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Dupage Policy Journal

Thursday, April 25, 2024

Du Page County Health & Human Services Committee met March 3

Du Page County Health & Human Services Committee met March 3.

Here is the minutes provided by the committee:

1. CALL TO ORDER

9:30 AM meeting was called to order by Chair Peter DiCianni at 9:35 AM.

2. ROLL CALL

PRESENT: DeSart, DiCianni, Eckhoff, Larsen, Renehan, Tornatore

ABSENT:

County Board Member Liz Chaplin attended the meeting.

3. PUBLIC COMMENT

4. CHAIRMAN'S REPORT - CHAIR DICIANNI

Chair DiCianni has been advocating for improvement regarding early childhood development in DuPage County. Mr. DiCianni mentioned that as the state chair of the Autism Task Force for Illinois and the DuPage County representative, one of the hurdles discussed at the last task force meeting was early diagnosis in Illinois. Illinois is one of the latest states to diagnose autism; which is the most common condition affecting children, with one in 59 children having autism, according to the CDC. The average age to get a diagnosis in Illinois is four or five, which is late. Dr. Dana Brazdziuna, who had diagnosed Mr. DiCianni’s daughter, was the keynote speaker at the task force. There is a shortage of doctors in Illinois with Dr. Brazdziuna’s experience to diagnose and treat Autism.

Chair DiCianni invited, FaKelia Guyton, Director of the DuPage Early Childhood Collaboration (DECC) to speak at today’s meeting.

5. DUPAGE EARLY CHILDHOOD COLLABORATION - FAKELIA GUYTON Presentation

Ms. Guyton presented a PowerPoint and gave some context of the early childhood development of children from one to five. The Collaboration is the Collective impact approach that looks at making changes and supports in early childhood for school readiness at a population level, versus one or two communities. The Collaboration is looking at merging trends and issues across the county. The Collaboration has a vision statement “In DuPage County all children have a strong foundation ready for a bright future.”. There is strong support from the ROE, which represents our K-12 system, and from the YWCA, which captures all our early childhood providers from birth to age five. There are six local early childhood collaborations and more than 40 plus partners across the state that support the work together. In 2015 an early childhood profile report slot gap analysis was completed. 10,000 -14,000 young children (birth to age five) were without access to early learning programs. They developed a common approach that represents all the support services and entities around a child to make them kindergarten ready and not the sole responsibility of the school districts. They have increased the number of children enrolled in publicly funded programs, seeing a 24% increase in 2019; with screenings seeing the biggest increase. They increased in home visits, their biggest gap in services, which is the best opportunity to capture children with delays.

Jeanine Woltman, the Glenbard Early Childhood Collaborative Coordinator, serves five schools districts, which all feed into the Glenbard High Schools. This collaborative’s primary focus is for zero to five-year olds. The prevention initiative received state funding to grow their home visit programs. A large component and requirement of the program is ongoing regular screenings with the family. The screening includes an Ages and Stages Questionnaire (ASQ), a nationally approved screening tool. The collaboration has been focusing primarily on screenings, family engagement, home visits, and community resources. Through research, they determined that families are not aware of the resources and screenings or not sure where to go, or afraid of a diagnosis. The Collaboration is focusing on following data, finding the root of the problem, and common messaging to communicate the information to the community.

Rosary Horne, the Principal of the District 93 Early Childhood Center, and the co facilitator of the Birth to Five Community Coalition stated one of the main goals of their coalition is the collective impact for all the coalitions and collaboratives. This is one of the ways to get the word out to families and to create a non-threatening environment in which families can learn more about the many resources within our community. The Coalition aims to continue current partnerships with over 20 organizations in the community, and to build new partnerships, with a goal to optimize service deliveries to families. By collaborating they can offer more opportunities to increase screenings, parent education, and the identification of children for at risk programs.

The PowerPoint is attached hereto and made part of the minutes packet. DuPage Early Childhood Collaboration

6. APPROVAL OF MINUTES

Health & Human Services - Regular Meeting - Feb 18, 2020 9:30 AM

RESULT: ACCEPTED [UNANIMOUS]

MOVER: Dawn DeSart, District 5

SECONDER: Julie Renehan, Vice Chair

AYES: DeSart, DiCianni, Eckhoff, Larsen, Renehan, Tornatore

7. DUPAGE CARE CENTER - JANELLE CHADWICK

A. DuPage Care Center Requests That Also Require Finance And/Or County Board Approval

Items 7.A.1. through 7.A.4. were combined and approved.

RESULT: APPROVED [UNANIMOUS

]MOVER: Julie Renehan, Vice Chair

SECONDER: Dawn DeSart, District 5

AYES: DeSart, DiCianni, Eckhoff, Larsen, Renehan, Tornatore

1. HHS-P-0069-20 Recommendation for the approval a contract purchase order to Maxim Healthcare Services Inc. dba Maxim Staffing Solutions, to provide supplemental staffing (CNA's, LPN's and RN's), for the DuPage Care Center, for the period April 10, 2020 through April 9, 2021, for a total contract amount not to exceed $1,300,000.00, per renewal option under Proposal #17-003-GV, third and final optional renewal.

2. Change Order -- HHS-P-0028B-19 - Amendment to Resolution HHS-P-0028A-19, issued to Advacare Systems, to increase the contract in the amount of $6,462.00, for rental of low air loss and bariatric mattresses/beds and low air loss wheelchair cushions (category 1 & 2), taking the contract amount of $88,500.00, resulting in an amended contract total amount not to exceed $94,962.00, an increase of 7.30%, accumulative of 35.66%. (3701-0001 SERV)

3. Change Order -- HHS-P-0425A-15 - Amendment to Resolution HHS-P-0425-15, issued to AirGas USA, LLC, to increase the contract in the amount of $5,600.00, for liquid medical oxygen for central supply system at the DuPage Care Center, taking the contract amount of $48,280.00, resulting in an amended contract total amount not to exceed $53,880.00, an increase of 11.60%. (1117-0001 SERV)

4. Change Order -- HHS-P-0100B-19 - Amendment to Resolution HHS-P-0100A-19, issued to Maxim Healthcare Services dba Maxim Staffing Solutions, for supplemental staffing (CNA's, LPN's & RN's), for the period April 10, 2019 through April 9, 2020, to increase encumbrance in the amount of $235,000.00, resulting in an amended contract total amount not to exceed $1,094,000.00, a 27.36% increase, accumulative increase of 143.11% . (3818-0001 SERV)

B. DuPage Care Center Requests for Parent Committee Final Approval

There being no further businekss, the meeting was adjourned at 10:10 AM.

2020-58 Recommendation for the approval of a contract to EZ Way, Inc., for repair and maintenance of the EZ Way, patient lifters, for the period June 1, 2020 through May 31, 2021, for a contract amount not to exceed $21,000.00, per 55 ILCS 5/5-1022 'Competitive Bids' (c) not suitable for competitive bidding.

B. DuPage Care Center Requests for Parent Committee Final Approval

There being no further businekss, the meeting was adjourned at 10:10 AM.

2020-58 Recommendation for the approval of a contract to EZ Way, Inc., for repair and maintenance of the EZ Way, patient lifters, for the period June 1, 2020 through May 31, 2021, for a contract amount not to exceed $21,000.00, per 55 ILCS 5/5-1022 'Competitive Bids' (c) not suitable for competitive bidding.

RESULT: APPROVED [UNANIMOUS]

MOVER: Julie Renehan, Vice Chair

SECONDER: Robert L. Larsen, District 6

AYES: DeSart, DiCianni, Eckhoff, Larsen, Renehan, Tornatore

CONSENT ITEMS

Items 8.A. and 8.B. were combined and approved.

RESULT: APPROVED [UNANIMOUS]

MOVER: Julie Renehan, Vice Chair

SECONDER: Robert L. Larsen, District 6

AYES: DeSart, DiCianni, Eckhoff, Larsen, Renehan, Tornatore

A. Consent Item -- JDF Services Inc. dba Brightstar Care of Central DuPage-3817-0001- SERV - Supplemental Staffing (CNA's, LPN's and RN's for the DuPage Care Center - Decrease encumbrance in the amount of $182,000.00

B. Consent Item -- Consent Item -- Quality Placement Authority - 3819-0001 SERV - Supplemental Staffing (CNA's, LPN's and RN's for the DuPage Care Center - Decrease encumbrance in the amount of $53,000.00.

9. RESIDENCY WAIVERS - JANELLE CHADWICK

10. COMMUNITY SERVICES UPDATE - MARY KEATING

Mary Keating, Director of Community Services, revisited the request to make changes to the Human Services Grant Fund (HSGF) application process, which included a change of date for the application period to accommodate the staff’s capacity to manage the HSGF. Some agency executive directors have asked Ms. Keating if there are any changes as the application is extensive, especially considering some agencies receive very little grant money. Ms. Keating reached out to all the HSGF agencies and asked about options. The first one is to keep the HSGF structured the way it is so all applicants that meet the minimum qualifications get some funding, and the second option is to make it more competitive; fewer agencies would get awarded funding, however, the recipients would receive more monies. Of the 50 agency responses received, 27 preferred we keep the process the same and 23 asked for the process to be more competitive. Agencies that requested the process be more competitive asked if the application could be made simpler to complete. Julie Hamlin, Manager of Community Development, and her staff, streamlined the application from 21 questions to 14 questions. Some questions were consolidated but the minimum criteria will not change, requiring that agencies are fiscal reporting, submitting their audits, and are a 501C-3 in good standing. The informational meetings for the HSGF potential applicants will be held on March 11 and March 12.

Ms. Keating reminded the committee that the Home Advisory Group (HAG) is meeting at 11:00. The committee chairman is at the NACo Conference and the vice chairman is home sick so Mary will call on a committee member to chair the HAG meeting. Anyone who can attend will be appreciated.

11. DUPAGE CARE CENTER UPDATE - JANELLE CHADWICK

Janelle Chadwick, Administrator of the DuPage Care Center, referred to the consent items on the agenda that decreased the funding to two of the three contracted supplemental staffing agencies. The two agencies have not been able to provide staff; the Care Center is shifting the funds to the agency that is providing staff, mostly for CNA’s. The Care Center will be opening the bid process to find agencies that can provide supplemental staffing.

The Care Center has engaged an instructor who has CNA training experience through her work with the College of DuPage (COD). She put together a program for the Care Center to create their own CNA program within the Care Center, which was approved by the Illinois Dept of Public Health. There is no cost for the class to the potential CNA, expenses may be incurred for background checks and payment of books. Individuals will not be employed until they complete the program. The CNA certification is required for nursing, and this would be a viable, cost effective steppingstone toward achieving this. The Care Center continues to examine all different approaches for attracting employees, monthly job fairs, etc.

The Care Centers’ first and foremost focus is on their preparedness regarding the Coronavirus. They have a very structured and proactive plan; the committee was invited to review what is in place. The Care Center sent letters to families on February 19 and are sending updated letters to families this week. This condition is a flu and is treated initially as they treat the flu, which includes a flu swab test that tests for a Panel of 20+ conditions; RSV, pneumonia, influenza A or B, but does not test for the Coronavirus. If a resident has symptoms, the Care Center will do the Panel of 20+ and if the test comes back negative, they will be referred to the Health Department. Residents and their roommate would be immediately placed in isolation. The Care Center is working with their medical director, state officials, and the CDC for guidance. They have alcohol-based cleaners, and are expecting N95 respirator masks this week, and are discussing the possibility of negative pressure rooms.

Although there is not a screening requirement in place, resident family members that experience COVID19 symptoms are prohibited to visit. As in the process of the flu, visitors may be diverted off certain floors and elevators.

Member Larsen stated that CNA shortages is not specific to the Care Center but an industry wide crisis.

12. OLD BUSINESS

13. NEW BUSINESS

14. ADJOURNMENT

There being no further business, the meeting was adjourned at 10:10 AM.

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