Goodhue County Health and Human Services
Transcripción
Goodhue County Health and Human Services
Goodhue County Health & Human Services Board Meeting Minutes of April 21, 2015 GOODHUE COUNTY HEALTH & HUMAN SERVICES BOARD MEETING MINUTES OF APRIL 21, 2015 The Goodhue County Health and Human Services Board convened their regularly scheduled meeting at 10:30 A.M., Tuesday, April 21, 2015, in the Goodhue County Board Room located in Red Wing, Minnesota. BOARD MEMBERS PRESENT: Ron Allen, Brad Anderson, Dan Rechtzigel, Ted Seifert, Jason Majerus, Mary Lindahl, and Gary Iocco STAFF AND OTHERS PRESENT: Nina Arneson, Mary Heckman, Kris Johnson, Lisa Woodford, Abby Villaran, Ruth Greenslade, Mike Zorn, Mary Blackford, Tiffany Nelson, Sheila Gadient, and Jessica Seide MEETING MINUTES: On a motion by M. Lindahl and seconded by J. Majerus, the Board unanimously approved the Minutes of the March 17, 2015 H&HS Board Meeting. AGENDA: On a motion by G. Iocco and seconded by M. Lindahl, the Board unanimously approved the April 21, 2015 Agenda; with the addition of 6d- Child Protection Proclamation and 9b- Time Capsule discussion. CONSENT AGENDA: On a motion by G. Iocco and seconded by J. Majerus, the Board unanimously approved all items on the consent agenda. INTRODUCTION OF NEW EMPLOYEES: Tiffany Nelson and Mary Blackford ACTION ITEMS: On a motion by D. Rechtzigel and seconded by B. Anderson, with G. Iocco abstaining, the Board approved staff replacement of Accounting Technician with an Office Support Staff Specialist. On a motion by G. Iocco and seconded by J. Majerus, the Board unanimously approved staff replacement of Accounting Technician with an Accounting Technician Page 1 of 2 Goodhue County Health & Human Services Board Meeting Minutes of April 21, 2015 INFORMATIONAL ITEMS: Goodhue County Health Rankings- Jessica Seide 1st Quarter Fiscal Report- Mike Zorn HHS Subcommittee Update- Nina Arneson FYI-MONTHLY REPORTS: Placement report Goodhue County Child Support Performance Report Goodhue County Cash Assistance and SNAP Timeliness Performance Report Perfect Fiscal Performance- DHS Single Audit Report Human Services Memo WIC Financial Audit Memo ANNOUNCEMENTS/COMMENTS: Orientation to Public Health for Local Elected Officials Time Capsule discussion ACCOUNTS PAYABLE: On a motion by G. Iocco and seconded by M. Lindahl, the Board unanimously approved payment of all accounts as presented. ADJOURN: On a motion by G. Iocco and seconded by B. Anderson, the Board unanimously approved adjournment of this session of the Health & Human Services Board Meeting at or around 11:20. Page 2 of 2 GOODHUE COUNTY HEALTH & HUMAN SERVICES (HHS) REQUEST FOR BOARD ACTION Requested Board Date: May 19, 2015 Consent Agenda: Action Requested: Yes No Staff Lead: Kris Johnson Attachments: Yes No Approve Child Care Licensure Actions BACKGROUND: Child Care Relicensures: Judy Grudem Zumbrota Carol Ludwig Cannon Falls Julie Robinson Zumbrota Christine Honsey Cannon Falls Child Care Licensures: Jenna Kyllo Goodhue Kristina Hassebroek Pine Island Number of Licensed Family Child Care Homes: 107 RECOMMENDATION: Goodhue County HHS Department recommends approval of the above. GOODHUE COUNTY HEALTH & HUMAN SERVICES (GCHHS) REQUEST FOR BOARD ACTION Requested Board Date: Consent Agenda: May 19, 2015 Yes No Action Requested: Staff Lead: Attachments: Mike Zorn Yes No Approve April 2015 HHS Warrant Registers BACKGROUND: This is a summary of Goodhue County Health and Human Services Warrant Registers for April 2015: Date of Warrant Check No. Series Total Batch IFS IFS April 3, 2015 April 3, 2015 ACH 7852 418905 7852 418923 $250.00 $16,354.36 IFS IFS April 10, 2015 April 10, 2015 ACH 7872 419062 7878 419126 $2,471.35 $78,208.23 IFS IFS April 17, 2015 April 17, 2015 ACH 7879 419127 7882 419167 $662.63 $27,371.27 SSIS SSIS IFS IFS April 24, 2015 April 24, 2015 April 24, 2015 April 24, 2015 ACH 7926 419328 7906 419294 7933 419401 7925 419327 $28,344.07 $192,217.32 $26,614.04 $55,129.78 IFS IFS April 30,2015 April 30, 2015 ACH 7934 419402 7956 419409 $2,855.80 $31,847.09 Total $462,325.94 RECOMMENDATION: ACH Goodhue County HHS Recommends Approval as Presented. GOODHUE COUNTY HEALTH & HUMAN SERVICES (GCHHS) REQUEST FOR BOARD ACTION Requested Board Date: May 19, 2015 Consent Agenda: Action Requested: Yes No Staff Lead: Attachments: Nina Arneson Yes No Approve HHS Community Support Program (CSP) Subcommittee’s Recommendations BACKGROUND: On January 20, 2015, the GCHHS Board appointed a subcommittee to study the future direction of the Community Support Program in Goodhue County Health and Human Services Department. The following board members and staff participated and have now completed the work: • • • • • • • • Ron Allen, County Commissioner Brad Anderson, County Commissioner Gary Iocco, HHS Board Member Abby Villaran, Social Services Supervisor Carolyn Holmsten, County Finance Director Mike Zorn, HHS Deputy Director Mary Heckman, HHS Deputy Director Nina Arneson, HHS Director Attached please find the following: • • • HHS CSP Subcommittee Final Recommendations Social Services Division Organizational Chart Staff Replacement Cost Estimates RECOMMENDATION: The HHS CSP Subcommittee recommends approval of all the Programing #1-4 and Staffing #1-4 recommendations as presented. Goodhue County Health and Human Services Community Support Program (CSP) Subcommittee Final Recommendations May 11, 2015 The following are the recommendations from the HHS CSP Subcommittee to realign and improve the HHS Department’s commitment in providing enhanced services to Goodhue County customers with Severe Persistent Mental Illness (SPMI) and all the customers served by Social Services - Adult Services Unit. These recommendations are specifically related to the HHS Social Services Division – Adult Services Unit. Please see the attached detailed Social Services Division’s organizational chart. Our vision is to formally adopt the work practices of “no silos” and having all Social Services Adult Services under the same “umbrella” lead by a Social Services-Adult Services Supervisor. The integration of CSP and Social Services adult staff will add to the “menu” of supports and services offered by Social Services, along with the private sector providers. The Community Outreach will continue to be an important part of our services to Severe Persistent Mental Illness (SPMI) customers and this is done by all staff and will continue to be the expectation for all staff. The following recommendations will enhance customer service levels, increase revenues, and realign staffing with changing mental health service delivery systems, community and customer needs. PROGRAMMING RECOMMENDATIONS: 1. Integrate Community Support Program “CSP” into the Social Services – Adult Services Unit. (Having a separate CSP has been an unique arrangement in Goodhue County as most counties do not operate a separate CSP) 1 2. Sunset Goodhue County operated Adult Rehabilitative Mental Health Services (ARMHS) program. 3. Refer and utilize private providers for Adult Rehabilitative Mental Health Services (ARMHS) work in Goodhue County e.g. Fernbrook and HVMHC 4. Continue to work with private providers to enhance access and services to mental health services STAFFING RECOMMENDATIONS: 1. Replace a retired (6/2014) Community Support Technician .8FTE with a County Agency Social Worker 1 FTE. a. FUNDING SOURCES: • Community Support Program Grant (CSP) Grant • Social Services Time Study (SSTS) • Mental Health Targeted Case Management (MH-TCM) • County Levy** b. RATIONALE: • More funding sources available for a County Agency Social Worker than for Community Support Technician • A Social Worker will be able to bill for Mental Health Target Case Management (MH-TCM) • More flexibility of job duties including cross training • Enhanced level of community outreach and supports • **Focus on using minimal County Levy as possible or zero 2. Replace a State Operated Services (SOS) worker (contract ending 6/2015) with a County Agency Social Worker. a. FUNDING SOURCES: • Adult Mental Health Initiative (ADMHI) – State Operated Services (SOS) funding • Community Support Program (CSP) Grant • Social Services Time Study (SSTS) • Mental Health Target Case Management (MH-TCM) • County Levy** b. RATIONALE: • Currently the SOS employee is unable to bill for services • More funding sources available for a County Agency Social Worker • A Social Worker will be able to bill for Mental Health Target Case Management (MH-TCM) • More flexibility of job duties including cross training 2 • Enhanced level of community outreach and supports • **Focus on using minimal County Levy as possible or zero 3. Review impacted current CSP job classifications and department needs based on this integration with MN Merit System. 4. Future hiring for current “CSP positions” after retirements and/or resignations will be County Agency Social Worker positions. Please see the attached staffing cost estimates for the County Agency Social Workers which is anticipated lessen the need for County Levy $. It should be noted that these are all in 2015 approved budget and will not result in increased need for County Levy. 3 GCHHS Social Services Division Kris Johnson Social Services Supervisor 1 FTE Abby Villaran Social Services Supervisor 1 FTE CHILD AND FAMILY SERVICES • • • • • • • • • • ADULT SERVICES Katie Bystrom, Social Worker - Child Protection Assessor 1 FTE Cheri Baldwin, Social Worker - Child Protection Assessor 1 FTE Erika Westfield, Social Worker - Child Protection Assessor 1 FTE Carolyn Westland, Social Worker - Child Protection Case Manager 1 FTE Linda Wiegert, Social Worker - Child Protection Case Manager 1 FTE Sonja Brevik, Social Worker - Child Protection Case Manager 1 FTE Tara Lunde, Social Worker- Child Protection Case Manager 1 FTE Lisa Oelkers, Social Worker - SCHA - Parent Support Outreach Worker 1 FTE Chris Reich, Social Worker - Child Care Licensor 1 FTE 22.6 FTE/ Foster Care Licensor 1 FTE Dayle Charnecki, Social Worker - Intake • • • • • • • • • • • • 2 Social Services Supervisors 10 Child and Family Social Workers 5 Adult Services Social Workers 1 Licensed Clinical Social Worker 1.8 Community Support Technicians 1 State Mental Health Worker 4.8 Support Staff Total: 25.6 FTE • • • • • • • • • Sara Ousky, Social Worker–Adult Protection/Mental Health Case Manager 1 FTE Phil Martin, Social Worker–Adult Protection/Mental Health Case Manager 1 FTE Julie Bruns, Social Worker–Adult Protection/Mental Health Case Manager 1 FTE Megan O’Dell, Social Worker–Adult Protection/Mental Health Case Manager 1 FTE Barb Simon, Social Worker–Rule 25/ Case Manager 1 FTE Tim Mahoney, Licensed Clinical Social Worker – CSP 1FTE Kellee Kreye, Community Support Technician – CSP 1 FTE Open, Community Support Technician – CSP .8 FTE Dave Cooney, State Mental Health Worker – CSP 1 FTE SUPPORT TEAM Renee Roper, Case Aide 1 FTE Sara Gold, Case Aide 1 FTE Debbie Sammon, Information System Specialist 1 FTE Deb Howe, Case Aide 1 FTE Cindy Kells, Office Support Specialist Sr. .8 FTE 5/2015 Community Support Technician VS Social Worker costs-reimbursements Community Support Technician Rate Gross PERA/FICA/Medicare/Life Health Coverage/H.S.A. 2015 2015 Single Health Family Health step 1 step 1 $20.45 $20.45 $42,536.00 $42,536.00 $6,507.00 $6,507.00 $9,580.00 $20,802.00 $58,623.00 $69,845.00 2015 Top $26.16 $54,412.00 $8,306.00 $62,718.00 Potential Funding Sources Community Support Technician: SSTS appox 7-8% Adult CSP Rule 78 State Grant No additional billable services available County Agency Social Worker Rate Gross PERA/FICA/Medicare/Life Health Coverage/H.S.A. 2015 2015 Single Health Family Health step 1 step 1 $23.32 $23.32 $48,506.00 $48,506.00 $7,411.00 $7,411.00 $9,580.00 $20,802.00 $65,497.00 $76,719.00 Potential Funding Sources Social Worker: SSTS appox 7-8% ADMHI SOS Contract within the grant $65,000 Adult MH-TCM SFY15 Gross Rate $516 Net $258 SCHA $516 VA/DD-TCM SFY15 Gross Rate $516 Net $258 Community Support Grant (CSP) $190,000 Notes Commuity Support Technician retired 6/25/14 State Operated Services (SOS) Community Partnership Network (CPN) contract ending 6/30/15 2014 81% of clients were seen for TCM Examples of additional revenue with additional staff If all of these 28 clients were straight MA clients (FFS) the additional revenue generated would be: 12 (months) x 28 (clients) x $258 (Net FFS MA) = $86,688 If 50% of these clients were (FFS) clients and 50% SCHA clients the revenue generated would be: 12 (months) x 14 (clients) x $516 (SCHA rate) + 12 (months) x 14 (clients) x $258 (FFS rate) = $130,032 2015 Top $36.57 $76,066.00 $11,586.00 $87,652.00 C&TC CONNECTION THE “Information about Child & Teen Checkups” 8 Updated May 2015 Goodhue County Health & Human Services/ Public Health Division Everybody Gets Mad: Helping Your Child Cope with Conflict Everyone Gets Mad What is C&TC? Anger doesn’t usually last a long time, but it is a very strong feeling when it happens. Help Children Act Calm Teach them that fights don’t solve problems—they make new ones. Teach your child how to deal with anger and stay out of trouble. May 2015 C&TC stands for Child and Teen Checkups. C&TC offers well-child health screenings for infants, children, adolescents and young adults up to 21 years of age who have Medical Assistance or Minnesota Care. Acknowledge The C&TC Outreach program is the connection between the families who are eligible for these screenings and the clinics that provide the actual screenings. Acknowledge angry feelings. Notice changes in their bodies. C&TC screenings include the following services: Teach Your Child to ACT CALM Calm down Breathe deeply, count to 10, or walk away. Punch a pillow, run, or play music. Think and talk Think about the problem and ways to fix it. If someone doesn’t know what children are trying to say or do, they need to explain themselves. Talk with someone about being mad and ways to fix the problem without fighting. If there is nobody to talk to right away, stop and think, “This is why I’m mad and what I need to do is ...” If someone tries to start a fight, your child can be the one to stay CALM: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Check height and weight Check hearing and vision Assess development Assess and teach about nutrition Complete physical examination Laboratory tests, if needed Give immunizations when needed Get health information Refer to the dentist Answer your questions Calm down The result of this complete and age appropriate screening is that the health care provider can find and treat health problems early. Avoid Where Can I go for C&TC? Avoid name-calling or returning insults. It only makes things worse. Avoid other kids who may want to fight. Try to talk in private with the kid who wants to fight. In Goodhue County, C&TC screenings are available through the Mayo Health System in Red Wing and Zumbrota, Cannon Falls, Kenyon and Lake City and Olmsted Medical Center in Pine Island, Wanamingo and Cannon Falls. Keep a safe distance from the other person. Take slow, deep breaths. Stay alert and stand tall. Listen Calmly listen to what the other kid says. Ask, “What does this person really want?” Move on Find ways to solve the problem without fighting. Use humor. “I wouldn’t want you to catch my cold.” Give a reason. “We’ll both get thrown off the team if we fight.” Walk away. If nothing else works, it’s best to walk away. Children do what they see others do. You are your child’s most important role model. If your child is still having trouble getting along with other kids, talk with your pediatrician. If you have needs with transportation, interpreters, or making a C&TC appointment, contact Carol at Goodhue County Health & Human Services/Public Health Division, 651-385-6100 or 1-800-952-2142 Source: healthychildren.org Sun Safety What's the best way to protect my child in the sun? Follow these simple rules to protect your family from sunburns now and from skin cancer later in life. • • • • • • • • Keep babies younger than 6 months out of direct sunlight. Find shade under a tree, umbrella, or the stroller canopy. When possible, dress yourself and your kids in cool, comfortable clothing that covers the body, like lightweight cotton pants, long-sleeved shirts, and hats. Select clothes made with a tight weave - they protect better than clothes with a looser weave. If you’re not sure how tight a fabric’s weave is, hold it up to see how much light shines through. The less light, the better. Wear a hat or cap with a brim that faces forward to shield the face. Limit your sun exposure between 10:00 am and 4:00 pm, when UV rays are strongest. Wear sunglasses with at least 99% UV protection (look for child-sized sunglasses with UV protection for your child). Use sunscreen. Set a good example. You can be the best teacher by practicing sun protection yourself. Teach all members of your family how to protect their skin and eyes. How to Pick Sunscreen • • • • Use a sunscreen that says “broad-spectrum” on the label - that means it will screen out both UVB and UVA rays. Use a sunscreen with an SPF (sun protection factor) of at least 15. The higher the SPF, the more UVB protection the sunscreen has. Look for the new UVA “star” rating system on the label. o One star is low UVA protection. o Two stars is medium protection. o Three stars is high protection. o Four stars is the highest UVA protection available in an over-the-counter sunscreen product. For sensitive areas of the body, such as the nose, cheeks, tops of the ears, and the shoulders, choose a sunscreen or sunblock with zinc oxide or titanium dioxide. While these products usually stay visible on the skin even after you rub them in, some now come in fun colors that kids enjoy. Sunscreen for Babies • • For babies younger than 6 months. Use sunscreen on small areas of the body, such as the face and the backs of the hands, if protective clothing and shade are not available. For babies older than 6 months. Apply to all areas of the body, but be careful around the eyes. If your baby rubs sunscreen into her eyes, wipe the eyes and hands clean with a damp cloth. If the sunscreen irritates her skin, try a different brand or try a sunscreen stick or sunscreen or sunblock with titanium dioxide or zinc oxide. If a rash develops, talk with your child’s doctor. How to apply sunscreen • • • • Use enough sunscreen to cover all exposed areas, especially the face, nose, ears, feet, and hands and even the backs of the knees. Rub it in well. Apply sunscreen 15 to 30 minutes before going outdoors to give time for the sunscreen to bind and absorb into to the skin. Use sunscreen any time you or your child might sunburn. Remember that you can get sunburn even on cloudy days. Also, UV rays can bounce back from water, sand, snow, and concrete so make sure you’re protected. Reapply sunscreen every 2 hours. Sunscreen wears off after swimming, sweating, or just from soaking into the skin. Adapted from healthy children.org "Los examenes de salud del programa Child & Teen Checkups (C&TC) (Examen Médico para Niños y Adolescentes)" THE C&TC CONNECTION 8 Actualizado- mayo 2015 División de Goodhue County Health and Human Services/Public Health mayo 2015 Todos se enfadan Ayudando a su niño a adaptarse con conflicto Todos se enfadan Ira generalmente no dura mucho tiempo, pero es un sentimiento muy fuerte cuando pasa. Ayude a los Niños a Actuar Calmados Enseñarles que las peleas no resuelven los problemas—hacen otros nuevos. Enseñe a su hijo cómo tratar con la ira y que se queden sin problemas. Enseñe a su hijo cómo Actuar Calmados. Reconozca: Reconozca los sentimientos de enfado. Note cambios en su cuerpo. Calmese: Respire profundamente, cuente hasta 10 o salgase. De puñetazo a una almohada, corra o toque música. Piense y hable: Piense del problema y maneras para areglarlo. Si alguien no sabe qué es lo que los niños están tratando de decir o de hacer, necesitan explicarse. Hable con alguien sobre por que se enfadό y maneras de corregir el problema sin pelear. Si no hay nadie con quien hablar enseguida, pare y piense, "Por este motivo me enfadé y lo que necesito hacer es..." Si alguien intenta empezar una pelea, su niño puede ser el que se queda CALMADO: Calmese Mantener una distancia segura de la otra persona. Tome respiraciones profundamente y despacio. Manténgase alerta y estar orgulloso de si mismo. Evite Evite insultos o de devolver los insultos. Sólo hace que las cosas se pongan peor. Evite que otros niños quieran pelear. Trate de hablar en privado con el niño que quiere pelear. Escuche Con calma escuche lo que el otro niño dice. Pregunte, “Que es lo que esta persona quiere en realidad?” Muevase Encuentre la manera de resolver el problema sin pelear. Utilizar el humor. "Yo no quiero que mi catarro". De una razón. "Los dos nos van a correr del equipo si peleamos". Salgase. Si nada funcciona, es major salirse. Los niños hacen lo que ven a otros hacer. Usted es más importante modelo de su hijo. Si su hijo está teniendo problemas llevandose bien con otros niños, hable con su pediatra. Fuente: healthychildren.org ¿Qué es C&TC? C&TC significa examines medicos para infantiles y adolescentes. C&TC ofrece exámenes de salud del niño sano para los bebés, niños, adolescentes y adultos jóvenes hasta 21 año de edad que tienen Medical Assistance (Asistencia Médica) o MinnesotaCare (Cuidado de Minnesota). El programa de divulgación de C&TC es la conexión entre las familias que son elegibles para estos exámenes y las clínicas que ofrecen los exámenes reales. Proyecciones C&TC incluyen los siguientes servicios: 1. Evaluación de estatura y peso 2. Controles visuales y auditivos 3. Evaluación del desarrollo 4. Enseñanza y evaluación de nutrición 5. Un examen físico completo 6. Las pruebas de laboratorio, si es necesario 7. Las vacunas cuando sea necesario 8. Información sobre la salud 9. Volante al dentista 10. Sus preguntas dirigidas El resultado de este examen adecuado completo y la edad es lo que su médico puede detectar y tratar problemas de salud a tiempo. ¿Dónde puedo ir para C&TC? En el condado de Goodhue, exámenes C&TC de están disponibles a través del Mayo Health System en Red Wing y Zumbrota, Cannon Falls, Kenyon y Lake City y Olmsted Medical Center en Pine Island, Wanamingo y en Cannon Falls. Si usted tiene necesidades con el transporte, los intérpretes, o hacer una cita para C&TC, comuníquese con Carol en el Goodhue County Public Health Service al 651-385-6100 o 1-800-952-2142 Protección Solar ¿Cuál es la mejor manera de proteger a mi hijo en el sol? Siga estas sencillas reglas para proteger a su familia en caso de quemaduras y cáncer de piel más adelante en la vida. • • • • • • • • Mantenga los bebés menores de 6 meses fuera de la luz directa del sol. Encuentre sombra debajo de un árbol, paraguas o del paraguas de una carriola. Cuando sea possible, quiere vestirse y sus niños en ropa fresca,cómoda que cubre el cuerpo, como pantalón de algodón ligero, camisetas de manga largay sombreros. Seleccione ropa hecha con un tejido ajustado - se protegen más de ropa con un tejido apretado. Si no estás seguro de cómo un tejido apretado de la tela es pongalo a la luz para ver cuánta luz brilla . Menos luz es mejor. Lleve un gorro o sombrero que de sombra hacia adelante para proteger la cara. Limitar la exposición al sol entre las 10:00 am y las 4:00 pm, cuando los rayos son más fuertes. Use gafas de sol con al menos 99% de protección (busque gafas de tamaño infantil para el sol con protección de rayos para el niño). Use protector solar. Establezca un buen ejemplo. Usted puede ser el mejor maestro practicando la protección solar Ud mismo. Enseñe a todos los miembros de la familia cómo pueden proteger su piel y ojos. Cómo Elegir Protector Solar • • • • Use un protector solar que dice "de amplio espectro" en la etiqueta, lo que significa que quita ambos los rayos UVB y UVA. Usando un protector solar con un factor de protección solar por lo menos 15. Entre más alto sea factor de protección solar tiene más protector solar. Busque el Nuevo sistema de calificación de la etiqueta de “estrella” UVA. o Una estrella es baja protección contra los rayos UVA. o Dos estrellas el nivel de protección es mediano. o Tres estrellas el nivel de protección es alto. o Cuatro estrellas el nivel de protección de UVA es lo más alto disponibles para un producto de protección sin receta. Para las zonas sensibles del cuerpo, como la nariz mejillas, parte superior de las orejas y los hombrose lija un protector solar o bloqueador solar con óxido de zinc o dióxido de titanio. Aunque estos productos suelen permanecer visible en la piel incluso después de que se frotan , algunos vienen ahora con colores divertidos que los niños disfrutan. Protector Solar para Bebes • • Para bebes menores de 6 meses. Use protector solar en zonas pequeñas zonas del cuerpo, como la cara y el dorso de la mano, si ropa de protección y sombra no están disponibles. Para los bebés mayores de 6 meses.. Aplique a todas las áreas del cuerp, opero se debe tener cuidado alrededor de los ojos. Si su bebé se frota protector solar en sus ojos, limpie los ojos y las manos con un paño húmedo. Si la crema protectora solar irrita su piel pruebe con otra marca o intente un protector solar o bloqueador solar o bloqueador solar con dióxido de titanio u óxido de zinc. Si se desarrolla una erupción, hable con el médico de su niño. Cómo aplicar el protector solar • • • • Utilice suficiente protector solar para cubrir todas las zonas expuestas, especialmente el rostro nariz, las orejas, los pies y las manos e incluso la corva. Frote bien. Aplique el protector solar 15 a 30 minutos antes de ir afuera para dar tiempo a que la crema protectora solar absorba en la piel. Use protector solar cada vez que usted o su hijo puede recibir quemaduras. Recuerde que puede sufrir una quemadura solar aun en días nublados. También los rayos UV puede rebotar por agua, arena, nieve y concreto, así que asegúrate de que estás protegido. Aplique protector solar cada 2 horas. Protector solar desaparece después de nadir, sudoración o simplemente de inmersión en la piel. Adaptado de healthy children.org Oral Health Facts: Dental Cavities are the most common chronic disease in children. Tooth decay in children can cause pain and can be associated with growth, learning, and speech problems. The cost to treat childhood cavities is $6,000 - $12,000 per child. Baby teeth are very important! They guide the permanent teeth into place and help with jaw and facial formation. Our children need our help to protect their baby teeth and prevent tooth decay. To help in prevention, brush their teeth 2 times a day, reduce sugar consumption, and apply fluoride varnish as necessary. Cost: No charge for Goodhue County residents. If you are on Medical Assistance: Please present your card at time of service. Locations & Times: Kenyon WIC Clinic June 9, 2015 108 Bullis St 9:00 am – 12:00 pm Cannon Falls WIC Clinic June 11, 2015 511 Belle Street West 9:00am – 12:00pm Red Wing WIC Clinic July 8, 2015 269 East 5th Street 8:30 am – 4:00 pm Goodhue County Health and Human Services Zumbrota WIC Clinic August 6, 2015 560 3rd Street West 9:00 am – 12:00 pm and 12:30 pm – 2:30 pm Fluoride Varnishing Program 1 (651) 385-6100 or 1 (800) 950-2142 Commonly Asked Questions About Fluoride Varnishing: What is fluoride varnishing? It is a temporary protective coating that is painted on the teeth to help prevent new cavities and to help stop small cavities that have already started. Is fluoride varnish safe? Yes, fluoride varnish can be used on babies from the time they have their first teeth. Only a very small amount is used. How long does the fluoride last? The fluoride coating works best if it is painted on the teeth three to four times a year. Does my child still need to see a dentist? Yes, fluoride varnish treatments do not replace the need for yearly dental checkups. What to Expect: First, your child’s teeth will be wiped off with clean gauze. Next, the varnish is painted on. It only takes a few minutes!! After Your Child’s Treatment: No hard candy or chewy food the day of the treatment. This might chip off the varnish. Do not pick off any flecks of varnish. Do not brush your child’s teeth that night or give a fluoride supplement. Restart normal oral hygiene the next morning. Your child’s teeth may look slightly different after the treatment. This is normal. It will be removed by normal brushing the next day. If you have any questions or concerns, feel free to contact Goodhue Health and Human Services. April 2015 Hechos de Salud Oral: Las caries dentales son la enfermedad crónica más común en los niños. Caries dental en los niños puede causar dolor y puede estar asociada con el crecimiento, el aprendizaje y problemas del habla. El costo de tratar las caries infantiles es de $6,000 - $12,000 por niño. Los dientes del bebé son muy importantes! Guían los dientes permanentes en su lugar y ayudan con formación de la mandibular y facial. Nuestros niños necesitan nuestra ayuda a proteger los dientes de leche y prevenir la caries dental. Para ayudar en la prevención, cepillense los dientes 2 veces al día, reduzca consumo de azúcar, y aplique el barniz según sea necesario. Costo: Gratis paralos residentes del Condado de Goodhue. Si tiene Medicaid (Medical Assistance), por favor presente su tarjeta en el momento de servicio. Lugares y Horarios: Clínica de WIC de Kenyon 9 de junio, 2015 108 Bullis St 9:00 am – 12:00 pm Clínica de WIC de Cannon Falls 11 de junio, 2015 Dientes Sanos para mañana 511 Belle Street West 9:00am – 12:00pm Clínica de WIC de Red Wing 8 de julio, 2015 269 East 5th Street 8:30am – 4:00pm Goodhue County Health and Human Services Clínica de WIC de Zumbrota 6 de agosto, 2015 560 3rd Street West 9:00 am – 12:00 pm y 12:30 pm – 2:30 pm Programa de Barniz de Flúor 1 (651) 385-6100 o 1 (800) 950-2142 Las Preguntas Más Frecuentes sobre Barniz de Flúor: ¿Qué es el barniz de flúor? Se trata de una capa de protección temporal que está pintada en los dientes para ayudar a prevenir nuevas cavidades y para ayudar a detener pequeñas cavidades que ya se han iniciado. ¿El barniz es seguro? Sí, el barniz se puede utilizar en los bebés, desde el momento en que tienen su primer diente. Sólo se usa una cantidad muy pequeña. ¿Cuánto tiempo dura? La capa de flúor funciona mejor si está pintada sobre los dientestres o cuatro veces al año. ¿Mi niño aún necesita ver a un dentista? Sí, los tratamientos del barniz no reemplaza la necesidad de chequeos dentales anuales. Lo que se Puede Esperar: En primer lugar, los dientes de su niño se limpian con una gasa limpia. İİLuego, se pinta el barniz. Sólo se tarda unos minutos!! Despues del tratamiento de su niño: No pueden comer caramelos duros o comida gomosa el día del tratamiento. Esto podría quitar el barniz. No quite las manchitas de barniz. No cepille los dientes de su hijo esa noche o le de un suplemento de fluoruro. Reiniciar higiene oral normal la siguiente mañana. Los dientes de su niño pueden ser ligeramente diferente después del tratamiento. Esto es normal. Se quita el día siguiente cepillando normal. Si tiene alguna pregunta o preocupación, no dude en ponerse en contacto con Goodhue County Health and Human Services. abril 2015 GOODHUE COUNTY HEALTH & HUMAN SERVICES (HHS) Monthly Report CD Placements CONSOLIDATED FUNDING LIST FOR MAY 2015 In-Patient Approval: None Outpatient Approvals: # 00893513R – 41 year old female – numerous previous treatments – services at Wenden Recovery # 03312616 – 24 year old female – no previous treatment – services at Wenden Recovery # 00949343R-1 – 46 year old male – two previous treatments – services at Wenden Recovery Halfway House Approval: None Promote, Strengthen, and Protect the Health of Individuals, Families, and Communities! GOODHUE COUNTY Health and Human Services Quarterly Trend Report May 2015 Page 1 Table of Contents HUMAN SERVICES HEALTH SERVICES Page CHILD SUPPORT COLLECTIONS Total Child Support Collections 3 FINANCIAL ASSISTANCE ACTIVITY REPORT Minnesota Family Investment Program (MFIP) Cash - Household Diversionary Work Program (DWP) - Household General Assistance (GA) - Household Group Residential Housing (GRH) - HH Minnesota Supplemental Aid (MSA) - HH Total Food Stamps - HH Total Healthcare Healthcare: Including Mnsure 3 4 4 5 5 6 7 7 SOCIAL SERVICES Social Service Intakes Out of Home Placements In Patient CD Placement Out patient CD Placement Adolescent Independent Living Skills Adoption/Guardianship Adult Foster Care Vulnerable Adults Adult Protection Civil Commitments Child Care Licensing Child Foster Care Licensing Child Protective Services Parent Support Outreach Program Children's Mental Health Developmental Disabilities 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 MENTAL HEALTH Mental Health Center Intakes 16 HUMAN SERVICES Page 2 Page FAMILY HEALTH # of Clients 16 WOMEN, INFANTS, AND CHILDREN (WIC) WIC - Children WIC - Infants WIC - Women Total WIC 17 17 18 18 DP & C School Flu Clinics Immunizations Given 19 19 Home & Community Based Services Number of SCHA members in Goodhue County LTCC Community Screens LTCC in Nursing Home SCHA Re-Assessments Total Screens 20 20 21 22 22 Healthy Communities Four Corners Partnership Emergency Preparedness 23 24 CHILD SUPPORT COLLECTIONS Month J F M A M J J A S O N D Monthly Avg. 2013 $453,039 $445,544 $494,605 $502,287 $537,821 $480,129 $469,947 $476,389 $468,641 $491,558 $432,129 $519,364 $480,954 2014 $514,012 $459,890 $508,391 $515,196 $497,775 $511,775 $451,701 $475,267 $476,758 $503,204 $477,122 $515,697 $492,232 2015 $448,542 $483,454 $550,226 Total Child Support Collections PA & NPA $600,000 $550,000 $500,000 $450,000 $400,000 J F M A 2013 $494,074 M J J 2014 Sharon Watson A S O N D 2015 FINANCIAL ASSISTANCE Month J F M A M J J A S O N D Monthly Avg. 2013 136 148 138 134 122 123 118 122 111 109 103 101 122 2014 106 97 95 100 109 100 99 104 95 101 100 90 100 2015 97 99 95 Month 2013 2014 2015 175 MN Family Investment Program (MFIP) Cash - Household 150 125 100 75 50 J 97 Page 3 F M A M J J A 2013 Sheila2014 Gadient S O 2015 N D J F M A M J J A S O N D Monthly Avg. 11 14 16 17 22 21 20 18 14 12 9 9 15 9 17 15 11 12 9 13 14 16 15 14 12 13 14 12 11 Month J F M A M J J A S O N D Monthly Avg. 2013 85 79 82 83 80 80 82 78 76 72 71 72 78 2014 70 69 65 66 75 78 78 78 69 66 68 68 71 2015 70 67 72 Diversionary Work Program (DWP) - Household 40 30 20 10 0 J F M A M 2013 12 J J A 2014 S O N D N D 2015 Sheila Gadient General Assistance (GA) - Household 90 80 70 60 50 40 J 70 Page 4 F M A 2013 M J J 2014 Sheila Gadient A S 2015 O Month J F M A M J J A S O N D Monthly Avg. 2013 148 151 152 149 156 155 143 149 154 148 145 146 150 2014 142 142 141 150 145 145 155 151 153 151 155 145 148 2015 145 133 144 Month J F M A M J J A S O N D Monthly Avg. 2013 95 96 98 100 101 98 98 97 95 94 93 92 96 2014 91 88 89 92 95 95 96 93 92 93 96 93 93 2015 90 86 87 Group Residential Housing (GRH) - Household 160 155 150 145 140 135 130 J F M A M 2013 J J 2014 Sheila Gadient 141 105 A S 2015 O N D MN Supplemental Aid (MSA) - Household 100 95 90 85 J F M A M J 2013 88 J A 2014 Sheila Gadient Page 5 S O 2015 N D Month J F M A M J J A S O N D Monthly Avg. 2013 1,402 1,406 1,405 1,406 1,427 1,416 1,413 1,405 1,391 1,383 1,318 1,325 1,391 2014 1,355 1,271 1,258 1,263 1,250 1,243 1,231 1,238 1,219 1,201 1,175 1,188 1,241 2015 1,065 1,044 1,052 Total Food Stamps - Household 1,500 1,400 1,300 1,200 1,100 1,000 J F M A 2013 1,054 M J J 2014 Sheila Gadient Page 6 A S 2015 O N D Month J F M A M J J A S O N D Monthly Avg. 2013 4,576 4,580 4,534 4,564 4,568 4,502 4,488 4,457 4,357 4,336 4,318 4,308 4,466 2014 5,312 5,243 5,175 5,148 5,108 5,095 6,052 6,036 6,151 6,134 6,117 6,839 5,701 2015 6,745 6,711 6,938 Healthcare: Total Individuals 7,000 6,500 6,000 5,500 5,000 4,500 4,000 J F M A 2013 6,798 M J J 2014 A S O N D 2015 Sheila Gadient Note: Due to MNSure system reporting capability, some numbers are not available on a monthly basis; best estimates have been included based on available data. Estimated numbers are highlighted. Agency will continue to update numbers as additional information becomes available. For MNsure information please see below. Medical Assistance Numbers since MNsure MA enrollees on MNsure IMA Enrollees (MN Care clients transferred to MA 1/1/2014) MA enrollees on MAXIS Total Enrollees on MA An Increase of 2,338 12/13 1/14 7/14 12/14 0 276 1,263 2,114 0 602 578 491 4,308 4434 4,184 4,041 4,308 5312 6,025 6,646 Page 7 7000 6000 5000 4000 3000 12/13 2000 1/14 1000 7/14 0 MA enrollees IMA Enrollees MA enrollees Total on MNsure (MN Care on MAXIS Enrollees on clients MA transferred to MA 1/1/2014) 12/14 Social Services Month J F M A M J J A S O N D Monthly Avg. 2013 146 195 183 172 161 148 193 202 200 199 149 136 174 2014 180 172 188 239 224 209 184 183 218 192 152 151 191 Social Service Intakes 2015 184 173 193 250 200 150 100 J F M A M J 2013 183 J A 2014 S O N D 2015 Kristin Johnson and Abby Villaran J F M A M J J A S O N D Monthly Avg. 26 18 24 28 28 32 30 34 37 36 30 31 30 40 40 43 34 38 42 48 46 45 42 44 40 42 42 47 48 Out of Home Placements Children 50 40 30 20 10 J F M A M 2013 46 J J 2014 Kristin Johnson Page 8 A S 2015 O N D Month J F M A M J J A S O N D Monthly Avg. 2013 1 0 1 1 2 1 2 4 4 1 3 3 2 2014 3 3 2 2 2 6 4 3 3 3 1 2 3 2015 0 2 4 Month J F M A M J J A S O N D Monthly Avg. 2013 8 3 6 8 7 8 5 5 4 15 2 6 6 2014 7 6 8 8 3 2 8 5 6 9 6 7 6 2015 5 10 7 Month 2013 2014 2015 In Patient CD Placements 7 6 5 4 3 2 1 0 -1 J F M A M 2013 2 J J 2014 A S 2015 O N D N D Abby Villaran Out Patient CD Placements 20 15 10 5 0 J F M A M J 2013 7 J A 2014 S O 2015 Abby Villaran Page 9 d l d d i i J F M A M J J A S O N D Monthly Avg. 19 19 18 18 18 20 21 21 19 20 21 21 20 19 19 19 19 19 19 18 18 18 19 19 20 19 Adolescent Independent Living Skills 18 17 16 25 20 15 10 J F M A M 2013 J J A 2014 S O N D 2015 17 Kristin Johnson Month J F M A M J J A S O N D Monthly Avg. 2013 7 7 7 8 8 8 7 7 5 4 5 10 7 2014 11 11 11 10 11 11 11 11 13 10 10 9 11 2015 9 9 9 Adoption/Guardianship 15 10 5 0 J F M A M 2013 9 J J A 2014 Kristin Johnson Page 10 S 2015 O N D Month J F M A M J J A S O N D Monthly Avg. 2013 29 29 30 30 30 30 30 30 29 29 29 29 30 2014 29 29 29 29 29 29 29 29 29 29 29 29 29 2015 29 29 29 Adult Foster Care 33 32 31 30 29 28 J F M A M J 2013 29 J A 2014 S O N D S O N D 2015 Abby Villaran Month J F M A M J J A S O N D Monthly Avg. 2013 18 20 17 18 27 28 32 30 30 29 31 30 26 2014 28 29 31 35 39 40 41 44 42 46 44 44 39 2015 45 47 46 Adult Services 50 40 30 20 10 0 J F M A M 2013 46 J J 2014 A 2015 Abby Villaran Month J 2013 3 2014 11 2015 21 Page 11 Adult Protection F M A M J J A S O N D Monthly Avg. 3 2 2 2 2 4 8 5 10 10 18 6 9 9 9 10 12 11 10 12 17 18 21 12 25 24 Adult Protection 30 25 20 15 10 5 0 J F M A M 23 J 2013 J A 2014 S O N D 2015 Abby Villaran Month J F M A M J J A S O N D Monthly Avg. 2013 1 2 3 5 1 2 3 4 4 2 2 2 3 2014 4 1 4 5 3 2 2 2 2 5 2 4 3 2015 2 3 1 Civil Commitments 6 5 4 3 2 1 0 J F M A M J 2013 2 J 2014 A S 2015 Kristin Johnson Month J F M 2013 129 127 126 2014 116 118 116 2015 114 112 115 Child Care Licensing Page 12 150 O N D A M J J A S O N D Monthly Avg. 123 124 122 123 118 117 116 118 116 122 116 117 118 115 115 115 116 117 114 116 140 130 120 110 100 J F M A M J 2013 114 J A 2014 S O N D 2015 Kristin Johnson Month J F M A M J J A S O N D Monthly Avg. 2013 22 22 23 24 25 25 25 27 29 32 32 33 27 2014 35 35 36 36 37 38 29 32 32 31 32 32 34 2015 30 31 31 Child Foster Care Licensing 40 30 20 10 0 J F M A M 2013 31 J J 2014 A S 2015 Kristin Johnson Month J F M 2013 40 50 53 2014 69 80 94 2015 112 121 141 Child Protective Services 150 Page 13 O N D A M J J A S O N D Monthly Avg. 57 56 59 67 75 56 59 64 73 59 84 84 98 89 90 97 88 97 108 90 100 50 0 J F M A M J 2013 125 J A 2014 S O N D 2015 Kristin Johnson Month J F M A M J J A S O N D Monthly Avg. 2013 2014 2015 27 36 34 Parent Support Outreach Program 40 30 20 10 0 J F M A M 2013 0 0 J J 2014 A S O 2015 32 Kristin Johnson Month J F M A M J 2013 2014 58 52 61 59 64 66 2015 73 84 83 100 80 60 Page 14 Children's Mental Health N D J A S O N D Monthly Avg. 0 68 69 67 69 68 68 64 40 20 0 J F M A M J 2013 80 J A 2014 S O N D 2015 Kristin Johnson & Abby Villaran Note: GCHHS Department is tracking this differently, now using the # of Children's Mental Health Cases Open with Fernbrook Family Center Month J F M A M J J A S O N D Monthly Avg. 2013 272 270 271 271 273 276 277 277 273 275 278 271 274 2014 279 273 270 269 270 272 276 277 275 277 274 269 273 2015 258 244 227 Developmental Disabilities 280 270 260 250 240 230 220 J F M A M 2013 243 J J 2014 A S 2015 Theresa Miller Highlighted numbers for the above report may not be exact as we transition from one computer program to another. Adult Mental Health Month J F M A M J J A 2013 368 369 360 362 360 355 355 349 2014 292 288 290 288 289 293 269 272 2015 247 252 259 Adult Mental Health 500 450 400 350 300 Page 15 250 O N D S O N D Monthly Avg. 330 324 320 314 347 275 266 260 258 278 250 200 J F M A M J 2013 253 J A 2014 S O N D N D 2015 Kristin Johnson and Abby Villaran HEALTH SERVICES Family Health Month J F M A M J J A S O N D Monthly Avg. 2013 113 83 89 120 105 101 114 98 115 102 87 82 101 2014 94 81 65 111 97 101 98 122 99 100 84 77 94 2015 93 81 65 Family Health- Client Visits 150 100 50 0 J F M A M 2013 80 J J 2014 Krista Early Page 16 A S 2015 O Women, Infants, and Children (WIC) Month J F M A M J J A S O N D Monthly Avg. 2013 434 430 419 396 411 421 429 433 440 446 428 420 426 2014 404 396 398 385 390 381 390 405 414 430 430 413 403 2015 400 401 404 Month J F M A M J J A S O N D Monthly Avg. 2013 201 187 181 188 196 186 184 184 179 174 175 171 184 2014 173 167 173 172 180 154 174 165 167 163 165 175 169 2015 177 173 151 Women, Infant & Children (WIC)# of Children Served 600 550 500 450 400 350 300 J F M A M J 2013 402 J A 2014 S O N D 2015 Krista Early Women, Infant & Children (WIC) - # of Infants Served 300 250 200 150 100 J F M A 2013 167 M J J 2014 Krista Early Page 17 A S 2015 O N D Month J F M A M J J A S O N D Monthly Avg. 2013 181 173 163 164 166 170 174 182 179 179 170 170 173 2014 165 160 162 164 180 176 179 184 177 178 181 176 174 2015 182 173 174 Month J F M A M J J A S O N D Monthly Avg. 2013 816 790 763 748 773 777 787 799 798 799 773 761 782 2014 742 723 733 721 750 711 743 754 758 771 776 764 746 2015 759 747 729 Women, Infant & Children (WIC) # of Women Served 275 250 225 200 175 150 125 J F M A M 2013 176 J J A 2014 S O N D 2015 Krista Early Women, Infant & Children (WIC) Total Served 1,000 900 800 700 600 500 J F M A 2013 745 M J J 2014 Krista Early Page 18 A S 2015 O N D DP&C School Flu Clinics Cannon Falls Goodhue Red Wing HS Pine Island Zumbrota Kenyon Wanamingo RW Twin Bluff Total: 2012/2013 163 46 72 122 146 84 55 21 709 2013/2014 237 67 84 119 76 139 17 19 758 2014/2015 142 92 64 143 76 79 61 15 672 250 200 150 100 50 0 2012/2013 2013/2014 2014/2015 Krista Early J F M A M J J A S O N D Monthly Avg. 2013 74 31 20 39 22 14 5 75 166 135 125 23 61 2014 16 39 11 31 178 22 7 132 56 55 53 28 52 2015 13 1 15 Immunizations Given 200 150 100 50 0 J F M A M 2013 10 J J 2014 Krista Early Page 19 A S 2015 O N D Home and Community Based Services Month J F M A M J J A S O N D Monthly Avg. 2013 3,296 3,278 3,375 3,358 3,379 3,422 3,371 3,292 3,171 3,131 3,036 3,016 3,260 2014 3,557 3,721 3,888 4,160 4,281 4,449 4,576 4,641 4,785 4,821 5,012 5,103 4,416 Month J F M A M J J A S O N D Avg. 2013 15 20 23 12 27 18 26 23 14 23 21 31 21 2014 15 9 28 22 34 19 21 26 19 26 21 32 23 2015 5,055 5,051 5,137 SCHA Monthly Enrollment 5,500 5,000 4,500 4,000 3,500 3,000 J F M A M 2013 J J A 2014 S O N D N D 2015 1,270 Mary Heckman 2015 21 20 20 LTCC Community Screens 40 30 20 10 0 J F M A M 2013 20 J J 2014 Theresa Miller Page 20 A S 2015 O Month J F M A M J J A S O N D Monthly Avg. 2013 14 10 13 15 13 10 6 7 9 11 6 3 10 2014 6 7 2 5 6 7 10 3 6 3 3 6 5 2015 5 7 8 LTCC Nursing Home Screens 20 15 10 5 0 J F M A M 2013 7 J J 2014 Theresa Miller Page 21 A S 2015 O N D Month J F M A M J J A S O N D Monthly Avg. 2013 14 11 8 10 21 21 18 17 26 19 24 11 17 2014 13 13 20 14 24 20 25 35 43 29 46 53 28 2015 44 37 51 SCHA Re-Assessment Screens 60 50 40 30 20 10 0 J F M A M J 2013 44 J A 2014 S O N D 2015 Theresa Miller Month J F M A M J J A S O N D Monthly Avg. 2013 43 41 44 37 61 49 50 47 49 53 51 45 48 2014 34 29 50 41 64 46 56 64 68 58 70 91 56 2015 70 64 79 Total Screens 100 80 60 40 20 0 J F M A M 2013 71 Theresa Miller Page 22 J J 2014 A S 2015 O N D Healthy Communities 80 Presentations / Displays 70 Dodge Goodhue Rice Steele Total: 2013 15 5 11 12 43 2014 18 21 21 13 73 2015 5 2 2 2 11 60 50 2013 40 2014 30 2015 20 10 0 Dodge Goodhue Rice Steele Total: Ruth Greenslade Four Corners Partnership (ClearWayMN & TFC) Media Development Dodge Goodhue Rice Steele Total: 2013 54 24 14 34 126 2014 21 35 29 26 111 2015 1 5 0 10 16 140 120 100 2013 80 2014 60 2015 40 20 0 Dodge Goodhue Rice Steele Ruth Greenslade Page 23 Total: Contact group/Number contacted Hospitals - 3 Clinics - 11 Skilled Nursing Facilities - 8 Emergency Management - 2 Home Health Care Agencies - 13 Prairie Island Indian Community - 3 Volunteer Organizations - 3 Mass Dispensing Sites 3 Success rate for HAN Test November 2013 67% 91% Success rate for HAN Test May 2014 100% 91% Success rate for HAN Test November 2014 100% 100% 87.50% 100% 100% 100% 100% 100% 69% 84.60% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Health Alert Network 2 hour response 120% 100% 80% 60% 40% 20% 0% Success rate for HAN Test November 2013 Success rate for HAN Test May 2014 Success rate for HAN Test November 2014 Ruth Greenslade Page 24