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ENGROSSED SENATE BILL 2012HOUSE APPROPRIATIONS
HUMAN RESOURCES DIVISIONREPRESENTATIVE JON NELSON, CHAIR
Northeast Human Service Center (NEHSC)Field Services DivisionRandy Slavens, Regional Director
2
3
NORTH DAKOTA DEPARTMENT OF HUMAN SERVICESNORTHEAST HUMAN SERVICE CENTER 143.1 FTE
EXECUTIVE DIRECTOR
CHRIS JONES
Tom EideDirector, Field
Services
Rosalie Etherington
Jeff Stenseth
Randy Slavens
Administration22.7 FTE
Behavioral Health82.4 FTE
Children & Family Services 4.5 FTE
Developmental Disabilities 18.5
FTE
Aging Services2 FTE
Vocational Rehabilitation
13 FTE
Tom SolbergDeputy Director
4
Administration, 22.7
Behavioral Health, 82.4
Children & Family Services,
4.5
Developmental Disabilities, 18.5
Aging, 2
Vocational Rehabilitation, 13
BREAKDOWN OF NEHSC 143.1 FULL TIME EQUIVALENT (FTE)
5
6
Direct Care Associates, 8.1
Mental Health Counselors, 15
Case Managers, 13Psychologists, 2
Addiction Counselors, 11
Program Administators, 4.9
Prescribers/Unclassified, 3.8
Nurses, 6.8Other, 2
A BREAKDOWN OF NEHSC BEHAVIORAL HEALTH 66.6 FTEexcluding Ruth Meiers PRTF
7
8
11%17% 15%
2016 2017 2018
Turnover Rate Northeast Human Service Center
9
Current vacancies
Position Number Work Site Job Class Vacant FTE VACANCY DATEANTICIPATED FILL
DATE STATUS
00003171 NORTHEAST HSC HUMAN RELATIONS CLSR 1.000 7/31/2018 3/4/2019 Filled
00003252 NORTHEAST HSC OFFICE ASSISTANT III 1.000 6/29/2018 NAPart of 19-21 reduction
00003464 NORTHEAST HSC DEV DIS CASE MGR II 1.000 11/23/2018 4/1/2019 Filled
00003844 NORTHEAST HSC OFFICE ASSISTANT III 0.600 5/1/2018 5/1/2019 Assessing
00004008 NORTHEAST HSC LIC PSYCHOLOGIST I 1.000 5/15/2015 4/1/2019 Currently recruiting
00004079 NORTHEAST HSC DIRECT CARE ASSOC III 1.000 1/6/2019 4/1/2019 Currently interviewing
00004092 NORTHEAST HSC ADDICTION COUNS II 1.000 12/15/2018 3/4/2019 Filled
10
Current vacancies
Position Number Work Site Job Class Vacant FTE VACANCY DATEANTICIPATED FILL
DATE STATUS
00004268 NORTHEAST HSC DIRECT CARE ASSOC III 0.800 1/21/2019 3/1/2019 Filled
00004274 NORTHEAST HSC HSPA IV 1.000 1/1/2019 5/1/2019 Currently interviewing
00004344 NORTHEAST HSC ADMIN ASSISTANT I 1.000 1/4/2019 4/1/2019 Currently interviewing
00004352 NORTHEAST HSC ADVANCED CLINICAL SPEC 1.000 10/15/2018 3/4/2019 Filled
00004370 NORTHEAST HSC DIRECT CARE ASSOC III 1.000 2/22/2019 4/1/2019 Currently interviewing
00003520 NORTHEAST-VR SR VR COUNSELOR 1.000 9/28/2018 NAPart of 19-21 reduction
NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018Client Count NE 997 961 1,000 989 1,017 1,001 1,054 1,000 960 976 971 1,033Hours NE 2,873 2,623 2,830 2,648 2,625 2,730 3,055 2,731 2,803 3,145 2,488 2,877Services NE 7,830 7,651 8,437 8,060 8,205 8,355 9,186 8,641 7,959 9,011 7,767 9,053
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
0
200
400
600
800
1,000
1,200
Coun
t of S
ervi
ces
and
Hou
rs
Uni
que
Coun
t of C
lient
sDuration (Hours) of Services, Count of Services, and Unique Count of Clients, NEHSC,
NOV 2017 - OCT 2018
11
1113
6
9
3
1112
8 810
13
5
3
2
2
32
1
41
2
0
2
4
6
8
10
12
14
16
APR 2017 MAY 2017 JUN 2017 JUL 2017 AUG 2017 SEP 2017 OCT 2017 NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018
Count of Emergency Services Face-to-Face and Phone Calls, NEHSC, APR 2017 - MAR 2018
Phone Call Face-to-face 12
Phone Call, 109 84%
Face-to-face, 20 16%
Counts and Percentages of Face-to-Face and Phone Call Emergency Services, NEHSC from APR 2017 through MAR 2018
13
Supportive Therapy, 37%Safety Planning, 1%
Addiction Residential, 1%
Detox, 2%
Crisis Residence Unit, 1% Emergency Room, 12%
Hospital Admission, 9%ND State Hospital, 38%
Emergency Services Disposition NEHSC, APR 2017 - MAR 2018
14
JUL2017
AUG2017
SEP2017
OCT2017
NOV2017
DEC2017
JAN2018
FEB2018
MAR2018
APR2018
MAY2018
JUN2018
JUL2018
AUG2018
SEP2018
OCT2018
Triaged 65 74 85 57 69 88 83 80 98 75 94 82 93 73 56 77Assessed 50 50 54 30 51 48 55 53 63 51 61 50 52 52 32 52Referred Out 15 24 31 27 18 40 28 27 35 24 33 32 41 21 24 14
0
20
40
60
80
100
120Co
unt o
f Clie
nts
Open Access NEHSC by Month, JUL 2017 - OCT 2018
15
NOV 2017 DEC 2017 JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018NE 13 28 14 16 29 24 14 21 30 20 21 28ND 538 491 600 507 570 649 550 617 618 718 702 893
0
100
200
300
400
500
600
700
800
900
1,000
Num
ber o
f Tel
ehea
lth S
essi
ons
Number of Telehealth Sessions Statewide and NEHSCNOV 2017 - OCT 2018
16
Region IV - Updates• Outreach at La Grave on First
• Adolescent Substance Use Disorder 3.1 program
• Tobacco Cessation Groups
• Therapist added to Juvenile Drug Court team
• Started a women's trauma group
• Started a men’s trauma group
17
533 566 579 577 586 589 593
237261 262 311 330 342 319
0
100
200
300
400
500
600
700
800
900
1000
2012 2013 2014 2015 2016 2017 2018
Coun
t of C
lient
s
State Fiscal Year
Unduplicated Count of Developmental Disability Program Clients: Northeast HSC
All Clients Over 3 years old All Clients Under 3 years old
18
OVERVIEW OF BUDGET CHANGES
19
Description2017-2019
BudgetIncrease/
(Decrease)2019-2021
Executive BudgetSenate
Changes
2019-2021 Budget to
HouseSalary and Wages 23,366,866 2,194,682 25,561,548 (291,444) 25,270,104 Operating 3,141,465 (363,985) 2,777,480 0 2,777,480 Grants 3,910,967 192,033 4,103,000 626,998 4,729,998 Total 30,419,298 2,022,730 32,442,028 335,554 32,777,582
General Fund 16,466,390 1,316,200 17,782,590 569,242 18,351,832 Federal Funds 10,984,189 483,831 11,468,020 (99,672) 11,368,348 Other Funds 2,968,719 222,699 3,191,418 (134,016) 3,057,402 Total 30,419,298 2,022,730 32,442,028 335,554 32,777,582
Full Time Equivalent (FTE) 140.10 3.00 143.10 0.00 143.10
OVERVIEW OF BUDGET CHANGESBudget Analysis
20
2015-17 BienniumExpenditures
2017-19 BienniumAppropriation
2019-21 ExecutiveBudget Request
2019-21 Budget toHouse
Grants 4,007,954 3,910,967 4,103,000 4,729,998Operating Expenses 3,108,335 3,141,465 2,777,480 2,777,480Salaries and Wages 21,984,388 23,366,866 25,561,548 25,270,104FTE 140.65 140.1 143.1 143.10
0
20
40
60
80
100
120
140
160
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
30,000,000
35,000,000
MAJOR SALARY AND WAGES DIFFERENCES
21
MAJOR OPERATING DIFFERENCES
22
MAJOR GRANTS DIFFERENCES
23
OVERVIEW OF FUNDING
2015-17 BienniumExpenditures
2017-19 BienniumAppropriation
2019-21 ExecutiveBudget Request
2019-21Budget To
HouseSpecial Funds 2,203,923 2,968,719 3,191,418 3,057,402State General Fund 18,347,927 16,466,390 17,782,590 18,351,832Federal Funds 8,548,827 10,984,189 11,468,020 11,368,348
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000Th
ousa
nds Funding Sources
24
OVERVIEW OF BUDGET CHANGES BY EXPENSE CATEGORY
25
Expense Category2015-2017 Expenses
2017-2019 Budget
2017-2019 YR1
Increase/ (Decrease)
2019-2021 Executive
BudgetSenate
Changes
2019-2021 Budget to
House51x Salaries & Benefits 21,984,388 23,366,866 10,728,855 2,194,682 25,561,548 (291,444) 25,270,104 Salaries and Wages 21,984,388 23,366,866 10,728,855 2,194,682 25,561,548 (291,444) 25,270,104 52x Travel 403,815 459,080 200,462 (48,421) 410,659 410,659 53x Supplies 281,090 234,282 114,276 (1,241) 233,041 233,041 54x Postage & Printing 42,904 38,158 15,632 (3,640) 34,518 34,518 55x Equipment under $5,000 29,174 17,619 17,619 (5,619) 12,000 12,000 56x Utilities 41,595 29,160 14,584 - 29,160 29,160 57x Insurance 696 696 348 (696) - - 58x Rent/Leases - Bldg./Equip 1,292,110 1,359,487 678,573 (396) 1,359,091 1,359,091 59x Repairs 48,496 36,883 16,146 3,246 40,129 40,129 60x IT Services 162,998 164,933 81,268 (1,613) 163,320 163,320 61x Professional Development 26,440 29,141 9,785 (1,569) 27,572 27,572 62x Fees - Operating & Professional 779,017 772,026 299,300 (304,036) 467,990 467,990 Operating Expenses 3,108,335 3,141,465 1,447,993 (363,985) 2,777,480 - 2,777,480 71x Grants, Benefits & Claims 4,007,954 3,910,967 1,944,718 192,033 4,103,000 626,998 4,729,998 Grant Expenses 4,007,954 3,910,967 1,944,718 192,033 4,103,000 626,998 4,729,998
29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582
OVERVIEW OF BUDGET CHANGES BY FUNDING SOURCE
26
Expense Category2015-2017 Expenses
2017-2019 Budget
2017-2019 YR1
Increase/ (Decrease)
2019-2021 Executive
BudgetSenate
Changes
2019-2021 Budget to
HouseF_9991 General Fund 18,347,927 16,466,390 7,756,542 1,316,200 17,782,590 569,242 18,351,832 F_9992 Federal Funds 8,548,827 10,984,189 5,162,535 483,831 11,468,020 (99,672) 11,368,348 F_9993 Other Funds 2,203,923 2,968,719 1,202,489 222,699 3,191,418 (134,016) 3,057,402 Total HSC's/Institutions 29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582
29,100,677 30,419,298 14,121,566 2,022,730 32,442,028 335,554 32,777,582