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HomeMy WebLinkAboutSCC Health & Human Services Board 07-24-97• .I . i.. - c TO: Robert Boche, Chairman St. Croix County Board FROM: Robert Stephens (John Borup 246-8223) :0XKITTEF TITLE: St. Croix Board DATE: LQCATION: 07/24/97 6:30 p.m. St. Croix County New Richmond County Health and Human Services Health and Human Services Complex CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 08/12/97 ACTION ON PREVIOU0 MINUTES: 07 / 1 n / 9 7 k"OUNCEMENTS APPDXNTMENTS UN71NISHED BUSINE88: 1. Program Mandate Report 1. Discussion of Board Finances/Cash 2�ccounts 2. Personnel Issues 3. Health and Human Services/Nursing Home:Report 4. Centennial Celebration Update SIIBMITTBD BY: John M. Sorup DATE: July 11, 1997 :OPIES TOO COUNTY BOARD 01 • 1 NZWO rI /NOTICE BOARIP • .1 . 13 T. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD July 24, 1997 The St. Croix County Health and Human Services Board met on July 24, 1" 1 at the St. Croix _ County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot = _ Chris Bethke Jack Dowd Einar Home Fem 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 Coordinator r. Ron Kiesler, Mental Health/AODA Coordinator Fred Johnson, Family & Children's Supervisor Kathy Dunlap, Family & Children's Supervisor Steve Kirt, Clinical Services Supervisor Judy Aronson, Secretary OTHERS PRESENT: Rich Loney, Finance John Krizek, Administrative Coordinator Don Brown, Chairman of Finance Tom Dorsey 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, August 12, 1997 at 8:00 a.m. at the St. Croix County Health and Human Services/Health Center complex. Dowd will review the vouchers at 7:30 a.m. AGENDA: MOTION: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the agenda be approved as circulated, with the addition of farm acreage not being utilized. MINUTES: MOTION: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the minutes of the. 07/10/97 Health and Human Services Board meeting be approved as circulated. Discussion of Board Finances/Cash Accounts: There are concerns about the fund balances as the 1998 budget approaches. Major expenses such as the roof repair of $164,474, and 1996 carryover of $167,715 reduce the fund balance. Additionally, salary increases are being absorbed without additional county revenues. Brown thanked the committee for inviting them, and stated we should have more of these meetings. Brown stated we are here to reconcile the differences of opinion between Finance and Health and Human Services. We all need to work from the same set of figures. Loney stated the audit fund balance as of 12/31/96 was $1,078,112. A large chunk of the fund is non -current assets. The audit based on calendar year was $893,000. Stephens stated this comes down to one thing and that is "trust" so we will be able to face any emergency situation. Stephens stated we need adequate funds up here. Including the 1998 budget Health and Human Services will have operated on the same budget for the last five years. Health and Human Services is the biggest committee we have in St. Croix County. Brown stated, "You can count on Finance. " Stephens stated that we want to know that if we get into trouble, we can come to Finance and it will be taken care of. Brown stated, "We take every situation and look at it in a professional way. We cannot have individual contingency funds." Stephens stated that this is a business entity up here, we need funds to operate. Stephens stated that we trust the Finance Chairman who has stated he will not let us die. Brown stated, "We have to put the extra money back into the contingency fund. We are a team - if you have a problem we will work with you. " Borup stated Stephen's statements are very important. We hope to not get into a circumstance where our funds drop below $300,000 with the size of the department we would prefer a minimum balance of $500,000. We are the lowest funded county per capita in the State in terms of Basic County Allocation from the State of Wisconsin. This is the fifth year with no additional county monies. Brown stated that Health & Human Services has never gone below the $300,000 figure. Brown also stated, It is not our intention to set your policy, you have set your own policy very well. We do have a trust situation here. There is no question by looking at the budget there is increased efficiency." Computerization is benefitting St. Croix County. Krizek stated the county is looking at improving the insurance for the employees by switching the policy. This would be a savings of $5009000 per year. The county plans on spending only $90,000 a year for the improved insurance. Stephens invited Finance to come to the Open Hearing next year so they can hear what these programs have done for families throughout the year. 2 Borup commented that unforeseen events can negatively impact our budget and if the fund balance is at a low level, we could be forced to seek county funds during a given budget year. Brown indicated he would support us if that were to occur. Borup stated that he has received the impression from different sources that we are the only County with State -County "overmatch funds". Borup stated that our county allocation is $2,982,910, (of this $473,041 are allocated for Public Health and $87,697 for Economic Support and General Relief), leaving an actual County Human Service allocation of $2,419,114 (Public Health and Economic Support costs are not a part of the "State -County Match Formula"). Statewide Human Services programs receive county monies in excess of $165 million dollars divided by 72 Counties = approximately $2.3 million per county. Borup reminded the Board that St. Croix County receives the lowest per capita community aids in the State and very low youth aids funds. If these two funding sources were average, our funding would be increased by almost $1.4 million, lowering our County allocation an equal amount. Stephens thanked Finance for coming to our meeting. Program Mandate Report: Boritp stated we have coim�-mitted to give reports on the mandated programs like we did two years ago. The reports tonight will be from Long Term Support, Mental Health/AODA, and Family and Children's. Hall discussed the mandates for Long Term Support. State Statute 51.437 are laws regarding people with disabilities. Hall stated we are mandated to provide a full continuum of services from birth to death to be provided within the limits of State and Federal funds. For some programs we do look at the family's income, but family's income is not considered for children 18 y/o or older. There is a problem with mandated programs if we don't have enough money, we are not mandated to provide the services. Sinclear asked about the time frame for waiting lists, Hall stated there is no end in sight. Stephens stated the realization is we need adequate dollars to supply services. There are various reasons for waiting lists, some clients may be on more than one waiting list, some may be receiving services from one program but are on a waiting list for another. Discussion followed. Kiesler stated 51.42 governs Mental Health/AODA - similar statute applies to Mental Health/AODA as does Long Term Support. Over the years we have contracted out the inpatient mental health and inpatient AODA. We have experienced many staff layoffs/unfilled positions. Stephens stated we are still meeting the needs of clients. Kiesler stated the county cost to keep a client in the Community Support Program is $5.00/day, where to hospitalize a client would cost $500.00/day. Discussion followed. Sinclear left the meeting at 8:00 p.m. Kiesler stated many people with insurance go' elsewhere, the majority of the clients seen at Health and Human Services are the indigent, who are not paying customers, we do not make a profit. Olson asked if a safe assumption for those people who are indigent is they lack 3 resources. Kiesler stated the key is early intervention. Olson asked if there was any ideas of the success rate from services. Kiesler stated our successes are in a couple areas: 1) no suicides, and 2) only one state institutionalized at Winnebago within the last two years. Discussion followed. Family & Children's - Dunlap stated, "There are not many gray areas in Family & Children's. We shall provide, we are not allowed waiting lists, nor who we provide services to. We just have to deal with them." Johnson said, "Dunlap stated that so concisely and professionally, I - have nothing more to add." Dunlap asked if anyone had questions. There were none. - At 8:10 p.m. a 15 minute recess. At 8:25 p.m. meeting resumed. Health and Human Services/Nursing Home Report: Krieger stated the nursing home census is at 102 with five referrals pending. Krieger stated the nursing home had a visit from two state surveyors to review an incident. The state looked through our records and cited us on four violations. Krieger stated we have retained legal counsel. The cites are to be mailed. Basically the incident was two residents needed two people to be transferred, our attendant made a judgment to move the resident by herself as she knew the resident would try it on his own if she left the room to get help. They cannot be sure the hairlmeTracture occurred when he was being lowered to the floor. The state looked through several records and cited for lack of documentation in caring for our residents and not reporting all the incidents. They made a judgment call, when we know how to handle our residents, so we have decided to fight back. The state stated we need to call the coroner for: every death of anyone who has ever had a fall. There was no time limit. There is a gray line. Stephens stated there is a death tax so who would pay for this. We have a number of deaths each month. Krieger stated our physicians are just shaking their heads. The state wants a write up on every incident/accident to be sent to them. Krieger stated we have no abuse, no neglect, and we have very good attendants. The State states you must report and they have a paperwork review to see if they need to examine. Krieger stated we know our residents better than the State surveyors. They say we need to report and they will make the determinations. Ilk Stephens asked if it was safe to say there are probably five incidents a day, which would be thirty-five reports a week. Stephens stated it was a wise move to contact an attorney. Krieger stated if we get two class B State citations there is a maximum penalty of $1,000. If inKrieger we receive three Federal tag citations in a row, the Federal surveyors come . stated we are not going to take the blame, we know our residents better. Borup distributed a memo from maintenance regarding equipment purchase and fuel tank update. Borup stated we may be needing to update our 4-wheel drive pickup. We are looking at these issues which may be in the 1998 budget. Centennial Celebration Update: Borup stated we are at the point of being ready. The - signs/posters are up. We welcome any volunteers. Borup stated Food Services can feed about 1,000 people. We are looking forward to it. Lunch is 11:00 a.m. to 1 *00 p.m. with welcoming remarks by Chairman Stephens and Boche at 1:00 p.m. Stephens stated they need someone to take Dorsey's place in the pie eating contest. Berenschot was asked to do the honors. Bethke and Stephens took a tour of the farm acreage and discovered 100 acres of farmland which is not being utilized. John Schottler will plow what he can and come up with acres he can use. We would rather rent those acres than put acres in CRP. We are trying to negotiate a rental fee with John Schottler. Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Stephens, seconded by Dowd, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 8:48 p.m. Chairman: Attest: 5 Secretary