CHAIRPERSON HUMAN SERVICES COMMITTEEMARK GREBNER JOHN CZARNECKI , CHAIR LISA DEDDENCHAIRPERSON PRO TEM MICHAEL SEVERINO CHRIS SWOPE CURTIS HERTEL JR. VICTOR CELENTINO VICE-CHAIRPERSON PRO-TEM MIKE SEVERINO

INGHAM COUNTY BOARD OF COMMISSIONERS

P.O. Box 319. Mason, Michigan 48854 Telephone (517) 676-7200 Fax (517) 676-7264

THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, APRIL 9, 2001, AT 7:00P.M., IN CONFERENCE ROOM B OF THE HUMAN SERVICES BUILDING, 5303 . S.CEDAR, LANSING.

Agenda

Call to OrderApproval of the March 5, 2001 MinutesAdditions to the AgendaLimited Public Comment

1. Capital Area District Library Appointment

2. MSU Cooperative Extension Officea. Resolution to Authorize Ingham County MSU Extension to Purchase a Martin Yale

Paper Folderb. Resolution to Authorize a Contract with the State of Michigan Family Independence

Agency Office of Juvenile Justice For Community Balanced and Restorative Justice andto Subcontract with the Michigan Council on Crime and Delinquency

3. Health Department a. Recommendation to Authorize Travel and Training - Dr. Marcus Cheatham, Ph.D. b. Resolution to Authorize a Subcontract with the Ingham Health Plan Corporation to Implement a Grant from the Health Services Research Administration c. Resolution to Authorize an Agreement with Ferris State University to Provide Field Experiences for Environmental Health Students d. Resolution to Authorize a Subcontract with the Ingham Intermediate School District to Implement the All Children Connected to Succeed Initiative e. Resolution to Authorize a Contract with Assurecare/Group Benefit Services, Inc., and to Authorize an Amendment to the Administrative Services Agreement with the Ingham Health Plan Corporation

4. Controller’s Office a. Resolution Authorizing Adjustments to the 2001 Ingham County Budgetb. 2002 Budget Update - the Strategic Planning and Budget Development Process will

resume next round of meetings

5. Board Referral - Letter from the Mid-South Substance Abuse Commission Requesting Their Portion of P.A. 2 Funds

AnnouncementsPublic CommentAdjournment

The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impairedand audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities atthe meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids orservices should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners,P.O. Box 319, Mason, MI 48854 Phone: (517) 676-7200. A quorum of the Board of Commissioners may be in attendance at

this meeting.

HUMAN SERVICES COMMITTEEMarch 5, 2001

Minutes

Members Present:: John Czarnecki, Lisa Dedden, Mike Severino, Curtis Hertel Jr. andVictor Celentino

Members Absent: None

Others Present: John Neilsen, Mark Grebner, Bruce Bragg, Joe Lessard, Chuck Steinberg,Don Diskey, Bruce Miller, Bob Glandon, Erin Fox, Ray Cogo, Bonnie Stacey,Jerry smith, Ricka Tien, Eric VanAlstine, Bill Zaagman, Donald Waite, JimMoore, John Dowling, Jeff Williams, Summer Hallwood, Larry Schafer,Orlando Todd, Bill Waddlen, John Veenstra, Michael Miller and others

The meeting was called to order by Chairperson Czarnecki at 7:00 p.m. in the Personnel ConferenceRoom of the Human Services Building, 5303 South Cedar, Lansing.

Additions to the Agenda: NoneLimited Public Comment: None

Chairperson Czarnecki informed the public that item three is only an update for the newCommissioners. The Committee will not take any action on the issue tonight.

1. Cooperative Extension/YVPC - Resolution to Authorize a Contract Between Ingham Countyand the Michigan Council on Crime and Delinquency to Provide Clerical and Program SupportServices to the Ingham County/City of Lansing Youth Violence Prevention Coalition

Mr. Lessard stated he was seeking approval for an ongoing contract which involves equal portions offunding from the City of Lansing and the County. The contract will provide support for the MichiganCouncil on Crime and Delinquency by providing technical and clerical support services to the YVPC.

Mr. Lessard spoke regarding the history of the YVPC. In the early 1990's, there was a strong interestby the County Commissioners and the Lansing Mayor to address the issue of increasing crime amongthe youth in our population. Therefore, the Ingham County/City of Lansing Youth Violence PreventionCoalition (Coalition) was formed. The Coalition’s board includes key stakeholders in the community. The City and the County also made nominations to that Board. Mr. Lessard further stated Mr.Steinberg has been absolutely critical to the Coalition. His experience base in the area of contract andproposal development for providing curricula connects to the problems being addressed by theCoalition.

Mr. Steinberg distributed information to the Committee regarding the Coalition. Between 1994 and

1996, the Coalition went through a very deliberate process that looked at community needs andprogram models to address those needs. During this process, the Coalition discovered that from 1985to 1983 there was almost a 40% increase in the prevalence of violence in the County. The Coalitionengaged in a comprehensive planning process to address this problem. The Coalition’s five-year Planis included in the information submitted to the Commissioners. The Plan is an active plan which isreviewed and updated on an annual basis. Mr. Steinberg stated the Coalition has objective data andqualitative indicators which shows the Coalition did have a positive impact on youth violence. (Comm. Severino arrived at 7:08 p.m.)

The Coalition studied various factors which lead to the youth violence issue. The domains ofindividuals, families, schools, peer influence and the community at large were considered in this study. The urban site, Otto Middle School, has seen a decrease in the out-of -school suspensions for violence. However, there was a slight increase in year two of the Plan at Otto and Stockbridge Middle Schools. Debates have been held as to the reason for the increase. Many times, when a program is applied,things will get worse before they improve.

Mr. Steinberg spoke regarding a chart which contained a composite of a number of different offenses atthe Otto site. The chart illustrated the favorable impact the Coalition had on Otto and Stockbridge. Consistent measurement over a defined period of time gave the indication of a favorable impact. Theissue of measurement is being addressed by the Coalition. An exhaustive review has been made of theOtto program by the U.S. Department of Education. Otto was one of a number of communities aroundthe Country which received a Safe and Drug Free School Award. The Award also ushered in anopportunity to disseminate the program to expand it around the urban community in Lansing.

Through the U.S. Department of Education, the Coalition has received a Safe Schools and HealthyStudents Grant which evolved through a model piloted by the Coalition. The Grant is in excess of eightmillion dollars and will be allocated over a three-year period. Every school in the Lansing area willhave a replica of the core program outlined in the five-year Plan.

A survey conducted by the Public Sector Consultants determined that Otto went from being the mostfeared middle school in the community to the most preferred middle school. The survey result wasconsistent with the feedback the Coalition received from the Otto faculty and parents. Toward the endof the Grant period, the Coalition was able to expand the conflict resolution training and the peermediation programs to Gier Elementary, Eastern High School and the corresponding elementary andhigh schools in Stockbridge.

Mr. Steinberg stated the number of resources that have been brought into the community is anotherindicator of the impact of the Coalition. Approximately two million dollars has been leveraged inaddition to the $8.3 million the Coalition received as a result of the success of the violence preventionproject. Mr. Steinberg stated there is strong evidence to suggest the

2

investment and confidence of the County has resulted in a very positive feedback in a few areas of theCounty. The Coalition is now staged to begin the “second life cycle” of the Coalition.

Mr. Lessard stated Otto and Stockbridge have institutionalized the program which started from theexternal funds. The Coalition is continuing with new rounds of funding that are available through theJuvenile Justice unit, including Title V funding. The Coalition is referenced on a State level as a wellcoordinated and organized project that has shown positive results.

The Coalition has a $15,000 planning grant to be used for data development. A proposal will besubmitted for additional prevention monies in the approximate amount of $100,000 over a two-yearperiod. Those funds would be reduced to $75,000 and $37,000 subsequently for the third and fourthyears. A new program, Comprehensive Strategy for Serious, Violent and Chronic Juvenile Offenders,would focus on a very small percentage of young people who constitute a large percentage of the moreserious crimes. This program may become available to the Coalition.

Mr. Steinberg spoke regarding the Minority Over Representation Program. The Program started outas a requirement to Federal funding. Minority youth and females are two to three times overrepresented in certain offenses than they are in the population at large. The Coalition has an obligationto review this issue beyond the funding requirement. A key leader policy group was organized toreview this issue for a sixteen-month period. This approach is being used around the State. Data is notavailable regarding the impact of this review.

Comm. Dedden commended Mr. Steinberg and Mr. Lessard on their efforts on behalf of the Coalition. In response to Comm. Dedden, Mr. Steinberg stated a representative from the mental healthcommunity has been with the Coalition since the beginning. The Violence Prevention Program dealswith modifying behavior. He also explained there are mental health flavors to the programs at Otto. The Coalition does not have a dedicated mental health focus.

Comm. Dedden stated she has seen national data which shows that a high percentage of youth in thejuvenile justice system have emotional disturbances or mental illness. She stated she would like to seespecific attention paid to this issue in Ingham County. Mr. Steinberg explained that the SafeSchools/Healthy Students initiative includes a mental health perspective. He stated he would provideinformation on this matter to Mr. Neilsen.

Comm. Celentino stated he sees the positive effects of the peer mediation and conflict resolutionprograms as a teacher at Dwight Rich Middle School. He commended the programs as they havecaused a decrease in the suspension rate. Comm. Celentino also stated he is impressed with how thefacilitators work with the teachers and the students.

In response to Comm. Celentino, Mr. Steinberg explained Project Respect is only operated at Otto atthis time. The Coalition decided the Project was a worthy experiment. Otto is the only middle schoolin this area that has a health clinic. The Project also focuses on counseling for behavioral issues andafter-school programs. The Project has had a positive effect on the

3

students’ grades and behavior. This is a pilot program and it may be expanded to other schools in thefuture.

Comm. Hertel commended the efforts of the Coalition. In response to Comm. Hertel, Mr. Steinbergexplained the Coalition will begin to identify at risk kids early in the school system. This initiative has anumber of places along the continuum to identify kids and get them engaged. Area police departmentsalso have programs which look at the more serious offenders.

Chairperson Czarnecki commended Mr. Lessard and Mr. Steinberg on their efforts on behalf of theCoalition. However, he expressed his apprehension that $1.2 million has been spent on variousprograms and studies. How does the Coalition replicate and institute the programs countywide? Mr.Lessard explained the Coalition has made some progress. The programs are being adapted byinstitutions and the community. Mr. Steinberg stated the Coalition was encouraged by the involvementof Comm. Stid on the YVPC. The dissemination of the Coalition’s program countywide was discussedat length during the last meeting. He assured Chairperson Czarnecki that this will be a focus of theCoalition.

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THERESOLUTION TO AUTHORIZE A CONTRACT BETWEEN INGHAM COUNTY AND THEMICHIGAN COUNCIL ON CRIME AND DELINQUENCY TO PROVIDE CLERICAL ANDPROGRAM SUPPORT SERVICES TO THE INGHAM COUNTY/CITY OF LANSING YOUTHVIOLENCE PREVENTION COALITION.

Comm. Dedden offered a friendly amendment to change the term “Second Party” to “MCCD.” Thischange is to be made in the first BE IT FURTHER RESOLVED paragraph on page two of theResolution. The Committee accepted this friendly amendment.

MOTION CARRIED UNANIMOUSLY as amended.

2. Health Department - Update on Capital Area Prescription Program (CAPP)

Mr. Miller explained the CAP Program (Program) takes advantage of an existing relationship betweenthe Ingham Health Plan and a pharmacy benefits manager to extend prescription drug coverage tosenior citizens. The Program currently has approximately 1,500 enrollees. To be eligible for theProgram, a person must be 60 or older, be a resident of Ingham, Eaton or Clinton County and have anincome level under 250 percent of the poverty level. The savings take the form of a discount off theretail price the enrollees would otherwise pay when purchasing prescription medicine at their pharmacy.

The Health Department has received very positive feedback regarding the Program. Many people callto give unsolicited testimonials and to express their gratitude for the Program. Mr. Miller also explainedthe State of Michigan will soon implement the Elder Prescription Insurance Coverage act (EPIC). TheEPIC will greatly exceed the modest benefit of the CAP Program.

4

Many of the people enrolled in the Program will be eligible for EPIC. EPIC will have a $50 millionbudget ($30 million tobacco settlement; $20 million General Fund). EPIC will replace the MichiganEmergency Pharmaceutical Program and the Senior Tax credit program for prescriptions.

To be eligible for EPIC, people must be 65 or older, have a gross income of less than 200% poverty;not be covered by Medicaid; have not other prescription coverage; not be in an institution, and be aresident of the State for the previous three months. The EPIC program will take effect in October2001.

The Ingham Health Plan Board may expand the CAP Program and modify the eligibility criteria toapply to any uninsured person regardless of age or income. Making these changes will not cost theCounty. The current financing mechanism would remain in place.

Comm. Hertel stated he is very encouraged by the growth and future expansion of the Program. Inresponse to Comm. Hertel, Mr. Miller stated Macomb County may have a higher percentage of peoplewho use generic medications. Fifty-four percent of the CAP enrollees use generic medications. TheHealth Department plans to conduct mailings to bring the issue of generic use to the enrollees’ attention. If the IHP Board decides to expand the CAP Program in the near future, it would likely coincide withthe implementation of the EPIC program.

Comm. Dedden thanked Mr. Miller for his efforts regarding the CAP Program. In response to herquestion regarding Macomb County, Mr. Miller explained that Macomb County’s population is muchhigher than Ingham’s population. Macomb’s eligibility is identical to our County. The Oakland Countyprogram is open to any uninsured person at a cost. Mr. Miller further explained that Oakland andMacomb Counties help finance the prescription program. Comm. Dedden stated she would like to seeefforts to expand the CAP Program to uninsured persons, regardless of age. Mr. Miller stated itappears that the Program can be expanded without cost to the County.

Comm. Severino commended Mr. Miller for his efforts on behalf of the Program. He further stated heconducted some research regarding ClaimsPro. The Health Department should be commended whenits programs also help the business community.

3. BOH/Health Department - Update on Proposed Smoking Ordinance - No action will betaken at this meeting, this is only an update for the benefit of the new Commissioners .

Mr. Glandon spoke regarding the harmful effects of Environmental Tobacco Smoke (ETS). ETS issmoke which is exhaled by smokers and is also the smoke that comes from burning cigars andcigarettes. Air currents distribute the smoke across rooms evenly. ETS can have significant healtheffects. It can make and does make people seriously ill. ETS causes heart disease, lung cancer,sudden infant death syndrome, asthma and respiratory disease. Most people can be affected by ETS. The most vulnerable groups of people include pregnant women, young kids, older people and sickpeople. The effects of ETS increases with each exposure. People who

5

work in businesses where smoking is allowed, are exposed to ETS for long periods of time.

The Board of Health advises the Board of Commissioners and the Health Department on significantpublic health matters. The BOH offers solutions and suggestions. After several months of study, theBOH found a significant public health matter and an opportunity to make a difference. The BOHoffered a regulation to reduce smoking in the work place. Approximately one year ago, the BOH helda public hearing on a regulation to prohibit smoking in private work places and in restaurants which didnot serve alcohol. Approximately 75 people attended that meeting. According to records, the peoplewere two to one in favor of the proposed regulation. A strong comment from the majority was that theregulation did not go far enough. The BOH took this matter into consideration. The proposedregulation was modified to prohibit smoking in work places, private work places, public places,restaurants and bars. This Committee advertised and held a public hearing on this matter on October2, 2000. Approximately 150 people attended this meeting. Mr. Glandon stated there were very strongfeelings on both sides of this issue. Approximately 50% were against the regulation. People against theregulation were concerned about the potential impact it would have on businesses.

In response to the October 2000 meeting, the BOH plans to submit a regulation to prohibit smoking inprivate work places and public places. A separate piece of the regulation will regulate the air quality innon-smoking areas of restaurants. The intention is to ensure clean air in non-smoking sections. Theseproposals will be submitted to this Committee in April.

Dr. Waddlen explained that his area of research has been in health promotion and disease prevention,with a focus on smoking. He further stated he helped to develop the quit line services which areavailable through the Michigan Department of Community Health and Blue Cross/Blue Shield. The quitline helps people quit smoking. He stated his most important qualification is his experience as a familydoctor for the past twenty years. In his practice he has seen the effects of passive smoke exposure. Dr. Waddlen distributed information to the Committee regarding the effects of second-hand smoke.

The most direct effect of smoking Dr. Waddlen has seen is on the unborn infant. This is the most directform of involuntary exposure to the adverse effects of tobacco use. Babies born to mothers whosmoke during pregnancy generally have a lower birth weight, have a greater risk for poor schoolperformance and a higher incidence of respiratory illnesses. There is also the potential for permanentneuropathway damage in the brain. The second most apparent effect of passive smoke exposure is onyoung children. The effects on young children are a greater risk of developing pneumonia, asthma,middle ear infections and overall respiratory infections during childhood. People who have cardio-vascular disease or the potential for cardio-vascular disease are also at risk of the effects of second-hand smoke. The effects of passive smoke exposure have been confirmed by many studies whichhave been conducted during the past five to ten years.

Dr. Waddlen further explained that as the population ages, there will be more people at risk to theeffects of passive smoke exposure. Another effect of exposure to second-hand smoke is the

6

development of cancer in non-smokers. There is a clear link between passive smoke exposure andlung cancer. This is the main reason why there are clean air regulations in air travel around the world.

Data has shown there are similar effects which exist in other work settings where smoking occurs. Studies show that separate seating for smoking and non-smoking areas in the same space withoutseparate ventilation systems makes no difference in passive smoke exposure. Non-smoking restaurantworkers have a 50% greater risk of developing cancer compared to workers in other occupations. Bartenders in California had significant decreases in respiratory illnesses within a short period of timedue to California’s clean air regulation.

It is very clear that a clean air regulation in Ingham County will save lives. It is estimated thatCalifornia’s regulation has saved approximately 33,000 lives. A clean air regulation makes goodbusiness sense. Several articles reference the effects of clean air regulations in other parts of thecountry. The data shows little change in revenues for businesses. Many businesses have experiencedan increase in revenue. Non-smokers are the largest group of people who use restaurants. Short-termbenefits of the regulations include decreased costs for health insurance benefits for workers and timesaved in terms of absences due to respiratory illnesses.

Dr. Waddlen stated the Board of Health’s proposed clean air regulation is in the best interest of thecommunity. Mr. Glandon stated the BOH is proposing the County prohibit smoking in work placesand public places. It will submit separate proposals. The proposal for restaurants and bars mayinclude gradual implementation. New construction may be required to meet the standards beforeopening for business.

Comm. Dedden thanked Mr. Glandon and Dr. Waddlen for their presentation and interest in thissubject matter. She stated he has reviewed some studies on this matter and also information regardingthe Marquette litigation. Comm. Dedden agreed that smoking is harmful for smokers and that theremay be serious effects from exposure to second-hand smoke. She further stated she has some seriousconcerns with the proposed regulation. Clearly, there are appropriate efforts the County can take inregard to smoking. This Committee discussed some efforts to be taken by the Health Department atthe last meeting. It is not appropriate for the County to act beyond its legal authority. The CountyBoard should always act within its legal authority and consider the appropriate role of government inmatters such as the one before this Committee tonight. The County does not have the authority to bansmoking in restaurants and bars. Any efforts to ban smoking in those places could be harmful to localbusinesses.

Comm. Hertel stated he agreed with Comm. Dedden’s statements regarding the legal issues. Hefurther stated people should not be banned from smoking in their homes. The Health Departmentshould sit down with local business leaders to discuss the regulation. The County should be verycareful with the delicate balance between public safety, personal rights and property rights.

Comm. Celentino stated he agreed with Comms. Dedden’s and Hertel’s statements. In response toComm. Celentino, Mr. Glandon stated the California ban is state wide. He further explained

7

that the president of the San Louis Obispo Chamber of Commerce wrote a letter regardingCalifornia’s smoking regulation. The Chamber was fearful of the potential impact the regulation wouldhave on businesses in San Louis Obispo. After the regulation went into effect, positive effects wereseen. Mr. Diskey stated parts of California went smoke-free before the State ban.

Comm. Celentino further stated he has concerns regarding the definitions of bars, restaurants andprivate businesses. Mr. Glandon stated the Board of Health plans to exclude the prohibition of smokingin private businesses. Dr. Waddlen also explained that parents may think they are protecting theirchildren from smoke when they request seating in non-smoking sections of restaurants and sports bars. Mr. Glandon stated the smoking regulation would also contain an educational component.

In response to Chairperson Grebner, Dr. Waddlen explained that carbon monoxide is difficult tomeasure. The Committee discussed this issue further. Mr. Glandon stated tobacco smoke has beenclassified as a Class A carcinogen. This is defined as having no known safe level. In response toComm. Severino, Dr. Waddlen stated there is no minimum level. Second-hand smoke should beavoided.

Chairperson Czarnecki informed the Committee that this Committee meets with the Board of Healthonce a year. Last year this Committee suggested the Board of Health become more aggressive indetermining how this County can be healthier. The smoking regulation is the BOH’s first response. This Committee is still asking for other ways to ensure a healthier population.

Public CommentMs. Summer Hallwood, Lansing Regional Chamber of Commerce, stated the Chamber is opposed to asmoking regulation. She commended the Commissioners for examining public health issues and forconsidering the business needs of the community. In response to Chairperson Grebner, Ms. Hallwoodstated the Chamber has not taken a position on protecting air quality in areas where smoking is notprohibited in buildings. The Chamber would consider this issue.

Chairperson Czarnecki stated staff should send information regarding the proposed regulation to peoplewho attended this meeting. The information should be mailed two weeks prior to the first meeting inMay.

Mr. Moore, 412 North Hayford, stated he appreciated the comments and conversations duringtonight’s meeting. Mr. Moore stated he works for the American Lung Association of Michigan. Heexplained that ventilation will not provide health protection. According to OSHA, “the carcinogenicityof secondhand smoke discounts the use of general ventilation as an engineering control for thiscontaminant.” A 90% reduction in ETS levels is still 2,000 times the risk level allowable in outdoor airfor hazardous air pollutants. Measuring the impact of a smoking regulation would require the review ofsales tax receipts four to five years before the regulation and again four to five years after theimplementation of the regulation.

8

In response to Chairperson Grebner, Mr. Moore stated if smoking is to be allowed inside a building,separately enclosed, separately ventilated areas would need to be required.

Mr. Veenstra, 325 Piper Road, Haslett, urged the Committee to pass a clean air regulation because itwould save lives. Secondhand smoke makes people ill and it also kills people. Secondhand smokekills over 60,000 people every year in the United States. It kills more people than all the illegal drugscombined.

Comm. Severino requested information regarding the County’s ability to regulate new construction. Mr. Bragg explained the Health Department works within existing regulations to guide construction ofrestaurants and bars. The Health Department works as a State agency in this respect. ChairpersonGrebner stated the Health Department should work with the County Attorney to formally address thisissue.

Mr. Bill Zaagman, Restaurant Association, stated he looks forward to working with the Committee andthe Health Department on a new regulation. It is good news to the Association’s members that itappears the County is moving away from a total ban on smoking in restaurants and bars.

Mr. Erin Fox, Stockbridge Township, stated he does not believe this is a health issue. T his is a privateproperty rights issue. He also doesn’t believe the County or the Health Department has the legalauthority to extend a health consideration over private property rights. A legal challenge would becostly to the County. The County should work with the media to ensure the public understands theproposed regulation.

In response to Mr. Fox, Chairperson Czarnecki stated notification of the next meeting on this issue willbe sent to everyone who attended the October 2000 meeting. The people will also receive a copy ofthe proposed regulation. The media will be provided with a copy of the regulation.

Mr. Michael Miller, 1546 Cahill Drive E. Lansing, stated the County should ensure that all Countyresidents have information to make an informed decision on where to dine, etc.

Chairperson Czarnecki stated the Committee will take this issue up again during the first meeting in May2000.

AnnouncementsChairperson Czarnecki informed the Committee the County Attorney will apprise the Board of thelitigation regarding the solid waste funding mechanism during the next Board meeting.

Public Comment: None

The meeting adjourned at 9:21 p.m.

Respectfully submitted,

Debra Neff 9

CAPITAL AREA DISTRICT LIBRARY - 1 vacancy

Appointed by: Human Services Committee

Composition: Ingham County appoints 5 of the 7 members which includes: 1 resident of the Cityof Lansing, 1 resident of either the City of Lansing or Lansing Charter Township,1 resident of Meridian Township; 2 residents of the district outside the City ofLansing, Lansing Charter Township and Meridian Charter Township. The other 2 members are appointed by the City of Lansing,

Length of Term: 4 year terms. Terms for Ingham County appointees expire 4/15.

Meeting Times; Meets Third Wednesdays 5:30 p.m., Lansing Library & Information Center, 401 S. Capitol, Lansing.

Per Diem: None

CURRENT DATE OF ORIGINAL TERM CURRENT TERMS ELIGIBILITY MEMBER REQUESTS APPLICANTSMEMBERS APPOINTMENT ENDS COMPLETED STATUS REAPPOINTMENT O-Kate Peyton 3/02/98 4/15/02 O-James Walkinshaw 3/02/98 4/15/02 L-Lisa Babcock 6/8/99 4/15/03 L/LT Griffin Rivers 3/27/01 4/15/04 M-Louis Romano 4/25/00 4/15/01 Less than 1 eligible YesJoan Trezise 4/97 4/15/02 (Lansing appointee)Stuart Wilson 5/99 4/15/03 (Lansing appointee)

L-City of Lansing resident L/LT - either the City of Lansing or Lansing Charter Township,M-Meridian Township O-Outside the City of Lansing, Lansing Charter Township and Meridian Charter Township.

RESOLUTION NO. 78-247 LIMITS TIME SERVING ON ADVISORY BOARDS AND COMMISSIONS TOTWO CONSECUTIVE TERMS OR SIX CONSECUTIVE YEARS WHICHEVER IS GREATER.

Agenda Item 2a

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize Ingham County MSU Extension to Purchase a Martin Yale Paper Folder

Submitted by Cooperative Extension Office

Committees: Ad.Ser/Per. , H.S. * , Law & Cts. , Finance *

Summary of Proposed Action This resolution authorizes in general an increase in the Cooperative Extension budget and thepurchase of unbudgeted equipment and specifically authorizes Ingham County MSU Extension to use up to $2700 from its activityaccounts (non- County general fund accounts) to purchase a Martin Yale 959af Friction Feed Paper Folder.

Financial Implications Increases the Ingham County MSU Extension Office budget up to $2700.

Other Implications

Staff Recommendation: JA DE JN * HH This resolution should be approved.

Agenda Item 2a

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE INGHAM COUNTY MSU EXTENSION TO PURCHASE A MARTIN YALEPAPER FOLDER

WHEREAS, the Ingham County MSU Extension Office frequently prepares bulletins, flyers and newsletters in quantities thatrequire much time from support staff for folding these various paper leaflets; and

WHEREAS, upon investigation and in consultation with the Ingham County Purchasing Department, the Martin Yale 959afFriction Feed Paper Folder, at a cost of $2700 provides the folding capacity and options desired by the department; and

WHEREAS, this equipment will be placed in the Hilliard Building first floor copy room and be available for other departmentsto use upon request; and

WHEREAS, Ingham County MSU Extension has $2700 available in its activity accounts to be allocated for the purchase of thefolding machine.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby authorizes Ingham County MSUExtension to use up to $2700 from its activity accounts to purchase a Martin Yale 959af Friction Feed Paper Folder.

BE IT FURTHER RESOLVED, that the County Controller is authorized to amend the Ingham County MSU Extension 2001budget in accordance with this resolution.

Agenda Item 2b

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize a Contract with the State of Michigan Family Independence Agency Office ofJuvenile Justice For Community Balanced and Restorative Justice and to Subcontract with the MichiganCouncil on Crime and Delinquency

Submitted by Cooperative Extension Office

Committees: Ad.Ser/Per. , H.S. * , Law & Cts. , Finance *

Summary of Proposed Action This resolution authorizes a subcontract, not to exceed $8,333, with the Michigan Council onCrime and Delinquency to fulfill the requirements of the main contract with the Michigan FIA. The focus is on what Balancedand Restorative Justice (BARJ) principles and practices are currently being utilized by Ingham County youth services providers.

Financial Implications If the County receives the grant, the $8,333 would be subcontracted to Michigan Council on Crimeand Delinquency ( MCCD).

Other Implications

Staff Recommendation: JA DE JN * HH This resolution should be approved.

Agenda Item 2b

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A CONTRACT WITH THE STATE OF MICHIGANFAMILY INDEPENDENCE AGENCY OFFICE OF JUVENILE JUSTICE FOR COMMUNITY BALANCED

AND RESTORATIVE JUSTICE AND TO SUBCONTRACT WITH THE MICHIGAN COUNCIL ON CRIMEAND DELINQUENCY

WHEREAS, the Ingham County Board of Commissioners and the City of Lansing have jointly formed the Ingham County/Cityof Lansing Youth Violence Prevention Coalition (YVPC) to implement violence prevention strategies in Ingham County; and

WHEREAS, YVPC will use these funds to expand the resource assessment to include gathering information regarding whatBalanced and Restorative Justice (BARJ) principles and practices are currently being utilized by Ingham County youth service’sproviders; and

WHEREAS, Ingham County on behalf of the City of Lansing/Ingham County Youth Violence Prevention Coalition hassubmitted an application to the Juvenile Justice and Delinquency Prevention Unit of the Michigan Family Independence Agencyfor an $8,333 grant to continue to assess how BARJ principles are being applied in Ingham County; and

WHEREAS, if this grant is awarded, it will secure $8,333 from MFIA for a contract period that starts April 1, 2001 and willterminate August 31, 2001; and

WHEREAS, the Ingham County MSU Extension Office has agreed to act as the administrative unit to process these grantpayments; and

WHEREAS, these funds will be used in conjunction with the Comprehensive Strategies planning process services beingprovided by the Michigan Council on Crime and Delinquency (MCCD) and therefore, authorization is requested to sole sourcecontract with MCCD to provide the services required by the main contract.

THEREFORE BE IT RESOLVED, that contingent upon the above referenced grant application being awarded, the InghamCounty Board of Commissioners authorizes that this $8,333 grant be accepted by Ingham County from MFIA.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes a sole source contract, not toexceed $8,333, with the Michigan Council on Crime and Delinquency to fulfill the requirements of the main contract and thatthe subcontract period start no earlier than April 1, 2001 and end no later than August 31, 2001.

BE IT FURTHER RESOLVED, that the County Controller is authorized to amend the 2001 Ingham County MSU Extensionbudget in accordance with this resolution.

Agenda Item 2b

BE IT FURTHER RESOLVED, that the Chairperson of the Ingham County Board of Commissioners and the County Clerkare authorized to sign any necessary contract documents consistent with this Resolution and approved as to form by the CountyAttorney.

Agenda Item 3a

MEMORANDUM

To: Human Services Committee

From: Bruce Bragg

Date: April 2, 2001

Subject: Recommendation to Authorize Travel and Training

This is a recommendation to authorize Marcus Cheatham, Ph.D. to attend a training session for Java, a software product that willassist Marcus to improve and enhance the Community Voices Website: CACVoices.org.

One of the four principle objectives of the Kellogg Foundation Community Voices Project is the development of a DataDemocratization activity. This activity intends to create a mechanism by which health related information is made available tocommunity residents in a variety of formats and places. One very important aspect of the Data Democratization activity is thedevelopment of a user friendly Web site. Dr. Cheatham is the lead person for the Department and the community on the DataDemocratization activity. The Community Voices activity has used a consultant to develop the Web site, however, our approachis for Dr. Cheatham to learn how to manage and make changes to the site.

Last year he went to California for MapObjects training. Since then he has produced a number of Internet based mapping toolswhich have received positive evaluations. It would have been very expensive to have had these mappers made by consultants.

Now we want Dr. Cheatham to learn Java. Java is one of the most widely used programing languages on the Internet. TheCommunity Voices grant has already provided the County with Java software, so no additional purchase will be required. UsingJava properly would significantly expand our ability to access and use data on our web pages, and to build dynamic and interactiveweb pages. This training is being offered by Sun Microsystems, one of the best software providers, and the leading provider ofadvanced training. The total expenses related to the training will be about $2,500. This level of expenditure requires theauthorization of the Human Services Committee, that is, anything in excess of $2,000.

The need for and the cost of such training was anticipated and is included in the Kellogg Foundation Community Voices grant andbudget. I am recommending that the Committee authorize Dr. Cheatham to participate in the training.

cc: Marcus CheathamBob GlandonJohn Jacobs

Agenda Item 3b

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize a Subcontract with the Ingham Health Plan Corporation to Implement a Grant fromthe Health Services Research Administration

Submitted by Health Department

Committees: Ad.Ser/Per. * , H.S. * , Law & Cts. , Finance *

Summary of Proposed Action (see attached letter of explanation)This resolution will authorize a subcontract with the Ingham Health Plan Corporation. The grant from the US Department of Healthand Human Services, Health Resources and Services Administration is intended to provide infrastructure support to health caresafety net providers.

Financial Implications This is the first year of potentially a three year grant. The second and third year of funding is subject tofederal funds being appropriated during the next two fiscal years.

The subcontract is for the following:

Personnel and Related Costs $302,713Technological Innovations $88,914Contractual - University of Michigan, Division of Research and Development $6,280Patient Visit Redesign: $31,400

TOTAL $429,307Other Implications

Staff Recommendation: JA DE JN * HH This resolution should be approved.

Agenda Item 3b

MEMORANDUM

To: Human Services CommitteeAdministrative Services/Personnel CommitteeFinance Committee

From: Bruce Bragg

Date: April 2, 2001

Subject: Proposed Subcontract with the Ingham Health Plan Corporation to Implement a Federal Grant

This is a recommendation to authorize a subcontract with the Ingham Health Plan Corporation. The grant is intended to provideinfrastructure support to health care safety net providers.

In June of 2000 the Ingham Health Plan Corporation submitted a proposal to the US Department of Health and Human Services,Health Resources and Services Administration. The proposal was in response to a request for proposals sent out by HRSA forthe Community Access Program (CAP). The CAP program is intended to help communities provide access to uninsured andunderinsured people through organized systems of care. The money is to be used to put the infrastructure in place that is neededto start, operate or enhance programs like the Ingham Health Plan and to support the safety net providers in those communities.The Ingham County Health Department operates a network of eight community health centers providing primary care to low-incomeuninsured and Medicaid eligible persons.

The grant submitted in June, 2000, was approved but not funded. Only about a dozen programs were funded nationally. But, duringthe very last session of Congress in December, 2000, funds were appropriated to fund additional projects. The Ingham Health PlanCorporation has just learned officially that its proposal has been funded.

The grant will support contracts with the Health Department and other entities. The funds will provide for staff, consultation,technological improvements and other resources that will help maintain existing IHP programs and support the new initiatives.

The Ingham Health Plan Corporation has authorized a subcontract with the Health Department to carry out specific parts of thegrant. The IHPC will provide the County with $429,307 during the first year to implement the Health Department activitiesdescribed in the proposal.

Personnel and Related Costs ($302,713)

Agenda Item 3b

Four full-time positions will be funded through the subcontract.

1) A Health Educator II will be employed to recruit and orient new primary and specialty care practices, provide outreachto hospital emergency rooms, schools and other community locations.

2) A Community Health Representative II will be employed as a data entry person for the Clinflo Tracker data system.

3) A Computer Technician (UAW) will assist the Health Analyst/System Analyst to manage existing IT services and implementnew technological innovations.

4) A Health Analyst will be employed to coordinate the Patient Visit Redesign Project and to facilitate the work with providersthat is needed to develop the Clinflo Tracker system.

The contract will also include the following amounts in support of the new positions: Office Space for IHP staff ($69,500);Equipment and maintenance ($32,000); Local travel and conferences ($4,000); Postage ($8,000); Copying and printing ($8,000).

Technological Innovations ($88,914)

The subcontract provides funds to purchase computer hardware and software needed to assure and document the quality of servicesand to report to the Ingham Health Plan Corporation. The equipment will include laser printers and 4th Dimension software, anNT server; network hardware, about 12 computer workstations and corresponding network support, hand-held computers andmonthly patient management system data retrieval support.

Contractual - University of Michigan, Division of Research and Development ($6,280) Lee Green, MD, of the University of Michigan will provide installation and technical support to implement the Clinflo Trackersystem: sixty hours of instruction in installing and maintaining the system and 100 hours of ongoing education and technical support.

Patient Visit Redesign: ($31,400)

The grant will provide funds for two teams of health center staff to participate in a learning experience to redesign the way in whichpatients flow through the health centers. The learning will involve travel to meeting sites, consultants visiting Lansing and otheractivities intended to give Ingham County the capacity to implement a more efficient and effective service through the network ofcommunity health centers. The effort is to remove the dead space in the patient visit. A client should arrive, be seen, and exitedquickly and efficiently. This will improve the quality of the patient encounter. And, it is intended to make the health center operationmore efficient.

Agenda Item 3b

The objectives of the grant to the Ingham Health Plan, for year one, are:

1. Increased capacity of the Ingham Health Plan to sustain a membership of 14,000 and to develop new coveragemechanisms.

2. Create a healthcare delivery network for the uninsured that can attract and sustain a high-quality, committed provider base,using state-of-the-art technology.

3. Support a fully functional community referral and enrollment network that includes automated enrollment.

4. Support the active participation of Ingham Health Plan users in the design and improvement of services, throughdevelopment of site-based consumer advisory boards.

5. Continuously improve access to substance abuse and mental health services by IHP enrollees.

The Community Access Program is intended to be a three year grant program. However, it was initiated under the ClintonAdministration and the Bush Administration has not proposed its continuation in the 2002 budget. Whether second and third yearfunding becomes available, there are many benefits that will result for the first year subcontract. I recommend that the Board ofCommissioners adopt the attached resolution and authorize the subcontract with the Ingham Health Plan Corporation.

Attachment

cc: Bruce Miller w/attachmentJohn Jacobs w/attachmentDarnell Earley w/attachmentBob Townsend w/attachment

Agenda Item 3b

Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A SUBCONTRACT WITH THE INGHAM HEALTH PLAN CORPORATIONTO IMPLEMENT A GRANT FROM THE HEALTH SERVICES RESEARCH ADMINISTRATION

WHEREAS, the Ingham Health Plan Corporation applied for and was awarded a capacity building grant from the USDepartment of Health and Human Services, Health Resources and Services Administration (HRSA); and

WHEREAS, the Ingham Health Plan Corporation intends to subcontract with Ingham County to implement large portions of thegrant initiative; and

WHEREAS, the HRSA grant is intended to improve the infrastructure of the health care safety net providers, which include theIngham County Health Department; and

WHEREAS, the subcontract will allow the Health Department to implement a number of initiatives to improve the quality ofcare provided through its network of community health centers; and

WHEREAS, the subcontract funding is supplemental to existing budgets and does not require any additional financialcontribution from Ingham County; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the subcontract.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a subcontract with the InghamHealth Plan Corporation to accept Federal grant funds from the Health Resources and Services Administration to strengthenthe infrastructure of the network of community health centers operated by the Health Department and to improve the quality ofcare provided to health center clients.

BE IT FURTHER RESOLVED, that the subcontract shall be for the period March 1, 2001 through February 28, 2002.

BE IT FURTHER RESOLVED, that the Ingham Health Plan Corporation shall provide Ingham County with $429,307 tosupport the Health Department’s initiatives included in the grant proposal.

Agenda Item 3b

BE IT FURTHER RESOLVED, that the MIS Department Director is authorized to purchase computer equipment andsoftware funded in the subcontract, using the County’s standard purchasing procedures.

BE IT FURTHER RESOLVED, that the following full-time positions will be established for the duration of the subcontract andthe grant funding:

1) Health Educator II, ICEA P-7.

2) Community Health Representative II, UAW TOPS D.

3) Computer Technician, UAW TOPS I.

4) Health Analyst, ICEA P-8.

BE IT FURTHER RESOLVED, that a contract with the University of Michigan, Division of Research and Development isauthorized for up to $7,000 to provide installation and technical support to implement the Clinflo Tracker system, to include 60hours of instruction for installing and maintaining the system and 100 hours of ongoing education and technical support.

BE IT FURTHER RESOLVED, that up to $31,400 is authorized to support travel and meeting expenses for teams of healthcenter staff to participate in the Patient Visit Redesign Project, and to purchase consultation related to implementation of theProject in the County’s network of community health centers.

BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department’s 2001 budget to implementthis resolution.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the subcontract after review by the CountyAttorney.

Agenda Item 3c

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize an Agreement with Ferris State University to Provide Field Experiences forEnvironmental Health Students

Submitted by Health Department

Committees: Ad.Ser/Per. , H.S. * , Law & Cts. , Finance

Summary of Proposed Action (see attached letter of explanation) This resolution will authorize an agreement between Ingham County and Ferris State University for placing students at theHealth Department's Bureau of Environmental Health for field study opportunities. The students get valuable experiences intheir field and they provide additional resources to conduct research, complete data entry activities and a variety of other tasksfor the County.

Financial ImplicationsThere are no direct costs involved.

Other Implications

Staff Recommendation: JA DE JN * HH This resolution should be approved.

Agenda Item 3c

M E M O R A N D U M

TO: Human Services Committee

FROM: Bruce Bragg

DATE: March 23, 2001

SUBJECT: Agreement with Ferris State University to Provide for Field Experience for Environmental Health Students

Ferris State University has a curriculum in Environmental Health. Students in that program need field study opportunities. TheHealth Department's Bureau of Environmental Health appreciates the opportunity to provide such opportunities; the studentsrepresent additional resources to conduct research, complete data entry activities and a variety of other tasks.

Ferris State University requires a contract to clarify the relationship among the University, the student and the County. Attached is a resolution to authorize an agreement between Ingham County and Ferris State University for the period of May 1,2001 through April 30, 2004.

I recommend that the Board adopt the resolution and authorize the proposed agreement. The relationship will be good forIngham County, for Ferris State University and for students in the Environmental Health program.

BBB/jcn

Attachment

cc: Bob Godbold w/attachment

Agenda Item 3c

Introduced by the Human Services Committee of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AN AGREEMENT WITH FERRIS STATEUNIVERSITY TO PROVIDE FIELD EXPERIENCES FOR

ENVIRONMENTAL HEALTH STUDENTS

WHEREAS, Ferris State University operates the only teaching program specifically designed to develop environmental healthspecialists; and

WHEREAS, Ferris State University has requested that the Ingham County Health Department provide field placement (clinical)experiences for environmental health students; and

WHEREAS, the Environmental Health Director has recommended that the Board of Commissioners enter into an agreementwith Ferris State University to facilitate the requested field training experience.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an agreement with FerrisState University to provide for environmental health field placement experiences for students.

BE IT FURTHER RESOLVED, that the period of the agreement shall be May 1, 2001 through April 30, 2004, and that theBoard Chairperson is authorized to sign the agreement after review by the County Attorney.

Agenda Item 3d

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize a Subcontract with the Ingham Intermediate School District to Implement theAll Children Connected to Succeed Initiative.

Submitted by Health Department

Committees: Ad.Ser/Per. * , H.S. * , Law & Cts. , Finance *

Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a subcontract with the Ingham Intermediate School District (IISD), (acting as the fiduciary agencyfor ACTS funding) for the Ingham County Health Department. The subcontract will support activities of the Michigan Department of Education “All Students Achieve Program - ParentInvolvement and Education” (ASAP-PIE) initiative. This new Ingham County initiative will be called “All Children Connectedto Succeed” (ACTS).

Financial Implications The subcontract is for $716,818 for the 13 month period from June 1, 2001 to June 30, 2002. Thisfunding will support the costs associated with a total of 14 FTE’s at the Ingham County Health Department. We anticipate thatfunding will continue in year two and three of the grant with the subcontract amount to increase to cover the cost of living andstep increases for the staff.

11 new home visiting positions $532,5862 new OYC positions 105,2271 new Public Health Nurse I position 57,819Sub- Total $695,632Reimbursement for current staff 21,186 TOTAL $716,818

Other ImplicationsMost of the positions associated with the ACTS subcontract with IISD will be stationed in 11 community sites. So, themajority will not be housed at the Human Services Building, but some will be and it does present a problem. The HealthDepartment is in the process of preparing for these additional staff by moving some folks to Willow Plaza and doing some otherthings. In the end, they may need additional space and are reviewing options with the facilities department.

Staff Recommendation: JA DE JN * HH

This resolution should be approved.

Agenda Item 3dMEMORANDUM

To: Human Services CommitteeAdministrative Services/Personnel CommitteeFinance Committee

From: Bruce Bragg

Date: April 2, 2001

Subject: Subcontract with the Ingham Intermediate School

The Ingham Intermediate School District has been awarded a $3.9 million competitive grant from the MichiganDepartment of Education through the “All Students Achieve Program - Parent Involvement and Education”(ASAP-PIE) initiative. This new Ingham County initiative will be called “All Children Connected to Succeed”(ACTS).

The Ingham Intermediate School District (IISD), acting as the fiduciary agency for ACTS funding, has offeredto subcontract with Ingham County for the amount of $716,818 for the 13 month period from June 1, 2001 toJune 30, 2002. This funding will support the costs associated with a total of 14 FTE’s at the Ingham CountyHealth Department. We anticipate that funding will continue in year two and three of the grant with thesubcontract amount to increase to cover the cost of living and step increases for the staff.

This new funding will create 11 new home visiting positions ($532,586) in the Health Department’s Jump StartProgram to conduct home visits to families with young children in Ingham County. The job title andclassification for these positions will be recommended by the Human Resources Department at the time theAdministrative Services/Personnel Committee considers this proposal.

This new funding will create 2 new positions ($105,227) in the Health Department’s Office for Young Childrento support the development of a quality education and child care network in Ingham County.

In addition, this new initiative will fund a new Public Health Nurse I position ($57,819) to serve as consultantsto the Parent-Child Resource teams working with the new family resource centers.

ACTS was developed as part of a comprehensive community plan for a universal and high-quality earlychildhood education and care system. Ingham County’s Human Services Advisory Committee (HSAC), withfacilitation by Ingham Intermediate School District (IISD), launched the community planning and has establisheda permanent committee on families with children ages 0–5 to oversee and coordinate system development andcollaborate with Lansing’s Ready to Succeed Blue Ribbon Steering Committee. Lansing’s Ready to Succeedrecommendations served as the blueprint for this county-wide initiative that builds on family strengths and localresources. The community plan and the ACTS Program were designed through a broad-based, collaborativework group process with participants from families, all

Agenda Item 3d

member agencies of the multi-purpose collaborative body, local school districts, the local 4-C organization,other public and private agencies, and the media, government, faith community, and higher education. Workgroups completed the community profile; inventory; gap and research analysis; and developed a vision, sharedvalues, and program description.

The ACTS Program establishes a universally-available set of services for parents and parenting adults ofchildren age 0–5. ACTS will connect parents, schools, and the community in a partnership to work toward thevision of all children ready to succeed in school and in life. Parent-Child Resource Teams will deliver homevisits, parent education programming, periodic developmental screening, and connect families to qualitypreschool programs and the community resource network. Programs and activities will be offered to familiesthrough eleven Family Resource Centers and other community settings where families come every day. ACTSis a community-based program with centralized support from the IISD, responsive to the particular needs offamilies in their communities and guided by a vision, shared values and goals, and the use of research-basedmodels.

The core services provided by ACTS includes: home visiting, parent group meetings and classes, developing aquality education and child care network, and building a community resource network.

Home visiting—existing home visiting programs offered by IISD, Ingham County Health Department, andCommunity Mental Health will be expanded to offer home visiting services through the ACTS Program. Newservices funded by ACTS will expand the number of home visitors to meet parent demand, provide stafftraining in a common home visiting model and parent education curriculum, and establish community-basedteams to organize and deliver ACTS services with centralized administrative support through the IISD. Existingscreening of newborn records done by the Jump Start Program will be consolidated into a universal hospital-based “welcome to the local school district” and an invitation to the family to participate in the ACTS Program,obtaining consent for an ACTS’ home visit in addition to consent for referrals to existing at-risk and specialneeds home visiting programs, as appropriate.

Quality preschool programs —ACTS will implement selected services recommended by the Lansing BlueRibbon Committee Report for a Quality Education and Child Care Network (QECC). The part of the QECCfunded by ACTS will support quality preschool program development, coordinate and provide teacher training,and offer consultation and training on inclusion of special needs children and those with emotional andbehavioral difficulties in preschool programs. The Office for Young Children will coordinate these activities,including building the KEEP Program into the network’s services, under the guidance of a multi-agency steeringcommittee.

This an exciting initiative in the County which builds on the work of the Blue Ribbon Ready to SucceedCommittee plan. I recommend that the Board of Commissioners adopt the attached resolution and authorizethe subcontract with the Intermediate School District.

Attachment

Agenda Item 3d

Introduced by the Human Services, Administrative Services/Personnel and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A SUBCONTRACT WITH THE INGHAMINTERMEDIATE SCHOOL DISTRICT TO IMPLEMENT THE ALL CHILDREN

CONNECTED TO SUCCEED INITIATIVE

WHEREAS, a comprehensive community plan for a universal and high-quality early childhoodeducation and care system has been developed by a collaborative group of community agencies; and

WHEREAS, the plan was submitted to the Michigan Department of Education in response to a requestfor proposals for the “All Students Achieve Program - Parent Involvement and Education” initiative;and

WHEREAS, the State of Michigan has awarded the Ingham Intermediate School District (IISD) with a$3.9 million grant to implement the Ingham County initiative, which shall be known as “All ChildrenConnected to Succeed”; and

WHEREAS, the IISD has proposed to subcontract with Ingham County to purchase services from theIngham County Health Department; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize theproposed subcontract.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes asubcontract with the Ingham Intermediate School District, as part of the $3.9 million All StudentAchieve Program - Parent Involvement and Education grant from the Michigan Department ofEducation.

BE IT FURTHER RESOLVED, that the subcontract shall be for the period June 1, 2001 through June30, 2002 and that the Ingham Intermediate School District shall provide Ingham County with $716,818to implement the Ingham County portion of the initiative, to be known as “All Children Connected toSucceed” (ACTS).

BE IT FURTHER RESOLVED, that a grant funded, full-time Public Health Nurse I position (ICEA–2) be established.

BE IT FURTHER RESOLVED, that a grant funded, full-time Child Care Consultant-Health position(ICEA P-5) be established.

Agenda Item 3d

BE IT FURTHER RESOLVED, that a grant funded, full-time OYC Training Coordinator position(ICEA P-7) be established.

BE IT FURTHER RESOLVED, that 11 full-time, grant funded home visiting positions shall beestablished to conduct home visits to families with young children, with the job title and classification tobe established by the Administrative Services/Personnel Committee upon recommendation by theHuman Resources Department.

BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the Health Department’s2001 budget to implement this resolution.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the subcontract withthe Ingham Intermediate School District after review by the County Attorney.

Agenda Item 3e

RESOLUTION STAFF REVIEW DATE March 26, 2001

Agenda Item Title Resolution to Authorize a Contract with Assurecare/Group Benefit Services,Inc., and to Authorize an Amendment to the Administrative ServicesAgreement with the Ingham Health Plan Corporation

Submitted by Health Department

Committees: Ad.Ser/Per. , H.S. * , Law & Cts. , Finance *

Summary of Proposed Action (see attached letter of explanation) This resolution will authorize a contract with AssureCare/Group Benefit Services, Inc. to provideassistance to the County in the processing of certain medical claims, and to amend the AdministrativeServices Agreement with the Ingham Health Plan Corporation.

Financial Implications This is a no-cost deal from Ingham County's perspective. The Ingham HealthPlan Corporation has agreed to directly pay the initial costs of setting up the relationship withAssureCare/Group Benefit. This will include the cost of consultation to build and test the IHPcoverages in the system, training and programming needed to load fees, procedure screens and the IHProster.

The Ingham Health Plan has also agreed to reimburse the Health Department for the ongoing costsassociated with the use of the system. This will be accomplished by amending the AdministrativeServices Agreement between the Health Plan and the County. AssureCare/Group Benefits will invoicethe Health Department for the monthly charges associated with the use of the system; the County willpay the bill and then be reimbursed by the Ingham Health Plan Corporation.

The contract with AssureCare/Group Benefits will include a fee of $0.85 for each claim processed,charges for postage, check stock, envelopes, updates of Medicaid screens, continuing education andtraining costs for health department staff. The estimated total cost for the first year is about $31,000.

Other Implications The County's accounts payable system does not have the specialized features ofsystems that are designed specifically for medical claims and payment. This contract will improve theprocess and relieve the Ingham County Financial Services Department from processing about 1,300claims (current rate of claims) per month.

Staff Recommendation: JA DE JN * HH This resolution should be approved

Agenda Item 3e

MEMORANDUM

To: Human Services CommitteeFinance Committee

From: Bruce Bragg

Date: April 2, 2001

Subject: Recommendation to Contract with AssureCare/Group Benefit Services, Inc.

This is a recommendation to authorize a contract with AssureCare/Group Benefit Services, Inc. toprovide assistance to the County in the processing of certain medical claims, and to amend theAdministrative Services Agreement with the Ingham Health Plan Corporation. The County participateswith the Ingham Health Plan Corporation in arrangements to provide a health benefit plan to low-income individuals, provide discounted prescription drugs to low-income County residents and otherservices. The Ingham Health Plan Corporation contracts with Ingham County to serve as the source ofprimary care services to about 10,000 of the 11,500 persons enrolled in the Health Plan. Additionally,the Corporation contracts with the County to provide administrative support to the Corporation Board,to provide outreach, determine eligibility and enroll persons in the Plan and to process payments forclaims from speciality care physicians and other providers.

The processing of these speciality care claims has proven to be a more difficult task than was intended. It involves authorizing medically necessary care and paying claims received from providers forappropriate care. At the present time the County pays about 1,300 claims each month.

The specialty claims payment mechanism that is used (the County's accounts payable system) does nothave the specialized features of systems that are designed specifically for claims adjudication andpayment. For example, providers who get paid through the system struggle to figure out where to postthe payment because the checks do not include that information. Payments from health insurancecompanies and HMO’s provide the provider with information identifying what patient, what proceduresare being paid and the date of the service. The County’s Financial Services Department has advisedthat the Ingham County system cannot readily produce the information providers want. The HealthDepartment could manually input this information, but this would be time consuming and expensive. Continuing with the status quo is not an option. By not giving this information to providers, theybecome frustrated with the Health Plan and it gives them a reason not to participate. We know it alsoleads to duplicate billing and payment.

The proposed agreement would allow Health Department staff to tap into AssureCare/Group

Agenda Item 3e

Benefits Services' automated claims payment system to adjudicate and pay specialty care claims forIngham Health Plan enrollees. A Health Department staff person would enter the necessary informationinto the AssureCare/Group Benefit's system via computer and Internet interface. This will be the sameinformation that staff already enter into the County system. However, unlike the County’s accountspayment system, the new system will produce checks which includes information providers need topost the payments and it will produce rejection notices when claims are denied. It assures duplicateclaims are not paid by mistake and produces reports to help document and better manage the specialtycare funds. The system includes steps to assure claims are for eligible members, for covered servicesand are paid at the correct price.

The Ingham Health Plan Corporation has already agreed to directly pay the initial costs of setting up therelationship with AssureCare/Group Benefit. This will include the cost of consultation to build and testthe IHP coverages in the system, training and programming needed to load fees, procedure screens andthe IHP roster.

The Ingham Health Plan has also agreed to reimburse the Health Department for the ongoing costsassociated with the use of the system. This will be accomplished by amending the AdministrativeServices Agreement between the Health Plan and the County. AssureCare/Group Benefits will invoicethe Health Department for the monthly charges associated with the use of the system; the County willpay the bill and then be reimbursed by the Ingham Health Plan Corporation. This is a no-cost dealfrom Ingham County's perspective and it will relieve the Financial Services Department of the burden ofcutting several hundred checks a month. The checks will be printed by AssureCare/Group BenefitServices, Inc. and will clear through an account designated by Ingham County, which will contain onlythe funds necessary to pay the authorized claims.

The contract with AssureCare/Group Benefits will include a fee of $0.85 for each claim processed,charges for postage, check stock, envelopes, updates of Medicaid screens, continuing education andtraining costs for health department staff. We estimate the total cost not to exceed $31,000 the firstyear.

This resolution also proposes to amend the Administrative Services Agreement with the Ingham HealthPlan Corporation. The amendment will facilitate the Corporation reimbursing Ingham County for thecost of implementing the agreement with AssureCare/Group Benefit Services. I recommend that theBoard adopt the attached resolution and authorize the proposed agreement with AssureCare/GroupBenefit Services, Inc. and the amendment to the Administrative Services Agreement with the InghamHealth Plan Corporation.

Attachment

Agenda Item 3e

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE A CONTRACT WITH ASSURECARE/GROUPBENEFIT SERVICES, INC., AND TO AUTHORIZE AN AMENDMENT TO THE

ADMINISTRATIVE SERVICES AGREEMENT WITH THE INGHAM HEALTH PLANCORPORATION

WHEREAS, Ingham County participates in the operation of the Ingham Health Plan as a mechanismfor providing low-income, uninsured persons with access to an organized system of health care; and

WHEREAS, the Ingham Health Plan Corporation contracts with Ingham County to provide primarycare services to about 10,000 Ingham Health Plan enrollees, to provide enrollment services andadministrative support to the Board of Directors and to operate the mechanisms by which referrals areauthorized, adjudicated and paid for by speciality care provider services; and

WHEREAS, the Health Department and the Controller’s Office have been working to find an efficientmanner to handle the several hundred speciality care bills each month; and

WHEREAS, the Health Officer and the Controller have recommended that the County enter into anagreement with AssureCare/Group Benefit Services, Inc. to provide certain assistance in the claimadjudication and payment processes; and

WHEREAS, the Health Officer has recommended that the Administrative Services Agreement with theIngham Health Plan Corporation be amended to provide for the Corporation to reimburse InghamCounty for any additional cost of services resulting from the agreement with AssureCare/Group BenefitServices, Inc.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes anagreement with AssureCare/Group Benefits, Inc., 4660 South Hagadorn Road, East Lansing, Michigan48823, to provide assistance to the County in the adjudication and payment of speciality care providerclaims.

BE IT FURTHER RESOLVED, the period of the agreement shall be April 15, 2001 through April 14,2002.

BE IT FURTHER RESOLVED, that AssureCare/Group Benefits, Inc. shall provide Ingham Countywith assistance in the processing of speciality care provider claims for Ingham Health Plan enrollees,with the services to include providing Ingham County Health Department staff

Agenda Item 3e

access to AssureCare/Group Benefits Services’ automated claims payment system, the adjudication ofclaims and the payment of authorized claims.

BE IT FURTHER RESOLVED, that Ingham County will pay AssureCare/Group Benefit Services, Inc.$0.85 per claim and will reimburse for the actual cost of postage, check stock, envelopes, phone line,programming to update Medicaid screens and for clerical support related to processing and payingclaims.

BE IT FURTHER RESOLVED, that the Administrative Services Agreement, authorized by ResolutionNo. 00-257, be amended to provide for the Ingham Health Plan Corporation reimbursement to InghamCounty for all expenses related to the implementation of the agreement with AssureCare/Group BenefitServices, Inc.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement withAssureCare/Group Benefit Services, Inc. and the amendment to the Ingham Health Plan CorporationAgreement after review by the County Attorney.

Agenda Item 4a

M E M O R A N D U M

TO: Finance and Liaison Committees

FROM: Jerry Ambrose, Controller RE: First Quarter 2001 Budget Adjustments and Contingency Fund Update

DATE: March 22, 2001______________________________________________________________________________

Enclosed please find the recommended adjustments to the Ingham County budget for the first quarter offiscal year 2001. The total increase to the General Fund is $385,891.

The quarterly budget amendment process as authorized by the Board of Commissioners is necessary tomake adjustments to the adopted budget. Usually, adjustments are made as a result of updatedrevenue and expenditure projections, grant revenues, reappropriations, accounting and contractualchanges, and general housekeeping issues. The most extraordinary adjustment being made this quarter is related to health insurance. The 2001adopted budget included an increase in health insurance rates of 15%. The actual increase turned outto be around 20%. While this is a large increase, it is substantially lower than the initial premiumincrease of 40%. Through the efforts of the Health Coalition, in cooperation with all of the unions andnon-represented employees, changes were made to our health insurance plan, to lower the increase to20%. The additional general fund cost for this increase, $135,000, is proposed to be taken from 2001Contingency Funds.

Also included is an update of contingency fund spending so far this year, including the recommendedchanges in this resolution. After these changes, the current contingency amount will be $366,174. Theattached document details how the Board has allocated the contingency funds throughout the year,beginning with a balance of $550,000.

Should you require any additional information or have questions regarding this process, please don’thesitate to contact me.

Agenda Item 4aIntroduced by the Finance Committee of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION AUTHORIZING ADJUSTMENTS TO THE 2001 INGHAM COUNTYBUDGET

WHEREAS, the Board of Commissioners adopted the 2001 Budget on October 24, 2000 and hasauthorized certain amendments since that time, and it is now necessary to make some adjustments as aresult of updated revenue and expenditure projections, fund transfers, reappropriations, accounting andcontractual changes, errors and omissions, and additional appropriation needs; and

WHEREAS, the Liaison Committees and the Finance Committee have reviewed the proposed budgetadjustments prepared by the Controller’s staff and have made adjustments where necessary; and

WHEREAS, Public Act 621 of 1978 requires that local units of government maintain a balancedbudget and periodically adjust the budget to reflect revised revenue and expenditure levels.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby directsthe Controller to make the necessary transfers to adjust revenues and expenditures in the followingfunds, according to the attached schedules:

2001 BUDGET PROPOSED PROPOSEDFUND DESCRIPTION 03/01/01 CHANGES BUDGET

101* General Fund $62,350,655 $385,891 $62,736,546221 Health 23,143,145 40,942 23,184,087230 Hotel/Motel 2,000,000 45,030 2,045,030245 Public Improvement 353,538 803,966 1,157,504292 Family Division - Child Care 5,047,461 16,288 5,063,749451 Fair CIP 100,000 45,030 145,030561 Fair Operating 995,240 2,172 997,412595 Inmate Stores 325,887 135,000 460,887636 MIS 2,778,612 16,500 2,795,112639 Drain Equipment Revolving 1,236,648 96,089 1,332,737664 Mach. & Equip. Revolving 269,349 259,631 528,980

* Does not include funds associated with the sale of Ingham Medical Center.

Agenda Item 4a

2001 CONTINGENCY

Adopted Contingency Amount $550,000

R01-64: Jail Security Cameras ($6,740)

Proposed 1st Quarter Adjustment ($177,086)

Current Contingency Amount $366,174