CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
Cuyahoga County Charter
ARTICLE VIII--HEALTH AND HUMAN SERVICES
SECTION 8.01
DEPARTMENT OF HEALTH AND HUMAN SERVICES.
There shall be a Department of Health and Human Services, which
shall administer all programs and activities for which the County has
or has assumed responsibility for the protection and enhancement of
the health, education and well-being of County residents and that are
not assigned by general law to other boards, agencies or officials, and
shall coordinate its activities and cooperate with such other boards,
agencies and officers in order to avoid duplication of services and
activities. The Council shall provide by ordinance for such deputies
and assistants to the Director of Health and Human Services as shall
be conducive to the efficient performance of the duties of the
Department of Health and Human Services.
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
STATE LAW IMPLICATIONS
Mandates:
Child welfare, child support, adult protective
services, public assistance
Funding:
State and Federal sources,
$240 million in local funding (2 Health & Human
Services levies)
Structure:
Ohio Revised Code (ORC) 329.021
County Department of Job and Family Services
Triple-combined agency (CDJFS/PCSA/CSEA)
Cuyahoga County
Board of County Commissioners
County
Administrator
Deputy County Administrator/
Director of Job & Family Services
Children & Family Services
System of Care
Cuyahoga Support Enforcment Agency
Office of Early Childhood
Employment & Family Services
Health Policy
Senior & Adult Services
Office of Homeless Services
Family & Children First Council
Fatherhood Initiative
Specialized Programs
State Mandated Programs
Office of Health and Human Services
Cuyahoga County
Board of County Commissioners
County
Administrator
Deputy County Administrator/
Director of Job & Family Services
Office of Health and Human Services
Special Projects
Inter-Governmental
Relations
Ryan White Part A
& B Grants
Health & Human
Services Levy
Healthy Marriage
Grant
Outside Public
System
Coordination
Overall Health &
Human Services
Fiscal Coordination
The staff in the Office of Health and Human Services oversee and carry out all the above duties and provide
any assistance requested by the general public, public officials, administrators and department directors.
PROPOSED: Overall fiscal coordination of the
Health and Human Services' programs,
departments, and grants; reporting directly to
Director of Health & Human Services would
insure fiscal support for all needs within the new
Department of Health and Human Services.
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
CURRENT SERVICE DATA
Dept.
DCFS
Staff
857
Service Numbers
1,687 children in custody
As of 5/2010
Budget
$153
million
19,652 child abuse Hotline intakes
(2009)
EFS
724
140,000 cases
$204 m
(275,00 residents receive health care
coverage)
($133m
client
benefits)
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
CURRENT SERVICE DATA
Dept.
CSEA
Staff
391
Service Numbers
476,000 people served
As of 5/2010
Budget
$32 m
$240 million in support collections
(2009)
DSAS
263
2009 – 3,000 adult abuse/neglect
allegations
2010 – 10,000 Medicaid nursing
home cases
10,399 Medicaid waiver cases
$26 m
H e a lth & H u m a n S e r v ic e s L e v ie s
H e a lt h & H u m a n S e r v ic e s L e v ie s
19 92
19 9 3
19 9 4
1 9 95
1 99 6
1 9 97
19 98
19 99
4 .9 H e a lth & H u m a n S e r v ic e s L e v y
$ 5 0 ,8 1 3 , 5 9 0
$ 5 0 ,5 0 8 , 7 5 6
$ 5 0 ,7 3 8 , 5 3 3
$ 5 1 ,2 3 0 , 7 0 4
$ 5 1 ,9 2 5 ,2 5 8
$ 5 2 ,2 8 7 ,5 3 0
$ 5 2 ,9 5 7 ,8 6 8
$ 7 7 ,0 0 1 , 2 8 9
3 .0 H e a lth & H u m a n S e r v ic e s L e v y
$ 5 3 ,5 2 8 , 6 8 7
$ 1 0 4 ,3 4 2 , 2 7 7
$ 5 3 ,5 5 3 , 0 5 1
$ 1 0 4 ,0 6 1 , 8 0 7
$ 5 3 ,8 6 9 , 9 5 2
$ 1 0 4 ,6 0 8 , 4 8 5
$ 5 4 ,3 5 9 , 8 6 4
$ 1 0 5 ,5 9 0 , 5 6 8
$ 5 4 ,9 9 1 ,0 2 2
$ 1 0 6 ,9 1 6 ,2 8 0
$ 5 5 ,3 9 0 ,2 2 5
$ 1 0 7 ,6 7 7 ,7 5 5
$ 5 6 ,1 0 9 ,6 4 9
$ 1 0 9 ,0 6 7 ,5 1 7
$ 5 7 ,3 2 3 , 3 0 3
$ 1 3 4 ,3 2 4 , 5 9 2
$ 4 3 ,8 7 5 , 1 5 5
$ 3 0 ,2 3 4 , 1 7 0
$ 1 3 ,1 6 5 , 0 7 9
$ 2 ,8 9 2 , 7 4 1
$ 6 ,7 8 4 ,5 2 9
$ 1 1 ,2 9 5 ,7 3 5
$ 4 6 ,8 6 3 ,9 1 8
$ 1 6 ,5 2 2 , 4 8 1
H e a lth & H u m a n S e r v ic e s L e v i e s
G e n e r a l F u n d C o n tr ib u ti o n
20 00
4 .9 H e a lth & H u m a n S e r v ic e s L e v y
20 0 1
$ 7 7 ,6 8 4 , 3 5 1
3 .0 /2 .9 H e a lth & H u m a n S e r v ic e s L e v y
H e a lth & H u m a n S e r v ic e s L e v i e s
$ 7 8 ,1 5 1 , 6 9 3
2 00 4
$ 7 7 ,6 5 7 , 3 9 2
2 0 05
$ 1 3 6 ,6 0 6 ,6 1 1
20 06
$ 1 3 5 ,5 1 7 ,2 7 0
20 0 7
$ 1 3 8 ,1 8 3 ,4 3 2
$ 1 3 7 ,9 8 9 , 2 2 0
$ 5 7 ,5 5 4 , 9 1 1
$ 5 6 ,8 6 3 , 2 4 2
$ 5 8 ,0 2 2 , 9 0 7
$ 5 7 ,4 5 3 , 5 4 1
$ 5 7 ,8 5 6 ,8 6 7
$ 5 7 ,3 2 9 ,9 9 7
$ 5 8 ,5 8 7 ,3 5 9
$ 8 7 ,5 5 5 , 5 5 8
$ 1 3 3 ,5 9 4 , 8 2 8
$ 1 3 6 ,1 7 4 , 6 0 0
$ 1 3 5 ,1 1 0 , 9 3 3
$ 1 9 4 ,4 6 3 ,4 7 8
$ 1 9 2 ,8 4 7 ,2 6 7
$ 1 9 6 ,7 7 0 ,7 9 1
$ 2 2 5 ,5 4 4 , 7 7 8
$ 2 2 ,2 3 9 , 7 9 3
$ 2 6 ,5 9 2 , 3 0 1
$ 7 3 ,3 1 4 , 8 5 5
$ 3 0 ,5 8 3 , 6 6 0
$0
$0
20 08
$0
B udg e t
$ 1 5 6 ,3 7 5 , 4 6 7
$ 8 6 ,9 8 2 , 1 2 2
$ 8 7 ,1 8 3 , 2 3 4
$ 8 6 ,0 2 7 , 1 2 6
$ 2 2 3 ,8 5 2 , 1 8 2
$ 2 4 3 ,5 5 8 , 7 0 1
$ 2 3 2 ,8 1 4 , 6 1 2
$0
$0
$0
G e n e r a l F u n d C o n tr ib u ti o n
$0
20 1 0
20 0 9
$ 1 3 6 ,8 7 0 , 0 6 0
2 .9 H e a lth & H u m a n S e r v ic e s L e v y
H e a lth & H u m a n S e r v ic e s L e v i e s
$ 7 6 ,7 3 1 , 5 8 6
2 0 03
$ 1 3 5 ,2 3 9 , 2 6 2
G e n e r a l F u n d C o n tr ib u ti o n
4 .9 /4 .8 H e a lth & H u m a n S e r v ic e s L e v y
20 0 2
$ 1 4 6 ,7 8 7 , 4 8 6
$4 0 ,0 00 ,0 0 0
$0
$0
$ 2 3 2 , 8 1 4 ,6 1 2
$0
$ 2 4 3 ,5 5 8 , 7 0 1
$2 23 ,85 2,18 2
$0
$ 2 2 5 , 5 4 4 ,7 7 8
$0
$0
$ 19 6,77 0,7 91
$0
$ 1 9 2 , 8 4 7 ,2 6 7
$3 0,5 83 ,6 60
$2 6,5 92 ,3 01
$ 1 9 4 , 4 6 3 ,4 7 8
$ 1 3 5 , 1 1 0 ,9 3 3
$6 0 ,0 00 ,0 0 0
$ 1 3 6 ,1 7 4 , 6 0 0
$8 0 ,0 00 ,0 0 0
$ 13 3,59 4,8 28
$ 1 0 9 , 0 6 7 ,5 1 7
$ 10 0 ,0 00 ,0 0 0
$ 1 3 4 , 3 2 4 ,5 9 2
$ 12 0 ,0 00 ,0 0 0
$1 35 ,23 9,26 2
$ 14 0 ,0 00 ,0 0 0
$ 13 ,16 5,07 9
$ 16 0 ,0 00 ,0 0 0
$ 22 ,2 39 ,79 3
$1 6,52 2,4 81
$ 18 0 ,0 00 ,0 0 0
$7 3,31 4,8 55
$ 20 0 ,0 00 ,0 0 0
H e a l t h & H u m a n S e r v ic e s L e v i e s
2 01 0
B u dg e t
20 09
2 00 8
20 07
20 06
2 00 5
2 00 4
20 03
2 00 2
2 00 1
20 00
19 99
$0
1 99 8
$2 0 ,0 00 ,0 0 0
G e n e r a l F u n d C o n tr i b u t i o n
B u d g e te d H e a lth & H u m a n S e rv ic e s L e v y E x p e n d itu re s in 2 0 1 0
A lcoh ol & D rug A d d iction M en tal H ealth B d . $35,689,229
E m p loym ent & F am ily S ervices
$14,563,974
M etroH ealth S ystem
Ju ven ile C ou rt C h ild ren S ervices
$14,442,100
O h io State U n iversity E xten sion
$40,000,000
$274,000
C rim in al Ju stice Intervention
E xecu tive O ffice of H H S
$1,221,573
C h ild ren W h o W itn ess V ictim
C u yah oga T ap estry System of C are
$9,371,348
W itness V ictim
$252,888
$617,251
$1,20 1,507
C h ild ren an d F am ily S ervices
$24,096,742
T reatm ent S ervices
C h ild ren S ervices B oard & C are
$50,330,601
JC H H S C om m u n ity P artn ership
$4,717,395
$986,326
C h ild ren W ith M ed ical H an d icaps
$1,180,513
C om m on P leas P robation H H S S u b sidy
$1,154,426
E arly C h ild h ood – In vest in C h ild ren
$7,300,338
Ju stice A ffairs – O ffice of R e -en try
$2,126,836
S en ior & A d ult P rogram s
$13,883,219
O ffice of H om eless S ervices
$15,172,473
H H S O th er P rogram s
$1,180,800
F am ily & C h ild ren F irst C ou n cil
$2,615,524
P u blic D efen der H H S
F or fu rth er inform ation call th e C u yahoga C ou n ty O ffice of H ealth & H um an S ervices at (216) 443 -7032.
$398,297
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
CHARTER: ARTICLE VIII - CHARGE
• Review existing Health and Human Services operations by department/division
and function; and by relationship with other boards, agencies and officials
• Recommend an organizational and operational structure that will
~ best enable the Department of Health and Human Services to protect and
enhance the health, education and well-being of county residents as
mandated by general law and as deemed necessary and desirable for county
residents; and,
~ coordinate relationships with related boards, agencies and officials to avoid
duplication of services and activities and realize efficiencies
• Offer such other recommendations related to best practices in health and human
services as deemed necessary and/or desirable so as to achieve transformational
realignment and efficiencies
Departments/Divisions Affected: Executive Office of Health and Human Services;
Children and Family Services; Senior and Adult Services; Employment and Family
Services; Cuyahoga Support Enforcement Agency
CUYAHOGA COUNTY TRANSITION WORK GROUP ON HEALTH AND HUMAN SERVICES
EIGHT OTHER
WORK GROUPS
TRANSITION EXECUTIVE
COMMITTEE
COMMITTEE OF
CHAIRS
COMCOMMITTE
E OFENGAGEMENT
CHAIRS
PUBLIC
WORKGROUP
MITTEE OF
CHAIRS
HEALTH AND HUMAN SERVICES WORK GROUP
Co-Chairs: John Begala and Rick Werner
COUNTY GOVERNMENT
COLLABORATION
WORKGROUP
Cuyahoga County and CCS
Staff Support
Funders
Focus Group
Providers
Focus Group
Community
Focus Group
TIME LINE
Cty. Contract Data
Initial Meetings Agency Overviews Demographic
Public Comment
and GIS Data
Focus Group Comments
MARCH
APRIL
MAY
JUNE
JULY
>
>
>
>
>
AUGUST
Draft Reports
Overview for Executive
Overview for Council
Demographic Profiles
Strategic Opportunities
Long Range Issues
SEPTEMBER
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
The Center for Community Solutions
John Begala, Executive Director, HHS Transition Co-Chair
Staff Support:
Emily Campbell
Sheila James
Ken Slenkovich
Cuyahoga County
Rick Werner, Deputy County Administrator/Director of Job & Family Services,
HHS Transition Co-Chair
Staff Support:
Janet Carr
Mary Louise Madigan
Glenda May
Legal Counsel
Jeanne M. Rickert, Esq. - Jones Day
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
COMMUNITY FOCUS GROUP MEMBERS
John Begala, Co-Chair
Kenneth Adams
Terry Allan
Dennis Anderson
Richard T. Andrews
Georgia Anetzberger
Melanie Assid
Paula Atwood
Susan Axelrod
Marilyn Bagley
Jeff Bailey
Zerrine Bailey
Valerie Baker
Celeste Bayorek
Mary Bazie
Deb Beckwith
Susan Biasko
Rick Werner, Co-Chair
Melissa Bilancini
Claire Boettler
Bernardine Brooks
Richard Browdie
Latasha Brown
Katherine Buleuea
Deana Calcagni
Emily Campbell
Eugenia Cash
Richard Cirillo
Terrell Cole
John Corlett
Marcos Cortes
Colleen Cotter
Maridell Couture
Debbie Cowan
David Crampton
Daniel Cratcha
Marc Crosby
Debra Lewis Curlee
Don Davies
Marvin Davies
Megan Davis
Carol Dayton
Joe DeCapite
Maureen Dee
Mary Denihan
William Denihan
Kareem Dent
Lokeita Dimes
Jillian Driscoll
Rebekah Dorman
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 2
Lang Dunbar, Jr.
Leslie Dunn
George Espy
Bill Eyman
Melanie Falls
Paula Farrell
Billie Osborne Fears
Jacqueline Fletcher
Erika Forde
Deborah Forkas
Steve Friedman
Joe Gauntner
Dave Gillespie
Ruth Gillett
Doug Gray
Michelle Gray
Charity Hall
Ann Marie Hanna
Solomon Harge
Susan Harnden
Keith Headen
Ginny Hearn
Annaliesa Henley
Joe Hewitt
Anne Hill
Vincent Holland
Cecelia Huffman-White
Liz Hunter
Monica Willis Jackson
Susan Jankite
Julie Jarvis
Katherine Johnson
Mark Johnson
Mike Jones
Jacquie Kasprisin
Marita Kavalec
Ben Kearney
Maggie Keenan
Mary Kelley
Dawn Kolograf
Brad Lamb
Evan Langholt
Catherine Lester
Isaiah Lewis
Edward Little
Gail Long
Mary Louise Madigan
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 3
Stacey Maleckar
Robin Martin
Mike Matoney
Glenda Cox May
Jacqueline McCray
Tim McDevitt
Karen McDuffie
Mary McElrath
William McGivern
Sally McHugh
Tom Mendelsohn
David Merrimen
Jason Miller
Laurie Miller
Rev. Dr. Brian Moore
Marvetta Morman
Debbie Moss
Tom Mullen
Chris Murray
Natalie Leek Nelson
Susan Neth
David Nodge
Angela Norrell
Phillip Nunes
David Oakley
Tom O’Malley
Mary O’Shea
Scott Osiecki
Larn Parks
Jaida Patterson
Judy Peters
Charmaine Pope
Bert Rahl
Carlos Ramos
Denise Rembert
Jill Rizika
Nicky Roberts
Lula Holt Robertson
Ron Robinson
Kim Rodas
Rev. Max Rodas
Debbie Rodriguez
Judith Ross
Jordan Rothkopf
Angela Rush
Terrence Ryan
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
COMMUNITY FOCUS GROUP MEMBERS
Continued – Page 4
Muqit Sabur
Renay Sanders
Jim Schall
Sabra Scott
Charles See
Michael Sering
Anthony Sharaba
Robert Shields
Dave Shopp
Judith Simpson
Ken Slencovich
Don Slocum
George Smith
Robert Staib
Dolores Stewart
Lorri Stewart
Marlene Stoiber-Burroughs
Kathleen Stoll
Steve Streepy
Carolyn Sugiuchi
Craig Tame
Doug Tayek
Ericka Thoms
Christian Tobin
Mario Tonti
Reginald Turner
Greg Uhland
Luis Vazquez
David Visocky
Diane Walcott
James Walker
Mary Warren
Alisha Washington
Cindy Weiskittel
Steve Wertheim
Sr. Donna Wilhelm
Danny Williams
Eboney Williams
Thomas Williams
Diane Wilson
Shane Winnyk
Debbie Winston
Angela Woodson
Dona Wright
Denise Zeman
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
WORK GROUP MEMBERS
Terry Allan
Susan Axelrod
John Begala, Co-Chair
Richard Browdie
Emily Campbell
John Corlett
Colleen Cotter
Debra Lewis Curlee
William Denihan
Rebekah Dorman
Leslie Dunn
Marcia Egbert
George Espy
Deborah Forkas
Joseph Gauntner
Ron Hill
Catherine Lester
Gail Long
Mary Louise Madigan
Jacqueline McLemore
Sharon Milligan
Thomas Mullen
Judith Peters
William Ryan
Judith Simpson
Mario Tonti
Natoya Walker-Minor
Rick Werner, Co-Chair
Danny Williams
Denise Zeman
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
FUNDERS FOCUS GROUP MEMBERS
Susan Axelrod
Mitchell Balk
William Denihan, Co-Chair
Marcia Egbert
Deborah Forkas
Joseph Gauntner
Ruth Gillett
Kathleen Hallissey
Marita Kavalec
Susanna Krey
Mary Louise Madigan
Janet Narten
Terry Ryan
Judith Simpson
Deborah Vesy
Gordon Wean
Denise Zeman, Co-Chair
City of Cleveland Representative
Suburban Cities Representative
Veteran Services
CUYAHOGA COUNTY TRANSITION
WORK GROUP ON
HEALTH AND HUMAN SERVICES
PROVIDERS FOCUS GROUP MEMBERS
DRAFT MEMBERSHIP
Joyce Able-Schroth
Michael Byun
Deb Cowen
Maureen Dee
Jillian Driscoll
Joan Englund
Stephanie Fallcreek
Billie Osborne Fears
Deborah Forkas, Co-Chair
Rich Frank
Elaine Gohlstin
Aldonis Grimes
Mary Hall
Ron Hill
Dawn Kolograf
Natalie Leek-Nelson
Dave Lundeen
Mary Louise Madigan
Robin Martin
Robert Math
Dr. B.A. Moore
Pat Nobili
Betsie Norris
Judie Peters
Jill Rizika
Max Rodas
Debbie Rodriquez
Maurice Stevens
Mario Tonti, Co-Chair
Luis Vazquez
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
JULY – SEPTEMBER TIMELINE
July:
Funders and Providers Focus Groups Report Out
Community Focus Group
Work Group Meeting
August:
Draft Recommendations Presented to Work
Group and Community Focus Group
September:
HHS Recommendations to Transition Executive
Committee
CUYAHOGA COUNTY TRANSITION WORK GROUP ON
HEALTH AND HUMAN SERVICES
Visit the County Charter website at:
www.charter@cuyahogacounty.us
or visit
the Cuyahoga County Charter Transition Facebook Page