HomeMy WebLinkAboutSCC Health & Human Services Board 01-10-97� DEC-26-1996 11�38 ST CROI}C H & HS 1 715 246 8225 P.02
iiiLL REVIEW VOUCHERS AT ? : 3 0 A. ii.
ST. CRO*X COUNTY
NOTICE OF COMMITTEE MEETING
To: Robert Boche, Chairman
St. Croix county Board
FRo1�: Robert Stephens
(John Borup z46-8223)
COI�ITTEE TITLE: St. Croix County Health
Board
DATE: Ol/10/97
TI?'iE: 8:00 a.m.
and Human Services
LOCATZOl�i: St. Croix County Health and Human Services Complex, New
Y2iehmond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT I4EETING: 01/23/97
ACTION oN PItEvZo�SS HINuTE3 z 12 / 3� / 9 6
ANNorJN�CEMENTS
ApPOIN'7'MENTS
UNFINISHED BUSINEss:
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Repor�k
3. Health and Human Services/Nursing Home Report
A. Report on "Interest Earned' By Department
4. Personnel Issues
5. Low Income Energy Assistance Program Report
6. Supportive Children's coalition Report
7. Discussion Of �.974 Building Roof Maintenance
ANNOUNCEMENTS AND CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING;
Accounts
ADJOL7RNMENT
(Agenda not necessarily presented in this order)
SUBr+iITTED BY: John M. Borup
DATE: December 26, 1996
COPIES TO: COUNTY HOARD OFFICE
COIINT7C CLERK
NEWS 14EDIA/NOTICE
TOTAL P.02
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
January 10, 1997
The St. Croix County Health and Human Services Board met on January 10, 1997, at the St.
Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT:
MEMBERS ABSENT:
Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Jack Dowd
Einar Horne
Fern Johnson
Allen Limberg
Mary Louise Olson
George Sinclear
None
STAFF PRESENT: John Borup, Human Services Director
Carolyn Krieger, Nursing Home Administrator
Judy Ziegler, Accountant
Judy Aronson, Secretary
Fred Johnson, Family & Children Supervisor
Kathy Dunlap, Family & Children Supervisor
Barb Nelson, Public Health Supervisor
Wendy Kramer, Public Health Nurse
Ralph Robole, Maintenance Supervisor
OTHERS PRESENT: John Krizek, Administrative Coordinator
Rich Loney, Finance
Chair Stephens, called the meeting to order at 8:00 A.M. noting the meeting was properly and
legally publicized.
NEXT MEETING: The next meeting of the Health and Human Services Board will be
Thursday, January 23, 1997 at 6:30 p.m. at the St. Croix County Health and Human
Services/Health Center complex.
AGENDA: MOTION: A motion was introduced by Berenschot, seconded by Bethke, and
unanimously adopted: That the agenda be approved as circulated.
MINUTES: MOTION: A motion was introduced by Bethke, seconded by Johnson, and
unanimously adopted: That the minutes of the 12/10/96 Health and Human Services Board
meeting be approved as circulated.
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UNFINISHED BUSINESS: Krieger discussed her memorandum dated November 5, 1996
regarding "Review of 1997 Nursing Home Private Pay Rates". Krieger stated the rates have to
be set when we are doing the budget to coincide with the budget fiscal year. An estimation of
the Medicaid rate is done because the State does not set the rate for July 1 until much later.
Horne questioned if the rates had been increased enough, as the ICF increased more than the
others. Krieger stated we need to stay competitive with the area. The intensive skilled care
require more supplies which we can bill for. Discussion followed.
ANNOUNCEMENT: Stephens read a bulletin from Sue Nelson. Robert Boche, County Board
Chair, is on a respirator so he cannot communicate. He remains in intensive care.
Considerations of Claims and vouchers: Ziegler, Accountant/Accounting Supervisor, distributed
the following reports: transfer of funds report, natural gas usage for 1996, fixed assets
purchased, and cash report.
Health and Human Services Board member, Stephens reviewed the December vouchers.
MOTION: A motion was introduced by Stephens, seconded by Horne, and unanunously
adopted: The following vouchers be approved and be made a part of the supplemental minute
book pages 523 through 566.
Home Health vouchers 5773 through 5793, dated December 31, 1996 in the amount of
$4,6479490
Human Services vouchers 5283 through 5374, dated December 12, 1996 in the amount of
$74,824.33.
Human Services vouchers 5376 through 5408, dated December 19, 1996 in the amount of
$80,878.61.
Human Services vouchers 5409 through 5422, dated December 26, 1996 in the amount of
$22,523.26.
Human Services vouchers 5423 through 5465, dated December 30, 1996 in the amount of
$93,111.07.
Human Services vouchers 5466 through 5620, dated December 31, 1996 in the amount of
$789662.33.
Human Services vouchers 5622 through 5772, dated December 31, 1996 in the amount of
$117,397.65.
Nursing Home vouchers 756 through 764, dated December 14, 1996 in the amount of
$7,351.65.
E
Nursing Home vouchers 765 through 772, dated December 19, 1996 in the amount of
$18,831.70.
Nursing Home vouchers 780 through 831, dated January 10, 1997 in the amount of $84, 801.25.
Human Services and Nursing Home vouchers 595 through 621, dated December 10, 1996 in the
amount of $292,663,59,
Social Services and Human Services vouchers 445 through 462, dated December 11, 1996 in the
amount of $96,018.57,
Social Services and Human Services vouchers 463 through 480, dated December 25, 1996 in the
amount of $80,080.47,
Human Services and Nursing Home vouchers 622 through 649, dated December 23, 1996 in the
amount of $237,692.05,
Social Services and Human Services vouchers 481 through 499, dated January 8, 1997 in the
amount of $97,411.27,
Human Services and Nursing Home vouchers 650 through 674, dated January 7, 1997 in the
amount of $288,705.40,
Financial Report: The County Board settled with the non -Union personnel raising salaries over
the amount planned in the 1997 budget. There was an adjustment of $51,204. It was an
increase across the board - 2.5 % increase plus $.24/hr. Horne objected to an across the board
increase. Horne questioned, why is there not an evaluation system in place that evaluates
personnel on their performance - Some person may deserve a 6 % increase, where someone else
may not deserve any increase at all. It was the consensus of the Board the non -Union personnel
salary increase should not have been settled prior to the Union contracts being settled. Krizek
stated that AFSME want the language in the contract such that it gives up management rights.
7 1 ek stated law enforcement has settled their contract.
Krizek stated the plan is to discontinue the second insurance offered by the county by November
1998. There is not a substantial number, of people on that plan.
The following financial report for November, 1996 was presented to the Board. Discussion
followed. Ziegler distributed the Fixed Assets schedule, cash report and the natural gas bill.
Stephens asked if the checks could be generated and issued in New Richmond, stating that it is
not statutory to issue checks in Hudson. Krizek stated he could look into thisbut is not
optimistic that it will happen. Krizek says this would be an expansion of work rather than a
decline.
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ST. CROIX COUNTY HUMAN
FINANCIAL SUMMARIES
FOR THE PERIOD ol/01/96
NURSING HOME
SERVICES BOARD
THROUGH 11/30/96
Reconciled Cash Balance 11/30/96
Add:
Accounts Receivable, 11/30/96
Private Pay
Medicare
Medicaid
General
Accounts Payable- 11/30/96
332,090.38
41.000.67
98,100.11
Net Current Items, 11 /30/96
512.387.49
1990 Revenue Recorded through 11 / 30 96
Includes Allocations of Anticipated Revenues 3._952.404.94
1996 Expenses Recorded through 11/30/96 3.889.723.95
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)
* operations
Capital
Acquisitions
_ $152,780.35
= 179,310.03
We received an advance of $142,000 in January of our ITP grant
SUMMARY
OF REVENUES
Administration
AODA Services
Long Term Support
Mental Health
Family & Children's
Economic Support
General Relief
• D i
Administration
Alcohol -Drug Abuse
Long Term Support
Economic Support
Mental Health Services
Family & Children's
General Relief
TOTAL 1996 HUMAN
SERVICES BUDGET
HUMAN SERVICES - 1996
509,337918
361,064.53
Budget
523,032.00
301,352.00
5,810,285.77 6,776,175.00
195239914.18
1,8489791.66
812,662.02
47,281.72
1099139337.06
474,855.55
308,899.48
5,841,611.73
892,387.15
1,348,058.87
19532,268.91
35,563.10
1094339644*79
1,562,302.00
2,128,883.00
974,037.00
47,500.00
12,313,281.00
Budget
523,032900
3Oi1352.00
6,776,175.00
974,037.00
1,562,302.00
2,128,883.00
47,500.00
12,313,281.00
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Balance
13,694.82
97.38
(599712.53) 119.81
965,889.23
38,387.82
2809091.34
161,374.98
218.28
1,399,943.94
Balance
48,176.45
85.75
97.54
86.84
83.43
99.54
88.63
90.79
(7,547.48) 102.50
934,563.27
81,649.85
214,243.13
596,614.09
11,936.90
19879,636.21
86.21
91.62
86.29
71.98
74.87
84.73
TOTAL EXPENDITURES
HOME HEALTH
Total
Jan.- Budget Balance
November
432, 241.54 519 , 183.00 86, 941.46 83.25
463,038.51 519, 183. QO 56,144.49 89.19
PIIBLIC HEALTH(iZ month programs)
Total
Jan.- Budget Balance $*
November
669,166.50 846, 503.00 177, 336.50 79.05
765,299.75 846,503.00 81,203.25 90.41
*TO BE ON BUDGET, PERCENTAGE SHOULD BE' 91.67
ph96-sum
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Support of Children's Coalition Report: Kramer gave an update of this coalition's activities
related to the problem of "lack of support of all children" . This problem was one of the top five
identified during the assessment process and includes parenting issues and community support
for children. Olson questioned if this was a duplication of efforts, is this something connected
with the Family Preservation Group. Horne stated that it seems like everyone is reinventing the
wheel, nobody is coordinating the common goal. Kramer stated this group has disbanded as
each community was in a different process. Borup reminded the Board that while child welfare
costs are out of control in some counties, costs remain in control in St. Croix County, partially
due to our work in the community. Dunlap stated the whole purpose in family preservation is
we are not the save all in the communities, we need to make the communities be responsible.
Johnson stated this is not a duplication of services, they are supporting family preservation. The
members from the "lack of support" APEX -PH coalition have been encouraged to participate
in a steering committee for the family preservation project which would meet on a quarterly
basis. This steering committee includes individuals - adults and youth - from all communities
in St. Croix County. Kramer was thanked for her informational report.
Discussion of 1974 Building_Roof Maintenance: The status of the 1974 Building's roof has been
a concern for several years. Complete re -roofing is a major expense item. Administration and
Maintenance suggested a 5-year replacement plan to the Health and Human Services Committee
a few years back, this was cut from the budget. Maintenance has made a "tar machine" that has
been inexpensive and somewhat effective. With the recent heavy snowfalls more and more leaks
are occurring. Chair Stephens stated the 1974 building has been a problem from day 1. The
roof leaks, has leaked and will continue to leak. The heating costs are way out of line. Let's
bite the bullet and put on an insulated roof. In 1989, bids were received with a price of
$200,000, which included the skylines shingles.
Motion: A motion was introduced by Sinclear, seconded by Bethke, and unanimously adopted:
That thenoard have Robole draw up some specifications to complete the repair of the roof and
get some bids out.
Stephens stated we don't have the money for this roof repair. We have operated without an
increase in the budget for the past three years. We do not get any interest paid to us, and the
funds are large enough that the county could loan us money without interest. We are the largest
part of the budget with no increase in the budget. Krizek and Loney were willing to present this
to the Finance Committee considering this roof repair must be done. Nothing can be done with
the roof now, but something has to be done in early spring.
Health and Human Services/Nursing Home Report: Loney was present and discussed "Interest
Earned" by department accounts. Loney stated some accounts do have a fund for accrued
interest. It is not impossible to accrue interest to specific funds, although a difficult proposition
to work through. Discussion followed.
Nelson gave an informational only report on 1990-1995 Wisconsin Chronic Disease Surveillance
Project. The Chronic Disease Surveillance project (also known as the Follow -Back Project and
PRECEDES) was a group of activities to increase local health department awareness of the
burden of chronic disease in individual communities. The final report summarizes the
surveillance results as well as the sample risk factor information from these reports. The project
was supported, in part, with funds from the Federal Center for Disease Control and Prevention
(CDC).
Our Public Health Department began participation in the project in 1992. It was this project that
helped to fund our APEX Community Health Needs Assessment in 1995.
Background: Healthy People 2000 has established an objective to reduce the death rate for adults
aged 25 to 64 years old by 20 % . Chronic disease, namely cardiovascular disease, cancer and
stroke, account for the majority of deaths in this age group. To increase local public health
department (LPHD) awareness regarding the burden and causes of premature chronic disease
deaths, a chronic disease surveillance system was undertaken in Wisconsin.
The evaluation of the surveillance system revealed that it was successful in increasing awareness
with respect to chronic disease. Local public health departments found the county -specific data
to be useful in program planning and in the community health assessment process.
Stephens thanked Nelson for her informational report.
Nursing Home Census is at 102.
Krieger stated the State Survey Team came on Monday morning (1/6/97). They will have the
exit interview on Wednesday, 1/15/97 at 1:00 p.m. and invited Board members to attend. Any
Facility licensed medicare/medicaid has the survey. We live under the Federal guidelines, that
inspectors have to live with. Discussion followed.
Krieger referred to the overtime hours handout. Krieger stated for the amount of money that
was spent for overtime, we could hire a full time person with benefits. Krieger stated you
cannot find eligible, qualified staff unless we offer benefits. At the present, administrative staff
are helping out as much as possible, but you can only stretch administrative staff so far. Krieger
will be speaking with Personnel about recruiting and will probably have to offer benefits. With
the limited staff this may affect the survey.
W22 Update: Borup stated the State is in the process of finishing the review of the County W-2
proposals. They expect to have the contract out to the counties by the end of January.
Day Care: Notice was received that no subsidized parent will pay more than 16 % of gross
income for child care. Under the original co -payment schedule, some parents would have paid
46 % or more.
Personnel Issues: Nursing Home kitchen staff have been working longer shifts due to worker's
comp/medical leave. Recruiting temporary staff has been less then effective.
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Chair Stephens asked if there were any other issues to bring before the Board.
MOTION: A motion was introduced by Olson, seconded by Berenschot, and unanimously
adopted: That the Health and Human Services Board meeting be adjourned.
Time: 10:10 a.m.
Chairman:
Attest:
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Secretary