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HomeMy WebLinkAboutSCC Health & Human Services Board 05-13-97TO: Robert Boche, Chairman St. Croix County Board �'ROM6 Robert Stephens (j7ohn Borup 246-8223) COIOiITTEE TITLH: St. Croix County Health Board DATE: 05/13/97 TIi+�E: 5:00 a.m. and Human Services LOCATIo�T: St. Croix County Health and HumS.r� Services Complex, Nev Pichmond-NURSING HOME CONFERENCE RQOX ROLL CALL ... DATE OF NEXT NEEVINVAS 05/22/97 WTION ON .. . 04/24/97 PERSONNEL ISSUES UMOUNCZKgNTS IINFINIBHED Btt$INESSs 1. Juvenile Youth Shelter/Group Home Request far Proposal Update 2. Discussion of lease on farm buildings NEW BUSI�i'ESS s 1. Consideration of Claims and Vouchers 2. Financial Report 3. Personnel issues 4. Health and Human Services/Nursing Home Report 5. High Risk Pregnancy Coalition Report 6. Nursing Home Cable TV Installation 7. Setting Mental Health Service Rates 8. Long Term Care "Re -Design" Report by Administrator, State Division of supportive Living necessar ADJOIIRNl1ENT (Agenda not ily 8IIRMITTBD BY: John M. Borup DATR: April 30, 1997 Jerry Born, X T. CROIX COUNTY HUMAN The St. Croix County He 1997, at St. Croix County Richmond, Wisconsin* h and Human Services Boara met on riay l , Health and Human Services complex in New MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Fern Johnson Allen Limberg Mary Louise Olson MEMBERS A88ENT: Jack Dowd Einar Horne, excused George Sinclear, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Barb Nelson, Public Health Supervisor Mary Coty, CSP Social Worker Bonnie Edlund, CSP Social Worker Kathy Huston, CSP Social Worker Kathy Dunlap, Family & Children's Supervisor Fred Johnson, Family & Children's Supervisor Ron Kiesler, Mental Health Coordinator Malva Berg Secretary OTHERS PRESENT: Robert Boche, County Board Chair Ray Mealy Beth Shockey-Woll Ann Findlay Gerry Born, Administrator, Division of Supported Living Gary Nicholson, Area Administrator, Division of Supported Living -Western Region Long Term Support Committee Chair Stephens 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, May 22, 1997 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. AGENDA: Motion: A motion was Bethke, and unanimously adopted: circulated. introduced by Johnson, seconded That the agenda be approved as MINUTES: Motion: A motion was introduced by Berenschot, seconded by Limberg, and unanimously adopted: That the minutes of the 04/24/97 and 05/06/97 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, fixed assets purchased, and cash report. Stephens announced that the vouchers will be reviewed monthly in the business office at 7:30 a.m. rather than the Board room due to the amount of paper work that needs to be moved from one place to another. Ziegler said child care checks will be issued from Madison starting in June or July. Health and Human Services Board member, Bethke, reviewed the April vouchers and questioned or reviewed the following vouchers: HUMAN SERVICES: 7389: Northern States Power, $5,692.96, electricity. Monthly bill for both Nursing Home and Human Services buildings. 7400: Schmitt Timber$4,483.18, Workshop lumber. Wood for pallet production at the Sheltered Workshop. This company is located in Spring Valley, Wisconsin. 7438: Indianhead Home Services, $24,108.00, Long Term Support purchased services. Home care services for Long Term Support clients. Company is located in Ladysmith, Wisconsin. 7569: Weisman, Jane and James, $1,212.00, foster care. Foster care home located in Roberts, Wisconsin. 7791: Family Tree Clinic, $115.00, Public Health purchased services. A female Public Health client was referred to the clinic by Public Health staff for additional tests. 7682: REM-Wis III, Inc., $31,399.83, Long Term Support purchased services. Newer company providing group home care for Long Term Support clients. Company is headquartered in Madison. NURSING HOME: 273: SouthCoast Rehabilitation, $37,905.97, Medicare therapy. This is the company who provides all Medicare and Medicaid therapy services for nursing home residents. n Ki 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 690 through 734: Home Health vouchers 7592 through 7674, dated April 30, 1997 in the amount of $33,860.53. Human Services voucher 7880, dated April 11, 1997, in the amount of $92.00. Human Services vouchers 7360 through 7410, dated April 17, 1997, in the amount of $42,977.89. Human Services vouchers 7411 through 7464, dated April 24, 1997, in the amount of $32,166.82. Human Services vouchers 7465 through 7496, dated April 28, 1997, in the amount of $166,544.02. Human Services vouchers 7497 through 7591, dated April 29, 1997, in the amount of $49,121.02. Human Services vouchers 7615 through 7879, dated April 30, 1997, in the amount of $124,232.97. Human Services vouchers 7619 through 7808, dated April 30, 1997, in the amount of $95,875.00. Farm voucher number 3, dated May 13, 1997, in the amount of $1,629.50. Nursing Home vouchers 204 through 217, dated April 17, 1997, in the amount of $11,467.55. Nursing Home vouchers 218 through 223, dated May 01, 1997, in the amount of $939*240 Nursing Home vouchers 231 through 281, dated May 13, 1997, in the amount of $81,782.17. Human Services and Nursing Home vouchers 837 through 864, dated April 15, 1997, in the amount of $245,807.52. Social Services and Human Services vouchers 112 through 129, dated April 16, 1997, in the amount of $79,429.11. Human Services and Nursing Home vouchers 865 through 891, dated April 29, 1997, in the amount of $276,700.73. Social Services and Human Services vouchers 130 through 148, dated April 30, 1997, in the amount of $96,097.84. JUVENILE YOUTH SHELTER[GROUP HOME REQUEST FOR PROPOSAL UPDATE: Stephens announced the Department has received a resolution from the City of New Richmond and Police Department opposing the Juvenile Youth Shelter/Group Home. Fred Johnson reported that Tim Emholz, from New Richmond High School, Mary Louise Olson �,�nd he visited the school at Ashland, Wisconsin and met with the police liaison from Ashland, juvenile intake, and Prentice House representative. He said the meeting went well. Olson said she would have liked to see someone from law enforcement on this trip. Olson has a concern that who runs the operation could make or break the program. Emholz had concerns if the school had to expand current programs and would like the school and Health and Human Services to look into the issue jointly to develop a new program. Stephens postponed this issue so the department can work jointly with the schools to lessen the impact of having the program start. Stephens wants this item on the agenda at least monthly. It was the consensus of the Board to proceed with this investigation as though the program is going to happen. The Chair said he would be available to stand behind staff if there is a problem with the City of New Richmond, etc. Discussion followed. Motion: A motion was introduced by Olson, seconded by Berenschot, and unanimously adopted: That the Board delay action on the group home to investigate further and to bring back to the Board as soon as possible. Borup said the lease for River Ridge runs until 09/01/97. Stephens said to extend the lease to 01/01/980 Olson said the program would not start until the fall of 1998 at the earliest. PERSONNEL: Borup said the Deputy Director position will not be replaced and the responsibilities will be absorbed. Borup appointed Kiesler as Mental Health/AODA Coordinator and the job description will be redone and sent through the Hay Review. Motion:A motion was introduced ntroduced by Stephens, seconded by Olson, and unanimously adopted: That the Board approved to appoint Ron Kiesler to the Mental Health/AODA Coordinator position. HIGH RISK PREGNANCY COALITION REPORT: Barb Nelson introduced Beth Shockey-Woll and Ann Findlay from the High Risk Pregnancy Coalition who were present to give a report on the status of their project. It is the hope of the coalition to impact low birth weight and pre - term labor in high risk pregnancies by developing a mentoring program for pregnant teens. The Coalition is still putting the program ideas together. This report was an update, the coalition did not come to the Board to request funding. Discussion followed. Stephens told Nelson and Borup to see if monies from the Family Preservation Grant could be used for funding for this program. Nelson said the coalition does not want to duplicate services. A Public Health staff is on the coalition also. The only financial support for this program has been from the United Way, the rest has been done on a volunteer basis. Findlay for their report. 5 Stephens thanked Shockey-Woll and HEALTH AND HUMAN SERVICESjNURSING HOME REPORT MAY IS MENTAL HEALTH AWARENESS MONTH: Kathy Huston, Mary Coty, and Bonnie Edlund reported to the Board activities that have been done for Mental Health Awareness Month. Articles have been submitted to the local papers, WIXK, and cable television stations regarding Mental Health awareness and public service announcements. Literature will be displayed at St. Croix County Health and Human Services and the Government Center through May and information will be distributed to county hospitals, clinics, schools, and senior centers. NURSING HOME: Nursing Home census up to 107. Staffing has been adjusted on floor two due to increased census. Krieger reported that Rod Paulson, CPA, said the audit was excellent considering the nursing home had the lowest census in its history. n PUBLIC HEALTH: Regional Board of Health forum is being planned for mid -July in Eau Claire. Kenneth Baldwin, State Bureau of Public Health, will attend. The date will be set and will be brought back to the Board. W-2: Borup, Limberg, and Berenschot attended W-2 conference in River Falls on 05/12. Borup said it was a good informative conference. Borup said the Department continues to struggle with computers and the new server. Mark Gleason is leaving 05/23 and computer service options are being explored. MENTAL HEALTH SERVICE RATES: Every year the Mental Health Unit re- calculates its service rates. The rates are calculated by adding staff salary and fringe, program related costs, space costs, Health and Human Services Department overhead, and St. Croix County Government (indirect) overhead. The sum is then divided by the number of direct service hours provided by each discipline. Discussion followed. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: The following rates be approved to be effective June 1, 1997: $207 (individual), $124 (individual), $ 80 (individual), $ 64 (individual), $ 52 (individual), $69 (group) M.D. = $27 (group) = Master's $21 (group) = Bachelor's = Mental Health Technician C� DISCUSSION OF LEASE OF COUNTY FARM BUILDINGS: Van Dyk said he may not want to rent the farm house in the future. The house and barn each have separate lease agreements. Discussion followed. Motion: A motion was introduced by Bethke, seconded by Stephens and unanimously adopted: That the Board approve extending the barn and house lease. The Board recessed from 9:30 to 9:45 a.m. FINANCIAL REPORT: Rod Paulson will give a formal audit exit on 05/22/97. Borup and Ziegler presented the following preliminary financial reports. Discussion followed. PLEASE SEE NEXT PAGE. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/97 THROUGH 03/31/97 NURSING HOME Reconciled Cash Balance 03/31/97 Add: Accounts Receivable, 03/31/97 Private Pay Medicare Medicaid General Accounts Payable-03/31/97 $633,477.66 $8,393.51 $163,399.00 $189,879.58 $542.06 ($303,140.02) Net Current Items, 03/31/97 692,551.79 1997 Revenue Recorded through 03/31/97 $1,105,124.73 Includes Allocations of Anticipated Revenues 1997 Expenses Recorded through 03/31/97* $1,143,549.51 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1997 bond principle $246,794.50 (93,13% of total 1997 bond principle of $265,000) NH97sum * Operations Capital Acquisitions _ $450,395.48 = 183,082.18 SUMIKARY OF REVENUES Administration AODA Services Long Term Support Mental Health Family & Children's Economic Support General Relief TOTAL REVENUES ALL PROGRAMS SUMMARY OF EXPENDITURES Administration Alcohol -Drug Abuse Long Term Support Economic Support Mental Health Services Family & Children's General Relief TOTAL 1996 HUMAN SERVICES BUDGET hs97-sum HUMAN SERVICES - 1997 Total Jan. -Mar. Budget Balance 125,271.25 508,055.00 382,783.75 90,040.52 1,377,895.63 309,173.66 476,698.43 198,267.90 365,476.00 7,444,614.00 1,620,643.00 2,076,775.00 1,223,623.00 275,435.48 6,066,718.37 1,311,469.34 1,600,076.57 1,025,355.10 % 24.7% 24.6% 18.5% 19.1% 23.0% 16.2% e,0i^v.19 42,124.00 34,113.81 19.0% 2,585,357.58 13,281,310.00 10,695,952.42 19.5% Total Jan. -Mar. Budget Balance % 128,430.37 508,055.00 379,624.63 25.3% 68,056.57 1,418,567.40 236,667.29 343,609.80 404,722.65 365476.00 , 7,444,614.00 1,223,623.00 1,620,643.00 2,076,775.00 297419.43 18.6% , 6,026,046.60 19.1% 986,955.71 19.3% 1,277,033.20 21.2% 1,672,052.35 19.5% 1,019.94 42,124.00 41,104.06 2.4% 2,601,074.02 13,281,310.00 10,680r235o98 19.6% HOME HEALTH Total Jan. -Mar. Budget Balance �* TOTAL REVENUES 78,755.53 526,243.00 447,487.47 15.0� TOTAL EXPENDITURES 108,221.34 526,243.00 4181021e66 20.6% PUBLIC HEALTH(12 month programs) Total Jan. -Mar. Budget Balance �* TOTAL REVENUES 197,077.81 845,706.00 648,628.19 23.3� TOTAL EXPENDITURES 208,690.02 845,706.00 637,015.98 24.7% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 25.0 ph97-sum LONG TERM CARE "RE -DESIGN" REPORT BY GERRY BORN,_ ADMINISTRATOR, STATE DIVISION OF SUPPORTIVE LIVING: Born said this is a transition period for funding for long term care. He offered a copy of the full Long Term Care Redesign Report and Executive Summary. He gave a brief overview including highlighting various points of the redesign such as single point of entry, aging and resource centers, case management organizations, etc. He said care will need to be provided in the most efficient way and will include more public/private sector arrangements. Discussion followed. Public Hearings will be held on 06/19/97 with the plan going to legislation in the fall of 1997, and passed in the spring of 1998. Born said case management organizations will be phased -in in six to eight years with it starting in four to six locations around the state. Discussed a feasibility study regarding Long Term Care Redesign for St. Croix County, which will be placed on the Board agenda for 05/22/970 Motion: A motion was introduced by Berenschot, seconded by Olson and unanimously adopted: that the meeting be adjourned. Time: 11:05 a.m. Chairman: Attest: (secretary)