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HomeMy WebLinkAboutHealth & Human Services 02-13-1996CHRIS BETHKE WILL REVIEW VOUCHERS AT 7:30 A.M. ST. CROW 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: 02/13/96 TIME: 8:U0 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: 02/22/96 ACTION ON PREVIOUS MINUTES: 01/25/96 PERSOlML ISSUES ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. General Relief Update NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Health and Human Services/Nursing Home Report 4. Personnel Issues 5. Program Report -Women, Infants and children (WIC) 6. Nursing Home Admission Report ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEST MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: January 31, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD February 13, 1996 The St. Croix County Health and Human Services Board met on February 13, 1996, at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: LuVerne Burke, Chair Karen Bailey Chris Bethke Jack Dowd Fern Johnson Allen Limberg George Sinclear Robert Stephens MEMBERS ABSENT: Len Nyland, excused STAFF PRESENT: John Borup, Health and Human Services Director Cindy Griffin, Deputy Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Malva Berg, Secretary Marilyn Fruit, Economic Support Supervisor Melinda Hanson, WIC Coordinator Barb Nelson, Public Health Supervisor OTHERS PRESENT: none 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 February 22, 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 Bailey, seconded Bethke, and unanimously adopted: That the agenda be approved as circulated. Motion: A motion was introduced by Stephens, seconded by Johnson, and unanimously adopted: That the -minutes of the 01/25/96 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. Human Services Board member, Bethke, reviewed the Jay,uary vouchers and questioned or reviewed the following vouchers: 2 HUMAN SERVICES: 1: Aurora Residential Alternatives, $119,178.00, advance 1/12 of 1996 contract amount as required by contract. This will be deducted from the December, 1996 bill. 2: Countryside Pools, $995.00, family support expense. Hot tub for handicapped child residing at home. Funds from the family support program. 8: RFW Inc., $2,073.00 Workshop RFW membership. One year membership in Wisconsin Association for Vocational Rehab Facilities. Trade association that give training, advice, workshops, sponsors rest area grant, does lobbying, etc. 67: Ramsey Clinic, $771.26, General Relief medical. Bill is from Ramsey Clinic in St. Paul for a St. Croix county resident. 127: Tapestry Books, $39.85, foster parent training. Purchase three books for our small library that foster parents can use. The books deal with fostering the sexually and other abused child and understanding the child with attachment disorders. 272: Family Dentistry, $41.00, Wee Care expense. Public Health Wee Care Grant allows for sending children to the dentist. We pay the Medicaid rate from the grant dollars. Motion: A motion was introduced by Bethke, seconded by Stephens, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 1 through 66: Home Health vouchers 136 through 160, dated February 13, 1996 in the amount of $77,608.85. Human Services voucher 1, dated January 4, 1996, in the amount of $119,178.00. Human Services vouchers 2 through 12, dated January 11, 1996, in the amount of $9,433.82. Human Services vouchers 13 through 38, dated January 19, 1996, in the amount of $11,220.96. Human Services vouchers 39 through 54, dated January 26, 1996, in the amount of $58,962.57. 3 Human Services vouchers 55 through 75, dated February 01, 1996, in the amount of $144,737.55. Human Services vouchers 76 through 135, dated February 08, 1996, in the amount of $84,394.67. Human Services vouchers 1 through 2, dated February 13, 1996, in the amount of $490.93. Human Services vouchers 160 through 428, dated February 13, 1996, in the amount of $189,469.93. Human Services voucher 161, dated February 11, 1996, in the amount of $1,473.84. Nursing Home voucher 1, dated January 11, 1996, in the amount of $95.00. Nursing Home vouchers 2 through 6, dated January 19, 1996, in the amount of $1,310.95. Nursing Home vouchers 7 through 11, dated January 26, 1996, in the amount of $4,993.27. Nursing Home vouchers 12 through 16, dated February 08, 1996, in the amount of $4,476.50. Nursing Home vouchers 21 through 35, dated February 13, 1996, in the amount of $33,887.39. Social Services and Human Services vouchers 19 through 35, dated January 24, 1996, in the amount of $81,606.02. Human Services and Nursing Home vouchers 26 through 51, dated January 23, 1996, in the amount of $248,573.91. Human Services and Nursing Home vouchers 52 through 76, dated February 06, 1996, in the amount of $279,291.45. Social Services and Human Services vouchers 36 through 53, dated February 07, 1996, in the amount of $98,276.12. Discussion was held on problems with computer services. This will be on the agenda for the February 22, 1996 meeting. GENERAL RELIEF UPDATE: Marilyn Fruit reviewed claims paid and denied for General Relief in January. An extensive medical case was outlined in which the client required surgery to remove a tumor that was "life threatening". The nurse clinician gave the best possible prognosis of "total disability". $22,291 was authorized 4 for this case and with the prognosis, it was anticipated there would be full repayment from Medical Assistance when disability was approved. This client recovered from surgery better than anticipated and probably will not be disabled and therefore, no reimbursement will be received. Economic Support is in the process of obtaining an updated prognosis. If the client is not disabled, Economic Support will secure a repayment agreement with the client. Discussion followed. It was the consensus of the Board that this case be brought before the Finance Committee on March 8 and brought back to the Health and Human Services Board on March 12. Stephens recommended the case also go to the full County Board on March 19. Fruit said there were some carryover funds from 1995 to 1996 for General Relief. It was the consensus of the Board to continue General Relief as is and discuss again at the February 22 meeting. NURSING HOME: The Nursing Home admission report will be delayed until the February 22, 1996 meeting due to a schedule conflict for Lisa Leahy. Krieger said the census today is 99 and staff are looking at some plans for the nursing home. She said the Promotion Committee continues to work on promoting the Nursing Home. The committee is currently working with the UW-River Falls on a video. PUBLIC HEALTH -PRIMARY HEALTH CARE GRANT: Nelson said in 1995 St. Croix County DHHS - Public Health received $7,068 from the Primary Health Care Services Grants program in 1995. These dollars served 94 children up to age 21 who were uninsured or underinsured providing well child screening services which included physical assessment, counseling and education, and referrals for medical, dental and/or vision care. In 1996, Public Health will receive just over $3,000 from this grant and no funds in 1997. In 1996 Public Health anticipates serving 40 children through this program due to funding cuts. Next year Public Health will not be able to provide this service to any individuals in the uninsured/ underinsured category unless funds are secured elsewhere. At this time, no replacement source is evident. WOMEN, INFANTS, CHILDREN (WIC) REPORT: Hanson said the statewide push in 1995 for WIC was expansion. For every $1 spent in WIC, $3 is saved in health care costs. Although the State is still under caseload, the funding is not as available in 1996 to outreach people eligible for WIC. In St. Croix County, an average of 750 women, infants, and children participated each month in 1995. With the outreach, the caseload hit 827 in January, 1996. WIC contracted caseload has been renegotiated to 835. When St. Croix County reaches that, the State will renegotiate for a higher amount. The estimates show there are 5 still 250 infants and children of working parents in St. Croix County who are eligible for the nutrition education and foods specific for their needs, but are not receiving them. St. Croix County has also received $3,825 to work directly with local WIC grocery stores to support their efforts to promote WIC (i.e. educate cashiers, get ideas on how WIC staff can better prepare participants for using the WIC vouchers in the grocery stores, network on problem areas, etc.). This is a pilot project. In addition St. Croix WIC has received $4,317 to network with the immunization program and improve the number of children immunized by age 2. PERSONNEL ISSUES: The AODA outpatient staff was reduced during early summer of 1995 from five to two counselors as a result of two lay-offs recommended by the Board and a subsequent medical leave. Griffin said we would like to hire a half-time LTE counselor while the third counselor remains on medical leave. According to Deb Kathan, this work will need to be offered first to the two full-time AODA counselors who were laid off. Griffin said if one of the laid -off counselors accepts the half-time position, the person would be bumped if a more senior staff person returns. Griffin said that we are not adequately staffed to handle our present caseload, which includes approximately 45 active outpatient cases, 20-30 Intoxicated Driver Program (IDP) assessments per month and three to six in contract facilities requiring case management. Also, having only two counselors presents serious ethical difficulties maintaining the mandatory separation between IDP regulatory and treatment functions. Also, there have been very few prevention activities occurring. The 1996 budget covers this position. Motion: A motion was introduced by Bailey, seconded by Dowd, and unanimously adopted: That the Board approves hiring a half-time LTE AODA counselor. In January two managers were reassigned, one to Mental Health direct care and the other to Long Term Support as a case manager. Administration is recommending that Resource Development Case Manager position be referred to the Hay Review because this is a less responsible position. Discussion followed. Motion: A motion was introduced by Bailey, seconded by Dowd, and unanimously adopted: That the Board approves referring the Long Term Support Resource Development Case Manager to Personnel for a Hay Review. Borup said Sue Lyksett had an automobile accident 02/08/96 and will R be off work for at least a month. He requested outside help to cover her case load while she is off work. Discussion followed. Motion: A motion was introduced by Dowd, seconded by Johnson, and unanimously adopted: That the Board approve an LTE for approximately one month to cover Sue Lyksett's position in Long Term Support. Burke asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Stephens, seconded by Dowd, and unanimously adopted: That the meeting be adjourned. Time: 9:35 a.m. chairman: Attest: (secretary)