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HomeMy WebLinkAboutHealth & Human Services 12-10-1996CHRIS BETHKE WILL REVIEW VOUCHERS AT 7:30 A.M. ST. CROIX COUNTY NOTICE OF COMMITTEE MBETING TO: Robert Boche, Chairman St. Croix County Board FROM: Robert Stephens (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 12/10/96 TIME: 8:00 a.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 12/26/96 ACTION ON PREVIOUS MINUTES: 11/12/96 PLRSONNEL ISSUES ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Family Preservation Action Plan 40* am 2. Discussion of Juvenile Youth Shelter/Group Home needs NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Health and Human Services/Nursing Home Report 4. Personnel Issues 5. St. Croix County Anti -Violence Coalition Report (8:30 A.M.) 6. Request to renew lease or purchase automobiles 7. Review of receptionist hours 8. Review of General Relief eligibility criteria 9. Computer equipment purchases ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEST MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: November 26, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ffeTrall a 92" � a ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD DECE14BER 10, 1996 The St. Croix County Health and Human Services Board met on December 10, 1996, at the St. Croix Industries in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Jack Dowd Einar Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: None STAFF PRESENT: John Borup, Health and Human Services Director Cindy Griffin, Deputy Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Marilyn Fruit, Economic Support Supervisor Barbara Nelson, Public Health Supervisor Karen Hall, Long Term Support Coordinator Fred Johnson, Family and Children's Supervisor Ron Kiesler, Mental Health Coordinator Malva Berg, Secretary OTHERS PRESENT: Ann Gustafson, Victim Witness Coordinator Betty Smith, River Ridge Rehabilitation Chair Stephens called the meeting to order at 8:00 a.m., noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Friday, January 10, 1997 at 8:00 a.m. at the St. Croix County Health and Human Services/Nursing Home complex. AGENDA: Motion: A motion was introduced by Horne, seconded Berenschot, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Horne, seconded by Bethke, and unanimously adopted: That the minutes of the 11/12/96 Health and Human Services Board meeting be approved with correction as follows: page 4, paragraph 8, should read River Ridge is a private vendor and does serve the Human Service organization, but not exclusively. 2 APPOINTMENTS: Stephens said a W-2 Steering Committee is required by the State for the W-2 program. The committee is to consist of 12 to 15 members. Stephens suggested names for appointment to the committee. He said no funds have been allocated for mileage or per diem for these committee members and felt funds should be allocated to pay these committee members. Sinclear said he agreed the members should receive compensation. Borup said there is 7% administration funding for the W-2 program. Discussion followed. Motion: A motion was introduced by Sinclear, seconded by Horne, and unanimously adopted: That the Board approves paying $25.00 per diem per session plus mileage to W-2 Steering Committee members. Stephens instructed Horne to go to County Finance Committee to request funds for the W-2 Steering Committee per diem and mileage, which would be approximately $6,000. Borup said people who are turned down under W-2 are not going away, they turn up in other areas. Borup recommended taking the per diem and mileage out of the 7% W-2 administration funds rather than go to Finance. CONSIDERATION OF CLAIMS: Judy Ziegler, Accountant/Accounting Supervisor, distributed the following reports: unemployment, transfer of funds report, fixed assets purchased, and cash report. Health and Human Services Board member, Bethke, reviewed the October vouchers and questioned or reviewed the following vouchers: HOME HEALTH: 4999: River Ridge Professional Services, $2,990.40, purchased services. Payment for PT and OT therapy provided for Home Health clients. These costs are billed to Medicare, Medicaid, insurance and private pay as appropriate. HUMAN SERVICES: 4835: , $7,056.89, refund. This was a General Relief client applying for SSI. While the client is applying, we provide General Relief funds for the client of live on. The first SSI check comes to the Economic Support Unit. We deduct all General Relief funds given the client and pay the balance of the SSI check to the client. 5088: Derrick Construction, $2,937.65, LTS purchased services. Cost to remodel a residence to comply with a Long Term Support client's needs. These items are approved and reimbursed by the State through the waiver program. 5023: Madison Leasing Co., $151.41, copy machine expense. Cost to lease copy machine for Family and Children's office 3 area. 5214: Wells Electric, $499.00, administrative expense. Refrigerator for Long Term Support/Economic Support area purchased with donation funds. NURSING HOME: 711: Gateway 2000, $21,746.00, purchase of new computer equipment Motion: A motion was introduced by Bethke, seconded by Limberg, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 486 through 522: Home Health voucher 4938, dated November 27, 1996 in the amount of $151.05. Home Health vouchers 4983 through 5004, dated November 30, 1996 in the amount of $6,468.84. Human Services vouchers 4830 through 4867, dated November 14, 1996, in the amount of $20,136.98. Human Services vouchers 4868 through 4869, dated November 14, 1996, in the amount of $450.00. Human Services vouchers 4870 through 4911, dated November 21, 1996, in the amount of $130,557.93. Human Services vouchers 4912 through 4937, dated November 27, 1996, in the amount of $14,825.34. Human Services vouchers 4939 through 4982, dated November 29, 1996, in the amount of $238,864.21. Human Services vouchers 5005 through 5277, dated November 30, 1996, in the amount of $75,903.28. Human Services vouchers 5023 through 5235, dated November 30, 1996, in the amount of $52,759.72. Human Services voucher 5282, dated December 06, 1996, in the amount of $750.00. Nursing Home vouchers 686 through 690, dated November 14, 1996, in the amount of $7,423.65. Nursing Home vouchers 695 through 755, dated December 10, 1996, in the amount of $83,798.07. Human Services and Nursing Home vouchers 541 through 566, dated 4 November 12, 1996, in the amount of $283,352.88. Social Services and Human Services vouchers 409 through 426, dated November 13, 1996, in the amount of $96,369.22. Human Services and Nursing Home vouchers 567 through 594, dated November 25, 1996, in the amount of $231,752.67. Social Services and Human Services vouchers 427 through 444, dated November 26, 1996, in the amount of $79,787.07. Betty Smith, River Ridge Rehabilitation, was present to discuss Possible relocation because of the proposed Juvenile Youth Shelter/ Group Home. She said in February, she will have been at the current location for six years. She said if the proposal goes through, she will need four to six months lead time to relocate her business. Discussion followed. Stephens said if decision is made, the Board will give Smith a reasonable lead time to relocate. ST. CROIX COUNTY ANTI -VIOLENCE COALITION REPORT: Barb Nelson said the St. Croix County Anti -Violence Coalition developed out of the county -wide community needs assessment completed in December, 1995. She said domestic and societal violence was identified as one of the top five issues facing county residents. Ann Gustafson said the mission of the coalition is: to create a community collaboration toward eliminating domestic violence in St. Croix County. Coalition members represent the following areas: public health, schools, youth programs, victim shelters, child protection, legal, law enforcement, hospitals, and clinics. Gustafson outlined the goal of the coalition and identified potential projects. Discussion followed. FAMILY PRESERVATION ACTION PLAN: Griffin and Olson worked on priorities for the Family Preservation Action Plan. Olson said the Board cannot go back and rework the plan that was originally decided by the grant study. The grant is for $45,000 with two options how to distribute the monies. The first option would have a half-time parent aide at $15,000 and $30,000 for community subgrants. The second option would have a half-time parent aide at $15,000, $25,500 for community subgrants, and $4,500 for administration. In the second option, $4,500 would replace State community aids funding in the administration budget, freeing up $4,500 in community aids for other programs. The subgrant application process will be specific as to what is to be accomplished and how this will be evaluated. The deadline for proposals for the grant applications will be 01/31/97. The parent aide position will probably be under Public Health. Olson said we need to be careful there is no duplication of programs. Olson said the parent aid position should serve be in the Glenwood City area as recommended in the needs assessment study. Discussion followed. k, Motion: A motion was introduced by Olson, seconded by Berenschot, and adopted with Sinclear voting no. That the Board approves the second option which has a half-time parent aide at $15, 000, $25, 500 for community subgrants, and $4,500 for grant administration. DISCUSSION OF JUVENILE YOUTH SHELTER/GROUP HOME NEEDS: Borup said he contacted Smith in October as a business courtesy to let her know the Juvenile Youth Shelter/Group Home proposal was moving on to the Board. Johnson was present to ask Board approval to send out Request for Proposals (RFP) for an adolescent group home/shelter vendor. He said one of the advantages of soliciting proposals is that our staff will have direct input into the programming offered by the vendor and the site of the home. Discussion followed regarding financial savings to law enforcement for transportation, etc and the financial impact on the county with this proposal. Berenschot questioned the security of the home and the impact on the community. Johnson said the group home has to have an advisory committee. Stephens asked that the information be presented to the Board at the second meeting in January and a decision on whether to go with the proposal or not will be made at the first meeting in February. Motion: A motion was introduced by Berenschot, seconded by Sinclear, and unanimously adopted: That the Board approves sending out Requests for Proposals for a Juvenile Youth Shelter/Group Home. Borup said if the Board decides not to pursue the RFP process, it is still likely a vendor will eventually open a group home in St. Croix County, but it may not serve our needs as well if it is not based on a collaborative planning process. The Board recessed from 9:15 to 9:20 a.m. FINANCIAL REPORT: The following financial report for October, 1996 was presented to the Board. Borup highlighted areas of the report. Discussion followed. Nursing Home census is 107. Norstan will be done wiring in about one week. The server language is changing to DOS and this should be done in the Nursing Home in mid -January. Horne asked why the ITP monies are going into the County General Fund rather than the Nursing Home. Stephens requested the amount of interest earned by Health and Human Services and Nursing Home monies which are in the general fund. Krieger said St. Croix County is the only county not funding its county home in the State. Discussion followed. A worksheet was distributed for the Natural Gas bill. The Nursing Home usage is going well, but Human Services usage is not going as well as maintenance had predicted. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/96 THROUGH 10/31/96 NURSING HOME Reconciled Cash Balance 10/31/96 Add: Accounts Receivable, 10/31/96 Private Pay Medicare Medicaid General Accounts Payable-10/31/96 Net Current Items, 10/31/96 $474,797.87 * $22,481.44 $98,305.81 $167,641.71 $16.13 ($183,799.22) $579,443.74 1996 Revenue Recorded through 10/31/96 $3,554,610.48 Includes Allocations of Anticipated Revenues 1996 Expenses Recorded through 10/31/96 $3,519,532.25 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1996 bond principle $232,825.00 (93.13% of total 1996 bond principle of $250,000) NH96sum * Operations = $291,715.69 Capital Acquisitions = 183,082.18 We received an advance of $142,000 in January of our ITP grant HUMAN SERVICES - 1996 SUMMARY Total OF REVENUES Jan. -Oct. Budget Balance Administration 476,273.16 523,032.00 46,758.84 91.1% AODA Services 308,627.45 301,352.00 (7,275.45) 102.4% Long Term Support 5,376,615.53 6,776,175.00 1,399,559.47 79.3% Mental Health 1,418,286.75 1,562,302.00 144,015.25 90.8% Family & Children's 1,766,995.51 2,128,883.00 361,887.49 83.0% Economic Support 764,827.96 974,037.00 209,209.04 78.5% General Relief 44,876.40 47,500.00 2,623.60 94.5% TOTAL REVENUES ALL PROGRAMS 10,156,502.76 12,313,281.00 2,156,778.24 82.5% SUMMARY Total OF EXPENDITURES Jan. -Oct. Budget Balance % Administration 458,371.65 523,032.00 64,660.35 87.6% Alcohol -Drug Abuse 282,228.24 301,352.00 19,123.76 93.7% Long Term Support 5,337,873.16 6,776,175.00 1,438,301.84 78.8% Economic Support 813,106.99 974,037.00 160,930.01 83.5% Mental Health Services 1,228,690.34 1,562,302.00 333,611.66 78.6% Family & Children's 1,365,857.84 2,128,883.00 763,025.16 64.2% General Relief 34,527.74 47,500.00 12,972.26 72.7% TOTAL 1996 HUMAN SERVICES BUDGET 9,520,655.96 12,313,281.00 2,792,625.04 77.3% hs96-sum HOME HEALTH Total Jan. -Oct. Budget Balance %* TOTAL REVENUES 393,770.35 519,183.00 125,412.65 75.8% TOTAL EXPENDITURES 409,391.63 519,183.00 109,791.37 78.9% PUBLIC HEALTH(12 month programs) Total Jan. -Oct. Budget Balance %* TOTAL REVENUES 609,974.08 846,503.00 236,528.92 72.1% TOTAL EXPENDITURES 687,066.80 846,503.00 159,436.20 81.2% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 83.33%. ph96-sum E PERSONNEL ISSUES: Borup announced that Laura Jacobson has been hired in the Nursing Home as a half-time social worker. HEALTH AND HUMAN SERVICES MURSING HOME REPORT: Nursing Home statistics comparing the years 1992-1995 was distributed to the Board. The data indicates what staff and management already know, residents are getting older, sicker, need more care and admissions and discharges are more frequent. The State encourages family to keep residents in the home longer and discourage admission to the Nursing Home. The Public Health Great American Smokeout was held in November. The Coalition on Tobacco and Alcohol will give a presentation to the Board in February. Sinclear left the meeting at 10:00 a.m. REQUEST TO RENEW LEASE OR PURCHASE AUTOMOBILES: Following up on a recommendation made by our auditor, Rod Paulson, Ron Kiesler has researched the cost advantages of owning versus leasing autos. The data indicates that our cost per mile to lease vehicles next year would be approximately 27 cents versus 18 cents to purchase. Kiesler said there is a municipal loan program through Capital Ford for financing the vehicles or they could be purchased as a fixed asset. This request is for five vehicles. Discussion followed. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Board approves purchasing five vehicles as proposed and they be funded as a fixed asset. A letter of intent or purchase order will be sent to Capital Ford. REVIEW OF RECEPTIONIST HOURS: Discussion held on reception hours for the front desk. Consensus of Board to leave as is and review again in six month. GENERAL RELIEF: In order to participate in the General Relief Block Grant, the Health and Human Services Board must review St. Croix County's General Relief Eligibility Criteria. Fruit said the only change recommended for 1997 is the inclusion of the statement, "if total funeral and cemetery expenses exceed $3,500, General Relief will not pay anything." She said there were two burials under GR so far in 1996. Motion: A motion was introduced by Dowd, seconded by Johnson, and unanimously adopted: That the Board approve the General Relief Policy as revised. COMPUTER EQUIPMENT PURCHASES: Borup said the unexpected low prices for the Gateway computers purchased this past month have motivated staff to further upgrade computer capabilities. Long Term Support costs are set at $10,747 with funding coming from surplus "MAPC" funds. Early Intervention costs are set at $6,130, with $6,000 coming from grant funding. Discussion followed. Horne encouraged individual tape back up at each site. Currently back up is done centrally at the main frame and not done at the server level. Motion: A motion was introduced by Horne, seconded by Johnson, and unanimously adopted: That the Board approves the purchase of five PCs, one lap top, and to upgrade one PC for Long Term Support. Juvenile Intake requested one additional PC. The current units will not be able to access the data base, whereas a PC would have this ability. Discussion followed. Horne said it should be listed on the job descriptions to require knowledge of the current programs. Horne said staff should figure out how to use the PCs currently purchased and to set up a data base. It was the consensus of the Board to take no action at this time and to come back with the request in six months. W-2 UPDATE: Fruit outlined the schedule for implementing the W-2 Program. Stephens discussed the proposed appointments for the W-2 Steering Committee. Fruit said she would like to see two more employers on the committee. In order to work, W-2 needs a lot of cooperation from the employers in the community. Discussion followed. Stephens asked if there were any other issues to bring before the Board. It was announced there will be an open forum regarding the Junker Landfill and ground water issues on December 11 from 3:00 until 8:00 p.m. This will be an informational meeting only. Berenschot said he had worked on a brochure as assigned, but a brochure is no good until there is a plan to place it in various areas. Discussion followed. Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously adopted: That the meeting be adjourned. Time: 11:00 a.m. Chairman: Attest: (secretary)