November 13, 2002

9:00 a.m.

Commissioners’ Conference Room



Commissioner Bill Dwyer presided with Commissioners Bobby Green, Sr., Anna Morrison, Peter Sorenson and Cindy Weeldreyer present.  Acting County Administrator Dave Garnick, County Counsel Teresa Wilson and Recording Secretary Melissa Zimmer were also present.


Rob Rockstroh, Health and Human Services, noted the Board of Health Report is a 23-page report that is also posted on the County website.  He commented the report was already outdated due to the state budget cuts that are pending.


Rockstroh said they are working on a cut list with employees’ names and positions.  He said most of the cuts coming from the state are designated.  He said there had not been a discussion with the state and counties about how to make cuts to balance the budget.  He said almost all cuts are narrow and are being imposed on the County. 


With regard to the federal qualified health centers, Rockstrah said there was a way Lane County could support or become part of a health care center that would not impact the general fund for access to services.  He thought the County could start a not-for-profit clinic.  He said a federal health center is one of the areas where the government pays the costs in full.


Sorenson asked what was holding up the clinic.


Rockstroh responded nothing was holding it up, no one wanted to take charge to start it.  He said Lane County should start one.  He said that Steve Manela, Human Services Commission, was working on this and when it comes to the Board for a proposal, they will have a discussion.  He said he would come back with information.


Sorenson asked what the timeline was.


Rockstroh stated it was a December application for a January initiation with money coming between  January and April.


Green asked what they could do as a Board of Health to make a residential care facility for youth.


Rockstroh responded Lane County is a large county and there is no child residential center.  He said children are given to the not-for-profit firms.  He said the County never had access to high-end child services.  He noted in Lane County they use other bed space. He commented that Lane County receives $45,000 per year from the state for children’s mental health.


Green commented if this was a legislative issue, they could start engaging the legislative committee to frame a discussion on identifying the need, what currently is in existence, and identifying the potential risk and proposing a solution.  He thought they could possibly use some space in the Serbu Center.


Dwyer stated there are dangers associated with pilot programs.  He thought it should be a pilot project going through three biennium so they know they would have six years to put it together. 


Rockstroh noted the state was interested in Lane County as a pilot project.  He commented the pod at the Serbu Center has unique problems because it is a detention facility.


Morrison stated going forward with this would cut monies from other facilities in order to fund a new concept.


Sorenson asked Rockstroh to make a brief presentation of the impact on current and future cuts on the delivery of services within the range of what is being described in the report and whatever updates he could give.


With regard to the Psychiatric Hospital, Rockstroh said because the state hospitals are closed, state people fill 40% of the beds in Lane County and the reimbursement doesn’t work well.  He added that McKenzie Willamette and Sacred Heart were both interested in psychiatric services in the future.


Rockstroh said the changes in the Oregon Health Plan would be made in July.  He said it was a way for the state to change money around.


With regard to the E-coli outbreak, Rockstroh said people would be more aware of farm animals and fairs.  He noted there is a working committee on the West Nile virus


Rockstroh commented that because of the funding, the courts will cut hours and they won’t work with misdemeanor cases.


Rockstroh noted the state is cutting $18.7 from prisons and $7 million on field supervision.  He said there would be a shift in sending prisoners to Lane County.


Sorenson requested for the future any kind of information or status of dental care.  He also wanted a report on obesity and its problems.


There being no further business, Commissioner Dwyer adjourned the meeting at 9:30 a.m.



Melissa Zimmer

Recording Secretary