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HomeMy WebLinkAboutHealth & Human Services 03-13-1996MARY LOUISE OLSON & ROBERT STEPHENS ***REVISED*** WILL REVIEW VOUCHERS AT 7:30 A.M. 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: 08/13/96 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: 08/22/96 ACTION ON PREVIOUS MINUTES: 07/25/96 PERSONNEL ISSUES ANNOUNCEMENTS APPOINTMENTS: *ELECTIONS: Election of New Committee Chairman UNFINISHED BUSINESS: 1. Laundry Building Renovation/Tour 2. Wisconsin Works (W-2) Administration Resolution NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Health and Human Services/Nursing Home Report 4. Personnel Issues 5. Preliminary 1997 Budget Presentation a. Health and Human Services b. Nursing Home 6. Discussion of "ECHO" Management Information System ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: August 1, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE MARY LOUISE OLSON & ROBERT STEPHEN$ WILL REVIEW VOUCHERS AT 7:30 A.M. 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: 08/13/96 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 Or NEXT MEETING: 08/22/96 ACTION ON PREVIOUS MINUTES: 07/25/96 PERSONNEL ISSUES ANNOUNCEMENTS APPOINTMENT$: UNFINISHED BUSINESS: 1. Laundry Building Renovation/Tour 2. Wisconsin Works (W-2) Administration Resolution NEW BUSINESS: 1, Consideration of Claims and Vouchers 2. Financial Report 3. Health and Human Services/Nursing Home Report 4. Personnel Issues 5. Preliminary 1997 Budget Presentation a. Health and Human Services b. Nursing Home 6. Discussion of "ECH011 Management Information System ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: August 11 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD August 13, 1996 The St. Croix County Health and Human Services Board met on August 13, 1996, at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Jack Dowd Einar Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Cindy Griffin, Deputy Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Marilyn Fruit, Economic Support Supervisor Karen Hall, Long Term Support Coordinator Kathy Dunlap, Family and Childrenfs Supervisor Fred Johnson, Family and Childrenfs Supervisor Barbara Nelson, Public Health Supervisor Ron Kiesler, Mental Health Coordinator Malva Berg, Secretary Ralph Robole, Facilities Manager Darlene Krenz, Bookkeeper Bonnie Stordahl, Bookkeeper OTHERS PRESENT: John Krizek, Administrative Coordinator Robert Heise, Land Conservation Office Vice Chair Dowd 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, August 22, 1996 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. The Open Public Hearing will also be held on August 22 from 5:00 P.M. to 6:30 p.m. Dowd announced that LuVerne Burke has moved out of the County and resigned from the County Board and Health and Human Services Board. ELECTION OF OFFICERS: Horne nominated Stephens for the position of chair of the Health and Human Services Board. Stephens said he would accept the nomination only until May of 1997 when the Board is reorganized and at that time a County Board member should fill the chair position. E Motion: A motion was introduced by Bethke, seconded by Sinclear and unanimously adopted: That the nominations be closed and an unanimous ballot be cast for.Stephens to be Chair of the St. Croix County Health and Human Services Board. AGENDA: Motion: A motion was introduced by Bethke, seconded Berenschot, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Stephens, seconded by Berenschot, and unanimously adopted: That the minutes of the 07/25/96 Health and Human Services Board meeting be approved as changed below: Page 2, Paragraph 6: Horne felt this issue was not properly presented. He said taxes have gone up dramatically, there will never be enough money and there will always be unmet needs. Page 4, Paragraph 4: The last sentence should read: "Van Dyk did re -carpet the main level of the house at his expense as per the contract with Van Dyk.11 Page 4, Paragraph 7: The sentence "ECHO personnel have not responded . . ." should be changed to "ECHO personnel have been very infrequent in returning any phone calls." FARM LAND RENT: Robert Heise from the Land Conservation Office distributed a worksheet to determine the amount of rent to be charged for various farm land. He said the current contract for the farm land is through December, 1998 with John Schottler. Heise said Schottler is doing a good job on the land and is following conservation guidelines. The current rent is $35.00 per acre and according to calculations from the worksheet, the rent should be closer to $50 per acre. This is just for the Board's information as an item that. should be discussed before the next contract is negotiated. The Board thanked Heise for his time and information. LAUNDRY BUILDING RENOVATION/TOUR: Maintenance is requesting to renovate and move into the old laundry building. Administration's main concern with this proposal is the expanded area we will need to heat. Stephens said as Chair he will demand a funding source for any requests. Krizek said a payback forecast should also be included with any request. The Board toured the laundry building from 8:30 a.m. to 8:50 a.m. Stephens assigned Bethke to oversee any situations with the farm. Stephens assigned Horne and Sinclear to research privatizing part of maintenance and report back to the Board in two weeks. Discussion followed. Krizek said Nursing Home and Health and Human Services are a satellite to Hudson for janitorial services under Ralph Robole. The Board would be able to contract out part of these services as long as it doesn't result in lay off of union personnel. Robole could go to the Finance to request monies to renovate the laundry and then bill back to Health and Human Services in maintenance fee. Horne said the building should not be torn down. Bethke said there should be a better utilization of the building. It was the consensus of the Board to further postpone the motion until 08/22 until costs are given. Horne and Bethke said the blueprints should be stored and protected better. Questioned whether a copy of the blueprints are also stored in Hudson and if not, a copy should be made for Hudson and a cabinet obtained to store the blueprints more orderly in New Richmond. CONSIDERATION OF CLAIMS: Judy Ziegler, Accountant/Accounting Supervisor, distributed the following reports: transfer of funds report, unemployment, fixed asset, and cash report. Health and Human Services Board members, Stephens and Olson, reviewed the July vouchers and questioned or reviewed the following vouchers: HUMAN SERVICES: 2856: Juhnke, Mr. & Mrs., $263,95, restitution. These people had property damaged by juveniles. The court ordered the juveniles to pay restitution as part of their penalty. The social workers receive the money from the juveniles and bookkeeping staff keep a special ledger showing how much has been collected. We then issue a county check to the victims. The actual restitution payment is not a county expense. 2918: Department on Aging, $1,708.65, Long Term Support Purchased Services. The Long Term Support Department purchased meals on wheels and "Day Away" services for their clients from the Office on Aging. 2966: Sumner, Marguerite, $13.20, Long Term Support per diem. Based on a letter from Bob Boche to Long Term Support committee members, they are to receive mileage as well as a per diem. 2999: A New Level of Clean, $640.00, Long Term Support. Housecleaning and yard work for a CIP IB client. 3006: Aurora Residential Alternatives, $109,996.03, Long Term Support transitional living. This is one month's bill for Long Term Support clients. 3368: Dr. Michael A. Lace, $6,800.00, Mental Health purchased services. Dr. Lace is the Mental Health Psychologist. 4 He is a contract consultant, not an employee. 3302: Star Embroidery, $885.83, Social Service expense. Foster care promotion expense for shirts. Shirts will be sold to recoup all or most of production expense. Motion: A motion was introduced by Olson, seconded by Bethke, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 320 through 363: Home Health voucher 2973, dated July 25, 1996 in the amount of $64.00. Home Health vouchers 3061 through 3086, dated July 31, 1996 in the amount of $14,055.61. Human Services voucher 2537, dated July 3, 1996, in the amount of $300.00. Human Services vouchers 2820 through 2904, dated July 11, 1996, in the amount of $53,471.09. Human Services vouchers 2906 through 2936, dated July 18, 1996, in the amount of $174,309.97. Human Services vouchers 2940 through 2972, dated July 25, 1996, in the amount of $45,731.63. Human Services vouchers 2999 through 3060, dated July 30, 1996, in the amount of $219,259.61. Human Services vouchers 2974 through 2998, dated July 29, 1996, in the amount of $10,396.26. Human Services vouchers 3087 through 3378, dated July 31, 1996, in the amount of $130,511.57. Human Services vouchers 3103 through 3367, dated July 31, 1996;.in the amount of $110,286.59. Nursing Home vouchers 398 through 405, dated July 18, 1996, in the amount of $8,107.40. Nursing Home vouchers 412 through 451, dated August 13, 1996, in the amount of $65,884.05. Social Services and Human Services vouchers 248 through 266, dated July 10, 1996, in the amount of $110,036.91. Human Services and Nursing Home vouchers 330 through 354, dated July 9, 1996, in the amount of $285,612.34. 5 Human Services and Nursing Home vouchers 355 through 381, dated July 23, 1996 in the amount of $241,609.49. Social Services and Human Services vouchers 267 through 284, dated July 24, 1996, in the amount of $77,338.44. Human Services and Nursing Home vouchers 355 through 378, dated August 6, 1996 in the amount of $281,044.17. Social Services and Human Services vouchers 285 through 302, dated August 7, 1996, in the amount of $94,735.63. WISCONSIN WORKS (W-2) ADMINISTRATION RESOLUTION: Board held discussion on W-2 Resolution. Fruit said some interest has been expressed by Private Industry Council to administer this program on a region -wide basis. Fruit said the county is still responsible for all non-W-2 programs, food stamps, etc. It is important that W-2 not be privatized and destroy the infrastructure of Economic Support. Motion: A motion was introduced by Sinclear, seconded by Horne and unanimously adopted: That the Board approve the following resolution: ST. CROIX COUNTY, WISCONSIN RE: Designation of Health and Human Services Department as Wisconsin Works Administrative Agency WHEREAS, 1995 Wisconsin Act 289 amended Chapter 29 of the Wisconsin Statutes to replace the aid to families with dependent children program with the Wisconsin Works program and to include the Wisconsin Works program as part of the food stamp program and medical assistance program, and WHEREAS, state statutes had required that county agencies administer the aid..to families with dependent children, food stamp and medical assistance programs and therefore the St. Croix County Department of Health and Human Services had been designated to administer those programs within St. Croix County, and WHEREAS, the Wisconsin Works program will be administered by an agency selected by the State Department of Workforce Development to administer the Wisconsin Works program in geographical areas determined by the department, and WHEREAS, the County Department of Health and Human Services has met the AFDC caseload performance standards established by the department, and WHEREAS, our Health and Human Services Department has a fully qualified staff of trained and experienced specialists who are familiar with the procedures and regulations of the AFDC program, and WHEREAS, the non-W-2 caseload must be administered by the County agency, and WHEREAS, joint administration by the County of W-2 and non-W-2 programs will be cost effective, and WHEREAS, there are significant financial benefits to St. Croix County as W-2 administrator, which benefits include the potential for this county to retain thousands of dollars of program funds if the expenditures are kept under the targeted amount, and WHEREAS, St. Croix County wishes to participate in implementing the Wisconsin Works program which is designed to move public assistance recipients into the workforce and to self-sufficiency. NOW, THEREFORE BE IT RESOLVED, that the Department of Health and Human Services elects to enter into a contract to administer the Wisconsin Works program, including Children First, in St. Croix County as the Wisconsin Works agency. BE IT FURTHER RESOLVED that, if selected to be the Wisconsin Works agency for St. Croix County, the Department of Health and Human Services may enter into an acceptable contract for 28 months to administer the Wisconsin Works program and shall review and determine, with the concurrence of the Health and Human Services Board, the benefits for it to continue as the Wisconsin Works agency. Dated this 13th day of August, 1996. Offered by: St. Croix County Health and Human Services Board. This resolution.will be presented to the County Board at their meeting on August 20, 1996. Borup will give a report to the County Board. Stephens instructed Vice Chair Dowd to present and support W-2 as the best route for St. Croix County Health and Human Services to take over the next 28 months starting September, 1997 through 1999. FINANCIAL REPORT: The following financial report for June, 1996 was presented to the Board. Borup highlighted areas of the report. Nursing Home census is at 112. Discussion followed. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/96 THROUGH 06/30/96 NURSING HOME Reconciled Cash Balance 06/30/96 Add: Accounts Receivable, 06/30/96 Private Pay Medicare Medicaid General Accounts Payable-06/30/96 Net Current Items, 06/30/96 $381,684.40 * $36,187.91 $60,293.23 $220,436.54 $1,074.21 ($44,011.87) $655,664.42 1996 Revenue Recorded through 06/30/96 $2,034,498.81 Includes Allocations of Anticipated Revenues 1996 Expenses Recorded through 06/30/96 $2,075,735.94 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 = $198,602.22 Capital Acquisitions = 183,082.18. We received an advance of $142,000 in January of our ITP grant HUMAN SERVICES - 1996 SUMMARY Total OF REVENUES Jan. -June Budget Balance Administration 251,605.65 523,032.00 271,426.35 48.1% AODA Services 180,794.89 301,352.00 120,557.11 60.0% Long Term Support 31487,486.72 6,776,175.00 3,288,688.28 51.5% Mental Health 770,345.29 1,562,302.00 791,956.71 49.3% Family & Children's 893,607.04 2,128,883.00 1,235,275.96 42.0% Economic Support 432,041.97 974,037.00 541,995.03 44.4% General Relief 12,498.00 47,500.00 35,002.00 26.31% TOTAL REVENUES ALL PROGRAMS 6,028,379.56 12,313,281.00 6,284,901.44 49.0% SUMMARY Total OF EXPENDITURES Jan. -June Budget Balance % Administration 273,504.17 523,032.00 249,527.83 52.3% Alcohol -Drug Abuse 121,276.12 301,352.00 180,075.88 40.2% Long Term Support 2,822,636.92 6,776,175.00 3,953,538.08 41.75t Economic Support 476,748.38 974,037.00 497,288.62 48.9% Mental Health Services 735,892.66 1,562,302.00 826,409.34 47.1% Family & Children's 843,223.80 2,128,883.00 1,285,659.20 39.6% General Relief 30,950.42 47,500.00 16,549.58 65.2% TOTAL 1996 HUMAN SERVICES BUDGET 5,304,232.47 12,313,281.00 7,009,048.53 43.1% hs96-sum HOME HEALTH Total Jan. -June Budget Balance %* TOTAL REVENUES 236,994.14 519,183.00 282,188.86 45.6% TOTAL EXPENDITURES 249,004.73 519,183.00 270,178.27 48.0% PUBLIC HEALTH(12 month programs) Total Jan. -June Budget Balance %* TOTAL REVENUES 356,323.72 846,503.00 490,179.28 42.1% TOTAL EXPENDITURES 407,067.61 846,503.00 439,435.39 48.1% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 50.00%. ph96-sum 10 PERSONNEL ISSUES: Borup said the .6 Long Term Support Social Worker position and .5 Case Aide position were unanimously approved by the Finance Committee on•August 9, 1996. Discussion held on the reorganization of bookkeepers at the Government Center. Determining job descriptions is a function of management, not the employees. Job descriptions will be updated, forwarded to the Health and Human Services Board and then sent to Personnel. Personnel will determine the worth of the job description. Krizek said the Government Center realized a savings of $27,093/year with the reorganization. Reclassifications are done during negotiations as part of the total bargaining package. Stephens said Krizek did wrong by opening negotiations and Krizek disagreed with Stephens. The Board recessed from 10:15 to 10:23 a.m. PRELIMINARY 1997 BUDGET PRESENTATION: Borup distributed 1997 "fund balances" as follows: Home Health $143,494 (includes $19,943 1996 carryover and $17,800 transfer to ECHO) Farm 4,298 ($20,000 surplus applied) Health and Human Services 598,758 ($165,000 surplus applied) $746,550 Grand Total Borup stated that State funding will be reduced 1.7% in 1996 equaling $29,500 and 3.4% in 1997 equaling $59,000. Maintenance and space costs are up, salaries are up 3%, mileage is plus $.01/mile. Managers from each unit summarized mandatory services provided by their unit as well as funding sources for services and what has not be included in the budget due to lack of funds. Fixed costs have increased and increases in salary, mileage and liability insurance have been absorbed in the 1997 budget. Discussion followed. Horne asked why the money from drug confiscations only goes to the Sheriff's Department. Horne requested that this be discussed at a future meeting. Dowd left the meeting at 10:32 a.m. Board questioned why per diem and mileage were paid to Long Term Support Committee members as this was a non -budgeted item. Boche sent a letter to committee members informing them of their appointment to the committee and that they would receive mileage and per diem. Krizek will check into this further. Robole said the current maintenance truck used for snow removal is 11 a 1985 Ford with 88,000 miles. Robole has investigated contracting for snow removal and lawn care, but has received little response. Robole said the current tractor used for lawn care and snow removal has been overhauled twice. Discussion followed. It was the consensus of the Board to put this issue on hold and possibly use monies from the contingency fund if needed. if contracted, snow removal should be available 24-hours per day. ECHO MANAGEMENT INFORMATION SYSTEM: Griffin, Krizek, Beutel, Gleason, and Borup have agreed that we will continue to use the ECHO General Ledger system for the rest of 1996 and that computer services will work toward using ECHO as an information repository for data collected on departmentalized, PC -based systems. Human Services will continue to use our present (DRI) client billing systems until individual units purchase software to track their day-to-day operations. Krizek said we are not going to get any money back out of ECHO. Krizek said basically there is no system equivalent to what ECHO does. Eau Claire and Pierce County are experiencing similar problems with software similar to ECHO. The Board doesn't want staff to feel the Board has abandoned them if an out is needed. Discussion followed. Horne recommended going toward a PC based system rather than a main frame. Limberg asked if Greg Ellert Associates has been contacted. Krizek said the problems are in software design, not computer equipment. Krieger showed the Board a computer board that was recently damaged by lightning. She said four terminals and a printer were also damaged. Discussion followed Stephens asked if there were any other issues to bring before the Board. Stephens instructed Borup to send a thank you to LuVerne Burke for serving the Health and Human Services Board. Motion: A motion was introduced by Sinclear, seconded by Berenschot, and unanimously adopted: That the meeting be adjourned. Time: 12:05 p.m. Chairman: Attest• (secretary)