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HomeMy WebLinkAboutHealth & Human Services 01-25-1996ST. 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: 01/25/96 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 NEST MEETING: 02/13/96 ACTION ON PREVIOUS MINUTES: 01/10/96 ANNOUNCEMENTS: APPOINTMENTS: UNFINISHED BUSINESS: 1. Resolution Authorizing Medical Assistance Target Population Expansion 2. Emergency Detention Inpatient Services NEW BIISINESS: 1. Financial Report a. Nursing Home - Long Range Planning 2. Personnel Issues 3. Health & Human Services/Nursing Home Report 4. Sprint Telecommunications Venture Request to Lease Health Center Water Tower as an Antenna Site 5. "JOBS" Case Management Contracting 6. Part -Time LTE Position Request for Restitution Project 7. W-2 Statewide Implementation Update ANNOUNCEMENTS AND CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: January 15, 1996 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE TON-16-1996 12:55 ST CROIX H & HS 1 715 246 8225 P.02 CHRIS BETHRE 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: 01/25/96 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 MEETING: 02/13/96 ACTION ON PREVIOUS MINUTES: 01/10/96 ANNOUNCEMENTS: APPOINTMENTS: UNFINISHED BUSINESS: 1. Resolution Authorizing Medical Assistance Target Population Expansion 2. Emergency Detention Inpatient Services NEW BUSINESS: C. Financial Report. a. Nursing Home - Long Range Planning 2. Personnel Issues 3. Health & H=an Services/Nursing Home Report 4. Sprint Telecommunications venture Request to Lease Health Center Water Tower as an Antenna Site 51 "JOBS" Case Management Contracting 6. Part -Time LTE Position Request for Restitution Project 7. w-2 Statewide Implementation Update ANNOUNCEMENTS AND CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: January 17, 1996 COPIES TO: COUNTY DGARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE N CHRIS BEETHKE WILL REVIEW VOUCHERS AT 7:30 A.M. ST. CROIX COUNTY NOTICE OF COMMITTEE ItZATING 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: 01/10/96 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: 01 / 2 5 / 9 6 ACTION ON PREVIOUS MINUTES: 12/12/95 ANNOUNCEMENTS: APPOINTMENTS: UNFINISHED BUSINESS: 1. Community Health Assessment Update NEW BUSINESS: 1. Consideration of claims and vouchers 2. Financial Report 3. Program Report: Long Term Support -MA waivers 4. Personnel Issues 5. Health and Human Services/Nursing Home Issues 6. Medical Assistance Target Population Expansion 7. Environmental Health Report ANNOUNCEMENTS AND CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: December 27, 1995 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD January 25, 1996 The St. Croix County Health and Human Services Board met on January 25, 1996, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: MEMBERS ABSENT LuVerne Burke, Chair Karen Bailey Jack Dowd Fern Johnson Allen Limberg Len Nyland George Sinclear Robert Stephens Chris Bethke, excused STAFF PRESENT: John Borup, Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Judy Aronson, Secretary Ron Kiesler, Mental Health Coordinator Marilyn Fruit, Economic Support Supervisor Fred Johnson, Family & Children Supervisor . OTHERS PRESENT: John Krizek, Administrative Coordinator Rich Loney, Finance Chair Burke, called the meeting to order at 6:30 P.M. noting the meeting was properly and legally publicized. NEXT MEETING: The next meeting okhe Health and Human Services Board will be Tuesday, February 13, 1996 at 8:00 a.m. at the St. Croix County Health and Human Services/Health Center complex. Burke will review vouchers at 7:30 a.m. Nyland will not be at the February meetings. AGENDA: MOTION: A motion was introduced by Nyland, seconded by Bailey, and unanimously adopted: That the agenda be approved as circulated. MINUTES: MOTION: A motion was introduced by Bailey, seconded by Johnson, and unanimously adopted: That the minutes of the 01/10/96 Health and Human Services Board meeting be approved as circulated. 1 Part -Time LTE Position Request for Restitution Project: Fred Johnson, Unit Supervisor, was present to give details of what this project entailed. Our Juvenile Supervision unit is receiving supplemental Youth Aids funding from the State in the amount of $8,860 for use through June 30, 1996 for early intervention services for first offenders or intensive community -based intervention services for seriously chronic offenders. Mr. Johnson recommended we use these funds to hire an LTE to coordinate juvenile restitution and community service effort. Close monitoring under the project would help hold juveniles more accountable for court -ordered restitution activities. There are no county dollars involved with this project. Both the juveniles and their victims would benefit. Discussion followed. MOTION: A motion was introduced by Stephens, seconded by Sinclear, and unanimously adopted: That the Health and Human Services Board approve the part-time LTE position for the Restitution Project through June 30, 1996. W-2 Statewide Implementation Update: Prior to Fruit giving the update, the Board complimented her on the presentation she gave to the County Board. Fruit stated so far in January we have had 29 requests for AFDC, which 55 % of those have been diverted. Fruit stated Betty Jarchow, Financial Planning Resource Specialist (FPRS), is doing a very good job of getting the message across. Fruit stated we have received an administrators memo outlining the selection criteria for Wisconsin Works (W-2). In recognition of the expertise to administer welfare reform initiatives, current providers of economic support and JOBS administrative agencies who meet the performance criteria and submit an acceptable plan will have the right of first selection to serve as a W-2 agency. The criteria will be based on past and present performance which resulted in reducing the AFDC caseload and engaging recipients in activities leading to economic self-sufficiency. The criteria reflects past performance from January 1, 1987 through August 31, 1995 and current performance from September 1, 1995 through August 30, 1996. The performance criteria for W-2 is: a. Reduce AFDC caseloadby 25% between September 1, 1995 through August 30, 1996. Our past performance shows a 50-60 % reduction in our AFDC caseload from January, 1987 through August, 1995, which gave us a 10 % reduction credit. Therefore, we will need to reduce our AFDC caseload another 15 % (32 cases) by August 30, 1996. b. Agencies need 105 out of 160 points earned by meeting additional criteria. We estimate we have earned 30 of the 105 points already. "JOBS" Case Management Contracting: Fruit stated in St. Croix County, Job Service is the administrative agency for the JOBS (Job Opportunities and Basic Skills) training program. The JOBS coordinator has recently accepted a JOBS position in Dunn County which will lesaae the K position in St. Croix County needing to be filled for the second time in six months. In view of the upcoming Wisconsin Works (W-2) program, we feel it would be advantageous for us to explore contracting with Job Service for the Economic Support Unit to provide the JOBS case management. Funding from the contract would be expected to cover all of the costs associated with providing case management. Should we get JOBS Case Management -contracting with Job Service, we would possibly need to fill one vacant position and restructure the Economic Support Unit prior to W-2, but the Economic Support Specialist would just continue working with the client without involving another worker, meeting the performance standards would be more directly under our control, and would provide better service to the clients and their self-sufficiency. The alternative would be Job Service hiring a new employee to do the Case Management until Wisconsin Works (W-2) is implemented. We are concerned about the impact on the overall performance in St. Croix County from now until the end of 1996. Job Service may not be agreeable and then we will have to continue with the service they now provide. Discussion followed. MOTION: A motion was introduced by Stephens, seconded by Bailey, and unanimously adopted: That the Health and Human Services Board approve Ms. Fruit to explore contracting with Job Service for the Economic Support Unit to provide the JOBS Case Management. Emergency Detention Inpatient Services: Kiesler distributed copies of comparative cost figures gathered from last year and the projected cost for 1996. Discussion followed. Borup and Burke met with the courts and agreed that a lot of good did come out of that meeting. The Sheriff stated in the past they have used St. Joseph's and were very pleased with them. The meeting with Law Enforcement is 01/29/96 at 1:00 P.M. here at the Health and Human Services/Health Center complex. Sprint Telecommunications Venture RMest to Lease Health Center Water Tower as an Antenna Site: Sprint Telecommunications has requested to survey the feasibility of locating an antenna on our water tower. They are requesting a long term lease. Burke talked to computer services who stated they were having trouble with Ameritech. Ameritech was given a permit to examine the grounds for feasibility of locating an antenna on our water tower and then to provide us with the results. The concern locally is that it will create electrical problems. As long as we have the need for the water tower, there is a lot to think about so we will not be making any decisions on this now. It is recommended that Corp Counsel look over the permit provided by Sprint prior to any investigation. MOTION: A motion was introduced by Stephens, seconded by Sinclear, and unanimously adopted: That the Health and Human Services Board approve to allow the investigation by 3 Sprint Telecommunications upon the approval of the permit by Corp Counsel. Personnel Issues: Some Social Workers in the Long Term Support Unit are in the union (staff from the Social Service Unit out of the old Hudson office) and some are not (those Social Workers from the old New Richmond office). The AFSCME Local is now taking steps to organize these non -union employees. The job share in Public Health between Public Health nurses Donna Roukema and Sue Lindberg is going very well. This began in 1993 and administration would like to continue. No objection received from the board. Krizek stated they have come to an agreement with the Union regarding accrual and prorated health insurance to a reasonable interpretation and felt they were responsible in negotiation. The Board recessed from 7:35 p.m. to 7:45 p.m. Financial Re oorrt: Long range planning for the Nursing Home will continue to be a complicated endeavor. The cost report data for 1995 will not be available until April which is the basis for occupancy rate and cost centers. The state formula for MA will not be available until late summer so projection of revenues would not be able to be completed until this information is available. Krieger distributed a letter from Brian Schoeneck of Madison responding to her request for additional information regarding the rules for 90.5 % occupancy. Bedhold can be billed to MA if the occupancy rate is an average of 8 or fewer beds or 95 % or greater occupancy. Decertifying beds during 1996 will not assure that the nursing home can bill for bedhold. For example, if the Nursing Home decertified five beds then census would need to remain at 117 to qualify for Bedhold. The letter basically gave the history of 1994-1995 and was hesitant to give any dollar amounts. Before any decisions can be made we need the new formula from the state. Krizek, Loney, Krieger, Ziegler, and Borup (the Team) have developed a possible format to accurately assess Nursing Home data. Krieger stated she likes this report as it is coming from actual numbers. It is a map of the whole financial picture of the nursing home. Loney distributed the possible nursing home cash reporting format which included: reconciled cash, accounts receivable, accounts payable, monthly adjustments and net current items. The second part of the report showed revenue and expense schedules. Loney stated this is only historical data, no projections were done, and this format is what staff is preparing to use. Stephens said this format is fantastic, it shows the financial history of the nursing home. This summary was taken out of the audit reports of 1992, 1993, and 1994. Loney stated they could take a schedule like this and project revenues and expenses for 1996 and 1997. He stated you could take different assumptions and look at what the impact would be on the facility if it were to close a wing/floor of the nursing home, different levels of care, etc. This type of analysis/scenario could be done on a quarterly basis and was open for any suggestions from the board. Some of the assumptions for scenarios may be census dropping, adJition of staff, fixed 4 and variable expenses, what the impact would be on the facility if it were to close a wing/floor of the nursing home, different levels of care, etc. These may be dramatic or minor effects. Stephens applauded staff for the good management here. It was requested for the team to come up with about a dozen scenarios and bring back to the board. Sinclear was excused and left the meeting at 8:10 P.M. Krizek stated the scenarios will be based on the 1995 closeout audited numbers. The auditors are currently working on the 1995 numbers. We can then get into assumptions, scenarios, etc. Bailey suggested a glossary of terms be included with the format. Burke stated in April there will be at least two new faces on this committee and this report will give a good basis and is very understandable. The nursing home census is at 105 today. Chair Burke asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Nyland, seconded by Dowd, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 8:43 p.m. Chairman: Attest: Secretary 5