INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517)

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1 CHAIRPERSON MARC THOMAS VICE-CHAIRPERSON VICTOR CELENTINO VICE-CHAIRPERSON PRO-TEM STEVE DOUGAN INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517) HUMAN SERVICES COMMITTEE ANDY SCHOR., CHAIR REBECCA BAHAR-COOK CURTIS HERTEL, JR. TIM SOULE MIKE SEVERINO STEVE DOUGAN THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, JUNE 16, 2008 AT 7:00 P.M., IN THE PERSONNEL CONFERENCE ROOM (D & E) OF THE HUMAN SERVICES BUILDING, 5303 S. CEDAR, LANSING. Call to Order Approval of the June 2, 2008 Minutes Additions to the Agenda Limited Public Comment Agenda 1. Ingham County MSU Extension Office a. Resolution Authorizing Ingham County MSU Extension 4-H Youth Programs to Enter into a Contract with the Lansing School District to Provide 4-H After-School Programs to Lansing Middle and High School Students b. Resolution Authorizing the Transfer of Funds Out of the Personnel Cost Category of the 2008 Budget for the Purpose of Funding the Renovation of Modular Work Stations in the MSU Extension Office in the Hilliard Building 2. Health Department a. Resolution to Authorize Administrative Support Services Agreements with County Health Plans b. Informational Item: Capital Area Food Security Work Group Report for Consultants and Confirmation of Next Step (no materials) 3. Board Referral Letter from the Ingham County Board of Health Updating the Board on Its Outreach Efforts During 2007 Announcements Public Comment Adjournment PLEASE TURN OFF CELL PHONES OR OTHER ELECTRONIC DEVICES OR SET TO MUTE OR VIBRATE TO AVOID DISRUPTION DURING THE MEETING The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI Phone: (517) A quorum of the Board of Commissioners may be in attendance at this meeting. Meeting information is also available on line at

2 HUMAN SERVICES June 2, 2008 Minutes Members Present: Members Absent: Others Present: Andy Schor, Rebecca Bahar-Cook, Curtis Hertel, Tim Soule, Mike Severino, Steve Dougan and Board Chairperson Marc Thomas None Jared Cypher, Marcus Cheatham, Melany Mack and Robin Turner The meeting was called to order by Chairperson Schor at 7:03 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing. Approval of the May 29, 2008 Minutes MOVED BY COMM. BAHAR-COOK, SUPPORTED BY COMM. DOUGAN, TO APPROVE THE MAY 29 MINUTES AS AMENDED. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Severino The Minutes were amended to reflect the following: John Jacobs was changed to Marcus Cheatham in the Others Present on page one. Mr. Jacobs was changed to Mr. Cheatham on page two. Page 3, item 3c, motion: FOLLOIWNG was changed FOLLOWING. Additions to the Agenda 1. Letter from Anne Smiley expressing her support for the two applicants. Limited Public Comment: None MOVED BY COMM. BAHAR-COOK, SUPPORTED BY COMM. SOULE, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS: 2. Health Department a. Resolution to Authorize an Amendment to Resolution # for Two Lease Agreement with Sparrow Health System b. Resolution to Authorize a Contract with Baker Donora Center for Outreach and Enrollment Activities MOTION CARRIED UNANIMOUSLY. Absent: Comm. Severino MOVED BY COMM. BAHAR-COOK, SUPPORTED BY COMM. SOULE, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Severino 1. Interviews Ingham County Community Health Center Board The Committee interviewed Elizabeth Manning-Washington and Bobby Joyce for a position on the Health Center Board.

3 (Comm. Severino arrived at approximately 7:05 p.m.) MOVED BY COMM. HERTEL, SUPPORTED BY COMM. COMM. BAHAR-COOK, TO RECOMMEND THE APPOINTMENTS OF BOBBY JOYCE AND ELIZABETH MANNING-WASHINGTON TO THE INGHAM COUNTY COMMUNITY HEALTH CENTER BOARD. MOTION CARRIED UNANIMOUSLY. 2c. Health Department - Communication from Dr. Sienko - Gift of Life Michigan Anatomical Donation Program The Communication was received and placed on file. Announcements: Public Comment: None None The meeting adjourned at 7:12 p.m. Respectfully submitted, Debra Neff 2

4 Agenda Item 1a RESOLUTION STAFF REVIEW DATE June 6, 2008 Agenda Item Title: Resolution Authorizing Ingham County MSU Extension 4-H Youth Programs to Enter into a Contract with the Lansing School District to Provide 4-H After-School Programs to Lansing Middle and High School Students Submitted by: Ingham County MSU Extension Committees: LE, JD, HS X, CS, Finance X Summary of Proposed Action: (See the attached letter of explanation.) This resolution authorizes a contract with the Lansing School District for the purpose of conducting after-school and summer programs at Dwight Rich Middle School and Eastern, Everett and Sexton High Schools during the school year and summer. The Lansing School District is a recipient of a federal 21 st Century Learning Center grant that will support this programming, and the program is expected to be completed by June, Financial Implications: Ingham County Michigan State University Extension will enter into a $25,000 professional service contract with the Lansing School District to support after-school and summer 4-H youth programming according to the budget below. $25,000 ($6,250 per site for 4 sites) to support the following: Temporary Employment - $15,500 Supplies - $6,250 Field Trips/Community Service - $3,250 Other Implications: None. Staff Recommendation: MM JN TL TM JC X Staff recommends approval of the resolution.

5 Agenda Item 1a MEMO Date: June 3, 2008 To: Human Services Committee Finance Committee From: Randy Bell, Director Ingham County MSU Extension Re: Request to Enter into a Contract with the Lansing School District The Lansing School District is a recipient of a federal 21 st Century Learning Center grant. This federal grant provides funding for the purpose of conducting after-school and summer programs at Dwight Rich Middle School and Eastern, Everett and Sexton High Schools during the school year and summer. Through 4-H, Ingham County MSU Extension has after-school and summer programs that provide educational experiences to teach various life skills such as leadership, decision making, financial literacy, team building, and multiculturalism. The Lansing School District and Ingham County MSU Extension have agreed to contract for professional services to support an ongoing after-school and summer program to be completed by June, 2008, according to the following budget: $25,000 ($6,250 per site for 4 sites) to support the following: Temporary Employment - $15,500 Supplies - $6,250 Field Trips/Community Service - $3,250 It is my recommendation that this contract be approved consistent with this resolution and approved as to form by the County Attorney.

6 Agenda Item 1a Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION AUTHORIZING INGHAM COUNTY MSU EXTENSION 4-H YOUTH PROGRAMS TO ENTER INTO A CONTRACT WITH THE LANSING SCHOOL DISTRICT TO PROVIDE 4-H AFTER-SCHOOL PROGRAMS TO LANSING MIDDLE AND HIGH SCHOOL STUDENTS WHEREAS, Ingham County MSU Extension, through its 4-H Youth Development Program, provides Ingham County youth with safe, structured activities during non-school hours; and WHEREAS, the Lansing School District agrees to provide funding for the purpose of conducting 4-H after-school and summer programs for one middle school (Dwight Rich) and three high schools (Eastern, Everett and Sexton) two days a week during the school year and four days a week during the summer; and WHEREAS, 4-H after-school and summer programs will provide educational experiences that teach various life skills including leadership, decision making, financial literacy, team building, and multiculturalism; and WHEREAS, the Lansing School District and Ingham County MSU Extension have agreed to contract for professional services to support an ongoing after-school and summer program to be completed by June, 2008, according to the following budget: $25,000 ($6,250 per site for 4 sites) to support the following: Temporary Employment - $15,500 Supplies - $6,250 Field Trips/Community Service - $3,250 THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes Ingham County Michigan State University Extension to enter into a $25,000 professional service contract with the Lansing School District to support after-school and summer 4-H youth programming according to the budget above. BE IT FURTHER RESOLVED, that the Controller is authorized to amend the 2008 Ingham County MSU Extension budget to implement this resolution. BE IT FURTHER RESOLVED, that the Chairperson of the Ingham County Board of Commissioners and the County Clerk are authorized to sign any necessary contract documents consistent with this resolution and approved as to form by the County Attorney.

7 Agenda Item 1b RESOLUTION STAFF REVIEW DATE June 6, 2008 Agenda Item Title: Resolution Authorizing the Transfer of Funds Out of the Personnel Cost Category of the 2008 Budget for the Purpose of Funding the Renovation of Modular Work Stations in the MSU Extension Office in the Hilliard Building Submitted by: Ingham County MSU Extension Committees: LE, JD, HS X, CS X, Finance X Summary of Proposed Action: (See the attached letter of explanation.) This resolution authorizes a transfer of funds from the personnel cost category in the MSU Extension budget for the purpose of renovating MSU Extension s office in the Hilliard Building. These renovations and upgrades are necessary due to the reasons outlined in the attached memorandum. Financial Implications: Due to an unanticipated retirement, MSU Extension is holding open a support staff position. Because of this, it is expected that salary and fringe savings in the 2008 budget year will be $46, This resolution would authorize the use of those savings to fully fund the upgrade of modular workstations and the waiting area of the MSU Extension office space in the Hilliard Building. Excess funds would be returned to the general fund. The costs of the improvements are as follows: 1. Office Manager s workstation and printer area $ 7, Lobby and 2 support staff workstations $ 7, staff workstations and files $10, staff west wall offices $14, Additional items not defined in the design such as upgraded telephones, brochure racks, etc. are estimated at $2,000. The preliminary estimated total is $41, Unanticipated expenses, such as carpet patching, relocation of electrical feeds and other mechanical items are not included in this estimate. Other Implications: None. Staff Recommendation: MM JN TL TM JC X Staff recommends approval of the resolution.

8 Agenda Item 1b MEMO Date: June 3, 2008 To: Human Services Committee County Services Committee Finance Committee From: Randy Bell, Director Ingham County MSU Extension Re: Request to Transfer from Personnel Cost Category to Fund Capital Improvement in the MSUE Extension office in the Hilliard Building During the 2008 Budget Period This spring, I began working with Janeil Valentine toward a solution to a space configuration issue in our office in the Hilliard Building. Specifically, we had a need to reconfigure a workspace closer to our front office for office manager, Lori Guy. During a walk through, we discovered the following: Most of the modular panels and furniture were installed when the building opened in The panels are in poor repair and are unsteady. In some places, electrical wires are exposed behind poorly fitting covers. Desktop and keyboard heights and configurations do not meet modern recommendations for healthy ergonomics. Visibly, the panels are a mishmash of colors, styles and type, the result of previous repairs and reconfigurations. ADA standards are not met for walkways and front counter access. The waiting area for guests is inadequately sized for our present level of walk-in traffic. Space is inefficiently used. The County no longer maintains an inventory of similar panels which could be used for reconfiguration and/or repair of existing cubicles. Janeil recommended we undertake a design study using the services of a space designer provided to the County by DBI Business Interiors. We requested that upgrades be designed in four phases. My initial plan was to make a CIP request annually for the next four years to fund this project. The four phases are estimated as follows: 1. Office Manager s workstation and printer area $ 7, Lobby and 2 support staff workstations $ 7, staff workstations and files $10, staff west wall offices $14,052.75

9 Additional items not defined in the designs of the 4 phases such as upgraded telephones, brochure racks, etc. are estimated at $2,000. The preliminary estimated total is $41, Unanticipated expenses, such as carpet patching, relocation of electrical feeds and other mechanical items are not included in this estimate. Due to an unanticipated retirement, we are holding open a support staff position as we determine the effect of the vacancy on work load, customer service, response time and other factors. Consequently, we expect to realize salary and fringe savings in the 2008 budget year of $46, Because of this savings, I am requesting to use up $46, to fully fund the upgrade of modular workstations and the waiting area of the MSU Extension office space in the Hilliard Building. Excess funds would be returned to the general fund. Board Resolution #94-93 required that transfers to or from the Personnel Cost Category receives approval of the Board of Commissioners. In addition, this contract exceeds the $25,000 threshold, requiring the attached resolution. Your approval will result in a workspace that is safe, modern, ADA compliant and welcoming for our citizens, guests and employees alike. Thank you for your consideration.

10 Agenda Item 1b Introduced by the Human Services, County Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION AUTHORIZING THE TRANSFER OF FUNDS OUT OF THE PERSONNEL COST CATEGORY OF THE 2008 BUDGET FOR THE PURPOSE OF FUNDING THE RENOVATION OF MODULAR WORK STATIONS IN THE MSU EXTENSION OFFICE IN THE HILLIARD BUILDING WHEREAS, Ingham County MSU Extension, while pursuing the need to physically reorganize modular workstations in its office space in the Hilliard Building, has undertaken a design inventory and study of its current configuration and equipment; and WHEREAS, this study has noted that the office is currently outfitted with modular furniture installed in 1992 that is in poor repair, potentially unsafe, uses space inefficiently and does not meet contemporary standards for user ergonomics and ADA compliance; and WHEREAS, the County no longer maintains an inventory of similar panels which could be used for reconfiguration and/or repair of existing cubicles; and WHEREAS, in consultation with the Purchasing Department, layout designs and contract prices have been obtained from DBI Business Interiors, an approved County vendor; and WHEREAS, the projected cost for this project is quoted below: Office Manager s workstation and printer area $ 7, Lobby and 2 support staff workstations $ 7, staff workstations and files $10, staff west wall offices $14, Additional items not defined in the designs of the 4 phases such as upgraded telephones, brochure racks, are estimated $ 2, Total projected cost $41, WHEREAS, due to an unanticipated retirement, a support staff position in the MSU Extension budget is being held open for the remainder of the 2008 budget year as a study is undertaken to determine the effect of the vacancy on work load, customer service, response time and other factors. Consequently, salary and fringe savings are anticipated in the 2008 budget year of $46,974.04; and WHEREAS, transfers to or from the Personnel Cost Category require approval of the Board of Commissioners. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the transfer of up $46, from the Personnel Cost Category in the MSU Extension 2008

11 budget for the purpose of completing a renovation of modular office furniture and equipment according to the estimate provided above. BE IT FURTHER RESOLVED, that any excess funds will be returned to the general fund at the conclusion of this project. BE IT FURTHER RESOLVED, that the Controller is authorized to amend the 2008 Ingham County MSU Extension budget to implement this resolution. BE IT FURTHER RESOLVED, that the Chairperson of the Ingham County Board of Commissioners is authorized to sign any necessary documents consistent with this resolution.

12 Agenda Item 2a RESOLUTION STAFF REVIEW DATE June 6, 2008 Agenda Item Title: Resolution to Authorize Administrative Support Services Agreements with County Health Plans Submitted by: Health Department Committees: LE, JD, HS X, CS, Finance X Summary of Proposed Action: (See the attached letter of explanation.) This resolution authorizes new agreements, or amendments to extend existing agreements, for the administrative support services with county health plans. The period of the agreements, or amendments, will be October 1, 2008 through September 30, The Ingham County Health Department has provided administrative support services to the Ingham Health Plan Corporation since its formation in It currently provides similar services to 17 other community non-profit corporations. The specific set of services to be provided to each new corporation will be unique, but will likely include: Outreach and Enrollment, Member Services, Development and Maintenance of a Provider Network, Adjudication and Payment of Claims, Case Management Services, and Program Management Services. Financial Implications: The revenue from these agreements ( approximately $3 million) is included in the Department s 2009 budget request. Compensation from the health plans will fully compensate Ingham County for the cost of the services provided. Other Implications: None. Staff Recommendation: MM JN TL TM JC X Staff recommends approval of the resolution.

13 MEMORANDUM To: From: Human Services Committee Finance Committee Dean Sienko, M.D., Health Officer Date: June 10, 2008 Subject: Recommendation to Authorize Administrative Support Services Agreements with Michigan Nonprofit Corporations Operating Health Benefit Programs for Low-Income, Uninsured Persons This is a recommendation to authorize agreements with nonprofit corporations in Michigan communities to provide assistance in the operation of health benefit plans for low-income, uninsured persons. The Ingham County Health Department has provided administrative support services to the Ingham Health Plan Corporation since its formation in It currently provides similar services to 17 other community non-profit corporations. The specific set of services to be provided to each new corporation will be unique, but will likely include: Outreach and Enrollment, Member Services, Development and Maintenance of a Provider Network, Adjudication and Payment of Claims, Case Management Services, and Program Management Services. The revenue from these agreements is included in the Department s 2009 budget request. The County currently has Administrative Services contracts with: Barry-Eaton Health Plan Corporation Branch Hillsdale St. Joseph Health Plan Corporation (Branch/Hillsdale/St. Joseph) Ingham Health Plan Corporation Jackson Health Plan Corporation Kalamazoo County Health Plan Corporation Kent Health Plan Corporation Ingham Health Plan Corporation d/b/a Livingston Health Plan Medical Care Access Coalition (Alger/Baraga/Chippewa/Delta/Dickinson/Gogebic/Houghton/ Iron/Keweenaw/ Luce/Mackinac/Marquette/Menominee/Ontonagon/Schoolcraft) Medical Access Program Pharmacy Program (Delta /Menominee Pharmacy Program) Ingham Health Plan Corporation d/b/a/ Mid-Michigan Health Plan (Gratiot/Clinton/Montcalm) Berrien Health Plan Corporation Calhoun Health Plan Corporation Coalition Health Access Program (Grand Traverse/Benzie/Leelanau) Ingham Health Plan Corporation d/b/a/ Ionia Health Plan Monroe County Health Plan Corporation Northern Health Plan Corporation (Emmet/Charlevoix/Antrim/Otsego) Tencon Health Plan Corporation (Crawford/Kalkaska/Lake/Manistee/Mason/Mescosta/Missaukee/Newaygo/Oceana/Wexford) Washtenaw Health Plan (Washtenaw)

14 The attached resolution will authorize new agreements, or authorize amendments to extend existing agreements, for the administrative support services with county health plans. The period of the agreements, or amendments, will be October 1, 2008 through September 30, I recommend that the Board of Commissioners adopt the attached resolution and authorize the agreements/amendments. Attachment c: Laura Peterson w/attachments John Jacobs w/attachments Jayson Welter w/attachments

15 Agenda Item 2a Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE ADMINISTRATIVE SUPPORT SERVICES AGREEMENTS WITH COUNTY HEALTH PLANS WHEREAS, the Ingham County Health Department has provided administrative support services to the Ingham Health Plan Corporation since its creation in May 1998; and WHEREAS, the Health Department currently contracts to provide services to 17 other county health plans; and WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the administrative support services agreements. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes administrative support services agreements with community-based corporations planning and operating health benefit programs for low-income, uninsured persons. BE IT FURTHER RESOLVED, that the authorization shall provide the choice of amending existing agreements to extend them through September 30, 2009 or executing new agreements for the period October 1, 2008 through September 30, BE IT FURTHER RESOLVED, that Ingham County shall make available through the Ingham County Health Department the following types of services: Outreach and Enrollment, Member Services, Development and Maintenance of a Provider Network, Adjudication and Payment of Claims, Case Management Services and Program Management Services, among other services negotiated with the individual health plans. BE IT FURTHER RESOLVED, that compensation from the health plans shall fully compensate Ingham County for the cost of the services provided. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign administrative support services agreements with community corporations/health plans after review by the County Attorney.

16 Ineham Countv Board of Health Administration, P.O. Box 30161, Lansing, Michigan Telephone: (517) Martha Adams Jacqueline Day Patricia Hepp Mark Kieselbach Maurice Reizen, M.D. Saturnino Rodriguez, Ph.D. George Rowan, Ph.D., Chair Barry Saltman, M.D. Beth Spyke Donald Wasserman AGENDA ITEM # May 12,2008 Commissioner Marc Thomas Chairperson, Ingham County Board of Commissioners Ingham County Courthouse 341 S. Jefferson Street Mason, MI Dear Commissioner Thomas: As part of its responsibility to represent the interests of the people of Ingham County in the consideration of issues impacting public health, the Ingham County Board of Health has devoted several of its meetings in 2007 to the consideration of various grassroots health initiatives that are underway in Ingham County. These included neighborhood and community-based outreach supported by the Health Department through its nine-year "Community Voices" initiative, grassroots health care providers, and grassroots advocacy groups. It is my pleasure to report to you the insights generated by the Board of Health's exploration of these efforts. While the specific approaches of grassroots outreach teams, health care providers, and advocacy groups may differ greatly, they share one simple but important objective: helping link those in need with the services and resources that promote health. For all of the efforts we examined, there was a common understanding that this is about much more than access to health care. Just as important are the assurance of access to the social resources that correlate with improved health status: economic opportunity, quality education, safe affordable housing, and social connection. Important progress has been made in Ingham County to help connect people to the resources and services they need in order to achieve and maintain their health. These include extensive print directories, web-based resources that provide detailed information on available community services, and telephone help-lines such as the new service. Electronic technology has to a large extent enabled these resources to be continuously updated, eliminating an important limitation of earlier technologies. The problem of centralizing information has also been largely resolved. In exploring the work of various grassroots efforts to improve health, however, the Board of Health found that there remains another important limitation of the current community capacity to help people find what they need to access health and social resources. This limitation is rooted in the fact that, for many of the people most in need of assistance and/or empowerment, access to information alone is not enough. Language barriers (including the use of terminology unfamiliar to many English-speaking people), complex scheduling procedures, waiting periods for assistance with immediate needs, unwelcoming attitudes, and understandable fear and distrust of systems of care all

17 Thank you for your consideration of these recommendations. On behalf of the Board of Health, I welcome further dialogue with the Board of Commissioners on these matters to explore specific ways in which they might be implemented to improve the health status of Ingham County. Sincerely, George Rowan, Ph.D. Chairperson, Ingham County Board of Health cc: Members, Ingham County Board of Health