HomeMy WebLinkAboutHealth & Human Services 02-10-95- .-.
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TO: Robert Boche, Chairman
St. Croix County Board
FROM: Haren Bailey
COMHITTEE TITLE: St. Croix County Health
DATE: 02/10/95
and Human services
LOCATION: St. Croix County Health and Human Services Complex, New
Riohrnond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT KEETZNG: 02/23/95
ACTION ON PREVIOUS MIN[]'PES: 01/25/95
ANNOUNCEMENTS
�i'POINTHENTS
UNFINISHED BUSINESS:
1. Nursing Home Pharmacy Unit Dose ($:30 a.m.)
2. Cedar Corporation Nursing Home Elevator Report
3. Medical Assistance and case Management Ser�rice Reimbursement
for 5e'verely Emotionally Disturbed Children
4. Farm Contracts)
� �R'
7,. Consideration of Claims and Vouchers
2. Closed session per Wisconsin statute 19.85 (1) {c) (q) to
discuss employee performance issues and consultation with
legal Counsel regarding potential County litigation (9:15
a.m.)
3. Highway Department Report on "Front Entryway Project" {10:15
4.
5.
6.
7.
a.m.)
Independent Living Skills Grant
Mental Health Service "Restructurings'
Financial Report
Review of Bylaws and setting Board agendas
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITE.'�iS FOR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily
SUBMITTED BY: John M. Borup
DATE: February 8, 1995
presented in this order)
COPIES TO: CO'[IlI'1.'Y BOARD OFFICE
COUNTY CLERK
NEWS KEDIA/NOTICE
TOTAL P.02
V
CHRIS BETHKE WILL REVIEW VOUCH99RS AT 7:30 A.H.
I-ST. CROIX COUNTY
NOTICE OF COMMITTEE MEETING
TO: Robert Boone, chairman
St. Croix County Board
FROM: Karen Bailey
COMMITTEE TITLE: st. eroix County
Board
DATE: 02/10/95
TIME: 8:00 a.m.
Health and Human Services
LOCA,TIDN: 5t. Eroix County Health and Human Services Complex, New
Richmond
CALL To ORDER
kOLL CALL
AH@PTION OF AGENDA
D*TE"-d(?F ME= NEE'PING : 0 2/ 2 3/ 9 5
A ON PREVIOUS MINUTES: 01/26/95
ANNOUNCEMENTS
kPPOINTMENTS :
:YMPIMISHED BUSINESS :
1. --Jtfursing Home Pharmacy Unit Dose (8:30 a.m. )
2. Cedar Corporation Nursing Dome Elevator Report
3. Medical Assistance and Case Management Service
NEW BUSINESS:
1. Consideration of Claims and
2. Closed session per Wisconsin
employee performance issues
3. Highway Department Report on
a.m.)
Reimbursement
'Vouchers
Statute 19.85 (1) (c) to discuss
(9:15 a.m.)
Front Entryway Project' (10:15
t
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADaQURNMENT
(Agenda not necessarily
presented
COPIES TO: COUNTY BOARD OFFICE
COUNTY C'r'.1!`RR
NEWS MEDZA/NOTICE
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
FEBRUARY 10, 1995
The St. Croix County Health and Human Services Board
February 10, 1995, at the St. Croix County Health and
Services/Health Center complex in New Richmond, Wisconsin.
MEMBERS PRESENT: Karen Bailey, Chair
Chris Bethke
LuVerne Burke
Jack Dowd
Fern Johnson
Allen Limberg
Len Nyland
George Sinclear
Robert Stephens
MEMBERS ABSENT: none
met on
Human
STAFF PRESENT: John Borup, Health and Human Services Director
Cindy Griffin, Deputy Director
Carolyn Krieger, Nursing Home Administrator
Judy Ziegler, Accountant
Malva Berg, Secretary
Donna Patterson, Family & Children's
Coordinator
Ron Kiesler, Mental Health Coordinator
OTHERS PRESENT: Ralph Robole, Facilities Manager
John Krizek, Administrative Coordinator
Deb Kathan, Personnel Director
Dan Fedderly, Highway Department
Roger Humphrey, Highway Department
Tom Dorsey, County Board Member
Betty Casey, More 4 Pharmacy
Jim Zajkowski, More 4 Pharmacy
LeRoy Carey
Teresa Stromen Baier, Attorney
Don Stoner, New Richmond News
Steve Weld, County Labor Attorney
Chair Karen Bailey called
the meeting was properly
the meeting to order at
and legally publicized.
NEXT MEETING
8:00 a.m., noting
The next meeting of the Human Services Board will be Thursday,
February 23, 1995 at 6:30 p.m. at the St. Croix County Health and
Human Services/Nursing Home complex.
Motion•
A motion was
unanimously
introduced
adopted:
AGENDA
by Chris Bethke, seconded Len Nyland, and
That the agenda be approved as circulated.
Motion•
A motion was introduced by Len Nyland, seconded by Jack Dowd, and
unanimously adopted:
That the minutes of the 01/26/95 Health and Human Services Board
meeting be approved as circulated.
ANNOUNCEMENTS
Karen Bailey introduced Fern Johnson as the new Health and Human
Services Board member. Ms. Bailey read a letter of resignation
from Jean Peavey who recently resigned from the Health and Human
Services Board.
Karen Bailey said in the minutes from the January 11, 1995 meeting
the following motion was made and was vague as to what position the
motion applied: "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." She said the word employees should be
replaced with CNA (Certified Nursing Assistants).
Motion•
A motion was introduced by Robert Stephens, seconded by LuVerne
Burke and unanimously adopted:
That the Board reconsider the motion to approve the minutes of
01/11/950
Motion
A motion was introduced by Robert Stephens, seconded by LuVerne
Burke and unanimously adopted:
That the Board approves amending the motion to include CNA to read
as follows: That the Health and Human Services Board recommends to
the Personnel Committee to consider an alternative to pay CNAs
$2.00 per hour in lieu of health insurance and to reconsider all
entry-level salary rates for CNAs in the Nursing Home so that new
CNAs will make no more than CNAs already on the job.
lotion.
•
A motion was introduced by Robert Stephens, seconded by Len Nyland
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and unanimously adopted:
That the Board approves the amended minutes of o1/11/95.
Robert Stephens said staff in the Nursing Home work extremely hard,
especially those on second floor when the elevator is broken down.
Karen Bailey announced that the Personnel Committee approved hiring
CNAs at increased steps on the salary scale. The Nursing Home is
still advertising for CNAs and has open positions.
Karen Bailey read a letter from the City of New Richmond regarding
interest in development of land north of the complex. Chris Bethke
said he is on the Fair Board and there has been discussion about
possibly moving the fair and possibly purchasing 40+ acres from
Health and Human Services. He said this discussion started in
November, 1994. LuVerne Burke said this letter from the City of
New Richmond should be referred to the Long Range Planning
Committee as they have already started the process of possibly
moving the fair to New Richmond. Robert Stephens said we need to
ask the City of New Richmond for sharper definitions of their plans
as their request is vague. Discussion followed. This will be put
on a future agenda for discussion.
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 January
vouchers and questioned or reviewed the following vouchers:
HOME HEALTH:
19: (Zt. Croix County Human Services, $51,418.97, collections
payback. The Long Term Support personal care check from
EDS contains collections for Home Health and Human
Services clients. Our procedure is to have Home Health
staff receipt the check and issue a check to payback
Human Services for their share.
HUMAN SERVICES:
5409: Northwest Passage, $18,573.82, CCI. Cost for five
clients for the month of December--CCI (Client Care
Institution).
5429: Trempealeau Co. HCC, $12,555.00, Mental Health purchased
services. Cost for three clients for December in an
Institute for Mental Disease.
5355: Minneapolis Clinical Association in Psychiatry,
$14,806.20, psychiatrist consultant. Dr. Colon's bills.
We bill insurance, Medicaid, and private pay sources for
his services.
17: , $81.00, General Relief -January, non-
medical. Non medical expenses are for the monthly living
expenses of the client. General relief medical checks
are for medical services received and the check goes
directly to the provider (doctor, pharmacy, etc.).
153: Blue Bird Body Company, $10,723.62, van payment. Annual
payment on workshop van used to transport clients.
198: Everts Funeral Home, Inc., $1,555.00, funeral expense.
Cost for one funeral. This will be reimbursed by the
State of Wisconsin.
NURSING HOME:
1174: Bomgaars and Associates, $1,620.00, bed/chair check
system. New system to help reduce physical restraints on
residents.
23: Jacobson Supply Co. $4,809.31, nursing supplies. One
month's purchase of diapers, underpads, gloves,
pantiliners, etc.
59: Waste Management, $600.00, garbage removal. Nursing
Home's share only. The Human Services cost and Sheltered
Workshop are paid out of the Human Services fund.
Motion•
A motion was introduced by Chris Bethke, seconded by Robert
Stephens, and unanimously adopted:
The following vouchers be approved and be made a part of the
supplemental minute book pages 823 through 860.
Public Health vouchers 582 through 587, dated January 19, 1995, in
the amount of $802.47.
Home Health vouchers 1 through 21, dated February 10, 1995, in the
amount of $56,017.26.
Human Services vouchers 5340 through 5436, dated January 19, 1995,
in the amount of $90,254.83.
Human Services vouchers 5339 througri 5374, dated January 27, 1995,
0n the amount of $175,327.14.
5
Human Services vouchers 1 through 2, dated January 6, 1995, in the
amount of $90.00.
Human Services vouchers 4 through 15, dated January 121 1995, in
the amount of $1,574.00.
Human Services voucher 16, dated January 13, 1995, in the amount of
$81.00.
Human Services voucher 17 , dated January 16 , 1995 , in the amount of
$81.000
Human Services vouchers 27 through 40, dated January 20, 1995, in
the amount of $8,660.65,
Public Health vouchers 41 through 42, dated January 27, 1995, in
the amount of $100,00.
Human Services vouchers 43 through 56, dated January 27, 1995, in
the amount of $46,458,35,
Human Services vouchers 41 through 82, dated February 3, 1995, in
the amount of $301966.58.
Public Health voucher 83, dated February 3, 1995, in the amount of
$116.00.
Public Health vouchers 84 through 123, dated February 10, 1995, in
the amount of $5,131.84.
Human Services vouchers 126 through 385, dated February 10, 1995,
in the amount of $200,350.90.
Farm voucher 1, dated February 3, 1995, in the amount of $1,800.00.
Nursing Home vouchers 1178 through 1189, dated January 19, 1995, in
the amount of $15,370.26.
Nursing Home vouchers 1190 through 1191, dated January 27, 1995, in
the amount of $496.35.
Nursing Home voucher 1, dated January 6, 1995, in the amount of
$130.00.
Nursing Home vouchers 2 through 4, dated January 27, 1995, in the
amount of $127.77.
Nursing Home voucher 5, dated February 3, 1995, in the amount of
$286.50.
Nu�ng Home vouchers 6 through 63, dated February 10, 1995, in the
amount of $55,816.03.
0
Social Services and Human Services vouchers 418 through 433, dated
January 11, 1995, in the amount of $92,008.05.
Social Services and Human Services vouchers 1 through 15, dated
January 27, 1995, in the amount of $74,986.25,
Human Services and Nursing Home vouchers 1 through 21, dated
January 10, 1995, in the amount of $310,750.57,
Human Services and Nursing Home vouchers 22 through 46, dated
January 24, 1994, in the amount of $259,657.69,
FINANCIAL REPORT
John Borup said the preliminary 1994 year end financial report will
be available in March. The auditors are scheduled to be here in
April.
UNIT DOSE
Jim Zajkowski and Betty Casey from More 4 were present to give an
update on unit dose for the Nursing Home. Mr. Zajkowski said a
target date of May 1. 1995 has been set to implement unit dose,
The Nursing Home staff and More 4 are currently working together to
finalize forms and procedures, and Carolyn Krieger said she is
pleased with the paperwork presented. Ms. Casey explained how the
med carts will be refilled and distributed and explained the forms
that will be used. Discussion followed. The Board is concerned
about the weight of the med carts with the 28-31 day system.
Carolyn Krieger reminded the Board that the 2-2-3 day fill would
have been acceptable weight -wise and was the recommendation by
staff. The Board will be updated on the unit dose implementation
in the future.
CEDAR CORPORATION
Carolyn Krieger said Cedar Corporation will present their report at
the March meeting. She said an additional elevator for the Nursing
Home is a part of the plan they will be presenting. Ms. Krieger
said Schindler's did a major overhaul on the existing elevator last
week.
INDEPENDENT LIVING SKILLS GRANT
Donna Patterson was present to discuss the Independent Living
Skills Grant. The Independent Living Skills Program will apply for
a one time $10,000 grant. The grant will be used to purchase
furniture, appliances, etc. to establish a model apartment setting
to provide a training program and a support group for teenage
mothers. The Board asked if this was similar to the program Mary
Lestrud, County Home Economist of the University Extension Office,
has been setting up. Donna Patterson said this is a Federally
mandated program to provide independent living training to
adolescents 16 and older in foster homes, and alternate care
settings so they can set themselves up in an independent living
situation after high school. She said there are currently three
children in foster care who have infants of their own. Ms.
Patterson said she and Ms. Lestrud communicate to try to avoid
duplication of services. The Health and Human Services program
deals with a younger age group, whereas the program Mary Lestrud
administers deals with children just out on their own. Teresa
Stromen Baler, who serves as guardian ad litem for some foster
children, said there is no guarantee this program will work, but
there is a need for the program. Discussion followed.
Donna Patterson said she and Mary Lestrud are looking at applying
for a prevention grant. The Board gave their support of this
program.
MENTAL HEALTH SERVICES RESTRUCTURING
On October 24, 1994, the Community Support Coordinator position was
eliminated. Administration now wants to convert two Range 7
positions to Range 8, which will allow them to provide mandated
clinical supervision, which will result in projected annual savings
of $17,076 due to the higher Medical Assistance reimbursement level
for Master's Degree staff. Ron Kiesler explained the impact this
restructuring would have financially. Mr. Kiesler distributed job
descriptions for the Master's Level Social Worker, which would need
approval by the Health and Human Services Board and then be
forwarded to the Personnel Committee for approval. He said this is
being requested to stay in compliance with clinical supervision
requirements. Discussion followed.
Motion•
A motion was introduced by Len Nyland, seconded by George Sinclear,
and unanimously adopted:
That the Board approves the
described by Ron Kiesler and
Personnel Committee. (Diagram of
Health t
to
Mental restrucuring as
forward the request to the
restructuring at end of minutes.)
CLOSED SESSION
Karen Bailey read Wisconsin Statute 19.85 (1) (c) (g) which allows
the Board to go into closed session to discuss employee performance
issues and consultation with legal counsel regarding potential
County litigation.
Motion•
A motion was introduced by Len Nyland, seconded by Chris Bethke:
That the Health and Human Services Board enter into closed session
per Wisconsin Statute 19.85 (1) (c) (g).
Roll call vote.
Karen Bailey -yes
Chris Bethke -yes
LuVerne Burke -yes
Jack Dowd -yes
Fern Johnson -yes
Allen Limberg-yes
Len Nyland -yes
George Sinclear-yes
Robert Stephens -no
Eight yes, one no, motion passed.
Chair Bailey asked all staff to leave the meeting and requested Tom
Dorsey, John Krizek, Debra Kathan, John Borup, Cindy Griffin and
Steve Weld to remain.
The Board entered closed session at 9:30 a.m.
Motion•
A motion was made by Robert Stephens, seconded by LuVerne Burke,
and unanimously adopted:
The Board enter open session at 10:50 a.m.
Chair Bailey announced that no action was taken in closed session.
HIGHWAY DEPARTMENT UPDATE ON
FRONT ENTRYWAY PROJECT
Dan Fedderly and Roger Humphrey from the Highway Department were
present to update the Board on the status of the front entryway
project. Mr. Fedderly presented a drawing of the project and said
$50,000 is a reasonable figure for the project. He said the
project will eliminate about 11 trees. He said drainage has been
addressed. Discussion followed. Mr. Fedderly asked for permission
to start cutting those trees now. He said there may be the
potential for additional cost to relocate lines at the northside of
the parking lot and he will work with Ralph Robole on this.
Motion•
A motion was introduced by Robert Stephens, seconded by Chris
Bethke, and unanimously adopted:
That the Board approves the removal of the trees that will be in
the way for the front entry project and that the Highway Department
dispose of the wood from those trees.
MEDICAL ASSISTANCE AND CASE MANAGEMENT SERVICE REIMBURSEMENT FOR
SEVERELY EMGTIONALLY DISTURBED (SED� CHILDREN
Chair Bailey said this issue was tabled at the last meeting.
E
Motion•
A motion was introduced by Allen Limberg, seconded by Len Nyland,
and unanimously adopted:
That the Board put SED back on the table for discussion.
Karen Bailey said she contacted Mike Ballard from New Richmond
Schools and Nancy Sweet from Hudson Schools regarding SED. Chair
Bailey distributed a letter written by Nancy Sweet. John Borup
distributed the provider agreement with the State of Wisconsin and
the Human Services Board that was signed in 1987. He said this
issue was tabled at the last meeting due to the size of the Board
present at that meeting. There has been much discussion about the
Medical Assistance program for children. As reported by Don
Gjesfeld, this program has been available across the state for the
last 7-8 years. The State of Wisconsin encourages us to
participate in it. This program was authorized by the Board and
contracted with the State of Wisconsin in October, 1987. Mr. Borup
said there will be a reduction in services if this program does not
continue due to projected cuts in State/Federal revenue in 1996 and
1997.
Cindy Griffin said SED is a category, not a diagnosis, and reviewed
the criteria from the 01/26/95 fact sheet on criteria needed to fit
into the SED category. They are as follows:
Chapter 49.45 (25) (a) gives the following definition of SED:
Individual must:
a. Be under 21.
b. Have emotional and behavioral problems that are:
10 severe in degree and
2* are expected to persist for at least one year and
3e substantially interfere with the individual's
functioning in his or her family, school OR
community AND with his or her ability to cope with
the ordinary demands of life AND
4* cause the individual to need services from two or
more agencies or organizations that provide:
social services or
services or treatment for:
-- mental health
-- juvenile justice
-- child welfare
-- special education
-- health
A staffing with a psychologist or psychiatrist is also
required.
Ron Kiesler said that the SED category groups clients, rather than
labeling them, 6n order to better serve and meet the needs of the
10
clients and provide targeted services. Mr. Borup said this is a
policy issue, that the Board needs to decide whether to stop
participation in the program or reinforce working with the program.
Len Nyland said it is more important to help clients versus
labeling issues. Allen Limberg said this type of person should not
be main -streamed in the school system. Cindy Griffin emphasized
that we will still be required to do SED case management in Chapter
48 cases regardless of whether we bill MA for the service --that the
MA case management program is simply a mechanism to get reimbursed
for services we are already providing. LuVerne Burke said we are
in the program and should stay in the program. The Board would
Like a report in three months on SED and a breakdown of where the
referrals come from for SED--whether they come from schools, law
enforcement, etc. George Sinclear said the Board should administer
the program, but the governmental requirements for labelling need
to be changed. It was the consensus of the Board to stay in the
program and report back to the Board after school is out.
John Borup distributed a copy of the 1996-1997 renewal of the
contract with Schottler to lease the farm land. Mr. Borup said Van
Dyk has asked for an extension on the barn lease. This was
forwarded to Finance who referred it back to the Health and Human
Services Board. The extension for the barn lease will be through
May of 1996.
RIVER RIDGE REHABILITATION
Mr. Borup said the contract with River Ridge Rehabilitation to
lease the Transition House is in place and a copy was sent to the
Board along with the fact sheet.
Jack Dowd left the meeting at 1145 a.m.
REVIEW OF BYLAWS AND SETTING BOARD AGENDAS
Robert Stephens said he has had
agenda. Len Nyland said he has n
on the agenda. There should be a
items on the agenda. Discussion
Motion
difficulty getting things
on the
aver been denied putting anything
good reason for denial of putting
followed.
A motion was introduced by George Sinclear, seconded by Robert
Stephens, and unanimously adopted:
That the review of Bylaws and setting Board agendas be postponed
until the next meeting.
George Sinclear asked that personnel issues be on the agenda on an
ongoing basis for information only.
Chris Bethke askmc*el--that John Borup's and Karen Bailey's telephone
numbers be put on the agenda.
11
Karen Bailey asked if there were any other issues to bring before
the Board.
Motion•
A motion was introduced by LuVerne Burke, seconded by Allen Limberg
and unanimously adopted:
That the meeting be adjourned.
Time: 11:55 a.m.
Attest:
(secretary)
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