Agenda 05-02-2019 - 8-a - Minutes

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15 1 with. He said Orange County has seven CEOs in the form of the BOCC, and clear goals and 2 direction will be vital, as these conversations have been had before. 3 Commissioner Price said a more concrete strategic plan is needed, but is not sure if 4 another work session will be beneficial. She said the BOCC does set policy, but maybe the 5 EDAB could come back to the BOCC with a plan. She said everyone needs to get more 6 pragmatic about ED, as opposed to discussing wants, and the lack of money. 7 Commissioner Marcoplos said if the BOCC had an agenda at a work session that dealt 8 with some of these issues that reoccur in and out of meetings that pertain to the whole EDD 9 idea, and resolve the Eno EDD, the pre-zoning, the West Ten issue and discuss the issue that 10 there is very valuable land available but is not in any of the EDDs. 11 Chair Rich said this seems like an oversimplification, and not all Commissioners would 12 agree. 13 Jim Kitchen said Steve Brantley's office could build the framework and come to the 14 Board of County Commissioners with the basics, and answer some key questions. 15 Steve Brantley said he hopes to have some closed sessions with the Board soon, and 16 ED is making some headway with a couple of projects. He said the Manager's office, the 17 Planning Department, and ED have been working together to analyze the existing inventory of 18 sites, as well as other locations. He said many areas of ED are very successful (small 19 businesses, incubator, the arts, etc.), and the only area that is really at issue here is industrial 20 recruiting. 21 22 2. Health and Human Service Initiatives and County Impacts 23 The Board received an update on various state initiatives impacting Social Services and other 24 human service departments, including Social Services Reform, Child Welfare Reform, Medicaid 25 Transformation, and the Memorandum of Understanding (MOU) between Orange County and 26 the North Carolina Department of Health and Human Services regarding performance 27 expectations. In addition, Social Services will provide information on current workload and 28 discuss impacts of these changes on future workload. The Health Director and the Child 29 Support Director will discuss the impacts of Medicaid Transformation and the MOU on their 30 departments. 31 32 BACKGROUND: 33 In 2017, the North Carolina General Assembly approved Social Services Reform legislation 34 (House Bill 630). This legislation contains many components including: hiring of a consulting 35 firm to develop plans for reform; establishing a workgroup to develop recommendations on 36 creation of state regional offices; developing a plan for regionalization of local offices; and 37 implementing performance agreements between local social service agencies and the state 38 Department of Health and Human Services (DHHS). 39 40 The outside consulting firm, the Center for the Support of Families, is conducting research in 41 North Carolina, has completed Phase I of the work and has published its first recommendations 42 for Social Service Reform and for Child Welfare Reform. The Social Services Work Group, 43 facilitated by the UNC School of Government, has issued its first report on establishing state 44 regional offices and is now working on local agency regionalization plans. 45 46 Performance Agreements 47 On June 29, 2018, the Board of Commissioners approved the first performance agreement 48 (Memorandum of Understanding) with DHHS. The performance agreement section of the law 49 was effective July 1, 2018, but the actual tracking of the performance measures by DHHS 50 began in January 2019 with progressive corrective actions effective July 2019. A revised MOU 51 (attached) has now been executed and reflects recent negotiations to change how some of the