HomeMy WebLinkAboutSCC Health & Human Services Board 11-11-97x
TACK DOWD WILL REVIEW VOUCHERS AT 7:30 A.M.
ST. CROYX COUNTY
NOTICE OF COMMITTEE FETING
TO: Robert Soche, Chairman
St. Croix County Board
FROM: Robert Stephens
(John Borup 246-8223)
COMMITTEE TITLE: St. Croix County Health
Board
DATE:
TIME:
i�•Z•f�tiF�l�
11/11/97
s:oo a.m.
an
d Human Services
St. Croix County Health and Human Services Complex, New
Richmond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 11/25/97
ACTION ON PREVIOUS MINUTES: 10/10/97
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. ECHO Computer Software "Upgrade" Needs
2: Action on keeping or selling Department's 1985 Ford 4 x 4
NEW BUSINESS:
1. Consideration of Claims and Vouchers
Z. Financial Report
3. Personnel Issues
4. Health and Human Services/Nursing Home Report
5. Nursing Home Bed Decertification and Bed "Banking" Options
6. Setting 1998 Child Day Care Rates
7. Discussion of Board meetings and program Reports/Assignments
8. Resolution supporting State restoration of GPR funds to Women,
Infants and Children (WIC)
9. Cost estimates to build garage for Department vehicles
10. Juvenile Justice Formula Grant Application
11. Action on County Farm House Lease
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily presented in
SUBMITTED BY: John M. Borup
DATE: November 3, 1997
COPIES To: COUNTY BOARD OFFICE
COUNTY CLERK
NEWS MEDIA/NOTICE
this
order)
A
JACK DOWD WILL REVIEW VOUCHERS AT 7:30 A.M,
ST. CROIX COUNTY
NOTICE OF COMMITTEE MEETING
TO: Robert Boche, Chairman
St. Croix County Board
FROM: Robert Stephens
(John Borup 246-8223)
COMMITTEE TITLE: St . CroiX County
Board
DATE: 11/11/97
TIME: 8:00 a.m.
Health
and Human Serv'iCes
LOL'ATTON: St. CroiX County Health and Human Services CompleX, New
Richmond
CA�,L TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 11/25/97
ACTION ON PREVIOUS MINUTES: 10/10/97
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHEb BUSINESS:
1. ECHO Computer Software "Upgrade" Needs
2. Action on keeping or selling Department's 1985 Ford 4 x 4
NEW BUSINESS:
1. Consideration of Claims a.n.d Vouchers
2. Financial Report
3. Personnel Issues
4. Health and Human Services/Nursing Home ,Report
5. Nursing Home Bed Decertification and Bed "Banking" Options
6. Setting 1998 Child. nay Care Rates
7. Discussion of Board meetings and Program Reports/Assignments
8. Resolution supporting State restoration of GPR funds to Women,
Ynfan•ts and Children (WIC)
9. Cost estimates to build garage for Department vehicles
ANNOUNCEMENTS Se CORRESPONDENCE
FOSS=8LE AGENDA ITEMS FQR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily
SUBMITTED BY: John M. Borup
)ATE: October 29, 1997
presented
in this order)
COPIES TO: COUNTY BOARD OFFICE
COUNTY CLERK
NEWS MEDIA/NOTICE
T. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
NOVEMBER 11, 1997
The St. Croix County Health and Human Services Board met on
November 11, 1997, at St. Croix County Health and Human Services
complex in New Richmond, Wisconsin.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Jack Dowd
Einar Horne
Fern Johnson
Allen Limberg
George Sinclear
MEMBERS ABSENT: Mary Louise Olson, 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
Ron Kiesler, Mental Health/AODA Coordinator
Ralph Robole, Facilities Manager
Fred Johnson, Family and Children's Supervisor
Melinda Hanson, WIC Coordinator
Judy Ziegler, Accountant
Robin Hanson, Accounts Receivable Supervisor
Ron Eichstaedt, St. Croix Industries Director
Steve Kirt, Mental Health/AODA Clinical
Services Supervisor
Deb Lindemann, Public Health
Malva Berg, Secretary
OTHERS PRESENT: Eric Johnson, Director of Healthy Communities
Chair Stephens called the meeting to order at 8:00 a.m., noting the
meeting was properly and legally publicized.
Stephens extended the Board's sympathy to Dr. Limberg for the loss
of his wife.
NEXT MEETING: After discussion, it was the consensus of the Board
to call the night meetings for November 25 and December 23 only if
a meeting is needed.
AGENDA: Motion: A motion was introduced by Bethke, seconded by
Berenschot, and unanimously adopted: That the agenda be approved
as circulated.
MINUTES: Motion: A motion was introduced by Stephens, seconded by
Dowd and unanimously adopted: That the minutes of the 10/10/97
Health and Human Services Board meeting be approved as circulated
with the following changes:
Page 3, paragraph 8, should read as follows: ". . . Beds are
banked for 18 months. The state automatically takes 100 of the
banked beds as of January 1 of each year."
Discussion held on bed banking and decertification options.
Krieger said this applies to all nursing homes, county and private.
Horne requested information be included each month in the minutes
regarding the farm cash report, including the number of acres under
cultivation, rent income from the barn, land, and house.
ECHO COMPUTER SOFTWARE UPGRADE NEEDS: This is a follow ua
p of
request made to the Board in August to upgrade ECHO with a Windows
software upgrade, which would make ECHO an accessible software
package for accounts receivable department and clinical staff.
Cost for this upgrade is $28,978. Borup said this would replace
the DRI accounts receivable software. He said DRI is obsolete and
costs us in billing revenues. Kiesler said mental health is
successfully using ECHO for client information but is not very user
friendly. He said the only way to prevent ECHO from becoming
obsolete is to upgrade with the Windows 95 software upgrade. He
said upgrades are a routine part of computer operation. Horne
asked who is responsible to integrate the upgrade into the system.
Kiesler said a position in computer services is needed to implement
the Windows upgrade. Stephens said not getting adequate help from
computer services is a separate issue. Kiesler said the
relationship with computer services and Human Services is healthier
than it was a year ago. Stephens asked Kiesler to bring computer
services policy up to date and bring to the Board. Discussion
followed.
Motion: A motion was introduced by Horne, seconded by Berenschot,
indows
and unanimously adopted: That the Board approve the W
software upgrade for ECHO at the cost of $28,978.
MAINTENANCE TRUCK: We recently purchased a military surplus 1979
Dodge 4 x 4 "dually" with 200 miles for $4,200. It was an
ambulance and will need the back of the cab replaced. Kadinger
Salvage has agreed to take the old highway truck in trade. The
Dodge should be ready about mid -November. Kadinger will repair and
paint the cab. Questioned Board as to what to do with the 1985
Ford 4 x 4 with about 86,000 miles and an estimated value of
$4,000. Discussion followed.
3
3
Motion: A motion was introduced by Horne, seconded by Dowd, and
unanimously adopted: That the Board approves advertising for bids
to sell the 1985 Ford 4 x 4.
CONSIDERATION OF CLAIMS: Ziegler distributed the following
reports: transfer of funds report, fixed assets purchased, and
cash report for October.
Health and Human Services Board member, Dowd reviewed the October
vouchers and questioned or reviewed the following vouchers:
HEALTH AND HUMAN SERVICES:
10522: Lund Builder, Inc. $9,194.50, Jenny R. Long Term Support
Purchased Services. Cost of remodeling for brain injured
client. Brain injury tract from State has been amended
to cover this client.
10735: Phoenix Group Home, $4,912.57, group home. Cost for two
Family and Children's clients for one month. This
facility is located in Woodbury, Minnesota. It cares for
youth with chemical dependency issues.
10780: Surplus Services, $4,709.38, maintenance truck. Purchase
of Army surplus vehicle to be remodeled and used as the
maintenance truck at the New Richmond facility.
NURSING HOME:
668: Holy Family Hospital, $1,786.10, Medicare lab expense.
Cost of lab work done for Medicare residents done at the
hospital.
669: Holy Family Hospital, $940.00, respiratory therapy
expense. Monthly charges from hospital for providing
therapy services for nursing home residents.
Motion: A motion was introduced by Dowd, seconded by Stephens, and
unanimously adopted: The following vouchers be approved and be
made a part of the supplemental minute book pages 941 through 9826
Home Health voucher 10459, dated October 29, 1997, in the amount of
$59.50.
Home Health vouchers 10843 through 10867, dated October 31, 1997,
in the amount of $7,064.60.
Human Services vouchers 10379 through 10417, dated October 16,
1997, in the amount of $87,874.22.
0
Human Services vouchers 10419 through 10458, dated October 23,
1997, in the amount of $77,783.086
Human Services vouchers 10460 through 10493, dated October 29,
1997, in the amount of $179,750.64.
Human Services vouchers 10494 through 10563, dated October 30,
1997, in the amount of $55,429.09.
Human Services vouchers 10835 through 108421 dated October 28,
1997, in'the amount of $2,1076500
Human Services vouchers 10564 through 10817, dated October 31,
1997, in the amount of $163,979.679
Human Services voucher 10868, dated October 31, 1997, in the amount
of $2,016.32.
Nursing Home vouchers 668 through 675, dated October 16, 1997, in
the amount of $9,262.69.
Nursing Home vouchers 680 through 739, dated November 11, 1997, in
the amount of $96,639.830
Human Services and Nursing Home vouchers 1205 through 1234, dated
October 15, 1997, in the amount of $289,155.36.
Social Services and Human Services vouchers 362 through 381, dated
October 15, 1997, in the amount of $96,457.96.
Human Services and Nursing Home vouchers 1235 through 1265, dated
October 29, 1997, in the amount of $245,986.92.
Social Services and Human Services vouchers 382 through 401, dated
October 29, 1997, in the amount of $79,268.81.
DISCUSSION OF PROGRAM REPORTS/ASSIGNMENTS: Discussed the
possibility of having Board members represent specific program
areas, e.g. Public Health, Nursing Home, Home Health, Long Term
Support, Mental Health/AODA, Economic Support and Family and
Children's. Borup distributed a survey to Board members regarding
reports presented to the Board. Borup said it would be helpful to
have Board members represent certain areas when staff come in with
a report so Board members would have areas of expertise. Stephens
would rather the Board members have a broader knowledge of the
workings of the department. Stephens said when the annual report
was given to the County Board, Health and Human Services were
treated rudely and this department will not give a report to the
County Board again unless ordered to and then only if treated with
courtesy. Borup said according to statutes, the Board should have
representatives from different disability areas. Stephens said he
is happy with the way things are now. He said the Chair position
will probably change in April and the new Chair may make any
changes in appointments, etc6 if needed or wanted.
NURSING HOME BED DECERTIFICATION AND BED BANKING OPTIONS: The
Nursing Home "bed banking" (decertifying) option has been proposed
by the State as a method to reduce beds for facilities below a 91%
occupancy to retain the MA rate. The St. Croix Health Center had
an occupancy rate for 1996 of 81%. In order to reach 91%, the
number of beds banked (decertified) would be 14. If the beds are
not banked, the financial impact would be about $200,000. The
ability to CIP these beds is a possibility but it would result in
the Nursing Home permanently losing the beds and being penalized in
the MA rate for two years so this is a separate issue. Krieger
said the deadline for this plan was October 31, 1997. If beds are
banked now it would be effective 01/01/98. She said the beds can be
kept and some of the monies can be recaptured through ITP
(Intergovernmental Transfer Program). The 07/01/98 rate will not
be impacted by the occupancy rate because the 07/01/98 rate will be
a rate -on -rate increase of 3%* and will be applied across the board
to all nursing homes. Stephens recommended not banking or
decertifying beds now as this has a financial impact on the
facility's value. It was recommended that this issue be looked at
again before the election and if it is the Board's recommendation
to bank/decertify beds at that time, to present the issue to the
Finance Committee.
SETTING 1998 CHILD DAY CARE RATES:
Motion: A motion was introduced by Horne, seconded by Dowd, and
unanimously adopted: That the Board approves the Child Day Care
Rates as outlined on the last page of these minutes.
Horne said he studied the Office on Aging budget and had some
questions on the Meals on Wheels Program. He wanted to know why
the Nursing Home was not providing meals for this program and was
sure the Nursing Home had the ability to do this. Krieger said she
has approached the Office on Aging to do this, but they were not
I
nterested. Health and Human Services does not have any control
over the Office on Aging.
COST ESTIMATES TO BUILD GARAGE FOR DEPARTMENT VEHICLES: Stephens
said Krizek contacted the Department to ask if a pole shed recently
purchased by the County could be used by Human Services. The
building would have to be tore down and moved. It was the
consensus of the Board that this could not be used by the
department.
Eichstaedt distributed a proposal for a 30' x 80' x 14' building
with a 16' x 80' x 14' two-sided shed attached for an approximate
cost of $40,000. Borup said he does not support this building
unless the money comes from non -service monies. Sinclear said he
would only support the building if the monies came from the farm
C�
account. Discussion followed. Stephens recommended postponing
this until June, 1998 so it could be worked into the 1999 budget.
Motion: A motion was introduced by Horne, seconded by Dowd, to
delay action on building the garage for department vehicles until
it can be worked into the 1999 budget. No vote was taken on this
motion.
Motion: A motion was introduced by Bethke, seconded by Berenschot,
and unanimously adopted: That the Board postpone action on
building the garage for department vehicles until February.
The Board recessed from 9:25 a.m. to 9:30 a.m.
Horne left the meeting at 9:30 a.m.
PIERCE-ST. CROIX TOBACCO FREE COALITION: Deb Lindemann from Public
Health and Eric Johnson, Director of Healthy Communities, gave a
brief presentation on current activities being done by the
coalition. Lindemann is currently running a tobacco cessation
class. She said November 20 is the date of this year's Great
American Smokeout. Johnson works out of the Hudson Hospital and
received a grant from Allina to provide alternatives to drug and
alcohol use for youth. Discussion followed.
NURSING HOME REPORT: Krieger reported that beginning 111O1198, the
new State budget had mandated criminal background checks for all
new employees of nursing homes, CBRF's, home health, hospitals,
residential care facilities, adult day care centers, adult family
homes, hospices, treatment facilities, personal care agencies, and
supportive care agencies. Similar checks for existing employees
will be required 11/01/99. Presently facilities are responsible
for the check through the Department of Justice at $5.00 cost to
the facility. Check not always done in a timely manner. Krieger
reported new employees under 18 cannot be checked and there is no
coordination between states to detect criminal backgrounds for
those who move around.
Berenschot recommended that advertising be done to include
idents
testimonials of residents or former res.
FINANCIAL REPORT: Krieger said the Nursing Home census is 107 with
tending . The following financial report was
wo admissions p
distributed and discussed.
PLEASE SEE NEXT PAGE.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD O1/01/97 THROUGH 09/30/97
NURSING HOME
Reconciled Cash Balance 09/30/97
Add:
Accounts Receivable, 09/30/97
Private Pay
Medicare
Medicaid
General
Accounts Payable-09/30/97
$329,202.34
$3031921.67
$180,295982
$392.32
($283,374.93)
Net Current Items, 09/30/97 $524,553.02
1997 Revenue Recorded through 09/30/97 $3,476,013.10
Includes Allocations of Anticipated Revenues
1997 Expenses Recorded through 09/30/97 $3,622,537.68
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
(93.1390 of total 1997 bond principle of $265,000)
NH97sum
* Operations = $204,257.09
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. -Sept. Budget
407,156.45
284,701.14
5,601,043.89
1,297,392.06
1,606,502.26
611,426.88
23,642.23
508,055.00
365,476900
8,036,806.00
1,620,643.00
2,076,775.00
1,309,495.00
42,124.00
9,831,864.91 13,959,374.00
Total
Jan. -Sept.
347,269.30
184,335.09
5,483,485.71
633,238.33
1,120,586.31
1,259,230.38
9,456.83
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
9,037,601.95 13,959,374.00
Balance o
100,898.55
80,774.86
2,435,762.11
323,250994
470,272.74
698,068.12
18,481.77
4,127,509.09
Balance
160,785.70
181,140a91
2,553,320.29
676,256.67
500,056.69
817,544.62
32,667.17
solo
77.91
69.7
6
80.1%
77.40
46.70
56.1a
70.40
68.40
50.4I
68.2a
48.4%
69.1%
60.60
22.4%
4,921,772.05 64.7%
HOME HEALTH
Total
Jan. -Sept.
Budget Balance o*
TOTAL REVENUES** 317,947.49 531,636.00 213,688.51 59.80
TOTAL EXPENDITURES 344,550.87 531,636.00 187,085.13 64.806
**8 months of.revenue=67.Oo, 9 months of expense=75.00
PUBLIC HEALTH (12 month programs)
Total
Jan. -Sept. Budget Balance o*
TOTAL REVENUES 592,084.58 845,706.00 253,621.42 70.0%
TOTAL EXPENDITURES 620,020.93 845,706.00 225,685.07 73.3%
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 75.00%.
ph97-sum
10
INFANTS AND CHILDREN (WIC): Hanson explained that St. Croix County
WIC received an 11% reduction for FY 97-98 (a total of $7,608)1
which includes the eliminated high risk counseling activities
funding.
It appears that the state is not including High Risk Counseling
Activities. These funds would no longer be provided as an
administrative add -on, but rather the functions would be considered
as core functions to be supported within the per capita base for
administration. Clients regularly receive nutrition education,
high risk counseling as needed, and monitoring for improved
outcomes (i.e. low birth weight babies, low hemoglobins,
inappropriate weight gains for infants, children, and pregnant
women, etc.). Without nutrition and outcome -based components, the
WIC Program loses it's cost effectiveness.
Motion: A motion was introduced by Berenschot, seconded by Bethke,
and unanimously adopted: that the following resolution be approved
by the Health and Human Services Board.
RESOLUTION
WHEREAS, The State of Wisconsin
Supplemental Nutrition Program (WIC)
high risk counseling activities in
and,
Women, Infant and Children
eliminated add -on funding for
FY 97-98 for local projects,
WHEREAS, in St. Croix County this funding was $6,017 for high risk
counseling activities in FY 96-97, and,
WHEREAS, in St. Croix County approximately 53% of the total
caseload (729 in October, 1997) are identified as high risk, and,
WHEREAS, nutrition services for high risk counseling are needed to
maintain the estimated $3.00 saved in medical costs for every $1.00
spent in WIC.
NOW THEREFORE BE IT RESOLVED, that the St. Croix County Department
of Health and Human Services Board hereby encourage Wisconsin
Senator Alice Clausing, Representative Sheila Harsdorf,
Representative Joe Plouff, and Governor Tommy Thompson to make
additional funding ($239,500 in FY 97-98 and $539,000 in FY 98-99)
available to the Wisconsin WIC Program for High Risk Counseling
Activities.
JUVENILE JUSTICE FORMULA GRANT APPLICATION: Fred Johnson requested
to apply for grant monies for "intensive supervision services" for
juveniles involved in the court process. Intensive supervision
would provide an additional dispositional alternative to supervise
youth in their community without out of home placement and
11
potentially cut our costs. This grant would be for youth who don't
respond to traditional supervised services to provide more
intensive supervision to keep youth out of group homes. Grant
monies would be available for two years with the first year funded
at 100% and the second year at 75% with 25% county match or youth
aids monies. Johnson said services could be provided by County
staff or contracted through private vendor. This could decrease
alternate care costs.
Motion: A motion was introduced by Sinclear, seconded by Dowd and
unanimously adopted: That the Board approves Fred Johnson applying
for grant monies for "intensive supervision services" for juveniles
I
nvolved in the court process.
ACTION ON COUNTY FARM HOUSE LEASE: Received notice from Henk Van
Dyk on 11/03/97 giving us 30 days notice for termination of the
farm house lease. Borup presented a sample ad that could be used
to advertise the house for rent. Discussion followed.
Motion: A motion was introduced by Dowd, seconded by Berenschot,
and unanimously adopted: That the Board approves leasing the farm
house for a one-year lease for $500 per month plus security deposit
and utilities.
Motion: A motion was introduced by Berenschot, seconded by
Stephens, and adopted with one no vote: that the lease include a
no -pets clause.
PERSONNEL ISSUES: Borup said Jim Williams and Kim Dupre began
working in the Computer Services Department on 11/10/97. He said
Kathryn Beutel is back to work half time.
Fred Johnson announced that Family and Children's Services has
hired Jean Williams in a social worker position to begin 11/24/97.
Stephens asked if there were any other issues to bring before the
Board.
Barb Nelson said there are still spaces in a rabies workshop to be
held by Public Health. Interested Board members should contact
Public Health. Nelson also reported there have been increased
numbers of whooping cough in St. Croix County. She said protection
from immunization wanes in adolescents and adults.
Motion: A motion was introduced by Berenschot, seconded by
Sinclear; and unanimously adopted: that the meeting be adjourned.
Time: 10*20 a.m.
Chairman:
Attest:
secretary
DEPARTMENT OF WORKFORCE DEVELOPMENT
Division of Economic Support
DES-2465 (REV. 9197) ;
REQUEST FOR APPROVAL OF
CHILD DAY CARE RATES
Completion of this form meets the requirements of Wisconsin Statutes, S. 49.155 (6). and DWD 56.06 of the Wisconsin Administrative code
NAME OF COUNTY/TRIBE9 Effective Date of New Rate: January 1, 1998
ST. CROIX COUNTY Weekly Ceiling
1. Licensed Group Child Care Hourly Rate
a.) Under Age 2 3.71
130.00
$
b.) 2 12 Years Old $ 3.07 107 . SO
-
Hourly Rate Weekly Ceiling
2. Licensed Family Child Care $
a.) Under Age 2 $ 3.21 112.50
5 $ 100.00
b.) 2 -12 Years Old 2.86
3. Regularly Certified Child Care Hourly Rate
a.) Under Age 2 2.41
b.) 2 -12 Years Old S 2.15
4. Provisionally Certified Child Care Hourly Rate
a.) Under Age 2 1961
{ b.) 2 -12 Years Old 1.43
What number was used to divide the Licensed Group Weekly ceiling into an hourly rate? 30—--35
What number was used to divide the Licensed Family Weekly ceiling into an hourly rate? 30
Counties and Tribes have authority to authorize child care reimbursement in excess of the weekly ceiling on z
case by case basis if payment is for 50 or more hours of child care, or if other extenuating circumstances are
involved within the case.
Counties and Tribes have authority to authorize child care reimbursement in excess of the hourly rates or wet
ceilings on a case by case basis if payment is for a child with a special need.
Charlotte Skoviera
Submitted by: (print)
Office of Child Care Review
Child Day Care Rates Are:
Comments:
Signature
�w Q �� g/j ��,rtQ/�,�, Day Care Coordinator 715/246-8344 11 1
Signature
Title Phone Date
Aaaroved, effective• 1-1-98 Disapproved
Office of Child Care
98regapp.doc