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HomeMy WebLinkAboutHealth & Human Services 08-22-1996M ST. CROIX COUNTY NOTICE OF COMMITTEE MEETXNG 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: 08/22/96 TIME: 6:30 p.m. LOCATION: St. Croix County Health and Human Services Complex New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEST MEETING: 09/10/96 ACTION ON PREVIOUS MINUTES: 08/13/96 ANNOUNCEMENTS APPOINTMENTS UNFINISHED BUSINESS: 1. Laundry Building renovation NEW BUSYNESS: I. Presentation & Action on 1997 Budget Proposal for Health and Human Services and Nursing Home 2. Personnel Issues 3. Health and Human Services/Nursing Home Report 4. Financial Report 5. Request to apply for State Grant entitled: "Systems Change Grant for Persons with Mental Illness" 6. Discussion of Disposition of Drug confiscation Money 7. Maintenance contracting report 8. Discussion of telephone system needs ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: August 15, 1996 COPIES WO; COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE BOARD COMMITTEE MEMBERS I ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEARING August 22, 1996 The St. Croix County Health and Human Services Board conducted an "Open Hearing" at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Fern Johnson Mary Louise Olson George Sinclear STAFF PRESENT: John Borup, Human Services Director Cindy Griffin, Deputy Director Carolyn Krieger, Nursing Home Administrator Judy Aronson, Secretary Judy Ziegler, Accountant Lisa Leahy, N.H. Director of Social Services Marilyn Fruit, Economic Support Supervisor Karen Hall, Long Term Support Coordinator Kathy Dunlap, Family & Children's Supervisor Fred Johnson, Family & Children's Supervisor Ron Kiesler, Mental Health Coordinator Ron Lockwood, Social Work Supervisor Barbara Nelson, Public Health Supervisor Marcey Backes, Home Health Coordinator Ron Eichstadt, Workshop Director Debbie Willink, Social Worker Mary Squyer, Economic Support Specialist Michele Johnson, Long Term Support Clerk Wendy Kramer, Public Health Nurse Norma Vrieze, Early Intervention Director OTHERS PRESENT: See Attached Chair Stephens, called the Hearing to order at 5:00 P.M., noting that the meeting was properly and legally publicized. Chair Stephens welcomed everyone to the Hearing and invited everyone to speak. Stephens stated, "This Board works for you." The Hearing is to solicit community input on the 1997 Budget and is not a formal Health and Human Services Board Meeting. Chair Stephens read several letters from clients to support the need of services. Mike G., resident of the nursing home gave the highest praise for the staff in the nursing home. He stated they are a dedicated staff who have empathy and compassion for the residents. He stated this place is "top notch". The only problem he see is with no weekend receptionist, and with the bathrooms now being locked, visitors on weekends have no access to a key for the bathrooms. He stated there should be no more cuts in the budget. John S. stated the county levy is going down this year. He stated he doesn't mind paying higher taxes if the money goes to the program services we need, such as preventative programs, Community Integration Program (CIP), Parent Training Program, etc. The message should be taken to the County Board that we cannot cut any more programs/direct services and to ensure there are no waiting lists. Dave B. , Aurora Residential Alternatives, stated they serve about 110 individuals in St. Croix County. He stated without question Health and Human Services staff provides the highest quality services of agencies they serve. He stated, "We encourage you to access all the dollars you can, so we can integrate people into the community". He commended Health & Human Services and strongly supports the funding. Laura A., Indianhead Home Health Agency, stated she is contracted to go into homes to give services to clients. She stated they service around 120 clients in St. Croix County. She stated we need to not cut the budget as then most clients could not remain in their homes. Brad V. has two sons with Multiple Sclerosis and stated he and his wife use the services of Aurora Programs. His sons are wheelchair bound. He stated utilizing these services have kept them together as a family and enabled him to continue to be employed. He appreciates the services they are able to receive. Chair Stephens stated that every member of the Board is available to you, 365 days of the year. If this is going to work, you have to tell us when we have/have not met your needs. Everything we do, as a Board, is done with good intentions. Chair Stephens asked if there was anyone else who would like to give testimony. Hearing adjourned at 5:30 p.m. Chairman: Attest: N ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD August 22, 1996 The St. Croix County Health and Human Services Board met on August 22, 1996, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Einar Home Fem Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: Jack Dowd STAFF PRESENT: John Borup, Health & Human Services Director Carolyn Krieger, Nursing Home Administrator Cindy Griffin, Deputy Director Judy Ziegler, Accountant Judy Aronson, Secretary Ron Kiesler, Mental Health Coordinator Kathy Dunlap, Family & Children's Supervisor Fred Johnson, Family & Children's Supervisor Karen Hall, Long Term Support Coordinator Marilyn Fruit, Economic Support Supervisor Barbara Nelson, Public Health Supervisor Marcey Backes, Home Health Coordinator OTHERS PRESENT: John Krizek, Administrative Coordinator Ray Mealey, Chair, Long Term Support Committee John Mortensen, Long Term Support Committee Member Tom Dorsey, Finance Committee Walter Cox Chair Stephens, called the meeting to order at 6:30 P.M., noting the meeting was properly and legally publicized. NEXT MEETING: The next meeting of the Health and Human Services Board will be Tuesday, September 10, 1996 at 8:00 a.m. at the St. Croix County Health and Human Services/Health Center complex. Bethke and Johnson will review vouchers at 7:30 a.m. 11 AGENDA: MOTION: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the agenda be approved as circulated. MINUTES: MOTION: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the minytes of the 08/13/96 Health and Human Services Board meeting be approved as circulated. Presentation & Action on 1997 Bud et Pro osai for Health and Human Services and Nursin gy Home: Borup stated each Board member received a copy of the budget, detailing budget facts, e.g, revenues, expenditures, fixed costs, etc. The County allocation for Health and Human Services remain unchanged at $2, 982, 910 with a 1996 carryover of $167, 715 . This $167, 715 includes $20,000 from the farm account and $19,943 from Home Health. County allocation for the Nursing Home remains at zero for administration and services. Borup stated Health and Human Services the percentages of the county expenditures shrunk down from 1991 at 49.2 % to 1996 at 43.1 % . This was due to the elimination of some management positions, support positions and cost containment for purchased and provided services. Borup stated Long Term Support has had enormous growth and continues to grow. Horne noted that 2.5 % of Borup's salary is charged to the nursing home. Borup stated that was by Board design. Borup's salary is split out and we track those costs on cost allocation plan, required by the State. Chair Stephens gave a summary of the 1997 Budget factors which included expenditures and fixed costs. The Health and Human Services 1997 proposed budget included expenses, revenues, net levy/carryover. The nursing home total expenses and total revenues = $4,304,647. The nursing home census today is at 111. Discussion ensued on the county's insurance plans. The county has two plans, CC Systems and HMO. The monthly cost of CC Systems is $610.00 of which the employee pays $43.50. The HMO monthly cost is $350.00 and this is paid in full by the county. At the present time county wide there are 56 employees who have chosen the CC Systems plan. The choice of either insurance plan is offered once a year during open enrollment. Home stated the county spends $2,600/yr/employee with the CC Systems plan over the HMO plan. Horne stated the county cannot spend that. Krizek stated the County has to offer the two plans until the CC Systems enrollment is 25. Chair Stephens has assigned Olson to take this seriously and to take this back to the Personnel Committee she is on. This is something that will be addressed in negotiations this year. Chair Stephens stated the staff has brought in a zero budget and are present to answer any questions we have. They have put a lot of time and effort into coming up with their budgets. MOTION: A motion was introduced by Sinclear, seconded by Berenschot, and unanimously adopted: That the Health and Human Services Board approve the 1997 flat budget as presented. Health and Human Services totals are as follows: 2 Expenses Revenues Coun , Cost GRAND TOTAL 14,653,259 11,502,634 3,150,625 1997 Levy from Finance 2,982,910 Carryover from Prior Years 167,715 Unfunded 0 Nursing Home totals are as follows: Expenses Revenues County Cost 4,304,647 4,304,647 0 Horne questioned the Administration budget on the empty space cost. Ziegler stated that reflects the cost of the gym area. We have had to absorb the empty space costs as part of the cost for shared revenues from the state. There is rental to cover the cost of the gym area which includes the utilities. Mealey stated Long Term Support could use $100,000.00 more. There are still several people on the waiting list. Horne stated there will always be people on a waiting list. Stephens stated when on a zero budget, we try to hurt the least. At 7:12 p.m. Sinclear left the meeting. Personnel Issues: The bookkeeper job descriptions are to be reviewed and discussed in September. Horne asked if there we had ever done a value on the property of River Ridge house before the rent was set. He stated we should know what the value of the property is before rent is set. The question was asked if an inventory of assets of the county has been done. Krizek will get back to the Board with the cost of River Ridge. Borup stated he did speak to area realtors before River Ridge was rented for $600.00/month plus utilities. The River Ridge complex was valued at approximately $60,000 when you take into consideration the location and that the house has been moved. There is no current appraisal. Bethke stated the rent is reasonable, otherwise you sit with it. Stephens requested Krizek to take this back to Finance and ask who did the evaluations on the building. Horne noted there was a drop in convicted drunk drivers. Griffin stated there was a reduction in Intoxicated Driver Program monies, that was not a collections issue, as we get a percentage of their fine. There were not as many drunk drivers referred this year. They are now referred to their county of residence. 3 Limberg questioned why immunizations was losing money. Nelson stated we are State mandated to provide this service, we have no choice. The vaccine is supplied by the State at no cost. The staff time is our only cost. We cannot deny services if client has no ability to pay. Some of the clients do provide a donation of $3.00/vaccine dose. There is a school immunization law that states a child cannot enter school withput being vaccinated. Bethke stated we should get an A+ for renting the farm house at $400.00/month. Regarding the location and the condition it is in, we are doing okay, the rent is reasonable. Stephens thanked the staff very much for coming tonight. Stephens stated the issues of budget questions stay open. Health and Human Services/Nursing Home Report: The nursing home census is at 111 today with referrals continuing. There are two residents on LOA, the bedhold was not met. Most admissions recently are either short-term and discharged back home or short-term due to a terminal illness. Admissions for the first six months are double the number for all of 1995. Dr. Simon provides psychiatric services to Nursing Home residents. Dr. Simon submitted a Quarterly Report and articulated the high quality of our staff. Borup handed out copies of Public Health "Client Success Stories" for the Board's information. Financial Report: There was nothing new to report. Request to apply for State Grant entitled: "Systems Change Grants for Persons with Mental Illness": The Mental Health and Family and Children's Units are requesting approval by the Health and Human Services Board to apply for a grant that will provide up to $130,000 for each of five (5) years, subject to acceptable performance, for the development of an Intensive In - Home Treatment Team. This team would be comprised of two staff (a Mental Health Therapist and a Family and Children's Social Worker) and would provide treatment and case management in the clients' homes. The clients would be children diagnosed with Severe Emotional Disorder (SED) and their families. The caseload size of the team would be ten to twelve clients at a time. The goal of the team would be to reduce the number of costly out -of -home placement by providing intensive in -home treatment and case management. The Mental Health Unit would utilize open positions in its current organizational structure. The State of Wisconsin is looking for long-term systems change, which would also be in the best interest of St. Croix County. The total amount diverted from institutional care (after revenues) is estimated at $25-$30,000 a year. This is equivalent to one child being place in institutional care for six months. Home stated he has a lot of questions about SED children and does not believe the figures of how many children have the disorder. Kiesler stated presently there are two staff doing Intensive In -Home Treatment. Kiesler stated the grant is a way for us to start up a second team at the State's expense. 4 MOTION: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Health and Human Services Board approve the Mental Health and Family and Children's Units to apply for State Grant entitled: "Systems Change Grants for Persons with Mental Illness". Discussion continued. If St. Croix County receives this grant, the understanding is that at the end of the grant funding, if this program is not self supporting, it will be eliminated. Currently there is a waiting list of four, with three in the wing, potentially seven total. Most of the children are in the school system, some are in small settings within a facility. We would treat the child, educate the parents, try to work.with the family as a unit in the home setting. Kiesler stated this will generate revenues and save institutional costs. Horne stated he still wants a thorough discussion on SED. Discussion of Disposition of Drug Confiscation Money: Krizek stated under the federal codes the "drug" confiscation money'is for law enforcement. Maintenance Contracting Report: Chairman Stephens requested supervisors Horne and Sinclear to gather information on the potential to contract some maintenance services and report to the Board. Home stated the need for staff to describe the areas that need mowing and the areas that need plowing. Discussion of telephone system needs: Borup reported that our telephone system in its present configuration is essentially at its capacity. Risk factor: should the system go down with a lightning strike, etc., depending on damage, we could end up with a part of the system not working for a few days. Purchasing an "additional card" at a cost of $2,475 would minimize this risk. We have a good system which has required little maintenance. MOTION: A motion was introduced by Home, seconded by Olson, and unanimously adopted: That the Health and Human Services Board approve purchasing an "additional card" for our telephone system, at a cost of $2,475. Chair Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Bethke, seconded by Johnson, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 8:30 p.m. Chairman: Attest: Secretary 5