HomeMy WebLinkAboutHealth & Human Services 09-10-1996CHATS SETH= AND rERX a OHNSON WILL REVIEW VOUCHERS AT 7:30 A.M.
ST. CROIX COUNTY
NOTICE OF COMXXTT90 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: 09/10/96
TIME: 8:00 a.m.
LOCATION: St. Croix County Health and. Human Services Complex, New
Richmond
CALL TO ORDER
ROLL CALL
ADOPTIO14 OF AGENDA
DATE OF NVXT MEETING: 09/26/96
ACTION ON PREVIOUS MINUTES: 08/22/96
PERSONNEL ISSUES
ANNOUNCEMENT$
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Review of 1997 Budget
2. Discussion of $'Systems Change Grant for Persons with Mental
Illness"
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Health and Human Services/Nursing Home Report
4. Personnel Issues
5. Hepatitis B School -based Clinics
6. Computer Equipment Needs
7. Day Care Funding Issues
8. Centennial committee
ANNOUNCEMENTS 5 CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily presented in this order)
SUBMITTED BY: John M. Borup
DATE: August 28, 1996
COPIES TOt COUNTY BOARD OFFICE
COUNTY CLERX
NEWS MEDIA/NOTICE
TOTAL P,02
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
SEPTEMBER 10, 1996
The St. Croix County Health and Human Services Board met on
September 10, 1996, at the St. Croix County Health and Human
Services/Health Center complex in New Richmond, Wisconsin.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Jack Dowd
Einar Horne
Fern Johnson
Allen Limberg
Mary Louise Olson
George Sinclear
MEMBERS ABSENT: Chris Bethke, excused
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
Karen Hall, Long Term Support Coordinator
Kathy Dunlap, Family and Children's Supervisor
Fred Johnson, Family and Children's Supervisor
Barbara Nelson, Public Health Supervisor
Ron Kiesler, Mental Health Coordinator
Steve Kirt, Mental Health Therapist
Malva Berg, Secretary
OTHERS PRESENT: Sonja Heyda, Social Work Intern
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 Thursday, September 26, 1996 at 6:30 p.m. at the St.
Croix County Health and Human Services/Nursing Home complex.
Stephens announced he will not be at that meeting.
AGENDA: Motion: A motion was introduced by Limberg, seconded
Horne, and unanimously adopted: That the agenda be approved as
circulated.
Motion: A motion was introduced by Sinclear, seconded by Johnson,
and unanimously adopted: That the minutes of the 08/22/96 Health
and Human Services Board meeting and Open Hearing be approved as
circulated.
"SYSTEMS CHANGE GRANT FOR PERSONS WITH MENTAL ILLNESS": Kiesler
distributed information on the State definition for Severely
Emotionally Disturbed (SED) children. He also distributed the
prescription for In -Home Treatment, Child and Adolescent Functional
Assessment Scale, Intensive In -Home Psychotherapy or Day Treatment
Model Plan, and Model Interagency Treatment Plan, which all need to
be completed for a child who is seen under this grant. He said SED
is not a diagnosis, and a child is not labeled SED until all
criteria listed in above forms is met. He said a better label
would be In -Home rather than SED. Discussion followed. Stephens
said the goal is to provide for the needs of the people first and
to look at money second.
CONSIDERATION OF CLAIMS: Judy Ziegler, Accountant/Accounting
Supervisor, distributed the following reports: transfer of funds
report and cash report.
Health and Human Services Board members, Stephens and Johnson,
reviewed the August vouchers and questioned or reviewed the
following vouchers:
HOME HEALTH:
3464: WHO, $60.00, Home Health staff development. Registration
for one staff person to attend updated billing procedures
seminar.
HUMAN SERVICES:
3397: Holy Family Hospital, $83.70. Purchase of vaccine for
Nursing Home.
3447: Lutheran Home, $258.50, supportive home care. Purchase
of housekeeping services for COP client.
FARM:
6: Artic Glass & Window Outlet, $406.00. Storm doors -and
glass for farm house repairs.
NURSING HOME:
470: Augsburg Fortress Publishing, $10.14. Boxes for activity
therapy projects.
498: Holy Family Hospital, $3,142.50, Medicare Physical
Therapy and Occupational Therapy charges for August.
515: River Ridge Professionals, $3,085.00. Speech and
Physical Therapy charges for August.
Motion: A motion was introduced by Johnson, seconded by Stephens,
and unanimously adopted: The following vouchers be approved and be
made a part of the supplemental minute book pages 364 through 400:
Home Health voucher 3464, dated August 29, 1996 in the amount of
$60.00.
Home Health vouchers 3554 through 3575, dated August 31, 1996 in
the amount of $12,255.12.
Human Services vouchers 3381 through 3425, dated August 15, 1996,
in the amount of $25,692.97.
Human Services vouchers 3426 through 3463, dated August 22, 1996,
in the amount of $49,628.06.
Human Services vouchers 3465 through 3502, dated August 29, 1996,
in the amount of $10,415.70.
Human Services vouchers 3503 through 3552, dated August 30, 1996,
in the amount of $149,112.71.
Human Services vouchers 3587 through 3762, dated August 31, 1996,
in the amount of $49,050.87.
Human Services vouchers 3576 through 3797, dated August 31, 1996,
in the amount of $45,503.80.
Farm Vouchers 6 through 7, dated September 9, 1996, in the amount
of $805.63.
Nursing Home vouchers 470 through 475, dated August 22, 1996, in
the amount of $833.29.
Nursing Home vouchers 481 through 532, dated September 10, 1996, in
the amount of $36,109.96.
Social Services and Human Services vouchers 321 through 338, dated
September 4, 1996, in the amount of $94,359.35.
Human Services and Nursing Home vouchers 407 through 436, dated
September 3, 1996, in the amount of $283,619.92.
Human Services and Nursing Home vouchers 379 through 406, dated
August 20, 1996 in the amount of $235,319.77.
Social Services and Human Services vouchers 303 through 320, dated
August 21, 1996, in the amount of $76,677.87.
FINANCIAL REPORT: The following financial report for July, 1996
was presented to the Board. Borup highlighted areas of the report.
Nursing Home census is at 109. Discussion followed.
PLEASE SEE NEXT PAGE.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/96 THROUGH 07/31/96
NURSING HOME
Reconciled Cash Balance 07/31/96
Add:
Accounts Receivable, 07/31/96
Private Pay
Medicare
Medicaid
General
Accounts Payable-07/31/96
Net Current Items, 07/31/96
$589,751.14 *
($32,182.02)
$90,168.16
$195,277.47
$1,504.94
($229,707.39)
$614,812.30
1996 Revenue Recorded through 07/31/96 $2,408,666.04
Includes Allocations of Anticipated Revenues
1996 Expenses Recorded through 0/31/96 $2,438,803.44
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)
103 • -
* Operations = $472,553.01
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. --July
Budget
Balance
$
Administration
306,810.29
523,032.00
216,221.71
58.7%
AODA Services
211,534.75
301,352.00
89,817.25
70.2%
Long Term Support
3,992,525.49
6,776,175.00
2,783,649.51
58.9%
Mental Health
918,347.75
1,562,302.00
643,954.25
58.8%
Family & Children's
1,102,977.47
2,128,883.00
1,025,905.53
51.8%
Economic Support
518,311.98
974,037.00
455,725.02
53.2%
General Relief
15,446.00
47,500.00
32,054.00
32.5%
TOTAL REVENUES
ALL PROGRAMS
7,065,953.73
12,313,281.00
5,247,327.27
57.4%
SUMMARY
Total
OF EXPENDITURES
Jan. -July
Budget
Balance
%
Administration
324,058.52
523,032.00
198,973.48
62.0%
Alcohol -Drug Abuse
185,019.78
301,352.00
116,332.22
61.4%
Long Term Support
3,513,131.11
6,776,175.00
3,263,043.89
51.8%
Economic Support
593,096.84
974,037.00
380,940.16
60.9%
Mental Health Services
882,126.69
1,562,302.00
680,175.31
56.5%
Family & Children's
977,116.84
2,128,883.00
1,151,766.16
45.9%
General Relief
32,764.87
47,500.00
14,735.13
69.0%
TOTAL 1996 HUMAN
SERVICES BUDGET
6,507,314.65
12,313,281.00
5,805,966.35
52.8%
hs96-sum
TOTAL REVENUES
HOME HEALTH
Total
Jan. -July Budget
s
277,225.18 519,183.00
Balance �*
241,957.82 53.4%
TOTAL EXPENDITURES 297,740.85
519,183.00
221,442.15
57.3%
PUBLIC HEALTH(12 month programs)
Total
Jan. -July
Budget
Balance
%*
TOTAL REVENUES 428,126.24
846,503.00
418,376.76
50.6%
TOTAL EXPENDITURES 476,221.78
846,503.00
370,281.22
56.3%
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 58.33*.
HEALTH AND HUMAN SERVICES/NURSING HOME: Krieger said the Nursing
Home suffered a lightning strike on 08/07/96 and lost terminals and
modems. These are still not repaired and asked the Board support
in replacing these with personal computers (PC). She is looking at
converting to DOS Novell rdther than UNIX. She would like seven
586 PCs. Sinclear asked why the computer committee does not look
at leasing rather than buying. Discussion followed.
Motion: A motion was introduced by Horne, seconded by Berenschot,
and unanimously adopted: That the Board approves purchasing seven
586 type personal computers for the Nursing Home.
Krieger said the money is in the capital account and also will be
able to use depreciation.
The Board recessed from 9:20 to 9:30 a.m.
PERSONNEL ISSUES: Bookkeeper job descriptions were updated and
sent to Board members. Stephens said the descriptions received are
too detailed. Borup and Ziegler will finalize these descriptions
and update with Kathan and send to the Board. This issue will be
discussed again either at the September 26th meeting or October 10
meeting.
HEPATITIS B SCHOOL -BASED CLINICS: Nelson gave a brief presentation
on Hepatitis B. She said there is no cure for this disease. The
addition of Hepatitis B vaccine to the list of vaccines required
for school entry by Administrative Rule is currently under review
by the Wisconsin Department of Health and Family Services and may
be required for students in the 1997 school year. The State is
supplying the vaccine to all children who are 11-12 years of age at
no cost and is making immunization cost available to administer the
vaccine. She said local health departments are being encouraged to
offer school -based clinics to offer the vaccine to children in the
sixth grade. It was the consensus of the Board to proceed with
vaccination.
COMPUTER EQUIPMENT NEEDS: Discussion held on computer needs for
Health and Human Services. Griffin requested 18-20 PCs to replace
terminals in Health and Human Services as part of the conversion
process from UNIX to DOS Novell. She said there is money in the
capital asset account for five PCs for bookkeeping and placements
are down in Family and Children's Services so money would be
available to fund the PCs.
Motion: A motion was introduced by Horne, seconded by Berenschot,
and unanimously adopted: That the Board approves purchasing 18-20
PCs for Health and Human Services.
Fruit said Economic Support will also request to purchase PCs next
year but State monies will cover this under the W-2 program. The
State has not issued the specifications required for the PCs at
this time.
DAY CARE FUNDING ISSUES: Fruit said child care expenditures have
increased considerably in 1996. She said the State is working on
finding Sate dollars to match some Federal Child Care dollars and
then they would have some additional funding available to St. Croix
County. On 09/15 30 clients will be dropped from child care
funding in order to access additional emergency child care funding.
These clients will be advised to reapply; will have them first meet
with the Financial Resource Planner, count them as diversions and
then be able to access the Emergency Child Care funding to carry
them through the end of the year. Discussion followed.
CENTENNIAL COMMITTEE: Borup said 1997 marks the 100th anniversary
of the St. Croix County Hospital when gradually evolved into the
Health and Human Services Department and Nursing Home. He is
looking for Board support to observe this anniversary with a public
celebration on the Health Center grounds, inviting the community
also. He would like a mixture of staff and Board members for this
committee. Krieger has started a project to publish a cookbook to
sell to celebrate this event and proceeds will go to purchase
dining room furniture. Discussion followed.
Motion: A motion was introduced by Berenschot, seconded by Johnson
and unanimously adopted: That the Board supports the Centennial
Committee.
Stephens appointed Dowd, Berenschot, and Johnson to represent the
Board on the Centennial Committee.
Stephens asked if there were any other issues to bring before the
Board.
Johnson distributed information regarding. a Public Health
Leadership Conference she attended and gave a brief presentation.
A complimentary letter was received from a resident regarding
employee Marlene Peterson. Krieger introduced Peterson to the
Board. The Board applauded Peterson for a job well done.
Stephens announced there will be a Wisconsin Conference for Public
Health Officials in Wisconsin Rapids on October 10 and 11, 1996.
Motion: A motion was introduced by Sinclear, seconded by Dowd, and
unanimously adopted: That the meeting be adjourned. Time: 10:20
p.m.
Chairman:
Attest:
(secretary)