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HomeMy WebLinkAboutHealth & Human Services 11-12-1996ROBERT STEPHENS WILL REVIEW VOUCHERS AT 7:30 A.K. REVISED ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING 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: 11/12/96 TIME: 8: 0 0 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: 11/26/96 (TUESDAY) ACTION ON PREVIOUS MINUTES: 10/10/96 PERSONNEL ISSUES ANNOUNCEMENTS APPOINZ`MENTS: UNFINISHED BUSINESS: 1. Resolution on Long Term Care Re -design 2. 1997 Budget Review 3. Family Preservation Action Plan NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Closed session per Wisconsin Statute 19.85 (1) (c) for Director's Annual Review 3. Personnel Issues a. Economic Support workers' Job Description Review per Wisconsin works (w-2) b. Nursing Home Ward Clerk Job Description Review 4. Day Care Rate Setting 5. Discussion of Juvenile Youth shelter/Group Home needs 6. Financial Report 7. St. Croix County Anti -Violence Coalition Report 8. Health and Human Services/Nursing Home Report 9. Setting 1997 Nursing Home Private Pay Rates ANNOUNCEMENTS 6 CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEST MEETING: ADJOURJIMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. 8orup DATE: October 31, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE k ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD NOVEMBER 12, 1996 The St. Croix County Health and Human Services Board met on November 12, 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 Charlotte Skoviera, Day Care Coordinator Malva Berg, Secretary OTHERS PRESENT: Debra Kathan, Personnel Director John Krizek, Administrative Coordinator Jim Heebink, St. Croix County Lifestyles Coalition 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 Tuesday, December 10, 1996 at 8:00 a.m. at the St. Croix County Health and Human Services/Nursing Home complex. AGENDA: Motion: A motion was introduced by Berenschot, seconded Johnson, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Bethke, seconded by Dowd, and unanimously adopted: That the minutes of the 10/10/96 Health and Human Services Board meeting be approved as circulated.. CONSIDERATION OF CLAIMS: Judy Ziegler, Accountant/Accounting Supervisor, distributed the following reports: transfer of funds report, fixed assets purchased, and cash report. Health and Human Services Board member, Stephens, reviewed the October vouchers and questioned or reviewed the following vouchers: 2 HUMAN SERVICES: 4357: Dr. Michael Lace, $4,393.21, Mental Health contracted services. Contracted psychologist for Mental Health Unit. 4639: Natural Gas Inc. $4,102.32, gas. As of the October 31 gas bill, Nursing Home is $5,251.20 under budget and Human Services is $5,498.82 over budget. FARM: 11: Henk Van Dyk, $7,914.60, building repairs. Reimbursement per agreement with barn renter concerning repairs made in the barn. Motion: A motion was introduced by Stephens, seconded by Limberg, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 445 through 485: Home Health vouchers 4528 through 4552, dated October 31, 1996 in the amount of $6,619.44. Human Services voucher 4357, dated October 11, 1996, in the amount of $4,393.21. Human Services vouchers 4358 through 4389, dated October 17, 1996, in the amount of $74,135.89. Human Services vouchers 4390 through 4425, dated October 24, 1996, in the amount of $51,716.76. Human Services vouchers 4427 through 4455, dated October 29, 1996, in the amount of $35,782.94. Human Services voucher 4457, dated November 1, 1996, in the amount of $452.00. Human Services vouchers 4458 through 4526, dated November 7, 1996, in the amount of $134,296.43. Human Services vouchers 4554 through 4829, dated October 31, 1996, in the amount of $171,741.99. Human Services vouchers 4593 through 4804, dated October 31, 1996, in the amount of $75,728.47. Farm voucher 11 dated November 12, 1996, in the amount of $7,914.60. Nursing Home vouchers 604 through 628, dated October 17, 1996, in the amount of $33,333.39. 3 Nursing Home vouchers 635 through 685, dated November 12, 1996, in the amount of $64,827.12. Social Services and Human Services vouchers 376 through 393, dated October 17, 1996, in the amount of $79,937.03. Human Services and Nursing Home vouchers 493 through 519, dated October 15, 1996, in the amount of $231,231.92. Human Services and Nursing Home vouchers 520 through 540, dated October 29, 1996 in the amount of $232,878.10. Social Services and Human Services vouchers 394 through 408, dated October 30, 1996, in the amount of $79,508.65. ST. CROIX COUNTY LIFESTYLES COALITION REPORT: Jim Heebink, member of APEX -Community Assessment Core Team and Chronic Disease work group on lifestyle coalition issues presented a brief report on the goals and activities of the coalition_. Heebink said this lifestyle coalition was formed because of the APEX assessment. He said the goal of the• coalition is to improve nutrition and exercise throughout the community. The coalition was at the Holy Family Hospital Health Fair and has published a column in the paper regarding upcoming activities with a health note attached. Discussion followed. Stephens said these should be county -wide activities. Stephens thanked Heebink for his presentation. RESOLUTION ON LONG TERM CARE RE -DESIGN: Stephens said Mealey, Long Term Support Chair, has contacted him and said the State has indicated Long Term Support will participate in the Long Term Care Re -design and that the resolution on the table is no,. longer an active issue. FAMILY PRESERVATION ACTION PLAN: Discussion held on Family Preservation Grant. Stephens said the grant should be able to show results, that the grant made a difference. Griffin said the first year of the grant, monies could only be used for planning. The second year of the grant the monies may be used for services. This could be a five-year grant, but the monies are awarded one year at a time, so the grant may end at any time. The planning stage of the grant is completed. Tentative plans for grant monies for the second year are to use approximately half for a half-time parent aid position to provide direct service to the community and approximately half to award as community grants that communities will use to make their community a better place for children. Up to $4,500 of this grant may be claimed for administrative costs, but it is unclear at this time how much of this will be claimed. Discussion on addressing gang problem, day care, mentoring programs. Krizek said the Judges and District Attorney do not believe there is a gang problem in St. Croix County. This grant does not duplicate services already provided by Health and Human Services. Griffin invited Board members to be on a subcommittee to 4 award the grants to the communities. The credentials of the committees requesting grants should be checked before a grant is awarded. Olson said Family Preservation should be the emphasis of the grant. The Board asked that a report be brought to the December meeting regarding administration of the grant. Stephens appointed Olson to work with Griffin on identifying priorities. Olson will receive per diem and mileage for the meeting. The Board asked for results of this grant before getting 1998 grant monies. DAY CARE RATE SETTING: Charlotte Skoviera was present to discuss request for setting 1997 rates. She said more slots will be needed with the implementation of W-2. She said there is a lack of shift and weekend day care and sick child care available. Discussion followed. Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously adopted: That the Board approves Child Day Care rates as requested. (Rates are attached at end of minutes.) ECONOMIC SUPPORT WORKERS" JOB DESCRIPTION REVIEW: It is necessary to update job descriptions to reflect changes brought on because of W-2. Fruit presented the Board with a proposed organizational structure and revised job descriptions. She said the unit will be split between MA/Food Stamp Unit and W-2 Unit. There are no new positions on the organizational chart and two vacancies that are not going to be filled. Discussion followed. Motion: A motion was introduced by Horne, seconded by Johnson, and unanimously adopted: That the Board approves the revised organizational structure and job descriptions for Economic Support as revised under W-2. NURSING HOME WARD CLERK JOB DESCRIPTION REVIEW: The job descriptions for the Nursing Home Ward Clerks and Administrative Secretary have been updated, reflecting numerous changes. Krieger said this would be a cost report benefit. Krieger said these positions have changed with computerization. Discussion followed. Motion: A motion was introduced by Sinclear, seconded by Berenschot, and unanimously adopted: That the Board approves the Nursing Home Ward Clerks and Administrative Secretary job descriptions as revised. The Board recessed from 9:30 to 9:40 a.m. DISCUSSION OF JUVENILE YOUTH SHELTER/ GROUP HOME NEEDS: The building under consideration for this program is the house that currently houses River Ridge. The tenant, Betty Smith, has been made aware of this program possibly moving into the house she currently leases. She is a private vendor and does not service the Human Service organization. Fred Johnson said this program would possibly include a group home housing up to eight children for a 5 stay of six to twelve months as ordered by the court and shelter care for a one to thirty day stay. He said having a local service for this care would save staff time, reduce transportation for staff and law enforcement, and services are available on -site at Health and Human Services for local family work and quicker re- orientation into the family. We currently contract for similar services in Chippewa Falls, Cornell, Ladysmith, Amery (females only) and Bloomer. This service is not available locally. This youth shelter/group home facility would be operated by a private sector vendor. Discussion followed regarding working with schools, community, and law enforcement. Motion: A motion was introduced by Berenschot, seconded by Bethke and unanimously adopted: That the Board allow Family and Children's to proceed with plans regarding juvenile youth shelter/ group home and bring back to the Board in December. Horne left meeting at 10:00 a.m. Borup said the earliest implementation of this program would be September, 1997. FINANCIAL REPORT: The following financial report for September, 1996 was presented to the Board. Borup highlighted areas of the report. Discussion followed. Stephens assigned Berenschot to re -do Home Health pamphlet. Discussion followed regarding advertising opportunities through church bulletins. Stephens said a check will be issued to Van Dyk on the barn issue. Corp Council will be present when the check is given to Van Dyk. Borup distributed proposed salary increases for non -represented employees as proposed by the Personnel Committee. There is no money in the contingency fund to fund the salary increases. Health and Human Services and Office on Aging are the only County departments that have to absorb wage increases. Discussion followed. Nursing Home census is 106. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/96 THROUGH 09/30/96 NURSING HOME Reconciled Cash Balance 09/30/96 Add: Accounts Receivable, 09/30/96 Private Pay Medicare Medicaid General Accounts Payable-09/30/96 Net Current Items, 09/30/96 $584,153.15 * ($389.77) $82,131.67 $161,972.96 $186.08 ($274,484.72) $553,569.37 1996 Revenue Recorded through 09/30/96 $3,168,412.19 Includes Allocations of Anticipated Revenues 1996 Expenses Recorded through 09/30/96 $3,176,737.08 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 = $426,930.22 Capital Acquisitions = 179,310.03 We received an advance of $142,000 in January of our ITP grant S SUMMARY OF REVENUES Administration AODA Services Long Term Support Mental Health Family & Children's Economic Support General Relief TOTAL REVENUES ALL PROGRAMS HUMAN SERVICES - 1996 Total Jan. -Sept. Budget 448,057.66 523,032.00 277,283.98 301,352.00 4,602,201.48 6,776,175.00 1,237,292.48 1,562,302.00 1,607,845.28 2,128,883.00 669,990.51 974,037.00 42,793.40 _ 47,500.00 8,885,464.79 12,313,281.00 SUMMARY Total OF EXPENDITURES Jan. -Sept. Budget Balance % 74,974.34 85.7% 24,068.02 92.0% 2,173,973.52 67.9% 325,009.52 79.2% 521,037.72 75.5% 304,046.49 68.8% 4,706.60 90.1% 3,427,816.21 72.2% Balance % Administration 421,516.52 523,032.00 101,515.48 80.6% Alcohol -Drug Abuse 264,002.13 301,352.00 37,349.87 87.6% Long Term Support 4,644,637.28 6,776,175.00 2,131,537.72 68.5% Economic Support 745,235.71 974,037.00 228,801.29 76.5% Mental Health Services 1,101,241.13 1,562,302.00 461,060.87 70.5% Family & Children's 1,205,789.41 2,128,883.00 923,093.59 56.6% General Relief 33,788.48 47,500.00 13,711.52 71.1% TOTAL 1996 HUMAN SERVICES BUDGET 8,416,210.66 12,313,281.00 3,897,070.34 68.4% hs96-sum HOME HEALTH Total Jan. -Sept. Budget Balance �* TOTAL REVENUES 348,036.27 519,183.00 171,146.73 67.0% TOTAL EXPENDITURES 374,900.31 519,183.00 144,282.69 72.2% PUBLIC HEALTH(12 month programs) Total Jan. -Sept. Budget Balance %* TOTAL REVENUES 596,549.04 846,503.00 249,953.96 70.53% TOTAL EXPENDITURES-- 682,982.38 846,503.00 163,520.62 80.7% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 75.00% ph96-sum 9 SETTING 1997 NURSING HOME PRIVATE PAY RATES: Krieger said a rate adjustment for private pay rates is necessary to keep rates above the Medicaid rates. The rates needs to be approved in advance so that families can receive a 30-day advance notice. Motion: A motion was introduced by Dowd, seconded by Sinclear and unanimously adopted: That the Board approves the following Nursing Home Private Pay Rates effective 01/01/97: ISN Plus $124 ISN $121 SNF $105 ICF 1 & 2 $ 95 CLOSED SESSION PER WISCONSIN STATUTE 19.85 (1) (c)_ FOR DIRECTOR'S ANNUAL REVIEW: Stephens said he discussed review with previous chairs as Borup has not been reviewed in four years and has served under four di-fterent chairs. It was the consensus of all chairs that he follows the direction of the chair and does what he is told. Stephens said the Board in evaluating Borup is also evaluating the chair. Motion: A motion was introduced by Bethke, seconded by Berenschot, that the Board enter closed session per Wisconsin Statute 19.85 (1) (c) for the Director's annual review. Roll call vote: Robert Stephens -yes Leon Berenschot-yes Chris Bethke -yes Jack Dowd -yes Einar Horne -absent Fern Johnson -yes Allen Limberg-yes Mary Louise Olson -yes George Sinclear-yes Eight yes, one absent, motion passed. Board reconvened into open session. Borup reported that Home Health/Public Health have lost software services it has used over the past 15 years (Proservices formerly Bertelsons). Administration is recommending (along with Kathryn Beutel) to contract with "CHAMP". Initial costs are higher, but ongoing costs are significantly lower, which will result in cost 10 savings. Borup and Beutel will present to Information Services Committee on 11/21/96. Brief discussion Stephens asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Dowd, seconded by Limberg, and unanimously adopted: That the meeting be adjourned. Time: 11:00 a.m. Chairman: Attest: (secretary) DEPARTMENT OF WORKFORCE DEVELOPMENT Division of Economic Support DES-2465 (Rev.8/96) REQUEST FOR APPROVAL OF CHILD DAY CARE RATES Completion of this form meets the requirements of Wisconsin Statutes, S. 46.98 (4xd), and HSS 55.74 of the Wisconsin Administrative code. Name of County/Tribe: Effective Date of New Rate: January 1, 1997 1. Licensed Group Child Care Hourly Rate Weekly Ceiling a.) 0-2 Years Old $ 3.57 $125.00 b.) 2-12 Years Old $ 2.93 $102.50 2. Licensed Family Child Care Hourly Rate Weeki Ceiling a.) 0-2 Years Old $ 3.21 $112.50 b.) 2-12 Years Old $ 2.86 $100.00 3. Regularty Certified Child Care Hourly Rate WeeklyCeiling a.) 0-2 Years Old $ 2.41 $ 84.38 b.) 2-12 Years Old $ 2.14 $ 75.00 4. Provisionally Certified Child Care Hourly Rate Week Ceiling a.► 0-2 Years Old $ 1.61 $ 56.25 b.) 242 YearsOld $ 1.43 $ 50.00 What number was used to divide the weekly ceiling to determine the hourly rate? 30 X 35 40 Counties and Tribes have authority to authorize child care reimbursement in excess of the weekly ceiling on a case by case basis if payment is for 50 or more hours of child care, or if other extenuating circumstances are Involved within the case. Do you have higher rates for accredited group child care centers (NAEYC) or accredited family child care centers (NAFDC or WECA)? Yes X No If yes, please submit documentation of this rates survey, and the hourly rates and weekly ceilings determined for accredited child care. p Day Care Charlotte Skoviera CLAWPp,Qo�N'(pJVa. Coordinator 715/246-8344 11 12 96 Submitted by: (Print) Signature Title Phone Date Office of Child Care Review Care Rates Are: nature effective: