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HomeMy WebLinkAboutSCC Health & Human Services Board 10-10-97TO: Robert Boche, Chairman St. Croix County Board TRO�Ls Robert Stephens Pohn Borup 246-8223) COKKIrY'TEE TITLB: St. Croix County Board DATE: 10/10/97 Health and Human Services LOCA'1'IO1i: St. Croix County Health and Human Services Complete, New Richmond ROLL �ttal�lk ,. DATE OF NEXT KEETING*0 10/23/97 .�. . 09/25/97 .0 kPPOINTKENT8 1. Consideration of Claims and Vouchers 2Financia .l Report 3. Personnel Issues 4. Health and Human Services/Nursling Home Report S_ Setting 1998 Nursing home Private Pay Rates 6. Report on cost Estimates to Build Garage for Department Vehicles 7_ Committee Appointment for Family Support/Birth to Three Advisory Board NWOURNMIM (Agenda not necessarily :,COPIES TO* COUNTY BOARD OFFICE COUNTY CLP" : c a: prQssnte d is this order) COUNTYTo CROIX HEALTH ANDHUXAN SERVICES BOAR9 OCTOBER The St. Croix County Health and Human Services Board met on October 10, 1997, at St. Croix County Health and Human Services complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Chris Bethke Einar Horne Fern Johnson Allen Limberg Mary Louise Olson MEMBERS ABSENT: Leon Berenschot, excused Jack Dowd, excused George Sinclear, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Karen Hall, Long Term Support Coordinator Marilyn Fruit, Economic Support Supervisor Barbara Nelson, Public Health Supervisor Linda Adams, Public Health Malva Berg, Secretary OTHERS PRESENT: Holly Koehler, Student 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, October 23, 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 Olson, seconded by Bethke, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Limberg, seconded by Johnson, and unanimously adopted: That the minutes of the 09/25/97 Health and Human Services Board meeting be approved as circulated. An article was distributed regarding an interview with John Krizek. This article was brought to Administration's attention by staff and staff are offended by the article. It was the consensus of the Board that Krizek was quoted out of context and the Board will speak with him before,anything is done regarding the article. CONSIDERATION OF CLAIMS: Ziegler distributed the following reports: transfer of funds report, fixed assets purchased, cash report and unemployment report for August and September. Health and Human Services Board member, Limberg, reviewed the September vouchers and questioned or reviewed the following vouchers: HEALTH AND HUMAN SERVICES: 98730 ALP Wisconsin, $42,822.61, Long Term Support Transitional Living. Cost of supported living for 15 Long Term Support clients for September. 98950 Johnson Motor Sales, $291365.00, Long Term Support high cost expense. State approved purchase of a van and lift for a COP client. The State will reimburse 100% through COP high cost funding. 10152: Jonathan C. Hoistad, Ph. D., $4,015.001 Mental Health Psychologist. Psychologist consultant services for September. We bill clients for his services. 10275: Sacred Heart Behavioral and Psycho Services, $5,711.60, Mental Health purchased services. Cost of inpatient services for Mental Health clients. NURSING HOME: 5950 Catholic Yearbook, $241.00, advertising. Cost of advertising nursing home services in local churches. 657: Southcoast Rehabilitation, $44,885,45, Medicare therapy services for September. Motion: A motion was introduced by Limberg, seconded by Stephens, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 903 through 941: Home Health vouchers 10350 through 10376, dated September 30, 1997, in the amount of $12,495.53. Human Services vouchers 9871 through 9932, dated September 18, 1997, in the amount of $179,822.15. Human Services vouchers 9933 through 9982, dated September 25, 1997, in the amount of $69,735.48. Human Services vouchers 9983 through 10028, dated September 29, 1997in the amount of $213,ago .64 ,. Human Services vouchers 10029 through 10349, dated September 30, 1997, 0n the amount of $216,124.06. Nursing Home vouchers 594 through 603, dated September 18, 1997, in the amount of $2,451.82. Nursing Home vouchers 610 through 6671 dated October 10, 1997, in the amount of $94,384.52. Social Services and Human Services vouchers 329 through 346, dated September 17, 1997, in the amount of $80,064.75. Human Services and Nursing Home vouchers 1154 through 1182, dated September 17, 1997, in the amount of $254,372.24. Social Services and Human Services vouchers 347 through 361, dated October 01, 1997, in the amount of $80,128.95. Human Services and Nursing Home vouchers 1183 through 1204, dated October 01, 1997, in the amount of $240,545.57. Human Services voucher 10377, dated October 09, 1997, in the amount of $600.000 FINANCIAL REPORT: Krieger said the Nursing Home census is 111 with referrals steady. She said staffing patterns are being reviewed and it is possible that staff hours, social services in particular, may have to be altered to meet resident needs. This would not be an increase of staff time. Krieger distributed a letter from the State regarding banking beds to de -license them. If the nursing home has less than a 91% occupancy rate, a penalty will be assessed unless beds are de -licensed. A decision needs to be made on this by 10/31/97. Beds are banked for 18 months. At the end of 18 months, if the occupancy is still under 91%, then another 10% of the beds need to be banked. Stephens felt this issue needs to go to the County Board as it is a possible permanent loss of our beds which will devalue the nursing home. Discussion followed. This item will be on the agenda for the October 23, 1997 meeting. The following financial report was distributed and discussed. PLEASE SEE NEXT PAGE. ;To CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD O1/01/97 THROUGH 08/31/97 NURSING HOME Reconciled Cash Balance 08/31/97 $354,929.12 Accounts Receivable, 08/31/97 Private Pay $23,891.22 Medicare $245,295.98 Medicaid $220,851.00 General $261.02 Accounts Payable-08/31/97 ($300,020.65) Net Current Items, 08/31/97 $545,207.69 1997 Revenue Recorded through OS/31/97 $3,071,266.64 Includes Allocations of Anticipated Revenues 1997 Expenses Recorded through 08/31/97 $3,249,559.77 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 = $229,983.87 124,945.25 0 SUMMARY OF REVENUES Administration AODA Services Long Term Support ft 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. -Aug. 370,473.37 251,079.54 5,081,541.67 1,163,724.35 1,451,231966 542,979.34 21,036.89 8,882,066.82 Total Jan. -Aug. 312,927.93 L70,004.07 4,766,718.69 582,124.66 974,265.02 1,097,383.48 8,137.15 508,055.00 365,476.00 8,036,806.00 1,620,643.00 2,076,775.00 1,309,495900 42,124.00 13,959,374.00 Budget 508,055.00 365,476.00 8,036,806.00 1,309,495.00 1,620,643.00 2,076,775.00 42,124.00 7,911,561.00 13,959,374.00 Balance $ 137,581.63 114,396.46 2,955,264.33 456,918.65 625,543.34 766,515.66 68.7� 63.2� 21,087.11 49.9� 5,077,307.18 63.6% Balance 195,127.07 195,471.93 3,270,087.31 727,370.34 646,377.98 979,391.52 33,986.85 6,047,813.00 46.5$ 59.3� 44.5� 60.1$ 52.8$ 19.3� 56.7� HOME HEALTH Total Jan. -Aug. Budget Balance %* TOTAL REVENUES** 282,266.73 531,636.00 249,369.27 53.1� TOTAL EXPENDITURES 308,870.79 531,636.00 222,765.21 58.1� **7 months of revenue=58.31$, 8 months of expense=66.67� PUBLIC HEALTH (12 month programs) Total Jan. -Aug. Budget Balance �* TOTAL REVENUES 525,598.06 845,706.00 320,107.94 62.1% TOTAL EXPENDITURES 552,095.33 845,706.00 293,610.67 65.3% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 66.67$ ph97-sum 7 SETTING NURSING HOME PRIVATE PAY RATES: Carolyn Krieger said she is proposing a 5*s increase or private pay rates in the nursing home. Families must be notified 30 days in advance of the increase going into effect. Horne questioned increasing the private pay rates more than 5%. Discussion followed. Motion: A motion was introduced by Olson, seconded by Bethke, and unanimously adopted: That the following nursing home private pay rates be -approved effective 01/01/97*0 ISN $125.00 SNF $110000 ICF 1 & 2 $100000 Krieger shared a table of level of care percentages for nursing home residents. She said it shows what we already know, that the residents being admitted are more skilled and intensive skilled care residents. Discussion followed. There will be an nformational meeti ing and discussion regarding Long Term Care Redesign on October 14, 1997 at the Government Center. GROUP HOME PROJECT: Borup said the lease for River Ridge has been extended for six months. No further discussion on the proposed group home. FLU SHOT SCHEDULE: The flu shots run from October 15 through November 6 and a schedule was given to the Board. W-2 UPDATE: Fruit gave an update on W-2. She said the first month of implementation has been stressful for staff. The CARES system did not work as well as it should have. Horne asked regarding the Social Security cap for some workers. Fruit said the change would have to occur from the Federal level and may be a part of the Long Term Care Redesign. She said pay for performance did well in St. Croix County as St. Croix County has a good job market at this time and W-2 is working because of a good economy. She said there is now an asset test for child care eligibility and all cases have to be reviewed. We are required to see clients within five days and process the case within seven days. It is important for families to know where they are at for child care benefits. PUBLIC HEALTH: A Legislative Meeting will be held 10/13/97 from 9:00 a.m. to 11:00 a.m. in the Nursing Home Conference room. The agenda for this meeting was distributed. Linda Adams gave a brief report on Northwoods HealthNet. Adams sAid Northwoods HealthYJet is a learning resource cooperative that brings more current medical information to students, consumers, staff and health agencies in the Wisconsin area and focuses on the rural counties. A computer, software, hardware, printer, and 0 internet hookup have been provided for Public Health under this program. A training schedule for searching Medline and the internet for health information was distributed. Motion: A motion was introduced by Stephens, seconded by Limberg, and unanimously adopted: That the Board appoints Kathy Robelia to the Family Support/Birth to Three Advisory Board to replace the vacancy left due to James Mascow's resignation. Stephens asked if there were any other issues to bring befthe ore Board. Borup said maintenance obtained a 1979 Dodge truck. Maintenance will convert the cab as the truck was used as an ambulance Borup said the 1985 Ford will be put up for sale. Bethke said the 1985 Ford should be kept as a back up. Discussion followed. This will be on agenda for the 10/23/97 Board meeting. Stephens thanked Johnson for attending the Mental Health Awareness Walk. Borup said approximately $600.00 was raised for the walk. Stephens thanked Olson for attending the Foster Parent Dinner. Borup said Kathryn Beutel will be at the 10/23/97 Board meeting to discuss the ECHO upgrade. Horne asked what the cost was to make up the budget packets for all is of the Board members as he doesn't think the whole packet read d the cost is worth it if just one by every member. Stephens sal Board member reads the packet. Discussed having Board members specialize in different areas of Health and Human Services. This will be brought up at a future meeting. Also discussed Long Term Care Redesign and the possibility of moving the Office on Aging with Health and Human Services. Horne said he would go to the General Services Committee regarding this concept. Hall recommended waiting until Long Term Care Redesign is implemented as this may impact how the agency is structured. She said Long Term Care Redesign should evolve over the next year or two. Motion: A motion was introduced by Horne, seconded by Johnson, and unanimously adopted: that the meeting be adjourned. Time: 10:20 a.m. Chairman: Attest: (secretary)