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Proposed 2018 budget for Human Services
Human Services Director Jodi Wentland Hennepin County Health and Human Services
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Health & Human Services strategic planning
Transform how we deliver services Create a vibrant organizational culture Improve outcomes for our residents by changing the experience Hennepin County Health and Human Services
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Health & Human Services
Public Health Medical Examiner’s Office NorthPoint Health & Wellness Hennepin Health Human Services Eligibility and Work Services Child Support Children and Family Services Access and Case Management Hennepin County Health and Human Services
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Human Services looks ahead to 2019
Strategies Utilization of personal services Increase revenue efforts Expense reduction efforts Multi-pronged behavioral health efforts Contract management efforts Environmental factors Federal deficits, potential Medicaid changes, cost shifts & other federal actions Over-reliance on deep-end services & bottlenecked behavioral health system Systems modernization Growth in personal-services costs Fund-balance utilization Hennepin County Health and Human Services
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Contracts and ratings Mandated or core services Complementary services
Community resources Further review needed Hennepin County Health and Human Services
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Staffing Pain points Challenges
How we’re creating efficiencies and maximizing staffing capacity Hennepin County Health and Human Services
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Non-mandated programs and services
Hennepin Providers Schools What programs are achieving outcomes? Are other providers doing the same work? What is the effort and impact of Hennepin conducting this work? What can be eliminated? State Hennepin County Health and Human Services
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Who is presenting today?
Area Director Janine Moore, Children and Family Services Area Director Deborah Huskins, Eligibility and Child Support Chief Financial Officer Gary Harmon Area Director Mike Herzing, Access and Case Management Officer Neil Doyle, Veterans’ Service Hennepin County Health and Human Services
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Financial Analysis and Accounting
Chief Financial Officer Gary Harmon Hennepin County Health and Human Services
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Operating budget 2017 adjusted 2018 proposed Percent change
Access and Case Management $177,658,678 $171,387,968 (3.53%) Eligibility and Child Support 151,330,998 148,344,004 (1.97%) Children and Family Services 126,476,529 136,763,643 8.13% Public Health 61,663,858 62,333,124 1.09% Internal Services 44,152,851 52,796,299 19.58% Admin & Community-Based Services 9,738,965 19,259,438 97.76% Veterans’ Service 1,280,047 1,277,304 (0.21%) Total 572,301,926 592,161,780 3.47% Hennepin County Health and Human Services
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Property tax 2017 adjusted 2018 proposed Percent change
Access and Case Management 80,998,467 66,463,863 (17.94%) Eligibility and Child Support 44,059,881 37,516,714 (14.85%) Children and Family Services 67,589,499 76,957,945 13.86% Public Health 23,485,508 23,954,827 2.00% Internal Services 29,927,211 39,263,030 31.20% Admin & Community-Based Services 8,857,965 18,587,871 109.84% Veterans’ Service 1,253,047 1,250,304 (0.22%) Total 256,171,578 263,994,554 3.05% Hennepin County Health and Human Services
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Full-time equivalents (FTEs)
2017 adjusted 2018 proposed Percent change Access and Case Management 735.6 732.1 (0.48%) Eligibility and Child Support 1,053.9 1,052.9 (0.09%) Children and Family Services 628.6 615.6 (2.11%) Public Health 416.9 425.6 2.04% Internal Services 369.2 368.5 (0.19%) Admin & Community-Based Services 198.3 200.5 1.10% Veterans’ Service 14.0 13.0 (7.69%) Total 3,416.5 3,408.2 (0.24%) Hennepin County Health and Human Services
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Access and Case Management
Area Director Mike Herzing Connects residents to services Assesses and provides case management for people living with disabilities and for seniors Provides adult protection Hennepin County Health and Human Services
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Budget driver: MnCHOICES
State-imposed cost shift: $ million Staffing levels = inadequate to meet state requirements Demand for long-term services is growing Total assessments completed per year with predictions for Hennepin County Health and Human Services
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Budget driver: Mental illness & community options
Efforts to increase community options for people living with mental Illness are offset by cost shifts and cost increases at state regional treatment centers Despite systemic challenges, we have continued to work to move patients out of unnecessary care. Hennepin County Health and Human Services
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Children and Family Services
Area Director Janine Moore Hennepin’s child welfare agency Responds to concerns about child safety Works with families to develop child well-being and family stability Hennepin County Health and Human Services
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Budget driver: More reports
Hennepin County Health and Human Services
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Budget drivers: Placements, rides and care
Out-of-home placements Transportation Child care Year Cost 2015 $33.5M 2016 $39.7M 2017 $42.8M* Year Cost 2015 $776,369 2016 $2.1M 2017 $2.2M* Year Cost 2015 $3.7M 2016 $4.4M 2017 $4.2M* * Projected Children in out-of-home placement 2015: 1,311, 2016: 1,629 and 2017: 2,089 Hennepin County Health and Human Services
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Child well-being: Getting upstream
Parent Support Outreach Services Chronic neglect services addressing the “root cause” Disparity reduction efforts Increased partnership with community providers Hennepin County Health and Human Services
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Steps we’re taking now for child well-being
Increasing the amount of time spent with families in investigations Partnering with Brooklyn Park and Minneapolis police departments to divert children Reducing the length of time to permanency – collaborative effort with courts, County Attorney’s Office, and police departments Partnering with Minneapolis Public Schools for pilot for prevention More planning for in-home safety Hennepin County Health and Human Services
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Veterans’ Service Veterans’ Service Officer Neil Doyle
To enhance the veteran’s quality of life through counseling, claims assistance, education, advocacy and special projects Hennepin County Health and Human Services
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Customer Service Data Hennepin County Health and Human Services
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Veterans Court initiatives
Maintain an active presence Participate in staffing and steering committee meetings Support court veterans needing to file claims Lead the court mentoring program Assist in the orientation brief for new court candidates Hennepin County Health and Human Services
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Our work contributes $151,583.79 for Hennepin County veterans, spouses and dependents Hennepin County Health and Human Services
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Budget driver: Veterans housing
Data from the Minnesota Homeless Veteran Registry Hennepin County Health and Human Services
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Using state grants to enhance internal operations
Workflow efficiencies Increased internal and external marketing To provide better tools for staff to successfully complete their mission Hennepin County Health and Human Services
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Eligibility and Work Services & Child Support
Area Director Deborah Huskins Eligibility is often first encounter with majority of clients Child Support is a key anti-poverty service Hennepin County Health and Human Services
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Eligibility and Work Services
Child Support 198,000 134,434 Cases People served Hennepin County Health and Human Services
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Poverty Low-wage jobs Lack of education Unemployment
Hennepin County Health and Human Services
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Child Support: Key anti-poverty service
Mission: Both parents support their children About 1/3rd of cases – no involvement in assistance programs Another 56% were on assistance, but thanks to Child Support have higher incomes Hennepin County Health and Human Services
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Budget drivers Assuring every child has legally recognized parents
Establishing reasonable orders for support Enforcing with compassion Welcoming new staff and gathering wisdom as staff retire Hennepin County Health and Human Services
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Child Support services
Federal Performance FFY 2017 Paternity 99.59% Establishment 83.66% Collections 71.58% Arrears 69.81% Hennepin County Health and Human Services
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Budget driver: Increasing Eligibility & Work Services’ caseload
Hennepin County Health and Human Services
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Eligibility & Work Services: Reduce disparities
Food Cash Health care coverage Child care assistance Emergency financial assistance Emergency shelter Connection to employment and training Hennepin County Health and Human Services
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Budget drivers: Workaround
Higher staffing levels due to state system complexities, manual workarounds Taking a more holistic approach, investing upstream Continued transformation of service delivery Workaround Hennepin County Health and Human Services
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By focusing on disparities in education, employment and income, we help people move to improved stability and self-sufficiency transportation employment housing income health education justice Hennepin County Health and Human Services
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Strategic efforts for 2018 System of care Housing alignment work
Employment Child well-being transformation Hennepin County Health and Human Services
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Jennifer DeCubellis, deputy county administrator
Jodi Wentland, director Hennepin County Health and Human Services
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