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HomeMy WebLinkAboutHealth & Human Services 06-26-1996ST. CROIX COSY NOTICE OF COMMITTEE MEETING TO: Robert Boche, Chairman St. Croix County Board FROM: Luverne Burke (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 06/26/96 ***NOTE DATE CHANGE*** 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: 07 / 10 / 9 6 ACTION ON PREOIOOS MINUTES: 06/11/96 ANNOUNCEMENTS APPOINTMENTS UNFINISHED BUSINESS: 1. Discussion of cost of possible Nursing Home bed "decertif- ication" NEW BUSINESS: 1. Out-of-state training request ANNOUNCEMENTS 6 CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOMkN MENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: June 13, 1996 COPIES TO: COUNTY BOARD OFrXCE COUNTY CLERK NEWS MEDIA/NOTICE BOARD COMMITTEE MEMBERS ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD June 26, 1996 The St. Croix County Health and Human Services Board met on June 26, 1996, at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: LuVerne Burke, Chair Leon Berenschot Chris Bethke Einar Horne Fern Johnson Mary Louise Olson Allen Limberg Robert Stephens MEMBERS ABSENT: Jack Dowd STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Malva Berg, Secretary OTHERS PRESENT: John Krizek, Administrative Coordinator Rich Loney, Chief Accountant Robert Boche, County Board Chair Chair Burke 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 July 10, at 8:00 a.m.. Limberg and Horne will review the vouchers at 7:30 a.m.. The following meeting of the Health and Human Services Board is scheduled for Thursday, July 25, 1996 at 6:30 p.m. at the St. Croix County Health and Human Services/ Nursing Home complex. AGENDA: Motion: A motion was introduced by Bethke, seconded Horne, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Johnson, seconded by Olson, and unanimously adopted: That the minutes of the 06/11/96 Health and Human Services Board meeting be approved as circulated with the exception of the following sentence being struck: The contaminated soil is being brought to the Junker Landfill. Borup said this meeting was intended to discuss Nursing Home bed decertification, but since the meeting on June 11, the following updates have occurred: a. 07/01/96 M.A. per diem rate to increase by approximately 32% for this year only (had been projected at 1%), and 2 b. 07/01/96 M.A. per diem rate will use the 1994 cost report and 1994 census, not 1995 census. Therefore, we would not be required to decertify beds this year. This data was corroborated with Craig Thompson, WCA, and Dave Lund, DHSS, who agreed with Brian Schoeneck's opinion. Borup said this information makes the issue of CIP beds moot for now. Discussion held regarding Nursing Home financial situation. Krieger said some depreciation dollars were used along with cash balance to balance the 1996 budget. Krizek said the capital improvement money is less when you use depreciation account to balance the budget. He said this would work for short term, but not long term. Horne asked if the Nursing Home is losing money per bed, why would a wage increase even be negotiated. The Nursing Home needs to be run as a business, but cannot run as a charitable business. Horne said this issue should go to the full County Board to ask how they want Health and Human Services Board to run the Nursing Home. Stephens said this is a political decision, not a financial decision. Horne asked does the County Board still support the Nursing Home as the formal action took place four years ago. It was the consensus of the Board that no action needed to be taken on decertifying beds. Because of new information received, the Nursing Home will be able to remain a 129-bed nursing home through 1997. Stephens asked at what point in the census is the Nursing Home inoperable and not economical to run. The 1996 budget was made at 122 beds and the census today is 105. Berenschot said advertising the facility should be done in the most economical way possible. Krieger said this is being done along with other marketing. Krizek said the nursing home needs a feeder network for admissions to the nursing home. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Board agrees not to decertify any Nursing Home beds at this time. At what point in the census is the Nursing Home inoperable and not economical to run will be on the agenda for the August 22 mee:ting. The Board would like a cash flow sheet to show the decay of funds and principle paid by the County. Changes in the source of revenue and how revenue is given is hard if not impossible to predict more than a year in advance. 91 Burke asked if there were any other issues to bring before the Board. There will be a meeting regarding Juvenile Intake with the Sheriff, Corp Counsel and Judges at 12:30 on 06/27/96. The results will be reported back to the Health and Human Services Board. Motion: A motion was introduced by Stephens, seconded by Horne, and unanimously adopted: That the meeting be adjourned. Time: 9:40 a.m. Chairman: Attest: (secretary)