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HomeMy WebLinkAboutHealth and Human Services 01-13-06 ESTHER WENTZ WILL REVIEW VOUCHERS AT 7 :30 AM. ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Clarence Malick, Chairman St. Croix County Board FROM: Tom Dorsey (Fred Johnson, 246 -8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 01/13/06 TIME: 8:00 a.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: ACTION ON PREVIOUS MINUTES: 12/09/05 ANNOUNCEMENTS: APPOINTMENTS: Health Officer /Public Health Coordinator appointment as agency designee to issue citation under St. Croix County ordinance 707 (2005). UNFINISHED BUSINESS: 1. Update on Public Health 140 appeal for Level III status NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Program reports a. Nursing Home Report b. Economic Support -MA transportation c. AODA -Drug Court and State - funded meth initiative 4. Personnel Issues 5. Nursing Home Operational Assessment: Wipfli proposal for implementation 6. Hospitality costs at Board meeting 7. Nursing Home Strategic Planning (Phase II) 8. Closed session per Wisconsin Statute 19.85(1)(f), preliminary consideration of a specific personnel problem, which is discussed in public would have an adverse effect on the reputation of individuals involved ** 9. Reconvene into open session per Wisconsin Statute 19.85(2), reconvene into open session ** ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: Fred Johnson DATE: COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA /NOTICE * *ADDITIONS /CHANGES /CORRECTIONS Amended 1/11/06 ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD January 13, 2006 The St. Croix County Health and Human Services Board met on January 13, 2006 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Lois Burri Tom Caflisch Deb Rasmussen Linda Luckey Esther Wentz Tom Dowd MEMBERS ABSENT: Dr. Michael Kretz, excused Ralph Swenson, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Operations Manager Mary Squyer, Economic Support Supervisor Steve Kirt, Mental Health /AODA Clinical Services Supervisor Carolyn Krieger, Nursing Home Administrator Kathy Leisch, Secretary OTHERS PRESENT: Clarence Malick, County Board Chair Chuck Whiting, Administrative Coordinator Chair Dorsey called the meeting to order at 8:00 AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Friday, February 10, 2006 at 8:00 AM. Vouchers will be reviewed at 7:30 AM. Rasmussen asked to be excused from the February meeting. AGENDA Motion A motion was introduced by Wentz, seconded by Burri, and unanimously adopted: That the agenda be approved as circulated. MINUTES Motion A motion was introduced by Caflisch, seconded by Wentz, and unanimously adopted: That the minutes of the 12/09/05 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENTS Johnson announced the Health & Human Services annual report has been traditionally been done in May and was tentatively scheduled for May 16 for the full County Board. Johnson is asking for that date to be moved to June 20 Johnson stated this would give us more time to have our financial picture completed for all Health & Human Services and the Nursing Home. APPOINTMENT Johnson stated that a Health Officer /Public Health Coordinator appointment is needed as the agency designee to issue citation under St. Croix County ordinance 707 (2005). The Public Health Coordinator will be able to issue citation in the event that law enforcement are unable to. Motion A motion was introduced by Caflisch, seconded by Rasmussen, and unanimously adopted: That the Board approves to appoint the Health Officer /Public Health Coordinator as the agency designee to issue citation under St. Croix County ordinance 707 (2005). St. Croix County Health and Human Services Board Page 2 January 13, 2006 UPDATE ON PUBLIC HEALTH 140 APPEAL FOR LEVEL III STATUS Johnson stated that Barb Nelson appealed the Level II status that we had received after the HFS 140 review was completed. On December 12 we received notification that our designation will be upgraded to Level III. Johnson stated the Level III funding allocation will be available for the 2007 contracting period. CONSIDERATION OF CLAIMS Health and Human Services Board member Wentz reviewed the vouchers. Motion A motion was introduced by Wentz, seconded by Caflisch, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services and Nursing Home vouchers 64147 through 64249, dated December 15, 2005 in the amount of $173,047.63. Human Services and Nursing Home vouchers 64250 through 34290, dated December 15, 2005 in the amount of $19,856.52. Human Services and Nursing Home vouchers 64291 through 64298, dated December 15, 2005 in the amount of $5,440.38. Human Services voucher 64688, dated December 15, 2005 in the amount of $369.60. Human Services and Nursing Home vouchers 64689 through 64769, dated December 20, 2005 in the amount of $201,582.07. Human Services vouchers 64770 through 64777, dated December 20, 2005 in the amount of $72,409.70. Human Services and Nursing Home vouchers 64995 through 65096, dated December 29, 2005 in the amount of $809,436.21. Human Services and Nursing Home vouchers 65258 through 65376, dated January 05, 2006 in the amount of $209,024.66. Human Services vouchers 65377 through 65381, dated January 05, 2006 in the amount of $3,059.99. Human Services vouchers 66067 through 66098, dated January 13, 2006 in the amount of $52,579.73. Human Services vouchers 66099 through 66101, dated January 13, 2006 in the amount of $972.45. Human Services vouchers 66102 through 66263, dated January 13, 2006 in the amount of $216,061.06. Nursing Home vouchers 66264 through 66305, dated January 13, 2006 in the amount of $49,786.04. Human Services vouchers 65890 through 66066, dated January 13, 2006 in the amount of $194,202.53. Human Services and Nursing Home vouchers 66306 through 66334, dated January 13, 2006 in the amount of $13,967.61. St. Croix County Health and Human Services Board Page 3 January 13, 2006 Human Services and Nursing Home vouchers 793 through 824, dated December 15, 2005 in the amount of $187,025.40. Human Services, Workshop, Public Health, Social Services vouchers 726 through 755, dated December 13, 2005 in the amount of $347,654.15. Workshop vouchers 79 through 84, dated December 13, 2005 in the amount of $12,291.70. Human Services and Nursing Home vouchers 825 through 846, dated December 29, 2005 in the amount of $142,942.12. Human Services, Workshop, Public Health, Social Services vouchers 756 through 776, dated December 27, 2005 in the amount of $302,076.91. Workshop vouchers 73 through 78, dated December 27, 2005 in the amount of $11,456.26. Human Services and Nursing Home vouchers 1 through 32, dated January 12, 2006 in the amount of $191,665.91. Human Services, Workshop, Public Health, Social Services vouchers 1 through 32, dated January 10, 2006 in the amount of $353,138.45. Workshop vouchers 1 through 6, dated January 10, 2006 in the amount of $11,434.27. FINANCIAL REPORTS Financial reports through November were distributed. Pempek reviewed details of attached reports. Johnson noted that under Coordinated Services we have sent in billing to the State but withholding will be recouped. Johnson stated the idea would be to look at the Family & Children's line in terms of expenses and to be able to use some of the waiver dollars for the SED program to offset some of the placement expenses in foster care. Johnson stated we are able to utilize the waiver dollars similar to what Long Term Support does without having 100% County levy dollars. Pempek stated they would be closing the books in February for 2005 revenues. St. Croix County Health and Human Services Board Page 4 January 13, 2006 HEALTH AND HUMAN SERVICES - 2005 SUMMARY Total Average if OF REVENUES Budget Jan - November Balance o Estimated Yearend Administration 1,020,399.92 1 (290,143.45) 126.4% 1,369,92337 AODAServices 473,948.78 466,981.05 6,967.73 9B.5% $ 509,433.07 Long Term Support 17,299,811.93 15,556,176.58 1,743,635.35 89.9% $ 17,870,84400 Mental Health 3,006,239.35 2,334,504.56 671,734.79 77.7% $ 2 546732 25 Family BChildren's 3,059,580.00 2,919,604.22 139,775.78 95.4% $ 3066,945.05 Public Health 1,471,999.17 1,361,133.01 90,666.16 93.8% $ 1,487,304.64 Economic Support 927,622.06 883,370.30 44,251.76 95.2% $ 963,676.69 General Relief 14,832.45 14,768.00 64.45 99.6°i $ 14,832.45 Coordinated Services /ED 380,509.80 380.509.60 0.00 100.V. 54,205 00 REVENUES HUMAN SERVICES PROGRAMS 27.654.943.46 25,247,790.69 2,407.152.57 91.3% 27,683,B97.32 SUMMARY Total OF EXPENDITURES Budget Jan.- November Balance Administration 1,020,399.92 856,016.06 164,383.86 83.9% 933,835.70 Alcohol -Drug Abuse 473,948.76 465,974.69 (12,025.91) 102.5% 530,154.21 Long Term Support 17,299,811.93 14,985,450.30 2,314,361.63 86.6 % 17,982,540.36 Mental Health 3,006,239.35 2,338,460.22 667,771.13 77.8% 2,551,056.24 Family&Children's 3,059,560.00 2,B35,55622 224,023.78 921% 3,093,334.06 Public Health 1,471,999.17 1.334,699.19 137,299.90 901% 1,456,035.48 Economic Support 927,622.06 904,949.99 22,672.07 97.6% 987218.17 General Relief 14,832.45 1,681.92 13,150.53 11.3% 1,834.82 Coordinated Service/SED 380,509.80 46,021.04 334,488.76 12.7% 5420500 EXPENDITURES HUMAN SERVICES PROGRAMS 27,654,943.46 23,788,817.63 3,866,125.83 86.D% 27,590,214.04 Excess Rev over Expenses S 1.458.973.26 S 293.683.28 Percentage of Budget: 91.67% hs05estimatedYE St. Croix County Health and Human Services Board Page 5 January 13, 2006 ST CROIX HEALTH CENTER OPERATIONS REPORT Est Yearend based on 11130105 oduals .IAN - NOV 2005 BUDGET ACTUAL DIFFERENCE % ESTIMATED YE AVERAGE DAILY CENSUS 70 67 -3 0 ° 69.25 OPERATING REVENUE: MEDICARE $ 743,498.00 $ 675,988.92 5 67,509.08 0.909200724;: $ 737,442.46 MEDICAID $ 2,642,397.00 $ 2,369,762.61 $ 272,634.39 ; 0.69682307B;: $ 2,585,195.57 PRIVATE PAY " $ 617,926.00 $ 701,486.19 $ 116,439.81 '. 0.857640165 ` $ 760,233.00 . RATE APPEALS - ACTUAL $ 17,652.00 $ 14,824.00: $ 2,828.(X1 0.839791525 $ 14 824.00 IGT FUNDS - ACTUAL _ $ 450,000.00: $ " 476,007 $ (16,007.00)= 1.057793333K $ 476,007.00, ALL OTHER SOURCES $ 9,484.00 $ 36,552.00 $ (27,015RD l) 3.854070013• $ 38,258.00 TRANSFER FROM CONTINGENCY $ $ 8,600.00 $ (8,600.0(1) $ 8,600.00 TOTAL OPERATING REVENUE $ 4,680,957.00 $ 4,263,220.72 $ 397,736.28 j 0.91503099 $ 4,620,560.03 OPERATING EXPENSES: DAILY PATIENT SRVICES $ 3,411,487.50 $ 3,065,586.4B $ 345,901.02 0.89860698: $ 3,344,276.16 SPECIAL SERVICES $ 266,510.42 $ 226,841.11 $ 39,66931 0.651152B741 $ 247,463.03 GENERAL SERVICES $ 1,111,184.21 $ 854,042.46 5 257,141.75 0.7685876 $ 931,682.68 ADMINISTRATIVE SERVICES $ 539,734.15 $ 560,913.05 $ (21,178.90); 1.0392395031 $ 611,905.15 UNASSIGNED: DEPRECIATION(%BASED), $ $ _ - $ . OTHERS: (INS -WC- CAPITAL -UTIL) . $ 255,835.00 $ 301,329.69 $ (45,494.69) 1.177828249,. $ 308,000.00 TOTAL OPERATING EXPENSES . $ 5,584,75128 $ 5,008,712.79 F 5 0.096855122, $ 5,443,327 NET FROM OPERATIONS $ 7 S (725,492.07) $ (022,766.99)' (COST OF DOING BUSINESS PRIOR TO .APPLYING LEVY & OUTSTANDING REV) OUTSTANDING REVENUES OUTSTANDING RATE APPEAL REV $ 2,1326.00 $ $_ _ - 0 $ 96 OF OUTSTANDING IGT REV $ $ $ 0 . CO ALLOCATIONS(%BASED) $ 1,017,504.00 $ 932,712.00 $ 84,792.00 0.916666667 $ 1,317,504.00 TOTAL OUTSTANDING $ 1,020,332.00 $ 932,712.00 $ _ 87,62D.00 NET FROM ALL SOURCES $ 207,219.93 $ 194,737.01 PERCENTAGE SHOULD BE 91.67°/0 NHESTIMATEDYE St. Croix County Health and Human Services Board Page 6 January 13, 2006 Dowd arrived to the meeting at 8:37 AM. NURSING HOME REPORT Krieger stated that census is at 63 today with no referrals pending. Krieger stated that other Nursing Homes in the area have been very busy. Krieger stated that people are under the impression that we are closing. They have been reassuring families that we will continue to be here. Leahy has stated that calls have been picking up in the last week. Leahy has sent out letters to hospital discharge planners stating we are open and ready for new admissions. Krieger stated that a letter has been received from the clinic signed by all the doctors requesting that Ginny Drath remain as the nurse who rounds with the doctors. That position has been slated for elimination. Johnson stated that we want to be sensitive to the doctors. There are options open for discussion in order to keep the referral source and keep communication open with the doctors regarding this potential change. Krieger stated that Medicare Part D is effective January 1, 2006. Staff has received much training prior to the start date and have educated resident's families regarding the process, but has not advised or made a selection for them. It is a complicated process and to the best of our knowledge we are prepared to implement Medicare Part D. All nursing home residents are enrolled in a plan of their choice. Omnicare has been helpful in providing a list of those pharmacies in which they are contracted for families. Dual eligible residents have no co -pays or deductibles and Medicaid will cover everything it has in the past and residents will not lose any coverage. Krieger stated 3 or 4 residents have elected to remain on SeniorCare. Krieger stated there are no residents that are dual eligible and a private retiree health insurance. Staff will continue to monitor Medicare's implementation of this new drug plan by participating in a weekly forum offered that will address problems with implementation by Medicare. Krieger stated the implementation of the consultant's plan is ongoing. With attrition or termination, $67,682 has been reduced beginning January 1, 2006. Krieger stated they have already started to experience the savings from the C shift change. Another $119,856 will be realized starting with a new schedule beginning giving staff a two week notice. Further reductions will occur as training, reassignment of duties and staff reduction begins. A memo has been sent to staff asking for voluntary layoff or retirement. Krieger asked Board members if this is the kind of progress they had expected to see. Mailick asked Krieger if it was her recommendation to cut the weekend charge nurses rather than make cuts during the typical 5 -day work week. Krieger stated she doesn't have any choice at this point because cuts have to be made. Krieger stated that she recommends not making any cuts at all. Krieger stated this is not what she recommends but is what is being planned. Mallick asked what other alternatives that she could think of besides making weekend cuts to the charge nurses. Krieger stated her opinion at this point doesn't make any difference. Mallick stated it does make a difference if there is another place to cut. Krieger stated the consultant's report made it quite clear there are too many nurses on the floor right now. Krieger stated the consultants would be coming here within the next week and we would be able to talk through with them what this would mean to the clinical operation and see what suggestions they can make. Johnson stated Phase I is complete and those positions that are currently vacant will not be filled on the floor. Everything else is in process. Johnson stated that quite frankly one thing he was not aware of was that when he and Krieger had talked about this, Krieger had indicated that she was recommending cuts she outlined in a handout and now she was stating that she was not recommending it. Johnson stated that if this Board takes action to have the consultant come in and work with us, St. Croix County Health and Human Services Board Page 7 January 13, 2006 Phase II portion of the outline could be put on hold and could be reviewed with the consultants. Krieger stated this is what she was hoping to do. Johnson stated it may be premature to make a decision on Phase II at this point until Wipfli has been discussed and it has been decided if we will be working with the consultants. Luckey arrived at the meeting at 8:55 AM. CLOSED SESSION PER WISCONSIN STATUTE 19.85 (1) (F): Preliminary consideration of a specific personnel problem, which if discussed in public would have an adverse effect on the reputation of individuals involved. Motion A motion was introduced by Caflisch, seconded by Rasmussen, with a roll call vote: That the Board enter into closed session per Wisconsin Statute 19.85 (1) (F). Roll call vote: Thomas Dorsey -yes Louis Burri -yes Tom Caflisch -yes Deb Rasmussen -yes Michael Kretz- absent Ralph Swenson - absent Esther Wentz -yes Tom Dowd -yes Linda Luckey -yes Seven yes, two absent, motion passed. Motion A motion was introduced by Caflisch, seconded by Rasmussen, with a roll call vote: That the Board reconvene into open session per Wisconsin Statute 19.85 (2). Roll call vote: Thomas Dorsey -yes Louis Burri -yes Tom Caflisch -yes Deb Rasmussen -yes Michael Kretz- absent Ralph Swenson - absent Esther Wentz -yes Tom Dowd -yes Linda Luckey -yes Seven yes, two absent, motion passed. The Board recessed from 10:20 to 10:30 AM. Motion A motion was introduced by Wentz, seconded by Burri, and unanimously adopted: That the Board moves to direct Johnson to come back to the next meeting with more information. ECONOMIC SUPPORT —MA TRANSPORTATION Squyer stated that effective 09/01/06 the MA Transportation program will be taken away from the counties and given to a private entity. The MA Transportation program is a part of Medical Assistance. Squyer stated the MA Transportation allows families to go to the doctor and have their mileage paid for. Squyer stated Medicaid pays for this St. Croix County Health and Human Services Board Page 8 January 13, 2006 program. Squyer stated we get $.02 cents a mile for the paperwork that we do. Squyer stated the goal is to have five regions within the State to complete eligibility for the MA Transportation program. Squyer stated when this goes to the private sector they will provide the transportation but there will be limited times and places they can go for their appointments so this will cause great hardship to most of our clients. Caflisch stated there will be a legislative event held on January 23r and it may be appropriate for Squyer to attend and discuss how this will cause great hardship to our clients. Squyer stated she would attend the meeting. Johnson stated that Nelson can add this to the agenda. Johnson stated this came about without any County input. Johnson stated this could also affect our clinic with getting people to their routine appointments. Kirt stated we often use MA Transportation to get clients home from the hospital and this will cause hardship for them also. Squyer stated from January 2001 through January 2005 the medical assistance caseload in St. Croix County has increased 351 %. Squyer stated that St. Croix County is one of the fastest growing counties in the State and so are all the Economic Support programs. Squyer stated Economic Support is down three positions, including the Energy Assistance worker. Squyer stated it is very busy right now but once energy assistance has slowed down she believes it will slow down enough to handle everything. Squyer stated there will be no relief for her workers when the MA Transportation program ends in September because she does that program herself and none of her workers are involved in doing that program. AODA -DRUG COURT AND STATE- FUNDED METH INITIATIVE Drug Court Kirt stated they are moving forward with the Drug Court and it will be starting sometime in March 2006. Kirt stated we are still waiting to hear if we will be receiving the requested training dollars. Kirt stated the problem was that the money was taken out of the budget by the Senate and was put in by Congress and is now in Committee. Kirt stated the Drug Court jail position has been filled. Kristin De Prey will be starting on 02/06/06. De Prey previously worked in corrections so she has a lot of experience working with the inmate population. Kirt stated the Department of Corrections has $50,000 available to St. Croix County for use by 06/30/06 for meth treatment. This is a renewable pot of money but we must begin to show a need (i.e. spend the funds) by 06/30/06. Kirt stated what is not spent by 06/30/06 must be returned. Kirt stated this is not on the fact sheet but he had just found out that Community Action has agreed to write a grant for an Americorp position for a drug court coordinator. Kirt stated there are a number of things that are coming together so the County doesn't have to put a lot of money in it to get the program up and running well. State Funded Meth Initiative Kirt, on behalf of Barron, Polk, Burnett and St. Croix County has submitted a proposal to the State for intensive outpatient case management for meth clients. Kirt stated we are waiting to hear if we will be receiving the requested dollars. The total request is for $250,000. St. Croix County share would be for $75,000. Kiesler and Kirt will need to address staffing issues and options with the Health & Human Services Board. PERSONNEL ISSUES Johnson stated Linda Cooper has started the DHHS AODA position effective 01/03/06. Johnson stated Kristin De Prey will be filling the new AODA drug court /jail position on 02/06/06. r St. Croix County Health and Human Services Board Page 9 January 13, 2006 Johnson stated staff has provided an update /review on all Springstead DHHS /Nursing Home job descriptions. As requested, this information was provided to Human Resources on 01/05/06. Johnson stated at some point we will be reviewing those job descriptions with department heads and making sure they are correct. Johnson stated he has agreed to be part of a county wide liaison group to review these job descriptions. NURSING HOME OPERATIONAL ASSESSMENT: WIPFLI PROPOSAL FOR IMPLEMENTATION Johnson stated that administration has asked Wipfli to prepare a proposal to contract with the consultants to work with the Nursing Home on implementation of the recommendation that the Board has previously approved. Discussion ensued on the proposal to identify the services and fees Wipfli is proposing to provide to St. Croix Health Center. Johnson stated that Wipfli has proposed a $491,000 saving if the proposal was implemented as of January 01, 2006. Costs to contract with the consultants for implementations will reduce anticipated savings, along with the date of full implementation. Motion A motion was introduced by Caflisch, seconded by Wentz, and unanimously adopted: That the Board moves to accept Wipfli's service proposal if they are willing to waive the required deposit. If Wipfli does not waive the required deposit the service proposal will still be accepted. HOSPITALITY COSTS AT BOARD MEETING Johnson stated that coffee and snacks provided at the Board meeting are budgeted in the administration budget and provided by the Nursing Home. Johnson stated we can continue to do the same in 2006 or modify this practice to reflect how hospitality costs are handled at County Board such as members contributing to cover the cost. Motion A motion was introduced by Burri, seconded by Wentz, and unanimously adopted: That the Board moves to have each board member contribute $5.00 towards the cost of hospitality costs starting with the January meeting. NURSING HOME STRATEGIC PLANNING (PHASE II) Johnson stated that Phase I (Operational Assessment) has been completed and implementation recommendations were noted. Johnson stated it seems reasonable to begin discussion on Phase II planning that identify planning time frames and issues the Board and staff believe are important. Johnson stated that Phase II planning options to consider are to operate as is, operate as 72 bed facility, which is what the Board has chosen to do, operate a 50 bed facility, lease the nursing home or sell the nursing home. Johnson stated that other options included discussion on developing a behavioral unit with a focus on what we do well such as direct care and care of residents that are near the end of their life. Other options include home care, adult day care, day services and respite. Johnson asked the Board to consider these options as we move forward. Johnson wanted to make sure that staff has enough time to implement any changes and then look at Phase II strategic planning in March or April. Luckey asked why the Health Center was not listed on the internet as a provider for private pay insurances such as Blue Cross Blue Shield or Aetna. American Heritage is listed but not the Health Center. Johnson stated we are listed as a provider for our clinic (MH /AODA for some insurance companies). Luckey stated that most insurance companies instruct you to go to their web site to find providers to choose from in order to stay in their network so you don't incur any extra costs. Johnson stated that Dana Baker, Procurement Specialist, has budgeted one day every other week to help us at this facility to see what our needs are. Johnson stated that Baker may give us a more thorough analysis of our contract and let us know what our marketing options are. Luckey suggested pursuing some marketing program if we are going to stay in business. Johnson will keep the Board informed on the issue. w St. Croix County Health and Human Services Board Page 10 January 13, 2006 Wentz stated that at Finance on 1/12/06 Ralph Robole was very complimentary of our workers up here who installed the air conditioning unit at St. Croix Industries and who also put a new boiler in the rental house which saved us a considerable amount of money besides doing their regular jobs. Dorsey asked if there were any other issues to bring before the Board. Motion A motion was introduced by Wentz, seconded by Caflisch, and unanimously adopted: That the meeting be adjourned. Time: 11:25 AM Chair: Attest: (Secretary)