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2019-366-Minutes for Meeting July 08,2019 Recorded 8/8/2019�w�ES C-0 { BOARD OF COMMISSIONERS 1300 NW Wall Street, Bend, Oregon (541 ) 388-6570 1:00 PM i Recorded in Deschutes County Nancy Blankenship, County Clerk Commissioners' Journal � 01esCo II'IIII �<1 p�u c 2019-366 CJ2019-366 08/08/2019 4:01:29 PM FOR RECORDING STAMP ONLY ALLEN CONFERENCE ROOM Present were Commissioners Patti Adair, Anthony DeBone and Phil Henderson. Also present were Erik Kropp, Deputy County Administrator; David Doyle, County Counsel; and Laura Skundrick, Board Administrative Assistant. Several identified representatives of the media and no citizens were in attendance. CALL TO ORDER: Chair Henderson called the meeting to order at 1:00 p.m. ACTION ITEMS 1. Health Services - Courtney: HVAC Replacement Update Lee Randall, Facilities Director, presented plans for HVAC replacement at the Health Services Courtney Building. He explained the recommended contractor has experience with similar projects, is based locally and understands the climate and its challenges. He noted the specific components of the proposed system and pros and cons of the various options. He added that there will be a roof repair coordinated with the system replacement. Commissioner Adair inquired about the project start date and dollar amount. Mr. Randall stated the goal is to have half of the units online and functioning by October to be prepared for heating season. The project was budgeted at $650,000 prior to identifying specific brands BOCC MEETING JULY 8, 2019 PAGE 1 OF 4 and structural upgrades; Sunwest Builders will provide an estimate for budgeting, and Mr. Randall will process subsequent pricing components as required by County contract rules. 2. Discussion and Consideration of Draft Whistleblower Hotline Policy, GA -14 Deputy County Administrator Erik Kropp explained that the current Misconduct Policy and Reporting Policy does not contain State of Oregon mandated whistleblower protections. County Internal Auditor David Givans outlined statistics showing 40% of fraud catches are from hotlines, and anonymous reporters represent about 57% of reports. Assistant Legal Counsel Christopher Bell added that those who engage in whistleblowing have protections, such as state and federal statutes, which help to account for things like attorney fees. The cost of maintaining a hotline could be minimal relative to the potential costs of even a single lawsuit. Additionally, a third party vendor provides further protection from having an internal process. Chair Henderson inquired about other counties with this service, and Mr. Bell replied that it appears to staff that no other counties utilize the hotline. Commissioner Adair reiterated the importance of having a safe space for people to report. Chair Henderson asked for clarification on topics covered under whistleblowing, and Mr. Bell replied that the protections do not require the County to take one specific action. The County would determine whether the report is actionable or not via the statute. Commissioner Adair inquired about third party vendor costs, Mr. Givans replied about $3-5,000 per year. Chair Henderson requested to review the underlying statutes and additional time to further consider this hotline. At the time of 2:00pm Chair Henderson excused himself from the meeting. Commissioner DeBone stated that the reporting received by these hotlines could be valuable to the citizens of the County, and Commissioner Adair agreed. Deputy Administrator Kropp confirmed this item will return to the Board for review at a future meeting. BOCC MEETING JULY 8, 2019 PAGE 2 OF 4 3. Reclassification of Behavioral Health Specialist I to Behavioral Health Specialist 11 Behavioral Health Manager Elizabeth Holden and Health Services Deputy Director Janice Garceau presented a request to reclassify BH Specialist I to BH Specialist II. Ms. Garceau outlined the staff memo and explained there is currently a person in that role who would likely stay. Any financial increase would be down the road with any incremental steps. Commissioner DeBone asked whether that person currently has the proper credentials and Ms. Holden replied yes. Commissioner DeBone and Adair are supportive. Commissioner Adair noted that Chair Henderson previously expressed his support. DEBONE: Moves to approve ADAIR: Second VOTE: DEBONE: Yes ADAIR: Vice Chair votes yes. Motion Carried HENDERSON: Absent, excused. 4. Presentation Review for State of the County Address Laura Skundrick, Administrative Assistant presented the revised draft of the State of the County Address presentation. Commissioners directed several revisions and requested final copies of the presentation for tomorrow's event. OTHER ITEMS: Chair Henderson suggested the legislative meeting be rescheduled until lobbyist Phil Scheuers can attend in person. Ms. Skundrick confirmed she will reschedule the meeting with Mr. Scheuers. Commissioners plan to attend the OLCC Listening Sessions tomorrow prior to the State of the County event. Chair Henderson requested from CDD an updated matrix or map of marijuana grows. Deputy County Administrator Kropp informed the Commissioners that there will be an Executive Session on Wednesday regarding litigation. BOCC MEETING JULY 8, 2019 PAGE 3 OF 4 EXECUTIVE SESSION: At the time of 2:44 p.m., the Board went into Executive Session under ORS 192.660 (2) (e) Real Property Negotiations. The Board came out of Executive Session at 3:11 p.m. RECESS: At the time of 3:14pm, the Board recessed to reconvene on Tuesday, duly 9th at 2:07pm. EXECUTIVE SESSION: At the time of 2:07 p.m. on duly 9th, the Board went into Executive Session under ORS 192.660 (2) (d) Labor Negotiations. The Board came out of Executive Session at 2:40 p.m. ADJOURN Being no further items to come before the Board, the meeting was adjourned at 2:40pm. DATED this —7 Day of 2019 for the Deschutes County Board of Commissioners. PHILIP Ga HjENDERSON, CHAIR PATTI A AIR, VICE CHAT ATTEST° X12_ RECORDING SECRETARY ANTHONY OI ,,Y DEBONE, COMMISSIONER BOCC MEETING JULY 8, 2019 PAGE 4 OF 4 I ES COG -A o ' Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - www.deschutes.org BOCC MEETING AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 1:00 P M, M O N DAY, J U LY 8, 2019 Allen Conference Room - Deschutes Services Building, 2ND Floor - 1300 NW Wall Street - Bend This meeting is open to the public, and allows the Board to gather information and give direction to staff. Public comment is not normally accepted. Written minutes are taken for the record Pursuant to ORS 192.640, this agenda includes a list of the main topics that are anticipated to be considered or discussed. This notice does not limit the Board's ability to address other topics. Meetings are subject to cancellation without notice. Item start times are estimated and subject to change without notice. CALL TO ORDER ACTION ITEMS 1:00 PM 2. 1:30 PM 3. 2:00 PM 4. 2:15 PM Health Services --Courtney: HVAC Replacement Update - Lee Randall, Facilities Director Discussion and Consideration of Draft Whistleblower Hotline Policy, GA -14 - Erik Kropp, Deputy County Administrator Reclassification of Behavioral Health Specialist I to Behavioral Health Specialist II - Elizabeth Holden, State of the County Address Presentation Review COMMISSIONER'S UPDATES EXECUTIVE SESSION Board of Commissioners BOCC Meeting Agenda Monday, July 8, 2019 Pagel of 2 Executive Session under ORS 192.660 (2) (e) Real Property Negotiations OTHER ITEMS These can be any items not included on the agenda that the Commissioners wish to discuss as part of the meeting, pursuant to ORS 192.640. At any time during the 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 192.660(2)(d), labor negotiations; ORS 192.660(2)(b), personnel issues, or other executive session categories. Executive sessions are closed to the public, however, with few exceptions and under specific guidelines, are open to the media. ADJOURN ®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 (department Admin contact) (541) 617-4747. FUTURE MEETINGS: Additional meeting dates available at www.deschutes.org/meetingcalendar Meeting dates and times are subject to change. If you have questions, please call (541) 388-6572. Board of Commissioners BOCC Meeting Agenda Monday, July 8, 2019 Page 2 of 2 ES CpG o' -c Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners BOCC Monday Meeting of July 8, 2019 DATE: July 3, 2019 FROM: Lee Randall, Facilities, 541-617-4711 TITLE OF AGENDA ITEM: Health Services --Courtney: HVAC Replacement Update RECOMMENDATION & ACTION REQUESTED: Review selection process for Construction Manager/General Contractor (CM/GC) for the HVAC replacement project at the Health Services --Courtney facility. BACKGROUND AND POLICY IMPLICATIONS: The Facilities Department has completed a public RFP for Construction Manager/General Contractor services. Update will be provided regarding the selection process, status of the design of the new system, permitting process, and next steps. FISCAL IMPLICATIONS: None at this time. ATTENDANCE: Lee Randall �wT ES COG z Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners BOCC Monday Meeting of July 8, 2019 DATE: June 27, 2019 FROM: Erik Kropp, Administrative Services, 541-388-6584 TITLE OF AGENDA ITEM: Discussion and Consideration of Draft Whistleblower Hotline Policy, GA -14 RECOMMENDATION & ACTION REQUESTED: Staff recommends discussion and possible adoption of the policy. BACKGROUND AND POLICY IMPLICATIONS: Deschutes County currently has a "Misconduct Reporting and Detection Policy," GA -14 (attached). The policy establishes specific guidelines and responsibilities for the communication and investigation of alleged misconduct and other similar irregularities. For Board discussion and consideration, staff has updated and renamed Policy GA -14 to be the "Whistleblower Reporting" policy (attached). One reason for updating the policy is to incorporate whistleblower procedures and protections as required by the State of Oregon. The other main change to the policy is to establish a third party whistleblower hotline, which would be managed by the County's Internal Auditor. Staff is recommending the establishment of a whistleblower hotline as a best practice. Having a hotline is not required by the State of Oregon. However, if an Oregon municipal government decides to have a hotline, there are reporting and other requirements from the state. These requirements have been incorporated into the draft policy. FISCAL IMPLICATIONS: None. ATTENDANCE: Erik Kropp, Deputy County Administrator David Givans, Internal Auditor Christopher Bell, Assistant Legal Counsel Deschutes County Administrative Policy No. GA -14 Effective Date: DRAFT 6-12-19 WHISTLEBLOWER REPORTING STATEMENT OF POLICY This policy is intended to provide a mechanism for employees, volunteers, vendors, and contractors to report concerns (fraud, waste, inefficiency, or abuse) without fear of retaliation or retribution. It is the policy of Deschutes County to comply with ORS 297.760 -.765, governing local government waste hotlines, as well as ORS 659A.200 -.221, governing whistleblower protections in public employment. Nothing in this policy is intended to, or should it be interpreted, as abridging any rights, which exist under law, rule, regulation, or applicable collective bargaining agreement. This policy does not operate to waive any right which may not be legally waived. APPLICABILITY This policy applies to all elected officials, officers, employees, and agents of Deschutes County, including those affiliated with the 9-1-1 County Service District. It also applies to all officers, employees, and agents of entities, committees, and commissions over which County has authority to impose general policies. This policy does not apply to Sunriver Service District, Black Butte Ranch Service District, OSU Extension/411, or road districts. In terms of reporting fraud, waste, inefficiency, or abuse concerns; this policy also applies to the contractors, subcontractors, agents, intermediaries, and others transacting business with the County, and any affiliated entities, committees, or commissions. POLICY AND PROCEDURES A. In General The County shall review all reported fraud, waste, inefficiency, or abuse concerns. Investigations conducted will not consider the position, title, or length of service of any party named in the report. In circumstances where there is a potential crime, the appropriate law enforcement agency will be involved prior to any investigation. The estimated monetary value of any loss will be considered in utilizing resources to investigate reports. (for example, a missing $2 pen might not warrant a significant investigation). Reports of employment-related concerns, such as reports of employment-related harassment, retaliation, or discrimination should continue to be reported to Human Resources or other channels in accordance with the County's Non -Harassment and Non -Discrimination Policy, HR -10. Any of these concerns reported to the hotline will be forwarded to Human Resources. These reports may be entered into the hotline management system for statistical reporting and will not be handled or reported under this policy. While such reports are not technically governed by this policy, legitimate reports made to the County in good faith are likely covered by the whistleblower protections found in 659A.200 -.221, Concerns reported outside of fraud, waste, inefficiency or abuse may be handled at the discretion of the County Internal Auditor or County Administrator. Concerns not involving Deschutes County or its affiliated entities will be forwarded to the appropriate entity. B. Resbonsibilities — Em-olovees An employee of Deschutes County who has a legitimate, good faith concern of fraud, waste, inefficiency, or abuse, is responsible for immediately reporting this information as provided in this policy. Anyone with a concern should be encouraged to use the hotline. In addition to using the hotline, employees may report these concerns to their immediate supervisor, manager, department head, or to the County Counsel, County Administrator, or County Internal Auditor. Any employee who is aware of fraud, waste, inefficiency, or abuse from another employee or the public shall immediately report such concern to the County Internal Auditor or County Administrator. C. Whistleblower Hotline The Deschutes County Whistleblower Hotline is operated by a specialty vendor that provides confidential hotline services 24/7/365. Reporting options include a toll-free phone number, website, email, and fax. The Whistleblower Hotline will provide a unique case number for all callers to allow for follow-up on their reported concern. Persons making a report to the hotline will be asked to provide as much detail as possible. Persons making a report to the hotline will have the ability to remain anonymous if they choose. The identity of callers who make reports to the hotline will be protected to the fullest extent practicable. Notices containing the means of contacting the Whistleblower Hotline will be distributed to County departments, offices, and affiliated entities, and will be prominently displayed. Instead of making a report to the Whistleblower Hotline (or in addition to), a person may report an incident to the Oregon Government Waste Hotline operated by the Oregon Secretary of State at 1-800- 336-8218. D. Confidentialitv/Anonvmit Confidentiality of persons making reports will be protected to the fullest extent practicable. If the reporting party chooses to remain anonymous, the County's ability to conduct an internal investigation may be limited. Employees who remain anonymous are not afforded the protections provided under Oregon whistleblower law.. Also, anonymity cannot be expected if a criminal investigation results from the report and the County may not be able to take corrective action if persons reporting misconduct or fraud choose to remain anonymous. The County Internal Auditor and all participants in an investigation shall treat all information received confidentially to the extent allowable by law. Internal Audit investigations will not be disclosed or discussed with anyone other than those who have a legitimate business need to know. All public records requests with respect to a report under this policy or associated investigations shall be directed to the County Internal Auditor and County Counsel. While reports submitted in confidence under this policy and reports and other materials produced as part of internal investigations relating to allegations of fraud, waste, inefficiency, or abuse may be afforded some protection against disclosure under Oregon law, such protections against disclosure cannot be guaranteed. E. Investigations and ReportHandling A "report" is any concern reported to the Whistleblower Hotline. 2. Oregon Statutes govern operation of local government hotlines. This policy describes generally how the County's hotline works. The County Internal Auditor should be consulted if there is a question about this policy. 3. All reports are considered reports to the independent County Internal Auditor. 4. Investigating Reports - upon receiving a report, the County Internal Auditor will consult with the County Administrator and relevant parties at Deschutes County to determine whether adequate information exists to conduct an investigation. a. If it is found that adequate information has not been received in a report to proceed with an investigation, the person who submitted the report may be asked for additional information. If additional information is not provided, the County Internal Auditor may decide to close the case and notify the person who submitted the report of the decision. b. Special situations - i. Where the report involves alleged fraud, waste, inefficiency, or abuse by a member of the Board of County Commissioners, other elected County official, the County Administrator, or the County Counsel; the County Internal Auditor will conduct an initial review or contract out the review to an independent auditor or Certified Fraud Examiner, and report the results to highest and most independent management not named in the report or involved in the allegations made in the report. ii. Where the report involves the County Internal Auditor, the Chair of the Audit Committee, County Counsel, and County Administrator will conduct an initial review or contract out the review to an independent auditor or Certified Fraud Examiner. 5. If sufficient information exists to require an investigation, the County Internal Auditor, in consultation with the County Administrator, will determine who will investigate the report. The County Internal Auditor can seek input from relevant County parties. The County Internal Auditor will be responsible for ensuring, conducting, or overseeing investigations. a. Regardless of whom they concern, reports involving potential criminal activity will be immediately brought to the attention of law enforcement. The County Internal Auditor may assist law enforcement in any ensuing investigation, if requested. No internal County investigations will occur until the criminal investigation has been completed. b. The County Internal Auditor may delegate or share investigations with appropriate department management staff or outside independent contractors depending on the nature and scope of the concern and on a strictly need -to -know basis. 6. The County Internal Auditor has primary responsibility for monitoring the investigation of all reports except as identified in the special situation investigations section for a report concerning allegations of fraud, waste, inefficiency, or abuse against the County Internal Auditor. Investigations will be independent, impartial, and fact -based. Within the scope of the investigation and as required by law, the County Internal Auditor (or designee) will have: a. Free and unrestricted access to all relevant County records, data, employees, and premises, whether owned or rented - except information that is protected under state statute (such as records associated with a pending criminal investigation). The County Internal Auditor has significant access authority provided by County Code 2.14.060; and b. The authority to examine, copy, or remove all or any portion of the contents of files, desks, cabinets, and other County property without prior knowledge or consent of any individual who might use or have custody of any such items. 7. The department head/elected official whose department/office is involved with the report may appeal the investigatory approach. Directors/department heads may appeal to the County Administrator and elected officials to the Board of County Commissioners. Any discussions on appeals with the Board of County Commissioners should be made in executive session. With regard to any reports made under this policy, the County Internal Auditor will be responsible for: a. Communicating in a timely manner with the person who submitted the report and asking relevant follow up questions, if necessary. b. Maintaining the integrity of the report process to ensure that reports are treated with seriousness, kept confidential to the extent practicable, investigated thoroughly, and resolved in a timely manner. c. Preserving information that is received by the County Internal Auditor's Office concerning investigations and work performed pursuant to this policy. d. Ensuring that any potential ethical violations under ORS 244 are reported to the Ethics Commission. e. Ensuring that any criminal activity is reported as soon as possible to the appropriate law enforcement agency. 9. The County Internal Auditor will also provide periodic high-level reports to the County Administrator, Board of County Commissioners and the Audit Committee. When developing the annual internal audit work plan, the County Internal Auditor will consider the concerns raised in reports and/or the results of investigations. The County Internal Auditor can initiate an audit based on a report even if it was initially referred to another department or law enforcement for investigation. 10. Once an investigation is completed, the County Internal Auditor is responsible for providing a written determination of any investigations completed and include: a. the nature of the report, b. whether the report was founded or unfounded, and c. any applicable recommendations concerning appropriate resolution of the concerns arising in the report. The written determination is a public record. While such a determination may be exempt from disclosure under Oregon public records law, such exemption cannot be guaranteed. Upon conclusion of an investigation, recommendations may be made to department management where appropriate to minimize future risk. Management is responsible for implementing sufficient and appropriate controls to prevent reoccurrence. DEFINITIONS AND EXAMPLES The following definitions and examples are meant to provide some guidance as to the nature and type of ethical concerns. However, reports can include any type of concern. 1. Abuse - the intentional, wrongful, improper use, or destruction of County resources. Abuse can include the excessive or improper use of an employee's or official's position in a manner other than its rightful or legal use. 2. Fraud - at its most basic definition, fraud is the act of using dishonesty for personal gain. In the context of this policy, the definition includes any misuse of, or attempt to misuse, a County asset for personal gain, or for purposes unrelated to County business. There are three main categories of fraud: financial statement fraud, misappropriation of assets, and corruption. Examples include, but are not limited to: a. Stealing or removing County assets; b. Using County equipment, facilities, supplies, or funds for purposes unrelated to County business; c. Obtaining County funds or compensation through dishonesty; d. Falsifying financial records; e. Theft or misuse of County money, services, equipment, supplies, or other materials; f. Intentionally misrepresenting the costs of goods or services provided; g. Falsifying payroll information; h. Submitting false claims for reimbursements; i. Soliciting or accepting a bribe or kickback; and j. Falsifying weights or measures. 3. Ethics —Ethical complaints for public officials under Oregon Government Ethics law in ORS Chapter 244, include: a. Use of public office for personal financial gain; b. Conflicts of interest; c. Nepotism; d. Prohibited gifts; or e. Failure to report statements of economic interest. Violations of the County's Code of Ethics found in Deschutes County Code 3.28.010. 4. Inefficiency — failure to make the best use of County time, County resources or participating in uneconomical practices that impacts the County. 5. Waste: The needless, careless, or extravagant expenditure of County funds, incurring of unnecessary expenses, or mismanagement of County resources or property. Waste does not necessarily involve private use or personal gain, but usually signifies poor management decisions, practices, or controls. 6. Examples - the following are some of the types of concerns that may be reported: Concern TypeDescription/Example Abuse of Benefits Improper or deceiving actions, including falsification of records or physical conditions related to benefit plans including paid time off programs. Accounting, Auditing, and Internal Questionable procedures relating to accounting, auditing, or Financial Controls financial controls. (Examples include misstatement of financial reports, violations of Generally Accepted Accounting Principles, billing issues, information security, and financial concerns). Compliance and Regulation Violations of a rule, policy, regulation, law, operating Violations procedure, past practice, or protocol. Conflict of Interest Actions that influence the exercise of one's job duties. Examples include inappropriate vendor relations, bribery, nepotism, and exploitation of confidential information. Embezzlement Fraudulent appropriation of assets by an individual to whom such property has been entrusted. Falsification of Contracts or Records Altering, fabricating, destroying, misrepresenting, or forging contracts or documents for personal gain. Health record miscoding or up -coding Purposely miscoding a client's health record or up -coding. Up - coding is purposely using a billing code that does not match the procedure performed and results in a higher billing rate. Improper Giving or Receiving of Giving, receiving or solicitation of valuables, which could be Gifts interpreted as an effort to influence a business relationship or decision. IT Security Concerns Violations of information security policies, conduct that results in potentially compromising the County's network or technology resources. Sabotage Interference in order to cripple, shut down, or reduce the output of an operation. Vandalism The deliberate and willful destruction of, or damage and impairment to, equipment or property. Theft of Property Stealing property belonging to the County or another. Time Abuse The act of falsifying one's own or other's work hours, excessive personal internet or computer use. Unusual or Suspicious Activities Irregular activities that raise a concern which warrants an investigation. Areas that should be reported to Human Resources, include employment-related concerns, such as reports of employment-related harassment, retaliation, supervisor disputes, grievances, and discrimination. INTERPRETATION AND IMPLEMENTATION Any questions concerning the intent or application of this policy should be directed to the County Internal Auditor or designee who is delegated the responsibility for the interpretation and implementation of this policy. Approved by the Deschutes County Board of Commissioners on Tom Anderson, County Administrator MUD E S CSG o Deschutes County Board of Commissioners ® 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners BOCC Monday Meeting of July 8, 2019 DATE: July 3, 2019 FROM: Elizabeth Holden, Health Services, TITLE OF AGENDA ITEM: Reclassification of Behavioral Health Specialist I to Behavioral Health Specialist II RECOMMENDATION & ACTION REQUESTED: Health Services is requesting approval to reclassify an existing position in the Intensive Youth Services program from a Behavioral Health Specialist I to a Behavioral Health Specialist II. BACKGROUND AND POLICY IMPLICATIONS: This clinical mental health position is located in the Intensive Youth Services, Wraparound Program. The Wraparound program provides behavioral health services to children ages 0-18 and their families. The request is to reclassify an existing Behavioral Health Specialist I (BHS 1) to a Behavioral Health Specialist II (BHS II). The primary reasons for the request include a shift in the level of complexity demanded by position, loss of billing revenue (explained below) and the need to restore client -to -staff ratios as outlined in both the Coordinated Care Organization and Oregon Health Authority contracts. When this position was last classified, the primary duties and responsibilities involved a wide variety of paraprofessional duties including care coordination and case management services that are provided under a treatment plan developed by a BHS II. Many of the duties originally assigned will continue under this position; however, the level of complexity and the degree of involvement and independence of action has increased. The role now requires the application of specialized knowledge in the area of behavioral health diagnosis and intervention, which is part of the BHS II skill set. This position now provides triage, assessment, treatment, case management, care coordination, and case assignment and screening services for Intensive Youth Services. An example of Behavioral Health Specialist II positions in Health Services that provide similar duties are those positions located on the Access team. Intensive Youth Services provides screening and assessment services to more than 400 clients annually. Each screening that is performed by a BHS II generates $95.43 in billing revenue, per the Oregon Health Plan fee schedule. If these services continue to be provided by a BHS I, Health Services will continue to be unable to generate revenue undercurrent billing rules. If the position is converted to a BHS II, Health Services will generate revenue through Oregon Health Plan billing and would be able to meet the required fidelity caseload ratio for Wraparound. As a BHS II, this position could assume a caseload of out -of -the -area Intensive Care Coordination clients, eliminating the need to assign two staff members (a BHS I and a BHS II) to each case, thus enable Health Services to restore the required 1:15 client -to -staff ratio outlined in our Oregon Health Authority and Coordinated Care Organization contracts. FISCAL IMPLICATIONS: At this time, the personnel cost impact would be neutral. The current employee in the position is at Step 5 of the BHS I pay scale at $29.5035 per hour and, if approved, would transition to a BHS II Step 2 at $29.5035 per hour. The personnel cost impact would remain neutral for a minimum of two years and could possibly be offset by the additional revenue of billing. This request was not made at the time of the budgetary process because at that time additional funding was anticipated through the Substance Abuse Mental Health. Services Administration to add a BHS II. Unfortunately, that funding did not materialize. ATTENDANCE: Health Services staff: Elizabeth Renteria Holden, Intensive Youth Services Program Manager; Janice Garceau, Deputy Director Behavioral Health For the Board of County Commissioners BOCC Monday Meeting of July 8, 2019 DATE: July 3, 2019 FROM: Cody Smith, Road Department TITLE OF AGENDA ITEM: Executive Session — Real Property BACKGROUND: Discussion of the current status of right of way acquisitions for the SW Canal Blvd/SW Helmholtz Way Intersection Improvement project. ATTENDANCE: Cody Smith, Road Department 67 150 SE 27th Str`e t. Berth, Oregon 97702 (541) 388-6581 road@deschutes.org www.deschutes.org