HomeMy WebLinkAboutHealth and Human Services 06-13-06 ESTHER WENTZ WILL REVIEW VOUCHERS
NOTICE OF MEETING AND AGENDA
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
June 13, 2006 at 4:30 PM
(Board Room, St Croix County DHHS Building, New Richmond WI)
CALL TO ORDER
ROLL CALL
REVIEW OF AGENDA
CONSENT AGENDA
APPROVAL OF MINUTES OF PREVIOUS MEETING - 05/15/06
DATE OF NEXT MEETING — 07117106 8.30 AM
OLD AND NEW BUSINESS
1. Election of Health and Human Services Board Officers
2. Health and Human Services Governing Body By -laws Review
3. Consideration of Claims and Vouchers
4. Financial Report
5. Lease
a. Barn/Farm Lease
b. Farm House Lease
c. CESA/Headstart Lease
6. Long Term Support-Long Term Care Reform
7. Program reports
a. Nursing Home Report
8. Personnel Issues
9. Capital Outlay
10. Presentation of 2005 Annual Report
ADJOURN
(Items may be taken in different order)
** Additions /Changes /Corrections
Items for County Board approval must be submitted to the County Clerk's office
by Wednesday morning preceding a County Board meeting.
5/31/2006 11:00 AM
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
June 13, 2006
The St. Croix County Health and Human Services Board met on June 13, 2006 at
the St. Croix County Health and Human Services /Health Center complex.
MEMBERS PRESENT: Leon Berenschot
Lois Burri
Bill Cranmer
Dr. Michael Kretz
Linda Luckey
Deb Rasmussen
Ron Troyer
Esther Wentz
MEMBERS ABSENT: Tom Caflisch, excused
STAFF PRESENT: Fred Johnson, Health and Human Services Director
Jennifer Pempek, Accountant /Fiscal Manager
Bill Van Offeren, Nursing Home Administrator
Kathy Leisch, Secretary
OTHERS PRESENT:
Wentz called the meeting to order at 4:30 PM noting the meeting was properly
and legally publicized.
NEXT MEETING The next Health and Human Services Board meeting is scheduled
for Monday, July 17, 2006 at 8:30 AM. Rasmussen will review July vouchers.
AGENDA Motion A motion was introduced by Kretz, seconded by Berenschot,
and unanimously adopted: That the agenda be approved as circulated.
MINUTES Motion A motion was introduced by Kretz, seconded by Burri, and
unanimously adopted: That the minutes of the 05/15/06 Health and Human
Services Board meeting be approved with the following additional
explanations:
Luckey suggested that when a correction is made to the minutes there be a
better explanation as to what page, paragraph and subject is being corrected.
ELECTION OF HEALTH AND HUMAN SERVICES BOARD OFFICERS Wentz stated that in
talking with Johnson about the election of officers in other committees there
has not been a second to the motion to nominate someone and she asked if that
was agreeable with the other board members. Board members agreed.
Wentz announced the election of officers would take place. Wentz asked for
nominations for the position of Chair. Luckey nominated Wentz for the Chair
position. Kretz requested to close nominations for Chair. Wentz requested a
vote and a unanimous vote was made for Wentz to be Chair.
Wentz asked for nominations for the position of Vice Chair. Burri nominated
Berenschot for the position of Vice Chair. Kretz requested to close
nominations for Vice Chair.
Wentz requested a unanimous vote to be cast for Berenschot to be Vice Chair.
Wentz asked for nominations for the position of Secretary. Kretz nominated
St. Croix County Health and Human Services Board
Page 2
June 13, 2006
Luckey for the position of Secretary. Luckey declined nomination. Wentz
nominated Rasmussen for the position of Secretary. Burri requested to close
nominations for Secretary.
Wentz requested a unanimous vote to be cast for Rasmussen to be Secretary.
NURSING HOME REPORT Van Offeren and Pempek provided an overview of per
patient day (PPD) scheduling and discussion of application to various
departments. Van Offeren discussed the benefits of benchmarking. Van Offeren
stated that we need to change the way we do business and enforcing
benchmarking is the way to do it. Pempek stated Medicaid funding is based on
PPD benchmarks and Medicaid does not reimburse for expenses that are over the
benchmark. Since March 2006 Nursing has staffed using PPD benchmarks. If
census increases you have flexibility to increase hours, if census decreases
you reduce staff hours. The remaining departments started PPD staffing May 1,
2006. In essence, every single department is affected when the census
increases or decreases. Van Offeren stated PPD was initiated on May 1, 2006.
Pempek stated a total potential savings of 30.95 hours per day. Kretz asked
how the staff was dealing with this and Van Offeren indicated some have been
very upset. Pempek noted that most staff changes have already been made.
Kretz asked why there had not been staff changes made to maintenance. Johnson
stated he and Pempek met with Robole last week and will meet again next week
to see what they have come up with for staff changes. Kretz stated he would
like to see equity in how staff changes are made. He doesn't want the nurses
to make changes without all the other departments doing the same. Cranmer
asked what the conclusion to this would be. Kretz said that the conclusion
for him was that we are moving in the right direction in a lot of different
areas. Van Offeren stated this is a way to decrease the tax levy. Johnson
stated he will keep this on the agenda.
Johnson noted there is a copy of a WIPFLI Health Care Advisory and a page from
the operational assessment (12/13/05) that may be of assistance in addressing
some of the recent County goal setting work that needs to be addressed no later
than September 2006. Johnson is interested in getting an informal group
together, work on some things and then come back to the Board in July or August
for direction. Johnson asked if anybody on the Board would like to be part of
this group. Wentz, Rasmussen and Luckey said they would be part of the group.
Johnson stated they would start in the next couple of weeks. Johnson stated he
would get a preliminary meeting set that would hopefully work for everybody.
FINANCIAL REPORT The following financial reports through April, 2006 were
distributed to the Board. Pempek updated the Board on 2005 year end audit.
St. Croix County Health and Human Services Board
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June 13, 2006
_. ............. _........._._ ..........._..._..... ........... _ _ ....
ST CROIX HEALTH CENTER
OPERATIONS REPORT
JAN - APRIL . 200G
...._.._µ.... _ _. ..._.___... .. __._..._.... BUDGET . __._... _.....
ACTUAL DIFFERENCE °.•'a
CENSUS 66 70 Average 69 April,
; OPERATING REVENUE:
;MEDICARE _ _t- _.......629,623.05„ $ 325,965.17 $ 303,657.88 52%
„MIEDICAID_ p _.. _...._ .. __... _.. _...........__$. 2, 609,616.07 ..$...._.730,805.34 $ 1,878,610.73 28 %,
PRIMATE PAY .................. .. .................___ _ _ _ .. $. 547,475.00 $ 277,319.57 $ 270,155.43 51%
: RATE APPEALS ACTUAL _ „14,624.0D $ 14,824.00 0 °l0
IOT FUNDS - ACTUAL , $ 377 ,)00.00 $ - $ 377 ,000.00
;ALL OTHER SOURCES' _ $ 220,453.00 , $„ _B3,250.02 $ 389!
;TRANSFER FROMI CONTINGENCY
=TGTAL OPERATING REVENUE $ 4,398 991.12 $ 1,417 340.10 $ 2,981,651.02 32%
I _ ___ a .. ................. .. _.....__... _..u__.._ _.... ._ �__..... __. _. _....._._..., .
3
;OPERATING EXPENSES:
,DAILY PATIENT SRVICES $ 3,363,410.47. $ 1,082,236.87 $ 2,281,17160 32%
;SPECIAL SERVI 274,456.36 $ $.___ .169,632.71 31%
GENERAL SERVICES ___._.__ ..._... _ _ . $ _1..,1 $ 35),30347_ w. ._. 819,454.94. 30%
sADMINISTRATIVE SESERVICES $ 527,734.19 $ 171,402,34 $ 356,331.85 32 °l6
UNASSIGNED: f _.. $ . .. ..
: DEPREGIATIONKBASED} ._...... .....
'OTHERS: (INS —WC— CAPITAL —UTIL) $ 373,372.00 $ 297,185.19 $ 76,186131 80%
;TOTAL OPERATING EXPENSES 5,708,733.42 $ 1,985,953.1 $ 3,722,779.91 35%
:NET FROM OPERATIONS = $ $ X56$,613.41)-
;(COST OF DOING BUSINESS PRIOR TO
`APPLYING LEVY 8 OUTSTANDING REV)
:EXTRAORDINARY REVENUES
OUTSTANDING RATEAPPEALREV � 1$ 14,824.)) .. 14,824.00 )
OF OUTSTANDING IGT REV ; $ 377,000.00. $_._. 377,000.00 0 %,
; COALLOCATIONS( %BASED) $ 1 ,309,742.30 $ 435,160.00 $ 874,562.30 33%
.__....._. ._.._.. �., _
.._.._... _..n. _ ........_.
TOTAL OUTSTANDING # $ 1,701,566.30 $ 435,180.00 $ 1,266,386.30
',NET FROM ALL SOURCES $ (133,433.41
PERCENTAGE SHOULD „8E i_.._._... _ 33.32;
;Potential SalarV Increases:
$16,856- $ annual pro
Unassigned includes
......._...._.._. __ ...__..... _... _ .._... _..._._.....
Workers Comp : 190,00(}. __...__.____.__........._.
St. Croix County Health and Human Services Board
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June 13, 2006
HEALTH AND HUMAN SERVICES - 2006
SUMMARY Total
OF REVENUES Budget Jan - April Balance
Administration 925,134.00 845,948.00 79,1 86.00 91.4%
AODA Services 649,146.01 217,723.36 431,422.65 33.5%
Long Term Support 17,542,262.00 6,569,472.77 10,972,789.23 37.4%
Mental Health 2,909,086.00 1,262,096.14 1,646,989.86 43.4%
Family & Children's 3,120,265.00 1,493,460.58 1,626,604.42 47.9%
SED 216,000.00 193,966.46 22,033.52 B9.0%
Public Health 1,537,680.00 475.618.16 1,062,061.84 30.9%
Economic Support 1,010,360.00 373,297.73 637,062.27 36.9%
General Relief 15,000.00 5,000.00 10,000.00 33.3%
Coordinated Services 260,403.00 80,094.46 180,30B.54 30.8%
REVENUES HUMAN
SERVICES PROGRAMS 28.185,336.01 11.516,677.68 16.669.658.33
SUMMARY Total
OF EXPENDITURES Budget Jan - April Balance o
Administration 925,134.00 330,617.04 594.516.96 35.7%
Alcohol -Drug Abuse 649,146.01 202,184.54 446,961.47 31.1%
Long Term Support 17,542,262.00 5,539,BB9.46 12,002,372.54 31.6%
Mental Health 2,909,086.00 937,767.49 1,971,318.51 32.2%
Family& Children's 3,120,265.00 1,009,735.34 2,110,529.66 32.4%
SED 216,000.00 4B,111.00 167,889.00 22.3%
Public Health 1,537,660.00 494,749.56 1,042,930.44 32.2%
Economic Support 1,010,360.00 344,946.67 665,411.33 34.1%
General Relief 15,000.00 2,020.03 12,979.97 13.5%
Coordinated Services 260,403.00 45,375.26 215,D27.74 17.4%
EXPENDITURES HUMAN
SERVICES PROGRAMS 28,185,336.01 8,955,398.39 19,229,937.62 31.8%
Excess Rev over Expenses t 2.561.279.29
Percentage of Budget: 33.32
""°`*'WIMCR revenues recorded
$ 2,561,279.29
Revenues above include state
advances Jan - May 06
$ 2,561,279.29
CONSIDERATION OF CLAIMS Health and Human Services Board member Wentz
reviewed the vouchers.
Motion A motion was introduced by Wentz, seconded by Kretz, and unanimously
adopted: That the following vouchers be approved and be made a part of the
supplemental minute book:
Human Services vouchers 75327 through 75328, dated May 12, 2006 in the amount
of $335.00.
St. Croix County Health and Human Services Board
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June 13, 2006
Human Services vouchers 75457 through 75462, dated May 17, 2006 in the amount
of $25,459.00.
Human Services voucher 75463, dated May 17, 2006 in the amount of $8,422.88.
Human Services vouchers 76479 through 76513, dated June 09, 2006 in the
amount of $46,374.12.
Human Services and Nursing Home vouchers 75342 through 75415, dated May 17,
2006 in the amount of $261,357.23.
Human Services and Nursing Home vouchers 75416 through 75456, dated May 17,
2006 in the amount of $34,345.39.
Human Services and Nursing Home vouchers 75621 through 75706, dated May 25,
2006 in the amount of $340,721.83.
Human Services and Nursing Home vouchers 75946 through 75993, dated June 01,
2006 in the amount of $52,429.89.
Human Services and Nursing Home vouchers 76272 through 76428, dated June 09,
2006 in the amount of $82,268.70.
Human Services and Nursing Home vouchers 76092 through 76271, dated June 09,
2006 in the amount of $273,538.71.
Nursing Home vouchers 76429 through 76478, dated June 09, 2006 in the amount
of $32,920.92.
Human Services, Workshop, Public Health, Social Services vouchers 290 through
319, dated May 16, 2006 in the amount of $355,338.29.
Human Services, Workshop, Public Health, Social Services vouchers 320 through
351, dated June 01, 2006 in the amount of $352,465.49.
Human Services and Nursing Home vouchers 297 through 327, dated May 18, 2006
in the amount of $160,603.66.
Human Services and Nursing Home vouchers 328 through 359, dated June 02, 2006
in the amount of $163,011.93.
Workshop vouchers 55 through 60, dated May 16, 2006 in the amount of
$11,226.17.
Workshop vouchers 61 through 66, dated June 01, 2006 in the amount of
$11,139.66.
BARN /FARM LEASE Johnson stated the request for bids is complete. We have
two bids we are working on. He said we are awaiting reference checks at this
time. At this time, before the new barn lease is completed, we also need to
work with the current tenant on items that have been totally replaced. The
current tenant has stated that they have totally replaced some equipment so
they could take those items with them. That is not necessarily our preference
because then the barn is definitely more difficult to rent. Johnson stated he
is requesting that the current tenant must provide some document of those
purchases. Johnson stated the manure pit is full and we have to figure out a
way to drain it and dispose of the manure to allow a new person to come in
and occupy the facility. He doesn't think these issues will be resolved so
that the barn can be rented out by July l't.
St. Croix County Health and Human Services Board
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June 13, 2006
FARM HOUSE LEASE Johnson stated the farm house lease was extended for one
year.
CESA /HEADSTART LEASE Johnson stated he is currently in the process of
negotiating the lease for CESA /Headstart. He is negotiating a 3% increase for
approximately $13,000.00 a year.
LONG TERM SUPPORT -LONG TERM CARE REFORM Johnson provided copies of three
letters. First is a letter dated 4/12/06 which represents concerns from our
County. Johnson stated that while this letter is not from our consortium, it
accurately describes several concerns from the County perspective. The other
two letters dated 05/05/06 and 05/17/06 are both from Secretary Nelson. In
part, the letters are a response to the County concerns and they do begin to
identify what the State would like to see, particularly in the way of County
contribution. Counties in our consortium had a meeting recently to discuss
the Counties position and one of the issues was that the Counties needed to
establish a better direct communication with the State on this issue. Johnson
stated he would keep this on the agenda.
CAPITAL OUTLAY Johnson stated that staff has worked to complete the capital
outlay planning for the 2007 budget. Copies of the outlay plans for St. Croix
Industries, Nursing Home and the rest of Health and Human Services were
distributed in the Board packets. Johnson stated this would be on the agenda
for July.
PERSONNEL ISSUES Johnson stated Mike Griffith from Mental Health has
submitted a letter of resignation.
Wentz asked if there were any other issues to bring before the Board.
Wentz adjourned the meeting.
Time: 5:55 PM
Chair:
Attest:
(Secretary)
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
PUBLIC HEARING
June 13, 2006
The St. Croix County Health and Human Services Board conducted an "Open
Hearing" on June 13, 2006, at the St. Croix County Health and Human
Services /Health Center complex.
MEMBERS PRESENT: Esther Wentz, Chair
Leon Berenschot, Vice Chair
Deb Rasmussen, Secretary
Lois Burri
Bill Cranmer
Dr. Michael Kretz
Linda Luckey
Ron Troyer
Fred Johnson called the Open Hearing to order at 6:00 PM noting that the
meeting was properly and legally publicized. Johnson welcomed everyone to the
hearing.
Johnson stated he was pleased to see everyone in attendance tonight. Johnson
stated it is important that the people who came to provide testimony or just to
listen in are able to see how important the process is in preparing for the
2007 budget.
Johnson asked Board members to introduce themselves and the district they
represent.
Johnson asked staff to introduce themselves:
Fred Johnson, Health and Human Services Director
Jennifer Pempek, Accountant /Fiscal Manager
Ron Lockwood, Long Term Support Supervisor
Barbara Nelson, Health Officer /Public Health Coordinator
Ron Eichstaedt, Director, St. Croix Industries
Kathy Dunlap, Family & Children's Coordinator
Mary Squyer, Economic Support Supervisor
Norma Vrieze, Early Intervention Director
Bill Van Offeren, Nursing Home Administrator
Ron Kiesler MH /AODA Coordinator
Steve Kirt, Mental Health /AODA Clinical Services Supervisor
Kathy Leisch, Secretary
Debbie Willink, Long Term Support Social Worker
Lisa Leahy, Nursing Home Director of Social Services
Sonya Skramstad, Job Placement Specialist -St. Croix Industries
Kristie Tellijohn, Director of Nursing
Cindy Prokash, Activity Therapy Director
Cia Westphal, Long Term Support Social Worker
Lori Becker, COTA
Kathy Huston, CSP Coordinator
Joann Offord, NH Laundry
Karen Lindloff, NH Dietary
Johnson thanked the staff for attending. Johnson stated how important it is to
recognize the staff because they are the ones who make the budget work. Johnson
stated that it is important for everyone to hear the needs of the community and
the open hearing is an excellent way for that to happen.
Johnson stated there were people attending who would like to give testimony and
invited all those who wished to speak to do so. Johnson stated an overview
power point presentation that covers all the services that we provide was
available. Johnson turned to the public to see whether they would like to view
the power point presentation. No objections were made so the power point
St. Croix County Health and Human Services Board
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June 13, 2006
overview was shown.
Testimony was given regarding concern for the community integration program and
the long wait list for the program.
Testimony was given from a taxpayer from Star Prairie stating they would like
the activities in the nursing home to continue and no cuts be made to those
programs.
Johnson stated there were letters that would be read from those who could not
attend or did not wish to speak. See attachments in minute book.
Nelson read letters thanking Public Health, WIC and Reproductive Health for
assistance received from those departments.
Lockwood read a letter concerning the family support program and why you can
get help one year and then you can't get it the next year. Lockwood stated
there is controversy with the program because of the maximum of $3,000.00 per
year per family. The program is available to families who have a child with
severe disabilities living with them in the home. Lockwood stated there are
limited funds available and many families on the wait list. Lockwood said the
State has given the County more flexibility at the local level to determine
whether they want to just provide the grant for a short period of time so that
more people can be served. Lockwood stated the County has an advisory committee
that works with the program to determine the needs of the program. Lockwood
also read a letter concerning changes needed in finding day care, work and
personal care /respite services. She feels a directory should be made available
to parents who need help so they can find the services they are looking for.
Prokash read a letter expressing a vote of confidence to the St. Croix Health
Center and to say it is a valuable resource for St. Croix County and the
community of New Richmond. The family is very thankful that the facility is
here and that it will be a part of the area for a long time.
Vrieze read a letter supporting the Early Intervention program, Family &
Children Services and Mental Health departments. The Early Intervention program
provides much needed counseling for their families. The CSP program is also a
much needed program that provides vital services to the community. She hopes
all of these services will continue to operate in St. Croix County.
Eichstadt read letters supporting St. Croix Industries and Long Term Support
programs. The resident of the community is able to have more money from working
at St. Croix Industries and she also volunteers at St. Croix Nursing Home.
Kiesler read a letter stating a major issue in St. Croix County is the need for
outpatient and inpatient psychiatric care. Kiesler stated Dr. Colon is our
working psychiatrist in St. Croix County and works 24 hours a week. Kiesler
stated St. Croix County is looking to add services for another Doctor.
Johnson wanted the individuals who gave testimony to know that the information
they are presenting is received and addressed. Johnson addressed the concern
for the wait list and stated that while we have not served everyone on the wait
list, we have implemented partial slot funding and pursued Nursing Home
relocation. He stated that Long Term Support is also working on Long Term Care
Reform for adults.
Kretz addressed the tobacco issue in St. Croix County. He gave a phone number,
1- 800 - QUITNOW for anybody who is interested in quitting smoking.
Johnson stated that on behalf of the Board we appreciate everyone coming to the
Open Hearing. Johnson stated that staff members and the full Board were
represented tonight. Johnson stated the information given tonight will be
reviewed and we will do the best we can to serve the needs of the community.
Johnson thanked everyone for coming tonight.
St. Croix County Health and Human Services Board
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June 13, 2006
Hearing adjourned at 7:15 PM.
Chairman:
Attest:
Secretary