>> RIGHT WELL AGAIN GOOD MORNING. I'D LIKE TO CALL TO ORDER THIS INFORMATIONAL HEARING OF THE HOUSE HEALTH AND HUMAN HEALTH AND HUMAN SERVICES FINANCE DIVISION. WELCOME EVERYBODY.
SO I JUST THE REMINDER TO HAVE EVERYONE KNEW YOUR FEED.
AND RAISE YOUR HAND.
IF YOU WOULD LIKE TO SPEAK. AND.
WE'RE GOING TO ADD STAFF WILL BE WATCHING FOR THAT AND HOPEFULLY WELL.
WELL I CALL ON YOU IN ORDER IN WHICH YOU HAVE RAISED YOUR HAND.
WE ARE HERE TODAY TO HEAR FROM THE DEPARTMENT OF HUMAN SERVICES ABOUT OUR.
CORRECT CARE AND TREATMENT DIVISION.
SOME OF YOU MAY KNOW THAT WE HAD SOME BUDGET ISSUES THAT NO SECRET THAT THE ENTIRE STATE BUDGET CUTTING INTO DEATH OF THAT.
AND WE'RE GOING TO BE DEALING WITH SOME REALLY DIFFICULT FINANCIAL.
SITUATION FOR QUITE SOME TIME.
BUT IN DIRECT CARE AND TREATMENT WE HAVE A BUDGET DEFICIT FOR THIS YEAR. THE COMMISSIONER SPAN.
WORKING TO TRY TO FIGURE OUT HOW TO RESOLVE THAT BUDGET DEFICIT FOR.
FOR THIS BUDGET YEAR AND THEN WE HAVE A COURT THE BUDGET DEFICIT GOING INTO THE NEXT BIENNIUM. WHICH WILL BE WRESTLING WITH AS WELL.
THE COMMISSIONER RECENTLY HAS
THAT THEY'RE GOING TO BE 30 BUT THE ACTIONS THAT ARE PLANNED FOR THIS YEAR TO TRY TO DEAL WITH THE LOOMING BUDGET DEFICIT.
I THOUGHT IT WOULD BE A GOOD IDEA TO HAVE A HEARING TODAY.
TO TRY TO.
GIVE MEMBERS AND THE PUBLIC AN OPPORTUNITY TO TRY TO UNDERSTAND A LITTLE MORE ABOUT.
WHAT IS THE VISION DOGS; WHAT DIRECT CARE AND TREATMENT GOD BECAUSE I THINK IT EVEN THOUGH IT'S A LARGE DIVISION OF DHS AND EMPLOYED A LOT OF PEOPLE THAT ARE EMPLOYED THE. THAT.
PRIOR YOU KNOW FAR BEYOND THE MAJORITY OF THE PEOPLE IN.
BETTER EMPLOYEES OF DHS ARE EMPLOYED IN DIRECT CARE AND TREATMENT.
AND IT'S VERY IMPORTANT FOR A LOT OF PEOPLE.
I THINK IT'S SOMEWHAT ABOUT WELL KEPT SECRET THAT A LOT OF A LOT ABOUT DON'T UNDERSTAND A LOT ABOUT WHAT IT WAS AND SO I THOUGHT IT WOULD BE GOOD IDEA. THEY HAVE A PRESENTATION TO SORT OF EXPLAIN.
BUT THE DIVISION IS WHAT IT GOT.
AND THEN TALK ABOUT THE BUDGET DEFICIT.
AND TALK THE COMMISSIONER.
PLAN FOR DEALING WITH IT AND AND WHAT THE CONCERNS ARE WHAT THE OPTIONS ARE BECAUSE.
EVEN WITH WHAT THE COMMISSIONER HAVE PROPOSED OR HAD PUT FORWARD TO DEAL WITH IT IMMEDIATELY. IT DOESN'T EVEN TAKE CARE OF THE WHOLE BUDGET DEFICIT WITH THIS. YEAR. FOR THE BUDGET YEAR FELL.
THERE IS SOME VERY DIFFICULT CHOICES AHEAD AND SO THIS IS AN OPPORTUNITY TO HAVE A WINDOW INTO CHOICES.
I THINK WHAT WE SHOULD THE COMMISSIONERS GOING TO HAVE THE FLOOR AND SHE'S GOING TO BE GIVING A PRESENTATION COMMISSIONER.
HOW DO YOU PREFER TO HANDLE QUESTIONS WOULD YOU LIKE TO.
TAKE OUR PERCENT THEY COME.
>> OKAY; WELL; I'M.
MAYBE WE SHOULD DO IS TO SHIP YOUR PLANNING TO PREVENT SORT OF GIVE US AN OVERVIEW OF DIRECT CARE AND TREATMENT FIRST.
WHY DON'T WE GO THROUGH THAT AND THEN WE'LL TALK AND TAKE QUESTIONS ON THAT PORTION.
I JUST WANT TO HAVE THE HABIT QUOTE THE BACK.
WHY DON'T WE DO THAT NUMBER COULD BE A QUESTION ABOUT THE BASE THAT WILL GO THROUGH THOSE.
TAKE THE OLD QUESTION AND AND THEN AFTER THAT MAYBE WE CAN TAKE THEM AS THEY COME
THERE MIGHT MORE DISCUSSION AND I HOPE THAT WE WILL HAVE SOME DISCUSSION AND.
I WOULD JUST SAY TO BECAUSE.
I DON'T THINK I DON'T THINK THERE ARE ANY DUMB QUESTION. IN THAT.
IN ANYTHING THAT WE DO THIS IS COMPLICATED STUFF THAT WE DEAL WITH A REALLY IMPORTANT TASK. IF YOU HAVE A QUESTION.
CHANCES ARE SOMEBODY ELSE HAS A QUESTION TOO SO PLEASE DON'T BE SHY WHEN IT COMES TO. ASK YOUR QUESTION SO. WITH
I THINK THAT WE CAN JUST GO AHEAD
WELCOME THE COMMISSIONER AND I THINK GO AHEAD AND AND GIVE UP YOUR PRESENTATION.
>> THANK YOU VERY MUCH CHARLIE BANG MEMBERS OF THE COMMITTEE; I'M JODI HEARTS. TED I HAVE BEEN THE COMMISSIONER OF THE DEPARTMENT OF HUMAN SERVICES NOW ALMOST EXACTLY A YEAR IT WILL BE ONE YEAR ON THURSDAY.
AND AS SHE SAID THE CHAIR HAS ASKED ME TO BEGIN WITH AN OVERVIEW OF OUR DIRECT CARE AND TREATMENT SERVICES AND THEN TOUCH ON A RECENT DECISIONS WHICH YOU.
SO FIRST OF ALL I'M HAVING TROUBLE GETTING PEOPLE'S PICTURES ON MY OWN SLIDES I CAN READ MY OWN SIDE THERE WE GO.
SO OUR DIRECT CARE AND TREATMENT THE CURRENT DC DEEPER SHORT OPERATES A WIDE VARIETY OF RESIDENTIAL IN TREATMENT PROGRAMS THAT SERVE PEOPLE WITH MENTAL ILLNESS DEVELOPMENTAL DISABILITIES AND CHEMICAL DEPENDENCY.
OUR SERVICES ARE DELIVERED AT APPROXIMATELY 200 SITES STATEWIDE BY NEARLY 5;000 EMPLOYEES.
MORE THAN 3500 OF WHOM LIVE AND WORK IN GREATER MINNESOTA.
ABOUT 12;000 OF THE PEOPLE WHO RECEIVED OUR LAST AND THAT THERE WERE ABOUT 12;000 PEOPLE HAVE RECEIVED OUR SERVICES LAST YEAR.
AND JUST FOR COMPARISON SAKE D-CT AS A BEHAVIORAL HEALTH SYSTEM IS ABOUT THE SIZE OF CENTRACARE IN CENTRAL MINNESOTA.
IN TERMS OF BUDGET TO GIVE YOU A SENSE OF THE SIZE AND SCOPE OF IT.
THE MAJORITY OF CLIENTS RECEIVING MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT HAVE BEEN CIVILLY COMMITTED BY THE COURTS AND ALL SEX OFFENDERS HAVE BEEN CIVILLY COMMITTED.
BECAUSE THEIR CONDITIONS ARE COMPLEX THEIR BEHAVIORS CAN BE VOLATILE.
OTHER PROVIDERS OFTEN CANNOT OR WILL NOT SERVE THEM; HOWEVER; SOME COMMUNITY COMMUNITY PROVIDERS DO INDEED.
THESE ARE OUR PROGRAMS AND SERVICES ON THE LEFT THE MINNESOTA SEX OFFENDER PROGRAM.
OUR FORENSIC SERVICES PREVIOUSLY KNOWN AS THE SECURITY HAS BETTER IN SAINT PETER.
ARE NO GOOD METRO REGIONAL TREATMENT CENTER.
WE HAVE SEVERAL COMMUNITY BEHAVIORAL HOSPITALS; PEOPLE HELP HOSPITALS ACROSS MINNESOTA WE'VE RECENTLY OPENED OUR ONLY CHILD AND ADOLESCENT BEHAVIORAL HEALTH HOSPITAL.
WE HAVE OUR SUBSTANCE ABUSE TREATMENT SERVICES THAT WE CALL CARES.
AND OUR INTENSIVE RESIDENTIAL TREATMENT SERVICES FOR PEOPLE WITH MENTAL ILLNESS THAT WE CALL HURTS.
WE OPERATE 5 SPECIALTY CARE DENTAL CLINICS.
OUR STATE OPERATED GROUP HOMES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES AND THEN OF COURSE WE HAVE THE CENTRALIZED OPERATIONS. ANOTHER CENTRAL SERVICES. EXIDE.
OUR FORENSIC SERVICES PROVIDES EVALUATION AND TREATMENT TO CLIENTS STATEWIDE HAVE BEEN CIVILLY COMMITTED BY THE COURTS AS MENTALLY ILL AND DANGEROUS OR UNDER OTHER COMMITMENTS THAT PRESENT A PUBLIC SAFETY RISK.
SO A MAJOR PROGRAM AT SAINT PETER PROVIDES LONG-TERM TREATMENT TO ADULTS WHO CAN CIVILLY COMMITTED.
ON AVERAGE PATIENTS SAID THERE FOR ABOUT 7 YEARS AGO AND PROBABLY NOTICED THE MINNESOTA SECURITY HOSPITAL.
THE FORENSIC NURSING HOME IS ON THE SAME CAMPUS; A SECURITY A SECURE FACILITY THAT PROVIDES CARE TO ELDERLY AND INFIRM CLIENTS WHO'VE BEEN CIVILLY COMMITTED.
AS MENTALLY ILL AND DANGEROUS SEXUALLY PSYCHOPATHIC OR SEXUALLY DANGEROUS.
OR PRISONERS UNDER THE JURISDICTION OF THE DEPARTMENT OF CORRECTIONS WHO NEED NURSING HOME LEVEL OF CARE.
FORENSIC SERVICES PROVIDE STATEMENTS ABOUT 830 PEOPLE ANNUALLY.
AND FOR FISCAL 21 THE BUDGET.
IS HONORED AND 21 MILLION DOLLARS.
THE MINNESOTA SEX OFFENDER PROGRAM.
IS THE SERVES PEOPLE WHO ARE COURT ORDER TO RECEIVE SEX OFFENDER TREATMENT.
AM SOCCER AS WE CALL IT PROVIDES TREATMENT FOR APPROXIMATELY 765 CLIENTS AND BY FAR THE LARGEST PROGRAM OF ITS KIND. IN THE NATION.
THE SEX OFFENDER PROGRAM AND MOSTLY TO ITS CLIENTS IN THE INITIAL IN PRIMARY STAGES OF SEX OFFENDER TREATMENT.
IT ALSO HAS HIS CLIENT'S REFUSED TO PARTICIPATE IN TREATMENT TREATMENT THAT ARE COMMITTED TO A FACILITY.
AND CURRENTLY THERE ARE 421 CLIENTS THERE.
THE SEX OFFENDER PROGRAM AT SAINT PETER'S SERVES CLIENTS THAT ARE IN THE FINAL STAGES OF TREATMENT THAT ARE PREPARING FOR REINTEGRATION INTO THE COMMUNITY.
BUT THE FACILITY ALSO PROVIDES ALTERNATIVE TREATMENT FOR CLIENTS OR HERBAL CONVENTIONAL PROGRAMMING IS NOT APPROPRIATE.
OUR 21 BUDGET FOR THE SEX OFFENDER PROGRAM IS 98 MILLION DOLLARS.
WE HAVE SEVERAL MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICES ACROSS THE STATE.
THAT PROVIDE SERVICE TO ABOUT 1720 INDIVIDUALS ANNUALLY FROM OUR INPATIENT SERVICES.
AT THE ANOKA METRO REGIONAL TREATMENT CENTER.
OUR COMMUNITY BEHAVIORAL HEALTH HOSPITALS ARE CHILDREN OR ONE CHILD AND ADOLESCENT BEHAVIORAL HEALTH HOSPITAL.
AND THEN OUR REGIONAL TREATMENT SERVICES THE INTENSE RESIDENTIAL TREATMENT SERVICES OTHERWISE KNOWN AS HURTS FOR PEOPLE WITH MENTAL ILLNESS.
AND OUR COMMUNITY ADDICTION RECOVERY ENTERPRISE ALSO KNOWN AS CAIR.
PEOPLE WITH CHEMICAL DEPENDENCY SUBSTANCE USE DISORDER.
THE ANNUAL BUDGET IN 2151 MILLION. WE
ALSO US A GROUP OF INPATIENT PSYCHIATRIC HOSPITALS. ED MENTIONED THE ANOKA METRO REGIONAL TREATMENT CENTER THE STATE'S LARGEST PSYCHIATRIC HOSPITAL SERVING PEOPLE WHO HAVE A MENTAL ILLNESS AND CAMPUS PAY SETTING.
MANY PATIENTS HAVE COMPLEX MEDICAL HISTORIES IT'S A 110 THAT HOSPITAL ARE DIVIDED AND A 25 BED UNITS.
A COMMUNITY BEHAVIORAL HEALTH HOSPITALS PROVIDE SHORT-TERM INPATIENT PSYCHIATRIC CARE AT 6.16 BEDS SITES IN COMMUNITIES ACROSS THE STATE.
MALTAIS DESPAIRING DISCIPLINARY TEAMS USE VARIOUS PERSON SENATE APPROACHES TO BEST MEET THE NEEDS OF OUR CLIENTS.
THE COURTS COULD BE INCORPORATED INTO TREATMENT BY SERVING PATIENTS AS CLOSE AS POSSIBLE TO THEIR HOME COMMUNITIES.
AND THOSE ARE LOCATED IN ALEXANDRIA AND UNTIL NEXT UP AND THEN SHE HEARD HIS FILES AND BACK TESTER.
AND NOW THE CHILD AND ADOLESCENT BEHAVIORAL HEALTH HOSPITAL IN WILMER PROVIDES INPATIENT PSYCHIATRIC HOSPITAL SERVICES A SAFE SETTING FOR YOU TO NAME CRISIS STABILIZATION COMPREHENSIVE ASSESSMENT INTENSIVE TREATMENT. SPECIALIZED MENTAL HEALTH PROBLEMS.
MINNESOTA SPECIALTY HEALTH SYSTEM HAS 6 PEOPLE WHO HAVE A SERIOUS MENTAL ILLNESS ACQUIRED BRAIN INJURY AND OTHER CO-OCCURRING CONDITIONS CLIENTS USUALLY COME FROM A HOSPITAL TO ONE OF THESE FACILITIES AS THEY TRUST TRANSITION BACK TO LIVING IN THE COMMUNITY. THESE INTENSIVE RESIDENTIAL RESIDENTIAL TREATMENT SERVICES OR HURTS.
PROVIDED AND SAY PALM BRAINERD MY DINNER. AND WILL MATTER.
AND OUR COMMUNITY ADDICTION RECOVERY ENTERPRISE CARE; THERE'S A LOT OF ACRONYMS AND TCT.
PROVIDES INPATIENT CHEMICAL DEPENDENCY AND SUBSTANCE USE SERVICES STATEWIDE.
SERVICES A PERSON CENTER BUILDING ON THE PATIENTS INTERESTED CAPACITY FOR GROWTH.
LEADING TO A LIFELONG PROCESS OF RECOVERY THERE ARE 5 FACILITY STATEWIDE LOCATED IN ANOKA CARLTON BECAUSE FILE SAINT PETER. AND WILMER.
WE ALSO HAVE UNIQUE EXPERTISE IN SPECIALTY CARE DENTISTRY CLIENTS THAT ARE CLINICS HAVE PHYSICAL AND DEVELOPMENTAL DISABILITIES OR MENTAL ILLNESSES AND DENTISTS AND THEIR COMMUNITY EITHER CAN'T OR WON'T TREAT THEM. ALL GENERAL DENTISTRY SERVICES ARE PROVIDED RANGING FROM CLEANINGS AND EXAMS.
TO FILLINGS ROOT CANALS CROWNS.
AND DENTURES.
I WANT TO SAY THAT OUR SPECIALTY CARE TENNIS HAVE PARTICULAR EXPERTISE IN TREATING THESE PATIENTS WITHOUT RESTRAINTS AND MEDICATIONS REGULAR DENNIS WILL USE IF THEY. SEE THESE PEOPLE.
AND SO ARE OUR SPECIALTY CARE THAT HAS HAD TO GO THAT'S GREAT EXPERTISE.
BEING ABLE TO MAKE THESE PATIENTS COMFORTABLE AND GET TO THEIR DENTAL WORK.
THE CLINICS HAVE ABOUT 5500 ACTIVE PATIENTS TO AVERAGE ABOUT 3 VISITS A YEAR.
AND THAT OKAY TO BRAINERD CAMBRIDGE TERRIBLE FERGUS FILES.
AND WILMER WITH AN ANNUAL BUDGET.
A 5 MILLION DOLLARS.
OUR COMMUNITY BASED SERVICES PROVIDE TREATMENT IN RESIDENTIAL CARE EDUCATIONAL SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL AND DEVELOPMENTAL AND PHYSICAL DISABILITIES.
WE PROVIDE SERVICES AND FOR PERCENT RESIDENTIAL GROUP
AND THAT'S ACTUALLY ONE TO 4.
SERVICES INCLUDE DAILY LIVING SKILLS MEDICAL MONITORING IF NEEDED AND HELPING CLIENTS INTEGRATE MORE FULLY INTO THE COMMUNITY.
ECT SERVES A 120 HOMES WITH 350 CLIENTS STATEWIDE.
433 MILLION DOLLAR BUDGET.
WE WE OPERATE AS A HEALTH CARE MARSHALL SMITH WHO IS THE CEO OF D-CT CAME FROM THE HOSPITAL ADMINISTRATION BACKGROUND.
AND THIS SYSTEM PROVIDES A WIDE RANGE OF SERVICES TO INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS.
PROVIDED THROUGHOUT THE STATE WITH 24 7 OPERATIONS; INCLUDING PSYCHIATRIC HOSPITALS; RESIDENTIAL TREATMENT SIDE TOOK A SHUTTLE SERVICES SECURE FACILITIES AND COMMUNITY CLINICS. AND I JUST MIGHT ADD HERE.
THAT ARE D-CT STAFFED IS NOT WORKING FROM HOME DURING COVID THEY'RE ALL GOING BACK TO WHAT OUR OPERATIONS IN THESE SITES AND CONTINUING THEIR NORMAL WORK.
IN AN ABNORMAL WAY MAKING SURE THAT PEOPLE ARE SAFE AND DISTANCE AND WE HAVE A REALLY GREAT TRACK RECORD OF HANDLING THE COVID QUITE EFFECTIVELY. IN THESE SERVICES.
THE CENTRALIZED OPERATIONS SERVICE; THE CURRENT D-CT WHICH INCLUDES A MEDICAL DIRECTOR AND PHYSICIANS CENTRAL CREATE MISSION WHICH OVERSEES ADMISSIONS AND DISCHARGES ACROSS THE STATE.
MEDICAL RECORDS THE OFFICE OF SPECIAL INVESTIGATION WHICH MONITORS PEOPLE ARE PROVISIONAL DISCHARGE.
FINANCIAL MANAGEMENT AT THE SILLA THESE MANAGEMENT CRY; 200 PHYSICAL LOCATIONS.
THESE ARE CRITICAL TO THE OPERATIONS OF ANY HEALTH SYSTEM AND WITHOUT THESE THE AGENCY WOULD BE OUT OF COMPLIANCE AND UNABLE TO FUNCTION SO JUST A REMINDER THAT THE CENTRALIZED OPERATIONS OF D-CT I'M NOT ALL LAWYERS AND ACCOUNTANTS THEY'RE GENERALLY MEDICAL PERSONNEL. AND IT'S THESE MEDICAL PERSONNEL THAT GOT THE SYSTEM TO THE COVID PANDEMIC THAT'S FAR.
>> SO MISTER TELL ME THAT WE SHOULD PROBABLY PAUSE AFTER THAT SLIDE THAT LAST ONE.
GOOD AND IT COULD BE A GOOD MOMENT TOOK IT WOULD BE OKAY WITH YOU AND.
AND SEE IF WE HAVE QUESTIONS BUT BEFORE WE DO THAT I FORGOT TO ANNOUNCE THE CREDIT WE DO HAVE A QUORUM AND THIS IS AN INFORMATIONAL HEARING SO. WE'VE DECIDED WE'RE NOT GOING TO TAKE THE ROLE
OUR COMMITTEE IT LEADER HOPPER WILL BE NOTING WHO APPEAR SO.
YOU'RE YOU'RE A KIND OF FOLK ACCURATELY BE NOTED THAT YOU'RE NOT AN OFFICIAL HEARING.
WE BUT WE DO HAVE A QUORUM SO ARE THERE QUESTIONS NUMBER TO ANY OF THAT.
WHAT YOU JUST HEARD AND I KNOW THAT THERE'S A LOT OF INFORMATION THERE WENT BY REALLY DON'T EXPECT YOU TO MEMORIZE THE BUDGET NUMBERS. TOP OF THOSE 5 FOR SURE AND I THINK THAT WE'LL BE TALKING ABOUT THAT. SO COME HAVE A QUESTION.
>> A O BUENA PUEDE
>> OR HAVE TO STAY UNTIL THEY HAVE TO FIND A PLACE FROM BAD AND SO FORTH AND SO I'M JUST WONDERING IF YOU HAVE ANY IDEA ABOUT THE UNMET NEED THAT WE HAVE IN OUR STATE.
>> MI ME
>> BUT I CAN TELL YOU THAT AND.
WHEN THE REGIONAL TREATMENT CENTERS CLOSED MANY MANY YEARS AGO WE WERE JUST TALKING ABOUT THIS THE OTHER DAY ONE OF THE BEST THINGS THAT EVER HAPPENED FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES WHO GOT OUT OF THOSE MAJOR INSTITUTIONS INTO FOREPERSON GROUP HOMES. >> AND THE COMMUNITY. ONE OF THE TOUGHEST THINGS THAT HAPPEN TO PEOPLE WITH MENTAL ILLNESS. MINNESOTA HAS.
ALMOST EVERY STATE IN THE NATION HAS UNDERFUNDED MENTAL HEALTH SERVICES FOR DECADES AND SO THERE'S ALWAYS AN UNMET NEED. AND MENTAL HEALTH.
I WILL SAY THAT OUR SYSTEM FUNCTIONS FAIRLY WELL BEING ABLE TO BE ASSIGNED TO COME TO ONE OF OUR OUT INCARCERATION AND OR DIRECTLY. COMMITTED FROM THE COURTS.
WE DO KEEP PEOPLE FLOWING THROUGH. THERE
NOT GEMS WHERE WE ARE UNABLE
THIS CHURCH PEOPLE TO COMMUNITY SETTINGS AS QUICKLY AS WE WOULD LIKE OR ANYONE ELSE WOULD LIKE.
BUT FOR THE MOST PART IT CLOSE FAIRLY SMOOTHLY.
WE'VE BEEN ABLE TO CONTINUE THAT FLOW OF PEOPLE OUT INTO COMMUNITY SETTINGS DURING COVID SEIMETZ REALLY PLEASED WITH THAT THAT'S SOMETHING WE WATCHED ON A DAILY BASIS. BUT THERE.
SO THE SYSTEM WORKS FAIRLY WELL AS ITS BUT OF COURSE MENTAL HEALTH SERVICES ARE UNDER FUNDED ARE GENERALLY ACROSS THE STATE.
>> I I JUST WANT TO KNOW
THEY GET KIND OF STEPPING BACK AND TAKING THAT DRIVE YOU I THINK THAT'S A REALLY IMPORTANT PERSPECTIVE KERCHER UP TO KEEP IN MIND A LITTLE FORWARD HERE. WET WITH THIS.
REPRESENT A BAKER AND THEN AND REPRESENTATIVE BAKER.
>> THANK YOU MADAM CHAIR AND
IN AN OPEN INVITATION ASKED THESE DUMB QUESTIONS BECAUSE I'VE ALWAYS WANTED TO.
SO TO UNDERSTAND THE DIFFERENCES BETWEEN. KIND OF SOX DIVISION.
IF YOU COULD WITH SALT AND HELPING ADULTS AND CHILDREN'S DISABILITIES IN GROUP HOMES AND THINGS AND BRINGING THEM OUT IN THE COMMUNITIES TO. THE FOLKS THAT ARE NOT UNDER THE STATE
I'M ON THE BOARD FOR WEST CENTRAL INDUSTRIES AND WE DO A LOT OF THE SAME TYPE OF THE SAME FOR ENGAGING WITH WORKERS AND EMPLOYERS. BUT THERE'S A BIG DIFFERENCE.
IN COST FOR.
THOSE SERVICES AND I WANT TO ASK I GUESS THE QUESTION. THE COMMISSIONER. IS.
ARE THOSE CLIENTS SERVED BY THE STATE.
MUCH DIFFERENT THAN THE ONES THAT ARE NOT SERVED BY THOSE.
AND I'VE SEEN THE COST CHALLENGES ARE DIFFERENCES BEFORE YOU MENTION SOME BIG NUMBERS OF WHAT WE HAVE TO PAY FOR THOSE. BUT ARE THOSE CLIENTS.
THAT WE'RE SERVING IN THOSE OTHER GROUP HOMES ARE THEY ABOUT THE SAME OR WE DO THINK WE'RE DUPLICATING SOME SERVICES OR THEY ACTUALLY A HIGHER.
HIGHER NEED A CLASS THAT WE NEED TO WORK ON I ALWAYS WANTED TO KNOW THE DIFFERENCE THERE IF YOU COULD HELP ME WITH THAT.
>> AND THIS IS AN EXCELLENT QUESTION I OFTEN ASK YOU SAYING; I'M SORRY TO HALEIGH LINK.
AND THAT'S AN EXCELLENT QUESTION I OFTEN HAVE THE SAME QUESTION WHEN I WAS AT LUTHERAN SOCIAL SERVICE MANAGING A 100 GO AND THAT THE INDUSTRY ARE WONDERING. WHAT THE DIFFERENCE REALLY WAS.
>> TO TRANSITION.
OUR GROUP HOMES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES WITH OUT REALLY HIGH NEED OUT TO COMMUNITY PROVIDERS AND TO FOCUS OUR ATTENTION AND OUR RESOURCES ON PEOPLE WHO DIDN'T HAVE THE HIGHER NEEDS. AND WE'VE BEEN IN THAT PROCESS NOW FOR SEVERAL YEARS.
AND SO TODAY I WOULD SAY MORE AND MORE
DCT GROUP HOMES ARE SERVING PEOPLE WITH SOME OF THE HIGHEST NEEDS.
THAT ARE HARD TO SERVE IN OTHER PLACES.
I KNOW COMMUNITY PROVIDERS ARE PROVIDING A SERVICE TO PEOPLE IS HIGHER NEED ALL THE TIME ALSO. OFTEN HIGH MEDICAL NEED.
BUT THE D-CT HOMES TEND TO SERVE PEOPLE WITH HIGHER BEHAVIORAL HEALTH NEEDS.
SO OFTEN PEOPLE WITH CRIMINAL RECORDS WHICH IS LESS COMMON.
IN THE COMMUNITY PROVIDER ARENA.
AND SO FOR THE LAST SEVERAL THE SYSTEM HAS GONE THROUGH A
SMOOTH PROCESS OF CONTACTING COMMUNITY PROVIDERS AND ASKING IF THEY WANTED TO TAKE OVER.
SOME OF THE HOMES; INCLUDING A CONTINUED TO EMPLOY THE STAFF AND SERVE THE SAME KINDS.
THAT'S GOT VERY VERY NICELY.
IT'S PRODUCED A NICE SORT OF CHEERED LEVEL OF CARE WHERE PEOPLE WHO ARE.
ARE SITTING IN HOSPITALS IN CRISIS CENTERS WITH NO PLACE TO BE DISCHARGED OFTEN NOW COMING TO THE D-CT CREW COMES FOR A PERIOD OF TIME. AND AFTER THEIR STABILIZED THERE.
THEN THEY MOVE TO A COMMUNITY BASED PROVIDERS SETTING.
AND THAT'S GOING QUITE NICELY IN TERMS OF A NICE TOURED A LEVEL OF SERVICE ACROSS THE STATE.
DCT GROUP HOMES HAVE BEEN SUBJECT TO THE SAME DWI ARRESTS THIS TERM YOU MAY REMEMBER HEARING FROM THE DISABILITIES RATE SETTING SYSTEM.
AND THE BOSS AND THEN HAD TO ASK FOR A EXEMPTIONS.
FOR EXCEPTIONS I SHOULD SAY FOR THE PEOPLE THAT THEY SUPPORT.
TO COVER THE EXTRA COST OF THE STAFFING AND ADDITIONAL TRAINING THAT NEEDS TO HAPPEN TO SERVE PEOPLE WITH HIGHER NEED.
AND SO THERE IS A A BIT OVER FLYING THE SYSTEM RIGHT NOW AS WE HAVE TRANSITION TO THESE HIRING PEOPLE.
THAT THAT DOESN'T COME WITH AN AUTOMATIC ADJUSTMENT ON THE WAY OF THESE THESE HOMES ARE. FUNDED.
AND WE'VE BEEN MAKING BEER SO FAR WITH COUNTY EXCEPTIONS TO TO MEET PEOPLE WITH HIGHER NEED BUT THERE'S BEEN SOME ESPECIALLY WITH OUR LEGISLATIVE CHAIRS OF OUR HEALTH AND HUMAN SERVICES COMMITTEES ABOUT REEXAMINING THE COST STRUCTURE AND THE PAYMENT PLANS FOR THESE PARTICULAR GROUP COMES. SAYS.
>> SO THANK YOU TO THAT QUESTION REPRESENT BAKER MOST FEEL LIKE MAYBE THE COMMISSIONER SAID YOU THAT ONE BECAUSE YOU KIND OF HIT A CENTRAL QUESTION ABOUT WHAT WE'RE TALKING ABOUT HERE. SO THANK
AND ALTHOUGH I DO WANT TO PAY THAT.
AND I THINK THE COMMISSION IS GOING TO GET CONNECT FROM HER FLIGHT BAD.
PART OF WHAT MAKES THIS AREA SO COMPLICATED IS BAD.
THESE SERVICES EVEN LET THE STATE SERVICE HAS ALSO BILL.
FOR THEIR SERVICES WHERE THEY CAN.
WE HAD A COMPLICATED MAYBE YOU GATHER THAT FROM HER.
THE FAA; SO THEY'RE ALSO BILLING MEDICAID FOR BILLING EVEN PRIVATE PROVIDERS FROM TIME FOR.
FOR THE SERVICES; THEY'RE PROVIDING IN ADDITION TO BEING FUNDED BY STATE APPROPRIATION. SO ARE REPRESENTED BY IRMA.
>> THANK YOU MADAM CHAIR; THANK YOU COMMISSIONER.
FOR BEING HERE TODAY AND I HAVE A COUPLE QUESTIONS BUT I ACTUALLY HAD AN ADDITIONAL ONE BASED ON WHAT REPRESENTATIVE BAKER JUST ASKED.
AND THAT AS I READ SOME OF THE NOTES IN PREPARATION FOR THIS MEETING I WAS CONCERNED ABOUT THE CLOSING DOWN AND THE TRANSFER OF THESE PATIENTS TO OTHER FACILITIES IN ORDER TO MAKE THE SAVINGS HAPPEN AND SO MY QUESTION IS RELATED TO WHAT YOU'RE JUST TALKING ABOUT. IS THE STATE GOING TO BE SAVING MONEY.
CLOSING THEM DOWN BUT MORE IMPORTANTLY ARE THE ARE THE PATIENTS THEMSELVES GOING TO MAINTAIN THE SAME LEVEL OF CARE IN YOUR OPINION I KNOW THAT'S WHAT WE ALL WANT AND I'M JUST WONDERING WHAT ABILITY TO.
GIVE US SOME PEACE OF MIND THAT THE SERVICES WILL NOT BE REDUCED FOR THEM. YEAH.
>> CHAIR THEY BRING IN AND REPRESENT
I CERTAINLY WOULD BE OUR EXPECTATION AND HAS BEEN AS WE'VE BEEN DOING THIS TRANSITION THAT PEOPLE GET THE SAME LEVEL OF CARE.
>> I'M NOT SURE YET SAID SO I'M EAGER TO TALK TO MORE COMMUNITY PROVIDERS AND GET AN UPDATE
THEIR BUDGETS AND UNDERSTAND A QUESTION ABOUT SAVINGS.
THERE'S BEEN A LOT OF DISCUSSION AND DEBATE THE LAST FEW YEARS ABOUT THAT AND WHETHER OR
AND BY HOW THEY LOWER COSTS.
DURING THE LAST FEW YEARS AS YOU KNOW THERE'S BEEN A WORKFORCE SHORTAGE. AND
HARD TO KEEP UP WITH THAT AND AND HAVING TO PAY PEOPLE MORE TO RETAIN STAFF AND OFFER BETTER HEALTH CARE BENEFITS. I DON'T KNOW RIGHT NOW IN 2020 WITH THE DIFFERENTIAL MIGHT BE.
BETWEEN STATE GREW BUDGETS AND COMMUNITY PROVIDERS TO COME BUDGETS.
SO I'M HERE TO LEARN MORE ABOUT THAT MYSELF.
AND AS WE TALK ABOUT SOME OF OUR OTHER SERVICES IN THE POSSIBILITIES OF COMMUNITY PROVIDERS ARE STEPPING IN.
AND I'M ALSO EAGER TO ASK THOSE QUESTIONS AND FIND OUT WHAT THE DIFFERENCES MIGHT BE.
>> I >> DO HOPEFULLY IT CAN BE A BRIEF QUESTION IS JUST REGARDING.
I WAS SURPRISED IN THE PRESENTATION THAT THE NUMBERS OF OUR.
INDIVIDUALS COMMITTED IN SAINT PETER AND I M S O P PROGRAM WERE NATION LEAVING.
AS FAR AS NUMBERS GO SO MY QUESTION IS WHAT DO OTHER STATES TO HOW DID THEY MANAGE. PEOPLE AND ALSO.
IN TERMS OF OUR YOU KNOW THE ENTIRE DIRECT CARE. DIVISION.
DOES MINNESOTA ALSO LED THE NATION IN ALL OF THESE OTHER SERVICES WE ARE PROVIDING YOU COULD GIVE US AN OVERVIEW APPRECIATE IT. THANKS.
>> PARTIR VA
>> BUT AS I WENT UP TO THE HMOS LIKE SEX OFFENDER PROGRAM AND HEARD FROM THE PEOPLE WHO RUN IT ABOUT ITS HISTORY AND AND ITS DEVELOPMENT. THEY'RE THE ONES WHO TOLD ME THAT IT'S THE LARGEST BY FAR. IN THE NATION.
YOU MAY REMEMBER THE STORY OF THE MURDER OF JUICE AGAIN MANY YEARS AGO IN MINNESOTA AND IT WAS A REACTION TO THAT. THAT ARE VERY LARGE SEX OFFENDER PROGRAM. I WAS DEVELOPED.
AND EXCEEDS THE SIZE OF OTHER STATE PROGRAMS.
>> AND SO I ASSUME SO I.
>> IT SHOULD BE SURE OF THIS I ASSUME THAT OTHER STATES HAVE PEOPLE FINISH THEIR TIME INCARCERATION AND THEN ARE RELEASED TO THE COMMUNITY. WITHOUT THE SEX OFFENDER PROGRAM. IN BETWEEN.
>> AND REPRESENTATIVE BERMAN THANK YOU FOR THAT QUESTION TO
THIS IS SOMETHING THE LEGISLATURE HAS WRESTLED WEAPON THE ADMINISTRATION; WHATEVER THE ADMINISTRATION WAS WELL AWARE FROM TIME TO TIME OVER THE YEARS BECAUSE WE DO HAVE THE VERY LARGE. AND OF COURSE VERY EXPENSIVE PROGRAM.
I THINK WHEN I WAS ON A COMMISSION FROM YEARS AGO ABOUT THIS LOOKING AT THIS AND DIFFERENT STATES. THEY'RE KIND OF ALL OVER THE PLACE IN THE WAY THAT THEY.
DO THIS AND I THINK BY THE CHANGE I THINK IT WAS THE SUBJECT VERY MUCH WORTH LOOKING AT.
BECAUSE TO ME THE REAL QUESTION IS WILL DO WE GET PUBLIC SAFETY WHAT WHAT ARE WE GETTING FOR THAT WE REALLY ARE WE REALLY.
GETTING THE PUBLIC SAFETY THAT WE THAT WE HOPE WE ARE. AND ARE WE REALLY.
TREATING PEOPLE AS WE END THE PROGRAM IS SET UP TO DO HAVE WHAT IT.
I AM PROBABLY THEREFORE TO TREAT PEOPLE.
SO I THINK IT WOULD BE WERE IN THAT IN THE ERA OF BUDGET CUTTING.
WANT TO MICHAEL IS TO TRY TO USE DATA.
WHATEVER DATA WE HAVE TO TRY TO MAKE THE BEST DECISION TO FUND THINGS THAT WORK AND NOT FUND THE THINGS THAT DON'T WHEN WE HAVE TO MAKE.
NO REALLY DIFFICULT DECISION TO HAPPEN BE DATA DRIVEN AS MUCH AS POSSIBLE.
SO I I APPRECIATE YOUR INTEREST AND THAT MY HOPE OTHER MEMBERS ARE INTERESTED IN THAT AS WELL BECAUSE. WE COULD SPEND A LOT OF MONEY THERE COMMISSIONER.
>> AS CHILLY BUT I JUST WANTED TO ADD IN MEETING WITH THE STAFF IS I DIDN'T HEAR IN THE HISTORY OF THE DEVELOPMENT OF OUR SEX OFFENDER PROGRAM; I ALSO HEARD FROM THEM THAT THEY HAVE A. THE HISTORY; THE DEBT; THE HISTORIC DATA SHOWS 0 REAL FACTS.
PEOPLE COMING THROUGH OUR SEX OFFENDER PROGRAM SO.
WE'RE VERY PROUD OF ITS EFFECTIVENESS.
AND YET WE CONTINUE TO TALK TO A POLICY STANDPOINT ABOUT ITS SIGHTS AND BUDGET.
>> THANK YOU OKAY. WELL COMMISSIONER ROGER GO AHEAD AND.
AND ALSO SOME OF THE ISSUES REPRESENTED BIERMANN HAD TOUCHED ON ARE GOING TO MORE IN THE NEXT 7 BY THE REPRESENTATIVE KILL OF THE QUESTION TO AND. REPRESENTIVE KILL THOSE THAT RELATE TO THIS
WHAT WE'VE BEEN TALKING ABOUT OR YOU WANT TO WAIT WITH THAT ONE UNTIL WE GET THROUGH THIS NEXT SECTION. REPRESENT KIEL.
>> MILLONES.
>> YES; THANK YOU; MADAM CHAIR; I I YES I DO HAVE KIND OF A STATEMENT.
WE CAN TALK ABOUT IT AS WE GO FORWARD BAD.
I AM TURN UP.
I AM THE HOME OF. DREW SITTING.
THAT ACCIDENT.
AND ALSO WENT TO SCHOOL. WITH THE PERPETRATOR.
SO I KNOW THE FAMILY AND YOU KNOW.
>> MISTER COUNTRY IS IN RIGHT NOW. ANYWAY.
BUT MY CONCERN IS WHEN WE TALK ABOUT THE THE FAMILY WHEN HE WAS LET GO AND I I WASN'T ON THE LIST IN THE LEGISLATURE; BUT I REMEMBER THE CONVERSATION.
ABOUT LETTING SOMEONE AUDI THE FAMILY WAS QUESTIONING WHETHER OR NOT THAT PERSON SHOULD EVEN HE SHOULD EVEN BE RELEASED. AT ALL. AND ALL I REMEMBER WHEN HE WAS RELEASED.
COUPLE OF MY CLASSMATES WERE RAPED BY HIM.
AND I WANT IS TO SEE SNOW
THEY WERE ASKED FEARFUL OF EVEN LEAVING THEIR HOUSES.
AND I ACTUALLY AN INSTRUCTOR ALSO.
I'M SO IT WAS.
MY CONCERN IS IS WHAT ARE WE DOING.
WITH THOSE WHO DO NOT FEEL.
CAN MANAGE AN END. LIFE AND.
I CANNOT BE. TURNED AROUND.
AND I CERTAINLY WANT TO REHAB ANYBODY WHO. CAN.
CHANGE THEIR STYLE OF LIFE BUT AS WE GO FORWARD.
YOU KNOW HOW DO WE DEAL WITH THOSE PEOPLE WHO JUST.
DON'T WANT IN SOCIETY AGAIN OR CANNOT HANDLE. SO.
>> YOU KNOW SINCE THOSE DAYS ONE OF THE THINGS THAT COULD HAPPEN IS THAT THAT THE GOT LONGER.
YOU KNOW BACK IN THOSE DAYS WHEN THAT MAN LOOKED FLAT OUT PAMPHLETS WERE SHORTER AND SO A LOT OF THINGS THAT CHANGE AGO; IT'S REALLY A QUESTION OF. YOU KNOW NOT SHOULD WE.
DO WHAT WE CAN DO TO ENSURE SAFETY ABSOLUTELY WE SHOULD WE ALL KNOW THERE ARE PEOPLE WHO SHOULD NEVER BE WALKING AROUND FREE. THEY JUST CAN NEVER BE SAFE. BUT WE ALSO NEED
TO LOOK AT WHAT WE'RE DOING.
I THINK AND THIS IS ANOTHER VERY LONG CONVERSATION FOR ANOTHER DAY; BUT IT'S JUST ONE PIECE OF THAT BUT. YOU KNOW I THINK EVERYTHING WE DO.
EVERYTHING WE DO NOT SHOULD WE SHOULD LOOK AT IT PERIODICALLY TO SEE IF THE MONEY WE'RE SPENDING IS GETTING A WHAT WE. WHAT WE THINK AND WHETHER THEY WERE.
YOU KNOW WE JUST HAVE TO BECAUSE WE WILL ALWAYS HAVE A LIMITED PUBLIC DOLLARS AND WE HAVE TO MAKE VERY TOUGH DECISIONS THAT WERE ONE OF THE POINTS NOW.
BUT VERY VERY TOP OFFICIALS ARE GOING TO HAVE TO BE MADE. YOU KNOW.
I I HEAR E A I THINK YOU'RE EXPECTING A VERY VERY IMPORTANT POINT IN ALL OF THIS DONE.
I'M SURE WE'RE GOING HEAR MORE IN THE IN THE OTHER AREAS THAT THE SEAT HE WORKS WITH THAT WELL SO THANK YOU FOR THAT STROKE AHEAD COMMISSIONER LET THAT. WE'LL MOVE ON THROUGH THE NEXT THAT.
>> WHITESIDE A
>> THIS IS DUE TO
SALARY AND HEALTH CARE COSTS AND THE NEED TO TAKE A LOOK THEY BILLING STRUCTURE OF OUR CO COMES.
AND THEN WE OVER TIME WE CAME DOWN TO A 27 MILLION DOLLAR PART OF THE THE ADDITIONAL FUNDS CAME FROM A COVID RESPONSE FUND.
FUNDING THAT CAME OUR WAY AS A RESULT OF THE COVID LEAVES THAT WE HAD TO PAY FOR IN THE BEGINNING HALF OF THE YEAR.
AND ALSO WE HAD A REVISED A BETTER FORECAST ON OUR REVENUE SO THE THE DEFICIT CAME DOWN TO 27 MILLION DOLLARS.
AND THAT'S WHAT WE'VE BEEN WORKING TO SINCE THE 4TH SESSION THIS YEAR WHERE WE DIDN'T GET.
THE OPERATING ADJUSTMENT WE HAD ASKED FOR AND THE GOVERNOR SUPPLEMENTAL BUDGET.
AND SO YOU CAN SEE THE 27 MILLION DOLLAR DEFICIT COME 2021 AT THE TOP OF THE PAGE. AND AT THE BOTTOM.
WE'RE FACING A 96 MILLION DOLLAR DEFICIT FOR THE FOLLOWING BIENNIUM IT'S NOTHING. CHANGED.
BUT TO GIVE YOU AN IDEA OF OUR BUDGET AND DHS AND THE BUDGET AND D-CT AND ACTUALLY THIS HELP ME TO TO FINALLY PUT THIS ON A PIE CHART COM. SO WE CAN ALL KIND OF GET A SENSE OF HOW THIS WORKS.
IF YOU LOOK AT THE HEADING ON THIS SLIDE. THE DHS GENERAL FUND BUDGET THIS IS THE 6.9 BILLION DOLLARS THAT COMES TO DHS. FROM THE STATE GENERAL FUND.
SO ON THE LEFT YOU SEE THE LARGE PIE CHART WITH OUR FORECAST OF PROGRAMS ARE.
THE GROUP HOMES FOR PEOPLE WITH DISABILITIES WE PAY FOR ACROSS THE STATE TO COMMUNITY PROVIDERS.
OR HOMELESSNESS PROGRAMS OR MEDICARE PROGRAMS AN PROGRAM SNAP FOOD PROGRAMS.
ALL OF OUR FORECASTED PROGRAMS TAKE 85%.
OF THAT BUDGET.
OUR GRANT PROGRAMS THE THINGS YOU'RE FAMILIAR WITH THAT OF THE LEGISLATURE APPROVES AND ASKS US TO IMPLEMENT IN THE STATE OF MINNESOTA ABOUT 6% OF OUR BUDGET AND EVERYTHING ELSE ENDS UP TO 9%.
THAT 9% BREAKS OUT ON THE RIGHT 6% OF ITS FUNDS; THE DIRECT CARE AND TREATMENT PROGRAM THAT WE'VE BEEN TALKING ABOUT. I T SYSTEMS.
OUR OTHER HUMAN SERVICES ADMINISTRATION'S AND OPERATIONS CENTRAL OPERATIONS AND DHS IS THE LAST 3%.
THE TOTAL BUDGET SO THE FORECAST PROGRAMS BY FAR THE LARGEST PART.
OUR STATE GENERAL FUND SPENDING.
THIS IS THE D-CT BUDGET THIS IS EXTREMELY HELPFUL FOR ME TO GET A HANDLE ON AND I HOPE FOR YOUR AS WELL.
IF YOU LOOK AT THE RIGHT SIDE OF THIS PIE CHART YOU SEE IT UP AT 1 O'CLOCK THE BLUES WEDGES OR FORENSIC SERVICES AT THE SECURITY WAS CALM SECURITY HAS THE POWER TO SAINT PETER. 22%.
SEX OFFENDER PROGRAM AT 17% MAY KNOW CURRY GENTLE TREATMENT CENTER AT 10.
AND THOSE 3 PROGRAMS TOGETHER ACCOUNT FOR 49% OF ALL OF D C T.
AND ARE THE KINDS OF PROGRAMS THAT ONLY WE CAN OFFER AND THAT WE ARE REQUIRED BY STATUTE TO MAKE AVAILABLE.
DOWN AT 7 O'CLOCK YOU SEE THE REST COULD WEDGE WHICH IS OUR STATE OPERATED GIRL COMES 21% OF THE BUDGET.
NEXT ONE IS OUR COMMUNITY BEHAVIORAL HEALTH OR 6 HOSPITALS.
AND YOU CAN SEE THE LITTLE SLIVERS HERE THE SPECIAL CARE DENTAL CLINICS; THE ONE CHILD AND ADOLESCENT BEHAVIOR HEALTH HOSPITAL.
OR SUBSTANCE ABUSE TREATMENT SERVICES THAT WE CALL CARES UNDER INTENSIVE RESIDENTIAL TREATMENT FACILITIES THAT WE COME FOR US.
AND THEN OUR 14% WEDGE OF OUR CENTRAL OPERATIONS AND OTHER SERVICES IS A MODEL.
OVERHEAD RATE FOR A HEALTH SYSTEM THIS LARGE AND I'M PRETTY PROUD OF HOW WELL WE'VE THOSE COSTS TO WHERE THEY ARE. BUT THOSE ARE THE KINDS OF COSTS REQUIRED TO RUN THIS ENTIRE.
BEHAVIOR HEALTH SYSTEM ACROSS THE STATE.
A LITTLE BIT OF HISTORY. IT COULD GO BACK TO 2015. WE HAVE BUDGET CHALLENGES THEN TOO.
AND ACROSS THE BOARD CUTS WERE MADE TO D-CT WHICH LED TO INADEQUATE CLINICAL STAFF IQ. INCREASE STAFF INJURIES.
AND THE INCREASED USE OF SECLUSION AND RESTRAINTS ON THE PATIENT'S CLIENTS AND INDIVIDUALS THAT WE SERVED.
IF YOU DON'T REMEMBER THAT YOU MAY WELL REMEMBER 2016 WHEN THE ANOKA REGIONAL TREATMENT CENTERS CMS CERTIFICATION WAS AT STAKE AND THERE WERE VIOLENT OUTBREAKS AT SAINT PETER HOSPITAL.
ALSO IN 2016 AS A RESULT. MARSHALL SMITH WAS HIRED TO LEAD D-CT.
AND BRING HIS BACKGROUND AT LEAST 6 SIGMA.
QUALITY CONTROL AS WELL AS HIS HOSPITAL ADMINISTRATION BACKGROUNDS TO WORK IN D C T.
WE'RE PROUD THAT IN 2020 THERE BEEN NO HEADLIGHTS ABOUT IT OR CARE TREATMENT SERVICES UNTIL LAST WEEK.
AND ALSO IN JULY ALL THE PATIENTS CLIENTS AND INDIVIDUALS ACROSS THE SYSTEM WHERE COVID FREE.
AND HAVE REMAINED SO CENT SO WE'RE PROUD OF THE WAY THAT THE SYSTEM HAS HANDLED THE COVID PANDEMIC.
BY IS IN ALL KINDS STATE OF THE
HEALTH PRACTICES TO MAKE SURE THAT OUR PATIENTS CLIENTS AND INDIVIDUALS.
TO NOT GET THAT THE VIRUS.
WE OCCASIONALLY HAVE EMPLOYEES WHO COME FROM OUTSIDE OBVIOUSLY HAD AND HAVE BEEN OUT IN THE WORLD AND AND THAT TEST POSITIVE FOR COVID AND EVEN THAT HAS NOT READ TO PATIENTS CLIENTS OR INDIVIDUALS. GETTING THE VIRUS FROM THEM. I RECENTLY ASKED OUR SENIOR LEADERS IN.
DH US TO IMAGINE THEIR BIGGEST POSSIBILITIES FOR THE NEXT 3 YEARS AND MARSHALL SMITH'S WAS THAT THE CTA WILL ACHIEVE THE READINESS CRITERIA TO BE AN ELIGIBLE CANDIDATE. THE NATIONAL MALCOLM BALDRIGE QUALITY AWARD.
I DON'T KNOW IF YOU'RE FAMILIAR WITH THAT; BUT THE MALCOLM BALDRIGE QUALITY AWARD IS USUALLY ASSOCIATED WITH FOR PROFIT COMPANIES.
AND I UNDERSTAND THAT IS D-CT WHICH ACTUALLY WENT AND THE MALCOLM BALDRIGE AWARD IT WOULD BE A FIRST AID AGENCY IN THE NATION TO DO SO.
SO YOU CAN SEE THAT WE'VE GONE FROM 2015 WHEN BUDGETS WERE CUT.
AND PROBLEMS SINCE IT AIRED.
TO A TIME IN $2021 STABLE AND WELL.
AND NOW THIS BIG POSSIBILITY OF ACTUALLY BEING ELIGIBLE FOR A NATIONAL QUALITY WORK.
WHY REVEAL A LITTLE BIT OF THE LEGISLATIVE INVESTMENTS THAT HAVE BEEN MADE IN DC TEAM THAT MADE SUBSTANTIAL IMPACTS AND OUR ABILITY TO PRODUCE THESE RESULTS. FUNDING FOR INCREASED CAPACITY FOR COMPLEX NEEDS AN RTC.
AND THEY THINK ARE WEEKEND COVERAGE AND CLINICAL OVERSIGHT AT THIS IS NO CONTAINMENT CENTER.
FUNDING 2 OF THEM IN A CONDITIONAL LICENSING AT AROUND 6 AN INCREASE STAFF THERE.
FUNDING TO INCREASE ITS CAPACITY.
TO INCREASE CAPACITY IN OUR COMMUNITY COMMUNITY BEHAVIORAL HEALTH HOSPITALS.
FUNDING FOR THE SEX OFFENDER PROGRAM COMMUNITY PREPARATION SERVICES AND MULTIPLE OPERATING ADJUSTMENTS TO CAN COST PRESSURES.
BUT LET'S NOT GO BACK TO 2015 TO 2017.
PROBLEMS OCCURRED BECAUSE WE JUST MADE ACROSS THE BOARD CUTS AND WENT ON THIS WAS NOT A GOOD WAY TO GO SO WE JUST WANTED TO REMIND YOU OF SOME OF THOSE BLARING HEADLINES. I REMEMBER READING THEM. FROM OUTSIDE THE SYSTEM.
IN 2013 THERE WAS AN OFFICE OF LEGISLATIVE AUDITOR REVIEW OF THE CITY AND THEY SUGGESTED THAT THE LEGISLATURE SHOULD ON THE MISSION OR STATE-RUN FACILITIES TO SERVE INDIVIDUALS SHOULD NOT BE ADEQUATELY SERVED BY OTHER PROVIDERS.
AND THEY'RE ACTUALLY FROM THE LEGISLATURE IN 2017 SPECIFICALLY TO THE GROUP COMES WE ALREADY TALKED ABOUT THIS FOR INDIVIDUALS WITH COMPLEX BEHAVIORAL NEEDS.
THAT CANNOT BE MET BY PRIVATE COMMUNITY BASED PROVIDERS.
AND SO WITH THE SUPPORT OF THE LEGISLATURE. WE HAVE TRANSITION MORE THAN 25 HOMES TO PRIVATE PROVIDERS AND OPEN TO MORE THAN 20 HOMES FOR INDIVIDUALS WITH COMPLEX
BALANCING A BUDGET CUTS ABILITIES THERE ARE LIMITED WAYS TO SOLVE THIS BUDGET DEFICIT.
REQUESTING LEGISLATIVE ACTION RECEIVING AN OPERATING ADJUSTMENT IS ALWAYS LOVE HER.
ENGAGING IN ACROSS THE BOARD REDUCTIONS WHICH WERE CONCERNED ABOUT GIVEN OUR HISTORY.
IT'S POSSIBLE TO REDUCE CAPACITY ADMIT FEWER PEOPLE ARE AND THEN I HAVE TO YOU HAVE LESS STATIC IN CORE PROGRAMS TO JUST EAST OF PRESSURE ON THE BUDGET.
AND OR MAKE STRATEGIC REDUCTIONS IN PROGRAMS AND SERVICES WHERE COMMUNITY PROVIDERS HAVE THE EXPERTISE AND CAPACITY TO SERVE PATIENTS AND CLIENTS WOULD BE AFFECTED. BY DOWNSIZING.
ADMINISTRATIVE REDUCTIONS ALLOW KIDS DO IT'S A NEW SIDE; THE PIE CHARTS AND ECT IS UNABLE TO REDUCE ADMINISTRATIVE AND SUPPORT BUDGETS ENOUGH TO CLOSE THIS GAP.
AND AND THEY'RE CRITICAL TO MAINTAINING EFFECTIVE OPERATIONS AS WE'VE ALREADY SAID.
AND SO OUR PROGRESS IN GETTING BACK TO NORMAL AND STABLE AND STRONGER.
IT WOULD BE IN JEOPARDY. IF WE JUST CUT ADMINISTRATION.
AND I THINK THIS SLIDE SAYS THE SAME THING IN AS MANY WHEN WE JUST REDUCE COSTS ACROSS THE BOARD WE HAD LOTS OF PROBLEMS. PARKER; READY SAFETY COMPLIANCE. AN ABILITY TO RECRUIT RETAIN STAFF.
AND SO WITH ALL THAT'S BEEN DONE TO IMPROVE QUALITY SAFETY AND PATIENT OUTCOMES WITH A REALLY WELL-RUN SYSTEM TODAY. WE DON'T WANT TO RETURN. TO THAT. AND THEN.
IF WE CAPACITY OR STAFFING THAT REDUCES THIS IS A AND REPRESENT AND THIS WAS SAID IN RESPONSE TO A QUESTION EARLIER THAT REDUCES THE AVAILABILITY OF CRITICAL SERVICES.
PATIENTS EXPERIENCE DELAYS AND ADMISSION THEY CAN BE STUCK IN COMMUNITY HOSPITALS OR JAILS AWAITING TREATMENT.
AND DC TEHRAN WITH WOULD RISK BEING OUT OF COMPLIANCE WITH THE PRIORITY ADMISSION STATUTE OR THE 48 HOUR RULE.
WHERE WE NEED TO HAVE BEDS AVAILABLE WHEN PEOPLE ARE COMMITTED TO OUR SERVICES.
FOR THE COMPLIANCE ISSUES COULD JEOPARDIZE ACCREDITATION AGAIN AND OUR ABILITY TO BILL FOR BECAUSE WE DO BILL MEDICAID FOR MANY OF OUR SERVICES AND OTHER HEALTH INSURANCE AS WELL.
AND THEN PARTIES WHO RELY ON D-CT FOR CLAY CENTER BEHAVE REAL CHALLENGE PATIENTS HAVE BEEN GREATLY IMPACTED HAVING TO FIND PLACE THEM PLACES THEMSELVES. OR FOR PEOPLE TO GO.
AND SO ANOTHER OPTION FOR CONSIDERATION AS WHAT WE CALL THE STRATEGIC REDUCTIONS THAT FOCUSING ON CLOSING OR TRANSITIONING PATIENTS. IN TO COMMUNITY PROVIDERS.
WHICH WOULD ALLOW US TO FOCUS AGAIN ON HIGH NEED INDIVIDUALS FOR WHICH NO OTHER SERVICES ARE AVAILABLE AND SO WE'RE WONDERING IF SOME OF OUR OTHER SERVICES SHOULD ALSO GO THE WAY OF THE GROUP HOMS. BE CONSIDERED FOR TRANSFER TO COMMUNITY PROVIDERS.
ALLOWING US TO SERVE ONLY THE HIGHEST NEED INDIVIDUALS.
WE ARE CONSTRAINED IN SIMPLY MAKING THOSE DECISIONS BY MINNESOTA STATUTE TO 46.1 2; 9; WHICH SAYS THAT IF THE COACH OF THE STATE OPERATED FACILITIES PROPOSE.
AND THE DEPARTMENT RESPECTED BARGAINING IN ITS FAILED TO ARRIVE AT A MUTUALLY AGREED UPON SOLUTION TO TRANSFER AFFECTED STATE EMPLOYEES TO OTHER STATE JOBS. THE CLOSURES LOOKS ALREADY REQUIRES LEGISLATIVE APPROVAL.
THIS DOES NOT APPLY TO STATE OPERATED ENTERPRISE SERVICES.
SO I WANT TO PRESENT US IS ARE THOSE THAT BILL FOR THEIR MEDICAID THEIR REVENUES SUCH AS OR DENTAL CLINICS.
THE STATE OPERATED FACILITIES THAT ARE AFRAID TO HEAR.
OR FOR EXAMPLE; THE SECURITY HOSPITAL IN SAINT PETER THE SEX OFFENDER PROGRAM. ET CETERA.
SO LEGISLATIVE AND LABOR COLLABORATION; SOME OF THESE KINDS OF OPPORTUNITIES COULD ENSURE THAT D-CT MADE THE HIGH MAINTAINS A HIGH LEVEL OF QUALITY AND COMPLIANCE AND ITS CORE SERVICES LIKE THE TREATMENT CENTER. FORENSICS AND THE SEX OFFENDER PROGRAM.
SO.
THIS IS WHAT WE'VE DONE SO FAR AND ANNOUNCED THIS PAST WEEK.
OUR PLANET HAS TODAY PROGRAM PRODUCTIONS BEGINNING SEPTEMBER 1ST.
THE FIRST IS YOU MAY REMEMBER FROM A FEW SLIDES BACK WITH THE PROBLEMS THAT OCCURRED AT THE SAINT PETER SECURITY HOSPITAL FROM EDGE US LATER ALLOCATED.
NEW POSITIONS TO BETTER STAFF OF SAINT PETER HOSPITAL.
WE ARE NOT SITTING WITH A 44 NEW POSITIONS THAT WERE JUST ALLOCATED TO US THEY ARE ALLOCATED LIKE SEVERAL POSITIONS A YEAR FOR 3 YEARS.
AND WE JUST RECEIVED THIS YEAR'S ALLOCATION OF 44 OPEN NEVER USE POSITIONS.
AND WE BELIEVE THAT THE SAINT PETER HOSPITAL IS NOW IN FINE SHAPE AND DOES NOT NEED THEM AND SO WE WOULD ELIMINATE THOSE FUTURE POSITIONS.
AND THAT'S BECAUSE THAT TRANSITION OF GROUP COMES TO COMMUNITY PROVIDERS HAS GONE AS SMOOTHLY AS IT HASN'T BEEN A BENEFIT TO ALL AS FAR AS WE CAN TELL.
WE WOULD LIKE TO ACCELERATE THE TRANSITION OF TO COMES TO COMMIT ANY PROVIDERS.
PUTTING MORE OF OUR HOMES ON THAT LIST AND MAKING IT AVAILABLE TO COMMUNITY PROVIDERS WHO MAY HAVE INTEREST IN PICKING UP THE WORK.
AND THEN THIS WEEK WE MADE THE DECISION THAT DIFFICULT DECISION TO DISCONTINUE THE SEX OFFENDER PROGRAM INSIDE THE MOST LIKE CORRECTIONAL FACILITY. WHICH WILL LIMIT ITS 15 POSITIONS.
I WOULD ADD THAT WE EXPECT HALF OF THOSE POSITIONS OF THE PEOPLE IN THOSE POSITIONS TO FIND OTHER WORK UNLESS LIKE AT OUR SEX OFFENDER PROGRAM. SOMEWHERE.
BUT WE ARE KURDS IN THE RUN INSIDE THE CORRECTIONAL FACILITY.
AND THEN BECAUSE WE DIDN'T WANT REDUCE ANY OF OUR OTHER.
SERVICES AT THIS TIME UNTIL WE HAD A CHANCE TO LOOK AT THE POSSIBILITY OF TRANSITION HERE.
SO IN ORDER TO PRESERVE PROGRAMS AND JOBS IN GREATER MINNESOTA.
WE ARE TAKING SOME PRETTY TOUGH HITS TO THE ADMINISTRATIVE COSTS AND D-CT SUCH AS JUSTIFICATIONS FOR HIRING MAKING IT HARDER TO HIRE NEW PEOPLE.
CUTTING RECRUITMENT AND RETENTION BUDGET SALARY SAVINGS RATES ET CETERA.
AND SIMILAR EFFORTS IN DHS.
SO EXCITING HIRING REDUCING TRAINING AND SUPPLY SALARY SAVING SLEEVES.
THESE ARE ACTIONS FOR THE REST OF FISCAL 21.
PRETTY ARE RESTARTED MINUTE; 22 DEPENDING ON WHAT 22 LOOKS LIKE.
AND SO WE WANT TO START WITH WITH THESE KINDS OF CHANGES.
THIS RESULTS IN THE ELIMINATION OF A TOTAL OF 15 POSITIONS.
AND STILL LEAVES A GAP OF 7.1 MILLION IN FISCAL 21.
AND 70.7 MILLION AND FISCAL 2223.
WE ARE PLEASED; HOWEVER THAT WE'VE GOTTEN THIS FAR THIS FAIRLY IN THE YEAR.
AND SO WE HAVE A BIT OF TIME HERE YET TO TALK AND SOCIALIZE OR POSSIBILITIES AND FIND OUT WHETHER THERE ARE OTHER OPTIONS WITH COMMUNITY PROVIDERS.
AND HAVE A CHANCE TO CONTINUE TO ACHIEVE OUR FISCAL 21 BUDGET.
AND PUT A DENT IN THE 20 TO 23 BUDGET.
>> COMMISSIONER I'M WE HAVE A QUESTION FROM A THERE'S A QUESTION FROM REPRESENTATIVE JORDAN. I DON'T KNOW IT WOULD BE.
MAYBE IT COULD BE A GOOD MOMENT FOR THAT I DON'T KNOW WHAT THE QUESTION IS REPRESENTATIVE JORDAN.
>> THAT'S WHAT ALL OF I THINK HE JUST I JUST SHORT CALLS CONCERNING TO A NUMBER ALL OF US BUT I HAVE SOME BIG QUESTIONS ABOUT HOW THESE. >> BUT WE'RE DETERMINED AND WHAT INPUT FROM.
PATIENTS AND THEIR FAMILIES AND OUR STAFF ALL THE PEOPLE WHO BUY THE SERVICES HOW ARE THEY CAN SOFTEN ABOUT THESE CHANGES IN THESE PROPOSALS THAT. >> IDC T IS MAKING.
THEY RESPECT CREDIT AND CHEERLEADING AND REPRESENTATIVE WE WEEK SPENT WEEKS TALKING WITH THE MANAGEMENT TEAM AT D-CT AND DHS.
WE'VE HAD 3 CONSULTATIONS WITH OUR LABOR BARGAINING UNITS IN THIS TIME. AND THEY'VE BEEN VERY HELPFUL.
SOME OF THE ADMINISTRATIVE CHANGES YOU WERE SUGGESTED BY OUR BARGAINING UNIT.
WE HAVE NOT TALKED WITH THE FAMILIES.
MADAM CHAIR FROM THE JORDAN.
>> DERECHO
>> WE CAN CONSIDER THAT.
>> IT SAID IT'S NOT TYPICAL BUT WE CAN TAKE A LOOK AT THAT. THANK YOU THANK YOU AND.
>> GEORGE;
>> YOU KNOW PART OF THE REASON THAT WE'RE HAVING THE PIER AND TODAY IS TO BRING SOME TRANSPARENCY TO ALL OF THAT CAN GIVE THE PUBLIC AN OPPORTUNITY TO WEIGH IN BECAUSE.
ALTHOUGH THESE THE DEPARTMENT IS KIND OF UNDER THE GUN TO GET SOME OF THE THINGS GOING. HAD A.
AND YOU ALL I HOPE ARE STARTING TO UNDERSTAND THAT THE ONLY THE BEGINNING OF SOME CUTS THAT HAVE TO BE MADE OR YOU KNOW CHANGES. WELL SOMEHOW EITHER HAVE TO COME UP WITH MORE.
MONEY WE HAVE TO.
DO THE MORE OF CLOSURE IF WE HAVE TO COME FROM 3RD OF THOSE SOMETHING.
TO GET TO DEAL WITH THIS POLL THIS YEAR AND IN THE NEXT BIENNIUM AND THIS THESE ARE ISSUES THAT REALLY IMPACT THE ENTIRE STATE AND. IT'S IMPORTANT FOR US; I THINK AS LEGISLATORS TO.
YOU KNOW TO UNDERSTAND THE FIRST CELL AND THEN HOPEFULLY SOME OF THE INPUT WILL COME TO YOU AS YOU AND HAVE CONVERSATIONS WITH THEIR CONSTITUENTS. AND ALL OF THAT DO SO.
YOU KNOW THAT KIND OF PART OF OUR FUNCTION OF LEGISLATORS AND AND A LOT OF THE REASON WHY WE'RE HAVING THIS HEARING TODAY SO THANK YOU FOR THAT QUESTION.
>> THANK >> YOU IF WE HAVE TO SETTLE THE GOVERNOR SUPPLEMENTAL BUDGET OR WE PASS A SUPPLEMENTAL BUDGET WOULD WE STILL BE DISCUSSING THESE CUTS.
>> AS CHAIR LEAVING REPRESENTED THAT THAT IS A VERY GOOD I WOULD SAY THAT WE HAVE THROUGHOUT WAITING TO SEE IF THE GOVERNOR'S TEMPERAMENTAL BUDGET WOULD PASS AND WE WOULD GET OUR OPERATING ADJUSTMENT.
OPERATING ADJUSTMENT WOULD HAVE BEEN SUFFICIENT TO GET US TO OUR FISCAL 21 BUDGET HE WENT INTO THE YEAR KNOWING THAT WHAT WE'RE ASKING FOR WAS TO GET US TO OUR 21 BUDGET.
I DO HAVE TO TELL YOU HEAR THAT SINCE WE ALL SAW THE HEADLINES ABOUT THE ESTIMATED STATE. THAT PERCENT. FOR THE NEXT BIENNIUM.
WE HAVE TURNED A CORNER INSIDE OUR MANAGEMENT TEAM AND SAID OH MY GOODNESS IF WE DON'T START WORKING ON. THE BIENNIUM.
AND THINKING ABOUT WHAT THAT'S GOING TO BE. NOW.
AND INCORPORATING THAT INTO OUR THINKING NOW WE'RE GOING TO RUN OUT OF TIME.
TO BE ABLE TO MAKE THE BUDGET IN THE NEXT BIENNIUM.
SO WE'RE VERY CONCERNED NOW.
STILL LOOKING AT.
POSSIBLE SOLUTIONS DURING FISCAL 21. SO THAT WE ARE BETTER ABLE TO EVEN BEGIN TO ACHIEVE OUR OUR BUDGET FOR THE BIENNIUM 2223.
AND SO WE'RE MORE FOCUS NOW ON ALL OF THAT THEN JUST GETTING OURSELVES THROUGH 21.
SO AGAIN AND IF SO IF WE HAD GOT THAT OPERATING ADJUSTMENT WE WOULD HAVE BEEN OK FOR 21; BUT WE STILL ARE SEEING THAT HEADLINE AND WE'D STILL BE SAYING OH MY WHAT ELSE DO WE NEED TO DO IF WE'RE GOING TO EVER ACHIEVE THAT BIENNIUM BUDGET GOING FORWARD SO THANK YOU FOR ASKING.
>> THANK YOU; OKAY. COMMISSIONER ROGER GO AHEAD AND SHOW US THE LAST FEW SLIDES AND THEN WE WILL HAVE MORE DISCUSSION WE HAVE COME TO FIRE THAT WELL.
SO WE'VE BEEN OVER THAT AND HERE WE ARE SO ONE POSSIBILITY IS TO BE EXPLORING PARTNERSHIPS WITH COMMUNITY PROVIDERS TO TRANSITION ADDITIONAL DHS FACILITIES. TO MAINTAIN SERVICES AND JOBS AND LOCAL PRESENCE.
SINCE THE 70'S; THE CAPACITY AMONG COMMUNITY PROVIDERS AND THESE THINGS THAT WE DO HAS GROWN FASTER.
THAT OUR STATE OPERATED SERVICES AND SO A LOT OF THESE SERVICES HAVE BECOME. LARGELY COMMUNITY. YOU'RE THEN.
FOR INSTANCE; THE NOW MORE THAN 60 RESIDENTIAL MENTAL HEALTH PROGRAMS AND MORE THAN A 130 RESIDENTIAL SUBSTANCE USE DISORDER PROGRAM STAYING OPERATED. BY COMMUNITY PROVIDERS. AND JUST A HANDFUL NOW.
BY THE STATE OPERATED SERVICES.
COMMUNITY-BASED PROVIDERS HAVE GREATER FLEXIBILITY TO FOCUS ON LOCAL NEEDS AND PARTNER WITH LOCAL HEALTH SYSTEMS.
DA D-CT IS A CENTRALIZED ADMISSIONS PROCESS WHICH CONCERN SOMEBODY.
ANYWHERE IN THE STATES AND NOT CURSE TO THEIR FAMILY OR THEIR HOME AND RAIN.
LOOK AT THINGS ACROSS THE STATE THAT WE HAD COMMUNITY BASED PROVIDERS WHO HAD
EMPLOYEES AND PARTNERSHIPS WITH LOCAL HEALTH SYSTEMS THAT ACTUALLY MIGHT EVEN WORK BETTER THAN WHAT WE HAVE TODAY.
AND SO WE'RE IN THE PROCESS OF DISCUSSING CREATIVE STRATEGIES TO CONTROL COSTS WITH OUR LABOR PARTNERS; THE LEGISLATURE; THE MENTAL HEALTH COMMUNITY AND OTHER STAKEHOLDERS. TO FURTHER DEVELOP OPTIONS TO CONTROL THESE COSTS.
TIME IS RUNNING OUT ALREADY SAID THAT WITHOUT SOME AGREEMENT TO PROVIDE FUNDING FOR PERMIT ACTIONS TO ACHIEVE SOME COST SAVINGS BEFORE ABOUT DECEMBER. D-CT WILL HAVE A CRITICAL BUDGETARY SHORTFALL.
ACTIONS THAT COULD ELIMINATE THE REMAINING DEFICIT LOSE IMPACT OVER TIME.
WE ESTIMATE THAT FOR EVERY MONTH THAT GOES BY WE'RE GOING TO HAVE TO LOOK AT CUTTING 2 MILLION OR MORE. TO GET YOUR FISKER 2021.
SO WE'RE EAGER TO CONTINUE LOOKING AT POSSIBILITIES RIGHT AWAY AND NOT JUST WAIT.
AND OF COURSE IT TAKES TIME TO DO BASED CHANGE IS CAUSING A PROGRAM REQUIRES NOTIFIED BARKING BARGAINING UNITS REGULATORS REFERRAL SOURCES STOPPING ADMISSIONS DEVELOPING DISCHARGE TRANSFER EXISTING CLIENTS ISSUING LAYOFF LETTERS ASSISTING STAFF WITH OPTIONS.
AND EVEN AFTER CLOSURE DURING WITH LEASES CONTRACTUAL OBLIGATIONS; AN EMPLOYEE SEPARATION COSTS.
OPTIONS ARE LIMITED AS YOU'VE SEEN FROM OUR SIDE BEFORE JUST CUTTING THE ADMINISTRATION DOESN'T DO IT.
WE ARE PLEASED TO HAVE REDUCED THE FISCAL 21 DEFICIT TO 27 MILLION TO 7.1 WITHOUT DEEPER REDUCTIONS TO SERVICES OR FURTHER JOB LOSSES.
WE WILL NEED TO COLLABORATE WITH THE LEGISLATURE LABOR PARTNERS COUNTY STRIPES PROVIDERS AND ADVOCATES TO FIGURE OUT THE REST.
AND WE WOULD BE PARTICULARLY INTERESTED IN WORKING WITH ALL OF YOU TO CONSIDER THE TRANSITION OF SOME MORE OF OUR SERVICES TO COMMUNITY PROVIDERS.
WHICH HAS THE POTENTIAL OF KEEPING LOCAL SERVICES OF ERROR.
LOCAL FACILITIES OPEN AND LOCAL JOBS
NOW THE INTEREST THAT.
THAT'S RIGHT MY QUESTIONS.
>> OK THANK YOU
I HAVE NOT SEEN ANY MORE QUESTION YOUR LOOK JUST GIVE IT A MOMENT IN CASE; ANYBODY.
OR IF YOU'RE ON VISUAL ON YOU.
>> REPLICA GRENADE.
>> WE THANK YOU CHAIR.
THANK YOU COMMISSIONER FOR THE UPDATE I AGREE WITH YOU ABOUT THE REDUCTIONS.
IS THERE AVAILABLE. ANY TYPE.
OF COMPARATIVE ANALYSIS WITH THE SURROUNDING 5 STATES.
IN TERMS OF SERVICES AND COST.
THAT WE CAN COMPARE WHAT WE'RE DOING.
WITH THE SURROUNDING STATES.
NOW THAT DOESN'T MEAN THAT IF YOU ARE IF WE'RE DOING IT AND THEY'RE NOT.
THAT WE HAVE TO MAKE A CHANGE.
BUT AS LAYPEOPLE WHICH.
ALMOST ALL OF US IF NOT ALL OF US ARE.
THE BEST WAY FOR US TO ASSESS THINGS.
IS TO HAVE A COMPARATIVE ANALYSIS
EITHER NATIONALLY WHICH IS HARD AT ALL. OR.
THIS SURROUNDING 5 STATES.
YOU KNOW AS I'M A SCHOOL BOARD.
WHEN WE GET OUR FISCAL ANALYSIS ONCE A YEAR.
THE AUDITOR WOULD GIVE US A COMPARATIVE ANALYSIS SO EITHER. DISTRICTS.
WITH SIMILAR SIZED ENROLLMENT AND WE COULD SEE WHERE WE WERE OUT OF WHACK.
AND MAYBE THERE WAS A GOOD REASON FOR IT.
OR WE WERE SPENDING LESS.
AND THAT WAS VERY HELPFUL FOR US THE SCHOOL BOARD MEMBERS.
IS THERE A COMPARATIVE ANALYSIS.
AVAILABLE.
ON THE SERVICES AND COST THAT WE PROVIDE.
COMPARED TO THE OTHER SURROUNDING 5 STATES.
>> CHEERLEADING >> AND AND REPRESENTATIVE THAT'S A REALLY GOOD QUESTION AND THIS MIGHT BE A PERFECT TIME FOR US TO REACH OUT AND DISCOVER THAT RIGHT NOW AS WE CONTINUE TO EXPLORE OUR OPTIONS THAT'S A VERY GOOD QUESTION. ONE OF THE THINGS I'VE DONE SOME SINCE I STARTED.
IS TO FOCUS MY ATTENTION ON THE OTHER STATES THAT ARE STATE FUNDED COUNTY ADMINISTERED.
BECAUSE THAT GIVES US SOME COMPARISON TO STATES THAT OPERATE OUR HUMAN SERVICES LIKE WE DO IN MINNESOTA.
AND WE KNOW WHO THOSE FOLKS ARE MIGHT HAVE SOME OPPORTUNITY TO REACH OUT.
IT'S ALSO POSSIBLE; BUT OUR FRIENDS AT NAMI WHO YOU'RE GOING TO HEAR FROM HERE AND OTHER
PROFESSIONAL ORGANIZATIONS MIGHT HAVE SOME DATA FOR US AS WELL; SO THAT'S THAT'S VERY GOOD QUESTION TO ASK.
MY GENERAL EXPERIENCE FUN TRAVELING AROUND THE COUNTRY AS MINNESOTA TENDS TO RANK VERY HIGHLY ON THE KINDS OF SERVICES THAT WE PROVIDE THE CITIZENS OF OUR STATE. BUT IT WOULD BE THANKS FOR ASKING.
CHAIRMAN GRANT AGAIN.
YEAH; I WAS. HOW SOON COULD WE HAVE.
>> BIEN MEMBERS.
>> YEAH CHILLY THING AND REPRESENTATIVE I HAVE NO IDEA THAT'S A GOOD BUT I'LL ASK RIGHT AWAY AND WE'LL SEE IF ONE IS ALREADY AVAILABLE THAT'S POSSIBLE THAT THERE'S SOME DATA THAT'S ALREADY OUT THERE THAT WOULD BE
STUDYING IT CALLING OTHER YOU KNOW TAKE SOME TIME SO WE'LL HAVE TO SEE WHAT'S ALREADY AVAILABLE.
>> ADD TO REALLY BRING ONE MORE FOLLOW-UP; YEAH.
>> YEAH REPRESENT GUN HAGAN.
>> THANK YOU MADAM CHAIR.
YEAH; IT JUST AMAZES ME THAT IN THE AGE OF TECHNOLOGY BUT WE GET NUMBERS AROUND.
FOR ALMOST EVERYTHING FROM A COMPARATIVE BASIS THAT WE WOULDN'T HAVE. AVAILABLE.
COMPARATIVE SERVICES AND NUMBERS.
FOR AREAS SUCH AS THIS IT ALMOST SEEMS LIKE THERE.
IS A DESIRE NOT TO HAVE THAT TYPE INFORMATION AVAILABLE.
AND I'M NOT BLAMING YOU OR ANYBODY ELSE. BUT I'M JUST SAYING IN GENERAL. WHEN IT COMES TO.
STATE AND FEDERAL GOVERNMENT.
WE GET THESE BROAD CLASS. ANALYSIS.
BUT WE DON'T GET ANY TYPE OF COMPARATIVE ANALYSIS AND AGAIN FOR LAY PEOPLE. COMPARATIVE ANALYSIS.
PROGRAMS AND COST IS ONE OF THE BEST WAYS FOR US.
TO PARTICIPATE IN THE PROCESS RATHER THAN JUST BLINDLY.
GOING FORWARD AND MAKING REDUCTIONS.
WITHOUT COMPLETELY REALIZING WHAT THE CONSEQUENCES ARE AND I DON'T THINK ANY OF US WANT TO DO THAT SO I HOPE THAT YOU WOULD.
COMMISSIONER PUT A LOT OF EFFORT INTO TRYING TO COME UP WITH THIS TYPE OF INFORMATION.
STRESS COMMITTEE MEMBERS AS WE GO FORWARD; THANK YOU AND THANKS FOR YOUR CONSIDERATION.
>> WELL THANK YOU REPRESENT GOING; HEY; YOU KNOW I THINK THERE'S A LITTLE A DISCONNECT THERE THOUGH; AND WHAT YOU JUST SAID; I MEAN.
I THINK IT CAN BE USEFUL IF YOU SAY TO GET COMPARATIVE ANALYSIS EVEN JUST TO SEE WHAT OTHERS ARE DOING THAT CAN BE INFORMATIVE AND WE DO THAT AT DIFFERENT TIMES FOR DIFFERENT THINGS.
AT THE COMMISSIONER WAS SAYING THOUGH NOT ALWAYS APPLES TO APPLES THEY HAVE TO BE CAREFUL ABOUT THAT.
BUT THE SECOND THING IS THAT THAT COMEY WITH A BIT OF DISCONNECT WAS THAT WE DON'T BAN UNDERSTAND THE IMPACT OF WHAT WE'RE DOING AND I THINK THAT UNDERSTANDING THE IMPACT OF WHAT WE'RE DOING.
I AGREE THAT THAT SUPER IMPORTANT THAT'S SOMETHING I VERY MUCH WANT TO DO AS WE GO FORWARD HERE BY.
JUST LOOKING AT OTHER STATES IS THAT THAT DOESN'T NECESSARILY INFORM US ABOUT THE IMPACT OF WHAT WE'RE DOING I THINK WE HAVE TO BE VERY CAREFUL AND. FOR ME I'VE ALWAYS BELIEVED THAT PART OF.
IN A FIELD OF CULTURE AT LEAST AS LONG AS I'VE BEEN.
IN THE LEGISLATURE AND AND BEFORE WAS THAT MANY FELT AND TAKE GREAT PRIDE IN PROVIDING GOOD SERVICES FOR PEOPLE WHO ARE VULNERABLE. DISABILITY SERVICES.
WE ALL JUST WENT THROUGH A LOT OF WORK AROUND.
ONE LITTLE SECTOR OF.
BILITY SERVICES THAT BEING THE BAY FOR BUFFET.
AND THEN WITH A LOT OF CONCERN AMONG MEMBERS.
AND RIGHTLY SO ABOUT WHAT ARE WE DOING FOR PEOPLE WITH DISABILITY.
I THINK THIS HAS BEEN A STRONG PART OF OUR
AS WAS POINTED OUT EARLIER WE MAY NOT REACH THE GOAL THAT WE HAVE THAT WE ARE NOT NECESSARILY TAKING CARE OF. THE CONCERNS THAT ARE OUT THERE.
BUT I THINK THAT WE DO TAKE PRIDE IN NOT NECESSARILY BEING THE LOWEST IN THE PAC AS WELL SO I THINK WE NEED TO.
YOU KNOW GET THE COURT TO COMPARE; BUT IT WILL COME POINT TO KEEP IN MIND WHAT OUR OWN. CITIZENS EXPECT ABOUT.
HERE IN THE STATES SO WE ARE GOING TO BE DEFINITELY WRESTLING WITH ALL THE THINGS THAT I APPRECIATE YOU BRINGING THAT UP.
COMMISSIONER GOOD TO I THINK I THINK WE'VE GOT ANOTHER QUESTION HERE FROM REPRESENTED SHORT.
>> MADAM KEEP THE QUICKSAND HAD THE OPPORTUNITY TO TALK ABOUT PRETTY GOOD EVENING.
>> SOME PROGRAMS PARTICULARLY OVER SACHS AND OTHER PROGRAMS TO COMMUNITY PARTNERS.
>> AND HOW WE DETERMINE THAT WITH THE FOR SOX ARE WHICH IS STILL A TEASER WHICH POSITIONS WE ARE LOOKING TO. >> AH.
>> TRANSFER TO COMMUNITY A PRIVATE NURSE.
>> APPARENTLY A THING OF REPRESENTATIVES I DON'T KNOW THE EXACT OUTGROWTH OF THAT OUR STAFF HAS BEEN USING TO DO THIS FOR THE LAST SEVERAL YEARS I DO KNOW THAT GENERALLY IS THE OBJECTIVE.
WAS TO TRANSITION HOMES THAT ARE FILLED WITH PEOPLE WHO COULD EASILY BE SERVED AND COULD BEI COMMUNITY PROVIDERS SO WE'RE REALLY LOOKING AT THE PEOPLE IN THEM.
TO GET AN IDEA AND THEN OF COURSE WE'RE LOOKING AT THE LOCAL COMMUNITY TO SEE WHERE THERE ARE OTHER PROVIDERS. WE HAVE THE CAPACITY TO TAKE ON. OTHER
BUT IT'S BEEN A GOOD AND THOUGHTFUL PROCESS.
WE HAVE BEEN ONE COUNTY AT A TIME TO FIGURE HOW.
HOW TO TRANSITION SOME OF THESE HOMES.
>> AND THE IDEA OF ACCELERATING US ONE IDEA THAT'S LIGHTER SIDE SO WE CAN FIND OUT WHERE THE FIGHTERS ARE SAYING. WHO MIGHT HAVE CAPACITY.
AND GOOD IDEAS ABOUT HOW TO DO THIS JUST TO GIVE US MORE INFORMATION. AS WE PURSUE OUR. THAT PARTICULAR STRATEGY.
>> THANK YOU COMMISSIONERS.
COMMISSIONER YOU HAD I THINK YOU HAVE THE MORE LIFE TO ASSURE HER WAY TO THE END. NOT FINISHED; THANK YOU CHAIR.
ARE YOU DID OKAY YOU FINISH; OK VERY GOOD. SO.
I THINK WE WE CAN GO TO WORK AS PLAYER NOW AND ADJUST TO.
MAKE MEMBERS AWARE THE INTENTION WAS TO GO AND KILL. HAND 45 OR OUR 1145.
JUST SO EVERYONE AWARE OF THAT SO LET'S GO THEM TO DO AFTER HOLDEN SAID.
HANGING ON HERE WAITING WELCOME TO THE COMMITTEE.
>> YOU KNOW I THINK IT'S IMPORTANT TO LOOK AT JUST A TINY BIT OF THE HISTORY OF STATE OPERATED SERVICES.
YOU KNOW IN THE EARLY 1900 STATE CURRENT SERVICES ARE D-CT.
WE'RE REALLY THE ONLY GAME IN TOWN THAT WAS THE ONLY PLACE THAT YOU WENT FOR TREATMENT SERVICES.
AND THAT BEGAN TO CHANGE IN THE 70'S 80'S PARTLY TO DEPART CASES AS WELL.
AND REALLY RECOGNIZING THAT PEOPLE COULD BE SERVED IN THE COMMUNITY.
UNFORTUNATELY FOR PEOPLE WITH MENTAL ILLNESS AS WE WERE TREATED A LITTLE DIFFERENTLY SO MEDICAID DISCRIMINATES AGAINST MENTAL HEALTH TREATMENT.
BY LIMITING OR ITS USE OF US DOLLARS TO.
THE SAUDIS THAT OF 16 BENSON BUS.
MEDICARE HAS A LIFETIME LIMIT ON THAT PAYING FOR THE NUMBER OF INPATIENT PSYCHIATRIC DAYS.
AND I WOULD INSURANCE OF COURSE AS WE KNOW DOES NOT PAY FOR ALL THE VARIOUS TYPES OF NO HEALTH TREATMENT.
SO IT ISN'T THAT WE HAVE A BROKEN KNOW HOW SYSTEM IT'S BECAUSE WE ACTUALLY NEVER BUILT IT.
I THINK IT'S BEHIND YOU LOOK AT WHAT'S HAPPENING TODAY IN TERMS OF BUDGET CUTS I THINK IT'S IMPORTANT TO REALLY AGAIN DISCUSSED WHAT IS THE ROLE OF STATE OPERATED SERVICES.
WHILE THEY USED TO BE THE LARGEST PLAYER IN TOWN THERE ARE NO LONGER.
OUR COMMUNITY PROVIDERS SO FAR MORE PEOPLE THAN THE STATE DOES.
WE HAVE ROUGHLY A 150;000 PEOPLE OF OF THE SERIOUS MENTAL ILLNESS.
SO CLEARLY MOST OF THOSE PEOPLE ARE ACTUALLY CERTAIN COMMUNITY.
I THINK THE OTHER THING TO REMEMBER IS YOU KNOW IF YOU KNOW TRADITIONAL TREATMENT CENTER.
YES; THIS ARE PEOPLE WHO ARE COMMITTED LARGELY PEOPLE ARE COMING FROM JAIL.
BUT AGAIN THAT'S A SMALL NUMBER ABOUT 4;000 PEOPLE HAVE A COMMITMENT FILED EVERY YEAR.
AND A LOT OF THOSE PEOPLE ARE ACTUALLY CERTAIN COMMUNITY HOSPITALS BECAUSE THEY COULDN'T GET INTO AN OKAY IF THEY WANTED TO. ECMC HAS A 100 BEDS.
REGIONS HAS ABOUT A 100 PATENTS TO YOU I'M HEALTH FAIRVIEW HAS ACTUALLY A LOT MORE ABOUT A 175. AND AS THE COMMISSIONER MENTIONED WE HAVE OVER.
60 HERTZ PROVIDERS IN THE COMMUNITY AS WELL.
AND SO IT REALLY IS NOW A SMALL PART OF OUR WHOLE SYSTEM AND I THINK WE NEED TO CONTINUE TO KIND OF LOOK AT SO WHY DOES THE RAUL.
WE WOULD SAY THAT WE ARE ACTUALLY OK WITH MOVING THE EARTH'S FACILITIES IN PARTICULAR TO COMMUNITY PROVIDERS. I THINK THERE WILL BE GREATER CONTINUITY OF CARE; ESPECIALLY IT'S FUN BY ACC BEACH C.
SAID THANK YOU NEED TO HAVE A HEALTH CLINIC THEY'RE ALREADY PROVIDING A WIDE ARRAY OF SERVICES THIS WOULD JUST BE ANOTHER PART. AND I THINK THAT ACTUALLY WOULD WORK REALLY WELL.
THE COMMUNITY BEHAVIOR HEALTH HOSPITALS ARE A LITTLE BIT DIFFERENTLY; ALTHOUGH I WILL SAY THAT THE.
ARE NOT MANAGED IS HOW WE INITIALLY THOUGHT THINK WOULD BE.
WE THOUGHT THEY WOULD BE A FAR GREATER PART OF THE COMMUNITY SO CREATING.
GREAT RELATIONSHIPS WITH HOSPITALS AND COMMUNITY MENTAL HEALTH PROVIDERS.
BUT TO BE AN ESSENTIAL HIS ADMISSION HAS MADE THAT HARD.
SO PEOPLE ARE COMING FROM OTHER REGIONS OF THE STATE BECAUSE THERE'S AN EMPTY BAG THAT'S NOT NECESSARILY SERVING JUST PEOPLE AND THEIR PARTICULAR REGION.
I KNOW THERE WERE SOME QUESTIONS ABOUT YOU KNOW HOW DO WE COMPARE TO OTHER STATES.
IT IS A DIFFICULT THING TO
THERE HAVE BEEN SOME STUDIES OUT THERE TYPICALLY MINNESOTA IS IN THE TOP 10. WHICH.
IN SOME WAYS FRANKLY IS SAD THAT WE'RE IN THE TOP 10 BECAUSE I THINK WE'RE NOT REMOTELY MEETING THE NEEDS OF PEOPLE AND THERE'S A LOT MORE THAT WE NEED TO DO THERE. IN SOME OF THE STUDIES THAT HAVE BEEN DONE THERE WAS ONE BY THE TREATMENT ADVOCACY CENTER.
AND THEY LOOKED AT THE NUMBER OF BEDS PER POPULATION AND WE SAID THAT MINNESOTA ABOUT LAST. BY.
THE CAPTAIN OUT HERE IS THAT THE NUMBER ONE STATE WAS MISSISSIPPI.
AND THAT'S BECAUSE MISSISSIPPI HAS NOT DEVELOPED ANY COMMUNITY SERVICES AND THE REPORT ONLY LOOK TO STAY TOP RATED BAGS.
WHICH AGAIN WE HAVE FAR MORE COMMUNITY HOSPITAL BEDS SO THAT REPORT DOESN'T REALLY HELP US.
OUR NATIONAL OFFICE ACTUALLY DID 2 ABOUT 10 YEARS AGO.
AND AND THEY TRIED TO KIND OF MEASURE; BUT YOU KNOW STATES REDOING.
THE PROBLEM WAS THEY DIDN'T INCLUDE MEDICAID BENEFITS.
WELL PRIOR TO A LOT OF SERVICES FOR PEOPLE WITH MENTAL ILLNESSES WERE ACTUALLY PAID FOR BY COUNTY FUNDS AND STATE FUNDS NOT BY MEDICAID. WE SHIFTED THAT BECAUSE WE SAID.
WE SHOULD BE TREATING THIS IS A NEW HEALTH CARE ISSUE.
A NATIONAL OFFICE COULD NOT ACTUALLY QUANTIFY THE MEDICAID DOLLARS THAT WERE SPENT ON MALL.
SO AGAIN IT'S KIND OF DIFFICULT REPORT BECAUSE YOU'RE ONLY LOOKING AT COUNTY FUNDS AND STATE FUNDS AND NOT ACTUALLY MEDICAID OR MINNESOTA CARE FUNDS.
I WOULD SAY THAT MINNESOTA HAS A WIDE ARRAY OF SERVICES WHICH IS A GOOD THING THAT'S WHAT WE WANT.
THERE ARE THINGS THAT WE'RE CERTAINLY SHORT ON INCLUDING 4 STOPS SOME PROGRAMS. SUPPORTIVE HOUSING.
MORE INTENSIVE SERVICES FOR CHILDREN SO THIS'LL YOU HAVE A LOT OF WORK TO DO AS TO OTHER STATES; BUT I THINK GENERALLY SPEAKING WE'RE DOING A LITTLE BIT BETTER. SO I TO SAY THAT.
AS WE'RE MOVING FORWARD; THIS IS AN OPPORTUNITY GEN RE LOOK AT MISSION OF STATE OPERATED SERVICES.
CERTAINLY A NO GO WITH THIS LACKED AND THAT'S CERTAINLY THE SECURITY HOSPITAL DEFINITELY NEED DOLLARS.
YOU KNOW PERHAPS IN THE FUTURE SOME TIME IN THE FUTURE WE CAN FIGURE OUT WHAT TO DO WITH THE COMMUNITY BEHAVIORAL HEALTH HOSPITALS.
AND WE WOULD SUPPORT MOVING TOWARDS THE SAUDIS TO COMMUNITY PROVIDERS WHO ARE ALREADY DOING THE LION'S SHARE OF THAT WORK.
SO AGAIN THANK YOU FOR ALLOWING ME TO BE HERE TODAY AND I'M HAPPY TO ANSWER ANY QUESTIONS.
>> ALL RIGHT; THANK YOU VERY MUCH MONTH AFTER HOLDEN.
ARE THERE ANY QUESTIONS FROM THE AFTER HOLDEN.
OKAY I'M NOT SEEING ANY RIGHT NOW; BUT IF YOU WANT TO STICK AROUND WE HAVE SOME OTHER TESTIFIERS AND.
THERE MAY BE QUESTIONS THAT COME UP AS TO BELONG HERE. WELL THANK YOU.
FROM NEXT ON MY LIST; I HAVE I'M LYNN BUTCHER FROM MADE.
>> THANK YOU CAN MORNING CHAIRPERSON HE LABELING AND MEMBERS OF THE COMMITTEE.
THANK YOU FOR LETTING ME SPEAK THIS MORNING.
MY NAME IS LYNN; BUT SURE I SERVE AS THE QUALITY OFFICER SUPPORTING FORENSIC SERVICES DIVISION OF DIRECT CARE AND TREATMENT.
AND I'M ALSO THE STATEWIDE SECRETARY FOR THE MINNESOTA ASSOCIATION OF PROFESSIONAL EMPLOYEES.
A MEMBER GERMAN UNION REPRESENTING OVER 15;000 STATE EMPLOYEES INCLUDING NEARLY 2500 AT THE DEPARTMENT OF HUMAN SERVICES. 4 YEARS AGO.
WHEN I FIRST TESTIFIED IN FRONT OF THIS COMMITTEE AND WAS TO COME IN SAID THAT ISSUES OF SAFETY AND BURNOUT AT THE MINNESOTA SECURITY HOSPITAL COULD BE MITIGATED BY HIRING 125 ADDITIONAL STAFF. IDENTIFIED THROUGH JOINT LABOR-MANAGEMENT COLLABORATION.
TODAY I'M HERE TO SHARE WITH YOU THE IMPACT OF THE DHS ADMINISTRATION'S UNILATERAL DECISION TO ELIMINATE 44 OF THOSE POSSESSIONS.
AS WELL AS A UNIT OF THE MINNESOTA SEX OFFENDER PROGRAM AND ACCELERATE THE PRIVATIZATION OF OVER 30 ADULT FOSTER CARE HOMES. IN ORDER TO CLOSE THE 27 MILLION DOLLARS.
BUDGET FOR WHICH NO SUPPLEMENTAL APPROPRIATION WAS PROVIDED.
FOR MY COLLEAGUES AND COMMUNITY BASED SERVICES.
THE DECISION TO PRIVATIZE THEIR WORKPLACES MEANS AN INCREASE IN UNCERTAINTY.
UNCERTAINTY OVER WHETHER THE INDIVIDUALS THEY SERVE WELL RECEIVED THE SAME HIGH QUALITY CARE.
FROM A PRIVATE PROVIDER THAT THEY DO FROM A STABLE STATE WORK FORCE.
AND UNCERTAINTY FOR THEMSELVES AS THEY SEE THEIR SYSTEM DISMANTLED.
FROM MY COLLEAGUES IN THE END THE SOAPY THESE CUTS.
MEAN A LOSS OF 8 MATE REPRESENTATIVE POSITIONS AND INCREASE.
TO ALREADY UNMANAGEABLE CASE LOADS.
AS WELL AS A CONTINUATION OF AN SITE UNSAFE CLINICAL PRACTICE.
AS THEIR TESTS ARE ASKED TO FACILITATE TREATMENT GROUPS ALONE.
IN ORDER TO MAINTAIN HIGH LEVELS OF TREATMENT WHILE PROVIDING TIME FOR CLINICIANS TO COMPLETE DOCUMENTATION REQUIREMENTS.
FROM MY COLLEAGUES OF FORENSIC SERVICES WHERE I SERVE.
THE ELIMINATION OF MISS 44 POSITIONS MEANS A LOSS OF HOPE.
HOPE FOR A FUTURE WITH REASONABLE WORKLOADS.
AND SUFFICIENT STAFF TO COVER NEWLY-OPENED TREATMENT UNITS.
HOPE FOR AN END TO MANDATED OVERTIME FOR UNIT STATUS.
HOPE TO BE ABLE TO MAINTAIN SAFETY.
IN OUR PROGRAMS.
HOPE THE DECISION MAKERS CAN LOOK BEYOND A NUMBER ON A SPREADSHEET AND SEE THE PERSON AND REPRESENTS.
HOPE THAT COLLABORATION WITH AGENCY LEADERSHIP COULD ACTUALLY OF HER.
AND HOPE THAT ALLEGES THAT THE LEGISLATURE WILL WORK QUICKLY ENOUGH.
TO FIND COMMON GROUND AND A COMMITMENT TO ENSURING STRONG SUPPORT OF MENTAL HEALTH SYSTEM FOR MINNESOTA.
BY PRIORITIZING THE PASSAGE OF DEFICIENCY FUNDING FOR THIS FISCAL YEAR.
WE KNOW THE WORK THAT WE DO FROM MINNESOTA IS VITAL.
YOU CAN CONFIRM FOR US THAT YOU KNOW THIS THEY WORKING WITH YOUR LEGISLATIVE COLLEAGUES TO FUND OUR PROGRAMS AND MAKE THAT COMMITMENT TO US. THANK YOU FOR HAVING ME THIS MORNING AND I APPRECIATE THE TIME TO SPEAK.
>> THANK YOU VERY MUCH WITH PUT YOUR WE APPRECIATE YOU BEING HERE WITH US TODAY AND.
I'M NOT BE IN QUESTION. BUT IF YOU COULD.
KICK AROUND WITH THAT THERE MAY BE SOME LATER ON. THANK YOU.
OK; I'M ERIC SE BE WELCOME.
>> GOOD MORNING; MADAM CHAIR AND COMMITTEE MEMBERS MY NAME IS ERIC AT SEA AND I WORK AT CES CURE KILLS TO LEAD THE MINNESOTA SEX FROM THE PROGRAM; IT'S A PURE.
I'M ALSO THE WHICH PRESIDENT ASKED THE LOCAL 4 FOR WHICH REPRESENTS 7 SPEECH IN FRONT OF SERVICE PROGRAM.
THANK YOU FOR THE OPPORTUNITY TO FIGHT FROM WORK OR PERSPECTIVE ON THIS VERY IMPORTANT MATTER.
THE POWS CUBS AND PIRATES 3 SAYS 04:00PM FORENSIC SERVICES PARTY RESPONSIBLE AND DANGEROUS.
FRONTLINE SECURITY STAFF IS NOT THE PLACE TO FIND SAFETY.
I KNOW FROM FIRSTHAND EXPERIENCE THAT THIS WILL THIS WILL LEAD TO MORE STAFF BEING ASSAULTED AND INJURED.
FIRST TIME APPEARED IN FRONT OF THE MINNESOTA LEGISLATURE.
WAS IT TELL A STORY WHEN I WAS ASSAULTED AT WORK IN NEARLY LOST ONE OF MY EYES.
THIS HAPPENED AT THE MINNESOTA SECURITY HOSPITAL WERE STAFFING LEVELS WERE ON SAFE.
I KNOW FOR A FACT WHEN YOU KNOW WHEN WE.
DON'T STILL VACANT POSITIONS OVER TIME LEVELS NATURALLY GO UP.
WE ALSO GOT TO KEEP IN MIND IN THE FALL WE MAY BE EXPERIENCING A SECOND WAVE OF COVID WHICH WILL DIRECTLY OR COULD DIRECTLY IMPACT THE STAFFING LEVELS. THERE. AND YOU KNOW WHEN WE NATURALLY HAVE MORE OVER TIME.
AND I MEAN WE'RE TIGHT RACE AT THE FORENSIC SERVICES IS PRETTY.
UP RIGHT NOW THE WAY IT IS WITHOUT THIS.
WHEN WE HAVE INCREASED OVER TIME REACHED THIS LEADS TO DECREASED APP AROUND. IT LEADS TO STAFF TURN OUT.
LISA STAFF INJURES BECAUSE.
PEOPLE WHEN THEY'RE WORKING THEIR SECOND OR 3RD DOUBLE SHIFT IN A ROW.
RESIDENTS TENTATIVE THERE ARE NOT AS HARD AS THEY COULD BE AND IT'S JUST COULD LEAD TO BAD SITUATIONS.
YOU KNOW; I'M A SULKY A COUPLE YEARS AGO; I BELIEVE FIRE.
I DON'T KNOW EXACT NUMBER BUT OUT THEIR SPOTS; 70 SESSIONS BUT THEY WERE LIMITED AND MOST OF IT. MOST OF THEM ARE FROM FRONT-LINE WORKERS.
INCENSE AND I MEAN WE'VE HAD STRUGGLES WITH TRYING TO MAINTAIN A SAFE STAFFING LEVELS ON THE UNIT.
AND ALSO SO YOU KNOW PROVIDE PROGRAMMING FOR THE CLIENTS.
SO IF WE GO OUT WITH THIS I JUST DON'T SEE HOW IT DOESN'T.
COMPROMISE THE SAFETY OF THE CLIENTS.
STAFF AND QUITE POSSIBLY PUT COMMUNITIES.
IT IS IRRESPONSIBLE ON THE PART OF WAS SLATED TO THE NOT FUN; SAFE STAFFING AND AS IRRESPONSIBLE TO PROPOSE.
16 A BUDGET DEFICIT BY CUTS FOCUS ON ITS FRONT LINE STAFF.
THERE HAVE BEEN OTHERS WHO ARE NOT AS LUCKY AS ME AND NEVER FULLY RECOVERED FROM INJURY SUFFERED ON THE JOB. TORN LIGAMENTS.
BROKEN BONES AND TRAUMATIC BRAIN INJURIES.
UNDERINVESTED IN OUR WORK IS DANGEROUS AND CONSTANCE CONSEQUENCES SEVERE.
>> THANK YOU MISTER HAPPY WE APPRECIATE YOUR BEING HERE TODAY TO SPEAK TO US
AGAIN I DON'T SEE ANY QUESTIONS RIGHT NOW; BUT I'M CLEAN. AND AROUND IN CASE.
IN CASE THERE ARE ANY.
AND THEN WE HAVE NO LET UP ON HIM.
>> Y >> DOS
>> THANK YOU FOR THE OPPORTUNITY TO PROVIDE TESTIMONY THIS MORNING.
I UNDERSTAND TOUGH DECISIONS NEED TO BE IN A HUGE AND DHA SAYS THE LEGISLATION CONTINUES TO ANDERSON YOUR WORK BUT WHAT I DON'T UNDERSTAND IS WHY EVERY TIME THERE IS A BUDGET SHORTFALL OR ECONOMIC TIMES THE FIRST PLACE ANYONE LOOKS FOR SAVINGS ISN'T THE FRONT LINE WORKERS AS I'VE BEEN WORKING FOR THE STATE FOR OVER 15 YEARS.
AND I HAVE NEVER SEEN SO MANY LAYERS OF MANAGEMENT AS WE HAVE TO THE SERVICE OF TIME COULD BE CUT.
FROM THE BOTTOM AND SALLY IS DISGUSTING ITS TONE OF PROJECT IS TO PROVIDE HIGH QUALITY SERVICES AND IT HAS TO STOP PLANS TO CONTINUE TO TRANSITION MORE AND MORE OF THE STUDY OPERATING GROUP POOLS TO PRIVATE PROVIDERS IS BLAMING THE OUTSOURCING AND ONLY SEES MONEY EACH BY PAYING WORKERS LESS AND PAYING THEIR BENEFITS WENDY JUST DOES TRANSITIONS HOMES LIKE THEY'RE SUGGESTING TO DO MORE OF WHICH THERE IS A PROCESS FOR THE EMPLOYEES OF THE CLOSING WHO WANTS TO BE ABLE TO BID ON OPEN POSITIONS IN THE REMAINING HOMES IN THE WORK SITES. I REALLY QUESTION OUR ABILITY TO MAINTAIN THAT PROCESS IS DUE JUST THE SELLER IS AT THIS PACE OF THE OIL SOURCING THERE WON'T BE ENOUGH OPEN POSITIONS FOR THE AMOUNT OF WORKERS THAT THEY WILL BE DISPLACING IS. >> YOU KNOW WE'RE TALKING POLITICS. WE HAVE IS. WHAT DID YOU SEE. 17 YOU WANT TO JUST 17 OUR HOMES. YOU SEE HERE MILES 17 HOMES. S. A 170 STAFFS.
YOU HAVE TO BE ABLE TO FIND POSITIONS FOR THAT'S JUST A LOT OF STAFF THAT WE WOULD BE DISPLACING A LOT OF WORK.
THE LEGISLATURE MUST GO AND FIND HER WORK WHICH I HER WAY OUT OF THIS BUDGET DEFICIT WHICH IS NOT THE LEAST 4 WORDS TO THANK YOU FOR ANSWERING IS.
>> THANK YOU VERY MUCH FOR BEING HERE TODAY IS CONSTANTLY APPRECIATE YOUR TESTIMONY.
OTHER QUESTIONS FROM MEMBERS I THINK THAT IF THE LEFT TESTIFY OR AT LEAST THE LAST ONE ON MY LIST WAS THERE ANYONE ELSE HERE WHO.
WANTED TO TESTIFY AND MAYBE DIDN'T GET ON THE LIST. OKAY NOW SEEING ANYBODY.
SO ARE THE QUESTIONS FROM MEMBER.
OK SO I'M NOT SEEING ANY THERE EITHER.
SO I MEAN YOU MAKE A COUPLE COMMENTS AND WE DO HAVE A LITTLE BIT OF TIME I MEAN WE DON'T HAVE TO DRAG THAT OUT OF FOLKS DON'T HAVE A QUESTION BUT. AND I KNOW THAT KIND OF OVERWHELMING THERE'S A LOT TO UNPACK HERE.
THE COMMISSIONER HAVE BEEN TALKING TO ME ABOUT THAT A LITTLE BIT AS
THEY'VE BEEN GRAPPLING WITH THE ISSUE AND.
SO I HAD A I JUST A BIT MORE OF A HEAD START AND THEN YOU. MEMBER
ASK SOME QUESTIONS WILL GO ON BUT I THERE IS A LOT HERE AND THERE'S A LOT OF DETAIL I THINK IN IN A LOT OF WAYS THE DEVIL IS KIND OF IN THE DETAILS HERE SO. THERE IS SOME.
PIECES OF INFORMATION THAT THAT I'M STILL LOOKING FOR BECAUSE.
JUST TO BE CLEAR THAT DEPARTMENT OF MAKING CERTAIN DECISIONS RIGHT NOW AS OF SEPTEMBER 1ST.
THAT WHEN THE LEGISLATURE COMES BACK INTO SESSION OR EVEN DURING OUR SPECIAL SESSION.
WE ARE LIVE WITH OUR RESPONSIBILITY ALONG WITH THE ADMINISTRATION'S RESPONSIBILITY TO FIGURE OUT. HOW TO DEAL WITH THE BUDGET.
AS HAS BEEN NOTED.
THE HOUSE DID PASS.
THE BUDGET ADJUSTMENT THE SUPPLEMENTAL BUDGET.
WE HAVE THAT OFF THE FLOOR.
UP AFTER WAVE THAT MEAN.
ANOTHER OCCASION AND WAS READY TO COME UP ON THE FLOOR WHEN WE WERE TOLD THAT THE SENATE.
HAD DECIDED THAT THEY WEREN'T GOING TO DEAL WITH THE BUDGET SO IT CAN WHAT THE PRODUCT ON THE COURT FOR THAT REASON.
THE HOUSE HAS HAD TRIED TO DO A SUPPLEMENTAL BUDGET NOW.
THAT BEING SAID WE ARE FACING A REALLY BIG BUDGET DEFICIT. SO.
YOU KNOW MONEY IS GOING TO BE TIGHT AND THERE ARE GOING TO BE JUST TO BE QUITE FRANKLY; EVERYONE THEY'RE GOING TO BE CUTS ALL OVER STATE BUDGET THIS IS THIS IS GOING TO BE A VERY DIFFICULT TIME.
I FEEL LIKE IN ORDER FOR THE LEGISLATURE TO GO FORWARD AND MAKE GOOD DECISIONS EVEN WHEN WHEN WE HAVE A CHANCE TO MAKE THEM.
IT'S GOING TO BE REALLY IMPORTANT FOR US TO UNDERSTAND.
IT COST COMPARISON.
BETWEEN THE GROUP HOME BETTER STATE OPERATED.
AND THE ONE BETTER THAN PRIVATE OPERATORS THAT WE'RE TALKING ABOUT TRANSITIONING TO.
ANOTHER MEMBER BROUGHT THIS UP BEFORE.
BUT THE PLACE THAT I REALLY WONDER ABOUT AN INCH. WE'RE BUILDING MEDICAID.
PRIVATE OPERATORS ARE ALSO BILLING MEDICAID IT'S NOT AS THOUGH WHEN WE TRANSFER PEOPLE TO PRIVATE PROVIDERS.
THAT THERE'S PROBABLY OFF THE STATE TO GOD. THE STATE IS PAYING.
TRUE A DIFFERENT POCKET IF YOU WILL. AND I FIND THAT.
HARD TO GET MY MIND AROUND WE NEED TO.
UNDERSTAND.
KIND OF THE ENTIRE COST.
WHAT WE'RE DOING HERE AND.
ALSO THE CROSS THAT ARE NOT ALWAYS QUANTIFIABLE I'M KIND OF WHAT WHAT MISS THOMPSON LOOKED TALKING ABOUT.
YOU KNOW WHAT IS THE DIFFERENCE IN CARE; WHAT IS THE DIFFERENCE IN ACUITY
WE TALKED ABOUT BEFORE BY ANOTHER MEMBER.
I'M SO THESE ARE ALL ISSUES THAT WE'RE GOING TO NEED TO DIG INTO VERY DEEPLY IN ORDER TO MAKE GOOD DECISIONS.
THE WORST POSSIBLE OUTCOME WOULD BE FOR US TO MAKE.
WHAT WE THINK ARE NECESSARY CUT.
AND DISPLACING A LOT OF WORK DISPLACING PERHAPS SOME RESIDENTS CHANGING CONSERVATIVE AND THEN FIND OUT WE'RE NOT EVEN SAVING ALL THAT MUCH MONEY THAT WOULD BE KIND OF WORKED THE BALL WORLD. SO WE HAVE A LOT OF WORK TO
TOGETHER TO GET OUR MINDS AROUND.
ALI QUESTION AND I KNOW THAT THE COMMISSIONER.
HAVE BEEN VERY VERY HEAVY RESPONSIBILITY OF COMING UP WITH.
THE SOLUTION SHE HAVE TO.
I REALLY FEEL THAT IT'S INCUMBENT NOT ALL OF THOSE. ALL OF US.
TO TO SHARE IN THAT.
I WOULD HAVE LIKED TO HAVE PASSED THAT SUPPLEMENTAL BUDGET AT LEAST THAT WOULD HAVE GOTTEN THROUGH THE BUDGET YEAR.
WHERE THE LEGISLATURE COULD BE MORE ENGAGED IN.
MAKING THE DECISION.
AND WHERE WE MAY NOT HAVE MUCH OF AN OPPORTUNITY FOR THAT RIGHT NOW BEFORE THE NEXT BUDGET SESSION.
THIS IS THIS IS GOING TO BE SOMETHING THAT'S GOING TO BE WEIGHING ON SO.
WITH THAT ARE THERE OTHER QUESTIONS FROM MEMBERS I DON'T WANT TO DO ALL THE TALKING. BUT I'M NOT BEING TOLD THAT ANYBODY ELSE HAS THEIR NAME ON THE LIST.
THERE ANYTHING ANYBODY WANT TO SAY THE QUESTION COULD JUST COMMENT.
IF THEIR INFORMATION THAT YOU.
THINK WOULD BE HELPFUL.
AND THEN BY THE WAY LET ME BRING UP ONE OTHER THING I DID MENTION THAT TO THE COMMISSIONER AS WELL AND I THINK IT'S IMPORTANT.
AS WE GO FORWARD; I THINK THE WE NEED TO UNDERSTAND WHAT THE EQUITY IMPACT OF THE CHANGE OF HEART AS WELL.
SO WE HAVE BEGUN TO BE MORE COGNIZANT AS WE GO FORWARD AND
MAKE A DECISION.
ABOUT THE IMPACT ON EQUITY.
I HAVE A FEELING THAT CROP; THE VARIOUS SERVICES IN PCT THAT THERE ARE DIFFERENCES IN IN WHAT THE IMPACT IS GOING TO BE ON. COMMUNITIES OF COLOR AND I THINK IT WOULD BE.
HELPER FOR US TO JUST KNOW WHAT THOSE ARE AS WE MOVE FORWARD AS WELL.
IF WE CAN GET MORE OF THAT INFORMATION.
OTHER MEMBERS.
WE'RE GOING TO BE OR NOT.
>> THANK YOU MADAM CHAIR FOR YOUR COMMENTS AND SO MY QUESTION IS SIMPLY.
WHERE AND HOW DO WE GET THAT INFORMATION WITH THAT THE SUPPLY.
COMMISSIONER HER STEAD AND IF SO WHEN WHEN WHEN I THINK A REPRESENTATIVE JERNIGAN ASKED SOME QUESTIONS AND ADDED AS I HAD EARLIER ON THIS. CARE TRANSITION. COST SAVINGS IN.
HOW DO WE AS A BODY GET THAT.
>> GREAT QUESTION. REPRESENTATIVE BERMAN THE NORMALLY AND THE COMMERCIAL BREAK BUT NORMALLY THE WAY WE DO THAT TO THAT. I MEAN VHS.
HAD HAD INFORMATION MUCH MORE THAN CAN WE DO IS THE LEGISLATURE AND THEY WOULD QUIET AND HOPEFULLY.
TO THE COMMITTEE ADMINISTRATOR AND THEN LOW AND IT OUT TO EVERYONE SO THAT YOU ALL HAVE ACCESS TO A COMMISSION. YOU WANT TO COMMENT ON THAT.
>> BUENO; PISAR
>> THE DISAGGREGATED RACIAL DATA ARE IN OUR D-CT SERVICES AND THE VERY HIGH LITTLE ANSWER TO THAT SO FAR IS THAT ACROSS THE WHOLE SYSTEM. THE PEOPLE THAT WE SUPPORT.
PRETTY MUCH REFLECT THE STATE OF MINNESOTA; ALMOST PRECISELY AT ANY PERCENT WHITE AND 20% OF BLACK INDIGENOUS AND PEOPLE OF COLOR.
THAT WE CAN GET SHARE THAT DATA THEN CALL UP AFTER TODAY.
>> OTHER QUESTIONS THAT MEMBERS HAVE.
ALL RIGHT COME FROM NOTHING ONE LET ME ASK ANOTHER ONE DOWN AMID THERE HAVE THINK TALKED THE IMPACT ON HIM STOP OUT. I THINK HE WAS TALKING ABOUT. THESE POSITIONS BETTER.
GOING TO BE ELIMINATED THAT ARE OPEN POSITION.
BUT I'D LIKE TO ASK A LITTLE BIT MORE ABOUT THE CHANGE THAT'S BEING PROPOSED IN M A P WHICH IS THE ELIMINATION OF THE PROGRAM THAT TAKES PLACE INSIDE THE MOOD LIKE PRINT THAT. JUST SO EVERYBODY IS CLEAR ABOUT THIS.
THERE IS I VISITED THE PROGRAM SOME YEARS AGO; AND I I DON'T KNOW WHAT COULD PROBABLY CHANGE A LOT OF THEM BUT. MY UNDERSTANDING OF THAT.
WHILE IN MAJOR STILL IS BUT PRISON.
THAT THEY CERTAIN AND MADE. OUR.
OR PUT INTO THE TREATMENT PROGRAM.
AND THE HOPE IS THAT BY GIVING THEM TREATMENT IN THE PRISON SYSTEM.
THAT THEY EITHER WILL BE.
SIMPLY SAFER TO THE PUBLIC AND PRIVATE RELIEF BECAUSE THEY WILL BE TREATED. OR AND OR.
THAT THEY WILL
LESS LIKELY TO BE ADMITTED TO OR.
SEX OFFENDER PROGRAM WHICH IS UP.
HOST INCARCERATION PROGRAM THAT COULD PUT.
THE CHEMICAL P THAT PROGRAM WE TALKED ABOUT THAT SO LARGE.
COMPARED TO OTHER PLACES IN A TREATMENT PROGRAM.
FOR PEOPLE WHO ARE NOT ACTUALLY INCARCERATED THEY ARE EITHER DONE WITH THEIR INCARCERATION OR NEVER HAD ONE. AND THEY'RE NOW IN TREATMENT.
SO THIS PROGRAM THAT'S BEING ELIMINATED IT'S A. A PROGRAM THAT.
WITH INTENDED I THINK TO TRY TO.
GIVE PEOPLE TREATMENT WHILE THEY'RE IN PRISON TRY TO KEEP THEM OUT OF THAT LONGER TERM. PROGRAM.
I'M INTERESTED IN JUST UNDERSTANDING A LITTLE BIT MORE IF YOU COULD ABOUT.
WHETHER ELIMINATING THAT PROGRAM HAS AN IMPACT ON PUBLIC SAFETY. OR AN
YOU KNOW WHETHER WE'RE JUST MOVING THE EXPENSE FROM ONE PLACE TO ANOTHER BY HAVING MORE PEOPLE GOING TO OUR LONG-TERM PROGRAM IF YOU COULD COMMENT ON THAT COMMISSIONER.
>> YES A CHARITY THAT PROBABLY HAVE TO GET SOME MORE INFORMATION FROM MARSHALL SMITH'S IN TERMS HIS LOGIC AND THINKING THAT THIS WAS A PLACE TO MAKE A
THOUGH I WILL SAY THAT ARE SEX OFFENDER PROGRAM AT MOST LIKE ON THE SAME CAMPUS IS STILL THERE AND AND SPEND HAS 471 EMPLOYEES. AND
YES; IT WOULD BE A SHIP MY OTHER SEX OFFENDER PROGRAMS.
BUT I COULD GET MORE INFORMATION FROM MARSHALL SMITH TO GET BACK TO YOU ABOUT THAT.
>> OTHER QUESTION.
NOT SEEING ANY YES PLEASE REPRESENTATIVE BERMAN.
>> THANK YOU MADAM CHAIR; JUST I HAD A QUESTION FOR MISS AFTER HOLDEN.
WHEN SHE WAS SPEAKING ABOUT THE KURDS PROGRAM
SHUTTING THE PROGRAM DOWN SHE MENTIONED THAT THERE.
SHE WAS OKAY WITH THE TRANSFERS GOING TO SEE SEE ITS SEE CLINICS AND I WAS JUST.
CURIOUS IF THERE ARE ENOUGH OF THOSE IN THE STATE TO HANDLE THE NUMBERS. OF THAT PROGRAM.
AND JUST WANT TO HEAR A LITTLE BIT MORE ALSO ABOUT HER CONCERNS ABOUT THE HOSPITALS.
>> OK THANK YOU REPRESENTATIVE OF MISTER AFTER HOLDEN.
>> AND YOU NEVER LOOKS IN BURIEN BECAUSE WE ALREADY
COMMUNITY PROVIDERS ACTUALLY RUNNING ROUTES LITTLE OVER 16 OR 2 SAUDIS ARE READY.
I HAVE NO CONCERNS ABOUT DOING THAT AND WE HAVE MANY PROVIDERS ARE LOOKING TO ADD.
WORDS HE SAW THESE AS WELL AROUND THE STATE SO.
MANY OF THEM ARE REALLY VERY WELL EQUIPPED TO DO THAT.
MY CONCERN ABOUT THE COMMUNITY BEHAVIOR HEALTH HOSPITALS IS THAT.
THEY WERE THEY WERE DESIGNED TO KIND OF BE REGIONAL AS WE CLOSE DOWN THE LAST DANCE AND SAY YOU KNOW FORGET FALZON BRAIN YOU'RE IN PLACES LIKE THAT WILMER. AND THE RESPONSE TO SERVE THAT REGION.
I CENTRALIZE ADMISSION HAS MADE THAT VERY DIFFICULT TO DO.
SO SOMEONE CONTACTS ADMISSION.
PERHAPS THEY'VE BEEN COMMITTED IT LOOK AT WEATHER ISN'T TOO BAD AND THEY SEND THEM THERE. SO THEY'RE NECESSARILY SERVING.
PEOPLE IN THEIR REGION THEY MIGHT BE SERVING PEOPLE FROM OTHER PLACES AND I DO THINK THAT HINDERS OUR ABILITY TO DO GOOD DISCHARGE PLANNING HOW DO WE GET PEOPLE BACK YOU KNOW MAYBE THEY'RE NOT AS MEYER WITH THE OTHER COMMUNITY WHERE THE PERSON CAME FROM. SO IN THIS HAS BEEN AN ISSUE THAT WE BRACE FOR SOME TIME.
SO WE REALLY WOULD STILL LIKE THE DEPARTMENT TO REALLY LOOK AT THAT TO ME THAT THEY'RE REALLY PART OF THAT COMMUNITY IN MOST REGIONS. AND NOT JUST A STATEWIDE RESOURCE.
>> A
>> REGARDING THE HOSPITALS ARE THEY'RE ALSO MINNESOTA PATIENTS THAT ARE SENT OUT OF STATE BECAUSE THE BEDS ARE NOT AVAILABLE.
>> THEY HAVE TO HOLD THE SENATE YES; PARTICULARLY OUR BORDER STATES SO WE HAVE A LOT OF PEOPLE THAT DO GO TO THE HOSPITAL IN NORTH DAKOTA. AND IN SIOUX
BECAUSE WE DON'T HAVE ENOUGH HOSPITAL BEDS GENERALLY SPEAKING I THINK AND JUST REMEMBERING THAT MOST OF OUR BEDS OR IN COMMUNITY HOSPITALS.
NOT TELL THE ONE BY THE STATE AND SO THAT THAT IS AN ISSUE THOUGH THAT THEY ARE GOING TO PART OF STATE HOSPITALS.
AND WE HAVE ENOUGH BEDS; FRANKLY THAT ARE BEING IF YOU LOOK AT.
THE LICENSED JUST DON'T KNOW HOSPITAL BEDS IN THE STATE OF MINNESOTA. WE HAVE MANY BETS AND NOT THE NEWS THAT ARE THAT THEY DID BEFORE THE CERTIFICATE OF NEED PROCESS SO IF THE HOSPITAL WANTED TO AND THAT THEY WOULD NEED TO HAVE TO GO THROUGH THE CERTIFICATE OF NEED PROCESS THEY COULD JUST ADD THEM.
THE MAIN REASON WE'VE SEEN FOR HOSPITALS NOT ENDING PSYCHIATRIC THAT SAYS FRANKLY THE LOW REIMBURSEMENT RATES.
>> I >> HAVE SOME QUESTIONS ABOUT STAFFING LEVELS OF SAINT PETER; IF WE ARE NOT DOING SOME OF THESE POSITIONS ARE LOOKING
IT IS THING TO THESE POSITIONS THAT GOING TO HIM OUT OF.
OF PATIENTS IN SAINT PETE OR ARE WE LOOKING TO CHANGE ANY OF OUR PROGRAM MEAN AND THAT AND SO WE'RE NOT FILLING THESE POSITIONS THEY UNDERSTAND THAT THEY HAVE BEEN FILLED.
>> HOW WILL THAT IMPACT PROGRAMMING AT SAINT JUST GETTING SOME ABOUT TESTIMONY FROM TONY PLACE THERE.
>> YEAH.
COMMISSION COMMISSION.
>> HERE'S THING IT REPRESENTATIVE WILL ALWAYS BE LOOKING MAKING ADJUSTMENTS TO BE SURE THAT WE'VE GOT THE RIGHT CAPACITY TO SERVE PEOPLE WELL AND RIGHT NOW WE THINK WE HAVE GENERALLY THE RIGHT CAPACITY TO SERVE PEOPLE WELL THAT AND KNOWING ABOUT SOME OF THE CONCERNS ABOUT OVER TIME. WE MIGHT HAVE TO JUST MAKE SOME
GOING FORWARD TO BE SURE THAT WE CAN HANDLE THE CAPACITY.
AT THAT HOSPITAL AND AND DO IT WELL WITH THE STAFF THAT WE HAVE
THIS WOULDN'T BE THE LAST DECISION WE WOULD MAKE WOULD BE LOOKING AT A DAILY BASIS AND HOW WE WERE DOING SERVING PEOPLE AND PLAYING OUR STAFF AND SO WITH.
I HAVE JUST HAVE TO CONTINUE TO.
LOOK AT THAT AND CONSIDER MAKING ADDITIONAL ADJUSTMENTS TO MAKE IT ALL WORK WELL.
WE'RE GOING TO JORDAN.
>> WELL >> THANK YOU MADAM CHAIR; MY QUESTION IS FOR THE COMMISSIONER.
YOU KNOW ONE OF THE THINGS WE CONTINUALLY HEAR.
NOT JUST AN HHS BUT ON OTHER AREAS IS THAT.
WE HAVE TO MAKE THE LAYERS OF MANAGEMENT IN GOVERNMENT WHERE SAYS THE FRONTLINE WORKERS.
WHAT'S YOUR RESPONSE TO THAT MANY OF THE ONE QUICK FOLLOW-UP.
>> THANK YOU COMMISSIONER.
>> EVERYTHING AND
EASY PHRASE TO TOSS OUT
>> THERE'S NO PARTICULAR DEFINITION OF HOW MANY PEOPLE SHOULD AND MANAGEMENT LEVELS FORCES HOW MANY PEOPLE SHOULD BE ON FRONT LINES IN ANY ORGANIZATION IT'S HARD TO KNOW. >> I KNOW
GIVEN THE CHANGES THAT WE'VE MADE IN D-CT OVER LAST FEW YEARS AND LEVELS OF FUNDING FOR IT THAT IT'S A RAIN ORGANIZATION.
AND AND SO I DON'T THINK IT'S SCOTT A DISPROPORTIONATELY HIGH NUMBER OF MANAGEMENT POSITIONS VERSUS OTHER HEALTH SYSTEMS IN FACT.
MARSHALL SMITH WHO RUNS IT IS ABLE TO LOOK AT DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION AND LOOK AT OUR HOT AND LOOK AT OUR HEALTH SYSTEM.
AND D-CT COMPARED TO OTHER HEALTH SYSTEM THAT HE'S CONCERNED ON THE OTHER END THAT THERE AREN'T ENOUGH MANAGEMENT POSITIONS. AND THIS ADMINISTRATIVE CENTER.
NERVOUS ABOUT HOW HE'S GOING TO ACCOMPLISH FOR THE REST OF THIS FISCAL YEAR.
BUT WE DID TAKE AND PRETTY SIGNIFICANT REDUCTIONS IN ADMINISTRATION.
BOTH AND D-CT AND DHS THIS WEEK. IN ADDITION
SOME OF THE OTHER CHANGES THAT WE HAVE ANNOUNCED SO.
I THINK WE'VE GOT THAT ABOUT RIGHT IN THIS
YOU KNOW; BUT BUT WE COULD DEBATE THAT ALL DAY LONG.
REPRESENT A GRENADE.
>> OH THANK YOU MADAM CHAIR; THANK YOU COMMISSIONER.
AND COMMISSIONER I WAS IN A A.
I WAS 16 YEARS ON THE SCHOOL BOARD; THE MAJORITY OF THE TIME AND WAS SPENT IN STATUTORY OPERATING PAGE. SO I KNOW THIS
THE ISSUE IS NOT EASY. BUT IT'S VERY NECESSARY AND THE SOONER WE TAKE ACTION.
THE LAST TEAM WILL HAPPEN DOWN THE ROAD BECAUSE EVERYTHING TENDS TO DOUBLE DOWN THE WORLD. BUT ANYWAY THAT'S ANOTHER POINT.
HERE IS THAT YOU KNOW JUST TO MAKE COMPARISON.
COMPARED BAD AGAIN.
AGAIN I ALWAYS HAVE A CERTAIN LEVEL OF SKEPTICISM HAVING SERVED ON THE SCHOOL BOARD FOR 16 YEARS AND WHAT I FOUND OUT.
IS THAT THE SUPERINTENDENT HAD ACCESS TO DATA. THAT SCHOOL BOARD
DIDN'T THAT TIGHT IN OTHER WORDS; HE.
SOME SUPERINTENDENTS AND I WENT THROUGH QUITE A FEW OF THEM.
SELECTIVELY SHARED WHAT THEY WANTED TO TO SHARE.
WITH THE ELECTED MEMBERS.
IN ORDER TO PROMOTE THEIR PARTICULAR POINT WHATEVER MIGHT BE.
SO I WOULD CERTAINLY APPRECIATE.
A RESPONSE TO A.
REQUESTS FOR COMPARATIVE DATA.
ON WHAT YOU HAVE. YOU KNOW WHAT.
HOW MUCH WE HAVE AS COMMITTEE MEMBERS.
TO BE ABLE TO LOOK AT THAT.
AND WHETHER ITS MANAGEMENT NUMBERS VERSUS OTHER STATES.
AND THEN TO TAKE YOUR TOTAL BUDGET AND DIVIDED BY A POPULATION.
VERSUS THE POPULATIONS OF NEIGHBORING STATES.
SO THAT WE COULD BREAK DOWN THE COSTS ON A PER PERSON BASIS AGAIN.
THERE MIGHT BE REASONS WHY WE HAVE EXTRA COSTS.
AND MAYBE THERE. GOOD REASONS.
BUT AS LAY PEOPLE IT HELPS AS ASSESS THE.
QUESTIONS WE ASK AND TO LOOK INTO CERTAIN AREAS IF THEIR EXCESSIVE COMPARED TO OTHER AREAS.
I I DON'T MEAN THIS TO ACCUSE IN ANY WAY I'M JUST TRYING TO.
ATMOSPHERE OF DATA THAT WE CAN ALL WORK WITH. AND
MINIMIZE THE PAIN THAT'S GOING TO COME OUT OF THIS SO THAT'S
I DON'T COMMENT. THANK YOU; MADAM CHAIR; AND COMMISSIONER.
AND TESTIFIERS.
>> PERSONA A
>> MIGHT BE A PLACE FOR US TO GET THAT ANYMORE.
NOW THAT THAT IS THE KIND OF INFORMATION THAT MAY BE HEALTH RESEARCH COULD WORK IN CONCERT WITH THE HF TO TRY TO.
PUT SOMETHING TOGETHER ON THAT IT IF IT ISN'T READILY AVAILABLE BECAUSE SAM.
ALSO WE HAVE AND CFL THERE ARE NATIONAL CONFERENCE OF STATE LEGISLATURES THAT DOES A LOT OF. HAD A LOT OF COMPARATIVE DATA.
SO THAT SHOULD BE SOMETHING THAT SHOULDN'T BE.
YOU KNOW IT CAN'T BE ROCKET SCIENCE. I MEAN IT MAY BE DIFFICULT TO MAKE.
AND THEY SAID BEFORE AND AS OTHERS HAVE SAID TO MAKE APPLES TO APPLES COMPARISON MIGHT BE DIFFICULT TO KNOCK. I KNOW YOU REALIZE THAT AS WELL BUT. BY WOULD BE.
AT LEAST INFORMATIVE TO HAVE SOME GENERAL IDEA OF WHAT OTHER STATES ARE DOING THAT THAT LOOK LIKE OUT IN THE WAY THEY'RE SET UP EVEN IF THEY'RE NOT FIXED OR IT OUT.
SO I AGREE THAT WOULD BE INTERESTING TO HAVE.
SO I HOPE WE CAN HELP WE CAN GET SOME OF
>> MY GOALS THAT'S FOR SURE SO.
>> WELL THAT'S RIGHT AND AGAIN YOU KNOW WE ARE A PART-TIME LEGISLATURE AND UNDER NORMAL CONDITIONS. WE ARE NOT IN THE CONFESSION AGAIN UNTIL JANUARY. SO I DON'T KNOW WHAT ARE.
ACTUAL ABILITY TO IMPACT ANY OF THIS IS GOING TO BE
I'M SURE THAT THE H M WILL BE INTERESTED IN OUR.
YOU KNOW IN OUR OPINIONS ABOUT THIS BECAUSE DEFINITELY AT THE VERY LEAST WHEN WE GET BACK INTO SESSION IN JANUARY.
THIS IS GOING TO BE VERY MUCH ON OUR PLATE IN THAT BUDGET YEAR AND YOU KNOW HELP.
IF THIS IS THE WORK WE HAVE TO DEAL WITH AND I THINK WE SHOULD PROBABLY BE GRATEFUL BECAUSE OUR CHALLENGE IS GOING TO BE VERY BIG.
OTHER QUESTIONS OR COMMENTS FROM MEMBERS. WE DON'T HAVE TO WE DON'T HAVE TO GO THE EXTRA 15 MINUTES. WE CAN END.
PEOPLE CARE ARE READY TO DO THAT.
>> YEAH >> CLEAN COMMISSIONER; WHY DIDN'T YOU HAVE THE LAST WORD AND THEN WE'LL FINISH. >> THANK YOU CHAIR; LABELING.
AND I JUST WANTED TO SAY AND I'VE SAID THIS TO OUR EMPLOYS NO ONE COMES TO THE DEPARTMENT OF HUMAN SERVICES TO CLOSE BEITEL SERVICES AND LAY OFF THEIR COLLEAGUES.
AND IT'S BEEN A VERY TOUGH SEVERAL WEEKS REALLY A BLESSING TO THIS AS WE HAVE.
WE RAN SCENARIOS WHERE WE WOULD HAVE CLOSED MORE SERVICES AND LAY OFF MORE PEOPLE AND WE STOPPED OURSELVES AT THE SCENARIO THAT YOU SAW TODAY.
WITH THE HOPE THAT THERE'S A POSSIBILITY OF TRANSITIONING SOME OF THESE SERVICES TO COMMUNITY PROVIDERS IN A WAY THAT WOULD MAINTAIN THE SERVICES. THEY SERVICE CAPACITY.
MAINTAIN THE JOBS AND MAINTAIN THESE SITES IN LOCAL COMMUNITIES.
AND NOT ABLE TO SORT ALL THAT OUT FAST ENOUGH WE MADE THE DECISIONS THAT WE THOUGHT WE NEEDED TO MAKE AS QUICKLY AS POSSIBLE.
WE WANT TO CONTINUE LOOKING AT ALL OF THIS AND TALKING WITH YOU AND WITH LABOR WITH OTHERS. TO FIGURE THIS ALL OUT.
WE PLEASE THAT WE'VE COME THIS FAR IN REDUCING THE DEFICIT FOR THIS YEAR.
WITH THE EMPHASIS ON MAINTAINING JOBS MAINTAINING SITES IN LOCAL COMMUNITIES AND MAINTAINING OVERALL CAPACITY.
JUST FOR GRINS WE WERE PLAYING AROUND THE OTHER DAY WITH A BETTER DAY THERE AND SAID YOU KNOW IF IF FACING INTO THE NEXT BIENNIUM ITS ENORMOUS STATE BUDGET. DEFICIT. EXPECTATION. WE WERE ASKED TO CUT SAY.
5% FROM DHS OR JUST TO TAKE A LOOK AT THAT.
THAT WOULD BE A CUT OF 831.
MARION HOURS.
AND SO I I THINK YOU SAID IT WELL TODAY;
THIS IS JUST THE BEGINNING OF A VERY LARGE LONG AND ARDUOUS CONVERSATION REAL HAVE TOGETHER OVER THE COURSE OF THE NEXT YEAR.
TO COME TO GRIPS WITH THE DEFICIT.
THAT HAS HAPPENED IN OUR STATE AND ACROSS THE NATION AND ACROSS THE WORLD. AND
I APPRECIATE THE GOOD QUESTIONS THAT WE'VE HAD HERE AND I APPRECIATE THE INVOLVEMENT AND ENGAGEMENT OF THE MEMBERS WHO.
I REALLY TRIED TO UNDERSTAND THIS AND HELP US MAKE THIS VERY VERY DIFFICULT DECISIONS. SO THANK YOU FOR YOUR TIME TODAY AND YOUR INTEREST IN WHAT WE'RE DOING.
>> OK WELL THANK YOU COMMISSIONER; SO OF COURSE IS USUALLY HAPPENS. WE HAVE COME BY DOUBLE MEMBERS.
BUT NOW THAT WOULD LIKE TO ASK QUESTIONS
I UNDERSTAND THAT REPRESENTATIVE WANTS TO SPEAK
HE WAS UNABLE TO RAISE HIS HAND COOKIES ON THE PHONE KIND OF LIKE ME AND I'M TOLD BUT I'M REPRESENTATIVE HAMILTON.
WHY DON'T YOU GO AHEAD; YOU HAVEN'T HAD A CHANCE FOR MEN REPRESENT A KILL HAD SOMETHING SHE WANTED TO SAY. ARE THERE. REPRESENTATIVE HAMILTON.
MIGHT NEED TO START 6.
>> NOW WE HEAR AND THANK YOU MADAM CHAIR; AND WHAT I SAY AND I'M.
I WAS DRIVING I PULLED OVER NOW STILL.
I'M SAFELY ON THE SIDE OF THE ROAD HERE BUT.
I'M VERY HAVE ANY OF THE TESTIFIERS CONTACTED THE GOVERNOR'S OFFICE.
NOT OUT BUT DEMAND THAT HE STARTS REOPENING THE STATE ECONOMY.
IT ABSOLUTELY KEY FINANCIAL THAT WE ARE ABLE TO START COLLECTING SALES TAX REVENUE INCOME TAX REVENUE.
SO THAT WE ACTUALLY HAVE THE DOLLARS NEEDED.
HE FINALLY IS MUCH NEEDED SERVICES.
AND THE LONGER THE STATE REMAIN CLOSE THE WORST THAT THIS IS GOING TO GET.
AND WHAT I SAID BACK IN THE SPRINGTIME IS TALKING ABOUT THE SCIENCE AROUND COVID IS GREAT.
BUT AT SOME POINT IN TIME WE NEED TO BE TALKING ABOUT THE MATHEMATICS.
AND THERE SHOULD BE A SURPRISE TO NOBODY WE'VE BRINGING WAY BACK UP AND LIKE I SAID MARCH APRIL. THAT WE ALSO HAVE TO BE TALKING ABOUT MATHEMATICS.
AND TELL WE GET THESE BUSINESSES BACK OPEN.
AND THEY PLAY BECAUSE WE CAN DO IT SAFELY AS WELL; BUT INTEL WE DO THAT.
THE ISSUE IS ONLY GOING TO GET WORSE. SO MY QUESTION IS ARE ANY OF THE TESTIFIERS CONTRACTING THE GOVERNOR.
TO HELP US GET THE ECONOMY UP AND GOING AGAIN.
AND IF NOT WHY NOT. THANK YOU MADAM CHAIR.
>> SO REPRESENTATIVE HAMILTON; I MEAN I THINK THAT YOU WEAR THE BACK THIS IS KIND OF PROBABLY ABOUT ANOTHER DIRECTION AND I WOULD JUST SAY THAT
EVERY STATE IS EXPERIENCING A PROBLEM THIS IS A NATIONWIDE. THE PROBLEM.
AND WE COULD ARGUE HEAR ABOUT.
THE CAUSE OF THE PROBLEM I WOULD SAY THE PROBLEM WITH THE ECONOMY IN THE PANDEMIC NOT WHAT THE GOVERNOR HAS DONE TO TRY TO CONTROL THE PANDEMIC.
AND I WOULD ARGUE THAT THE WAY TO GET OUR ECONOMY BACK TO THE FOCUS ON CONTROLLING THE PANDEMIC.
BUT MANY STATES HAVE NOT GONE UNDER THE BANNER OF KEEP THE ECONOMY OPEN.
BUT THIS IS A NATIONWIDE PROBLEM.
IT'S NOT A MINNESOTA ONLY PROBLEM I'VE BEEN TALKING TO.
CHAIR OF THAT COMMITTEE.
I'M TIRED OF PEOPLE FROM ACROSS THE COUNTRY.
AND EVERYONE IS DEALING WITH THE SAME KIND OF ISSUE SO.
THIS IS NOT A MATTER OF.
HOW THE GOVERNOR AND TELL THEM TO OPEN THE ECONOMY. THE ECONOMY IS NOT. OPENED.
BECAUSE OF THE PANDEMIC WHETHER THE GOVERNOR HAD RESTRICTIONS IN PLACE ARE NOT SO. YOU KNOW I DON'T WANT TO EAT.
HOLA COMPLETELY OFF INTO THERE AND I THINK WE COULD JUST BELIEVE THAT.
THAT ISSUE THERE AND FOR A DEBATE FOR ANOTHER TIME.
WE DO HAVE REPRESENTATIVE KIEL ALSO WHO HAVE THE QUESTION.
>> THE REASON I EVEN RAISED MY HAND WAS BECAUSE I KNEW THE REPRESENTATIVE
I WANTED TO BRING THIS ISSUE BUT I WILL POINT OUT I LIVE IN THE WESTERN SIDE OF MINNESOTA AND I'M WATCHING MUCH OF THE CHALLENGES. THAT WE HAVE. THEY DO NOT HAVE.
BOTH IN NUMBERS OF COVID AND AND ALSO IN FINANCIAL ISSUES AND.
IN FACT WE'RE LOSING PEOPLE.
TO NORTH DAKOTA BECAUSE THEY'RE MORE.
I CAPABLE WORKING
PROVIDING FOR THEIR CITIZENS SO. I DO
THAT IT IS AFFECTING REAL MINESSOTA
IN MANY WAYS; BUT WE WON'T GO THAT FAR SO I IN.
BUT I THINK WE DO HAVE TO GET THE ECONOMY OPEN. WE DO HAVE TO GET PEOPLE.
EVEN THOUGH WE'RE GOING TO HAVE TO BE CONCERNED ABOUT SOME ISSUES YOU INTO.
GET THE ECONOMY MOVING SO THAT WILL HELP US TO TAKE CARE OF THE CITIZENS WE NEED TO BE. THANK YOU.
>> THANK YOU REPRESENTIVE KILL; I DON'T THINK ANYONE DEBATE THAT THEY WE NEED TO GET THE ECONOMY GOING THAT IS BROADLY SHARED. THE QUESTION IS.
YOU KNOW THAT THAT'S A GOOD QUESTION THAT BEFORE US AND YOU KNOW WE JUST HAD A BIT OF THAT HERE FROM DOCTOR BURKE FROM HAVE. PRESIDENT TRUMP.
PUT FORGET THE COVID PASSPORT SHE WAS JUST HERE IN ABOUT A YEAR.
AND HER MESSAGE SHE WOULD HERE BECAUSE YOU KNOW NORTH DAKOTA; SOUTH DAKOTA AND IOWA. ALL RIGHT BACK.
THEY'RE GROWING WITH THEIR COVID CASES SO AGAIN WE'RE A LITTLE BIT OF TRACK. BUT I JUST WANT TO SAY THAT. THIS IS A NATIONWIDE ISSUE.
WE'RE NOT OUT OF THE WOODS.
AND ESPECIALLY HERE IN THE MIDWEST. WE ARE OF THE FAMILY.
THE COVID ITSELF. THE PANDEMIC IS VERY CONCERNING RIGHT NOW. RIGHT HERE.
IN THE MIDWEST. WELL.
ALL RIGHT; I'M NOT SEEING OTHER COMMISSIONER WE APPRECIATE YOUR.
WE'RE APPEARANCE HERE TODAY; THANK YOU VERY MUCH FOR COMING IN GIVING UP ALL THE EXPLANATION ANSWERING QUESTIONS; THANK YOU SO MUCH TO THE TESTIFIER WE REALLY APPRECIATE HEARING FROM YOU AS AND I SHOULD MENTION THAT.
ALTHOUGH WE DON'T HAVE A TEST OF PRAYER FROM THE COUNTY TODAY THE COUNTY DID COMMIT A LETTER THAT MEMBERS SHOULD HAVE. SO.
I WANT TO CONGRATULATE COMMISSIONER ON HER ALMOST A YEAR IN OFFICE.
ALTHOUGH SOMETIMES YOU HAVE TO WONDER WHETHER IT CAN DON'T HAVE THEIR CONGRATULATIONS RIGHT BECAUSE THIS IS A VERY HARD JOB AND.
EXTREMELY HARD GOING TO BE HERE FOR ALL OF THAT WHEN WE.
HAVE THE DIFFICULT JOB OF FIGURING OUT.
PUT MORE RESOURCES IN TO GET THE RESULT WE WALK WHEN WE'RE IN THE POSITION OF HAVING TO MAKE CUTS IT'S ALWAYS EXTREMELY DIFFICULT AND PAINFUL. AND A VERY.
DIFFICULT TIME TO BE COMMISSIONER HUMAN SPIRIT THAT'S FOR SURE.
BUT THANK YOU VERY MUCH MEMBER TO YOUR CANOPY BACK ACT ONE QUESTION I REALLY APPRECIATE YOUR ENGAGEMENT.
WHEN WE GET ADDITIONAL INFORMATION WE WILL SHARE IT WITH ALL OF YOU
YOU KNOW WHEN YOU I HOPE HERE.
GETTING SOME KIND OF A BREAK AND HAVING SOME
WE'RE ALSO GOING TO NEED EVERYBODY IS ENGAGED AND AS WE GO FORWARD HERE CAN CAN HAVE A LOT OF VERY DIFFICULT WORK I'M TO SERVE OUR CONSTITUENTS; THE VERY BEST WE CAN.
AND THE DIFFICULT CIRCUMSTANCES SO I'M WITH THAT.
SEEING NO OTHER WE ARE ADJOURNED.
