HomeMy WebLinkAboutHealth & Human Services 10-20-10 Rasmussen will review vouchers.
REVISED: 10/08/2010
NOTICE OF MEETING AND AGENDA
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
DATE AND TIME: October 20, 2010 at 8:30
LOCATION: (Board Room, St Croix County DHHS Building,
1445 N. Fourth Street, New Richmond WI)
CALL TO ORDER
ROLL CALL
REVIEW OF AGENDA
CONSENT AGENDA
APPROVAL OF MINUTES OF PREVIOUS MEETING - 09/15/10 and 09/24/10
DATE OF NEXT MEETING — 11/17/10 at 8:30 a.m.
OLD AND NEW BUSINESS
1. Consideration of Claims and Vouchers and appoint member to review vouchers at next meeting
2. Financial Report
a. Monthly financial report for Nursing Home and Health and Human Services
b. aged receivable report
3. Financial Department work priorities **
4. Health Center year end projections
5. Business plan report from LarsonAllen for St. Croix Health Center **
6. Health Center private pay subsidy
7. Nursing Home Administrator's Report
8. Personnel Issues
a. New employees /vacancies
b. Administration Committee hiring freeze resolution
9. County Bylaws and Advisory Committees
10. Health and Human Services Bylaws
11. St. Croix Industries fund raisers **
12. St. Croix Industries preliminary vocational and transportation utilization by Community Health
Partnership for 2011 **
13. St. Croix Industries Integrated Employment Training Award **
14. Report on National Rehabilitation Association Conference
15. Report on ECHO Conference
16. 2011 Budget Review
17. WIC infrastructure funding **
18. Computer donation to NAMI (National Association for the Mentally Ill) **
19. Possible agenda items for next meeting
NOTE: A quorum of the St. Croix County Board of Supervisors (County Board) may be present
at this meeting. Therefore, this notice also serves as notice of a meeting of the County Board for
the purpose of obtaining information relating to subjects listed above for use at future County
Board meetings.
Items for County Board approval must be submitted to the County Clerk's
office by Wednesday morning preceding a County Board meeting.
10/8/2010 8:41 AM
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.
10/8/2010 8:41 AM
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
October 20, 2010
The St. Croix County Health and Human Services Board met on October 20, 2010 at the St.
Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT: Esther Wentz, Chair
Leon Berenschot
Roger Larson
Linda Luckey
Richard Marzolf
Dr. Lisa Ramsay
Deb Rasmussen
Alfred Schrank
MEMBERS ABSENT: Frederick Horne, excused
STAFF PRESENT: Fred Johnson, Health and Human Services Director
Frank Robinson, Nursing Home Administrator
Tonya Kusmirek, Financial Manager
Fay Strenke, Accounts Receivable Supervisor
Tammy Wilson, HIS Supervisor
Kim Dupre, Information Systems Analyst
Clark Schroeder, Director, St. Croix Industries
Sonya Skramstad, Job Placement Specialist
Wendy Kramer, Public Health Officer/Public Health Coordinator
Sharon Reyzer, Public Health Supervisor
Malva Sirek, Secretary
OTHERS PRESENT: Trenton Fast, CPA, LarsonAllen
Steve Tracey, Auditor
Michelle Pietrick, Finance Director
Tammy Funk, Human Resource Coordinator
Art Tobin, Building Services Director
Daryl Standafer, County Board Chair
Sharon Norton - Bauman, County Board Member
Chair Wentz 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, November 17, 2010 at 8:30 AM. Larson will review vouchers.
AGENDA Motion A motion was introduced by Berenschot, seconded by Larson, and
unanimously adopted: That the agenda be approved as distributed.
St. Croix County Health and Human Services Board
Page 2
October 20, 2010
MINUTES Motion A motion was introduced by Schrank, seconded by Larson, and
unanimously adopted: That the minutes of the 09/15/10 and 09/24/10 Health and Human
Services Board meetings be approved as distributed
BUSINESS PLAN REPORT FROM LARSONALLEN FOR ST. CROIX HEALTH CENTER
Johnson highlighted that the development of a business plan for the Health Center has been
discussed at the Ad Hoc Facility Planning Committee to compare costs for various facility options.
Johnson also highlighted that questions were raised at the October 5 County Board meeting
regarding nursing home planning and potential reduction in levy for the 2011 budget. The time
frame to have this report completed was moved up so this information could be provided to the
County Board at the October 2e meeting. Trenton Fast from LarsonAllen discussed several
considerations that were reviewed when creating the business plan. This included the market
demand analysis for senior housing that was done about a year ago and a market analysis of
outpatient therapy, which is still in process. He looked at the organization and its ability to take on
debt and created some projections that drive the affordability of a replacement facility, but this
process did not include a full operational assessment or examine financial forecast. The report was
created on assumptions such as consideration of the County tax levy ending in 2015. The baseline
for projection through 2019 was the current 2011 budget request. He said the report reflects a
baseline assumption there will be no significant change in Supplemental Payment Program (IGT)
Revenue, there will be 1% to 2% annual increase in payment rates from all payors and there will be
a 2% to 3% overall increase in operating expenses. Fast compared St. Croix County numbers with
15 other governmental homes in the area and while costs are higher at the Health Center, the
staffing ratios for nursing are consistent with what would be recommended by LarsonAllen. Fast
presented the following scenarios:
• Current facility with 72 beds
• Current facility with 72 beds plus 30 unit housing project (assisted living)
• New nursing home facility with 72 beds
• New nursing home facility with 50 beds
• New nursing home facility with 72 beds plus 30 unit housing project (assisted living)
• New nursing home facility with 50 beds plus 30 unit housing project (assisted living)
Details of these projections may be viewed on the powerpoint presentation at the end of these
minutes. Fast noted that none of the options move the Health Center off County levy.
This report will be presented to the full County Board on 10/26/10.
The Board recessed from 9:35 — 9:45 AM.
CONSIDERATION OF CLAIMS Health and Human Services (HHS) Board member
Rasmussen reviewed the vouchers.
St. Croix County Health and Human Services Board
Page 3
October 20, 2010
Motion A motion was introduced by Rasmussen, seconded by Marzolf, and unanimously
adopted: That the following vouchers be approved and be made a part of the supplemental
minute book:
Department of Aging and ADRC vouchers 181541 through 181615, dated September 15, 2010 in
the amount of $16,251.55.
Human Services, Nursing Home, St. Croix Industries, Department of Aging, and ADRC
vouchers 181616 through 181676, dated September 15, 2010 in the amount of $90,501.48.
Human Services vouchers 181677 through 181678, dated September 15, 2010 in the amount of
$10,253.25.
Human Services, Nursing Home, Government Center, and St. Croix Industries vouchers 181475
through 151540, dated September 15, 2010 in the amount of $61,501.60.
Human Services, Nursing Home, Government Center, ADRC, and St. Croix Industries vouchers
181835 through 181958, dated September 21, 2010 in the amount of $153,821.70.
Department of Aging and ADRC vouchers 181959 through 181975, dated September 22, 2010 in
the amount of $5,412.62.
Human Services, Nursing Home, St. Croix Industries, and Government Center, vouchers 182111
through 182157, dated September 29, 2010, in the amount of $31,184.52.
Human Services, Nursing Home, and St. Croix Industries vouchers 182384 through 182567,
dated October 07, 2010 in the amount of $54,975.85.
Nursing Home vouchers 182568 through 182600, dated October 07, 2010, in the amount of
$13,878.81.
Human Services vouchers 182601 through 182639, dated October 07, 2010 in the amount of
$31,394.12.
Human Services, Nursing Home, St. Croix Industries, Government Center, Department of
Aging, and ADRC vouchers 182640 through 182742, dated October 07, 2010 in the amount of
$111,499.24.
Department of Aging and ADRC vouchers 182743 through 182795, dated October 07, 2010 in
the amount of $11,350.55.
Department of Aging and ADRC vouchers 183296 through 183351, dated October 13, 2010 in
the amount of $16,906.66.
St. Croix County Health and Human Services Board
Page 4
October 20, 2010
Human Services, Nursing Home, St. Croix Industries, Government Center, Department of
Aging, and ADRC vouchers 183352 through 183475, dated October 13, 2010 in the amount of
$179,923.72.
FINANCIAL REPORTS Kusmirek indicated that the financial reports have a modified format.
More work is needed on the reports as the whole year needs to be rebuilt as to what was filed and
what still needs to be filed. Staff are working through these issues and will report back to the Board.
The following financial report for Health and Human Services through August, 2010 was
distributed. Kusmirek indicated the Cores and CARS reports have not been filed since July. Filing
will be held until we can get a better handle on actual expenses that should be submitted on a
monthly basis in an effort to stay away from only doing this as a year -end reconciliation process.
She indicated a final reconciliation is usually done on March 31 st with payment received in July and
efforts will be made to shorten the reconciliation timeline so the audit report can be completed
earlier in the year.
St. Croix County Health and Human Services Board
Page 5
October 20, 2010
Health & Human Services - Fund 225
' August 2070
Annual August Budget % of
Revenue by Service Budget Actuals Balance Budget
Administration $ 187,070 $ (715,277) $ (902,347) - 382.4%
AODA Services 768,662 447,913 (320,749) 58.3%
Mental Health 3,702,935 2,628,064 (1,074,871) 71.0%
Family & Children's 3,188,401 2,235,985 (952,416) 70.1%
Public Health 2,035,641 1,550,567 (485,074) 76.2%
Economic Support 1,020,270 710,600 (309,670) 69.6%
General Relief 3,000 1,000 (2,000) 33.3%
Coordinated Services /SED 2,802,917 1,684,489 (1,118,428) 60.1%
Carryover Funds 1,049,211 699,474 (349,737) 66.7%
Service Revenue $ 14,758,107 $ 9,242,815 $ (5,515,292) 62.6%
Annual August Budget % of
Expenditure by Service Budget Actuals Balance Budget
Administration $ 1,236,281 $ 830,139 $ (406,142) 67.1%
Alcohol -Drug Abuse 768,662 516,295 (252,367) 67.2%
Mental Health 3,702,935 2,199,278 (1,503,657) 59.4%
Family & Children's 3,188,401 1,724,766 (1,463,635) 54.1%
Public Health 2,035,641 1,344,182 (691,459) 66.0%
Economic Support 1,020,270 784,342 (235,928) 75.9%
General Relief 3,000 - (3,000) 0.0%
CoordinatedServicelSED 2,802,917 1,665,094 (1,137,823) 59.4%
Service Expenditures $ 14,758,107 $ 9,064,095 $ (5,694,012) 61.4%
Revenues Over jUnder) Expenditures $ 178,720
Expected Precen# of Budget 66.7%
The following financial report for St. Croix Industries through August, 2010 was distributed. Utility
expenses may change in the future due to installation of meters for each area.
St. Croix County Health and Human Services Board
Page 6
October 20„ 2010
St. Croix Industries - Fund 625
August 2010 _.
Annual August Budget % of
Revenues Budget Actuals Balance Budget
WS Operations $ 1,375,209 $ 1,064,771 $ (310,438) 77.4%
WS Production 306,513 258,359 (48,154) 84.3%
WS Helping Hands 86,500 76,943 (9,557) 89.0%
WS Pop/Vending 8,300 8,980 2,680 142.5%
WS Ram 3,350 4,423 1,073 132.0%
WS Vocational Placement 341,486 257,738 (83,750) 75.5%
WS Comm_ Based Day Prog 197,730 83,823 (113,907) 42.410
Total Revenue $ 2,317,090 $1,755,037 $ (562,053) 75.7%
Annual August Budget % of
Expenditures Budget Actuals Balance Budget
WS Operations $ 1,375,209 $ 809,047 $ (566,162) 58.8%
WS Production 306,513 224,945 (81,568) 73.4%
WS Helping Hands 86,500 56,477 (30,023) 65.3%
WS Pop/Vending 6,300 3,940 (2,360) 62.5%
WS Ram 3,350 1,881 (1,469) 56.2%
WS Vocational Placement 341,488 204,282 (137,206) 59.8%
WS Comm Based Day Prog 197,730 98,185 (99,545) 49.7%
Totai Expenditures $ 2,317,090 $1,398,757 $ (918,333) 60.4%
Revenues Over(Under) Expenditures $ 356,280
Expected Precent of Budget 66.7%
The following financial report for the Nursing Home through August, 2010 was distributed. The `all
other sourcess' line item was reallocated to more accurately reflect Medicaid/Medicare revenue. A
one -time insurance dividend was also received and is noted under other financing sources. Meters
to monitor utility usage have been installed in the Nursing Home, Health and Human Services and
St. Croix Industries; however, it is not clear what the direct impact of these meters will be on the
financial operations, but projections were made based upon prior audited amounts for utility
expense. Allocation for utilities was previously configured on square footage and now will be done
by meter readings.
Tobin indicated Xcel installed the sub - meters. He said an audit of the meters was done and four
meters were unaccounted for. Credits will be received for the farm and the tenant house. He
indicated capital purchases for the Nursing Home have been put on hold.
St.-Croix County Health and Human Services Board
Page 7
October 20, 2010
St Croix Health Center - Fund 600
August 1010
Operating Revenue: Budget Actuals Difference _% of Budget Projections
Medicare $ 2.223,908 $ 933,601 $(1.290,307) 420% $ 1,400,402
Medicaid 2,043.172 1,387,547 (655,625) 679% 2,081,321
Private Pay 975,919 972,838 (3,081) 993% 1,459,256
ReN-,nue - IGT/Supplemental Funds 469,000 501,170 32,170 106.9% 501,170
Out Pali ent Therapy - 10,525 10525 0.0% 15,52
All Other -Sources 18,458 9.161 (4,297) 49.6% 18,453
Total Operating Revenue S 3.814,842 $ 0,915,6115) 66.6 $ 5A76,132
Operating Expenses
Daily Patient Services $ 3827.182 $ 2,627,901 $(1,199,281) 687% $ 3,941,851
Special Seroces 287,498 190,158 (97,340) 661% 285,237
General Services 1,239,492 768,159 (471,333) 620% 1,152,239
Administrative Services 610,305 419,796 (190,509) 688% 629,693
Sub Total $ 5.964A77 $ 4,006,014 $ 11,M,464) 672 S 6.1 9,020
Unassigned:
Depreciation (% Based)
Others
Llfilitie5 $ 208.461 $ 29,903 $ (178,558) 143% $ 130,000
workers Comp. Computer Tech 264502 111,429 (153,173) 421% 115,000
Insurance 55,000 75,533 20,533 137.3% 75 533
Unassigned Sub Total $ 528.063 $ 216,865 $ (31111198) 41,11% $ 320,533
Total Operating Expenses S 6,492,540 $ 4222,879 $(2,269,661) 66,0% $ 6,329,663
Revenues 0mr fOnder EApenoftres) Not Operations S 1408,037) S (853A22)
County Revenues& Other Financing Sources
Insurance Dividend - unexpected revenue not result ofCparalifons $ 9.160 $ 100,858 $ 91,698 1101 1% $ 100,858
Co Allocations - Levy (% Based) 616,131 410,752 (205,379) 667% 1516,131
Nursing Home Carry (Ner 1 91,195 (45,597) 667% 136,792
Other Finance Sources $ 762.083 $ 602,804 Y {159279) 79.10% Y 853,781
-venues Over [Under) Eqwn&fures Including A# Other Finance Contributions. S 194 $ 359
Expected Precent of Budget 66.7%
FINANCIAL DEPARTMENT WORK PRIORITIES: It is hoped to eventually have year end
projections in all departments. However, at this time the priority is to work on State reporting of
expenditures and adjust practice to reconcile this reporting on a monthly basis rather than at year
end as discussed earlier. Additional priorities include changes in the budget format which will be
done in conjunction with the auditors.
AGED HEALTH AND HUMAN SERVICES RECEIVABLES REPORT: The aging Accounts
Receivable report for Health and Human Services through August was reviewed. There were no
significant changes in Accounts Receivables.
HEALTH CENTER PRIVATE PAY SUBSIDY: Discussion regarding private pay subsidy as
the Nursing Home private pay rate is less than daily operating expense. Fast covered the subsidy
in his report. The subsidy is $46.20/day. Johnson indicated the Board may want to look at an
increase in private pay rates to lower this margin but remain competitive. The private pay rate
will increase to $185.38 effective 11/01/10. The Nursing Home averages 18 private pay
residents per month. Private pay residents are charged an additional $15/day if they reside in a
private room. Robinson offered to survey private pay rates again as many facilities indicated
they would increase their rates in January. Nursing Home private pay rates will be discussed
again in six months.
St—Croix County Health and Human Services Board
Page 8
October 20, 2010
NURSING HOME ADMINISTRATOR'S REPORT Robinson said the average monthly census
for August was 63, with 9 Medicare, 34 Medicaid, 18 private pay, 1 insurance and 1 Family Care
residents. The Medicare average daily rate paid is $460.00 compared to the budgeted amount of
$426.00. Robinson said census is down which is consistent with other facilities in the area.
In January Robinson reported to the Board regarding a self -report that was made to the State of
Wisconsin regarding a resident that was not transferred by the care plan and the resident was
injured. The situation was handled correctly with follow up actions by the Nursing Home and the
State acknowledged that in their findings. In June Robinson reported a Level D citation was
received. Last week a fine of $1,400 was received due to this citation; however, the fine would
be reduced to $965 if paid in 10 days. Johnson approved the early payment and savings to the
County. The State surveyors praised the facility for the self - reporting.
Robinson said occupancy has been impacted by hospital swingbed stays. Robinson said the St.
Croix Health Center remains a 5 -star quality facility due to the exceptional staff in the facility.
The report was issued September 1, 2010. Robinson said the Nursing Home is within reasonable
ranges per patient day (ppd) costs. Robinson reported the Nursing Home is managing
operational, overtime and pool costs and the things that can be controlled are being controlled.
Staffing is above state level based on acuity level of residents and resident needs.
PERSONNEL ISSUES NEW EMPLOYEESNACANCIES Johnson distributed a vacancy report
for October. Johnson reviewed the hiring freeze process established at the October 5, 2010 County
Board meeting. Johnson indicated it was his understanding that temporary, on -call positions and
contracted positions were outside the realm of the hiring process. Funk agreed with this explanation.
Johnson said St. Croix Industries has a need for a contracted job developer position to provide
positions in the community. There has been an increased push from the State to work to increase
positions in the community. This position would work in concert with the current job developer to
develop jobs in the community. It is the feeling this position would generate enough money to pay
for this position.
Johnson indicated the front desk receptionist went on FMLA on short notice and it is anticipated
this person may not return. Johnson would like to move forward with filling this position
permanently versus continuation with a long term temporary position.
Motion A motion was introduced by Schrank, seconded by Berenschot, and unanimously adopted:
That the Board approves going forward with the hiring process of the front desk receptionist
position to the Administration Committee and County Board if this staff person does not return.
The position will not be filled if the staff person returns.
Johnson said a centralized registration unit is being created which will result in some shuffling of
temporary staff.
Johnson reviewed three CNA (Certified Nursing Assistant) positions open in the Nursing Home.
One position is 30 %, one is 20% and one is 15 %.
St. Croix County Health and Human Services Board
Page 9
October 20, 2010
Motion A motion was introduced by Marzolf, seconded by Larson, and unanimously adopted:
That the Board approves going forward with the hiring process for the open 30 %, 20 %, and 15%
Nursing Home CNA positions.
Johnson reviewed on -call positions open in the Nursing Home. It is less expensive to use on -call
versus pool staff.
Motion A motion was introduced by Marzolf, seconded by Schrank: That the Board approves
filling the nine on -call positions in the Nursing Home. Shrank and Marzolf withdrew the motion. It
was the consensus these positions do not need to go to Administration Committee as if the positions
do not work, they receive no pay and have no benefits.
HEALTH AND HUMAN SERVICES BYLAWS Johnson will be scheduling a meeting with
Corporation Counsel regarding the Bylaws to assure that they are consistent with the new County
Bylaws and the changes that resulted from downsizing the size of the County Board. Johnson
recommended that the HHS bylaws be adjusted to include routine reporting from subcommittees.
Johnson will get revisions to the Bylaws to Board members before the next meeting.
ST. CROIX INDUSTRIES FUNDRAISERS St. Croix Industries held a fundraiser at Willow
River Inn - Carbone's. It was very successful with over 350 people attending and clearing
approximately $6,000 that will be used for client summer picnic, client holiday parry in December,
and other client activities throughout the year.
ST. CROIX INDUSTRIES PRELIMINARY VOCATIONAL AND TRANSPORTATION
UTILIZATION BY COMMUNITY HEALTH PARTNERSHIP FOR 2011 Schroeder reported
85% of St. Croix Industries funding comes from Community Health Partners (CHP). Paul Cook is
the CEO of CHP. Cook has met with Johnson and Schroeder regarding adjustments in utilization
and participating in a risk - sharing agreement. CUP lost approximately $11 ,000,000 in 2010 and is
anticipated will be short an additional $4,000,000 for 2011. The state apparently is no longer
supporting a risk - sharing agreement with CUP in 2011 and cuts are needed. To balance the $4
million shortfall, service utilization needs to be cut as much as 65% for prevocational services.
Clients now served five days a week could drop to two to three days a week with the cut. Cook
assured that service adjustments would not impact health and safety, but quality of life of
individuals and the ability to meet individual outcomes are a concern. If fiscal goals are not met,
CHP could be decommissioned and the state will go to the back up plan, which is not yet in place
by the Insurance Commission.
The capitation rates CHP receives are based upon utilization rates in pilot counties. Consumers are
being educated regarding their options. Johnson offered to create a resolution to go to County
Board from the HHS Board to advocate for changes in funding. It was the consensus of the Board
that we need to do what can be done to meet the needs of the consumers of St. Croix Industries. A
resolution will be created in conjunction with Greg Timmerman. The Board requested a
calculation of the impact on St. Croix Industries if CHP does not fund clients.
St. Croix County Health and Human Services Board
Page 10
October 20, 2010
Schroeder announced there is a candidate forum on 10/27/10 from 6:00 to 8:30 PM in the rotunda of
Sacred Heart Hospital. Schroeder plans to attend.
ST. CROIX INDUSTRIES INTEGRATED EMPLOYMENT TRAINING AWARD Staff from
St. Croix Industries were recently recognized for completing Integrated Employment training. The
YMCA was given the employer of the year for employing five individuals from St. Croix
Industries.
REPORT ON NATIONAL REHABILITATION ASSOCIATION CONFERENCE Skramstad
reported on attending the National Rehabilitation Association Conference and various information
received. She reported St. Croix Industries will be redefined due to changes being made. She
reported on good collaboration with the schools with smooth transition between school and
supported employment. Skramstad reported she is investigating grants available to start small
businesses and also grants to promote new programming. Skramstad is part of the Leadership
Council that will work on problems /solutions. Efforts will continue to be proactive for St. Croix
Industries.
REPORT ON ECHO CONFERENCE Wilson, Strenke and Dupre attended the ECHO conference.
Wilson reported on EHR (electronic health record) and ECHO compliance for HIPAA/HITECH.
She reported e- scribing will be available the first part of 2011 and will be implemented soon.
Strenke reported electronic billing will change after the first of the year due to Federal mandate
changes. The conference walked through the forms that will be available. These forms will
interface with billing versus having manual billing logs.
Updates are being made in ECHO so that more than one user can see client notes at one time.
`Travel' ECHO will be implemented so staff can work in the field without an internet connection
and when back in the office, information will be synchronized with our database. An audit function
is now out with test database and will go live in the next month. This function allows staff the
ability to audit who viewed or worked on files within the ECHO system. Other highlights of updates
include concurrent documentation, electronic signatures on documents, searchable data, and optical
recognition. ECHO is constantly changing and updating. Johnson has assigned Steve Kirt as project
manager for the department for the transition to an EHR.
2011 BUDGET REVIEW Johnson said the County Board meets on 10/26 regarding the 2011
budget. He reported HRA contributions for non - represented employees changes from $1,300 to
$1,200 in 2011. Health insurance increase from 2010 to 2011 is approximately $848,000 for
Nursing Home, St. Croix Industries and Health and Human Services. Johnson will report final
budget numbers at the next meeting.
WIC INFRASTRUCTURE FUNDING WIC applied for and was awarded infrastructure funding
in the amount of $23,766 from the State WIC Office to improve clinic setting and/or services A list
of possible items to purchase with this money that are allowable was given to WIC. Reyzer
provided the Board with a list of supplies being purchased.
St..Croix County Health and Human Services Board
Page 11
October 20, 2010
Motion A motion was introduced by Berenschot, seconded by Rasmussen, and unanimously
adopted: That the Board approves accepting the WIC Infrastructure funds and plan as presented.
Reyzer reported vaccination clinics have been offered to the schools. Public Health is holding a
clinic at St. Croix Central next week and has been to New Richmond and Glenwood City. Public
Health staff are still in discussion with Baldwin regarding a clinic.
COMPUTER DONATION TO NAMI (NATIONAL ASSOCIATION FOR THE MENTALLY
ILL): A request for a donation of a computer to NAMI was received. Kusmirek indicated County
policy needs to be followed to dispose of assets. A reasonable effort needs to be made to reallocate
equipment, then attempt to sell, and after that equipment can be donated.
Motion A motion was introduced by Schrank, seconded by Berenschot, and unanimously adopted:
That the Board approves following the County's policy for disbursement of assets.
POSSIBLE AGENDA ITEMS FOR NEXT MEETING
• Resolution regarding meeting the needs of consumers of St. Croix Industries (calculation of
impact on St. Croix Industries if CHP is not funding clients)
• County Bylaws and Advisory Committees
0 Health and Human Services Bylaws
Wentz asked if there were any other issues to bring before the Board.
Wentz adjourned the meeting.
Time: 12:00 Noon
Chair:
Attest:
(Secretary)
St Crooc County
Nursing Home Cost Ai
Page 1 of 1
Amy Geurkink
From: Amy Geurkink
Sent: Wednesday, November 17, 2010 2:12 PM
To: Baldwin Bulletin (thawley @baldwin- telecom. net); echter @rivertowns.net; Hudson Star Observer
(1) (hsoeditor @rivertowns.net); New Richmond News /Jeff Holmquist aholmquist @rivertowns.net)
Cc: Annette Massie; Chuck Whiting; Daryl Standafer; Greg Timmerman; Kathy Spott; Kim Dupre;
Kristen Ziliak; Tammy Funk
Subject: Minutes - Health /Human Services Board
Attachments: 10 -20 -2010 HHS Minutes - official.pdf
Attached please find the official minutes of the October 20, 20io Health and Human Services Board
meeting.
Amy J. Geurkink
First Deputy /St. Croix County Clerk
St. Croix County Government Center
1101 Carmichael Road
Hudson, WI 54016
715.386.4609
I
i t
11/17/2010