HomeMy WebLinkAboutMinutes 05-19-2022 Business Meeting 1
APPROVED 916/22
MINUTES
ORANGE COUNTY
BOARD OF COMMISSIONERS
BUDGET WORK SESSION
May 19, 2022
7:00 p.m.
The Orange County Board of Commissioners met for a Budget Work Session on Thursday,
May 19, 2022 at 7:00 p.m.
COUNTY COMMISSIONERS PRESENT: Chair Renee Price, Vice Chair Jamezetta Bedford,
and Commissioners Amy Fowler (arrived at 7:02 pm), Sally Greene, Jean Hamilton, Earl
McKee and Anna Richards
COUNTY COMMISSIONERS ABSENT:
COUNTY ATTORNEYS PRESENT: None.
COUNTY STAFF PRESENT: County Manager Bonnie Hammersley, Deputy County Manager
Travis Myren, and Clerk to the Board Laura Jensen. (All other staff members will be identified
appropriately below)
Chair Price called the Board of County Commissioners meeting to order at 7:00 p.m.
Commissioner McKee made a motion, seconded by Commissioner Greene, to add a
closed session at the end of the budget work session pursuant to 143-318.11(a)(2) "To prevent
the premature disclosure of an honorary degree, scholarship, prize, or similar award."
VOTE: UNANIMOUS
Chair Price welcomed everyone to the budget work session and invited the Fire Chiefs,
County Commissioners, and county staff to introduce themselves.
1. FY 2022-23 Fire District Tax Rates
The Board reviewed and discussed the FY 2022-23 fire districts' tax rates, including tax rate
increases recommended for six (6) fire districts.
BACKGROUND: Six (6) fire districts have requested tax rate increases for FY 2022-23. As in
the past, fire districts requesting tax rate increases present their needs for a tax increase to the
Board during a budget work session. Staff has invited representatives from these districts to
the work session to answer any questions and/or provide additional information to the Board
regarding the proposed increases.
Attachment A provides information regarding tax rate requests from all twelve (12) fire districts
and/or fire service districts in Orange County for FY 2022-23, the amount of funds one cent on
the tax rate generates, fund balance information, as well as information detailing the reasons
for the requested tax rate increases. Information regarding all fire districts is located in the Fire
District section of the FY 2022-23 Manager Recommended Budget beginning on page 191.
Attachment B reflects historical Fire District tax rates dating back to FY 2004-05.
The Fire Districts requesting tax rate increases in FY 2022-23 are as follows:
2
• Damascus Fire District and Southern Triangle Fire Service District (Page 192) —
increasing from a tax rate of 10.80 cents to 11.80 cents per $100 valuation. The rate
increase will be used to hire additional part-time staff, and to keep up with the growth
demands of serving these two districts. This tax rate is consistent with the Chatham
County tax rate.
• Efland Fire District (Page 192) — increasing from a tax rate of 7.28 cents to 8.28 cents
per $100 valuation. This rate increase will be used to expand current part-time staff and
cover additional operations costs for items such as gas and oil, uniforms and clothing,
and insurance and bonds.
• Eno (Page 193) — increasing from a tax rate of 8.98 cents to 9.98 cents per $100
valuation. This rate increase will be used to add nighttime staff for 24 hour paid staffing
and replacing equipment that is outdated and no longer National Fire Protection
Association (NFPA) approved.
• New Hope (Pages 193-194) — increasing from a tax rate of 10.12 cents to 11.56 cents
for FY 2022-23. The rate increase will be used to support hiring more part-time
employees due to dwindling volunteers in addition to offsetting the rising cost of
equipment and fuel.
• Orange Grove (Page 194) — increasing from a tax rate of 6.27 cents to 7.27 cents for
FY 2022-23. The rate increase will support rising fuel and equipment costs in addition to
capital expenditures for station and equipment upgrades.
Travis Myren gave the following PowerPoint presentation:
Slide #1
ORANGE COUNTY
NORTH TH CAR LI A
Budget Work Session
County Fire Districts
Public Safety
Human Services
May 19, 2022
Board of Orange County Commissioners
3
Slide #2
County Fire Tax Dietrlct
a
Map
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12 F"Tax Diahicia
Tolar FY2022.23 R*comff*n04Pd
Frediah iE--%pendyures
$7.7SS.M
i .OR R L
I�xr�as•of3512,339ov�+
Me FY2021-22
AH
AL
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A H 43 1! H O
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so x a
GRIArth tHAPPL HILL ORANGE COUNTY
74MA Ui u 'ItR 1RILMIGLE MOFI:71 I CAR4'lLEWL
Slide #3
Fire District Recommendations
PY2021.22 FY2022-23
Tax Rate Rec,lax flate Glftr""
5"karC*m 7 63 763 3 00
Chapel Hd 13.B7 13.87 3.31].
IDarna9CU9 O.aa 11.80 1.00
"WW e.29 1.00
. a 1.Oa
Lite River 6.39 6.39 3.3C
N4W Ho" IM.0.12 11.60 1.44
Cyarg►Grovo 6.27 7.27 UW
C•a-ge R •a; 9.49 8.4e 0.00
•`aukr,oebb} • 9.09 9 05 0.00
Uuthrm TrWgl• 11M J
W-IL-C'Oss 12.34 12.34 0.00
ORANGE COUNTY
3 NORTI I CAROLINA
Commissioner Fowler arrived at 7:02 pm.
4
Slide #4
Fire District Recommendations
Recommended PI re District Tax Rates and Revers ue
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ORANGE COUNTY
- NORTI[CAROL[NA
Travis Myren said there is an assessed value as well as a tax rate in each fire district.
He said this graph shows that depending on which fire district you live in, the same tax rate can
generate different amounts of revenue. He said the assessed values in each district matters
when thinking about the tax rate and the ability to raise revenue.
Slide #5
Fire District Recommendations
• District Requests —page 191-195
• DamaacuslSouthemTriangle
— 1.00 cent Increase compared to FY 2021-22 Rate
— Service provlded to both dislrlots by North C hatham F Ire Departmerrt
— AddRional part time slant
Efland Fire District
— 1.00 cent Irrcrease compared to FY 2021-22 Rate
— Offset rising east of equipment and fuel
Expand part tlme staff hays
ORANGE COUNTY
NUFM[CAROLINA
Travis Myren said the specific requests from each district have two things in common:
the need to add staff and staffing resources and the need to address inflation.
5
Slide #6
Fire District Recommendations
District Requests - page 11-15
* Eno dire District
— 1.00 cent increase compared to FY 2021-22 Rule
— Replace ouldated equipment
— Add paid,night time sluff for 24 hour. paid staffing
New Hope Fire District
— 1.44 cenl Increase compared to FY 2021-22 Rate
— Offset risirg Bost of equipment and fuel
— Additional purl time staff
ORANGE COUNTY
6 N"RTI r C-ARI_}l IWL
Slide #7
Fire District Recommendations
• District Requests - page 191-15
* Grange Grove Fire Dlstriit
— 1.00 cent increase compared to FY 2021-22 Rule
— Cftel rlslrig cost or equipment and fuel
— Support capital expenditures for station and equipment upgrades
y U;=-
ORANGE COUNTY
7 MORTI r CARDLEWL
6
Slide #8
Public Safety
• Fire Districts (A PA) — page 63
PP25 Phase I I Compliant Radioplacement so $1,773,200 $1,773,200
Tr r:
Cabal Ceder.3rare Eno EfW OrengaR ml 9.TIIa Crcaa ToWs
ormue Dual bmid P25 R.ado 16 35 1
0 70 4-5 " SI a57 00
k E}ual Band P25 Rado 0 7 11 12 17 12 f316.2
9252,700 U19,1001 77
Repw-02974rging ums at e4d airfe
Achieve required P26Ph9se 2Tima Dhision MuNple Access JDMA)complience by the deadline
-of year 2023.
Sw1h Grange Revue Squvd Request•$226.W
ORANGE COUNTY
a MOR71 I CAROLINA
Travis Myren said three agencies, Orange Grove, New Hope, and South Orange
Rescue Squad, were inadvertently omitted in the initial request shown on this slide. He said that
to fund the total request for these additional agencies, an additional $789,000 in ARPA funding
will need to be added.
Commissioner Bedford asked what the Manager is proposing.
Travis Myren said it is his inclination to do a staff amendment and complete the
replacement or defer to a commissioner who may wish to sponsor it.
Commissioner Richards asked if the $789,000 would be in addition to the $1,773,200
recommended.
Travis Myren said yes, the new total would be around $2.5 million. He noted that this is
not listed on the slide because it is breaking news.
Chair Price asked if the radios were needed for security and protection.
Travis Myren said the new radios are needed for compliance and would have to be
replaced one way or another by 2023.
Chair Price said she would be willing to sponsor the amendment.
Travis Myren said staff will prepare the amendment and any commissioner may sponsor
it.
Commissioner McKee said this is also needed for the agencies' insurance ratings.
2. Discussion of County Departments' FY2022-23 Recommended Budgets within the
Public Safety and Human Services Functional Leadership Teams (including Operations,
Capital, and Fee Schedule Changes)
The Board reviewed and discussed FY 2022-23 recommended departmental budgets within the
Public Safety and Human Services Functional Leadership Teams.
BACKGROUND: The County Manager presented the FY 2022-23 Recommended Operating
Budget on May 3, 2022. Since then, the Board has conducted one public hearing to receive
residents' comments regarding the proposed funding plan. On May 12, 2022, the Board
7
discussed recommended FY 2022-23 budgets for Chapel Hill-Carrboro City Schools Board of
Education and Orange County Schools Board of Education.
This budget work session offers the Board an opportunity to review and discuss the
recommended budgets directly with County departments within the structure of Functional
Leadership Teams, including operations, capital, and department fee schedule change
recommendations.
Functional Leadership Teams:
The following Functional Leadership Teams are scheduled to attend the budget work session:
Public Safety:
• Courts
• Criminal Justice Resources
• Emergency Services
• Sheriff
• Non-Departmental
Human Services:
• Aging
• Alliance Health
• Child Support Services
• Health Department
• Housing Department
• Library Services
• Social Services
• Non-Departmental
Travis Myren made the following PowerPoint presentation:
Slide #9
Public Safety
• Courts — page 113
Decrease in Personnel$ervii�es for FY 2022-23($4,500)
— Jury master Ilst ohanging to every year rather lhan every other year_
— Level Nnding will be 34.5M annually In subsequenl budgets_
ORANGE COUNTY
9 N4rc73 I CAR LINA
8
Travis Myren said in the past, $9,000 was requested every other year for temporary
personnel to update the Jury Master List, but the court system is requesting to change the
funding scheme to $4,500 every year instead.
Slide #10
Public Safety
Criminal Justice Resource Department — page 114
• Total Recommended Expenditure Budget- $-895,442
- Offset by$637.226 in ABC Board Revwme
N►1 County cask o($M,216
Recommended Budget Cho ngee
- Tmneban:541,758fiuwmARRAiudingtoGemral Fund for half time(0.5FTE)
Ad tielra"Asswant and Grant Compkwe pomon
- IncreaeeDrug Court CeeeManager from 0.5 FTEto 1.0 FTE-$25.262
- Increase rGvmxre fivm ABC Baal-$17S,99B
w Increask-cost ofatxls"pas@ans
- Lacatt Remmry Counell Gem-5^� $15D,D00 -U;=—
10 rnrcritCh COUNTY
Travis Myren said transitioning recurring costs from ARPA funds to other sources will be
a recurring theme across the budget work sessions.
Travis Myren said increasing the Drug Court Case Manager position from half to full
time will allow the position to serve forty people.
Chair Price asked if the county's request was fully funded regarding the ABC Board
revenues.
Travis Myren said yes.
Chair Price asked if benefits are included already for the proposed full time Drug Court
Case Manager.
Caitlin Fenhagen, Criminal Justice Resources Director said yes that the amount covers
the difference in salary.
Commissioner Fowler asked why the recommended budget is more than the requested
budget for this Department, plus others that will be discussed later.
Travis Myren said travel and training was restored across all departments to pre-
pandemic levels even if the department did not request it, which accounts for the difference in
most cases.
Commissioner Hamilton asked what it would look like if departments were given half or
one-third of their FY 2019-2020 travel and training budgets. She said she assumes there are
more virtual trainings than before and indicated it may have an impact on what is needed.
Bonnie Hammersley said staff considered returning travel and training to 75% or 50% of
the pre-pandemic levels, but when reviewing the proposed costs of travel or registration, even
for virtual trainings, all costs have increased. She said some departments requested more
travel and training than they had previously, but she is only recommending what each
9
department received in FY 2019-2020. She said this was funded with attrition savings, or
savings from having vacant positions.
Commissioner Hamilton said she was thinking about how savings from attrition could be
put elsewhere. She said she will be looking at the other needs in the county.
Bonnie Hammersley said part of the focus of this budget was retention and recruitment,
professional development, and growth for employees. She said it is a good investment in the
workforce, which will be pushed due to the number of significant vacancies in the county.
Travis Myren said the countywide cost to return travel and training to FY 2019-2020
levels was $500,000.
Commissioner Richards asked if it means the full department request was
recommended when the budget document indicates "none" under department requests the
manager is not recommending.
Travis Myren said yes.
Commissioner Richards said that the Street Outreach, Harm Reduction, and Deflection
program (SOHRAD) used ARPA funding for 21-22 and they got funding from the Chapel Hill
Town Council. She asked how SOHRAD would be funded in this budget.
Travis Myren said it will continue to be funded with ARPA funds and municipal support.
Commissioner Richards asked why there is misunderstanding on what the county is
going to do with SOHRAD.
Travis Myren said those programs are being moved to the Partnership to End
Homelessness model. He said the costs will get shared among the county and participating
municipalities. He said that the increase for municipal funding is due to the model change for
SOHRAD.
Commissioner Richards asked if the county's funding for SOHRAD decreased in the
budget.
Travis Myren said the county's ARPA funds would decrease.
Commissioner Richards asked what will happen if the towns do not buy into this model.
Travis Myren said staff will have a backup plan and that those discussions will continue.
Commissioner Bedford said the Partnership met and it was clear that the municipalities
will not be funding it in the FY23 budget, however Chapel Hill and Carrboro are going through
community ARPA sessions to decide how to use their ARPA funding. She said that the
committee proposed writing a letter to the electeds about the proposal to support the work. She
said that it will not be in Chapel Hill's FY23 adopted budget, but there will be the opportunity for
a budget amendment, if supported. She said there will need to be more communication and a
backup plan. She said Hillsborough only has $2 million in ARPA funds and a $61 million water
and sewer project. She said they will not have additional dollars.
Commissioner Richards said it seems like it was a successful program, and it is
alarming that no one has it in their budgets.
Bonnie Hammersley said it is in the county's budget and she is continuing to have
conversations with the town managers who make recommendations to the elected boards. She
said the managers know about SOHRAD and what the needs are. She said they are confident
they will be able to figure it out. She said not by the time the budget is adopted, but a budget
amendment may come later.
Commissioner Bedford said procedurally, the Partnership will need to start in November
so they can fully communicate about budgeting.
Commissioner Greene said it is appropriate for the SOHRAD program to be shared by
the municipalities, and hopefully the towns will agree.
Commissioner Hamilton said she appreciates having SMART goals and would like to
see more context. She said some of the graphs show percentages without beginning numbers,
and it would be helpful to have the full picture.
10
Caitlin Fenhagen said the dotted black line is the monthly average that they are
comparing it to. She said the green line is where they have gone, and the black line is where
they were in FY20.
Chair Price asked if that was sixteen people.
Caitlin Fenhagen said it was eleven people.
Commissioner Hamilton said it would be nice to have some of that in the document so
she could study it.
Slide #11
Public Safety
• Criminal Justice Resource Depart m nt — page 114
Restoratlon Legal Counsel Program
— Residentawkh Suspended D&am Licensee
— Susponslaas RBI from Faiwo 10 Comply Mh Trafk Fln&%mod 0our#F-6*s
Free Legel Services to Reduce-cc Eliminate a Traffic Foe ar Fm
— Expunakn RafieftD Ptfga Comiina Record
— GIs T�1stl Ic*E�Il�1y
FtwFu radon Lwe1 Cuu vel f lerraW and
katttw6l ReetBwUan ReGe1 Rent
i5 D BM
400 7M
M 5M
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r■W¢'t4 FYK*Mi r1r2B2k-22 PvW F+2C2.2-t3 BudgE#
ORANGE COUNTY
11 tk;nv-r]r CARGLINA
Travis Myren said the number of people referred to this program has increased over the
past couple of years.
Chair Price asked if the percentage of eligible people versus the number using the
resource is known.
Cait Fenhagen said this program is different than the Durham program because the
Durham District Attorney is doing mass relief. She said that it is a different process than the
Orange County District Attorney is willing to do. She said that the numbers represent every
referral that comes in because all referrals are accepted. She said that the numbers are not
high enough in terms of the people that are eligible for relief, but mass relief would be a
decision made by the District Attorney's Office. She said the primary winner, Jeff Nieman, has
indicated he would be willing to start mass relief if elected.
11
Slide #12
Public Safety
Criminal Justice Resource Department — page 114
- Clinical Coordinator
CrImInal Case Assessment ReftrraIs and
Treatment/Release Rate
150 Tax Tox E9%
aJ 6Tti 5 M%
] 60%
10C 9a$ iXAasamgd
rd Ia%
M 3a% -0--$GPrwidodhealmem
8 liglwwd
W 2a%
2d 1(1%
C RE
Frn17-19 FY2a1L1.19 FY2319,20 Frn2a,21 F42aM-22 FY2a2223
Pmj Budged
ORANGE COUNTY
rJORT][CAROLINA
Slide #13
Public Safety
• Criminal Justice Resource Department — page 114
- Pretrial ServicesPerformance
Pretrial 5erwices Referrals and Successful Completion Rate
100 - LUC%
ND -)m
500 aux
ZiD im MLkwtrl hD WevW
:au aoz #%a r5u it sful Da mpk[arc
iiD am
300 2M
9C ._— LM
6 COL
rrM37.10 reZDOF39 M2GL0.Z0 rrM2U2r MML-23 IYI 3T 35
PmI mdod
• Decrease in FY 22 due to new Band PDkieeanly requidng Preiriel 5eWicesSupevieionfw
higher 6ek indruiduals
Scraeningano Intmts haws reme.+aC1ceftlank at 6pprox4mme-ry SOD annually
ORANGE COUNTY
13 'l,nRT][CAROLINA
Travis Myren said the number of people sentenced into a pre-trial release status is
going down due to changes in bond policies.
12
Slide #14
Public Safety
• Pretrial Bookings by Month
Pretrial Dookinp by Month
LBO
175 176 17}
L
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ve � 2C7.5
-�iC2d
� �2021
Ioe 93
sx
iar �+ wrai +yN `-- a4 /ya syo..r om.r wr��r o.�oY
ORANGE COUNTY
14 MOR71 I CAROLINA
Travis Myren said low pretrial booking numbers are also because of the new bond
policies.
Slide #15
Public Safety
Detention Center Population
Petentii?n C�nter Population
Poin tin Time
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4
ORANGE COUNTY
15 NOFM I CAROLINA
Travis Myren said the numbers are at about March 2020 levels with a total population of
between 75-100 inmates.
Chair Price asked what the number was in February.
13
Caitlin Fenhagen said February of 2021 there were 78 total.
Slide #16
SMARTa
g11:IPaoase by a1ywn 2%ir¢n fY1M this Pvvdxvvf iFWM4wls dit+rrfed from dhr 4�®r Ca+rlxQirn:411us#iw
MbemthroueaRU duewnpWa vwp,
10o
80
60 mard GA: Rl
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49
JustimCFA: R1
ii i i i-i i-f-i i i ii i i f- -#i i
Jul dig Sep 0o EW Dec kn Feb Mir Apf May JA Progress:
2ni 2021 2d21 21121 2121 =1 2022 2M 2M2 2022 2M2 Im
Perfonnon[e Ass csniert ThrUAG ha s added threenewprog i Rs Ou storhrt!M-.2 LI thal i rrxrporale mersian and this his resdted in a
signincar(in[reiie in dre nunitirprindi.idui is tiont diyene1 and ihie io i od the cofi ]umeso i jra[piniowdenl;In amoon.Ne
hatie added ho nn reduction dtietsr on in order to rreproye mitableappartumhes for drtirsran
• Orange County Pre-Arrest Diversion
F Youth Diversion Program
Lantern Project ORANGE COUNTY
16 ROFT][CARC)1.[N x
Travis Myren said he plans to highlight one SMART goal for each department and there
are three listed in the budget.
Commissioner Richards asked how the county has incorporated their success into the
facilities planning.
Travis Myren said these are things taken into consideration when looking toward the
future for planning purposes. He said that some of the assumptions in the Facilities Master Plan
will be informed by this information.
Commissioner Richards said eventually they could get budget cuts from the successes.
Commissioner Bedford said value engineering for the detention center was done in
February 2019 and it was already designed to be smaller due to the planned success of some
of the CJRD programs.
Chair Price asked what happened in November 2021.
Caitlin Fenhagen said the spikes have a lot to do with UNC student schedules. She said
there is a lot of law enforcement operations during those times. She said there was a large
party in November 2021 and a large number of people were referred by one law enforcement
agency. She said one of the issues with diversion is they want to look at it through an equity
lens. She said total diversions last year included 43 people of color and 188 white individuals.
She said by adding youth diversion and the Lantern project, they had a total of 375 diversions
already this year and a little less than half were people of color.
Commissioner Bedford thanked Caitlin Fenhagen and said the Board supports her work.
14
Slide #17
5 MART Goals(Specific, Mea-WraWer Ach ieva bl e, Realistic,Ti me-:B a
Board Gels:
1. Ensure cammunily netork of besichuman senriceemid irffamrucWm that mairleins. prole{is.
aibcl prom tes1how el-b of all cowmy ree.deals.
2. Promatean intematnve and engegig systamofgovernancethat reflectecommunity Yaluae.
3. Impl$mentplenning andammmicdevelopmempoicies which creaGee baLmmed,drumik local
economy,and ti il.tn promote drvemy.suWalnable growth,arnd enhanced rewernue wale
emkmm�community voms,
4, Invesl In quallty Coumly faciAles,a diverse work force,and technology 10 achlwve a hyh
,performing Cou lygowem wn-t,
5. Creale,preserve,and protect a riafural enwonmem chat rrchrdrs clean WSW,clean aer,wildlife,
mvWant nahxar lands,and molnable w wrp for present and futwe�"rahons,
6, Ensure a hgh quallty of We and Ilferbng leamwg that thomplm dlwerslty,eclucabon at all levels,
bbrarles,pawcs,reh-.reauon,and arr,++ar WWWO.
ORANGE COUNTY
1 K}ORT][CAROLINA
Slide #18
MART Goals(Specific, Measurable,Ach ieva bl e, Realistic,I m-a-113 ased)
S.aclal Justice Goole:
1. Foetera oomnvxkKycul(irefhat mjeclaoppressionarnd inequity.
2. Ensure econamic self sufficiency.
3. Cree6e a safe cam mnRy.
4. Eatablish sustaikable and equiteb le land usa and efMnxmnerrbd policies.
b, Enable full crwle par"amn,
ORANGE COUNTY
1 B NOFM[CAFL-)l.[N,%
15
Slide #19
Public Safety
• Emergency Services - page 180
• Total expenditure budget- $14,595.886
— TotslCountycostsi mosedby�1B5,438fromBsseBudget
• Recommended Budget Changes
— �39,000 increase in net County ccaiedueto need fortemparsrymarguestaage
— �39,3161ncr►a�wn�iCounkycaal*forbad*r*hlpe*w�lapm*nkp+�og+an+forcwr*nk
and aspiring argan¢ational leaders
— $34051ncromein nee County ecsi*io restore V&@1 and 1ralning io poe-pard&mt
levels
ORANGE COUNTY
19 M011171 r CARDLEWL
Travis Myren noted that was designated EMS Week.
Travis Myren said some salary work is being done in Emergency Services which
considers competition and the dynamic labor market. He said that will be discussed as part of
the Human Resources budget.
Slide #20
Public Safety
• Emergency Services - page 180
Recommended BudgetChanges
— Elglhl(8)now 1,D Emu9vKVVI dlcalTichnlclan tEMT)peulona and few(4)now 1,D
RsremedinTrsinae posi6ans
* $706,%7&xpe2m Increfte offset gmhfe**chku lip Incr►fte*
— $53.107 increase irk net County costs forcarrtractuith Sc dh Orange Rescue Squad
wbd M*dlcal Dlr*cior<onmxi
— �24,215 increase in Emergency Medical SffvicLLs(EMS)fa vailbal de-e-scaWon
sbmftlon*&eertrkalloe*
— 1t$7,4751ncr"34;8 E M$fte to wKic eases inkIcal suppM*costs,aqy.pmvml
fflowlemwe&mplacltm*nts
— $63,135d*crrm oln Pul rk Safely Cammunlcamn*
» Shift of eligible egriprnmArepai&msintenenoe tD E-911 Fund
w CampNbanafon�i�mt«rada*p*drmupgrad*praJ*ti _.
ORANGE COUNTY
Chair Price asked why the capital budget request is so much less.
16
Travis Myren said for that recurring capital requests, there will be a staff amendment in
the CIP which establishes a fund for repairs and replacements.
Chair Price asked about the $34,000 difference in operations.
Travis Myren said it is from the 911 reduction, which shifted costs, and that it is a
onetime reduction.
Slide #21
Public Safety
• 911 Calls
Calls Processed Call Taking Efficiency
"!$y{Oft IR YDSf find
9"of cam ro"iwee.l.�l
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!4 I,qw
ORANGE COUNTY
NOFM F CAROLINA
Slide #22
EARS Annual Call VolumelDemand
_#,
1l,171
13,ee7
11,3L1 13,132
13,554
21A% 224
1AM AN I
174 1.B% I
FLA I
4fiE1 I
41Qh JJS%
eom
FF2712 MUD MUM FYM5 FVZO" FYW17 NMI F+24L9 FUND F+2421 rYN72,
ORANGE COUNTY
WFM[CAPOLINA
17
Slide #23
* 3-year Heat Map cf EMS
Calls
' wri�ea�eolu�w
Consistent growth in
population centers
* Emerging growth in Efland
community
I
r _
ORANGE COUNTY
t,ZCFM I CAROLINA
Travis Myren said the closer to purple, the more intense the call volume.
Slide #24
EMS Deployment
meat
P@ak DdrnArld PefiOd
ABM 2411ourALS Amhuiancrs
(1)12 nnIr ALE AmnuiarKa JNEOHp
MD L lipnnourALS Il��orf31�
. .. ............. .... 0)
BM8 9LJ
............................ ..............;
31-tlo
ISM
2x!V
LIM
LXQ
iC4
tea.Jxb • 16 # pub f' ff#'r k. •&}1 '9k,a '1 f" ''•v
* ALA' Advanced Life Suppoft
• ELKS, Basic Life Support ORANGE COUNTY
M OFM I CARDLENn
18
Slide #25
BLS Response by Emergency Medical
Dispatch Complaint
Calf Tape 01sWch Percent Change
Complaint
Falls 38% Al2%
8iok Parson 34% Alm
Traffic AccMant 16% i 9%
Reeding Mo% No 01
Traulnarieln�ury 131% No Mange
Back Pain 2.82% AL279%
Assltitanclp 0.69% A630%
Abdominal fain 0.45% A42%
No Other Appropriate Ch oiw 0.32% No Mange
ORANGE COUNTY
NORT9[CAROLINA
Chair Price asked if the increase in falls correlates with the number of people aging.
Kim Woodward, Emergency Medical Services Division Chief, said yes.
Slide #26
1 'knit Hour Utilization
TO-0 Ma -nmv AV%- lj. 4wrfll 4rrtrfll
Wits MNAl MGM coprr Trf M Tf�n4poR# Tlmr Trm*p0R VWlW
Calls MIM."sl D" p4r0ay rUi Irw4r� Utlllznmrb "r0ay
MEW 389] 0.11 1011 633 6]6•]0 i.l n; 21 i0%
YE�2 4652 65.99 U75 637 7"0 1 N 2907i
MEp} 9Ab 65.01 idA3 6.41 6dTA0 9 i3 2a 60%—
MEN 3101 67.N Bd 425 P000 11.14 .21.10% 95%
HEM 21E5 T9.13 59 297 34TIM 171�
WEN 3aia 69.154 9.Bd 44B 52600 11:M .22.74% 90%
ME67 15111 72S ME 433 524130 1713 }6
MED3 99B 577 5.47 473 ur..9U IME
IP ResponseTimes
— National Fire Proteelion Asgociation slandard is 9 mirrule%
OCEM9 aaarag*I-&11 minutftt
Utilization Efficienoy
— <24%indicates inefficieni use of resources
— '.-28%indicates over utilixalien. decreased availability.provider and
equipmern faligue
ORANGE COUNTY
r-.30RT]I CAROLI NA
19
Travis Myren said unit utilization means actively involved in transport, and industry
standards prefer a rate between 24-28%. He said that anything over 28% indicates over
utilization and noted that the orange and red cells indicate over utilization trends.
Slide #27
Staffing Recommendation
Staff(2) DaSI4 Life Support{BLS}Units during 12 hour peak
demand penc4s
Units to be placed in highestdemand areas
— Statlan 1 -Hlftboro4h
— Statlon 2 Carrboro
Shift utilization to these units by approximately 1,250 calls each
Decrease in overall utilization ofALS units for BLS calls
Improved response times to acute events
— 60%wllhlr ;minutes
ORANGE COUNTY
Slide #28
Public Safety
• Emergency Services SMART Goal — page 186
Coil 1x BMS Gnalon will Impiovr 1v a EC%adhertnw we to a 9 minute or less emerplit respaiso lima for ovum rv*me
eritlul peramedr 1eVd WAW emioe.
r�p�b
{ — -- ——————————————- Board Goal' V4
JUs116e Goal. .13
2C%
A Avg Sep, Oct. Rah4 Qef- Jan, Feb. Mir, Apr, May, luo,
2021 2021 2021 2021 2021 N21 2022 2022 2022 2(22 2022 2022
PerfamaveAssewwrit;tikkmwe aw-Gtrucled the repo rlirg form al utili2ingGweiecnnrPaventcare data bass that has
Iir)k3@Atoihe911CA1Ddaaabast WearepJlioga5cn[€ti.txrcaperarnedlcprw�ldedcdiicallrnerMeoiiarcrelen_
ORANGE COUNTY
2B NOR!]I CAROLINA
20
Slide #29
Paramedic Staffing
• Recruited(1)new Paramedic over the last 12 months
• 2009 started the Paramedic Academy to transition existing
Emergency+Medical Technicians(EMT's)to Paramedics
— Suocesshi 15AM&ship With Durham Tech
EMT's currentlyoccupya vacant Paramedic position for 13
months during training
Retention success rate of 77%of those who have completed the
prog re m
ORANGE COUNTY
WORT]I CAP01.[N,k
Slide #30
Staffing Recommendation
Four(4) Paramedic Trainee FTE Positions$251.636
Avoids using budgeted positions for training instead of field work
* Reduoe the duration of field vacancies as Trainees are
immediately available to fill positions once trained
Red uoe the use o#mandatory overtime to fill in for vacanciea
ORANGE COUNTY
r OFM I CAROLINA
21
Slide #31
Public Safety
• Emergency Services - page 31
* Recommended Fee Charges-$701.667
- ACNane"w d Basic UNSuppw Emvyaficyand No+wEma Softy Fees Inemnos
— Increar;einmieagefeaforEMS
* AddWona l $100,000 due to gmwth In call volume
ORANGE COUNTY
NORTI I CAROLINA
Commissioner McKee asked for clarification on fee changes.
Travis Myren said it would be on a subsequent slide.
Slide #32
Public Safety
• EMS Revenue — Collected by Tax Administration
Emergency Medical 5erv1ce,,r Charges
"PIELM(I
U.GMD)D I
5ISG6.G96
R)3MD96 .
.D)D
�o
r 300A-37 FF3M O IYW70-17 IY3317.10 rf WAAM MMM-29 rFW2M2L MME-33 IY3@Y-35
acV m�k.e
ORANGE COUNTY
32 NOWT]I CASkOLINA
22
Slide #33
Current Comparisons
CARS-Centers for Medicare and Medicaid Services
ems low Rotas oun.m GLoford 1W I OFMP
CHARG!TVPF Baas Ratty Rau M of MS Rats 16 of aff Mots :%gffA ' drts 95 of CMS
FAS $21t19t Saab Ssrx $568 207Ai W5 160% $,M 14114,
Han-Emi+'pney
ALS $U%57 $706 SST% $A99 .2b% $675 IW% $475 INY
E—F—E'
4LS I 1-1nryr $650.70 Sida22 1579F %301 2va% $976 3507K $575 ! U%
&B $N&W $371 S57PF "73 am% 5355 151M $we 137%
hao-lmsrpnry
&ftr1"*V
$aye s� Ss�a sSsF $757 2 $568 ssas!F #s75 997E
Mtla*p $0.02 $1Z =7F Sib 2 $12 1"% $7.51)
ORANGE COUNTY
WWrl I CAROLINA
Travis Myren said the chart addressed Commissioner McKee's question about fees. He
said that to be more aligned with Wake and Durham counties, staff recommends 150% of the
allowable rate.
Slide #34
Recommended Rates
MS-Canters for Modicar€:Eirrd MUdfcdid ;L:U
[Ms low ports Ouhom GiiFnrd 1W&a Orange
CHUM TVP[ Baas Rsm Rau M mfCMS Rita 06 afOff dots S afCW dots %DfCMS
FAS $22S.94 $4d6 SST% 5569 200% $425 160% $425 is"
Han-EmirprKy
AIS $44157 $706 SST% $a99 .200% $675 ism
&—w—or
AS 2 S00.70 %R2 257PF $Vol ago% $976 ZFQ% $g76 350%
N s $N&W $371 S57PF "73 3M $355 351M $3S5 350%
homlmrpnrY
ou $s76.59 $594 :57YF $757 2VQ% $568 IWW $568 150%
Evnrrtianrr
WOW $0.02 $Sd INK $16 YvuAi $12 s5a91F #LZ Ssox
• Can si stent with Durham and Wake Counties
• No change for non-transports
Chair Price asked if the difference between the county rates is because Orange County
has not increased when others have overtime.
23
Kim Woodward, Emergency Medical Services Division Chief, said that Orange County
has traditionally been under the rates of the other counties.
Kirby Saunders said that the focus has been on rates rather than percentages. He said
that a standard percentage is 150%, but that is community dependent. He said they must
consider the payer mix and review if the rates will disproportionately impact any of the users of
the system. He said that he is unsure of the payer mixes of the different counties but suspects
that Durham and Wake will also be increasing their percent allowable. He said staff feels
comfortable with the 150% recommendation.
Commissioner McKee asked what the delinquency and write off is currently and how will
the increase affect that.
Kim Woodward said "self-payers" is the lowest amount that the county gets back as
revenue, and that rate is currently 14%. She said that they have the EMS assistance program
that assists payers currently below poverty level.
Commissioner McKee asked if most of this is paid by private insurance.
Kim Woodward said that is the intent, but private insurance will pay more.
Kirby Saunders said 32% users are on Medicare, 23% are private insurance, and 20%
are self-pay. He said they collect 81% from Medicare, 74% from private insurance, and 14%
from self-pay. He said there are programs to assist those that cannot pay, and he is not
concerned that this will disproportionately affect any payer.
Commissioner Bedford read from the County Manager's FY23 Recommended Budget
document and asked what "the redeployment of our agency's inventory management system,
OperativelQ" meant.
Kirby Saunders said it is the internal supply and logistics tracking software. He said that
it helps determine what type of equipment is needed and is also what the department uses to
make orders. He said they are working to redeploy that, and they want to reduce amount of
time staff, crews, supervisors, are having to come to warehouse to pick up supplies. He said
that this is coming back online after the pandemic.
Commissioner Hamilton asked about the EMS SMART Goal #3 to improve the 60%
adherence rate. She wanted to know if the dotted line meant everyone or an average. She
asked if they are looking for every month or yearly.
Kirby Saunders said it is month to month. He said they want to stay as close to 60%
adherence as possible. He said that closer to the dotted line, the better the response time. He
said he expects it to stabilize when the new units are online. He said that this will help with
response time and that it is their assumption that adding resources is the only way to decrease
that time.
Commissioner Richards asked about the reliance on mutual aid.
Kim Woodward said South Orange Rescue Squad is a partner and they have expanded
as much as possible. She said that the community is being impacted. She said they have not
had the same attrition in staff compared to surrounding agencies, they are going down units.
She said that the BLS resources have helped reduce reliance on mutual aid compared to
surrounding agencies. She said that the reliance on mutual aid drives up call volumes,
Commissioner Richards asked if there is data on response time for mutual aid
compared to intra-county.
Kirby Saunders said it is about 20 minutes, compared to 11-minute average for all calls.
He said they are under 10 minutes for Advanced Life Support (ALS) calls. He said the goal is to
get the calls to 60% rate under 9 minutes.
Commissioner Richards asked if the county has given out almost double the mutual aid
than they have received.
Kirby Saunders said yes, but that does not mean they ran a call in another county. He
said that a lot of that is moving a county line to standby in case they are needed to assist a
24
partner agency. He said that they try to honor the request if resources are available, but they do
deny requests if they are not available. He said that unfortunately, partners in other counties are
not able to honor requests at the same rate Orange County provides.
Commissioner Richards said she is having trouble wrapping her head around the
sentence that says it will reduce the county's reliance on mutual aid but at the same time, the
county is only receiving half of the mutual aid that it is giving out.
Chair Price asked if the county will be doing the 988 number for suicide prevention. She
said that might be from the Health Department and that it can be discussed during their
presentation.
Kirby Saunders said there is a lot of discussion with partner groups across the human
service spectrum to address mental health needs.
Slide #35
Public Safety
Sheriff — page 253
* Total expenditure budget-$16,628,248
— Net CQunty call increa2ie of$316.107 Qver E�a2ie Budget
* Recommended Budget Changes
— 3612,6U6 increase for fifleen(15)Delertion VPFcer%
— Parliary ofFsel by expenditure reduelions-$300.379
» TempareryPereonnel $202.687
w Cwtrkoiloftand Lic-en*** $44,OX
x Inmate Purchase forRess3e $53.692
QRANGE COUNTY
35 Nilk H I t-A Rt11.1NA
Sheriff Blackwood introduced himself and staff.
25
Slide #36
Public Safety
* Sheriff — page 253
- 2016 Staffing Study- MoseieykrhitecU
1 AdmHs"kn+Spaclal PwKilon 10.2
Inlal€a+Ralaasa 1$$
ShIRSupfrAsors 8.0
:�an"IlHoiawg 21 6
Food sv%lce- 10Z
rransporkailon 120
TOTALPro}ected 74
Ewsling SWH 43
Pmjed1edNewSSwff3�
ORANGE COUNTY
36 MOR71 I CAROLINA
Travis Myren said that county staff and the Sheriff agreed that 31 new staff positions
probably is not the right number and would need to revisit the need once the detention center
has opened.
Slide #37
Public. Safety
• Sheriff — page 253
Detention Center Staffing Request
ran WskAA*ztalim IN 2 00
arerforkladi�aWaEaliati asses 10 ,0
0.m FGa�n� 30 40 1
❑od deIINB 10 20 10
ni:aM"S cis]W W Mbnnorl 10 106
wki l" 1 0 p
make Ruww io+Escurfino in FariRy 10 ,Op
ssue Roorn i 4 ,00
TbWer 10 20 100
rintol 7A %Lq a_ao
gWre Fadsae 1a,57 d8,96 34,381.
ORANGE COUNTY
37 At-Wrl I CARi71.IN:
Travis Myren said this table compares the posts that are in the old and new detention
centers. He said these are posts that cannot be vacant and it is going from seven to fifteen. He
26
said that each post will require about 2.4 full time equivalents for every 12-hour shift
requirement.
Commissioner McKee said he recalled a discussion of the need for new personnel when
the new facility was being built and asked the Sheriff to describe the conversation.
Sheriff Blackwood said the entire facility is now more secure and efficient compared to
the previous design. He said that the operation of a detention center requires more people
because there are more stations.
Commissioner McKee asked if more personnel are needed to transport the inmates.
Sheriff Blackwood said yes and that transport teams within the facility and transport
teams outside the facility for transport to courthouse have been created for that.
Commissioner McKee asked if the number would get them operational efficiency
regarding safety of the inmates and safety of the personnel.
Sheriff Blackwood said yes. He said they have met with both managers and the person
that did the study. He said he expressed concern with adding 31 employees. He said that
reducing it below fifteen would be catastrophic. He said that he will try it, and the command staff
have visited the detention center every day. He said they have had roundtable discussions
within the detention center to determine peak times and when additional personnel might be
needed. He said that his patrol staff are not detention certified so they need to be cautious.
Commissioner McKee said that goes to his concern about fifteen not being enough
because they have had a very good record of not having major incidents and he wants to staff
at a level to continue that.
Sheriff Blackwood said that he is a co-chair of the Governor's Crime Commission and in
2017 they commissioned a study of prisons across the nation. He said that the most
outstanding takeaway from the study was that adequate staff and leadership must be strong —
therefore investment in personnel must come first and effectiveness is not guaranteed without
trained staff.
Commissioner Richards encouraged the other commissioners to visit the detention
center. She said that seeing it made her better aware of the needs.
Commissioner McKee also encourage commissioners to visit the old detention center for
context.
Sheriff Blackwood said it is a complete transition from the old one. He said that he has
been in this business for 42 years and the detention center is the best thing to have happened
to their department during that time. He said you see chairs and opportunities in the center and
that he is very excited about that. He said that they have talked about building a garden where
people could take pictures.
Chair Price said there is judge's bench in the detention center and asked about
transportation needs.
Sheriff Blackwood said that they there are some requirements under the law that
mandate certain inmates be taken to the courthouse, but they process as many as they can at
the jail.
27
Slide #38
Public Safety
• Sheriff — page 253
— Calls for Service
Sheriff's C0 ice U15 for Service
4qom —
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2}.MD
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24om
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h0.W6
SAW
MEMO rlrzm.8 R2011-21 FV M21-21 VM
ORANGE COUNTY
3B NOFM I CAROLINA
Slide #39
Public Safety
• Sheriff — page 253
— Average Scene Time and Response Time
Sheriff's Off ice Average Scene Sherifrs Office Average Response
Tlme Time In Minutes
aam - eu1 1-0m '�lEia
4f]} 4a1.3 lam
eam - —
,am L°°G
9 ■
oAa —
amm
WAD 4Ap
ikA6 2Ap
R'MN9 FO4L6 RMZ(ZZk RM21.22:M FRYM L9 MD*-ID F+XQD-l1 �VIQL-ZIM
ORANGE COUNTY
39 NOFM I CAROLINA
28
Slide #40
Public Safety
• Sheriff SMART Goal - page 257
Goal 3:Incre,aae pariiapantsinthe CoordiinairdOpoid OVerdoaeRedudion Prod[COME]Ptopramby2S%blend ofP20
120
-----------------
110 a b3md taaal: iF]
100
Jt�taceUaal: R�
50
Prpees5; }
A4
201 2022
Perlainano-k!essment:Framianuary 1 ihrougb Ckrznber 31.2021,the Sheriff's Oficn made 90 reierrals W the CWRE
Prrgrarri€rom July 1,10Q1 through Mardi 1,nZr the Sheriff's Office made 106 referrals ba the f1 GRi Program.
ORANGE COUNTY
=C• ? ORTi[CAROLINA
Sheriff Blackwood said this program was modeled after the Angel and ANCHOR
Programs. He said the goal is to interrupt opioid overdoses. He said that those who use these
substances can ask for help and immediately be referred to CJRD. He said he has worked with
a local business owner to pay for someone to be put in a treatment center or fly them out of
state to put them in treatment.
Jamie Sykes said that he knew that Sheriff Blackwood would not mention this, but that
Sheriff Blackwood has personally paid for treatment options for individuals in the county.
Sheriff Blackwood said that simply, they do what needs to be done, if they can do it. He
said they have bought clothes, tires, and paid for power bills to try to help people. He said that
there are still people out there who need help. He said they need to address where opioids are
coming from. He said that EMS gives information to people about resources. He said that other
counties dealing with this issue use it a lot more than Orange County. He said that the hospitals
help a lot and there are resources here that are not available in other counties. He said that
while it is a great program to have, it is filling a gap. He said they remain committed to the
COORE program.
Chair Price said she sees emails about people in need and said the Sheriff's Office
always steps up.
Commissioner Hamilton asked for more information regarding page 254 of the
recommended budget document. She said that the Jail Operations General Fund and
Personnel services are at zero and asked why.
Travis Myren said all the Sheriff's personnel are budgeted in a different program. He
said that if you add up the totals on page 253, the totals are $15.6 million and $15.3 million, and
the difference is what is in operations.
Commissioner Hamilton asked why would personnel services not be broken out for jail
operations.
Travis Myren said personnel are switched between jail and non-jail operations.
Commissioner Hamilton asked if the new fifteen staff members will also switch.
29
Sheriff Blackwood said the new positions will eliminate the need for switching personnel
from the road and detention center. He said that would allow a specific budget. He said it would
be prudent to track that to show who is at the detention center versus the road.
Commissioner Richards asked how assumptions are reflected in the budget process.
She said if they assume they will get to fifteen, how do they see what the impact is. She said
that moving people back and forth is a built-in inefficiency. She mentioned that staff must be
detention center certified, so there are some built in inefficiencies.
Sheriff Blackwood said that a patrol officer does not take care of detention center tasks
if they are not certified. He said if they are working on detention center tasks, then they are with
a certified detention officer.
Commissioner Richards said that if they are no longer having to rotate the staff then
there should be a positive impact.
Bonnie Hammersley said that the budget does show the partial offset position
reductions. She said that if the Sheriff does not get fifteen positions, then he would need the
$300,379 that would otherwise be offset. She said the budget makes reduction assumptions
based on the fifteen new positions.
Commissioner Richards said that was what she was looking for.
Commissioner McKee asked if that left the effective cost at $300,000.
Bonnie Hammersley said yes.
Chair Price asked if they are moving past non-departmental.
Travis Myren said yes but that he can go over the details if they would prefer.
Commissioner Fowler asked if that included Juvenile Crime Prevention Council (JCPC)
items. She asked if it is reflected on the revenue side.
Travis Myren said yes, that will be in the juvenile justice budget.
Commissioner Fowler said she did not see the expected revenue but saw the
expenditure of$107,000.
Travis Myren said that it might be housed in the DSS budget, and he will get
clarification.
Chair Price asked if Boomerang did not make a request.
Commissioner Fowler said they were not given JCPC funding but were given funding in
other places.
Commissioner Richards asked what JCPC is.
Commissioner Fowler said it is the Juvenile Crime Prevention Council. She said the
programs are by nonprofits that run through Orange County and the funds are from the JCPC
from the state. She said the county has a matching fund for the JCPC they administer.
Commissioner Richards asked if this reflects the county's matching funds.
Commissioner Fowler said that the $107,000 reflects the county's mandated matching
funds.
Travis Myren said the state makes payments directly, so they do not flow through
county's budget.
Commissioner Richards asked if it is true for any types of all state funds.
Bonnie Hammersley said no, just this one because it is directly from the state.
Nancy Coston, Social Services Director, said she will send the commissioners the
funding percentages to show the breakdown of contributions from the county and the state.
Commissioner Richards said they also did not have the outside agency information.
Travis Myren said that will come on the 26th at the next budget work session.
30
Slide #41
Human Services
Aging — page 47
+ Total Expendkture Budget-$2,653,68S
— Nei County casts increase by$9,744from BeseB:dget
* Recommended Budgetchanges
— $7,D,464 grant fording tD rcMnue corent level of eervice for Sarior Lurch
Program
— $21,,D00 gram ircresee for Senior Center Program eervicea
— $3,707 increase in pFMng caam
— $3,185 restxeetravd&tiaitirg to pre-parrdernic levels
— $2,9 gmm fundag d:I"Rasefor$omor Health Coardlnaftn
ORANGE COUNTY
1 MOR71 I CAROLINA
Janice Tyler, Department on Aging Director, introduced herself and the department's
Business Manager, Anshu Gupta.
Slide #42
Human Services
• Aging — page 47
Senior Lunch Program Meals Served
Kos
RPM
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ORANGE COUNTY
t NOFM I CAROLINA
Commissioner Bedford said she thinks there was a lot of hidden hunger before the
pandemic. She said that she finds the increase for senior lunches astounding.
31
Janice Tyler said she and her staff agree. She said it is a 43% increase from what it was
pre-pandemic. She said they are running the dual program that allows the option to dine-in or
drive-through. She said they are running a survey to see if they can figure out why folks are
wanting to drive through rather than come in. She said that if the emergency declaration
expires, the drive-through option will go away because they currently have a waiver from the
state to operate that option. She said that what is not reflected in the budget is the ARPA
funding they will get from the Department of Social Services (DOSS) and some of that will go
towards meals and that may help keep the curb-side meal program going.
Commissioner Bedford said she is very interested in seeing the survey results.
Chair Price asked if they were serving enough food for the recipient to also have dinner.
Janice Tyler said no. She said that early on they were serving meals three days a week
and each service had two meals. She said this equated to an extra meal each week at 6 meals
rather than five. She said that she has had questions about serving dinner.
Travis Myren said the ARPA money that Janice was referring to is not county ARPA but
directly from the state to the Department on Aging.
Slide #43
Human Services
* Aging — Me 47
Senior Center Attendare
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ORANGE COUNTY
t3 NOFM[CAROLINA
32
Slide #44
Human Services
Aging — page 47
Number of Visits per Individual per Year
om 77Ar Tbtal416�dena
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MM
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ORANGE COUNTY
74 h3011171[CARDLEWL
Slide #45
Human Services
• Aging SMART Goal — page 53
Gael L•Prasstlt an aucrapt of 17,3a0 par4elpants i]tlupl LratedJ snrvlots anrt pmFpama monthly.5trvt a tlrstirso gaup of alder
afulm including lowirmme,sninonSy and irlmltra•It.Owpruerarls wl■help Them rerneln living iffIdependencly M the
commurky and 90 help sieve aft eo60 ialrtlw.
y 3Q000
g 2S000
u 3QOm
1 °m ---;---;; CoardGoa4 an
s 14°0o kit-ve Goal: u5
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0 Progress: C)
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Perla.mente 7LSSe95nlenE
ea&Inr ngInluly=pWlidpal.on nt wrs Kagan to Incraasu woh addltloaof ooswae nmepeo mr ingsll6w.lh C°Vld
f 60M thpdoty.social difflucingand moclm*tmtact proflammir+!or twiml i Oe the te+ltanrulef-n plat*,Ntlud Proem 1i
tottinuedtohrtoFf"d.Smtinit!%. 2MceeaN rf�m own at Full olpecityarldalpcepwdeenichouci Wearmicipale
paniclpaUon numhrtM to ha an track*oh prafunian�
ORANGE CLIN
TY
is r I ARO
A
Commissioner Hamilton asked what is meant by duplicated services.
Janice Tyler said that 12,500 is participation, and unduplicated is serving 2,500.
Travis Myren said one person could participate in three different things in one day and
that would count as three visits.
33
Commissioner Hamilton said people who come a lot may skew the number served. She
asked what transportation to the Senior Center is going to look like.
Travis Myren said the transportation problem is solved for this fiscal year, but they will
work with Orange County Transportation Services (OCTS) to make sure it is sustained.
Commissioner Hamilton asked what is involved in that.
Travis Myren said it would mean finding funding to pay for the trips, but there is a
possibility they can apply for state funding to support those trips.
Commissioner Hamilton asked how much it costs to provide the service.
Travis Myren said around $60,000.
Commissioner Hamilton asked how many people that will service.
Travis Myren said he and Janice Tyler will provide that information.
Janice Tyler said there is transportation on Tuesdays and Thursdays for trips.
Commissioner Hamilton asked how many people are using the trips.
Janice Tyler said one the previous Tuesday (which was the first day back), and five that
day. She said that there are a lot of people out there who need transportation.
Travis Myren said capacity at OCTS is limited by number of drivers on staff.
Janice Tyler said the fasted growing demographic is 85+ will increase by 265% in next
20 years. She said that they have a great partnership with Emergency Services where they
work on falls prevention through the Stay Up and Active Program.
Commissioner Hamilton asked how many people are already here and how many are
coming in.
Janice Tyler said the population of those age 60 and over will change by 50%
Chair Price said the census is showing big population growth in many places across the
state and that North Carolina is a popular destination. She said a lot of people are moving here
with young families and staying.
Commissioner Hamilton said we want to keep that diversity in age moving to the area.
Chair Price says she hears a lot of people say they moved here for their grandchildren.
Slide #46
Humar Services
• Alliance Health — page 54
Provmmr Amaurlt Of TOW
hjkance Alocalo Ftrda' 9879.455 _ 9d ar,
�jkance Aurnini5lralion-ae 13
Peel.d6gdal 8elvius $12700 93
Pnninel JLnoce Resaurce 6eputmenl 5152.155 11 2
t*Oh deperlmenl L111.20B B2
t-Ionin9 DepartmErt w4u5 S 5
TOTAL•ALL SERVICES 31,155.974 10035
Toft 7u R�-.ft"'9L Ra .50 OM S'4F+ydc.WOE
ORANGE COUNTY
NdRTI I CAROLINA
34
Slide #47
Human Services
• Alliance Health — gage 54
MecomnmendiWorll
Fundkwt9CmM0eParurre u aeWN
D*Mrtrmnt 9MVIce G"MM OM A&MXW
Crlrnlnel Jushm�Resauree.O1nte Case Assessrnerf 5penskst S 95,177
Cnrnmal Aare Resource Office Menial Hea11h Liausen la Yeulh b 59,979
Health DepUVF*M CYrical Sarial Wodr r. Inlegraled EeroAaral HeaM S 111,20
Housing and Cornmrd� Deve6pmert Rapid RehoLnM S £8,595
Se[ial SeMces Trsurrrs Focused The rap1sz $ 5UDD
Satial SeMtes Cor6ei g Tor FarrmhL-s iri ProheLl"Semeea b 22 ODI
5a[lel 5e8dm SeMtes ror Re2ideraal Children in Foster Care 55dDQ
TOTAL $ d56,929
ORANGE COUNTY
=� MORT][CAROLINA
Commissioner Bedford said she thought they had been pulled back the maintenance of
effort funds from Cardinal. She asked if there were any personnel savings from the county by
doing that.
Travis Myren said these are longstanding contracts, so he does not have a good answer
for that. He said the county did take on the administration of those contracts directly.
Commissioner Bedford asked if an accounting firm will review all of these to make sure
the monies were spent on Orange County residents.
Travis Myren said yes and that is why they took it over from Cardinal. He said that
Alliance has a different system and will report all finances and performance measures. He said
this is a much better system.
35
Slide #48
Human Services
Child Support Services — page 91
F Total Expenditure Budget-$1,194,674
— Tatal revenue of($1,547,034)
N►1 G rel Fund cowld uiar—($312,360)
Recommended Budget Changes
— $W,0OOin crease inlegslservres for County Al6ameyta bill fix staff attomey
hours on child eupport€ases—No Nei Courriy Increase
— T37,S54increaseinnetCounty€owstorestoretravel&trairirgtopm-pandemic
levels
— $7.115 increase inielephaneexpensesdueiorennoiewark
— $236,424de€reasein revenue besedon Stale esiimetewhich is besedon
spending in the prior year:spending dow.clue to vacancies
ORANGE COUNTY
�F MOR71 t CAROLINA
Erica Bryant, Child Support Services Director, introduced herself.
Travis Myren said the state decrease is based on the spending from the prior year. He
said that there were vacancies last year and that accounts for the down spending. He said that
is why state money is down. He said those vacancies have been filled and they are fully staffed.
Chair Price asked how the staff attorney position splits their time.
Travis Myren said it is a fulltime staff attorney that spends 30% of her time on child
support cases.
Chair Price asked what the reason for the increase is for this position.
Travis Myren said this represents the 30% cost of the person's time that is dedicated to
Child Support.
Erica Bryant said this is a decrease from two years ago. She said before this, they had a
contract attorney that was budgeted at a higher rate. She said they had budgeted zero last
year, but that they needed to budget it this way for state reimbursement.
Chair Price asked if one staff attorney works 30% on child support, what do they work
on for the other 70% of their time.
Erica Bryant said they spend 30% of time dedicated to Child Support Services and the
other time they are dedicated to the County Attorney's office.
Travis Myren said for the state to reimburse this as a Child Support expense, it needs to
be budgeted it in that department. He said that it is not an actual increase across the county
budget.
Commissioner Fowler asked if there was a correlating decrease in county attorney's
budget
Travis Myren said yes.
Commissioner McKee asked if the state reimbursement will come back to full funding
once the spending reflects the fully staffed positions.
Travis Myren said he expects that to occur.
36
Slide #49
Human Services
Child Support Services — page 91
New Ch i Id Su pport Orders Tota I Child Support Col lecWd
E sta blished 551033aw
Lp 55.50o-AP} is.�i,
im L" sti xw�s
Sk000'Aoo'
�{5pppp}
i2o 303 La
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saraanm
a
m
o ${000poo-
rY 1F-1■ rr�19 RL9.][5 T IL T L.Y3"YDZ S eY1S-1■ T a r -M T 2h 'Ylltii l.]YIY�Y-25
P.1 Nd♦.1 'mJ aWr�
PedorelwelverInpwe<IuringpaekdomwfarrrdI dualsmcsruingpubkanhanc*(Med6cwd.(zmr
Benefits)
Court mutter ea were curtalaedduring pandemic
ORANGE COUNTY
49 M011171 r CARDLEWL
Slide #50
Human Services
} Child Support Services — page 94
Geal3era-mreaseOWlons,and prealdeaftwgl+esources,awsSNppc+kWo4eswilleef at lease25wstomelsper
nwMh 4a 4rinR Gvunty 5np�apmenk Se+rKes
3fi
�5 ———————————-------------
��� } BoardGaal� Iti
q 15 �
10 f• JlrstimGaal! I@
S
� PfO�r'L'SS; �•'
Jul, Aug, Sw, W. Nov, Lk4 Jtr� Feb, Mar, Apr, Mey, Jun, —
2112) imi 1021 210 Mi 2U1 210 )X2 2JIl.2 IM2 M2 2112
Pei h3i.ance Assessment Tracking all lhisgoalhas proven labeadvlleng 6trusllmdsing.inaddiEentomole-raininEon
the mAommed process,will heilrplennefiedilnedately-
ORANGE COUNTY
Commissioner McKee asked how many of the referrals for employment are successful
in acquiring a job and holding it.
Erica Bryant said that it needs to be tracked better. She said there is data on pay for
referrals, but not where their employment is coming from.
37
Commissioner McKee said it would be an interesting piece of information to know going
forward.
Erica Bryant said their services are so broad that even if not referred to an actual job,
they are on the right path.
Commissioner Hamilton asked if they should expect actual child support collections to
be higher due to filling vacancies.
Erica Bryant said she expects it will.
Commissioner Hamilton said that she is hearing there are a lot of factors that determine
what is collected and it is hard to know exactly what extra staff will bring.
Erica Bryant said she can see how long it takes to process a withholding and to get a
case into court, which is delayed with lack of staff.
Commissioner Hamilton said she is interested to see the impact additional staff will have
on this next year.
Slide #51
Human Sari
• Health Department — page 196
F Total E"ndlture Budget-$11,374,308
— $82,62.8incraasen not-countycostecampered:baBeseBudget
• Recommended Budget Changas
— $2,75Vcw84DardotHsAh m►mdt+weibds
— T334,741torestxetrevel&reining to pre-psndemielevsls
— New Dentist Dell Assistsnt,and 4.5 Mobile Dental Clinic Operator(reousting
FTEpreviously 100%nTwnsporbfian Services)offset by operationalsavirge,
wcms►ddtMalhooltnst+vlc*rtw4Isor-d Incr oM-e oldmax"wamn cost
a�tlll�mtnk
— �3�,94-91ncrr+D*+�ial H�IN S�rfic�*ford*ntarrqulp�+*ntr�alr,
a•+1tewKe oebd ve&-: + &c-sponc*charps
ORANGE COUNTY
51 Tw'ORTI r CAROLINA
Quintana Stewart, Health Director, and Micah Guindon, the Finances and Administrative
Services Manager for the Health Department, introduced themselves.
38
Slide #52
Human Services
• Health Department — page 19
• Recommended BuagetChanges
- $12,565in crease tameet dame ndforNicoune Rep lecemerrtTherepy,department
SUPP"*a.tid cammw Inter"tar*
- W,-WgearlwreaseIn Advancing EqugprjwloaddrossCOVlD-lgrelawa
health dI*Par I"
- $40,370EwvIMW"hh1Ha0hrowmiorrcr a**fro+nr�c+aa*add►n+a.tid ndf *
4 n"o
» Ofteets increase irom0.BFTEto1.0FTEfarBioterroriem-Preparedness
Gumclinetor
- $4,174expeneencreseein cradit nerd evcGptarrce charges fDFErmrirormrental
H&Ah C)Ivzwn
- T3 11,227 decrease in self pay revenue it Peraanal Health Division
ORANGE COUNTY
52 taorc71 r CAROLEWL
Slide #53
Human Services
• Health Department — page 19
• Dental Health Services DIvlsion
Dental Care Patient Visits
6.996 apr+i 69dt r,xrs 7A[Q
rom
6.6'6
6,i91
FlG6
59r6
Wr6
33r6
20G6
]t7a1
n
Fr2M-M 9ML+-L5 Q,'WM46 Fti'JxllF17 FYIDL741B RIDU L9 FtiXW+20 FQ01-tt RIM-22 FrJW-23
Pros &AW
ORANGE COUNTY
v NOWrl r CAROLIN k
Travis Myren said he was expecting to see more of an increase from adding a dentist,
but due to dental hygienist shortages, only one clinic can operate at a time. He said that
additional staff would allow clinics in both Chapel Hill and Hillsborough to operate
simultaneously.
Commissioner McKee asked if the clinics flip back and forth opening every other day.
39
Quintana Stewart said the medical clinic is switching between locations daily.
Commissioner McKee said he recalls the conversation about the dental clinic.
Quintana Stewart said the dental clinic is operated two days a week at the mobile unit,
and the Hillsborough site is also operating concurrently on those days.
Travis Myren said he was confusing the dental clinic operational days with the medical
clinic.
Slide #54
Human Services
• Health Department — page 16
F Dental Health Servloes DIvlsion
Dental Revenue by Source
M.d-.dM-
9%
ORANGE COUNTY
id ?40FUI I CAROLINA
Slide #55
Human Services
• Health Department — page 196
• Environmental Health DYvlslon
.Rf261&20 37.9
e
�10223 42,9
021-9-22 Pro [iim ja 4216
2D22-23 Budget 428
ORANGE COUNTY
55 r%�OR73 I CAROLINA
40
Slide #56
Human Services
• Health Department — page 19
Now Food Establishment Permits Issued
go-
�a N
72 rz 70
�o
40
30
za
1B
a
F42017-18 FYMIB-19 F42019,M FYM21321 FrAM-27Pmj FYH22-23F3u"
ORANGE COUNTY
56 MOR71 r CARDLEWL
Slide #57
Human Services
• Health Department -
- R-omwllm*far Now R*siaurant PLm—PaIIckChan shin FUDS-19
FG vWwTrnn inrftiWw Resta ant Plans
m
30
35
Yo
v
10
w da ddB 5 6
S
6
PYMB MB FYIDLB-L9 FWM+b) P•29b04L FV2Wi-0:PrgL FY2MQ—MBu9at
ORANGE COUNTY
57 MOWrl r CAROLIN 3
Travis Myren said this slide shows the impact policy changes can have.
41
Slide #58
Human Services
• Health Department — page 196
P Personal Health Serwlces Division
Persarial Health Cost RecoveFy
ra19-20 3B5%�
02421 41 OV
021-22 prole[tion 324ti.
R22-23 HuMat 272%
FY 22-23 Cost Recovery Reducllon
o Exp r6cr4a8fthtonMX11n4Or"Wr*(39,000)*.xl*uppllfa
{s11.ND)
o Ncmasedaelf-pay and Madioaid aonaistientwith trends($22.000)
remnuedecrease.
ORANGE COUNTY
56 WWrl r CAR LIN,}
Slide #59
Human Services
• Health Department — page 16
Postnatal Care
— %ofhame%i0s made wdintwaweekeafdelvm-Y
— 4Mpro"cNd fee FY2021.22
— Hook-hone partially suspendeddudng FY2021-22dueto CAVIa
76%budkp%dfar FY2D22-2$
F Medical Services for Uninsured,Underinsured,and Medicaid
Eligible Clients
— Numl�r of ch+d h*aiMh aa�1s
— 1429in FV2020-21
135DpNj"1*-dln FY2D21-22
— 1S06becIptedinFY2022-23
ORANGE COUNTY
59 NORr3 r CAROLIN,k
42
Slide #60
Human Services
• Health Department SMART Goal — page 203
God 3inpraw amesa tohealthore seruicesiarFamiliesenroilled in the Family womia.Allia JFSAMbyinummingthe
nrlr*erof famlr es'with ansedkal home aiarale ai M%GY*ie end cl tyre AwA upar.
ISO
. 130 --------:----------------------
;u 110 Board G&S; 01
E
J2 90
46 20 JustiEE!C3 ,aL #1
2t so-
ao- progress; Q
!oL Aug, Sep, 0rt, INwc Dew Am. Feb, Nw. Apr, MAY, Jan,
20d1 20d] 20d1 2021 2021 2021 2022 2022 2022 2022 2022 2022
PuFarmanaeAminwrient:As heslihrFnutcorneslaom stamreerno575asago&L5lafdhare begancotiecting this datapeint
From FS4 Families and we ented ng ii inia our brand new dalaba5e roll ed out in Febu&y2022.ills new databAse will Alldra
these data W be pull ed In aggregate for reporting purpmes:n the future,
ORANGE COUNTY
60 WR73 I CARDLINA
Quintana Stewart said the Family Success Alliance has been around for quite a while.
She said they are making the dental and medical homes a top priority because this is a basic
need families have. She said they are also now also working with NC integrated care for kids'
program that serves three counties in the region. She said they continue to work with partners
to focus on reading and other social needs.
Commissioner Fowler asked if they are serving as the medical home.
Quintana Stewart said they make the health department the first option but will refer out
if that is more convenient for the families. She said that the 988 number is hoping to be rolled
out this summer. She said it is like 911 but focused on mental health emergencies like suicide
and suicide prevention. She said that this is a 24/7 call center like 911 and will connect the
caller to a mental health care professional.
Chair Price asked if it will be from the Health Department.
Quintana Stewart said that it is being operating by the state's Department of Health and
Humans Services (DHHS).
43
Slide #61
Human Services
• Housing Department — pale 204
• Total expenditure budget- $7.601.852
— Net Countycaatlneresseof$4,31,470
• Recommended Budget Changes
— Adtl1" nary sla1Y nlci Uuftern Hk Serulcesla"rye walk-m-$17,013
— Tranaiban Single Family RGpeir and LkgmA Repak Programe back to General Fund-
$77AU
— Transfer SOHRAD,Rapid R shcus•*�,Housing Locator,*ebd Howmig Swtlllt�wk the
Perbmsrshlplo End HomeNssness b-rdgekto share coslswlth m+ wipallbes-$4O6,290
— IncaastCc Myfun*hgIcrRapldRNwusing-$104-MICount�Share}
ORANGE COUNTY
61 WR71 r CARDLIN:5
Travis Myren said staff will have a backup budget plan for proposed shared costs with
municipalities for the Partnership for Housing.
Commissioner Bedford asked if they are also transitioning SOHRAD to Housing from
Criminal Justice.
Travis Myren said they both have goals around reducing the number of unhoused.
Commissioner Richards asked if$406,280 is the total cost.
Travis Myren said the $406,280 is the revenue coming from the municipalities and the
county portion will increase by $102,936.
Commissioner Richards asked what the county share is.
Commissioner Bedford said it was around $200,000 and a bit more.
Corey Root said the Rapid Rehousing Program has expanded from two case managers
to four. She said they started this last Monday. She said they are funded by the ESGCV
funding, and the county was able to apply for more funds because they are using them. She
said this program provides short-term services for folks exiting homelessness. She said the
cost is going up to cover the client needs portion. She said that for example, funding for rent,
utilities, arrears, etc.
Commissioner Fowler asked if SOHRAD is recommended at $119,000.
Travis Myren said that is the county portion of the total cost of the program.
Commissioner Fowler said she thought they would not use ARPA for that.
Travis Myren said if he said that, it is incorrect.
44
Slide #62
Hunan Services
• Housing Department — page 204
F Recommended Budget Changes
— Ir4reas*HUD f,sding for wouchws-$261.596
— TranslMnsiamngccWsforfour(4)FTEfromARPAIoGnwral Fund-$S19,632
ORANGE COUNTY
at r RTi r CARDLIMN
Chair Price asked if the increase from 2021-2023 should be expected to remain going
forward. She asked if the increases would continue due to the municipal allocations being
included in the budget. She referred to page 204 of the recommended budget document at the
top for personnel services.
Corey Root said some of this is for replacing ARPA one time funding with general fund
revenue, so yes, it will be a continued cost.
Chair Price asked if municipalities were putting their contribution into the county budget.
Travis Myren said yes.
45
Slide #63
Human Sri
• Housing (AkRPA) - page 63
F Total recommended, $4,582,W
ARPA peoject Name Previiously Approved Recommended Total
Amount Amount
Housing Locator' $26,810 $38.895 $65.705
Landlord Incenlive Program $55,000 $20.ow $75.0w
HousIng Helpllne $32,202 V0510W 3737,292
Emergency Housing A"islance $4.626.3,57 $4.201,041 $8.827,398
SIreel outreach'Ha rm Reductian W01000 $119,922 $2T9,922
and Deflection ,&OHRALW
Tox�d S4.9M,.3N $.4,582,,945 39,485,317
-Represents the county portion, funeed In Ih&Partnership Model
ORANGE COUNTY
NOFM r CAP0LIIYh
Slide #64
Pre-Pandemic Comparison
R 0—
F48]79-2D 36�204,929 3191:].K4 $55.01 r,4,61597a
M)22,23 172,1WIN $1.923.330 54,502�46 96 .-Q7 £5,072.495
nc i "1},9n 53LA M SQ, m ws SMI.M3 ssmjo
Housing Department is providing additional services
Longtlme Homeowner A&slstance program (properly lax rell*f)
— Emergency Housing As�istanee, Eviclion Diversion Program, Housing Help4irre
Eaiclion Diversbw Program
Housing Cholce Vouchers (RCV) —Landlord Incentives
— Orange Gaunty Partnership to End Homelessness -Rapid Re-lousing, 5tneel
Outreach, Harm Reduction and Deflecliorn (SOHRAD, co-managed wish CJRD),
Houring Stabillly
ORANGE COUNTY
84 NOICTI r CAROLINA
46
Slide #65
Human Services
• Housing Dept. — page 204 — Housing Roadmap
F Ince 2020, Housrng has received $16 million In one-time
pandemic response grants
Housing Pan-dernlc Grants
M pp0 DD3 S64M=
55 pP]p6]
PA 000.000
52MM
S]pp0 p W 52 T9a 285
52.226.194
S2 000,000
51,8�1,441
51 pP]pM
582 3336 7g5M I
3391 133
�.
CwMy�RPA CwrtryCARB3 COBG EmopricV f1ti'i{�a�IS -OkEPRP mOPE1 0 HCGHHS
Sduions Gear[
ORANGE COUNTY
65 MORT]I CAROLINA
Commissioner Richards thanked Corey Root for breaking this information out. She
asked if this is as close as they can get to what was being spent on housing pre-pandemic.
Corey Root said yes, and that any additional programs were listed below.
Commissioner Richards asked what kind of reduction they have seen in emergency
housing requests now that they are moving from pandemic to endemic.
Corey Root said if anything the demand is increasing. She said she would like to come
back to Board in the fall with some options for the Emergency Housing Assistance Program.
She said they can continue to run a generous program without caps like now, or the Board can
provide staff direction and guidelines.
Commissioner Richards asked if there is data on this program.
Corey Root said that is coming up in the presentation.
Commissioner Richards said she is not sure about putting $4 million in the budget for
emergency efforts when there is also a need for emergency housing and asked if it could be
used in a different way.
Corey Root said cutting off the spigot would cause hardships. She said that trying to get
out of the pandemic as much as possible so they are not continuing to see the effects or that a
natural slowdown could have occurred and that would have been a stop point.
Bonnie Hammersley said there has been an increase. She said there is a tremendous
need for emergency housing assistance. She said there is housing and utility assistance. She
said that discussions about taking $4 million and putting it towards affordable housing, some
commissioners might remember that $5 million for affordable housing did not make a dent. She
said that there is a great need for affordable housing but also a great need now for emergency
housing assistance.
Travis Myren said the intention is to bring those recommendations to the commissioners
in the fall. He said that the program design changes would affect the $4 million
recommendation.
47
Bonnie Hammersley said that another change will occur when the towns solidify their
contribution for the emergency housing. She said they helped with CARES Act money in the
beginning but not since.
Slide #66
Human Services
• Housing Dept. - page 204 - Housing Roadmap
TransitivningtoPoSt-ARPA
— Recommended budget awards 5500.000 to absorb ARPA programs to Genera!
Fund
Community Stability Manager 1D manage poet ARPA pmgrams,EmergencyHousing
A**l*kanoeTeam Load,EvIeWn Druer*.on pmgram,County$here of Rapld RehousmS
program and Urgent R►palrosingm F"Repw Pund*
Recomwnd Budget utilizes Partnershlp to End Homelessness funding to redwe
ARPA reliance
SOHRAD,Roplo Rehoumg,Hou*Ing Locator
Department wIII presenl corrsldtant nneings for Emergency Housing Assistance
program ko Board in Fad,
• WIllpmM&Boarawlkn wlth&WImat*dannual courmy
co*kx
NTY
e6 r ntz n CA LItNA
Commissioner McKee asked if the programs extend, has the county locked themselves
into the cost since they are in place now.
Travis Myren said that staff could alter programming in a way that makes sense for
timing and budget.
Commissioner McKee said that he wants to be realistic that this would drive a tax
increase by itself to sustain it.
Commissioner Hamilton said that she is concerned about structural issues in the
economy. She said that ARPA was brought into deal with issues because of pandemic. She
said that post-pandemic there are other economic factors that are driving up cost of housing in
Orange County. She said that the forces of demand of Orange County may outstrip their ability
to meet them all. She said that she does not want to put money into underlying structural issue
that may not be fixed when there are other needs in the county. She said that she thinks about
the school needs and wants to understand the magnitude of the choices they must make with
money. She said they need to serve the most vulnerable but not neglect educational needs.
She said that she is concerned that they are creating something that is not sustainable and that
there are impacts this fiscal year.
Commissioner Greene said it is a difficult balancing act. She said that there will need to
be caps and lines drawn. She said that their body passed $125 million bond and that only $5
million was allotted for housing. She said they need to find a sustainable solution to emergency
housing assistance and that it will be painful. She said that the county cannot fix the structural
problems but to help those that need help. She said that people cannot make a living to support
rent. She said that they all know that, but she wanted to say it. She said they cannot solve the
structural problems, but they can do the best they can to help those that need it.
48
Slide #67
Emergency Housing Assistance
- Assistanoe provided to 2182 households since 2020
- provided $9.7 M since 2020 from EHA and HOPE 1.0 programs
Emergency IHausing Assistance by Household Location
�sw.rlw
w om.o0]
53 5M•pM
5]pM•pM
i2 50].00]
52 W.Ha
51 SM,GM
$1 AOJ.000
5607.000
5•
Civfb(1 o Chapel Hill HdMawgl grange C3unly
ORANGE COUNTY
97 MOFM I CAROLINA
Slide #68
Emergency Housing Assistance
- Income and Demographics of Households Served
EHd:by Income Level EHA by Riieu?Ethnicu[y
&3%AM UnIgue Househpid-5
IS M% AU-.2 13%
N3i
ORANGE COUNTY
5, N10F ][CAROLINA
49
Slide #69
Emergency Housing Assistance
— Amount of Assistanoe by Purpose
EHA by Purpose
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ORANGE COUNTY
NORT][C.AR01.[N,7
Slide #70
Human Services
Dousing Department — page 204
• Street Outreach,Harm Reducftn and Deflectlon ( OHRAD)
— Paru*nahipbetvaenGIRD end Housing and ComnpxftDevelopmenrt
— Swk In 0�:iobar 2020 w4h E wrg-ShCy Ulumns Grant—Corona+lam
— Hwsirg,case management diversion,peersupport
— FwW*tl.n FY2021 Ivy Count+ AR PA,w0h 1 FTEaddkfromfueWing byChapsl
HIII.
FY 2022-23 budget recommends 4 FTEs ocMinueftough Cmff ty ARPA and
Munlclpatt Suppm.
• Program Performance-throtigh 313V22
— 270ndividuale served
— .81 w►dlwkduals s4curat vemvsenthousog(- 8$why HCV)
— 67individuals entered traneitional housing
17 o►dW als entered otor l pc xr�t1owinamns Vamlly.Merod*,mow.s4c)
— 200+indiAduels prauidedsuppies,loadtwnsportation supports
— 26m,4i- 1wals recoos-d COVI D vaumn _
— 1DOetdi-:duals provided cllnlealsupport RANG OU Y
70 — 100+inc:-.-ia,.als deflected from law arrforcemerrtiruohrE?F a NOFM[CAROLINA
50
Slide #71
Human Services
• Housiog Department — Page 204
Housing Choice Vouchers Under Lease
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Slide #72
Human Services
* Housing Department — Page 204
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Slide #73
Human Services
Housing Dept. SMART Goals — page 212
God L Abx 10%oF Iroreehd�h tmitnerrrng homelessness to housing cxh nmrrth
200 Hauserrtld€
— — — Eq,erimciig
150 Homekssnes€
Board Goal:41'—
—Target
justice Goal:tli
��. Progress:
0 —Housernlds
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Renk mance+ssessmeft The nurnper ed People exWendnghm*lessrress In Orange Uvfi9 i€ai an hisWc Vigh titWOe the
Parrncrship m End Ho lemess is maeng more househdds io hosing than before,it lags beh nd the Vowth of
hereelessnessin our c mmwnity
ORANGE COUNTY
73 MOR71 t CARDLEWL
Slide #74
Human Services
* Housing Dept. SMART Goals — page 212
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Jul, ALL Se% Oct, Nos, der, Jan; Feb, Mar. Apr, AJaS. Juq
2021 2921 = MR 2021 2021 2022 2022 2022 2022 20n 2022
F'erre nenoeAsses€rnent:ltistakingpeoplewhirhavebeenim*dHousirgChoiceVoucher;ametaanoruverthreemonth€
to ilnd houSJrg_The deparbmeen works with Fandlerds toaaeepi awmer dlernL
74 NOFTI I C.hR�DLIN T
Commissioner McKee complimented Corey Root and the Housing Department for the
work they are doing. He said that it is a difficult issue in Orange County with the income
disparities and the land and housing costs escalating. He said he is glad they are bringing it
back in the fall.
52
Bonnie Hammersley said the $406,000 partnership budget is $270,0000 from Chapel
Hill, $99,000 from Carrboro, and $33,302 from Hillsborough. She said this is for the expansion
budget. She said that the county's expansion is $209,000, which is already included in the
county's budget.
Commissioner Fowler asked what changes are being made to lower wait times between
voucher and leasing.
Corey Root said that the housing locator position that has been requested will work
directly with clients. She said that there is a huge need for this. She said that there are needs to
help with the housing search and a lot of times there can be quite a bit of trauma experienced
around housing. She said that they maintain a list of available units, for others, there is a lot
more hands on needs that the housing locator position will fulfill. She said that they are doing
some internal shoring up, such as making a codified system with structures processes. She
said that if someone hits 30 days without leasing, it gets escalated to the housing locator
position.
Commissioner Fowler asked if there are enough landlords available.
Corey Root said no.
Commissioner Fowler asked if that means that even with the best of help, they will not
be able to find every person housing.
Corey Root said that there are challenges and that they house people every week, but
they try to work all the angles.
Commissioner Greene said when there was a housing locator that worked with CEF
under a grant, that person had some success in getting landlords to accept vouchers. She
asked if that will be part of the work.
Corey Root said that position is now the housing access coordinator, and that position
works directly with landlords and property managers. She said the goal is that they work at
system level to recruit housing providers and work with a landlord incentive program. She said
that this position's time has really been pulled to the client level so the hope is that the housing
locator position will be able to take over these duties so they can focus on the system level.
Commissioner Bedford asked if they are considering reducing street outreach to
address the other needs. She said she does not know what the affect is from preventing
homelessness to addressing the homelessness once it occurs.
Commissioner Richards said she does not understand why the county cannot give
resources to provide housing. She asked if the emergency housing option is best spent there.
She said there is a lot they could do with the money, but they are spending lots of resources
trying to impact the demand and nothing to the supply.
Commissioner Greene said she does not think the county can increase supply. She said
they uniquely have the job of helping those with the greatest need. She said the supply
conversation is a different conversation. She said she does not want to take the $4 million out
and transfer it to capital.
Commissioner Richards said she has concerns that the $4 million will have a long-term
effect. She said they could consider taking about $1 million. She said they could have a
conversation.
Chair Price said how it is being spent now is the best effect. She said that the $5 million
on capital did not meet the needs of the community. She said that it is a very hard problem to
solve. She said this is not the ultimate answer, but we must get people into housing and
especially as temperatures cool. She said that people's finances go down and they are out of
their home.
Bonnie Hammersley said she does not think there is nothing that can be done, but she
believes the money is going to the greatest need. She said that they are a safety net for the
people that are most vulnerable. She said there should be a conversation about a bond or ways
53
to address supply. She said that with the housing director and her team, they have discussed
this for over eight years. She said it has been their number one goal and she thinks they are in
a place now with more collaboration with towns and believes that is the best way to leverage
resources to address the problem. She said they are trying to solve it but right now, coming out
of the pandemic, there are a lot that will not come out of the pandemic for a while.
Chair Price said they must work in partnerships because they do not build housing, they
partner to make it happen.
Commissioner Richards said she understands but could they give teachers an incentive
program for housing down payment as an incentive. She said this is another conversation, but
there are many things the county could explore.
Corey Root said they administer the HOME funds with the towns and there are two
down payment assistance programs through CEF that were approved.
Commissioner Greene said they need to work with private partners too and businesses
could help fund these efforts. She said the HUD group is also discussing more collaboration.
Slide #75
Human Services
• Library Services — page 220
F Total expenditure budget- $2_4$$,342
- Net-County caetsinorease by$53,460comparedt3 Beee Budget
F Recommended SudgetChanges
- �16,2Winareaseintram3i and trainingiramrExn"denesbFMonofpre-
gandamlc budQN
— $1 SAW Incraaaa for In:Procassft(arwom sohwa @ subscHIMIon)and c4har
suDl s
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f*rs
ORANGE C(DUNTY
75 N OFF r CAROLINA
54
Slide #76
Human Services
Main LibrarfCimulation
Physical and blgital Collections
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ORANGE COUNTY
7 NOFM[CAROLINA
Slide #77
Human Services
Visits to Main Library
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ORANGE COUNTY
77 NORf3[CAROLINA
55
Slide #78
Human Services
Visits to CarrboroLibrary Resources
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ORANGE COUNTY
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Slide #79
Human Services
• Library SMART Goal — page 225
Goal i Ftenis with CC sL*ct hendingsyil n pmmrrt ism of imomiingibrory colleebm materials.
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ORANGE COUNTY
79 1JOFM[CAROLFNA
Chair Price asked if regular hours have been resumed.
56
Erin Sapienza, Interim Library Director, said yes.
Chair Price asked Travis Myren to explain the offsetting revenues on page 220 of the
recommended budget document.
Travis Myren said it represents state aid and the contribution from Carrboro.
Slide #80
Human Services
— Social Services — page 25
Tutai expenditure budget-$22,252.112
- Tota ewt Cody 4 o"t decmfte OM3,170 cofflowepia Bat►Buda ei
• Recommended Budget Changes
- $49,5931ncr►aa4orcon"wedllmolImItedpemnnel
- 01.41e Incrome for lnterp+abngsoolces end+kormamn1"PAolcgypwposes
- $170,G00forpendsmlcmelowdwp*ncWurratrwmApwrlcan Rescue PtMAct
(ARPA)trm is lo"to me gwwml fund for EcommlcAa4twe Program,ClImm
N*4ds,and Youtlr Sponsorslrps
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pand4mlcbudg41
ORANGE COUNTY
80 MOICTI I CAROLINA
Slide #81
Human Services
— Social Services — page 258
• Recommended Budget Changes
- $13,e331ncrsas4rr MGM and wat4rassaianc►programs
- T391,181decreasein Special AssiettoAdulm and Crisis lnterrentiondueto
oxr4astln stab fund tig allocallon
- E1E,4321ncrrrmewkpersomwlssrwKesar-d Legal soolces
- T3231,489 increase in federal revenue used in the fadweare end adapUon
asusi0nc4p0g+6rn
- $152,6311ncromeinopsratwnsioexpan¢suppoelforfamlllosendch11dr4n
ORANGE COUNTY
81 r-)FT1 I CAR01.IN:k
57
Slide #82
Hunan Services
• Department of Social Services ( RP ) — page 6
• Total recommended, WO,000
Amount Amount
Childcare Support Parent Fees $0 S540,000 5540,000
ORANGE COUNTY
3? NOFM[CAROLINA
Slide #83
Human ServlCeS
— Social Services — page :58
Households Receiving Food&N utrition Services
M60thly AU*rage
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ORANGE COUNTY
33 WORT][CAROLINA
Travis Myren said there was a slight dip due to waiver of applicant eligibility
requirements during the pandemic.
58
Slide #84
Human Services
— Social Services — page 258
FN5 Applications Processed in 25 Days
95%State Goal
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ORANGE COUNTY
84 NOFM I CAlkOLINA
Slide #85
Human Services
— Social Services — page 258
Medi"14 Recipients
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ORANGE COUNTY
as I-MM I CAROLINA
59
Slide #86
Human Services
- acial Services - page 258
Medicaid Applications Processed ldrdbinTime Standards
90%State Goal
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ORANGE COUNTY
.36 NOFM[CAROLINA
Slide #87
Human Services
- Social Services - page :58
Children and Famly Servic.os
Households Assessed#or Abuse Children in DSS Legal Custody
and Neglect
50
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ORANGE COUNTY
ar MOR73 C CAROLINA
60
Slide #88
Ewan Services
— Social Services — page 258
• E:conomlc-Rerwlces
Work Participants
Gained Employment
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ORANGE COUNTY
NORTI I CAROLINA
Slide #89
Human Services
— Social Services — page 258
• ubslay
Average Number of Children Served per Month by Child Care
Subsidy
sao
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ORANGE COUNT Y
09 NORTI I CAROLINA
61
Slide #90
Human Services
— Social Services — page 258
%of Su bsidy Applications Processed i n 30 Calen dar Days
95%state Goal
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9G 1,30FM[CARDL[NA
Chair Price said it is great they are meeting 10% of the goal.
Nancy Coston said next year it will be nearly impossible to do that because of the
number of applications, but other counties are facing the same challenge.
Commissioner Bedford asked her to discuss vacancies in DSS.
Nancy Coston said there are 26 vacancies in DSS, most in Child Protective Services.
She said that this is happening across all counties. Shge said that economic service positions
have also been hard to fill. She said that during COVID staff had to keep going and it probably
made some people think about doing other jobs.
62
Slide #91
Human Sari
— Communily Centers — page 234
F Three percent(3%)Increase from FY2021-22
— Rogers RoadOamrnunrt Carter TtuI 391,M
- C*MrGeme Camrnunity CarterTinlal 3KDOT
- 0brid CYO Carwuntty Carter Taial 392,D32
ORANGE COUNTY
91 NOFM[CAROLINA
Slide #92
Budget Work Session #2
FY2022-23 Recommended Budget
• Questions?
ORANGE COUNTY
92 NOFM[CAPX)l.[NA
63
3. Closed Session (added at the beginning of the meeting)
A motion was made by Commissioner Hamilton and seconded by Commissioner McKee
to enter into closed session "pursuant to 143-318.11(a)(2) "To prevent the premature disclosure
of an honorary degree, scholarship, prize, or similar award" at 10:10 p.m.
VOTE: UNANIMOUS
RECONVENE INTO REGULAR SESSION
A motion was made by Commissioner Fowler and seconded by Commissioner Hamilton
to reconvene into regular session at 10:17 p.m.
VOTE: UNANIMOUS
Adjournment
A motion was made by Commissioner Fowler and seconded by Commissioner McKee to
adjourn the meeting at 10:17 p.m.
VOTE: UNANIMOUS
Renee Price, Chair
Recorded by Tara May, Deputy Clerk to the Board
Submitted for approval by Laura Jensen, Clerk to the Board.