to this, right? and and we're
[4:33] having it later in the day because we
expect we're going to be able to get
[4:37] more people.
>> Would it make sense to just have it in
[4:40] the normal time because
>> it statutoily we have to have it after
[4:45] 3:30.
>> Oh, we do?
[4:46] » Yeah. So, it's the one meeting that the
in the state statute says you have to
[4:51] have it after I think it's 3:30. It's
like a weird time.
[4:54] » Yeah. Yeah.
>> 3:30 or 4 p.m.
[4:57] » Well, I think it's because they want the
working class to be here, you know, if
[5:00] they were working and they have that
chance to come and make a comment.
[5:03] » I think we actually Well, did we ever
have it earlier in the day? It seems
[5:07] like I remember we used to
>> Well, you would know best because you're
[5:10] » I've been here a long time. Yeah. Well,
maybe not.
[5:13] » I was going to be really polite.
>> My memor is getting worse, though.
[5:15] » Can double check the statutes, but that
was always my understanding for
[5:19] » Okay. All right. Just a comment.
>> All right. Thank you. And just for the
[5:23] minutes, uh, Patty has joined us online.
>> Patty. Hi, Patty. So,
[5:28] » just wave.
>> She probably can't hear us yet, but she
[5:32] has joined us.
>> Patty, can you hear us?
[5:42] » I hope so. It'd be kind of not fun to be
sitting there staring at us.
[5:48] » Anybody know sign language?
Hi, Patty.
[5:55] » Send her an email. Maybe she has her
email up. I don't know.
[5:58] » That's how I got her.
>> Oh, okay. Good. All right. Well, if we
[6:02] can if we can get her on that, that'd be
really nice. But it's good to see her
[6:06] there. So, she's not excused. She's a
pres present.
[6:10] All right. Opioid committee update. Uh
recommend a list of opioid funding to
[6:15] the Health and Human Services Board. You
all were given a copy of the
[6:19] recommendations at the last meetings and
you were charged with making sure that
[6:24] you looked it over and made any
questions, wrote them down if you had
[6:27] anything that you needed to discuss.
Nick is just going to kind of run
[6:31] through a little bit of those again to
kind of get your mind set there. So, if
[6:34] something jogs your memory that you
wanted to ask, this is the time because
[6:38] then we're hoping to um if if it becomes
an issue, then we have to call another
[6:44] meeting and we do have one more as an ad
hoc meeting, we we can call one more
[6:48] meeting um to address that issue if we
need to. But if we don't, if we can just
[6:53] circumvent that and just take it right
on to county board and to approve it,
[6:57] that would be really good, too. So, um
Nick, take it away.
[7:00] » Sure. So, just to back up. So what this
was is there was a class action lawsuit
[7:06] for umarmacies, anybody who provided
opioids or or created the opioids. So
[7:12] Purdue was the largest one. Uh that went
through a bunch of settlements. There
[7:17] was a whole bunch of
legal ease happening. So in the end what
[7:22] happened was uh over the next 20 years
uh counties that were involved and the
[7:28] state for this lawsuit will be receiving
funding to mitigate um opioid issues. Uh
[7:36] we have received I think it's at the
bottom of the page uh $287,945
[7:43] so far. Some of that is prepayment. So,
some of the pharmacies, some of the
[7:48] groups decided to get their payment out
of the way or do larger sums up front.
[7:54] Uh, we're anticipating about between 10
and $15,000 a year going forward for the
[8:00] next I think it's 14ish 15 more years.
So, uh, what the state through this
[8:08] process said is you have to have a
opioid committee to review how opioids
[8:13] have affected your community. Uh so the
county put together an opioid committee.
[8:18] On that committee was I think it was
over a dozen people which represented
[8:23] all different areas of the county
including schools, hospitals, uh any
[8:28] other medical providers, uh our health
department, our children and youth
[8:32] department, law enforcement, the
schools. Uh so we had a whole group of
[8:38] individuals. We had we've did four
meetings. The first meeting was
[8:42] introducing each of those areas and
saying hey this is how it's affected us.
[8:47] So schools talked about how uh we saw
you know children having access or
[8:53] experimenting earlier um education it
depends on when you know they had some
[8:59] interesting insight law enforcement what
they're seeing with hybrid drugs or the
[9:05] escalation of use of methamphetamines
things like that because of the preuse
[9:10] or the addictive level of the opioid um
all groups went through um kind of where
[9:18] they were dealing with uh the opioid
crisis. Uh so then uh second and third
[9:25] meeting we started to discuss okay what
are the available uses. So the state
[9:30] released a 200page packet that said
here's how you could use it. The biggest
[9:36] thing was you can't supplant. So we
can't what that means is we like say if
[9:41] we gave ourselves funding to the health
department we can't say oh look we're
[9:46] already doing this education now we
don't have to use our levy dollars and
[9:50] or other grant money and we can just
keep that money and use it for something
[9:54] else. So it all had to be new or
additional services in your community.
[10:01] Um by the time we got to the third
meeting, fourth meeting, um everybody
[10:06] kind of presented their ideas on what
might help the community and how to
[10:09] spend the the funding. And that's where
we came up with this list of quite a few
[10:13] items uh for the first three years. Uh
after the first three years, obviously,
[10:19] we'll continue to receive funding, but
at that point, the the rules are you've
[10:23] established kind of how you want to
spend them. This group would then just
[10:27] continue to recommend how to allocate
that additional funding. So, if certain
[10:32] things are working, you would say, "Yep,
keep doing this with that additional
[10:35] funding." A lot of the things on here
are one-time um program costs, there are
[10:41] some things and and mostly in our our
house, I guess, our county oversight
[10:47] would be continued costs that we could
allocate funding. uh when we looked at
[10:52] like outside funding um of programs, we
it was more of the one-time um funding.
[10:59] So, uh in the end, this is the list we
came up with. Um I would say if the the
[11:06] biggest ones were like in-house that
health department uh Kayla the children
[11:10] youth so tiff's department with the
health children and youth with Kayla
[11:14] they had some really good Janna had some
stuff too um with behavioral health they
[11:19] have a lot of good programming additions
to what we're already doing um and
[11:23] they're here if there's questions about
that the outside stuff um for example
[11:28] was like working with the schools and
allocating money to for them to work
[11:33] through either presenters coming in as
one school or as all the schools get
[11:38] together to have speakers talk about um
drug abuse or addiction or things that
[11:44] um preventative measures uh upfront. Uh
we talked uh to his house of hope which
[11:51] they're doing drug rehab programming uh
and allocating funding for some things.
[11:56] They they requested very specific stuff.
We set aside money for um because his
[12:01] house of hope is for males there. If
there was ever a program in the area
[12:05] that would work with females, we have
the money set aside that they would get
[12:09] equal amount that uh his house of hope
would. Um some of the other highlights
[12:16] were like where we struggle as being
rural is getting individuals to
[12:21] programming and or housing them once
they are at programming. So, we set
[12:25] aside quite a bit of money for that
where it's it would assist families
[12:30] with, you know, staying somewhere. So,
it would be like a grant program um
[12:34] whether it's like the hotel or the
location or just getting them there with
[12:38] transportation. Um that was a big one
uh that we talked about for the law
[12:44] enforcement. They brought up um testing
a machine that would test um any drugs
[12:51] that they found for like um
uh not fentanyl. Is that the big one? I
[12:56] want to say empetamines, but it's
fentanyl. Uh where it's instead of them
[13:01] having to risk their
contact, it's a machine that tests it
[13:06] without um contact. It's like
contactless rather than you open the bag
[13:12] and something might come out. It's
there's some process or some machine
[13:16] that's not cheap that would be available
to all law enforcement. It would be
[13:19] centrally located. So when you do have
that uh situation, you could test it.
[13:24] What that'll help is preventative
measures in our jail system and it'll
[13:29] get people to recovery quicker rather
than waiting to find out if they're have
[13:34] blood test iss
um withdrawals. So those are kind of the
[13:40] highlights. if you want. Uh staff is
here to highlight what their requests
[13:46] are. Otherwise, uh like Paula said is
the next step would be you guys
[13:52] approving or we we'll put together a
resolution to approve this to go to the
[13:55] full board. And really, some of this can
be done immediately. Some of it's more
[13:59] long-term that we'll be looking at.
[14:05] » So, are there any questions or
discussion? Joe,
[14:09] » so just for the outside groups, um was
the his house of hope the only one that
[14:14] requested funding? Um I just just
curious.
[14:17] » Yeah. So we didn't have any Well, we
didn't have them on the committee. So
[14:21] there are outside groups, right? like
they still the schools were considered
[14:25] outside. But yeah, his House of Hope was
made aware of the uh funding through
[14:30] their drug programming and actually it
was a good education for our staff
[14:33] because they presented his house hope
presented on what they're doing, what
[14:37] they're working on um who can be their
clientele. So it was good eye opener for
[14:44] if we have clients ourselves that could
be sent there or work with that
[14:48] programming. But yeah, His House of Hope
was the only
[14:52] nonprofit or group that came forward
saying, "Here's specifically what we
[14:56] could use help with." Um,
[15:02] » Madam Chair, may I
>> Sure.
[15:04] » I just have a question. I I think it's a
legitimate list. I'm not questioning the
[15:07] list. How is it going to be
administrated? Like, who decides like
[15:11] promotion, advertising, and education
for preventing misuse of opioids?
[15:16] Does does an outside entity become aware
of it and come and ask for the money or
[15:20] do you already have somebody that it's
your mark to how is this administered?
[15:25] Yeah, it Tiff can talk about but yeah
this it's just internally man mon
[15:29] monitored so we have to report this
every year I believe so they have to
[15:34] track it and bring it forward but you
can talk more about like
[15:37] » yeah and so a lot of those activities
initiatives are already in place by our
[15:41] um substance use and mental health
coalition um so they can expand upon
[15:46] those we have the experts at the table
some of them are are here are on the
[15:51] committee um so um we're going to be
using evidence-based information, but it
[15:56] would be probably made by those
individuals. Those are the ones that we
[15:59] initially requested um that funding.
>> So, it's more of expanding of programs
[16:05] than creating the wheel. And none of
this is recreating a you know, or
[16:09] creating a specific program.
>> We're enhancing what we already have.
[16:12] » Yeah. Or the region has like so to the
west of us, they spent quite a bit of
[16:16] money on um billboards and program, you
know, advertisement. Not saying that's
[16:22] what we're going to do, but we could
latch on to that and say expand that
[16:24] program and put stuff up here.
>> So the framework for administrating this
[16:29] is already in place.
>> Oh yeah.
[16:32] » The state has some of those campaigns
already in place. So we wouldn't be
[16:36] reinventing the wheel. We' be using it
the most efficiently way that we could.
[16:39] Just bringing that information here.
>> Good question though.
[16:45] » Oh, okay.
>> For now.
[16:47] » For now, Mr. Copish.
>> Yeah. How long will the funding
[16:51] continue? Do you know as this go on
forly or?
[16:55] » We got the bulk of it right now and I
believe we have like 14 years left or it
[17:00] was like a 20-year payout.
>> Oh, really?
[17:01] » For a lot of these.
>> Okay.
[17:03] » The big, you know, we were lucky. We got
money and it's it's going to help.
[17:08] There's a lot of programs we can put in
place. We're nowhere near some of the
[17:11] big one. Like some are getting a million
bucks plus. And what those are we're
[17:15] seeing is they are putting rehab centers
in and bigger things. We don't have
[17:20] anywhere near that. We talked as a
region about some of that stuff, but
[17:24] even if you pulled eight or 10 of our
counties, it doesn't you'd you'd be
[17:29] subsidizing it somehow um as a region.
[17:35] » Any other questions?
[17:40] » No.
Well, what's your pleasure, board?
[17:46] » Are we going to send it back to opioid
committee for some reason or are we
[17:51] going to stop it here and move it on to
county board?
[17:54] » Yeah, we bring a resolution.
>> Yeah, we'll bring the resolution, but we
[17:57] need to at least say we're going to go
with that.
[18:00] » I'd make a motion that we move forward
with the list as presented.
[18:04] » I'll second.
>> Okay. Motion by Mr. Baratka, second by
[18:07] Mr. hopes to um move this forward and um
any discussion at that time about this.
[18:16] Okay. Hearing and seeing none. All those
in favor? Those opposed?
[18:21] » Oh, there you are. Hi, Patty.
>> Hi.
[18:24] » Hi.
>> Okay, good. There you are.
[18:29] » All right. So, the motion has carried
and we will move that forward. I would
[18:33] like to thank the opioid committee
because we won't see them again. and I'd
[18:36] like to thank them for all the work that
they did and taking the time to bring
[18:40] the research to us and helping us with
that and his house of hope. Um
[18:46] I I guess we can contact Mr. um Dist and
and Robert and see what we can do with
[18:52] that. Okay. All right.
Well, we'll move forward then. So,
[18:57] you'll bring we'll bring that next month
to the resolution, right? And then to
[19:01] the county board. So, county board will
see it probably October if you guys have
[19:05] an October meeting.
>> Okay, sounds good. All right.
[19:11] » Annual report. You received this last
time as well. Nice big reading. I
[19:17] thought it was well put together and
very informative. I I thought this is
[19:23] something that you should actually just
keep on hand if you really can't
[19:27] remember what that acronym was or what
it meant or what who's in charge of that
[19:33] of that department. And uh I mean it
just if you if you're at a loss of how
[19:38] you need to discuss what what those are,
this is very well done. So all we're
[19:45] going to do here is um it's been
presented to you. So, just wondering if
[19:49] there was anyone that had any questions.
You do have some of the managers here
[19:54] and they can discuss anything that you
had um or comments.
[20:00] Stacey, you didn't get a chance to read
it, but that's okay. If you have
[20:04] questions, you can contact Sarah and go
>> through it today.
[20:07] » Oh, at the orientation. That's right.
There is an orientation this afternoon
[20:11] in case anyone had forgotten. I
understand uh Supervisor Olrich will be
[20:15] there and Stacy, our new gal here, will
be there. If anyone has uh an inkling to
[20:20] go there, you could still get into it
for this afternoon. Okay. Any comments
[20:26] for the for the uh this is just an FYI.
We don't need to approve this and send
[20:32] it. It just goes on file.
>> Just a question as going through it. Uh
[20:36] something didn't make sense on page 14.
>> Okay.
[20:42] And that first uh highlighted one, you
got 26 children referred and 60 children
[20:47] served. Does that make sense?
[20:56] » Hi Bob.
>> Hi.
[21:01] » Gotcha.
>> So what that means is these kids are in
[21:04] this program long term. So, we served 60
children in that year, but they some of
[21:08] them were already in and we had 26 new
referrals.
[21:11] » And the reason I asked is because the
next item down says 60 children served.
[21:14] And I thought maybe
>> Yeah. So,
[21:17] » just
>> the Children's Community Option Program
[21:19] funding. That funding we only use for
children in children's waiver. So, it's
[21:24] a supplemental funding that pays for
things that maybe children's waiver
[21:27] won't pay for. So certain items that
might be helpful to make their life
[21:30] easier that this the regulations that
are put upon CLTS don't cover. So then
[21:37] we go through a process, talk about it
and approve it and then those items are
[21:41] covered.
>> Okay. Thank you. Well, Chris Anne's not
[21:44] here, so I I got to ask somebody.
>> You got to ask somebody.
[21:47] » That's okay. I'm all right with that.
>> All right. That's it. Other words, great
[21:52] report.
>> I I agree.
[21:53] » Really a nice report.
>> Yep. I agree.
[21:55] » Espec Especially the director's
comments. That was just just wonderful.
[22:01] » Yeah, I know. What What are you asking
for?
[22:05] » Any other comments or complaints or
concerns?
[22:10] No. Well, good. Job well done. Thank
you.
[22:16] Lot of work in there.
All right. So, let's go to the
[22:21] resolution.
So, we have a resolution in front of us
[22:26] to uh s uh support sustainable state
funding for local public health
[22:31] departments. I'm just going to read a
couple things. I'll let Sarah take over.
[22:34] Whereas in Wisconsin, local health
departments, LHDs, are legally required
[22:39] to provide a core set of public health
services under state statutes chapter 2
[22:44] 251 and Wisconsin administrative code
chapter DHS 140. And whereas
[22:50] responsibilities of LHDs have expanded
significantly in recent years due to
[22:55] emergency public health emerging excuse
me public health threats, workforce
[23:00] shortages, and increasing community
health needs. And whereas local health
[23:04] departments rely on a combination of
limited state aids, categorical grants,
[23:10] and local state tax levy to find these
mandated services. And then it goes on,
[23:15] but I think Sarah can figure that out to
tell us at the end. I'm just going to
[23:19] say, but be it be it further resolved
that the state of Wisconsin recognizes
[23:24] public health as a core governmental
function and prioritizes sustained
[23:28] investment to ensure consistent services
uh delivery across all jurisdictions.
[23:33] And be it further resolved that a copy
of this resolution be forwarded to the
[23:37] governor of Wisconsin, members of the
Wisconsin state legislature, the
[23:40] Wisconsin Department of Health Services,
and all Wisconsin counties. And in a
[23:45] nutshell, Sarah, I'll take it over. I
was going to ask or Tiffany Tiffany.
[23:48] Tiffany, did you get a chance to talk to
other health officers or
[24:00] uh yeah, there's actually quite a few
other counties that are passing similar
[24:04] resolutions um just because of the fact
of there are those core functions that
[24:08] we need to provide and over the the last
few years we are seeing um funding being
[24:14] cut and cut and cut. um just alone um
our the lead grant that we receive. Um
[24:20] it's just to help supplement um the um
the activities that we do for lead um
[24:26] followup on for children um in older
homes and things like that. And um that
[24:31] got sliced in half. Um we're looking I
mean if you look at dollar amounts I
[24:36] don't think $1,500 is a lot of money to
support those funds when you're looking
[24:40] at the number of children in our in our
community. So this is just just that's
[24:44] just an example. Well, there are other
ones too that we are looking at, but um
[24:48] this is just that support um and that
formal um you know look at um what we
[24:56] need and um so that we can make sure
that we are keeping our community
[25:00] healthy and safe and unfortunately
dollars go along with that and we're
[25:04] trying to take every grant opportunity
that we can to apply for other grants
[25:08] which when I give my report in a little
bit you'll get to hear those but some of
[25:11] those that are those core functions it
just needs
[25:21] So that's it.
>> Yeah.
[25:22] » Okay.
[25:26] » So Sarah said that's it. That's in a
nutshell. That's exactly what it is. So
[25:31] what's your pleasure?
[25:35] » You want to go first, Joe, or should I?
>> I I motion to approve and forward to the
[25:42] board.
>> Good.
[25:44] Okay. Mot motion by Mr. Copish to um
approve and forward this to the county
[25:49] board and Mr. Warco seconds that any
other discussion.
[25:54] » Yeah. Hearing and seeing none. All those
in favor?
[25:58] » Those opposed?
>> Oh, sorry about that. I We got you in.
[26:03] It's that voice above that comes in.
Okay. And uh all and I'll that passes
[26:09] and then we'll see that at county board
then. Thank you.
[26:15] Next, we have public health unit.
Tiffany, you just like that microphone.
[26:19] Come on up.
I understand.
[26:24] » First of all, thank you for that
support. That's much appreciated from
[26:27] public health standpoint. Um, and I'm
sure from the community as well. Thank
[26:31] you. Um, okay. Okay. The first on my
list here is um just a uh it's not
[26:37] anything in paper that you have, just a
a verbal report um on from the health
[26:42] and wellness coalition. Um so just
mentioning back on some of those grants.
[26:46] Um there was a grant opportunity. Um I
had mentioned a while a couple of months
[26:50] ago um some there were some ARPA funds
that were left. Um we could apply for a
[26:55] mini grant. Um we requested $2,000 and
after a few things we ended up getting
[27:01] almost $6,000. So, we welcome that in.
Um, so, um, I was able to get a little,
[27:08] um, uh, overview from the Health and
Wellness Coalition of what we're kind of
[27:12] using that for. So, um, we wrote it with
the thought of, um, our physical
[27:17] activity and our nutritional needs of
our community, which is in our community
[27:22] health assessment and our community
health improvement plan. Um, so we
[27:27] looked at the they looked at the food
insecurities within our school. Um, one
[27:32] of our schools was already working had a
fuel zone cart. Um, as we know, hungry
[27:38] children have difficulty learning in
school. It's hard to focus and um, if
[27:44] you have a well-nourished uh, belly, you
usually have a well-nourished brain to
[27:48] be able to learn. So, um, what we ended
up doing was, uh, using some of the
[27:54] funding to purchase, um, a fuel zone
cart for the Philips School District and
[28:00] for the Apprentice School District. So,
with that, um, they, um, are are going
[28:05] to be able to have some easy accessible
foods for children if they need it, like
[28:09] in the in the morning, in the afternoon,
just to keep them nourished throughout
[28:12] the day. Obviously, we know that our
school systems do a great job during the
[28:16] lunch period and stuff like that, but
again with that's what they can provide
[28:20] and we know that there's children that
come to school hungry and they go home
[28:23] hungry. So, we're just kind of helping
to offset that. Additionally, they were
[28:27] able the health and wellness coalition
worked with um one of the um local uh
[28:35] medical clinics um to help um look at
food items for those carts too. So,
[28:40] together we were able to combine on
that. Additionally, um, one of the
[28:44] things that was looked at from the
Health and Wellness Coalition is a
[28:46] couple years ago when they did the bento
boxes, um, they, um, did an assessment
[28:51] to see what was needed in the community.
And a lot of people talked about, um,
[28:56] wanting cooking classes and how to cook
on a budget and, um, healthy foods and
[29:01] not knowing how to prepare them and
things like that. Um, since then, we
[29:04] luckily have like the YMCA that's
providing some cooking classes, but we
[29:08] were trying to look to see how can we
spread that a little bit more throughout
[29:10] the community. So with the timeline we
had for the grant, it was kind of
[29:13] difficult to make another um like food
cooking class. So what we um ended up
[29:18] doing is we um ordered a bunch of
crockpots with this funding and um the
[29:25] health and wellness coalition
individuals will be going to a few
[29:28] events here. Um they're going to be
looking at the Phillips Farmers Market
[29:32] um later on this month, Park Falls
Market later on this month, and then at
[29:37] the Senior Living Expo. So with that
comes a crockpot. There's going to be
[29:41] some education that they're going to
have. Um, our Wick dietitian is going to
[29:44] be actually at many of those events
talking to them about, hey, these are
[29:47] food items that are here at the farmers
market. Here's a uh, you know, maybe an
[29:52] easier way to make them and then the
family or whomever participates in just
[29:57] that little bit of activity with, you
know, learning, they'll get a free
[30:00] crock-pot to take that home. So, we're
asking them to try to purchase something
[30:03] from the farmers market at the same time
and then um, and give us some feedback.
[30:08] So, um, additionally, um, we're looking
at, um, providing them to some of our
[30:13] families that are on case management.
Um, even if, um, some of the foster care
[30:18] families would need an item like that,
we would be able to have those. Um, and
[30:22] then, um, with the youth Olympics that
we did last year, that was more or less
[30:28] for socialization, physical activity,
getting the whole family out and about.
[30:32] So, um, they were able to use that
funding to purchase supplies for that,
[30:37] too. and then kind of expand on some of
the coalition activities for other
[30:41] nights, not just that, like the
Wednesday night um live and the music in
[30:46] the park. They were um wanted to
purchase some more activities for youth
[30:50] and for families in general. So, it was
like um the larger uh Connect Four games
[30:56] and just things like that just to add
more activity, Jenga, all of that kind
[31:00] of stuff. So, um I know these may seem
like small things um at times, but when
[31:07] um to be able to use this and to see
what it does for each individual that
[31:13] comes up. I mean, if we're serving 50 50
individuals crockpots, that's 50 more
[31:18] families that are that are getting that
education that are getting um that
[31:22] support from um from our coalition. Um
so, any questions on that?
[31:29] Okay.
And then um the next thing we have on
[31:34] here is our flu clinic schedule. Um so
this year we have our high dose um which
[31:39] is 65 and older. Um we're going to have
the flu block and our regular flu zone.
[31:45] Um so the the cost and everything is on
the one side and then um we showed you
[31:51] what our October calendar looks like. Um
this will be um us going into the
[31:57] schools into some of the businesses
um and then our community flu clinics.
[32:03] So we're kind of here there and
everywhere. Um and then not to mention
[32:07] do having those um vaccinations as well
at our at our clinic site here and in
[32:13] Park Falls. And then the last thing we
have on here is our community health
[32:18] assessment survey. So, um, every 3 to 5
years, um, public health departments,
[32:25] um, do a community health assessment.
Um, we have typically done it every 3
[32:29] years because we've partnered up with
medical facilities. Um, by state
[32:33] statute, we only have to do it every 5
years. Um, the medical group that we had
[32:37] been working with, they um, are kind of
going with their own because things have
[32:41] changed for them. Um so we are wanted to
stick with a a similar um community
[32:46] health assessment that we've been
providing the last couple years um so
[32:50] that we can continue to monitor the
trend um of the health of our community
[32:55] during that time. So from you know three
years ago we're hoping to actually
[32:59] expand this one for 5 years. So this
will is now active. We will be putting
[33:04] it actually um giving an online format
of it pretty soon here and we're going
[33:09] to be doing the assessment through the
end of this year. Come beginning of next
[33:14] year, we're going to look at the data,
bring in all of our secondary data and
[33:17] then have our stakeholders meeting where
at that time that group will decide
[33:21] these are the the the the priorities
that public health should be working on
[33:26] that over the next three to five years.
So, and off spins off of that is the
[33:32] work on the coalition which we just
talked about back at the, you know, with
[33:35] the ARPA funds and all of that, you
know, health and wellness coalition and
[33:39] the um substance use and mental health
coalition. All of that work plays back
[33:43] into what the community tells us on
these surveys.
[33:47] So,
>> question about the surveys, Tiffany, how
[33:50] are you getting these surveys out?
>> Yep. So, um they will be um they will be
[33:56] um electronic here soon as well. Um
we're going to be taking them to all of
[34:00] our flu clinics that we have, we do have
them available um at the like our
[34:04] outside displays in our hallway. Um any
of the community events that we're going
[34:09] to senior expo, all of that we're going
to be providing um providing these. So
[34:15] um our public health update will have a
link to them. Um we'll be putting it on
[34:18] the website. We're going to try to
saturate so that we can get
[34:23] » back to the senior dining sites.
>> Yes. Yep. Absolutely. Yep. Yep. Yep.
[34:27] » As well. Mhm.
>> Okay. Good.
[34:30] Any questions? Yes. Most
>> just a comment. What might be
[34:33] interesting, you know, I'm looking at
this
[34:36] » and trying to figure out, okay, what am
I going to how am I going to fill this
[34:39] out? And um if I wasn't on this board, I
wouldn't be aware of a lot of things
[34:44] that are going on.
>> So, the average person in the county may
[34:48] have a a perspective that may be right
or may not be right. I was wondering if
[34:53] if the department heads would do the
same thing and come up with a consensus
[34:58] of what the people that are actually
dealing with the problems think the
[35:00] problems are to compare with what you
get from the public to see if there's a
[35:04] connection or a mismatch which then we
may have to do something to make sure
[35:09] the public is better informed.
>> Does that make sense? No, that makes a
[35:13] lot of sense
>> because you guys have a whole different
[35:15] knowledge base than I would as the
average citizen being on board.
[35:19] » But you have a better knowledge base
than the average citizen
[35:23] » because I'm on this board
>> because we're on the board. Yes. So, I
[35:26] can see that when I look at that,
>> just think about it. Maybe it'd be worth
[35:30] » and I think that's a lot that has to do
with the stakeholders meeting as well
[35:34] because it's usually a lot of those.
It's the schools, it's, you know,
[35:39] members of, you know, members of the
board. It's all the department heads
[35:43] that are there. So, we're looking at the
the data. We're looking at one the the
[35:48] survey results. We're looking at what
the secondary data shows us. So, what do
[35:52] the county health rankings say? County
health rankings say that, you know, um
[35:56] 14% of our county doesn't live near a
grocery store or 25% of our county
[36:03] doesn't have broadband access. So we
take all of that and compile it together
[36:07] and then the individuals that that have
those experiences like you're saying
[36:11] that directly work with it, we're the
ones that are going to prioritize what
[36:15] we think are the top three that we need
to work with.
[36:17] » So we are doing that.
>> Yeah.
[36:19] » Okay. But it would be interesting to see
the actual public input versus what you
[36:23] come up with
>> and we can try to break that out too if
[36:26] we
>> well and Bob I think you know when there
[36:28] is the stakeholders anybody on the board
here can go to that yeah you know and
[36:32] it's very very informative because we do
go through all of these so if you have
[36:37] that interest make sure that you let
Tiffany know. Yes, Joe.
[36:41] » I think what Bob's trying to get at,
too, is that you have data compared to
[36:45] present to the board that shows here's
what the public's thinking, here's what
[36:48] we're thinking as the board and the
professionals. Do we need to do
[36:52] something more educational wise to get
the public more up to speed on what we
[36:56] know? I is that kind of what you're
looking for, Bob? Something at this
[36:59] level to say, okay, here's the public.
Here's us. We're close. We're not. Do we
[37:03] need to adjust from there? I think what
you're doing is awesome because you're
[37:06] getting to the root problem, but I think
what Bob's looking at is do we have a
[37:10] root problem with communication to the
public. Um, and is there a way to
[37:14] address that? Just
>> Nope. I completely understand that. And
[37:19] that's where um a lot of our work with
our substance use mental health
[37:23] coalition and our health and wellness
coalition. That's where we try um the
[37:28] best that we can to get that information
out to the community. So, um, we're
[37:32] always open to more ways. I mean, you
know your constituents best. So, if
[37:37] they're not hearing that information,
bring that back to us. Bring it back to
[37:41] me. Bring it back to Sarah. Bring it
back to our health and wellness
[37:43] coalition, our substance use coalition,
and we'll we'll do better. So,
[37:49] » well, I think what what kind of haunts
me a little bit as a supervisor is I'm
[37:54] thinking of my my district and it's
pretty remote. I mean, we all are, but
[37:58] you know, I have Ogma and Spirit. Not
Ogma, I have, you know, down there. Knox
[38:03] and Spirit and and Emory and and and I
and Hackett. I can think of how many
[38:09] people out there probably have never
seen this at all, you know, and I'm
[38:13] thinking, okay, now I think it might be
my responsibility as a supervisor to
[38:18] maybe take packets of this when I visit
their towns. And maybe that's what we
[38:24] need to do is make sure that we keep
them in our car and take them there. I I
[38:27] just I just I just know that there are a
lot of people that aren't getting these
[38:31] and and you're not you're not getting
the information you need from those
[38:35] deep-seated areas.
That's what I'm thinking. I'm hoping
[38:41] » but it's a good it's a good cause. Go
ahead.
[38:43] » Yeah. And it's nothing coming from the
department that I see it. You guys are
[38:46] doing an awesome job. It's just being
able to zero in on, okay, we don't know
[38:50] what we don't know
>> and data will always show you what you
[38:53] don't know because you guys use it all
the time and I know Bob does all the
[38:56] time. So that that's I think that's the
key point that we're looking at is is
[39:00] there one other piece of data that we
can provide to you guys through this
[39:03] survey that can say, "Oh, there's a
point that we can go after, too." So,
[39:07] no, I think you guys are doing an
awesome job. So,
[39:09] » I agree.
>> Just to piggyback on what George said, I
[39:13] think you guys are doing a great job.
You said you can do better. Well, we're
[39:17] always looking for ways to improve, but
you're doing a great job.
[39:21] » Thank you.
>> Always. Thank you.
[39:24] » All right. That was very good. Thank
you, Tiffany. Uh, aging and disability
[39:29] and senior services unit. Um, all I see
on here are things that Don can cover.
[39:34] Oh, and Patricia, she's back on here.
So, we are here. So, are you ready to
[39:38] give a report on the TCC?
>> Patty.
[39:42] » Hi. Yes, we held a meeting on Monday the
I don't have a calendar in front of me.
[39:51] I was absent from the meeting by
mistake, but I was emailed that it was
[39:56] lowkey
uh just routine reports and everything
[40:00] is fine and we have another meeting
scheduled in November.
[40:08] » Okay. Thank you. I think Nick has some
updates. If you don't mind, he'll have a
[40:11] few. Yes.
>> The only Uh, I don't it's not even
[40:15] major. The the one thing that did pop
up, I agree with Patty, it was a quiet
[40:19] meeting. There's not a lot going on
generally in the county besides it's
[40:23] still got great ridership. It's it's a
great program. Um, what the concern is
[40:28] is we received a email from the federal
government saying that the funding for a
[40:34] lot of this programming may be reduced
by about 23%.
[40:38] So, if that were to happen, it would be
a huge, huge hit to this Bay Area
[40:45] transit programming. Um, obviously costs
go up every year with fuel or just
[40:51] buying new buses and paying people. So,
to have a 23% hit on your budget is is
[40:58] substantial. Um, I had the numbers. It's
it's millions of dollars for uh the
[41:04] program. So, we're continuing to watch
it. We did reach out to legislators
[41:08] saying this would not be ideal. This is
a great program for rural um
[41:14] transportation. I get where some of this
stuff is coming from, right? They're
[41:18] saying, "Well, why are we helping these
big big big metros with their busing
[41:23] program, but again, if it's getting
people to work and it's getting people
[41:27] around the community,
I don't understand how it's not a a
[41:32] viable or good program." So, we're we're
continuing to watch that. Um but again
[41:37] that's the biggest concern we're seeing
is if that funding were to be reduced
[41:42] that's going to be big big changes for
the program. So uh on the local side of
[41:48] things we are reaching out to the
municipalities that um we service or are
[41:54] partially servicing uh to request 2027
uh contributions. So, so far we've heard
[42:02] back, but not guaranteed from Park Falls
and Phillips. We asked uh for an
[42:06] additional $500 from each of them this
year. So, I believe it's $13,000.
[42:11] Uh didn't hear anything negative about
We can't have put that in our budget.
[42:16] So, that should be fine. Uh Field uh
last year gave $1,500.
[42:22] We reached out to them. They said thank
you, as in we'll probably do it again.
[42:28] Uh, and then Butternut I haven't heard
back from, but they didn't give anything
[42:33] last year, but they wanted, you know, we
did it late in the after the budget was
[42:37] already done last year. So, this year we
made sure to get the request in early.
[42:42] Um, I haven't heard back, but I'm
assuming they'll have one of us or I'll
[42:46] go to their evening meeting and request
or kind of explain what the program is,
[42:51] why it's important. uh Bay Area Rural
Transit also Pat from their group comes
[42:57] and joins in those meetings because he
has the who rides it and and why it's
[43:02] important to their community. And then
Eisenstein has requested that we're on
[43:07] their agenda for the 28th, if that makes
sense. I think it's a Monday. Uh Monday
[43:12] the 28th um to present I can't remember
how much we requested. Was it 1500 from
[43:19] them or just I mean even if they get
500, right? So, it's a new contribution.
[43:25] Uh, we requested 1,500 from them. So,
we'll go to that meeting and explain why
[43:30] it's important to continue this. Um,
because on our end, we're maxed out on
[43:35] the the grant that we use. So, we need
any assistance to to maintain this
[43:42] program going forward. Um, and just back
up a little bit, the reason why we use a
[43:48] grant for this is because the whole
community or the whole county is not
[43:52] necessarily served by the program. So,
we do five miles from Park Falls, 5
[43:56] miles or not from, but five mile radius
from the city center of Park Falls, 5
[44:01] miles radius from city of Phillips. We
can go a little farther if there's time,
[44:06] but the buses have been very popular, so
they don't have time to run the seven
[44:10] miles out to get a rider, but it doesn't
hurt to ask if you're outside those
[44:15] limits. And then we have a it there's a
bus that runs back and forth Park Falls
[44:20] to Phillips and then from Park Falls to
Manqua. The Park Falls to Manqua one is
[44:25] mainly uh used for dialysis. We work
with the hospital over there. We make
[44:31] sure the dialysis patients all can get
in at the exact same time. So, we pretty
[44:35] much reserve I think it's four or five
seats over there. They get on the bus,
[44:40] they get over there together, they can
get back on the bus and not have to wait
[44:43] four extra hours for the next round
trip. So, that's worked out really well
[44:47] for families. Uh, and we want to
continue that. So,
[44:51] » down to Lake
>> We requested to them. I haven't heard
[44:55] back, but they did receive
>> I feel like we might have heard back
[44:58] from them as in like we'll put it on the
agenda, but yes, we did reach out town
[45:01] of Lake um also.
[45:10] » Okay. Any other comments?
>> Thank you, Patty.
[45:16] » Yes. Thank you.
>> All right. ADRC governing board. Don, I
[45:21] have my minutes here, but um they're not
my minutes. They actually sent them to
[45:25] me, but I'm going to have you report. I
don't think I'm I had my head in the
[45:29] game during that meeting too much. So, I
had some personal issues going on. So,
[45:34] all right. Well, good morning. So, um on
the governing board meeting, so um they
[45:40] went over the year-to-ate financials and
the report was that there was really
[45:44] nothing uh unusual about them. Pretty
much the same as you would expect for
[45:49] the first quarter. And then they had a
discussion and action on the 55,500
[45:55] additional allocation that the ADRC of
the north received from the state. And
[46:00] so that was approved and the decision
was to split that between the five
[46:05] counties. So each county got 11,100
in additional allocation for the 2026
[46:11] year.
And um let's see, they did go over the
[46:16] first month of using time and task for
billing for the ADRC. So this is um
[46:23] something different that's coming out of
Pure Place instead of them filling out
[46:27] those um um spreadsheets. So this is the
first month that they've done that. And
[46:33] so they did talk about that a little bit
and overall it went pretty well. There's
[46:36] a few bumps in the road and they're
still working on it, but they feel like
[46:40] for the first month it's pretty good.
Um
[46:44] so then uh let's see um
they talked about some openings that
[46:50] they have on the governing board and
it's uh LCO and Redcliffe. They are
[46:54] still looking for people to fill those
openings and then some hiring some
[46:58] positions that are open in the um uh the
tribal update. And I think that's about
[47:04] all I had notes on. Anything else Paula
that you noted? I'm looking over. I had
[47:09] Natasha send over her um minutes and I
no I don't see anything that you didn't
[47:15] that you needed to discuss. Okay. So,
thank you.
[47:18] » All right.
So, then moving on to the Woodlands
[47:23] Commission meeting.
So,
[47:29] uh, so they had elections for, uh, chair
and vice chair and secretary, I should
[47:34] say, and it looked like to me that the
same people were reelected to those
[47:38] positions. Um,
they had a policy review,
[47:45] um, which I found very helpful on why
the commission was established back when
[47:50] it was done because I didn't have that
background. So, I actually found that
[47:52] very interesting and it was really nice
that they kind of went over all of that.
[47:57] And um then they did the 2025 budget
review and I'll just say that they did
[48:02] very well in 2025. They ended up with a
surplus surplus at the end of the year.
[48:08] So overall they did well. Uh then they
talked about the 2026 budget where it
[48:13] stands so far. 2026 is not going as
well. Um so then um the next talk was
[48:20] about why that's happening and that was
in their census update and their census
[48:26] is overall down and so that is why um
their budget is not looking as healthy
[48:31] in 2026.
So they have a number of open beds and
[48:35] they're kind of working to to get those
filled, but it's been uh a little
[48:41] concerning. And one of the um one of the
things that was brought up is that the
[48:46] MCOs, so that would be like Inclusa and
My Choice, have been going in and making
[48:52] the determination that people that are
at nursing homes do not have a skilled
[48:57] nursing need. And they're saying if they
don't have a skilled nursing need,
[49:01] Inclusa will not pay for them to stay
there. So there was a number of people
[49:05] that were
moved from the nursing home into a lower
[49:12] um lower need like an assisted living or
stuff like that. So that's one of the
[49:15] things they were tying into the reduced
uh census.
[49:21] So then they did the rate setting for
2027 and the enhanced rate for 2027 is
[49:27] going to be $80 a day which
am I right Paul on saying that's the
[49:32] same as it was this last year I believe
>> that's right they're just holding the
[49:35] same yes
>> okay
[49:38] um then there was another presentation
about population growth and staffing
[49:42] shortages which we're seeing everywhere
staffing shortages nursing homes that
[49:48] can't fill beds because they don't have
enough staff to care for the um people
[49:52] they have there. So that was also very
interesting um presentation I thought
[49:57] kind of the um might say the wave that
is coming yeah for all of us
[50:04] » um and I think I'm trying to see if I
missed anything.
[50:10] I think that was about it.
>> Yeah. If you weren't there in person and
[50:13] I wasn't as well um they did a campus
tour.
[50:16] » Yes. Right. Yes. And they did say that
they'd like to offer that again and and
[50:20] I would suggest that if that does happen
that we take a ride down there.
[50:24] » Okay.
>> And we can certainly do that.
[50:26] » It's very interesting. It's been a while
since I went on and I don't even think I
[50:30] went the extensive one, but you know,
just like getting that report about the
[50:34] the history of, you know, woodland
enhanced,
[50:38] » being there to see the the facility
would make sense, too. Also, especially
[50:43] when you're when you're dealing with
giving all of these, you want to put
[50:46] something to make sure. So, when that
does come up, let's talk about that.
[50:49] Okay.
>> Okay. Yeah, that sounds good.
[50:51] » Okay.
>> I think uh what do I have? The next
[50:53] meeting is in February. So,
>> February 25th.
[50:56] » Yeah.
>> So, obviously that'll be weather
[50:59] committing.
>> Yeah. Weather dependent. Yes.
[51:01] » Yes. So, any any questions? And if not,
thank you, Don. Oh,
[51:06] » you're welcome. Thank you so much.
[51:12] and economic support. I understand Beth
is not here, so Sarah will
[51:18] um every year we bring this policy to
the boards to be reviewed and approved.
[51:23] Um this here policy is for energy
assistance. It's no cost um for the
[51:29] county. It is a state and federal grant
to assist households who are losing
[51:34] their home energy source. Um, and in
here it explains the guidelines that we
[51:39] need to occur in order for them to
receive the assistance. Um, and explains
[51:44] how the department can grant the
exceptions.
[51:48] I think believe we've kind of gone
through this every year.
[51:52] We need to have an approval on this.
>> So, we need approval of this. This would
[51:57] be this one that you have in your
packet.
[51:59] » And like she like Sarah said, every year
we go through this.
[52:04] So, who would like to be the lucky
person to make that?
[52:11] » I'll move to approve.
>> Popish moves to approve.
[52:17] » Mr. Warco waved his hand. He's um
seconded it. Okay.
[52:23] Any other discussion?
Hearing and seeing none. All those in
[52:28] favor?
>> I.
[52:31] » Those opposed? Okay.
>> Okay. Ask a question. How much money
[52:35] goes through this program usually in a
year?
[52:39] » Oh,
>> do you have any idea?
[52:42] » Grie, do you have an idea of how much
goes through?
[52:47] » Yeah.
>> Well, we got a huge grant.
[52:50] » I know what we get for our grants and
then there's a different portion that
[52:55] kind of just gets funneled through of
the benefits. The benefits should be in
[53:00] our annual report that the community
received. Um otherwise our grants are
[53:06] typically around 60. Um we did get
notification that next year it's not
[53:13] said but it did jump up 90,000.
>> Oh wow.
[53:20] » Okay.
>> And most people take the whole 1200 I
[53:24] suppose.
>> Yeah. You know, we don't use this really
[53:27] a lot. No.
>> Yeah.
[53:30] » Okay. Well, thank you.
>> Yeah.
[53:33] » Okay. So, that that motion has carried.
All All did we vote on it? Yeah.
[53:38] » Yeah. We need a I need approval.
>> We need approval. All those in favor?
[53:43] » Those opposed?
>> All right. Motion's carried. And the
[53:47] approval is there.
>> I don't need to sign anything, do I? No.
[53:51] All right. I ask that every year.
just in case. All right, next one.
[53:57] Fiscal and administrative unit Carrie,
come on up.
[54:02] High cost placements reports.
[54:08] Okay. Um before I jump too much into it,
I did just want to give um Katie Voss a
[54:13] shout out um on our annual report. She
is the one who kind of put that
[54:17] together. our units. We just kind of
give her the information and all sorts
[54:22] of different just not organized at all.
And um she does a really good job of
[54:27] organizing that all and getting it done
for us.
[54:31] » Well, thank you for bringing that
forward. You make sure she knows it. We
[54:33] we really appreciate it.
>> Okay, I will.
[54:36] » Thank you.
>> Um okay,
[54:39] I have a lot of stuff going on here, I
guess.
[54:42] Okay. So, we do have our original
high-cost placement report on the
[54:48] children and youth and then also the
AODDA um as we've kind of discussed um
[54:54] those uh expenses do kind of tend to be
about um month and a half to two months
[54:59] behind and we had kind of let you know
that there were going to be some higher
[55:04] costs rolling in um that are now
starting to be reflected.
[55:10] Um, were there any questions on this
report?
[55:14] » Do you think uh for our upcoming budget
you might be able to do a better job on
[55:19] the budget?
>> I know you got to work with those people
[55:22] in accounting, but
>> Yeah. No, I don't know.
[55:25] » I mean, you don't have much left to
spend.
[55:28] » No.
[55:32] » Um, okay.
[55:40] So then um like we had kind of talked
about um last meeting, we were going to
[55:47] start working on um giving you guys just
a little bit of something different that
[55:51] kind of dives a little deeper into some
of these numbers. Um so I do have just a
[55:58] little snapshot of just an example of a
program to see if this is kind of what
[56:03] you'd be looking for. And if so, then we
can do some more of the work to um dive
[56:09] into the a little bit deeper.
>> Oh, she's got it.
[56:38] Thank you.
[56:57] We should have called you.
[57:03] » I just looked over. Oh,
[57:09] » thank you.
[57:13] » What What are you saying?
[57:19] » Okay.
[57:22] So that was just a joke.
But sometimes that's how I feel some
[57:28] days trying to explain things. So um I
had just put together just a random
[57:34] thing because uh Bob did like that one
chart that we had that had stuff all
[57:38] over the place that didn't
>> I like that too.
[57:40] » Yeah. It didn't make too much sense. So
>> she's talking about this Joe.
[57:47] » Waste county resources. So
>> I know
[57:51] for Bob.
>> Yeah. Yeah. There you go.
[57:56] » This one is
[58:00] » okay. So, I do have a real report. Um,
and it's this kinship one. So, kinship,
[58:09] this one was a little bit easier just to
pull out just by how we have our
[58:12] accounts and everything set up. Um, but
kinship is embedded into this bigger
[58:19] report that you get. Um, one of the
things too when we kind of started
[58:23] looking at it more, it's like, well,
kinship isn't necessarily a high cost
[58:28] placement. Um, it's a little bit on the
lower end. So, would that be something
[58:34] that we really would want in the high
cost placements? when we kind of started
[58:38] looking at everything that goes into
here, um, we could potentially maybe
[58:42] separate that out a little bit by
placement so you can get a truer picture
[58:47] of where the high cost placements are
at. Granted, it's a lower cost
[58:51] placement, so it's not going to have a
huge sway in like the numbers that much.
[58:56] Um, but we could kind of dive in a
little bit. Um, so for the kinship here
[59:02] and uh this is just throwing it out
there. You can provide feedback like no
[59:07] we don't want this or whatever we were
thinking something else like this. But
[59:12] so this is just a sample. Um we kind of
broke it down by the revenue and
[59:17] expenses and then what is kind of the
personnel cost that goes into it and
[59:22] then also like the operational parts of
it. Um and then what that revenue is
[59:29] that also offsets that expense. So for
kinship we do get a grant. Um we get two
[59:36] different grants actually for it. Um the
one is an assessment and that one um
[59:42] does tend to be um for more of our
personnel costs for when they go in um
[59:47] to assess if a home um is like ready or
get it set up for that placement to be
[59:54] there.
Then the kinship benefits um that is for
[59:59] the eligible caregivers who are taking
care of the children. And Sarah, feel
[1:00:03] free to interrupt if I'm not explaining
it all entirely. Um but so that's the
[1:00:11] funds that then kind of just get
filtered through that go to the
[1:00:14] caregivers taking care of that
placement. So that one is technically a
[1:00:19] placement cost. Um but it's a benefit.
Um that one too tends to be um 100%
[1:00:28] reimburseed that placement does through
our grant. They do kind of look at our
[1:00:33] statistics, what our projected case load
is and then throughout the year they'll
[1:00:37] kind of re-evaluate and see where we're
at. Um and this funding actually comes
[1:00:42] in two separate segments throughout the
year too. So thinking that's kind of
[1:00:46] when they take a look and adjust it. Um,
also to the the department at the state
[1:00:51] level, if they have extra funding and we
are like, you guys are way off on your
[1:00:56] estimating here. We need more money. Um,
they'll sometimes we can we can put in
[1:01:00] that request and if there's additional
funding, they'll recoup us for that.
[1:01:05] Um, and then I guess also too to note,
um, on your big report, it says how, you
[1:01:11] know, expenses come in about one and a
half to two months later. Um that's kind
[1:01:16] of also the same thing with the revenue.
So um we report our expenses monthly at
[1:01:23] the end of the month. So August just
ended. We will be reporting our August
[1:01:28] expenses at the end of September. And
then we get reimbursed um for that then
[1:01:34] in October. So you can kind of see how
that's why looking at this right now um
[1:01:39] there's more expenses but that's because
not all of our revenues come in yet.
[1:01:45] And then on the flip side um is just
kind of breaking um the kinship out by
[1:01:52] revenue and expenses throughout the
course of the year
[1:01:57] years. Yes. Giving you just kind of that
snapshot. And you can see um in 2025
[1:02:05] it's like oh well how did we get more
revenue than expenses? That doesn't make
[1:02:09] sense. Um well what happened there was
in one of those cases in 2024 you can
[1:02:15] see there's a bigger gap. Um we did end
up getting additional funding but it was
[1:02:19] after period 13 much later in the year.
So it kind of just fell and sat into
[1:02:24] 2025.
[1:02:28] So
any questions about that?
[1:02:34] Is this information something that you
would maybe like to see for some of the
[1:02:40] other different placement types or is
this too much detail, not enough detail?
[1:02:47] This was kind of that start of the
breakdown of the chart we normally give
[1:02:51] where it just says here's all our high
cost placements and it really didn't
[1:02:54] talk about what revenues came in and
what part was levy versus like this one
[1:02:59] is all was in that number but really it
was a break even. So it inflates the
[1:03:04] total cost.
>> Um but it also gets offset. So
[1:03:08] » it's something we're reviewing or
working on, but it is a hard it's hard.
[1:03:14] There's so many programs, so many line
items. And every year it seems to change
[1:03:18] because some legislator says, "Oh, I
want a different name on the program
[1:03:22] cost or the grant should go this way or
you need to apply this way and use it
[1:03:27] this way." So, our numbers change like
the wind with some of that, but it all
[1:03:32] in the end was a number. We just never
had the re the revenue that showed how
[1:03:37] much are we using levy or not using
levy?
[1:03:45] » Not as clear as this you're saying?
>> Yeah. So, that would be roughly that was
[1:03:48] the start of like the deeper dive.
[1:03:53] For those of you who who u cannot see
that this is um I don't know it looks
[1:03:59] like a game a kid would play on I don't
know SC whatever. Anyway, it's kind of
[1:04:04] fun. I I appreciate it. I thought that
was very informative to to to break that
[1:04:09] down a little bit more. So, thank you.
If you can do that every so often,
[1:04:12] that's I think it's good.
>> Yeah. Thank you.
[1:04:15] » Okay.
>> I do miss your your sheets. You did have
[1:04:19] these kinds of things before. She
giggles. Okay. Any questions for
[1:04:27] Carrie?
No. All right. Thank you, Carrie.
[1:04:32] » Okay. Thank you.
>> Director's report. Sarah Reese Soha.
[1:04:37] Agency updates.
Go ahead.
[1:04:41] » I'd like to um introduce Stacy Pome and
Stacy is filling our position. Um it's
[1:04:47] the RN and we're statutoily have to have
an RN on our board and I'd like to thank
[1:04:53] her. Um she's a manager at the Aspire
Regency and Doy.
[1:04:58] Um so I'd like to welcome her and really
appreciate her sitting in.
[1:05:04] » Thank you.
>> Um
[1:05:07] » welcome.
>> Next I have Oh,
[1:05:11] » agency updates. I have something.
>> Oh, me too. I received this letter
[1:05:15] yesterday in the mail. Well, where else
would I receive it, right? It comes from
[1:05:20] the state of Wisconsin Department of
Health Services,
[1:05:24] um, Division of Public Health, and it's
addressed to me, uh, carbon copy to
[1:05:29] Tiffany, Sarah, and Christa Cop Kapa,
our Western Region Director. I'm going
[1:05:34] to read it. I I'm very proud of this,
and I'm I think kudos should go out to
[1:05:39] where they need to. Dear Paula Hodk, the
Wisconsin Department of Health Services,
[1:05:43] DHS, congratulates Price County Health
and Human Services for demonstrating the
[1:05:48] infrastructure and program capacity to
be certified as a level two health
[1:05:52] department. I am happy to report Price
County Health and Human Services
[1:05:55] provided all services required by
statute and rule. Wisconsin's public
[1:06:00] health systems rely on close
partnerships with local entities and
[1:06:03] leaders. Local leadership is critical to
ensure public health responsibilities
[1:06:08] and services are implemented in ways
that are tailored to local strengths and
[1:06:12] needs. I want to acknowledge the work of
Price County Health and Human Services
[1:06:16] staff. Health Officer Tiffany Pich did
an excellent job of providing quality
[1:06:21] evidence of meeting statutes and rules.
Although Wisconsin administrative code
[1:06:26] and statute require the health
departments be reviewed at a minimum
[1:06:30] every five years, Price County Health
and Human Services volunteered to be
[1:06:34] reviewed early as part of a DHSled
initiative to balance the number of
[1:06:39] reviews each year. This will help ensure
adequate DHS 140 program capacity and
[1:06:45] support highquality reviews. We
appreciate Price County Health and Human
[1:06:49] Services flexibility and willingness to
assist with this project. I also
[1:06:53] appreciate the support of the Price
County Health and Human Services Board
[1:06:56] for maintaining a strong public health
department. When the basic needs of
[1:07:00] people and communities are met, they can
better prevent and recover from
[1:07:04] challenges to their health and
well-being. I am sure with ongoing
[1:07:07] support for evidence-based quality
public health initiatives by you and
[1:07:11] your fellow board of health members, the
Price County Health and Human Services
[1:07:15] will continue to project, protect,
excuse me, and promote the health of the
[1:07:19] people in your jurisdiction. Sincerely,
Paula Tran, state health officer and
[1:07:24] administrator.
I want to make sure I want to read this
[1:07:27] to the county board as well. I think
they all need to hear this. This is very
[1:07:31] nice. Nice job. Thank you, Tiffany, and
your crew. Thank you.
[1:07:43] Actually, I'm going to pass this down to
you, Jules. If you will make sure this
[1:07:46] goes in the county board packet, that
would be good.
[1:07:52] Okay.
>> Um also um I received a um email from
[1:07:58] Steve uh Budnick. He is the Northern
Income Consortium Administrator and he
[1:08:04] had indicated that they um Northern
Income um they had a budget training um
[1:08:11] to ensure case accuracy and before the
training all staff were required to do
[1:08:15] an activity that also had a quiz. Um,
the quiz had some trick questions. So,
[1:08:22] anyone who received 100% truly deserves
recognition. Only a fraction of the
[1:08:27] Northern Income Maintenance Consortium
staff scored 100%. So, it was really
[1:08:31] proud of the Price County team. So,
Deanna Hurtland, Susie, and Christine,
[1:08:36] 53
took the test and our three out of eight
[1:08:41] had 100%.
>> So, that was pretty exciting. That was
[1:08:45] pretty awesome for them. Nice job.
>> Okay. Um, next I have for personnel.
[1:08:56] » All right. Um, we have interviews for
our behavioral health position um,
[1:09:01] social worker on September 14th and also
for our Park Falls nutrition site
[1:09:07] managers. We have that on September
14th. Um, we did have two resignations.
[1:09:13] Um, one resignation is from Kim
Pollster, who is our fiscal legal
[1:09:18] assistant. Um, she will be retiring
um, in December, but she gave us notice
[1:09:27] because we're going to need to have some
overlap for the amount.
[1:09:31] » Are you wanting to say something? Oh,
>> I saw him pull up and I thought, oh,
[1:09:37] » so yes, an extreme amount of knowledge
and what she does. there's um so many
[1:09:42] different programs that dealing with in
the children and youth. Um and then
[1:09:47] Jasmine Marlinga who is our foster care
coordinator has resigned and so she'll
[1:09:51] be done in the beginning of October. So
we will have that position which is a
[1:09:55] part-time position.
>> Right.
[1:10:00] All right. So I see nothing else on the
board. The next meeting is October 14th,
[1:10:05] 2026.
And with that being said, hearing no
[1:10:09] objection, I call this meeting
adjourned.
[1:10:13] Thank you all.