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Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers

Enhancing quality of life for Delaware by promoting health, self-sufficiency, and protecting vulnerable populations. Focus on employing and supporting individuals with disabilities, addiction services, and health care innovation. Overview of achievements, next steps, and budget details.

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Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers

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  1. Fiscal Year 2016 Budget Hearing Office of Management and Budget Legislative Hall Senate Chambers Thursday, November 20, 2014 Rita Landgraf Cabinet Secretary

  2. Improve the quality of life for Delaware’s residents by promoting health and well-being, fostering self sufficiency and protecting vulnerable populations OFFICE OF THE SECRETARY Management Services State Service Centers Public Health Social Services Medicaid and Medical Assistance Long Term Care Residents Protection Substance Abuse and Mental Health Child Support Enforcement Developmental Disabilities Aging and Adults with Physical Disabilities Visually Impaired

  3. DHSS Accomplishments • Health Care Reform (ACA) • Medicaid Expansion and Health Insurance Marketplace • DHSS and Dept. of Insurance Policy Changes • Information Technology • Outreach and Marketing

  4. DHSS Accomplishments • State of Delaware and US DOJ Settlement • Reforming Delaware’s Mental Health System

  5. DHSS Accomplishments

  6. Employing People With Disabilities • To promote an open atmosphere statewide in which our employees feel comfortable in disclosing their disability.  • To provide education and support on accommodating people with disabilities and the benefits of doing so.  • To provide individuals with disabilities with the same opportunities and environment to succeed as everyone else.  

  7. Why This Focus Is Critical: • Highest unemployment/under-employment rate of any minority population; • Individuals with disabilities face a high level of poverty; and • Individuals with disabilities are an untapped, under-tapped resource.

  8. Expectation Is for World of Work U.S. employment rates for people age 20-24 (March 2013) 24.7% people with disabilities 61.1% people without disabilities

  9. Employment Focus • Collaboration with the Healthcare Association to develop internships. • UD conducted comprehensive survey of state employees. • Governor launched a partnership between Specialisterne and CAI. SAP, GlaxoSmithKline and Walgreens all made hiring commitments. • Employment for individuals with disabilities increased 8.6% between 2011 and 2013.

  10. Changing State Government Culture • New OMB training module: • Message from Governor. • A snapshot of the • Americans with Disabilities • Act. • Information on interacting • with colleagues who have disabilities. • Resources, including delaware.gov employment page. • Information on hidden disabilities. • Statistics and studies.

  11. DHSS Accomplishments • Increased education and awareness about the dangers of smoking and the importance of cancer screening. • Modernized the Mental Health Commitment Law. • Development of a medical marijuana compassion center. • Established the Office of Animal Welfare into DPH. • Created a background check dashboard for employers and law enforcement.

  12. DHSS Accomplishments • I-ADAPT team • Volunteerism • Telehealth • Community Garden

  13. DHSS Accomplishments • Expanded uses of Stockley Center’s state-of-the-art medical facility and 750 acres. • Developed a plan to serve people who will be diagnosed with Alzheimer’s disease. • Launched PEDS Online. • Implemented the Civil Union and Marriage Equality laws. • Strengthened patient safety laws in partnership with the Department of State.

  14. Moving Forward • Build Upon Our Successes: • Affordable Care Act mandates • US DOJ Settlement • LTC Transition • DHSS Mission • Best Practices

  15. Moving ForwardEmerging Issues • Addictions Services • We know that untreated, or poorly treated, substance use disorders cause suffering, illness, loss of human potential, damaged families, weakened communities, and extraordinary costs to the state and the nation at a higher rate than other serious illnesses. U.S. COSTS • Cancer (15% tobacco) $128B • Diabetes $245B • Heart Disease & Stroke (30% tobacco and drugs) $444B • Substance Abuse $559B

  16. Continued Focus • Community-Based Services: • DSAMH • DDDS • DSAAPD • Coalition of Caring

  17. Continued Focus Delaware’s Health Care Innovation Work

  18. Continued Focus • Staff and Client Security • Continued Efficiencies • Physical Plant

  19. Medicaid Growth

  20. Budget Process(in thousands) • FY 15 GF Budget $1,113,633.8 • Requested New Dollars $ 21,696.1 • FY 16 Door Openers • Resources needed for increased volume, annualizations • FY 16 Total GF Request $1,135,329.9 [1.9% Increase over FY 15]

  21. FY 16 GF Budget Request - $1,135,329.9 Door Openers USDOJ/DPC Settlement $3,214.0 • Housing Vouchers [$1,125.0] • Coordinated Care Management [$100.0] • Supported Employment [$100.0] • Assertive Community Treatment [$954.0] • Peer Supports [$175.0] • Crisis Services [$760.0]

  22. FY 16 GF Budget Request - $1,135,329.9 Door Openers (Cont’d) DDDS - FY 15 Placements (FYF) $2,124.8 DDDS - New Community Placements/ $3,111.6 Special School Grads DDDS - Rebase Direct Support $1,169.9 Professional Rates DSAAPD - Community Svcs. Wait List $ 910.0 DHSS - Lease Escalators $ 119.1 DHSS - FY 15 Salary Policy Contingency $ 447.6

  23. Enhancements Substance Use Disorder Programs (DSAMH) $3,635.0 Addiction Prevention & School Based Educations (DPH) $ 100.0 Eligibility Modernization System Maintenance & $2,358.3 Operations (DMS) Data Warehouse Maintenance & Operations (DMMA) $ 275.0 Child Care Sliding Fee Scales (DSS) $1,139.3 Department-wide Security Initiatives (DMS) $ 193.0 SIM Care Coordination Fees (DMMA) $1,300.0 Family Support Waiver (DDDS) $ 944.2 FY 16 GF Budget Request - $1,135,329.9

  24. FY 16 GF Budget Request - $1,135,329.9 One-Time Substance Use Disorder Programs (DSAMH) $815.0 Department-wide Telephone $288.5 Upgrades (DMS)

  25. FY 16 GF Budget Request – $1,135,329.9 Structural Changes • Reallocate Child Care funding to the Dept. ($500.0) of Education • Reallocate Medical Examiner operational funds to ($ 37.2) OMB in support of the Dept. of Safety Homeland Security, Forensic Sciences unit

  26. FY 16 Capital Budget Request Project Name • Maintenance & Restoration $4,750.0 • Minor Capital Improvements $6,000.0 • Roof Repair/Replacement $2,300.0 • Holloway Campus Electrical System Replacement $3,460.0 • IT Projects $7,490.8

  27. FY 16 Capital Budget Request (cont’d) Project Name • Drinking Water State $1,850.0 Revolving Loan Program • Critical Equipment $ 150.0 Replacement Program

  28. Important Partnerships • CROSS CABINET INITIATIVES • Delaware State Housing Authority - SRAP • Early Childhood Education • I-ADAPT - Individual Assessment and Discharge Planning Teams • Health Care Reform • Behavioral Health - Education and Prevention - Treatment and Recovery • COMMUNITY PARTNERS

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