Loading...
HomeMy WebLinkAboutHealth & Human Services 03-19-08 Leon Berenschot will review vouchers. NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD March 19, 2008 at 8:30 (Board Room, St. Croix County DHHS Building, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 03/12/08 DATE OF NEXT MEETING — 04/16/08 at 8:30 a.m. OLD AND NEW BUSINESS 1. Consideration of Claims and Vouchers 2. Financial Report a. Monthly financial report for Nursing Home and Health and Human Services ** b. aged receivable report c. 2007 year end projections ** 3. Health and Human Services Medical Records Report 4. Nursing Home Report a. Nursing Home Administrator Report b. Hospice 5. Nursing Home Long Range Planning 6. Personnel Issues ** a. New employees /vacancies 7. Long Term Support-Long Term Care Transition Planning 8. ADRC Application and Transition Planning 9. Building Security/Health and Human Services Facility Planning 10. Public Health community needs assessment planning 11. Resolution for Tobacco -free Government Grounds and Vehicles Effective 01/01/09 12. Update rules and Bylaws of the St. Croix County Health and Human Services Board ** ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 3/5/2008 10:08 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD March 19, 2008 The St. Croix County Health and Human Services Board met on March 19, 2008 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Dr. Glenn Hoberg, Vice Chair Gordon Awsumb Leon Berenschot Lois Burri Tom Caflisch Linda Luckey Deb Rasmussen MEMBERS ABSENT: Ron Troyer, excused Esther Wentz, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Manager Harold Morris, Contracted Nursing Home Administrator Cathy Drury, Health Information Management Supervisor Ron Lockwood, Long Term Support Coordinator Pat Haeny, Family and Children's Supervisor Geralyn Karl, St. Croix County Health Educator and Tobacco Control Specialist Charlotte Sortedahl, Public Health Coordinator - Health Officer Malva Sirek, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator Tammy Funk, Human Resource Administrator Greg Timmerman, Corporation Counsel Art Tobin, Facilities Manager Kristen Ziliak, Risk Manager Buck Malick, County Board Chair Paul Cook, Community Health Partners Kim Dupre Chuck Struemke Vice Chair Dr. Hoberg called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Wednesday, April 16, 2008 at 8:30 AM. Berenschot will review vouchers. AGENDA Motion A motion was introduced by Berenschot, seconded by Burri, and unanimously adopted: That the agenda be approved as distributed. MINUTES Motion A motion was introduced by Caflisch, seconded by Berenschot, and unanimously adopted: That the minutes of the 02/20/08 Health and Human Services Board meeting be approved as distributed. Motion A motion was introduced by Caflisch, seconded by Burri, and unanimously adopted: That the minutes of the 03/12/08 Health and Human Services Board meeting be approved as distributed. Johnson said a few foster parents and Kinship Care parents were told there were not sufficient funds in the bank account to cover payment. He will explore the situation further but the amount short was approximately $2,400. St. Croix County Health and Human Services Board Page 2 March 19, 2008 Whiting contacted Michelle Pietrick regarding the situation. He said the error was in a bank process of clearing checks and Pietrick is reviewing the situation so it doesn't happen again. CONSIDERATION OF CLAIMS Health and Human Services Board member Berenschot reviewed the vouchers. Motion A motion was introduced by Berenschot, seconded by Caflisch, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services vouchers 119911 through 119914, dated February 20, 2008, in the amount of $23,074.63. Human Services vouchers 119915 through 119917, dated February 20, 2008, in the amount of $1,857.54. Human Services vouchers 119974 through 119977, dated February 20, 2008, in the amount of $7,654.11. Human Services vouchers 120303 through 120308, dated February 28, 2008, in the amount of $5,045.34. Human Services vouchers 121114 through 121120, dated March 06, 2008, in the amount of $2,243.49. Human Services vouchers 121121 through 121235, dated March 06, 2008, in the amount of $56,362.11. Human Services and Nursing Home vouchers 119918 through 119945, dated February 20, 2008 in the amount of $152,036.64. Human Services, Nursing Home, and Farm vouchers 119946 through 119973, dated February 20, 2008 in the amount of $21,715.40. Human Services and Nursing Home vouchers 120309 through 120407, dated February 28, 2008 in the amount of $373,110.84. Human Services and Nursing Home vouchers 120992 through 121113, dated March 06, 2008 in the amount of $236,805.54. Human Services and Nursing Home vouchers 121121 through 121235, dated March 06, 2008 in the amount of $60,774.99. Human Services and Nursing Home vouchers 121782 through 121983, dated March 13, 2008 in the amount of $303,152.65. Human Services and Nursing Home vouchers 118268 through 118372, dated February 07, 2008 in the amount of $149,584.56. Nursing Home vouchers 121984 through 122016, dated March 13, 2008 in the amount of $23,612.94. Human Services, Workshop, Public Health, Social Services vouchers 103 through 132, dated February 21, 2008 in the amount of $387,194.72. Human Services, Workshop, Public Health, Social Services vouchers 133 through 164, dated March 06, 2008 in the amount of $395,541.83. St. Croix County Health and Human Services Board Page 3 March 19, 2008 Human Services, Workshop, Public Health, Social Services vouchers 165 through 172, dated March 13, 2008 in the amount of $2,938.57. Human Services and Nursing Home vouchers 100 through 128, dated February 21, 2007 in the amount of $148,693.95. Human Services and Nursing Home vouchers 129 through 158, dated March 06, 2008 in the amount of $159,551.30. Workshop vouchers 19 through 24, dated February 21, 2008 in the amount of $13,299.43. Workshop vouchers 25 through 30, dated March 06, 2008 in the amount of $13,904.38. HEALTH AND HUMAN SERVICES MEDICAL RECORDS REPORT Cathy Drury reported the primary objective of the Medical Records Department is to provide an organized, high standard of medical record, which is conveniently accessible to appropriate staff and meets all applicable administrative and legal requirements of various programs of Health and Human Services. The Department is also impelled to set policy and procedures to assure that confidential client information is disclosed only as permitted by statutory authorization or client consent. In 2003, high- density mobile filing shelves were purchased to create a centralized agency record department. These units are close to full. We are required to store these records for ten years from the last date of contact. These records are for Health and Human Services departments only, excluding Economic Support; the Nursing Home records are stored separately. Whiting said there are options to move files to a secure facility for off -site storage if physical storage space becomes a problem. The Medical Records Department has been staffed by two full -time staff for 30 years. This staffing level has not been adequate for several years and a request for a new position has been submitted for the past couple of years, but has not been approved. The Behavioral Health clinics keep Medical Records the busiest and there has been a dramatic increase in the number of Behavioral Health clients in the past ten years. The State has enforced a policy to return records within one working day to prevent loss, unauthorized access, destruction or alteration of the record. The records need to be checked in and out manually and electronically, which is time consuming but assures compliance to policy. An electronic client record system was investigated but was put on hold due to the County investigating purchasing new financial software and no money was budgeted for purchasing the software in 2008. A survey was sent out to all health and human services agencies in Wisconsin asking if they have electronic records. The results indicated there were two software packages that were able to meet their needs. Kim Dupre, IT Department, indicated there are not a lot of choices to choose from for software. Whiting indicated there have been problems with alio in customer service. Johnson indicated that as we move forward with considering software alternatives for the County and update our needs assessment, it will be important to consider medical records electronic records software in the process. In addition, we will need to also review ECHO billing software as there is duplicate entry to generate billings to Medical Assistance. It may not be possible for new software to meet all the needs of various County departments, but the assessment should include a review of departmental needs for consideration. Also, a voice to text software package called Dragon Naturally Speaking was piloted by staff with limited success. St. Croix County Health and Human Services Board Page 4 March 19, 2008 Medical Records also has the responsibility to respond to requests for information. The details of each disclosure is required by law to be documented in the client's record. In addition an electronic log of disclosures made regarding Behavioral Health clients is kept for a period of six years as required under HIPAA Regulations. With the implementation of Long Term Care, Long Term Support files will need to be stored in Medical Records. Progress has been made with the addition of the temporary position to keep filing current within a few days and records to be properly assembled. Processing admissions is now current within a month so that records can be analyzed for the required documentation and content, accuracy and authentication within specified time frames. Staff will begin the process to destroy records that have passed the retention requirements to make room for more record storage. Johnson said Cathy Drury is excellent in Medical Records and commended her on the job she does. Chuck Struemke introduced himself and reported he has received an anonymous complaint regarding staff smoking in the garage section of the Government Center. He said he has contacted the Sheriff who informed him that he will continue to allow this practice to keep going until a new non - smoking policy is released. Struemke reported he has also informed the Public Protection Committee of the complaint. NURSING HOME ADMINISTRATOR REPORT Morris said the current census is 62 with two admissions anticipated today and one more on Thursday. He said the Nursing Home has also received four additional referrals. He said the current payer mix is 42 Medicaid, 6 Medicare and 16 private pay. He said the private pay category has dropped a little but is still in a very good range. Morris reported there was a complaint survey on February 12 He said it was determined we are providing good overall care. He said there were a couple of minor Level D cites. The surveyor has been back and the plan of correction has been signed by the surveyor. He said staff have been re- trained and re- inserviced in the area of the cite. He said the resident was not injured in the incident. He said the Nursing Home is in the survey- window. This year the surveyors seem focused on investigating and monitoring incidents and accidents. Morris distributed a report on the top ten federal cite trends for 2004 -2007. Morris said the Nursing Home went into a voluntary lock down due to three positive cases of influenza. He said staff did an excellent job in the process. He said this was a lot more work but the results were positive. He said there were no major group activities held during this time and meals were served in resident rooms. Morris reported collections have been very good for 2007 with write off's of approximately $12,000. He said staff have been proactive in collecting monies for the Nursing Home. Morris is reviewing three major contracts for the Nursing Home for oxygen, podiatry and mobile x ray to attempt to get a better price and good service. Morris informed the Board he would be coming forward with a proposal to replace furniture in the Nursing Home in the near future. He said the surveyors had a problem with the furniture in the Nursing Home but did not issue a cite. He said the furniture cannot be refinished due to the poor quality of the furniture. He estimated the price would be about $500 /bedroom for a dresser and nightstand, but does not have actual costs at this time. Building services is exploring built -ins for the rooms and a decision will need to be made St. Croix County Health and Human Services Board Page 5 March 19, 2008 regarding this option. He said this will be a capital expense and there were no monies budgeted for 2008. He said the Nursing Home does not have an option to not address the issue. He said if the Nursing Home is cited, there will be a crunch to replace furniture immediately whereas the Nursing Home will have more time to replace if there is a plan in place to replace furniture before a cite is received. Johnson said the Nursing Home cannot continue to operate as is and cannot hold off any longer for equipment when it impacts resident needs. HOSPICE Morris provided Awsumb a copy of the regulations regarding hospice. Morris reported hospice is governed by State regulations. He said resident care level does not change when hospice is provided. Residents are encouraged to eat or drink but if the individual says no, their rights need to be respected. It is the resident's right to refuse food or liquids. In hospice, the resident dictates how they want to be cared for. Hospice is a separate group that manages the complete care of the residents. Medicare covers hospice care. Awsumb requested a thorough review of the hospice program and policy. The Nursing Home contracts for hospice. Morris recommended a health care power of attorney be in place which can only be activated by two physicians. He said staff can encourage but cannot force residents to create a health care power of attorney. When the health care power of attorney is activated, the agent's wishes are followed for the resident. The purpose of hospice is not to promote end of life; it promotes comfort cares. Morris, Johnson, and Dr. Hoberg will meet at a separate time to discuss hospice further. NURSING HOME LONG RANGE PLANNING At the 03/18/08 County Board meeting a motion was made to hold an advisory referendum to the public in November regarding future operations of the Nursing Home. Members questioned who would write the question for the referendum, the wording of the referendum, etc. Decisions regarding the Nursing Home will have to be made before November as Finance meets in September on the budget for the next year. Malick reported the County Board goal setting session this year will not include the Nursing Home on the agenda. Johnson said he is hesitant to investigate providing services to a specialized population if the County is not going to be in the Nursing Home business in the future; however, he is also hesitant to sit and wait investigating providing this service as it may be an opportunity for enhanced funding. Caflisch said there is not enough money in the County to function and provide monies for non - mandated programs. Caflisch continued that there is no way to function administratively with the situation as it is currently. Johnson said the Nursing Home has been in a holding pattern for two years as options have been reviewed. Johnson said he has reviewed information on Sauk County, met with staff from Trempealeau County Health Care Center, reviewed the Keefe study and the 2001 building assessment. Johnson has also met with Community Health Partners, the care management organization that will manage long term care needs. St. Croix County to review resident needs that they anticipate. He also said there have been limited capital improvements in the nursing home for the past five years and there is a lot that needs to be done. The Board recessed from 9:55 to 10:05. There was discussion regarding preparing for the election. A budget will be prepared for the Nursing Home at approximately the same time so more will be known about the financial situation of the Nursing Home. RESOLUTION FOR TOBACCO -FREE GOVERNMENT GROUNDS AND VEHICLES EFFECTIVE 01/01/09 Karl gave a brief update that the state proposed smoke free air Bills 834 and 150 did not come to the floor for a vote, will have to be re- introduced next year and will have different numbers. There is a slight St. Croix County Health and Human Services Board Page 6 March 19, 2008 possibility the bill could come up at a special session, which is being called regarding the budget. The current county resolution states all county buildings are smoke free. Debate took place regarding policy versus ordinance. Timmerman indicated a policy is a declaration of hope and would be more flexible and less complicated than an ordinance. An ordinance would require enforcement and would involve a penalty. Karl said many times county grounds policies are self- regulating and we are not looking for punitive consequences for this policy. Karl indicated Senate Bill 150 had a $10 to $100 fine attached to the bill which deals only with indoor smoking. The current resolution regarding the creation of smoke -free county government buildings and passenger vehicles that was approved in 1993 does not involve an enforcement provision and this has not been necessary. Johnson inquired about ways to apply the proposed tobacco -free county grounds policy equally. Caflisch recommended developing a policy for county grounds and all county -owned vehicles and to wait for the State to deal with a smoke -free law that deals with all public places. Malick questioned what can be done for the addicted employees to help make the transition to a tobacco -free campus as smooth as possible. Staff in Human Resources is looking into broader cessation coverage. It was the consensus of the Board that this provision should be added to the previous resolution regarding no smoking. Health and Human Services will develop a policy that will go to the County Board for final adoption. This policy will state that it does not supersede the non - smoking resolution passed in 1993. Motion A motion was introduced by Awsumb, seconded by Luckey, and adopted with Berenschot and Rasmussen voting no; that the Board directs Public Health to create a non - smoking policy that does not include prohibition of tobacco use in outdoor areas of county parks. LONG TERM SUPPORT -LONG TERM CARE TRANSITION PLANNING The organizational structure for the ADRC was approved by the County Board and the Resolution to Release Community Aids and Local Tax Levy Funding to Help Fund Long -Term Care Reform was approved. Paul Cook from Community Health Partnership (CHP) thanked the staff for the three years of planning for service changes. Transition planning for community waiver clients to move to Community Health Partnership is taking place. St. Croix County is currently scheduled to start the ADRC in July of 2008 with the first clients scheduled to transition to Long Term Care in September of 2008. Steps for transitioning will be consistent for each county and as transition occurs in Chippewa, Dunn and Pierce County prior to St. Croix County, modifications can be made based upon lessons learned. A transition group that will consist of the head of the ADRC, head of Long Term Support, Economic Support representative, CHP and consumer will be established and will meet on a monthly basis. Lockwood said clients will have options regarding their care. Clients may choose not to enter managed care and use the Medical Assistance (MA) card only. A self - directed support option is also being developed that may be an option for some consumers. If clients opt for Family Care they will have a choice of benefits that will either manage just long -term care needs or long term care need along with acute and primary medical needs. Clients may also move between care options. Clients will receive options counseling from their current case manager. Clients on the waiting list and new clients will receive options counseling through the ADRC. Current residents in nursing homes will have a choice of enrolling in managed care or to remain on the MA card. All eligible clients will have the right to get long term care in the community, not just in an institution. CHP employs nurses and a nurse practitioner as part of the team plus has a Medical Director to meet client needs. Cook said CHP currently employs approximately 500 employees which includes personal care workers, paraprofessionals, etc. CHP has leased office St. Croix County Health and Human Services Board Page 7 March 19, 2008 space in River Falls as a beginning point. Johnson said the ADRC application was submitted the end of February. The ADRC will be under Health and Human Services (HHS) Board. Finance has approved the job description for the head of the ADRC and now the position needs to be filled. Kjersti Duncan -Olson has resigned as the head of the Department on Aging. Malick suggested one person from the HHS Board and one from the Council on Aging be included in the screening and interview process. An advertisement for the position will be in next week's paper. Johnson will include the Aging staff in transition planning to implement the ADRC. Johnson said a fair amount of work will need to be done in a short amount of time. Whiting expressed there is a fair amount of anxiety among the staff from Aging regarding the transition of services. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson announced Gloria Schmidt from St. Croix Industries, has announced her retirement effective 03/28/08. Also, Nancy Muller, Economic Support Fraud Investigator, has announced her retirement. Johnson said interviews for the St. Croix Industries Director will be scheduled soon and will include the Health and Human Services Chair. Whiting said the Nursing Home and Health and Human Services union contracts were approved by the County Board yesterday and now need to go to the unions for approval. The County Bylaws were amended yesterday to reflect the ADRC governance structure. Dr. Hoberg expressed that the ADRC is a very bad deal. BUILDING SECURITY /HEALTH AND HUMAN SERVICES FACILITY PLANNING: Kristen Ziliak, Risk Manager, reviewed the lock down incident at the Government Center on 02/14/08. She said the building was in lock down for 17% minutes and the incident was a false alarm. The issues arising from this incident have been discussed at the Government Center and the Health and Human Services Safety and Security Committee meetings. Ziliak outlined items being considered to improve safety and security for the New Richmond building. The building has five entrances for public access to the building. Consideration is being given to lock all entrances and allow access for the public through the main front entrance only. Consideration is being given to create a policy that staff must wear their ID badge at all times. There are issues with after hours security as the front entrance doors are open until 8:00 PM and there is no receptionist after 5:00 PM. The Behavioral Health clinic appointments and groups are scheduled after this time and the Nursing Home has the only restrooms available to clients after 5:00 PM. Since the Nursing Home is not secured, clients go unattended into the Nursing Home after hours to use the restrooms. Building Services are investigating installing a camera and speaker system to monitor visitors to the Nursing Home. Discussion is taking place regarding locking the Nursing Home doors as doors can be locked going in but not leaving the Nursing Home. Discussion has occurred regarding having separate parking for staff and clients, with staff using the side and rear parking lots which could be secured with an arm that will require a scan card and the front parking lot being used for clients only. A lock -down policy will be developed for the New Richmond building. The Government Center has panic buttons; Health and Human Services does not. A software system that goes through computers has been investigated to remedy this. Johnson said he is looking for support from the Board regarding increasing the security of the Health and Human Services building. Motion A motion was introduced by Burri, seconded by Berenschot, and unanimously adopted: That the Board approves going ahead with planning to make the Health and Human Services building more secure. Johnson referenced a building survey completed by Bob Brown of Ayres and Associates. He encouraged the Board to consider Health and Human Services St. Croix County Health and Human Services Board Page 8 March 19, 2008 needs for the future and questioned how much money should be spent on a structure that is not being used for its original intended purpose. Art Tobin, Building Services, toured the farm house. He said the renter does a great job keeping the house clean. However, there are many items in the house in need of major repair. Tobin distributed some pictures of the repairs needed including window replacement, siding repair or replacement, chimney and gutter repair, plus a water drainage issue in the basement. Johnson questioned giving notice to the renter as the lease expires at the end of May. Motion A motion was introduced by Awsumb, seconded by Caflisch, and unanimously adopted: That the Board agrees to not put any more staff time into the farm house, to take the house off the market to rent and to dispose of the building. Tobin reported staff and the work - release inmates have tried repairing the furniture in the Nursing Home. He recommended a plan to replace at least 20 to 25% of the furniture as a capital expenditure in 2008. He will work with Morris to get more accurate figures and report back at a future meeting. Johnson reported the hog barn, chicken coop and barn are scheduled to be torn down in May. PUBLIC HEALTH COMMUNITY NEEDS ASSESSMENT PLANNING: A Public Health Community Needs Assessment is required every five years. The State is recommending a participatory approach for this assessment. Sortedahl said the Office of Rural Health was contracted for the last assessment and the department is now considering contracting with Maggie Stedman -Smith for this assessment, who has had experience in participatory approach. Another consideration being explored is partnering with Hudson Hospital as they have expressed an interest in a assessment and this would avoid a duplication of efforts. Consideration is being given to using photovoice as a tool for this assessment. Caflisch left the meeting at 12:00 noon. Sortedahl would like to use this assessment as part of strategic planning. She mentioned the Board will be asked to participate in the assessment also. She said as specifics for the assessment are developed, she will report back to the Board. UPDATE RULES AND BYLAWS OF THE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD The Bylaws were updated to include that two members of the Health and Human Services Board will be age 60 or older. Motion A motion was introduced by Berenschot, seconded by Awsumb, and unanimously adopted: That the Board approves amending the Bylaws to include that a good faith effort will be made to have two members age 60 years or older on the Health and Human Services Board. Burri volunteered to be on the ADRC committee. FINANCIAL REPORT AGED RECEIVABLES REPORT Pempek said Accounts Receivable staff are processing write offs. She said each record has to be processed individually. She said the process has been corrected but staff are still cleaning up data. She will add a column in future reports for write offs. She said bankruptcies are also coming through the system. She said the current system requires double entry so all information is keyed St. Croix County Health and Human Services Board Page 9 March 19, 2008 in two times in order to process. The following financial report for Nursing Home through January, 2008 was distributed. Pempek said a column for carryover amounts will be added to future reports for the Nursing Home. St. Croix Health Center January iOO8 Budget Actual Difference Percentag Census 0 Operating Revenue: Medicare $842,975.00 $74,259.87 $768,715.13 8.81% Medicaid $2,431,627.00 $198,411.30 $2,233,215.70 8.16 %' Private Pay $760,413.00 $69,016.50 $691,396.50 9.08 %' All Other Sources $217,774.00 $22,699.70 $196,074.30 10.42% Total Op $3,252,789 Operating Revenue $4,252,78-9.00 $3.888.101.63 8.57% Operating Expenses Daily Patient Services $3,081,764.76 $276,574.89 $2,805,189.87 8.97% Special Services $284,516.00 $22,266.63 $262,249.37 7.83 %'' General Services $1,167,643.63 $86,266.48 $1,081,377.15 7.39 %' Administrative Services $547,561.00 $50,652.35 $496,908.65 9.25% Unassigned: _ _ Depreciation (% Based) $0.00 . Others: $294,394.00 $14,056.12 $280,337.88 4.77 %° Utilities $13,854.37 Workers Comp, Computer Tech $201.75 Insurance $0.00 Total Operating Expenses $5,375,879.39 ' 449.816.47 $4.926.062.92 8.37% Net Fronr Operations x$85,429.10} (Cost of doing business prior to - applying levy & outstanding rev) Outstanding Revenues' _ Outstanding Rate Appeal rev $12,000.00 $0.00 $12,000.00 0.00 %' Revenue- IGT Funds $318,000.00 $192,000.00 % of Outstanding IGT Rev $0.00 $0.00 ` #DIVN! Co Allocations (% Based) $259,859.39 $0.00 $259,859.39 0.00% Nursing Home Carry Over $533,231.00 $0.00 Total i►utstarrcling $1,123,090.39 $192,000.00 $271.859.39 Net from all Sources $106.570.90 The following financial report for Health and Human Services through January, 2008 was distributed. Malick suggested compressing the report to eliminate the cents on figures in the report. St. Croix County Health and Human Services Board Page 10 March 19, 2008 - -- HEALTH AND HUMAN SERVICES - 2008 SUMMARY - OF Total REVENUES __ . _ ._ Budget January 31, 2008 Balance % Administration 1,117,400.00 (4,352.71) 1,121,752.71 0.4% AODA Services 772,986.95 52,218.68 720,768.27 6.8 %' Long Term Support 17,681,645.51 783,035.05 16,898,610.46 4.4% Mental Health _ 3, 0 7-9-.9 8 1, 237,659.49 3,065,820.49 Family .2% & Children's 037 y 3,, 821.28 243,041.74 2,794,779.54 8.0% Public Health 1,678,621.37 149,306.83 1,529,314.54 8.9% Economic Support 1,227,133.10 69,778.32 1,157,354.78 5.7% General Relief 15,000.00 1,250.00 13,750.00 8.3% Coordinated Services /SED 2,500,931.96 532,211.33 1,968,720.63 21.3% REVENUES HUMAN SERVICES PROGRAMS 31,335,020.15 2,064,148.73 29,270,871.42 6.6% SUMMARY Total OF EXPENDITURES Budget January 31, 2008 Balance ii Administration 117,400.00 80,746.98 1,036,653.02 7.2% Alcohol -Drug Abuse 772,986.95 53,716.68 719,270.27 6.9% Long Term Support 17,681,645.51 1,104,107.86 16,577,537.65 6.2% Mental Health 3,303,479.98 194,502.15 3,108,977.83 5.9 Family& Children's 3,037,821.28 218,914.79 2,818,906.49 7.2 %I Public Health 1,678,621.37 140,943.35 1,537,678.02 8.4% Economic Support 1,227,133.10 78,020.74 1,149,112.36 6.4 %! General Relief 15,000.00 243.88 14,756.12 1.6% Coordinated Service/SED 2,500,931.96 82,511.28 2,418,420.68 3.3% EXPENDITURES HUMAN SERVICES PROGRAMS 31,335,02015 1,953,707.71 29,3$1,312.44 6.2% Excess Rev over Expenses 3 11 0,441.02 Dr. Hoberg asked if there were any other issues to bring before the Board. Dr. Hoberg adjourned the meeting. Time: 12:18 PM Chair: Attest: (Secretary)