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HomeMy WebLinkAboutHealth & Human Services 06-11-1996JON-07-1996 10:0B ST CROIX H & HS 1 715 246 8225 P.02 fiCHRIS BETHKE WILL REVIEW VOUCHERS AT 7:30 A.M. REVISED ST. CROIS COUNTY uQTIC,,. 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: 06/11/96 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 NEST MEETING: 06/27/96 ACTION ON PREVIOUS MINUTES: 05/23/96 PERSONNEL ISSULS ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Discussion of cost of possible Nursing Home bed "decertif- ication" 2. Discussion of possible HMO impact on services 3. Computer Electrical, Cabling and Lightning Protection NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Health► and Human Services/Nursing Home Report 4. Personnel Issues & 1997 position Requests 5. Van Dyk request to hold auction at County barn 6. Recommendations on new Juvenile Detention and Treatment options under Wisconsin Chapter 938 7. Repair or removal of old laundry building S. Setting Mental health outpatient Rates ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEST MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: June 7, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE TOTAL P.02 CHRIS BETHKE 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: LuVerne Burke (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 06/11/96 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: 06/27/96 ACTION ON PREVIOUS MINUTES: 05/23/96 PERSONNEL ISSUES ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Discussion of cost of possible Nursing Home bed "decertif- ication" 2. Discussion of possible HMO impact on services NEW BUSINESS: 1. Consideration of Claims and vouchers 2. Financial Report 3. health and Human Services/Nursing Home Report 4. Personnel Issues 6 1997 Position Requests 5. Van Dyk request to hold auction at County barn 6. Recommendations on new Juvenile Detention and Treatment Options under Wisconsin Chapter 938 7. Repair or removal of old laundry building 8. setting Mental Health Outpatient Rates ANNOUNCEMENTS i CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURD=NT (Agenda not necessarily presented in this order) SUBMITTZD BY: John M. Borup DATE: June 3, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE CgRIS BETHKE WILL REVIEW VOUCHERS AT 7:30 A.K. ST. CROIS COUNTY NOTICE QZ CONKITTENMEETING 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: 06/11/96 TINE: 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: 06/27/96 ACTION ON PREVIOUS XINUTES: 05/23/96 PERSONNEL ISSUES ANNOUNCEMENTS APPOINTXENT99: FINISHED BUSINESS: 1. Discussion of cost of possible Nursing Home bed "decertif- ication" 2. Discussion of possible HMO impact on services NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Health and Human Services/Nursing Home Report 4. Personnel issues & 1997 position Requests 5. Van Dyk request to hold auction at County barn 6. Recommendations on new Juvenile Detention and Treatment Options under Wisconsin Chapter 938 7. Repair or removal of old laundry building ANNOUNCEMENTS a CORRESPONDENCE POSSIBLE AGENDA ITZXS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED SYt John M. Borup DATE: May 30, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERX NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD June 11, 1996 The St. Croix County Health and Human Services Board met on June 11, 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 Jack Dowd Einar Horne Fern Johnson Mary Louise Olson MEMBERS ABSENT: Allen Limberg, excused Robert Stephens, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Malva Berg, Secretary Marilyn Fruit, Economic Support Supervisor Kathy Dunlap, Family and Children's Supervisor Ron Kiesler, Mental Health Coordinator Deb Lindemann, Public Health OTHERS PRESENT: John Krizek, Administrative Coordinator Greg Timmerman, Corporation Counsel 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 Wednesday, June 26, 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 Bethke, seconded Horne, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Dowd, seconded by Berenschot, and unanimously adopted: That the minutes of the 05/23/96 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, unemployment, fixed asset, and cash report. Horne questioned unemployment claims. Krizek said each unemployment claim is fought. 2 Human Services Board member, Bethke, reviewed the May vouchers and questioned or reviewed the following vouchers: HUMAN SERVICES: 1920: Woodland Youth and Family Shelter, $900.00, shelter care. This is the cost of shelter care for three minors at $75.00 each per day. The total number of days of care for May was 12. The home is located in Chippewa Falls. It offers 24 hour intensive supervision of youth aid delinquent offenders. St. Croix County does not have a shelter home of this type so we contract with Chippewa County to use theirs. 223: Focus Homes, Inc., $4,821.97, LTS Purchased. This was the monthly cost for a Long Term Support client to live in a group home. This is a CIP client and is provided for by waiver funds. 2302: Lehman Drug, $8,672.41, LTS CIP Expense. This is the cost of a Butler stairway lift for a CIP client. The cost will be reimbursed through the CIP waiver. 2151, 2153 & 2157: Sacred Heart Hospital, $6,150.00 Mental Health purchased services. We contract with Sacred Heart Hospital in Eau Claire to provide inpatient services for Mental Health clients. Motion: A motion was introduced by Bethke, seconded by Dowd, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 242 through 279: Home Health vouchers 1877 through 1878, dated May 16, 1996 in the amount of $288.90. Home Health vouchers 2316 through 2341, dated May 31, 1996 in the amount of $19,729.74. Human Services vouchers 1879 through 1921, dated May 16, 1996, in the amount of $126,627.98. Human Services voucher 1951, dated May 22, 1996, in the amount of $1,099.95. Human Services vouchers 1923 through 1950, dated May 23, 1996, in the amount of $83,099.92. Human Services vouchers 1952 through 1971, dated May 30, 1996, in the amount of $10,294.67. 3 Human Services vouchers 1974 through 2033, dated May 31, 1996, in the amount of $33,766.22. Human Services voucher 2034, dated June 04, 1996, in the amount of $1,688.22. Human Services vouchers 2074 through 2315, dated May 31, 1996, in the amount of $68,704.07. Human Services vouchers 2035 through 2248, dated May 31, 1996, in the amount of $83,816.53. Nursing Home vouchers 261 through 267, dated May 16, 1996, in the amount of $10,695.17. Nursing Home vouchers 276 through 326, dated June 11, 1996, in the amount of $48,760.13. Social Services and Human Services vouchers 165 through 182, dated May 15, 1996, in the amount of $79,126.13. Human Services and Nursing Home vouchers 234 through 259, dated May 14, 1996, in the amount of $235,056.83. Human Services and Nursing Home vouchers 260 through 277, dated May 28, 1996, in the amount of $228,957.44. Social Services and Human Services vouchers 183 through 197, dated May 29, 1996, in the amount of $79,169.68. FINANCIAL REPORT: The following financial report for April, 1996 was presented to the Board. Discussion followed. The Nursing Home expenses have been cut with the decreased census. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/96 THROUGH 04/30/96 Reconciled Cash Balance 04/30/96 Add: Accounts Receivable, 04/30/96 Private Pay Medicare Medicaid General Accounts Payable-04/30/96 Net Current Items, 04/30/96 $542,230.85 * $13,999.56 $63,669.45 $205,595.51 $1,236.51 ($205,724.74) $621,007.14 1996 Revenue Recorded through 04/30/96 $1,319,817.90 Includes Allocations of Anticipated Revenues 1996 Expenses Recorded through 04/30/96 $1,403,618.95 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 = $164,772.58 Capital Acquisitions = 183,082.18 We received an advance of $142,000 in January of our ITP grant SUMMARY OF REVENUES Administration AODA Services Long Term Support Mental Health Family & Children's Economic Support General Relief TOTAL REVENUES ALL PROGRAMS SUMMARY OF EXPENDITURES Administration Alcohol -Drug Abuse Long Term Support Economic Support Mental Health Services Family & Children's General Relief TOTAL 1996 HUMAN SERVICES BUDGET hs96-sum HUMAN SERVICES - 1996 Total Jan. -Apr. Budget Balance 178,512.72 523,032.00 344,519.28 34.1% 119,795.88 301,352.00 181,556.12 39.8% 2,477,279.35 6,776,175.00 4,298,895.65 36.6% 527,864.67 1,562,302.00 1,034,437.33 33.8% 623,922.99 2,128,883.00 1,504,960.01 29.3% 270,476.43 974,037.00 703,560.57 27.8% 8,332.00 47,500.00 39,168.00 17.5% 4,206,184.04 12,313,281.00 8,107,096.96 34.2% Total Jan. -Apr. Budget Balance % 163,671.93 523,032.00 359,360.07 31.3% 79,547.93 301,352.00 221,804.07 26.4% 1,798,716.61 6,776,175.00 4,977,458.39 26.5% 319,858.31 974,037.00 654,178.69 32.8% 492,228.56 1,562,302.00 1,070,073.44 31.5% 534,898.95 2,128,883.00 1,593,984.05 25.1% 29,607.20 47,500.00 17,892.80 62.3% 3,418,529.49 12,313,281.00 8,894,751.51 27.8% HOME HEALTH Total Jan. -Apr. Budget Balance �* TOTAL REVENUES 166,122.62 519,183.00 353,060.38 32.0% TOTAL EXPENDITURES 161,177.60 519,183.00 358,005.40 31.0% PUBLIC HEALTH(12 month programs) Total Jan. -Apr. Budget Balance %* TOTAL REVENUES 223,574.52 846,503.00 622,928.48 26.4% TOTAL EXPENDITURES 267,705.60 846,503.00 578,797.40 31.6% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 33.330. ph96-sum 7 DISCUSSION OF COST OF POSSIBLE NURSING HOME BED "DECERTIFICATION": Krizek said that Eau Claire had been offered $7.5 million for their home, which equals $60,000 per bed. He said the facility was appraised at $6 million. He thought the Eau Claire facility would probably be put up for sale in June or July. The Eau Claire facility opted to not decertify beds as the facility would be of more value with more beds. Krizek said Manitowoc is not for sale at this time. Krizek said the only way to estimate the bed value is to go to the market, and to go to the market would affect morale and census. He said if beds are decertified, you would never get them back. Discussion followed. Four beds would need to be decertified to maintain the MA rate in the Nursing Home and the Nursing Home needs to declare the number of beds it wants to decertify by October. This decision will need County Board action. If the Nursing Home decertified 12 beds, eight of those slots could benefit the CIP program, which currently has a waiting list. More information will be gathered by staff to present to the Board and this item will be discussed at a meeting on June 26, 1996 at 8:00 a.m. BARN CONTRACT: Greg Timmerman was present to discuss the barn contract. Henk Van Dyk has made a claim for approximately $13,000 for repairs made on the barn since 1992. The previous contract wording said the county would pay half and the tenant would be half of all necessary repairs. It was felt Van Dyk should have discussed the repairs with the Board before they were done and the bills should have been submitted in a timely manner. Effective 06/01/96 a lease extension now says any repairs done by the tenant will be the sole responsibility of the tenant. Van Dyk is planning to hold a cattle auction by the County barn on 06/28/96. He planned this without Board approval or knowledge. Burke requested Van Dyk to submit a written request to hold this auction to the Board, but this request has not been received. Horne asked if the County would be covered for insurance for this auction. It was the consensus of the Board Van Dyk needs to go to Schottler to ask permission to park on his rented land for the auction. Berenschot said the Board should let Timmerman negotiate with Van Dyk regarding the claim for repairs. Notice should be served on Van Dyk to have the parking, liability insurance, etc. in place before the auction or the Board does not want the auction held here. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That Corporation Counsel negotiate and do whatever necessary to settle with Van Dyk regarding the claims for barn repairs, that proof of a minimum of one million dollar liability insurance be given to the Board before the auction. The Board also expects Van Dyk to negotiate with Schottler regarding 8 the parking and that no parking will be allowed on County land. REPAIR OR REMOVAL OF OLD LAUNDRY BUILDING: Borup said he requested a bid from the Highway Commission to demolish the old laundry building. Borup said it would be approximately $5,000 to remove and bury the building or $2,500 to $3,000 if maintenance can take care of some of the removal (burn some of the materials). This would not be done until the end of the road construction season. Borup has also requested information from electrician to move electrical-communication/radio equipment and is obtaining a bid for a 10 x 12 building for emergency communication equipment. Borup continues to communicate with Emergency Communications regarding this move. Borup said Secret Santa will be moving out of the building in six to eight weeks. The Cancer Society still has equipment in storage. COMPUTER ELECTRICAL. CABLING AND LIGHTNING PROTECTION: Borup said a proposal from Thompson Lightning Protection was discussed at the May 9, 1996 Board meeting. Surge arrestors have been ordered as a result of this proposal. Borup said the Nursing Home was struck by lightning this week resulting in about $7,000 in damage, this should be covered by insurance. Discussion followed. Motion: A motion was introduced by Horne, seconded by Olson, and unanimously adopted: That the Board approve $12,300 to install lightning protection in both buildings as proposed by Thompson Lightning Protection. Bethke left the meeting at 9:30 a.m. The Board recessed from 9:30 to 9:45 a.m. HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Nursing Home census is at 10.4. The Nursing Home Director of Social Services continues to work with Woven Hearts and the discharge planner at Holy Family Hospital for possible admissions. Krieger said the Office on Aging has received an increase in grant money to consider another site for the "Day Away" program (respite day care for Alzheimer's families for approximately four hours). The Health Center has been offered as the other site. The grant provides money for set up costs. Krieger said she is looking at the Chapel area in the Nursing Home for this site and the noon meal would be purchased here. She said this would begin 01/01/97 if approved by the Board. Motion: A motion was introduced by Berenschot, seconded by Dowd, and unanimously adopted: That the Board supports the Nursing Home providing the "Day Away" Program. 1997 POSITION REQUESTS: Marilyn Fruit, Economic Support Supervisor, requested the following position modifications to administer the W-2 program. She has no new position requests and is requesting to fill two vacant positions in order to administer W-2 program. She said the W-2 contract is due to be awarded in March, 1997. These are direct service positions. She requested replacing current Economic Support Aide with new Resource Specialist, replacing two of the current (six) Economic Support Specialist Its with two Social Service Planners (which is a State title), and replacing two of the current (six) Economic Support Specialist II positions with two Financial Employment Planners (which is also a new job description from the State). Horne asked why the standards are not increased to require a college education for these positions. Fruit said no degree is required for these positions, but they are required to take State training, which is paid by the County and State. She said there is really no course specific to these positions. She also requested to refill two vacant Economic Support Specialist positions with one new Financial Employment Planner and one new Day Care Specialist. Fruit said day care will be a county responsibility whether or not W-2 is implemented. She said these staffing requests are based on the Financial Employment Planners carrying a caseload of 55 and the Social Service Planners carrying a caseload of approximately 300, and the anticipated significant increase in day care cases. These are the recommended caseloads in the legislation. The State is anticipating a 300% increase in the day care cases statewide. This would incorporate the present JOBS functions and workload which currently has three full-time positions at the JOB CENTER. In St. Croix County, the JOBS program is currently administered by Wisconsin Job Service. She is requesting the Day Care Specialist position be filled effective January 2, 1997. The other position requests would be implemented between the awarding of the W-2 contract in March, 1997 and full implementation in September, 1997. Funding for these positions and associated costs would be included in the Wisconsin Works Administration Allocation. No additional costs anticipated for W-2 project; if State promises materialize, we plan to reduce costs. Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously adopted: That the Board approve the position modifications as requested for Economic Support pending administration of W-2 and the position modification requests be forwarded to the Personnel Committee. 10 UPDATE ON PHOENIX/ROSEN METALS CLEANUP: Deb Lindemann, Public Health Nurse, distributed a fact sheet regarding the progress of the cleanup of Phoenix/Rosen Metals site in Baldwin. She said Public Health has a Childhood Prevention Lead Poisoning Grant for screening and many children have been screened at the WIC site in Baldwin. The contaminated soil is being brought to the Junker Landfill. Discussion followed. Horne requested that the Town of Hudson be put on the mailing list regarding meetings/notices regarding this clean up. PERSONNEL ISSUES: Borup said Jerry Youngman, M.S., Mental Health Therapist, has submitted his resignation effective 06/14/96. He is joining the private sector. Borup said Donna Patterson, Case Manager in Long Term Support (transferred from a management position to direct services with the 1996 budget), effective 06/09/96, has been re-classified from a non -union grade 9 to a grade 7. 1997 POSITION REQUESTS (con't): Karen Hall, Long Term Support Coordinator, requested a permanent 60% social work position. This position would provide case management services to 20 new participants in the Home and Community Based Waiver Programs CIP-2/COP-W. She said case management services are required for waiver participation. Assembly Bill 739 provides for an increase of $134,000 in State and Federal funds for St. Croix County, which would provide services to assist people in their own homes to stay there for about 20 clients. There is currently a waiting list of 20 clients. Hall said you can not have people on a waiting list if there are funds available and you have to provide assessment, case plans and case management to capture these funds. Board asked if current staff could absorb this caseload. Hall said if the caseload was one to five, it could probably be absorbed, but 20 is too many to be absorbed by current staff. She said this money would be permanently added to our base and is not a one time allocation. She said this position would be funded by all State and Federal funds, there would be no County funds. The Long Term Support Unit has utilized a half-time LTE social worker position for 18 of the last 21 months to do case planning and case management for waiver programs. Discussion followed. Motion: A motion was introduced by Olson, seconded by Johnson, and unanimously adopted: That the Board approves the request for a 60% social work position in Long Term Support with the condition that the position be sunsetted if the State and Federal monies are taken away and the position request be forwarded to the Personnel Committee. Kathy Dunlap, Family and Children's Supervisor, requested a position change from part-time limited term Family Resource Aide I kel to permanent part-time Family Resource Aide I. She said this position has been an LTE position for two years. There would be additional county costs of $1, 455 for fringe benefits. She said if a Family Resource Aide is not available, the services would have to be provided by a social worker at a much higher cost. Most of the services provided by the Family Resource Aide are mandated by court order. Discussion followed. Motion: A motion was introduced by Dowd, seconded by Berenschot, and unanimously adopted: That the Board approve the request for a position change from part-time limited term Family Resource Aide I to permanent part-time Family Resource Aide I and the position request be forwarded to the Personnel Committee. Burke announced that at the Finance Committee Judge Lundell requested Juvenile Intake be moved to be under the judges. A meeting will be held with the District Attorney, Sheriff, Human Services and all the judges to discuss this. Dunlap said the electronic monitoring unit for juveniles has arrived and will be up and running soon. RECOMMENDATIONS ON NEW JUVENILE DETENTION AND TREATMENT OPTIONS UNDER WISCONSIN CHAPTER 938: Dunlap presented the following options under the new Juvenile Justice Code 938: a. Secure detention for up to 30 days as a dispositional alternative. b. Up to 72 hours secure or non -secure detention without a hearing for youth who have violated a court order. C. 30 days of AODA inpatient treatment as a dispositional option under the juvenile code. These options are effective July 1, 1996. She said these would apply only if a new offense is committed. Discussion followed. It was the consensus of the Board for Dunlap to prepare guidelines and resolution regarding these options and return to the Board at the July 10, 1996 meeting. If the resolution is approved by the Health and Human Services Board, it would also need to be acted on by the full County Board. Dowd left the meeting at 11:00 a.m. SETTING MENTAL HEALTH OUTPATIENT RATES: Kiesler proposed the following rates for Mental Health Outpatient be effective July 1, 1996: M. D. $186 (individual), $62 (group) Ph. D $166 (individual), $55 (group) Master's $ 83 (individual), $27 (group) Bachelor's $ 62 (individual), $21 (group) Mental Health Technician $ 39 (individual) 12 He said he rates are calculated by adding staff salary and fringe, program related costs, space costs, Health. and Human Services Department overhead, and St. Croix County Government (indirect) overhead. The sum is then divided by the number of direct service hours provided by each discipline. The formula is a State approved formula. He said the rates are in excess of the MA allowable rates. Discussion followed. Motion: A motion was introduced by Berenschot, seconded by Olson, and unanimously adopted: That the Board approves. the following rates for Mental Health Outpatient effective July 1, 1996: M. D. $186 (individual), $62 (group) Ph. D $166 (individual), $55 (group) Master's $ 83 (individual) $27 (group) Bachelor's $ 62 (individual), $21 (group) Mental Health Technician $ 39 (individual) Burke asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously adopted: That the meeting be adjourned. Time: 11:32 a.m. Chairman: Attest: (secretary)