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HomeMy WebLinkAboutHealth & Human Services 01-11-95ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Robert Boche, Chairman St. Croix County Board FROM: Keen Bailey COMMITTEE TITLE: St, Croix County Board DATE: Ql/3,1/95 TII�SE: 8:00 a.m. Health and Human Services LOCATION: 5t. Croix Counter Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING 01/26/95 ACTION ON PREVIOUS 3+iINUTBS: 12/12/94 ANNOUNCEMENTS %PPOINTMENrS UNFINISHED BUSINESS: 1. Unit Dose update 2. Capital Improvement Accounts NEf�T 13'E7SINESS 1. Consideration of Claims and vouchers 2. Financial Report 3. Lease of farm land 4. Job reclassification requests (2) 5. River Ridge Rehabilitation fire alarm system (Transition House) 6. ASSessment Protocols for ExCellenCe in Public Health (APEX) 7. Nursing Home staffing issues for Certified Nursing Assistants (CNA) ,WNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA Z�'EMS FQR NEXT MEETING: ADJOURNMENT (Agenda not necessarily SUBMITTED BY: John M. Borup DATE: December 28, 1994 presented in this order) COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN JANUARY 11, 1995 :••_�� Tne St. Croix County Health and Human Services Board met on January 11, 1995, at the St. Croix County Health and Human Services/Health Center complex in New Richmond, Wisconsin. MEMBERS PRESENT: ABSENT: Karen Bailey, Chair Chris Bethke LuVerne Burke Jack Dowd Allen Limberg Len Nyland George Sinclear Robert Stephens Jean Peavey, excused STAFF PRESENT: John Borup, Health and Human Services Director Cindy Griffin, Deputy Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accountant Malva Berg, Secretary .- - Barb Nelson, Public Health Supervisor OTHERS PRESENT: Ralph Robole, Facilities Manager Chair Karen Bailey called the meeting to order at 8:00 a.m., noting the meeting was properly and legally publicized. NEXT MEETING The next meeting of the Human Services Board will be Thursday, January 26, 1995 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. Motion• AGENDA A motion was introduced by George Sinclear, seconded Chris Bethke, and unanimously adopted: That the agenda be approved with #6--Assessment Protocols for Excellence in Public Health (APEX) deleted. Motion• A motion was introduced by Len Nyland, seconded by Allen Limberg, and unanimously adopted: That the minutes of the 12/12/95 Health and Human Services Board meeting be approved as circulated. 2 ANNOUNCEMENTS Karen Bailey announced that a grievance had been filed by a staff person. This person met with John Borup to try to mediate the difficulties. John Borup denied the grievance. The staff person has the option to bring this grievance to the Health and Human Services Board or drop the grievance within seven days after the denial. It was the consensus of the Board to ask for an opinion from Corporation Counsel and Personnel on the penalty of divulging information out of closed session. CONSIDERATION OF CLAIMS Judy Ziegler, Accountant/Accounting Supervisor, distributed the following reports: transfer of funds report, fixed asset, unemployment claims, and cash report. Human Services Board member, Chris Bethke, reviewed the December vouchers and questioned or reviewed the following vouchers: PUBLIC HEALTH.: - 545: Family Dentistry, $53.49, Wee Care expense. A Public Health Grant will cover this expense to send children with dental problems to a dentist when the family qualifies under the grant guidelines. 572: Computer Services Department-SCC, $3,039.61, computer equipment. Public Health received grant money to purchase a PC for staff use. The equipment was purchased through the county computer services department as required so all computer equipment is compatible. HUMAN SERVICES: 4914: Bear Buddies -Hudson, $3,764.00, day care. Day care services for children of families who qualify for benefits under various Economic Support programs. 4915: Beebe Mortuary, $1,495.00, funeral expense. The State will reimburse the county for funeral expenses. 4962: Natural Gas, Inc., $10,122.13, fuel. This is the November gas bill paid at the regular commercial rate. The amount due is made up of the main gas bill for heating buildings, gas for cooling in the nursing home and heat for the rental house (River Ridge). 5031: Luther Hospital, $2,450.00, Mental Health purchased services. Inpatient costs. The new contract hac�har�n first request. 5054: Northwest Passage, $2,050.15, CCI. Cost for one month for one client in a child care institution. 5075: Woodland Youth and Family, $6,380.00, group home. Cost for three clients for one month. 5080: A.A. Hanson Electric, Inc., $14,800.00, electric upgrade. Partial labor charge for update. On earlier bill listed in detail the electrical supplies used for this project. 5127: Michael DeSanctis, $2,600.00, Mental Health purchased services. Psychologist consultant fees for December. This position has not been filled by a full time employee yet. 5206: Menards, $178.47, interview space. Supplies to remodel area into two interview rooms. 5220: Natural Gas, $13,278.65, gas. December gas bill for building heat, kitchen, rental house, and nursing home boiler. 5292: Swartz, $3,461.51, office supplies. This bill includes $864.72 for nursing home computer furniture. The balance is for general office supplies. 5308: United Methodist Church, $250.00, rent. The Community Based Day Program rents space to hold their meetings and groups. NURSING HOME: 1098: Schmitt Music, $3,455.00, piano -donation. The new piano was purchased in December to avoid a price increase in 1995. The cost will be covered by donated money. 11070 NSP, $3,071947, electricity. Cost of December electricity for the nursing home building only. Motion: A motion was introduced by Chris Bethke, seconded by LuVerne Burke, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 792 through 822. Public Health vouchers 542 through 544, dated December 15, 1994, in the amount of $820,63, 0 Public Health voucher 545, dated December 22, 1994, in the amount of $53.49. Public Health vouchers 546 through 573, dated January 11, 1995, in the amount of $9,747.06. Reproductive Health vouchers 574 through 581, dated January 11, 1995, in the amount of $4,686,99, Home Health vouchers 257 through 2781 dated January 11, 1995, in the amount of $49,288,27. Human Services vouchers 4910 through 4996dated December 151994 in the amount of $72,608,23. , , , Human Services vouchers 4996 through 5027, dated December 22, 1994, in the amount of $45,389,66, Human Services vouchers 5028 through 5034, dated December 29, 1994, in the amount of $142,735,89, Human Services vouchers 5035 through 5076, dated January 6, 1995, in the amount of $52,585.57. Human Services vouchers 5076 through 5339, dated January 11, 1995, in the amount of $179,635.70. Nursing Home vouchers 1093 through 1102, dated December 15, 1994, in the amount of $12,555.67. Nursing Home vouchers 1103 through 1105, dated December 22, 1994, in the amount of $1,493.35. Nursing Home vouchers 1106 through 1109, dated December 29, 1994, in the amount of $1,392.00. Nursing Home vouchers 1110 through 1169, dated January 11, 1995, in the amount of $47,228.57. Social Services and Human Services vouchers 385 through 403, dated December 14, 1994, in the amount of $72,917.29. Social Services and Human Services vouchers 404 through 417, dated December 28, 1994, in the amount of $72,812.49. Human Services and Nursing Home vouchers 542 through 566, dated December 13, 1994, in the amount of $262,295.13. Human Services and Nursing Home vouchers 567 through 581, dated December 97, 1994, i'n the amount of $240,846.27. 5 LEASE OF FARM LAND John Schottler requested to extend the contract for the lease of the farm land through 12/31/97. Discussion followed. Motion• A motion was introduced by Robert Stephens, seconded by George Sinclear, and unanimously adopted: That the Health and Human Services Board approves extending the contract to lease the farm land to John Schottler through 12/31/97. It was the consensus of the Board that John Borup negotiate a contract with Mr. Schottler with the assistance of Corporation Counsel and Robert Heise from the Land Conservation Office. JOB RECLASSIFICATION REQUEST The Board received a request to reclassify Mary Johnson from a Social Worker I to a Social Worker II. Discussion followed. Motion• A motion was introduced by Robert Stephens, seconded by LuVerne Burke, and unanimously adopted: That the Board approves the reclassification of Mary Johnson from a Social Worker I to a Social Worker II. Motion• A motion was introduced by Robert Stephens, seconded by LuVerne Burke, and unanimously adopted: That the Board reconsider the above motion because of a question on the effective date. Motion• A motion was introduced by Robert Stephens, seconded by LuVerne Burke, and unanimously adopted: That the Board amend the motion to approve the reclassification for Mary Johnson to include the reclassification is effective 01/11/95. The Board received a request to reclassify Heather Gensen from a Economic Support Specialist I to an Economic Support Specialist II. Motion: A motion was introduced by George Sinclear, seconded by Len Nyland, froILL an Economic Support Specialist I to an Economic Support Specialist II effective 02/01/95, NATURAL GAS COSTS Discussion was held regarding an interruptible rate for natural gas for heating. Ralph Robole said in order to qualify for the interruptible rate, the complex would have to use 20 MCF/month and in the month of December the complex only used 3.47 MCF/month so the complex does not qualify for the interruptible rate. Mr. Robole said the cost for heating the complex for five months with natural gas will be comparable to what it cost for steam for 12 months. Jack Dowd said ARR was declared in default and it is possible that the county is out of the contract with ARR now. It was the consensus of the Board to contact John Krizek and Greg Timmerman to find out the status of the contract with ARR. The Board would like to compare the point of use boilers in the Nursing Home for efficiency to look at the possibility for point of use boilers in Health and Human Services. Mr. Robole said he should have these figures at the end of January and discussion on point of use boilers for Health and Human Services will be placed on the agenda for the first Health and Human Services meeting in February. Mr. Robole said Riverside is currently picking up the garbage at the complex. Robert Stephens said this Board should go to the Finance Committee to request funds (approximately $12,000) for garbage removal due to the closure of ARR. It was the consensus of the Board this request would be premature, to go to the Finance Committee with one request for funds for the garbage removal, elevator, etc. Mr. Stephens indicated the Finance Committee should be notified of the unanticipated expense of garbage removal due to the closure of ARR. It was the consensus of the Board the support of elected members of the Health and Human Services Board was needed at the Finance Committee meetings. CAPITAL IMPROVEMENT ACCOUNTS John Borup said Administration and Maintenance are working on identifying needs and priorities for capital improvements. Ralph Robole listed some retrofits, etc. that have been done to save money for building operations. Mr. Robole said this complex is a good buildina and wi ri ncY i 5Z „n i-n r+nAgm uo cam; ,v 4 4- ,.,.nor Karen Bailey recessed the meeting from 9:25 to 9:30 a.m. RIVER RIDGE REHABILITATION FIRE ALARM SYSTEM River Ridge Rehabilitation rents the brown house located just southeast of the nursing home. State surveyors have cited them for an inadequate fire alarm system. Mr. Borup said their contract expires the end of February, 1995. Mr. Borup said River Ridge has not given the required 90 day notice to renew the contract. Discussion was held regarding paying part of the fire alarm update or increasing the rent if the update is done. Mr. Borup contacted River Ridge. They are interested in renewing the contract. It was the consensus of the Board to leave the negotiation of updating the fire system at River Ridge Rehabilitation with John Borup and he will report back to the Board. UNIT DOSE UPDATE Carolyn Krieger said there is no new information to report and no new information from the pharmacy. The Board would like a report from the pharmacy at the first meeting in February. Ms. Krieger said a contract still needs to be established between More 4 and the Nursing Home. Discussion followed. Motion: A motion was introduced by LuVerne Burke, seconded by Robert Stephens and unanimously adopted: That More 4 Pharmacy be contacted by the Board Chair to be at the 02/10/95 Health and Human Services Board meeting with a complete progress report as there is a 03/01/95 deadline to implement unit dose in the nursing home. Chris Bethke left the meeting at 9:55 a.m. NURSING HOME STAFFING ISSUES FOR CERTIFIED NURSING ASSISTANTS (CNAS� Carolyn Krieger said Wisconsin's low unemployment rate and our proximity to the Twin Cities has caused the nursing home to experience a recruitment and retention problem for Certified Nursing Attendants. Fast food places pay $6+ and manufacturing pays $8-10 per hour. The not -for -profit nursing home association estimates the average wage for nursing assistants is now $6.81 with a high turnover rate. Ms. Krieger said there are currently eight open positions in the Nursing Home. Discussion was held regarding offering $2.00/hour in lieu of health insurance to employees and to leave the choice up to the employee. Discussion was held on increasing the starting wage and increasing the wage of new employees to try to retain them. Mn1- i nn 3 Burke, and unanimously adopted: That the Health and Human Services Board recommends to the Personnel Committee to consider an alternative to pay employees $2.00 per hour in lieu of health insurance and to reconsider all entry-level salary rates for employees in the Nursing Home so that new employees will make no more than employees already on the job. Karen Bailey asked if there were any other issues to bring before the Board. Barb Nelson announced the Legislative breakfast will be Monday, January 16, 1995 at 90.00 a.m. at St. Croix County Health and Human Services. Ms. Nelson also distributed an update on Wisconsin Public Health Association to the Board. Ms. Nelson announced that on testing is being offered through Public Health to St. Croix County day cares and distributed a letter being sent to day care providers announcing this program. Cindy Griffin announced that Turningpoint has expressed interest in developing a family resource center, possibly in New Richmond. Discussion followed. Motion• A motion was introduced by Robert Stephens, seconded by LuVerne Burke, and unanimously adopted. That the meeting be adjourned. Time: 10:50 a.m. Chairman: Attest: (secretary)