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July 12, 2017 Ways and Means Agenda

                                              WAYS & MEANS COMMITTEE

                                                              July 12, 2017
                                                                  6:30 p.m.
                                    Administration Building - Board Room
                                                         220 N. Main Street
                                                        Ann Arbor, Michigan

To view the Millage Language Amendment Draft, click here.

I. Roll Call
II. Citizen Participation
III. Commissioner Follow-up to Citizen Participation
IV. New Business
A. Health
 1. Public Health
 a. Software and Implementation Services for Licensing, Permitting, and Code Enforcement
 -Approving the purchase and implementation
 -For the Tyler EnerGov Software
 -For the period of 8/1/17 – 7/31/19
 -To improve the permitting services for serviced by utilizing an all-encompassing software package for internal and external customers serviced by Public Health, building Inspection, and the Water Resources SESC program
 -For a cost of $945,000 to be funded as follows:
- Public Health Fund Balance $552,000
- Building Inspection Fund Balance $161,000
- Soil Erosion & Sedimentation Control (paid from IT Capital Reserves to be reimbursed by SESC) - $82,000
- Office of Infrastructure Management Fund Balance - $150,000
 -The annual maintenance agreement and support charge of $106,260 will be charged to benefiting through the cost allocation plan
 RECOMMENDATION: Approval at Board

 b. Public Health Community Conversations
 -Ratifying/ Authorizing the signature of the County Administrator on the Community Conversations grant contracts
 -With the Ypsilanti Area Community Foundation, The Washtenaw County Parks and Recreation Commission, The Washtenaw Coordinated Funders, St. Joseph Mercy Health Systems, and The Washtenaw Area Transportation Study
 For the period of 7/1/17 – 6/30/18
 In the amount of $ 33,000
 -To improve community health outcomes and expand community engagement through targeted community conversations
 -This collaborative is part of the broader Community Health Equity Needs Assessment (CHENA), and Improvement Plan (CHEIP)
 -The countywide HIP Coordinating Committee/Guiding Team will support the partnership under a framework of equity and justice to improve outcomes
 -The deliverables from WCPH will be included in a two to four page report for each of the six identified communities summarizing process and measurable outcomes, including:
- Community identified health priorities
- Quantitative and qualitative data in relation to these priorities
- Policy and process recommendations from community leaders for incorporating health equity into funder’s work
- Social network web maps for each community leader
- Outcomes for mini-grants
- Next steps and needs for continuing community based work and integrating into CHENA and CHEIP
  -Each funder will be supporting a particular community leader and their work:
- Washtenaw County Coordinated Funders
- West Willow, SOMA, IDEA
- Ypsilanti Area Community Foundation
      - Eastside Youth
- Washtenaw County Parks & Recreation Commission
- Whitmore Lake, Macarthur Blvd.
- Washtenaw Area Transportation Study
- Food for the six large community meetings
 RECOMMENDATION: Approval at Board


 2. Community Mental Health
 a. WCCMH 2016-17 Budget Amendment
  -Approving the Washtenaw County Community Mental Health Agency Budget Amendment
 -Authorizing the Administrator to approve the amended Medicaid Subcontracting Agreement and grant agreements
 With the CMHPSM, MDHHS, and MHEF
 For the FY 10/1/2016-9/30/2017
 In the amount of $1,386,036
  -The Community Mental Health Partnership of Southeast Michigan (CMHPSM) contracts with WCCMH for the provision of specialty mental health services to Medicaid eligible individuals. 
  -Approximately 88% or $68.4 million of the WCCMH budget is capitated Medicaid dollars received from the CMHPSM, while 4% or $2.8 million is allocated from the State General Fund
 -The revised revenues have been allocated in response to the WCCMH Board Strategic Plan to meet the service provision priorities identified through the process as listed:
- Medicaid - $700,000
- Healthy Michigan Plan ( Medicaid) - $150,000
- State General Funds - $65,216
- Federal Revenue (Michigan Health Endowment Fund) - $470,820
- For a total of - $ $1,386,036
 -There is no impact on the general fund
 -All increases have been approved by the WCCMH Board on March 17, 2017
 RECOMMENDATION: Approval at Board
B. County Administration
    a.  Animal Control Services Contract
 -Authorizing the County Administrator to sign a contract with the Humane Society of Huron Valley
 -For the provision of certain animal control services
 -For the period of 7/1/17 through 12/31/2020
 -To cover the costs of sheltering, feeding, and providing basic veterinary care for animals cared for by the Humane Society or Huron Valley
 -To allow for the county to meet statutorily required standards for the holding of animals
 -For a total cost of $2,890,000
- $400,000 for the remainder of 2017
- $815,000 for 2018
- $830,000 for 2019
- $845,000 for 2020
 -These costs will be offset in part through revenue contracts with those local governments who benefit from these services.
 -This contract generally maintains the services that were provided during the prior 4-year contract, including the care of dogs, as statutorily required, plus the care of other animals as they arise: primarily cats, but also other pets and domestic animals depending on the reason for their care
  -It is expected that those local units with animal control ordinances would continue to assist the County by offsetting the costs of this contract as they have during the prior contract term
 RECOMMENDATION: Approval at Board
    b.  Feasibility Study – Recommendation
  -Approval of recommendation to not proceed beyond phase one with the feasibility study based on actuarial analysis regarding WCCMH
  -In 2014 the Behavioral Health Task Force was established to evaluate issues, options, and implications of maintaining or eliminating the partnership of the WCHO
  -There are three models allowed in the state mental health code for organizing mental health services for publicly funded consumers: a Community Mental Health Organization, A Community Mental Health Authority, and a Community Mental Health Agency.
  -In 2015 the BOC recommended a feasibility study to determine the impact of moving from a Community Mental Health Organization to a Community Health Authority.
 -Over the past year, Human Resources, Retirement Administration, and Finance have been working with WCERS(pension) and VEBA (retiree healthcare) actuaries to obtain data necessary to the review of the CMH feasibility study to determine changes and long-term impact
 -The analysis has been completed and both HR and Finance have collectively determined that moving to an Authority Model at this time would result in significant financial impact to both the County and/or CMH Authority
 -Based on this analysis the current recommendation is to not proceed with the feasibility study
 RECOMMENDATION: Approval at Board
C. Board of Commissioners
    a.  Creation of a Broadband Subcommittee
  -Creating a broadband subcommittee of 11-13 members
  -To assess Washtenaw County’s disparate broadband coverage and make recommendations about how to achieve county-wide broadband equity
  -The subcommittee will the value of a feasibility study to discover and document this community sentiment through surveying, and refining coverage data through mapping work done collaboratively with incumbent providers
 -For a total cost of $10,000
 RECOMMENDATION: Approval at Board
    b.  Equity Initiative Update and Government Alliance on Race and Equity (GARE) Partnership
  -Affirming a commitment to a joint Washtenaw County – City of Ann Arbor Equity Initiative
  -Engaging appropriate resources in partnership with the City of Ann Arbor for GARE to lead a 9 month “Advancing Racial Equity” series with city and County Staff
  -Culminating in an Equity Ordinance and Action Plan
 RECOMMENDATION: Approval at Board
V.  Report of the Administrator
VI. Report of the Chair of Ways and Means
VII. Report of the Chair of the Board
VIII. Items for Current/Future Discussion
IX. Pending
X. Adjournment
Next Ways & Means Meeting
August 2, 2017
Board Room
220 N. Main Street
Ann Arbor
6:30 p.m.

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