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HomeMy WebLinkAboutSCC Health & Human Services Board 07-10-97OLOON WILL REVIEW VOUCHERS AT 7:30 A.N. ST. CROIR COUNTY NOTICE OF COi+lMITTEE MEETING TOs Robert Boche, Chairman St. Croix County Board FitOMs Robert Stephens (John Borup 246-8223) COMMITTEE TITLL+'0 St. Croix County Health Board DATE: a7/l0/s7 TINE: 8:00 a.m. a nd Human Services LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL '1'O ORDER ROLL CALL ADOPTION OF AGENDA DATE OF JMXT MLSTING: 07/2A/07 ACTION ON PREVIOUS MINUTES: 06/19/97 ANNOUNCENENTB APPOINTMENTS: NEilf 1. 2. 3. 4. 5. BII8INN88: Consideration of Claims and Vouchers Financial Report Personnel Issues Health and Human Services/Nursing Resolution Supporting Proposition Wisconsin Discussion of Mandated Services Approval of 1597 Home Health Rates County Farm Land and Conservation LDJOURIQUINTSUBXITTZD BY: John M. Borup (Agenda not necessarily COUNTY CLERK • Home 56 Report --United far a Healthy Reserve Program presents d in this order) a dARY LOUISE OLSON WILL REVIEW VOUCHERS AT 7:30 A.M. .,, TO: Rohert BOche, Chairman St. Croix County Board FR01[: Robert Stephens (John Borup 246-8223) COMMITTEE TITLE: St. Croix County Health Board DATE: 07/10/97 TIME: 8:00 a.m. and Human Services LOCATZOI+i: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 07/24/97 ACTION ON PREVIOUS MINUTES: 06/19/97 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BIISINRSS: NEW BIISZNESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. personnel Issues 4. Health and Human Services/Nursing Home Report 5. Resolution Supporting Proposition 56--United Wisconsin 6. Discussion of Mandated Services ADJOURNMENT (Agenda not necessarily SUBMITTED BY: John M. Borup DATE: June 26, 1997 for a Health in this order} presoated STo CROIX COUNTY HEALTH AND HUMAN SERVICES HOARD JULY 10, 1997 The St. Croix County Health and Human Services Board met on July 10, 1997, at St. Croix County Health and Human Services complex in New Richmond, Wisconsin: PRESENT: Robert Stephens Leon Berenscho_t_ Chris Bethke John Dowd Einar Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Karen Hall, Long Term Support Supervisor Barbara Nelson, Public Health Supervisor Malva Berg Secretary OTHERS PRESENT: Ray Mealy, Long Term Support Committee Gerry Frey Dennis Horner John Soderberg Bill Rubin 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, July 24, 1997 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. AGENDA: Motion: A motion was introduced by Berenschot, seconded 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 06/19/97 Health and Human Services Board meeting and Open Hearing be approved as circulated. ANNOUNCEMENTS: Stephens attended the Finance Committee meeting on 07/09/97. He said there is a disagreement with the Finance Committee over the amount of funds held at Health and Human Services. He asked that the auditors, Loney and Krizek be at -the 07/24/97 Board meeting to reach an agreement between Hudson and New Richmond on the amount of spendable cash there is for Health and Human Services. Discussion followed. F� Representatives from the City of New Richmond were present to discuss the possibility of obtaining some county property for a railroad spur for economic development. The City has received inquiries from companies needing a railroad site near their business. The spur would be built when the new highway is built and the City would like to acquire the land before the road is built. Dowd asked the amount of land the City was discussing and the City cannot be specific as to the exact location or acreage at this time. Stephens said the City will need to give a presentation to the Health and Human Services Board with specific requests regarding acreage and location. The Board would then forward to Finance, then Zoning, and back to Finance, who would make a recommendation to the Board. Bethke said the County Board is not in a hurry to part with any county land. He would like to see the County Fair move here, which would include about 45 acres, and the farm buildings. Sinclear said there may be some merits to this proposal if there are no other locations in the county and if this I the best location. Horne said we currently lease the land and is possible we could lease the land for this at a high enough price so the County can make some money. Discussion followed. The City will prepare a presentation for the Board for early September. CONSIDERATION OF CLAIMS: Ziegler said the year-to-date child care expenses are $127,473.29, with $23,565.39 for May. June bills for child care will be paid by the State in July. Judy Zieglerl Accountant/Accounting Supervisor, distributed the following reportse transfer of funds report, fixed assets purchased, and cash report. The invoice for North Central, the contractor who repaired the roof of the 1974 building, was less because less work needed to be done than was anticipated. Nursing Home census is 104. Health and Human Services Board member, Olson, reviewed the June, vouchers and questioned or reviewed the following vouchers: HUMAN SERVICES: 8423: Lighthouse Community Youth Center, $1,300.00, Family Preservation Grant. Issued check to new organization for the Family Preservation Grant. 8484: Aurora Residential Alternatives I, $4,043.95, transitional living. This facility provides supported living accommodations for Long Term Support clients. 8689: Food for Health, $49.00, subscription. Subscription for use by the Public Health dietitian. 8729• Mark or Elissa Highstrom, $32.18, restitution. This is money collected from juvenile offenders to pay back this r� victim per court order. This is not a County expense. 8738: Hospital Sisters Health Care West, $3,350.00, AODA purchased services. Cost of care for two female clients for AODA inpatient services. 8767: Indianhead Residential Care Facility, $5,104.001 AODA transitional living. Cost for two AODA clients for 13 days of service at this facility. 8818: Prentice House I, $1,950.00, group home. Cost of care for one Family and Children's client. NURSING HOME: 411: Moffat Personnel Services, $1,996.82, cost of pool staff for Nursing Home Bookkeeping (11884.00) and Dietary (112.82). 440: Wisconsin Counties Association, $1,290.00, fee Lo enter the State ITP program. Motion: A motion was introduced by Olson, seconded by Stephens, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 775 through 821: Home Health vouchers 8373 through 8374, dated June 12, 1997, in the amount of $66..34. Home Health vouchers 8897 through 8919, dated June 30, 1997, in the amount of $9,420.73. Human Services vouchers 8375 through 8481, dated June 12, 1997, in the amount of $87,271.25. Human Services vouchers 8482 through 8515, dated June 19, 1997, in the amount of $89,193.15. Human Services vouchers 8516 through 8551, dated June 26, 1997, in the amount of $24,380.23. Human Services vouchers 8552 through 8611, dated June 29, 1997, in the amount of $162,515.03. Human Services vouchers 8612 through 8886, dated June 30, 1997, in the amount of $302,266.62. Human Services vouchers 8835 through 8896, dated June 30, 1997, in the amount of $11,226.07. Human Services voucher 8922, dated June 30, 1997, in the amount of $141.54. Nursing Home vouchers 362 through 367, dated June 12, 1997, in the amount of $1,209.64. Nursing Home vouchers 38 through 373, dated June 26, 1997, in the amount of $4,0319600 Nursing Home vouchers 379 through 443, dated July 10, 1997, in the amount of $110,684.25. Human Services and Nursing Home vouchers 946 through 974, dated June 11, 1997, in the amount of $291F607*88* Social Services and Human Services vouchers 182 through 200, dated June 11, 1997, in the amount of $95,307.58. Human Services and Nursing Home vouchers 975 through 1006, dated June 25, 1997, in the amount of $236,992.24. Social Services and Human Services vouchers 201 through 219, dated June 25, 1997, in the amount of $78,280.46. FINANCIAL REPORT: Stephens said we need a consistent, uniform cash flow report between Health and Human Services financial reporting and the Courthouse reporting. Borup said surplus has been applied from prior years. He said we are not out of money now, but the balance keeps dropping and future years are going to be difficult to come in with a balanced budget. He said this is the fifth year with no additional•.county monies. Borup distributed a list of changes and position cuts since 1986 for Health and Human Services and the Nursing Home. He said we are facing wage increases that are not reimbursed by the county, which will also drop the fund balance. Stephens asked for the Board's support when he goes to the Finance Committee in August. Horne said the County Board has spent money on Perch Lake, the ag building, etco but no additional monies have been allocated for services. He said priorities need to be set. Discussion followed. The following financial report was distributed and discussed: PLEASE SEE NEXT PAGE. f ST. CROIX COUNTY HUMAN FINANCIAL SUMMARIES FOR THE PERIOD O1/01/97 NURSING HOME SERVICES BOARD THROUGH 05/31/97 Reconciled Cash Balance 05/31/97 Add: Accounts Receivable, 05/31/97 Private Pay Medicare Medicaid General Accounts Payable-05/31/97 Net Current Items, 05/31/97 1997 Revenue Recorded through 05/31/97 Includes Allocations of Anticipated Revenues 1997 Expenses Recorded through 05/31/97 Includes Allocations of Expected Expenses $464,209.02 $143,064.54 $192,199.23 $215 0,76 ($238,029.28) $551,235.48 $1,835,078.19 $1,871,309.94 Add or Deduct any nursing home related items not recorded on nursing home books: 199? bond principle $246,794.50 (93.13% of total"1997 bond principle of $265,000) NH97sum * Operations = $339,263.77 Capital Acquisitions = 124,945.25 * SUMMARY OF REVENUES Administration AODA Services Long Term Support Mental Health Family & Children's Economic Support General Relief TOTAL REVENUES ALL PROGRAMS SUMMARY OF EXPENDITURES Administration Alcohol -Drug Abuse Long Term Support Economic Support Mental Health Services Family & Children's General Relief TOTAL 1997 HUMAN SERVICES BUDGET hs97-sum HUMAN SERVICES - 1997 Total Jan. -May Budget 248,765.31 508,055.00 164,305.37 -365,476.00 2,621,072.40 8,036,806.00 720,459.36 1,620,643.00 930,661.50 2,076,775.00 312,114.08 1,3091495.00 13,220.87 42,124.00 5,010,598.89 13,959,374.00 Total Jan. -May Budget 209,253.04 508,055.00 106,723.94 365,476.00 21653,299.99 8,036,806.00 391,581.99 1,309,495.00 560,456.63 1,620,643.00 70lr9O2ol2 2,076,775.00 4,942.22 42,124.00 4,628,159.93 13,959,374.00 Balance � 259,289.69 49.0% 201,170.63 45.0% 5,415,733.60 32.6% 900,183.64 44.5% 1•,146,113.50 44.8% 997,380.92 23.8% 28,903.13 31.4% 8,948,775.11 35.9% Balance � 298,801.96 41.2% 258,752.06 29.2% 5,383,506.01 33.0% 917,913.01 29.9% 1,060,186.37 34.6% 1,374,872.88 33.8% 37,181.78 11.7% 9,331,214.07 33.2% TOTAL REVENUES TOTAL EXPENDITURES TOTAL REVENUES TOTAL EXPENDITURES HOME HEALTH Total Jan. -May Budget Balance 193,146.63 531,636.00 338,489.37 192,286.50 531;636.00 339,349.50 PUBLIC HEALTH (12 month programs) Total Jan. -May Budget Balance 308,646.01 845,706.00 537,059.99 352,813.43 845,706.00 492,892.57 *TO BE ON BUDGET, PERCENTAGE SHOULD BE 41.67. ph97-sum 36 .3� 36.2$ 36.5� c F? The Board recessed from 9:30 CO 9:40 a.m. PERSONNEL ISSUES: Computer services are interviewing to replace Mark Gleason's position. Rick Kinning will be leaving as of 07/18/97 and that position will be replaced as well as the position that was vacated when Kathryn Beutel moved to her current position. Horne said the county should consider consultant services for d computer services were approved for computer services. Borup sal ten hours of consultant services. Sam Kemski, Public Health, is retiring the end of July and Patty Marson will fill her position. Krieger announced that Centennial cookbooks are available for sale. PROPOSITION 56: Barb Nelson presented a resolution to support Proposition 56, United for a Healthy Wisconsin. Motion: A motion was introduced by Horne, seconded by Limberg: That the Board support the resolution to support Proposition 56, United for a Healthy Wisconsin. Discussion followed. Olson is concerned there is a duplication of effort. She said there are mandated health classes for ninth graders in the state and that the dangers of smoking should be taught in that class. She said we are already spending tax dollars on education_on the dangers of smoking. Nelson said resources for prevention come from American Heart Association, American Cancer Society, American Lung Association, not from the State of Wisconsin. Nelson said it is proven that having numerous encounters is more successful in getting people to make a change. Stephens said he would rather table the motion with no action than to have opposition to the resolution. Motion: A motion was introduced by Stephens, seconded by Horne: That the above motion on supporting the resolution to support Proposition 56, United for a Healthy Wisconsin be tabled. Roll call vote: Stephens -yes Berenschot-no Bethke -no Dowd -yes Horne -no Johnson -no Limberg-no Olson -yes Sinclear-no Three yes, six no, motion failed. Roll call vote on motion to support resolution: Stephens -no Berenschot-yes Bethke -yes Dowd -no Horne -yes Johnson -yes Limberg-yes Olson -no Sinclear-yes Six yes, three no, motion passed. Resolution located at the end of minutes. MANDATED SERVICES: Materials were given to the Board on mandated services. Discussion followed. Borup stated more and more questions regarding privatization of AODA services have arisen recently. Borup stated that while it is possible to contract out services, he urged caution as AODA fits well with other programs. Borup will schedule an AODA report for the July 24th meeting. Dowd would like information included as to the cost for each program and how much is funded for each program. Board members were advised to keep these materials as they will be referred to in future meetings. Members will be notified when to bring this information along to the meeting. HOME HEALTH RATES: Administration met with Rod Paulson, CPA, to establish 1997 Home Health rates. Borup said they are in the low average range. Motion: A motion was introduced by Dowd, seconded by Sinclear, and unanimously adopted: That the Board approves the following Home Health rates effective 08/Ol/97: Skilled Nursing $112.00 Physical Therapy 96.00 Occupational Therapy 101.00 Home Health Aide 52.00 COUNTY FARM LAND AND CONSERVATION RESERVE PROGRAM: 25 acres of County farm land is in the CRP program. 8.8 acres have been approved at $40/acre, the balance has been denied. Bethke and Borup met with CRP officials and issued an appeal for review of our denial, but are not optimistic. Schottler has indicated he would rent the 17 acres, but not at the same rate as the other land. Stephens, Bethke, Borup will meet with Schottler and will have the Board's support to reach a rental agreement for the 17 acres. m AUDIT REPORTS: The Board received copies of the certified audit report for Health and Human Services and Nursing Home. Stephens asked if there were any other issues to bring before the Board. Horne would like a discussion on decertifying beds separate of the State's decision. Stephens said there is no reason to discuss unless there is a dramatic change. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: that the meeting be adjourned. Time: 10:30 a.m. Chairman: Attest: (secretary) f