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2015-94-Minutes for Meeting March 03,2015 Recorded 3/13/2015 DESCHUTES BLANKENSHIP, COUNTY CLERK CJ 2015.94 NANCY COMMISSIONERS' JOURNAL 111110 I11IIIIII1II III I 1II 03/13/7015 08;11;33 RM 21 4 .ex J-cES lip sae 0/�'`ev Deschutes County Board of Commissioners 1300 NW Wall St., Bend, OR 97701-1960 (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org MINUTES OF DEPARTMENT UPDATE DESCHUTES COUNTY BOARD OF COMMISSIONERS TUESDAY, MARCH 3, 2015 Present were Commissioners Anthony DeBone, Alan Unger and Tammy Baney. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; Sharon Ross, Judith Ure and Anna Johnson, Administration; and Keith MacNamara, Veterans' Services. Also in attendance was veteran Ken Helgy. Internal Auditor David Givans was unable to attend. Chair DeBone opened the meeting at 9:15 a.m. The purpose of the meeting was for Administration to provide a brief update of activities and programs. Tom Anderson said this is the beginning of round two of the performance update process. The Departments are given flexibility and can focus on specific areas of their operation or offer a site visit, or whatever else is of interest and relates to actual services provided. 1. Veterans' Services Office Update. Keith MacNamara spoke about the process followed when they hear from a veteran who needs services. After the initial discussion, an appointment is set and a welcome letter sent out confirming the appointment and detailing the services offered. Sometimes the spouse or children are involved. Many disabilities are covered. Most are those conditions that occurred in active duty or were aggravated by this. Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 1 of 6 Pages There is a non-service related benefit for low-income veterans who served actively. There is a widow's pension available to some. If a veteran dies of a service related condition, there is compensation to the family including health care and education reimbursement. Burial services are also available in a national cemetery. Health care is offered through the DVA, and most of the time it is free. There are federal VA and State home loan programs, which are competitive in the rate charged. There is vocational rehabilitation available for up to two years to train for another career, plus a monthly stipend. A clothing allowance is given if a veteran has to wear special clothing due to a brace or other device, for service- related issues. An adaptive equipment allowance can be granted to provide a modified vehicle or home improvements to accommodate a disability. A lot of volunteers will also help with this. The client signs a power of attorney so they can be represented at the State and Federal level by the Veterans' Office representative. There is an extensive interview to make sure everything is covered, to maximize their benefits. Medical records are reviewed at length. All information is entered into a database. Documents are filed and requests made for services or funding. The date of the claim is the date of application, and benefits are tax-free. They meet again with the veteran to make sure it is all going as it should. They will also file a formal appeal if necessary, but this can sometimes take years. One of the common issues is agent orange exposure and problems related to that. Not all conditions are on the agent orange list, but all are reported. Mr. Anderson asked if his office is more an advocate than a processor. Mr. MacNamara said that they try to fight for their veterans here. Commissioner Unger asked what kind of coverage is typical. Mr. MacNamara said there are a lot of disabilities, from partial hearing loss to issues that are a lot more profound. The amount given for an ailment is black and white, but there are times when it is hard to determine. It can be a very long process. Recently they are having benefits sign up for e-benefits, where veterans can check on the status of their claims. Conditions can get worse over time, so the veteran can refile every year for increased benefits. Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 2 of 6 Pages Ken Helgy spoke about his experiences, and how some in the Veterans' Administration discouraged a lot of veterans from applying or did not recognize their conditions. He was a veteran for 24.5 years, from Vietnam to Afghanistan. He spent time in the hospital, and went to college and got a degree. Many veterans did not follow that path and got involved in drugs, or made the world an obstacle. He has worked with Caring for Troops, the Vietnam Veterans' Association, American Legion, VFW and COVA, Band of Brothers and the Community Center. He was an instructor for the Department of Defense regarding drug counseling services. He has had a big fight on his hands to get his benefits. He has 28 health issues and had numerous surgeries. Some medical services are not the best. Many veterans can't handle the process and give up. He said they are fortunate to have Mr. MacNamara here to represent veterans. It helps to have someone who knows how to navigate the system. Mr. MacNamara gets backlogged since there is so much work and not enough help, but he stays on top of it. Mr. Helgy said that it revolves around trust, and the veterans have confidence in Mr. MacNamara. Commissioner Baney asked what is missing. Mr. Helgy said that they need more help. More troops are coming back from the Middle East and there are a lot of different issues, but many are being directed to get services immediately. Commissioner Unger asked if there is a way to get more help through volunteers. He would support having someone trained to do this as well. Mr. MacNamara said that volunteers are not allowed to do much do to privacy issues. He has work study students to help some but they are not allowed to do much. It takes two years to become accredited, on the job and going to training classes. Chair DeBone asked if there is pressure from other counties for these services. Mr. MacNamara said they have some representation in other counties and they will help each other. Upper Klamath County veterans are having the most difficulties and some of his clients are from there. Mr. Kropp stated that if the work gets behind here, those clients have to be referred back to their resident county. Mr. MacNamara said it is a lot further for these clients to drive to their service provider than it is for them to get to Bend. Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 3 of 6 Pages Mr. MacNamara said he does presentations at care facilities and some home visits. He works with the homeless veterans as time allows. He covers the entire County. Erik Kropp said that visits to other locations were discouraged because of the travel time involved, but then the service level goes down and the services are delayed. However, the Board decided to reinstate the site visits. Mr. MacNamara noted they spend a lot of time on the road, visiting hospice centers and nursing homes as well as home visits. They try to coordinate several visits at each location, and try to get as much work as possible done in advance. They bring in about $2 million in claims per quarter for the clients. Some of this could have been worked on years earlier. Commissioner DeBone asked what level are people who are here and which are new residents. Mr. MacNamara said that many who lived here for years finally realize they can make a claim. A lot of this is word of mouth from friends who convince them to try. A few connect through the American Legion or VFW. He is the only accredited representative for the V.A. in Deschutes County. Anna Johnson provided an overview of the social media aspects of the website. The trend is to rely more and more on cell phones and personal devices. Photos and text can be posted immediately. (See attached handout.) There are criteria to follow for posting on the Facebook page. Whoever does this is trained and goes through a process. Departments can have a page for a specific program, which they have to keep current. Ms. Johnson can oversee all of these pages. Social media reaches the public direct, where they are. It is more casual and comfortable for the public. Facebook is the primary program. Commissioner Baney asked if there is ever an issue when there is a controversial issue that allows improper postings. Ms. Johnson said the communications policy is clear and can be protected. Commissioner Baney said that it might be worthwhile to post what is going on at the legislature regarding the regulation of e-cigarettes. Another issue that is more controversial is the immunization issue. Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 4 of 6 Pages Commissioner DeBone is concerned about negative comments, and the time it takes to keep on top of Facebook. He likes information being distributed, but it often consumes peoples' lives. Ms. Johnson said the County's Facebook has been up for several years and most of the time the comments are positive or neutral. Negative comments can often be addressed. Postings to Facebook automatically go to Twitter. The County also has U-Tube but Ms. Johnson does not have time to post to it often. 1.T. can post video, and also audio with a set background. Social media is free unless you want to buy ads or boost a posting. Anything that is not appropriate can be pulled down but this has to be documented. Commissioner Baney asked if there are any automated sites that they can show on a regular basis as being updated. She would like to see this less reactive and more planned out. Ms. Johnson stated there is no strategy for postings unless there is an advertising campaign for something. Commissioner Baney would like to see a strategic plan to feature certain services. Ms. Johnson stated that she is working with Mr. MacNamara on a program and they can look at this. Of the Facebook followers, 73% are women, and most are 35-44 years old, and 26% are men of the same age group. Those are the people who like or share the site. As of yesterday, 1,718 people are followers, with most living in Bend. Ms. Johnson said they get a lot of hits on job postings. Commissioner Baney suggested perhaps this could be done on a regular basis. Ms. Johnson stated they post the news that people seem to want to know about. The number of followers went up almost double from before the Two Bulls Fire to afterwards. Ms. Johnson stated that most followers are on Facebook between 8 AM to 8 PM. Chair DeBone asked if they should make more efforts toward increasing followers, and how it compares with other organizations. Ms. Johnson will find out. Mr. Anderson said that using it strategically is a good idea, while they update their overall communications program. Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 5 of 6 Pages Mr. Anderson asked if the format for the updates works for the Board. Chair DeBone would like to be able to focus on specific issues. Commissioner Baney would like to be able to ask questions and have a discussion. A less formal type of meeting is supported by the Commissioners. Being no further discussion, the meeting adjourned at 1 0:50 a.m. DATED this � I Day of : ( 2015 for the Deschutes County Board of Commissioners. Anthony DeBone, Chair Alan Unger, Vice Chair ATTEST: Tammy Baney, C It% missioner • r6L-c_ Recording Secretary Minutes of Board of Commissioners' Special Meeting Tuesday, March 3, 2015 Page 6 of 6 Pages ctAppg, , , ,,,40, Z ur -§ Deschutes County Board of Commissioners 1 300 NW Wall St., Suite 200, Bend, OR 97701-1960 Th77'", (541) 388-6570 - Fax (541) 385-3202 -www.deschutes.org AGENDA—DEPARTMENT UPDATE - ADMINISTRATION DESCHUTES COUNTY BOARD OF COMMISSIONERS TUESDAY, MARCH 3, 2015 1. Veterans' Services Office Update —Keith MacNamara 2. Social Media Discussion—Anna Johnson 3. Other Items PLEASE NOTE:At any time during this meeting,an executive session could be called to address issues relating to ORS 192.660(2)(e),real property negotiations;ORS 192.660(2)(h),litigation;ORS I92.660(2)(d),labor negotiations;or ORS 192.660(2)(b),personnel issues;or other issues under ORS 192.660(2),executive session. Meeting dates,times and discussion items are subject to change. All meetings are conducted in the Board of Commissioners'meeting rooms at 1300 NW Wall St., Bend,unless otherwise indicated. If you have questions regarding a meeting,please call 388-6572. Deschutes County encourages persons with disabilities to participate in all programs and activities. This event/location is accessible to people with disabilities. If you need accommodations to make participation possible,please call(541)388-6571,or send an e-mail to bonnic.baker(ct)deschutes.org. Board of County Commissioners Update on Veterans' Service Office March 3, 2015 1. Overview of Services (5-10 minutes) • Customers: veterans, spouse, widow/widower • Submit claims to Veterans' Administration for the following: -Service connected disability compensation -Non-service connected pensions -Widow/widower pensions -Dependency and indemnity compensation -Burial benefits -Medical benefits -Home loans -Vocational rehabilitation -Clothing allowance -Adapted equipment applications -Home improvement for handicapped adaptability • Process: welcome letter, power of attorney, extensive interview, enter data into Vetraspec, compile documentation and submit claims, claims determination and potential appeal, Ebenefits, re-file in some cases. • Outreach: La Pine office 3 times per month; Redmond(VFW and American Legion) ) 3 times per month; Sisters 2 times per month(Chamber); assisted living facilities, homes, and other locations. • Timeline of appeals: -Notice of Disagreement, up to 2 years -Appeal to the Board of Veterans Appeal (Washington, DC), 2-5 years • Metrics: -Walk Ins and Total Interviews comparison -Current wait time: approximately 3 weeks -Oct—Dec 2014: $2 million for clients 2. Comments from Ken Hauge—client (5-10 minutes) 3. Questions/comments from the Commissioners (5-10 minutes) Board of Commissioners Update 3-3-15 Veterans' Service Office July - Dec. Service Level Comparison Walk Ins Total Interviews FY 2011-12 517 850 FY 2012-13 378 1,059 FY 2013-14 663 1,178 FY 2014-15 614 1,175 FY 2015-16 804 1,521 2500 2000 1500 -Total Interviews 1000 -Walk Ins 500 0 FY 2011-12 FY 2012-13 FY 2013-14 FY 2014-15 FY 2015-16 o l'Illi, >41 -p sue(::1 (1) C C CO M 0 a) 0 (//) firi ,v V 4‘iii 0 0 = o a - 4) L - 1 v • M °M Cid (1) 'Da() S nil ' a) >% o �.�. V •— ..� vi -0 -a 5 a,) a.) ,„.. rc, 0 0 •E sr IIIIIII■ o (In ‘IMII • • 4iaj i •- ■■.■ Cl ci •-- 0 Vm(1) IM11§1 LIM O V) ' i ( 'r �{d + 1 � e It I I+' ad"'4 , .J ¢ Irv, 1,r,,........--e 1 ' 47:14;•',',-. 1A y„.W.M+.7 Ixl `K 1'.'.. P „, w ^6'.�. t ➢ d �+i'.1, 1 J7-rY v ti%s, c .— C) p .o O IN gr u • • E 2 E au V E C13 L s a) p L �O O V V E U N . -v •- a5 ■ ed S . O V) ci .- Sr � (1) - a) s v) 4� `*..' 4� 4o VI O .. 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CY e 0 n Ai v:4 , 4 ip, rA .-,_ ,, ,i. al (--0/ -0. .....„, mpg ,,,J)1 , s Q24 /10- ( co C\1141.1)\\ 0 07"1 (la ' .1:2 , i la ._ II 9•113 i 0 1'"' '� I 101 ( ii , ,,._ ___, A ki>. v (0 to irli CONNECT Online With Deschutes County! FACEBOOK PAGES: Deschutes County main page: www.facebook.com/Deschutes.Countv Women, Infants & Children (WIC): www.facebook.com/Deschutes.WlC 9-1-1: www.facebook.com/Deschutes911 Fair & Expo Center: www.facebook.com/deschutes.countv.fair.and.expo INSPIRE: www.facebook.com/INSPIRE.Deschutes, The SPOT: www.facebook.com/deschutes.spot COPY: www.facebook.com/Deschutes.COPY Cuidate: www.facebook.com/CuidateCentralOregon District Attorney's Office: www.facebook.com/deschutesDA Project Wildfire: www.facebook.com/pages/Project- Wildfire/167396376639445 F,w TWITTER FEED https://twitter.com/deschutescounty DON'T FORGET!! STREAMING MEETINGS: Watch Board business meetings live as they happen or after: www.deschutes.org/BOCCmeetingvideos GET COUNTY NEWS! 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