HCS Highlights | Winter 2019 2019 ROAD SHOW UPDATE Kristin Byrne, Deputy Director, Field Operations

Bea and I have had the opportunity these last couple months to travel around the state as part of our annual road show to learn more about your successes, struggles, questions and concerns. Below I have listed a few of the common concerns we heard and what we plan to do to address them.

• Infants at Work: ALTSA divisions are working together to identify and address the physical space requirements and evaluate the potential impacts and considerations relating to business operations, differing job duties, safety and potential work load impact.

• Telework expansion: Regions will continue to monitor telework implementation to ensure adequate office coverage and timely communication access for clients, representatives and community partners. So far, teleworking has been expanded for financial staff. We are evaluating expanding telework from 2 to 3 days for social services staff and are evaluating whether expansion to positions such as supervisors is feasible.

• FTE and growing caseloads: We recognize the need to a ddress the growing number of referrals and the increasingly complex needs of many of our clients. Although the workload model does generate additional FTEs as the number of clients accessing our services grows, it does not take into consideration changes in acuity or complexity. We continually evaluate ways to effectively measure the impact of changes and t he number of staff we have appropriated to do our work.

• Changing client needs: ALTSA is serving more individuals with behavioral support needs, which may be due to diagnoses of mental illness, traumatic brain injury or dementia. We are exploring ways to address the lack of resource availability and workforce shortages. Specifically, we are examining rates and how to provide adequate behavioral support and access to specialized dementia care, for which we have capital and service investments in the FY2020 budget and DSHS has requested a rate increase to specialized dementia care contracts in the FY2021 supplemental budget.

• Centralized intake: Right now, each HCS region is centralized in one or two locations per region. Although Adult Protective Services is centralizing, there has not been any discussion to centralize all of HCS intake across the state. However, we will be working with regional administrators to proactively address increases in referrals and reduce delays in case assignment and assessment where possible.

• Compensation: We heard appreciation for the pay increase financial staff received July 1, 2019. The work performed by HCS is recognized as more complex than that performed by Community Service Division Public Benefits Specialists and that is why HCS utilizes Public Benefits Specialist 4s. We will continue to work in partnership with the Economic Services Administration and the Department of Children, Youth, and Families to discuss classification needs.

• Resource development and training: We need to continue expanding residential provider training in order to increase provider skills and abilities to serve individuals with behavioral health and dementia care needs. We also need to expand residential settings to serve more individuals with complex needs. We also received questions on equity, diversity and inclusion at ALTSA. Please see Bea’s message on page 10 for more details on how ALTSA and HCS are making equity, diversity and inclusion a priority.

We will be compiling a Q&A document from the road shows that will be sent out to regional staff. We will also be using future editions of this newsletter to provide updates on areas we discussed during the road shows.

Over the last two months, we visited Tacoma, Everett, Seattle, Spokane, Yakima and Vancouver. I appreciate the time many of you have taken to meet with us and engage in honest and open dialog on the topics that matter to you. I encourage you to continue that dialog, both with Bea and me and in your regions, throughout the year.