[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.

Health & Human Services Board Meeting 09/09/2026

Transcript