HomeMy WebLinkAboutHealth & Human Services 05-09-1996ST. 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: 05/09/96 (NOTE BAN-23 IN DATE)
TIRE: 8:00 a.A.
LOCATION: St. Croix County Health and Human Services Complex, New
Richmond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEST MEETING: 04/25/96
ACTION ON PREVIOUS MINUTES: 03/28/96
PERSONNEL ISSUES
ANNOUNCEMENTS
APPOINTXZNTB :
UNFINISKED BUSINESS:
1. Reconsideration of Trash Compactor Payment
NEW BUSINESS:
1. Audit Report
2. Consideration of Claims and vouchers
3. Financial Report
4. Health and Human Services/Nursing Home Report
5. Personnel Issues
6. Discussion of 1995 Annual Report
7. Setting RN Rates for Home Health for June 1, 1996
S. Computer Electrical, Cabling and Lightning Protection needs
ANNOUNCEMENTS 6 CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING.
ADJOURNMENT
(Agenda not necessarily presented in this order)
SUBMITTED BY: John M. Borup
DATE: April 29, 1996
COPIES TO: COUNTY BOARD OFFICE
COUNTY CLERK
NEWS MEDIA/NOTICE
ST. CROIB COUNTY HEALTH AND HUMAN SERVICES BOARD
May 09, 1996
The St. Croix County Health and Human Services Board met on May 9,
1996, at the St. Croix County Health and Human Services/Health
Center complex in New Richmond, Wisconsin.
MEMBERS PRESENT:
MEMBERS ABSENT:
LuVerne Burke, Chair
Chris Bethke
Jack Dowd
Fern Johnson
Allen Limberg
George Sinclear
Robert Stephens
none
STAFF PRESENT: John Borup, Health and Human Services Director
Carolyn Krieger, Nursing Home Administrator
Judy Ziegler, Accountant
Malva Berg, Secretary
OTHERS PRESENT: John Krizek, Administrative Coordinator
Ralph Robole, Facilities Coordinator
Rod Paulson, Auditor
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 Thursday, May 23, 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
Sinclear, and unanimously adopted: That the agenda be approved as
circulated.
Motion: A motion was introduced by Stephens, seconded by Bethke,
and unanimously adopted: That the minutes of the 04/10/96 Health
and Human Services Board meeting be approved as circulated.
AUDIT REPORT: Rod Paulson, CPA, presented the 1995 Audit Report.
He summarized the Nursing Home balance sheet and discussion was
held on some alternatives to be pursued for the nursing home for
additional revenues. The Human Services fund balances were also
summarized and the final Human Services audit report will be issued
within the month. Paulson said the Human Services Accounts
Receivable Department is doing a very good job and the last two
years have experienced good collections. Paulson presented the
management letter and outlined a few changes he recommends.
2
Prior meetings with Borup, Ziegler, Krieger, Krizek, and Loney
discussed several scenarios for the Nurisng Home using a modeling
format. Krizek and Loney distributed a summary audit report for
the years 1992-1995 for the nursing home to be used as possible
modeling through each of the scenarious. Krizek said this year the
nursing home will have to decide to either decrease licensed beds
by four or keep those four beds and take a cut in Medicaid rates.
He said we have until fall to decide which route to take. In 1997,
the nursing home will have to decrease another 14 beds if the
census remains the same. If the license is below 100, requirements
change. For example, a RN does not have to be on duty 24-hours a
day, the RN can be on -call. Krizek said licensed beds are part of
the asset of the nursing home and if beds are decertified, it will
change the value of the facility. He said to decrease the licensed
beds by four beds would drop the value of the capital investment by
$120,000. Stephens said the net worth of the Nursing Home should
be listed on the balance sheet. Discussion followed.
SETTING RN RATES FOR HOME HEALTH:
Motion: A motion was introduced by Sinclear, seconded by Johnson,
and unanimously adopted: That the Board approves increasing the
Skilled Nursing Rate for Home Health RNs to $105.00/visit effective
06/01/96.
CONSIDERATION OF CLAIMS: Judy Ziegler, Accountant/Accounting
Supervisor, distributed the following reports: transfer of funds
report, unemployment, fixed asset, and cash report.
Human Services Board member, Stephens, reviewed the April vouchers
and questioned or reviewed the following vouchers:
HUMAN SERVICES:
1495: Prather, Mildred R., $50.00, Long Term Support deposit
refund. Long Term Support has some monitoring equipment
for Alzheimer's patients. Families are able to use this
for an Alzheimer's patient in their home but must pay a
deposit on the equipment. A family returned the
equipment they used and we are refunding their deposit.
1657: Ford Motor Credit Co., $901.59, Long Term Support care
leases. Check covers one month's lease on three cars.
Motion: A motion was introduced by Stephens, seconded by Bethke,
and unanimously adopted: The following vouchers be approved and be
made a part of the supplemental minute book pages 206 through 242:
Home Health voucher 1384, dated April 18, 1996 in the amount of
$58.00.
Home Health vouchers 1850 through 1876, dated May 09, 1996 in the
3
amount of $3,452.87.
Human Services vouchers 1385 through 1463, dated April 18, 1996, in
the amount of $189,299.86.
Human Services vouchers 1466 through 1505, dated April 25, 1996, in
the amount of $51,142.42.
Human Services vouchers 1506 through 1556, dated April 30, 1996, in
the amount of $46,273.40.
Human Services vouchers 1560 through 1786, dated April 30, 1996, in
the amount of $122,802.55.
Human Services vouchers 1619 through 1849, dated April 30, 1996, in"
the amount of $87,074.67. - - -
Nursing Home vouchers 194 through 203, dated April 18, 1996, in the
amount of $5,904.91.
Nursing Home vouchers 204 through 249, dated May 09, 1996, in the
amount of $40,949.66.
Social Services and Human Services vouchers 128 through 146, dated
April 17, 1996, in the amount of $78,965.45.
Human Services and Nursing Home vouchers 183 through 209, dated
April 16, 1996, in the amount of $242,334.09.
Human Services and Nursing Home vouchers 210 through 233, dated
April 30, 1996, in the amount of $280,927.29.
Social Services and Human Services vouchers 147 through 164, dated
May 01, 1996, in the amount of $94,987.98.
FINANCIAL REPORT: The following financial reports for February and
March, 1996 were presented to the Board. Discussion followed.
PLEASE SEE NEXT PAGE.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/96 THROUGH 02/29/96
NURSING HOME
Reconciled Cash Balance 02/29/96
Add:
Accounts Receivable, 02/29/96
Private Pay
Medicare
Medicaid
General
Accounts Payable-02/29/96
Net Current Items, 02/29/96
1995 Revenue Recorded through 02/29/96
Includes Allocations of Anticipated Revenues
1995 Expenses Recorded through 02/29/96
Includes Allocations of Expected Expenses
$644,383.89 *
$9,632.12
$80,994.50
$169,257.92
$785.88
($217,981.26)
687,073.05
$673,933.05
$687,675.33
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 = $465,073.86
Capital
Acquisitions = 179,310.03
We received an advance of $142,000 in January of our ITP grant
HUMAN SERVICES - 1996
SUMMARY
Total
OF EXPENDITURES
Jan. -Feb.
Budget
Balance
$
Administration
79,229.13
523,032.00
443,802.87
15.1%
Alcohol -Drug Abuse
38,640.52
301,352.00
262,711.48
12.8%
Long Term Support
826,330.35
6,776,175.00
5,949,844.65
12.2%
Economic Support
155,553.25
974,037.00
818,483.75
16.0%
Mental Health Services
221,185.43
1,562,302.00
1,341,116.57
14.2%
Family & Children's
252,094.33
2,128,883.00
1,876,788.67
11.8%
General Relief
8,842.15
47,500.00
38,657.85
18.6%
TOTAL 1996 HUMAN
SERVICES BUDGET
1,581,875.16
12,313,281.00
10,731,405.84
12.8%
SUMMARY
Total
OF REVENUES
Jan. -Feb.
Budget
Balance
%
Administration
87,039.93
523,032.00
435,992.07
16.6%
AODA Services
64,702.26
301,352.00
236,649.74
21.5%
Long Term Support
1,356,852.38
6,776,175.00
5,419,322.62
20.0%
Mental Health
276,761.92
1,562,302.00
1,285,540.08
17.7%
Family & Children's
317,650.49
2,128,883.00
1,811,232.51
14.9%
Economic Support
131,141.98
974,037.00
842,895.02
13.5%
General Relief
4,166.00
47,500.00
43,334.00
8.8%
TOTAL REVENUES
ALL PROGRAMS
2,238,314.96
12,313,281.00
10,074,966.04
18.2%
hs96-sum
HOME HEALTH
Total
Jan. -Feb.
Budget
Balance �*
TOTAL REVENUES
120,773.46
519,183.00
398,409.54
23.3%
TOTAL EXPENDITURES
78,214.42
519,183.00
440,968.58
15.1%
PUBLIC HEALTH(12 month programs)
Total
Jan. -Feb.
Budget
Balance
%*
TOTAL REVENUES
161,493.11
846,503.00
685,009.89
19.1%
TOTAL EXPENDITURES
131,854.19
846,503.00
714,648.81
15.6%
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 16.67%.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/96 THROUGH 03/31/96
NURSING HOME
Reconciled Cash Balance 03/31/96
Add:
Accounts Receivable, 03/31/96
Private Pay
Medicare
Medicaid
General
Accounts Payable-03/31/96
Net Current Items, 03/31/96
1995 Revenue Recorded through 03/31/96
Includes Allocations of Anticipated Revenues
$633,464.66 *
$1,942.95
$72,086.22
$177,068.80
$2,536.12
($251,244.06)
$635,854.69
$991,869.90
1995 Expenses Recorded through 03/31/96 $1,027,671.99
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 = $454,154.63
Capital
Acquisitions = 179,310.03
We received an advance of $142,000 in January of our ITP grant
HUMAN SERVICES - 1996
SUMMARY
Total
OF EXPENDITURES
Jan. -Mar.
Budget
Balance
$
Administration
117,445.80
523,032.00
405,586.20
22.5%
Alcohol -Drug Abuse
55,497.93
301,352.00
245,854.07
18.4%
Long Term Support
1,288,278.37
6,776,175.00
5,487,896.63
19.0%
Economic Support
225,986.60
974,037.00
748,050.40
23.2%
Mental Health Services
330,704.12
1,562,302.00
1,231,597.88
21.2t'
Family & Children's
476,588.57
2,128,883.00
1,652,294.43
22.4%
General Relief
6,249.00
47,500.00
41,251.00
13.2%
TOTAL 1996 HUMAN
SERVICES BUDGET
2,500,750.39
12,313,281.00
9,812,530.61
20.3%
SUMMARY
OF REVENUES
Administration
AODA Services
Long Term Support
Mental Health
Family & Children's
Economic Support
General Relief
TOTAL REVENUES
ALL PROGRAMS
hs96-sum
Total
Jan. -Mar.
Budget
Balance
130,620.86
523,032.00
392,411.14
25.0%
93,274.79
301,352.00
208,077.21
31.0%
2,025,851.29
6,776,175.00
4,750,323.71
29.9%
405,327.60
1,562,302.00
1,156,974.40
25.9%
385,467.02
2,128,883.00
1,743,415.98
18.1%
197,677.23
974,037.00
776,359.77
20.3%
22,618.28
47,500.00
24,881.72
47.6%
3,260,837.07 12,313,281.00 9,052,443.93 26.5%
HOME HEALTH
Total
Jan. -Mar.
Budget
Balance
�*
TOTAL
REVENUES
127,974.32
519,183.00
391,208.68
24.6%
TOTAL
EXPENDITURES
117,109.81
519,183.00
402,073.19
22.6%
PUBLIC HEALTH(12 month programs)
Total
Jan. -Mar.
Budget
Balance
$*
TOTAL
REVENUES
222,222.45
846,503.00
624,280.55
26.3%
TOTAL
EXPENDITURES
194,306.83
846,503.00
652,196.17
23.0%
*TO BE
ON BUDGET, PERCENTAGE SHOULD BE
25.00%.
ph96-sum
10
The Board recessed from 9:50 to 10:10 a.m.
RECONSIDERATION OF TRASH COMPACTOR PAYMENT:
Motion: A motion was introduced by Stephens, seconded by Limberg,
and unanimously adopted: That the Board reconsider the motion made
on 04/10/96 to purchase the trash compactor and take the money for
it out of the farm account.
Motion: A motion was introduced by Bethke, seconded by Sinclear,
and unanimously adopted: That the Board approves purchasing the
trash compactor and taking the payment from the Nursing Home
account with Human Services reimbursing the Nursing Home monthly
for the Human Services' portion of the use of the compactor.
COMPUTER ELECTRICAL. CABLING AND LIGHTNING PROTECTION NEEDS:
Thompson Lightning Protection is recommending lightning protection
for the Nursing Home. Discussion held on damages done to computer
system due to lightning and whether State insurance has required
this work to be done. The insurance company has not required this
work to be done, but only equipment is covered by insurance. It
does not take into account down time, loss of information, etc.
Krizek said a cabling estimate will be submitted later. It was
consensus of Board that decision regarding purchasing and
installing arrestors should be made by staff and Borup as their
cost was around $535.
Motion: A motion was introduced by Stephens, seconded by Dowd, and
unanimously adopted: That a RFP be prepared for computer cabling.
HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Borup said the old
laundry building has a leaky roof and questioned the future of the
building. A portion of this building houses some emergency
communications equipment which is connected to the water tower.
Discussion followed. Borup and Robole will follow through with
this issue.
Borup said the receptionist hours changed May 1 and this seems to
be going well.
Krieger said the average April census in the nursing home was 99,
the census in the nursing home today is 98. She is working with
the Office on Aging regarding respite care and providing space for
the Day Away Program beginning 01/01/97. Some liability issues
regarding medical doctors need to be worked out. Another area
being explored is possibly providing meals for the senior citizen
centers.
PERSONNEL ISSUES: Cyndi Koller has requested a two -week unpaid
leave of absence from 06/03/96 to 06/13/96.
Motion: A motion was introduced by Stephens, seconded by Sinclear,
11
and unanimously adopted: That the Board approve a two -week unpaid
leave of absence from 06/03/96 to.06/13/96 for Cyndi Koller.
Burke asked if there were any other issues to bring before the
Board.
Motion: A motion was introduced by Stephens, seconded by Sinclear,
and unanimously adopted: That the meeting be adjourned. Time:
11:05 a.m.
Chairman:
Attest:
(secretary)