Loading...
HomeMy WebLinkAboutHealth & Human Services 05-23-1996d REVISED ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Robert $ache, Chairman St. Croix County Board FROM: LuVerne Burke (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 05/23/96 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 NEXT XZZTING s 0 6 / 1.1 / 9 6 ACTION ON PREVIOUS MINUTES: 05/09/96 ANNOUNCEMENTS APPOINTMENTS UNFINISHED BUSINESS: 1. Computer Electrical, Cabling and Lightning needs NEW BUSINESS: i. Election of Officers 2. Personnel Issues 3. Health and Human Servioes/Nursing Home Report 4. Financial Report 5. Setting Health and Human Services capital asset account 6. Action on Bids for Lease -Purchase of "Bussette" for St. Croix Industries 7. Juvenile Restitution Project Staffing Request 8. Discussion of cost of possible Nursing Home bed "decertification" 9. Discussion of possible HMO impact on services 10. out-of-state training request for Nurse Practitioner Training ANNOUNCEMENTS 6 CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in thiS order) SUBMITTED BY: John M. Borup DATE: May 17, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE BOARD COMMITTEE MEMBERS ST. CROIX COUNTY NOTICE OF COXXITJEE 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: 05/23/96 TIME: 6:30 p.m. LOCATION: St. Croix County Health and Human Services Complex New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DA02 OF HEST XERTING: 06/11/96 ACTION ON 'PREVIOUS MINUTES: 05/09/96 ANNQUNCEMENTS APPOIN'I)UMS UNFINISBLD BUSINESS: 1. Computer Electrical, Cabling and Lightning needs NEW BUSIV288: 1. Election of Officers 2. Personnel Issues 3. Health and Human Services/Nursing Home Report 4. Financial Report 5. Setting Health and Human Services capital asset account 6. Action on Bids for Lease -Purchase of "Bussette" for St. Croix Industries 7. Juvenile Restitution Project Staffing Request S. Discussion of cost of possible Nursing Home bed "decertification" 9. Discussion of possible HMO impact on services ANWOU'NCEXZNI'S i CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR !TEST MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATES May 13, 1996 COPIES TO: COUNTY BOA" OFFICE COUNTY CLERK NETS XEDIA/NOTICE BOARD COM UTTEE MEMBERS ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 23, 1996 The St. Croix County Health and Human Services Board met on May 23, 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 Allen Limberg Robert Stephens MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Cindy Griffin, Deputy Director Fred Johnson, Family and Children's Supervisor Ron Eichstaedt, St. Croix Industries Director Malva Berg, Secretary OTHERS PRESENT: John Krizek, Administrative Coordinator Rich Loney, Chief Accountant Chair Burke called the meeting to order at 6:30 p.m., noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for June 11, at 8:00 a.m.. Bethke will review the vouchers at 7:30 a.m.. The following meeting of the Health and Human Services Board is scheduled for Thursday, June 27, 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 Stephens, seconded Bethke, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Stephens, seconded by Dowd, and unanimously adopted: That the minutes of the 05/09/96 Health and Human Services Board meeting be approved as circulated. ELECTION OF OFFICERS: Burke turned the meeting over to Stephens for the election of officers. Stephens asked for nominations for chair. Burke was nominated for chair. Stephens called for any other nominations three times. 2 Motion: A motion was introduced by Bethke, seconded by Johnson and unanimously adopted: That the Board cast a unanimous ballot for Burke as chair. Burke resumed the Chair position. Burke asked for nominations for vice chair. Stephens was nominated for vice chair. Stephens asked that his name be removed from nomination as he feels the officers should be County Board members. Dowd was nominated for vice chair. Burke called for any other nominations three times. Motion: A motion was introduced by Stephens, seconded by Bethke, and unanimously adopted: That the Board cast a unanimous ballot for Dowd as vice chair. Burke asked for nominations for secretary. Bethke was nominated for secretary. Burke called for any other nominations three times. Motion: A motion was introduced by Stephens, seconded by Berenschot, and unanimously adopted: That the Board cast a unanimous ballot for Bethke as secretary. COMPUTER ELECTRICAL. CABLING AND LIGHTNING NEEDS: A proposal from Norstan for computer electrical and cabling needs was presented to the Board. Borup explained in the 1974 building computer wiring is wrapped around metal conduit, there is splicing, etc. all of which cause collisions for computer cabling. The proposal from Norstan is $83,580 to correct this problem with a 15 year parts and labor warranty. Borup feels this amount can be reduced to approximately $58,388 with maintenance doing some of the work, changes in wire location, ducting and station reduction. Borup and the Computer Committee recommend going ahead with this project. Discussion followed. Health and Human Services will be required to hook up to the internet when W-2 is fully implemented and would lose money if we are not on line when this is implemented. Borup said Human Services has carryover monies from 1995 to finance this project. Motion: A motion was introduced by Stephens, seconded by Dowd, and unanimously adopted: That the Board approves the electrical and cabling project for the 1974 building. NURSING HOME BED DECERTIFICATION: Krizek and Loney were present to discuss needing to make a decision around the State's mandate for a 91% occupancy for the MA rate. This will need to be made in August or September of 1996. The Nursing Home would need to decertify four beds to maintain the 91% occupancy and the present MA rate. These beds cannot be sold to another facility. The value per licensed bed is difficult to determine. Question was asked who makes the decision to decertify beds, the Health and Human Services Board or full County Board. 3 Discussion held on possibility of decertifying beds and transferring those slots to CIP II slots as this program has a waiting list. Krizek said there is no fast formula to estimate the value of beds unless the home is placed for sale. The Board asked that this item be on the agenda for every meeting until a decision is made. Although the nursing home would lose MA funds if the beds were not decertified, the loss of revenue could be re-couped through the ITP in 1997. Krizek will research the last bids received for the Nursing Home, Manitowoc and Eau Claire and report back to the Board on possible impact of decertifying 12 beds. Bethke left the meeting at 7:30 p.m. UNITED WAY GRANT: Krieger said the St. Croix Health Center has been awarded a grant of $2,264 from United Way for 1996, payable in three installments --April, July, and September. The grant proposal requested a grant to purchase a bath chair scale with matching funds from the St. Croix Health Center. The bath chair scale will allow the resident to be lifted once and obtain a weight at bath time. Horne said he would be willing to help Krieger prepare a grant request next year to request funds from Hudson United Way. Borup indicated that the New Richmond Rotary purchased a new refrigerator for Public Health to store medical supplies, immunizations, etc. BID FOR LEASE/PURCHASE OF BUSSETTE FOR ST, CROIX INDUSTRIES: Eichstaedt discussed bids received for bussettes. Only two bids were received. Bid #1 did not meet specifications because it is a 16 passenger bussette and the bid request was for 14. A CDL license would be needed for a 16 passenger bussette, but not for 14 passenger. St. Croix Industries currently has seven vehicles, six with air conditioning and diesel engines, one gas without air. The trade-in has a gas engine with approximately 160,000 miles. Discussion followed. Motion: A motion was introduced by Stephens, seconded by Horne, and unanimously adopted: That the Board approve bid #2 for $37,055 for a 14 passenger bussette on a 1996 chassis. The Board recessed from 7:55 p.m. to 8:05 p.m. There will be an orientation for new Board members on Friday, May 31 from 9:00 a.m. until noon. HEALTH AND HUMAN SERVICES/NURSING HOME ISSUES: Borup said the main 4 lawn mower will be down for about two weeks for repair. It will cost between $1,500 to $2,000 to repair. A small mower has been purchased in the meantime and will be used as backup when the main mower is repaired. Discussion followed. SETTING HEALTH AND HUMAN SERVICES CAPITAL ASSET ACCOUNT: Borup said we need to set aside funds for 1996 capital asset acquisitions. He said this was not done in the fall of 1995 as part of the budget process because of the tight financial picture at that time. He said $90,175 was set aside for 1995 as was recommended by Rod Paulson. This would be no additional monies, the monies would come from existing account. Discussion followed. Motion: A motion was introduced by Stephens, seconded by Berenschot, and unanimously adopted: That the Board designate $90,175 to be set aside for the 1996 capital asset account. JUVENILE RESTITUTION PROJECT STAFFING REOUEST: The Health and Human Services Board and Personnel Committee previously approved a grant -funded LTE position for a Restitution Coordinator in the Family and Children's Unit through 06/30/96. The grant has been renewed through 06/30/97. Fred Johnson, Family and children's Ongoing Unit Supervisor, reviewed the restitution program and requested Board approval for continuing this position through the new grant period. Johnson said this position has freed juvenile supervision workers to work with families rather than trying to collect restitution. Johnson will also bring this request back to the Personnel Committee. Discussion followed. Motion: A motion was introduced by Stephens, seconded by Olson, and unanimously adopted: That the Board approves the request for continuing the LTE Juvenile Supervision Restitution Coordinator through 06/30/97 with the sundowning clause. OUT-OF-STATE TRAINING REQUEST FOR NURSE PRACTITIONER TRAINING: This training was previously approved, the request is for a change of location for the training. The employee will pay her own transportation and the cost of the training is $5.00 less than previous request. It was questioned why this was coming to the Board and not approved by the Director. Borup said it is County Board policy that all out-of-state training requests be brought to the parent committee. Discussion followed. Motion: A motion was introduced by Olson, seconded by Johnson, and unanimously adopted: That the Board approves Nurse Practitioner to attend training in Colorado at no additional expense to the County. DISCUSSION OF POSSIBLE HMO IMPACT ON SERVICES: Griffin presented some possible HMO issues with managed care. She said this could have a significant impact on our department. Medical Assistance recipients are being assigned to HMOs. MA clients will have a 5 choice as to where they receive services. Discussion followed. Griffin said we currently have a contract with Preferred One and there was very little room for negotiation in the contract. Board requested this item be on the agenda in the future for Board discussion/action. Burke asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Dowd, seconded. by Horne, and unanimously adopted: That the meeting be adjourned. Time: 9:00 p.m. Chairman: Attest• (secretary)