Buncombe County Health & Human Services

Public Health

Social Services

Parks GreenwaysRecreation

Behavioral Health

BOC Proactive Resolutions

1992

1992 2001 2006 2007 2011• Support of

simplified access to Human Services

• Blue Ribbon

Committee site visit to Wake

• Urging State of NC to

amend NCGS 153A-77 – Statutory Authority for Human Services Consolidation

• Supporting consolidation of Human Services Board

• In support of

Legislative goal for increased county flexibility to organize local Human Services adopted by the membership of NCACC

• Accounting• Contract

Management• Monitoring

• Data &Analytics

• Program/ FiscalAnalysis

• Team Facilitation

• Supplies• Building

Management• Safety &

Security

• Leadership Development

• Staff Training• Media &

Communication• Personnel

Implemented in 2005

2005

DSS69%

BCDH22%

PG&R5%

Behav-ioral

Health3%

HSST2%

Buncombe County Health and Human ServicesPercentage Expenditures

Buncombe County Workforce

in other

60%

Health & Human

40%

ServicesEmployees

Employees

Departments

Reinvested in Core Services

Savings & Cost Avoidance of

$4,564,236 since the creation of theHuman Services Support Team

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Cumbe

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Gasto

n30.0¢

40.0¢

50.0¢

60.0¢

70.0¢

80.0¢

90.0¢

46.6¢

52.5¢ 53.0¢ 53.4¢

67.4¢

74.0¢ 74.6¢

78.2¢

81.7¢83.5¢

Urban CountiesFY12 Tax Rate Comparison

Buncombe County Rate 2nd Lowest

among Large Urban Counties

FY2005 FY2006 FY2007 FY2008 FY2009 FY2010 FY2011 -

20,000

40,000

60,000

80,000

100,000

120,000

140,000

0.50

0.52

0.54

0.56

0.58

0.60

85,322 100,236 103,671 106,075 112,407 114,510 120,940

BC Tax Rate $0.59

Total Individuals Served by HHS Programs

$0.52 BC Tax Rate $0.52$0.53

Expanding Services; Containing Costs

Strong FamiliesSafe Children Our Children's’ Futures

Child Safety is a shared responsibility

CollaborationSocial Work & Community Health

Social Work & Community HealthCollaboration

HHS & Parks, Greenways, and RecreationCollaboration

Food Assistanc

eWIC

Family & Children’s Medicaid

Family Planning

Immuniza-tions

Integrated Lobby @ Coxe Ave

Access to Health & Economic ServicesBetter, Easier, Faster

Applyat DSS

Applyover the

lobby phone

Applyover the

phone via the Call Center

250-5500

Applywith a PIA

(public information assistant) -

generic intake

Apply via a self-servekiosk

Applythrough

Medicaider

ApplyAt HS West

Applyat a

community outpost

site

Apply at home

on your own time

“No Wrong Door” System of Access for application

• Strengthen Service Coordination• Create Multiple Access Points• Consolidated Brand

Community Listening Sessions

House Bill 438Enacted 6/29/2012

• Consolidate provisions of human services under the direct control of a human director appointed and supervised by the County Manager

• Create a consolidated human services board

• Assign other county human services functions

Board of Commissioners

• Appointed by Board of Commissioners• Initial board is based on recommendation

from the sitting DSS & BCDH Boards

• Serves as rule-making, policy making and administrative board

• No more than 25 members (reasonably reflects the population make-up of County)

Health and Human Services Board

July 2012 Nominating Committee Appointed• Bill McElrath – DSS Board Chair• Susanne Swanger – Health Board Chair• Dr. David McClain – DSS Board Vice-Chair, Former Health Board Chair• Winnie Ziegler – Former Health Board Chair• Dr. Richard Oliver – Former Health Board Chair

July 2012 Nominating Committee Meets• Model• Board Composition• Operating Procedures• Meeting Schedule

→Orientation → Ongoing

Nominating Committee

Composition of Board• 4 persons who are consumers, public advocates or family members

• 8 Professionals:• Psychologist• Pharmacist• Engineer• Dentist• Optometrist• Veterinarian• Social Worker• Registered Nurse

• 2 physicians licensed to practice in NC; one of whom shall be a psychiatrist

• 1 member Board of Commissioners

• Other persons including general public representing various occupations

Composition of Board• Commissioners can elect to appoint a member to fill

concurrently more than one category

• Terms: 2 terms of 4 years

• To stagger terms, Board of Commissioners may appoint for less than 4 years for initial board

• Members must be residents of the County

Members of HHS Executive Board

• Bill McElrath – Chair• Suzanne Swanger – Vice Chair• David McClain• Richard Oliver• Sharon West

HHS Board StructureCommissioners

County Manager

Asst County Manager

HHS DirectorHealth & Human Services Board

Executive/Finance Committee

Public Health Advisory Board

Social Work Advisory Board

Parks Greenways Recreation Advisory

Economic Services Advisory Board

Consumer Advisory Board

Standing Committee Board Functions

• Conduit to the HHS board for budget, fees, policies and program additions/changes

• Promote evidence based practice

• Drive innovation and change

• Model cultural competence

• Serve as community leadership coalition

Authority of HHS BoardHHS Board has all the powers & duties conferred by law upon

a Board of Health and Board of Social Services

• Set fees upon recommendation of HHS Director• Assure compliance with federal and state laws• Adopt rules and enforcement of appeals• Performs regulatory health functions required by law• Plan and recommend consolidated Health &

Human Service budget

• Requests/Inquiries should be addressed to HHS Director, Mandy Stone – Important in branding of HHS to speak with a

unified voice and vision– To manage this from a coordinated and integrated

HHS perspective• Concerns specific to the board – Bill McElrath,

HHS Chair

Roles and Responsibilities of HHS Director, Appointing Authority

Health & Human Services LeadershipAssistant County ManagerHealth & Human Services

Mandy Stone

HHS Support

Team

Jim Holland

Social Work

Services

Angie Pittman

Economic Services

Public Health

Gibbie Harris

Parks, Greenways,

& Recreation

Fran Thigpen

Human Resources/Consumer

AffairsLisa Eby Steve Garrison

Health & Human Services Matters

• Opportunity• Client Needs/Services• Performance Improvement• Cost Savings• Confidentiality Preserved

10 Reasons Why Consolidating

©2012 American Public Human Services Association .

• Workforce• Bending the Cost Curve• Accountability• Increased Caseloads• Modernization

How do weIntegrate safety and wellness

into every aspect of community life?