HomeMy WebLinkAboutSCC Health & Human Services Board 05-22-97MA'Y-21-1997 12:24 ST CROIX H & HS
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TO: Robert Boche, Chairman
St. Croix County Soard
g7�tOli: 1�ob�]C't Steph�ne
(John $ot�tp 24�-8223)
COHi�[ITTBg T=TLB: St. Croix
Board
D1�TE: 05/22/97
TIltB: 6:30 p.m.
County Health and Human Services
I►OCAT=�: St. Croix County Health and Human Sez`YiCes complex
I�teW Richmond
CALL To O�tDifiA
itOLL CALL
19,DOPTI0�1' O� SC�E�iDA
1�AT8 OF i[SBT iCBBTIliO: 06/la/97
ACTIOY ON RRgoIOIIa iiI�IBTEB: 05/ a3 l �7
OIIy[CB�1T8
AFPOIl1'��Sp+,4+Q
QN�2�tZB8SD '$iy'B i]�SB
1. Discussion of lease of farm buildings
R� HL�B�IiBB�d:
I • }.996 �'i�scal Audit Report�Rod 8aulson of T=acey and Thole, S. o.
2. Aation on Wisconsin i�Iorks (W-2) State Start-up Contract
3. Personnel Issues
4. Discussion of "feasibility" study committee for Long Term CB�e
Redesign
S. Discussion of Health arid. Hu�ar� Ser'vicea Board Members'
Diem
6. Health and Human Services/Nursing Rome Report
7. Birth-3 Program, Parent Liability for Services
8. Fami�Iy Preservation Grant Awards
9. Headstart Lease Extension
., _
�. _ .-
- �_
Per
Rate Approval
ADJO�'�
(hgeada not aeeessaarily presented i.a this order)
BTJR�dITT81i BY: John 1t, Sor�p
DAT19 = Kay 21, 1997
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REVISED ST. CROIB COUNTY
NOTICE OF COMMITTEE MEETI.NSe
TO: Robert Boahe, Chairman
St. Croix County Board
FROM: Robert Stephens
(John Borup 246�8223)
COMMITTEE TITLE: St. Croix County Health
Board
DATE: 0°5/22/97
TIME: 6,:30 p.m.
and
Human Services
LOCATIONS St. Croix County Health and Human Services Complex
New Richmond
CALL, TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 06/10/97
ACTION ON :PgEVXII MINUTES: 05 / 1_ 3 / 97
OtwC ENT8
APPOINTMENTS
IINFINIS$ED BIISINE88:
19 Discussion of lease of farm buildings
NEW BIISII+TE88:
1. 1996 Fiscal At:dit Report -god Paulson of Tracey and Thole,
2. Action on Wisconsin Works (W-2) State Start-up Contract
3. Personnel Issues
4. Discussion of "feasibility'+ study committee for Long Term Care
Redesign
5. Discussion of Health and Human Services Board Kembers' Per
Diem
6. Health and Human Services/Nursing Home Report
7. Birthm3 Program, Parent Liability for Servi,cos Rate Approval
SUBMITTED BY: Jahn M. Borup
DATE: Kay 16, 1997
fit W
AN tilt
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I
TO: Robert Boche, Chairman
St. Croix County Board
FROM: Robert Stephens
(John Borup 246-8223)
COMKITTEE TITLE: St. Croix County
Board
DATE: Q5/22/97
TIME: 6:3Q p.m.
Human Services
LOCATION: 5t. Croix County Health and Human services Complex
Neu Richmond
CALL TO ORDFR
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 06/10/97
ACTION ON PREVIOUS MINUTZ-9 : 0 5 / 13 / 9 7
ANNOUNCEMENTS
APPOINTMENTS
UNFINISHED BUSINESS:
1. Discussion of lease of farm buildings
NEW BIISINES$;
1. 1996 Fiscal Audit Report -Rod Paulson of Tracey and Thole, 5.c.
2. Action on Wisconsin Works (Tip-2) State Start-up Contract
3. Personnel Issues
4. Discussion of "feasibility" study committee for Long Term Care
Redesign
5. Discussion of Health and Human Services Board Members' Per
Diem
6, Health and Human Services/Nursing Home Report
SIIBMITTSO BY: John M. Borup
DATE: Alay 14, 1997
COPIES TO: COUNTY BOARD OFFICE
y'
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
May 22, 1997
The St. Croix County Health and Human Services Board met on May 22, 1997, at the St. Croix
County Health and Human Services/Health Center complex.
MEMBERS ABSENT:
Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Jack Dowd
Einar Horne
Fern Johnson
Allen Limberg
Mary Louise Olson
George Sinclear, excused
STAFF PRESENT: John Borup, Health and Human Services Director
Judy Ziegler, Accountant
Karen Hall, Long Term Support Coordinator
Marilyn Fruit, Economic Support Supervisor
Judy Aronson, Secretary
OTHERS PRESENT: Rod Paulson, Tracey and Thole, S.C.
Ray Mealey, Long Term Support Committee
Chair Stephens, called the meeting to order at 6:30 P.M. noting the meeting was properly and
legally publicized.
NEXT MEETING: The next Health and Human Services Board meeting is scheduled for
Tuesday, June 10, 1997 at 8:00 a.m. at the St. Croix County Health and Human Services/Health
Center complex. Chair Stephens and Allen Limberg will not be at the June loth meeting.
Johnson will review the vouchers at 7930 a.m.
AGENDA: MOTION: A motion was introduced by Bethke, seconded by Berenschot, and
unanimously adopted: That the agenda be approved as circulated.
Horne asked the dollar amount that was paid in child care last month. Ziegler will get that
figure.
MINUTES: MOTION: A motion was introduced by Horne, seconded by Dowd, and
unanimously adopted: That the minutes of the OS/13/97 Health and Human Services Board
meeting be approved as circulated.
1996 Fiscal Audit Roort-Rod Paulson of Tracey and Thole. S.C.: Paulson has completed the
1996 Financial Audit. Paulson distributed the Equity Analysis (a comparison of 1996 and 1995)
for Human Services, Home Health and County Farm. Public Health/Human Services "fund
balances" are close to target. Balance impacted by computer costs, cabling project, etc. Home
Health's balance impacted by Medicare revenue losses plus $16, 800 in budget to offset computer
purchases.
We are under increased competition by the private sector so Home Health numbers did or a
little. Paulson stated other counties are doing a lot of advertising and that seemed to help. If
we do not advertise we may lose referrals. We need to preserve what we have. Limberg stated
word of mouth is the best advertising.
For prior year adjustments, the figures are taken off the CARS report which we won't receive
until mid -June. Much discussion followed.
Paulson also reported on the nursing home fund balance sheet for the nursing home, equity
statement, fund balance concept. Paulson stated to run the nursing home it is costing about
$350,000 per month. In the reserve fund, there is monies for only about one-half month.
Borup stated this is the fourth year of a County allocation freeze. While for 1997 the County
Board increased salaries 3 % and in December the Finance Committee increased non -union
salaries further, resulting in salary/fringe costs in excess of budget by approximately $51,000.
Borup also stated that using program dollars for items such as roof repair, computers, cabling,
"ECHO" software, further reduces our fund balance. Horne stated he would like full numbers
on the salary increases of non -Union personnel. Ziegler will get those numbers. The county
should supply us for increased cost of labor. We have no control of labor -salary. Finance needs
to know we cannot live on this. Chair Stephens will ask that Health & Human Services Board
be placed on the Finance Committee agenda in July.
Stephens thanked Paulson for the 1996 Fiscal Audit Report.
Discussion of lease on farm buildings: Van Dyk has signed and returned the barn contract
extension, running through 05/31/98. He has modified and signed the farm house contract,
extending it on a "month to month" basis. Stephens stated Van Dyk plans to sell the cattle in
March and verbally guaranteed that he would not walk out before March, 1998. Stephens
recommended we sign the lease on both buildings.
MOTION: A motion was introduced by Bethke, seconded by Dowd, and unanimously adopted:
That the Health and Human Services Board approve the barn contract with no changes. the
Farm. The farm house lease extension is approved to 05/31/98 on a "month to month" basis with
all other terms and conditions remaining the same.
Action on Wisconsin Works (W-2) State Start-up Contract: Borup and Fruit stated the W-2 start
up monies of $22,315 are available through this contract. This will be used for training costs,
. 2
computer equipment, community steering committee, etc. Fruit stated she has been working
closely with computer services. Horne questioned the Child Care Program costs, stating this
cost is something we need to know. That way you can see if the system is working or not.
Fruit stated the reduction of AFDC is more than $24,000/month being paid in child care.
Discussion followed.
MOTION: A motion was introduced by Horne, seconded by Berenschot, and unanimously
adopted: That the Health and Human Services Board approve the signing of the W-2 Contract.
Personnel Issues. Borup stated administration is now working on absorption of duties from
Deputy Director's position. There will be job description updates for AODA Coordinator,
"Acting" Director status, etc. The Deputy Director position will not be refilled. Clerical
support services to these managers is also under review. This will be reported back at the June
10, 1997 meeting to the Health and Human Services Board.
Discussions of "feasibility" studv committee for Long Term Care Redesign: Per discussion with
Jerry Born at the Board meeting on 05/ 13/97, discussion for "feasibility" study of Long Term
Care Redesign. Whether or not we get involved this redesign will happen. Discussion
followed.
MOTION: A motion was introduced by Stephens, seconded by Horne, and unanimously
adopted: That the Health and Human Services Board approve to proceed to be a Long Term
Care Provider.
Stephens appointed a Resource Committee to study the feasibility of Long Term Care Redesign.
The persons appointed are as follows: Marcey Backes, Karen Hall, Ron Lockwood, Marilyn
Fruit, Carolyn Krieger, and John Borup. Hall to get back to the Health and Human Services
Board by the first of the year with results of the study. We should know more about legislature
by then.
Discussion of Health and Human Services Board Members'- Per Diem: Stephens stated $40.00
is the per diem. The amount of time spent at any meeting has no bearing on the per diem
amount. The rate will be $40.00 per diem.
Health and Human Services/Nursing Home Report: Borup stated the nursing home census today
was at 106 with a possible discharge tomorrow.
Bedhold loss for 1996 is $25,000. The Medicaid formula imposes a penalty for facilities if
census drops below 9576 or eight beds. Since census remained below 121 all year, bedhold
could not be billed. Bedhold refers to residents who leave the facility (either through
hospitalization or an overnight home visit). Medicaid allows a facility to bill for 85 % of the MA
rate for 15 days for bedhold.
Horne questioned where we stand at decertification requirements? Borup stated Krieger is
pursuing possible options to bank the beds, which will need to bring recommendations by this
summer.
Brian Schoeneck, Finance Director for WAHSA (Wisconsin Association of Homes and Services
for the Aging) will be our guest speaker for June 19th evening meeting. We would like this
meeting to be educational regarding the future of long term care as well as explain the specifics
about how it may affect the St. Croix Health Center. Also issues that need to be discussed are:
1) The future of ITP; 2) The Medicaid formula for setting the 1997 rate; 3) The bed
decertification/banking dilemma, and; 4) An overview of the Grant Thornton report (a study
done by WCA relating specifically to the 50 county nursing homes in Wisconsin).
Birth-3 Program, Parent Liaty for Services Rate Approval: Hall stated the Department of
Health and Family Services has developed rules that establish a system of parent payments for
all early intervention services except the core services (child find, evaluation and assessment,
development of the individual family service plan, procedural safeguards, and service
coordination).
Effective May 1, 1997, parent liability for services will affect all new 0-3 families and current
families starting on the date of their next six month or annual review, whichever comes first.
The family's ability to pay will be determined using the same rules that apply to Community
Options and Family Support services to children. The determination is based on adjusted gross
income, less approved medical and dental expenses and allowable deductions for family size and
court -ordered payments. It is possible for fees to be waived by the agency director under certain
circumstances.
The rate that has been calculated for 0-3 services is $57.75/hr.
MOTION: A motion was introduced by Dowd, seconded by Bethke, and unanimously adopted:
That the Health and Human Services Board approve the rate of $57.75/hr. to begin May 1, 1997
For 0-3 services.
Headstart Lease Extension: Borup stated he is requesting the authority to extend the Headstart
Lease contract beginning July 1st, 1997 at a rate of $8,280/yr. Borup stated the relationship has
been very good with Headstart. Discussion followed.
MOTION: A motion was introduced by Limberg, seconded by Olson, and unanimously
adopted: That the Health and Human Services Board approve the Headstart Lease contract at
a rate of $8,280/year effective July 1, 1997 through June 30, 1998.
Family
Preservation Grant Awards: Stephens stated Youth for Christ Lighthouse in Roberts and
Baldwin have divided. They both are asking for their money. When the money was allocated,
it was specified for Roberts and Baldwin Youth for Christ Lighthouse. At that time they were
not divided. On March 11, the Board authorized $4,000 to Baldwin and $4,000 to Roberts.
4
It was decided to hold up payments and look at this again at the second meeting in June. Borup
will find out from the State what needs to be done. We will leave Baldwin alone and call
Roberts and have them attend the June loth or 19th Health and Human Services Board meeting.
They will need rewrite and resubmit their plan. Borup appointed Kathy Dunlap as the lead
officer for Family Preservation.
MOTIO : A motion was introduced by Berenschot, seconded by Stephens, and unanimously
adopted: That the Health and Human Services Board meeting be adjourned.
Time: 8:38 p.m.
Chairman:
Attest:
Secretary