HomeMy WebLinkAboutHealth & Human Services 10-21-05 Revised 10/19/05
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: 10/21/05
TIME: 8:30 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: 11/11/05
ACTION ON PREVIOUS MINUTES: 09/09/05
ANNOUNCEMENTS:
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Public Health 140 Review
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Personnel Issues
4. Nursing Home Report
5. Nursing Home Operational Assessment
6. Closed session per Wisconsin Statute 19.85 (1) (c) for Director's review.
7. Reconvene into open session per Wisconsin Statute 19.85 (2) Return into
open session.
8. Purchase service expense review.
9. 2006 Budget adjustments
10.Review of Pierce /St. Croix Humane Society
11.Action on Nursing Home "Bad Debt Write Offs"
12.Velocity Wireless contract
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
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ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
October 21, 2005
The St. Croix County Health and Human Services Board met on October 21, 2005
at the St. Croix County Health and Human Services /Health Center complex.
MEMBERS PRESENT: Thomas Dorsey, Chair
Lois Burri
Tom Caflisch
Dr. Michael Kretz
Linda Luckey
Deb Rasmussen
Ralph Swenson
Esther Wentz
MEMBERS ABSENT: Tom Dowd, excused
STAFF PRESENT: Fred Johnson, Health and Human Services Director
Jennifer Pempek, Financial Manager
Carolyn Krieger, Nursing Home Administrator
Barbara Nelson, Public Health Supervisor- Health Officer
Malva Berg, Secretary
OTHERS PRESENT: Chuck Whiting, Administrative Coordinator
Clarence Malick, County Board Chair
Michelle Pietrick, Finance Director
Chair Dorsey called the meeting to order at 8:30 AM noting the meeting was
properly and legally publicized.
NEXT MEETING The next Health and Human Services Board meeting is scheduled
for Friday, November 18, 2005 at 8:30 AM.
AGENDA Motion A motion was introduced by Wentz, seconded by Swenson, and
unanimously adopted: That the agenda be approved as circulated.
MINUTES Motion A motion was introduced by Swenson, seconded by Burri, and
unanimously adopted: That the minutes of the 09/09/05 Health and Human
Services Board meeting be approved with the following change:
Page 2, last sentence under ANNOUNCEMENTS should read... the Nursing Home has
been receiving inquiries regarding empty beds.
ANNOUNCEMENTS Johnson announced a nursing home relocation meeting has been
set up by Lisa Leahy for area discharge planners with Ron Lockwood and Mike
Traynor. Lockwood will update the Board at the next Board meeting.
Nelson presented the 2005 Hageman Award to Dr. Kretz on behalf of NALBOH. It
is the most prestigious award given to a current or past board of health
member who has demonstrated outstanding leadership on a local board of health
and commitment to and enthusiasm for the health of the public. It is named
for one of the founding members of NALBOH, Rev. Everett I. Hageman. Crowning
the award is a Revere bowl which symbolizes the commitment of volunteer
citizens across the country to the protection of the public's health through
service on local boards of health. The Board applauded Dr. Kretz for his
efforts. y
St. Croix County Health and Human Services Board
Page 2
October 21, 2005
CONSIDERATION OF CLAIMS Health and Human Services Board member Wentz
reviewed the vouchers.
Motion A motion was introduced by Dorsey, seconded by Wentz, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book:
Human Services vouchers 58253 through 58258, dated September 22, 2005 in the
amount of $53,064.59.
Human Services voucher 58461, dated September 22, 2005 in the amount of
$137.02.
Human Services voucher 58768, dated September 29, 2005 in the amount of
$1,000.00.
Human Services vouchers 59611 through 59793, dated October 14, 2005 in the
amount of $128,820.04.
Human Services vouchers 59423 through 59610, dated October 14, 2005 in the
amount of $33,350.24.
Human Services and Nursing Home vouchers 57572 through 57671, dated September
15, 2005 in the amount of $146,457.83.
Human Services and Nursing Home vouchers 57672 through 57692, dated September
15, 2005 in the amount of $10,628.30.
Human Services and Nursing Home vouchers 58149 through 58252, dated September
22, 2005 in the amount of $238,325.35.
Human Services and Nursing Home vouchers 58462 through 58571, dated September
29, 2005 in the amount of $314,775.81.
Human Services and Nursing Home vouchers 58780 through 58571, dated October
06, 2005 in the amount of $217,017.59.
Nursing Home vouchers 59794 through 59610, dated October 14, 2005 in the
amount of $33,350.24.
Human Services, Workshop, Public Health, Social Services vouchers 540 through
569, dated September 15, 2005 in the amount of $346,767.01.
Human Services, Workshop, Public Health, Social Services vouchers 570 through
601, dated October 06, 2005 in the amount of $350,031.55.
Human Services and Nursing Home vouchers 598 through 629, dated September 22,
2005 in the amount of $178,896.31.
Human Services and Nursing Home vouchers 630 through 662, dated October 06,
2005 in the amount of $174,957.12.
Workshop vouchers 43 through 48, dated September 15, 2005 in the amount of
$11,551.68.
Workshop vouchers 49 through 54, dated September 29, 2005 in the amount of
$13,438.49.
St. Croix County Health and Human Services Board
Page 3
October 21, 2005
REVIEW OF PIERCE /ST. CROIX HUMANE SOCIETY Dr. Kretz gave a PowerPoint
presentation on the Humane Society of Pierce /St. Croix, Inc. The Society is
running at a deficit. Restrictions have been put in place for services
provided. Dr. Kretz pointed out that it would be most economical to utilize
what is already in place to control community health. If the Humane Society
goes away the issue could potentially impact Public Health. Dr. Kretz
proposed one resolution would be for the dog license fees from the townships
go back to the Humane Society. Ten St. Croix County townships currently
contract with the Humane Society. Caflisch said this presentation is being
given in the wrong arena. Dorsey said some townships take care of their own
animals and they should be allowed to keep the money from the dog license
fees. This presentation has been given to Public Protection who is working
with Corp. Counsel for a possible resolution. Johnson will communicate with
Corp. Counsel and report back to the Board on this issue at a future meeting.
NURSING REPORT Krieger said census today is at 70; there were two deaths this
week.
Krieger reported installation of the generator has been completed and she is
waiting for the State engineer to make the final inspection.
Krieger reported on the resident choice meal plan for the nursing home. A
planned implementation date is tentatively set for March 1, 2006. The plan is
also called the five -meal plan. It offers a non - institutional meal plan and
corresponds with the eating pattern of the elderly at home. She said the
biggest crunch time for staff is at breakfast and. this plan should help
alleviate this. She said she sees this plan as a positive and believes it will
be best for the resident; however it may become a union issue as some schedules
will change and Kathan has been made aware of this for possible negotiation.
Krieger is planning an all staff meeting after the budget is approved to
present changes. The concept for this plan began with Healtheast homes in
Minnesota with Spring Valley and Dove Healthcare also using this plan.
Krieger reported the State auditor made an adjustment to the 2004 and 2005 MA
rate that resulted in an additional $.47 per day or $10,555 for the two years.
This rate adjustment will also increase the 2006 MA rates by about $9,000.
Krieger also reported WCA proposed an add -on for IGT monies to the State
Legislature. It is hoped the Nursing Home will receive something more for 2006
but is not sure how much more so the amounts were not included in the budget.
It is estimated this will result in an additional $92,000 if approved. There is
support by a State Legislator to get Medicaid increase in spite of the
Governor's veto. Dr. Kretz expressed concern over not charging the private pay
Nursing Home residents actual costs.
FINANCIAL REPORTS Financial reports for July and August were distributed to
the Board. Pempek reported that the majority of revenues are in for the year.
Board members questioned if it would be possible to make year end projections
by the November meeting. Pempek said the reports reflect the true expenses but
revenues are difficult to impossible to predict. She continues to work with
Pietrick in developing the reports to give a more accurate picture of the
Nursing Home /Health and Human Services financial state and monitor budget.
St. Croix County Health and Human Services Board
Page 4
October 21, 2005
ST CROIX HEALTH CENTER
OPERATIONS REPORT
JANUARY THROUGH JULY JAN - ,JULY
2005 BUDGET ACTUAL DIFFERENCE %
CENSUS 70 69 -0.5 0.9857143
OPERATING REVENUE:
MEDICARE
1 743 ,498.00 $ 508 ,145.42 $ 235 ,352.58 0.683
MEDICAID $ 2,642,397.00 $ 1,530,940.77 $ 1,111,456.23 0.5793758
PRIVATE PAY $ 817,926.00 $ 348,281.27 $ 469,644.73 0.4258102:
RATE
APPEALS - ACTUAL $ 17,652 , .00 $ 14,B24.00 $ 2,828.00 0.8397915
IGT FUNDS - ACTUAL $ 450,000.00 $ 476,007.00 $ (26,007.00): 1.0577933
ALL OTHER SOURCES*'* $ 9,484.00 $ 21,608.11 $ (12,124.11) 2.2783752
TRANSFER FROM CONTINGENCY $ - $ 8,600.00 $ (8,600.00)
TOTAL OPERATING REVENUE $ 4,660,957.00 $ 2,908,406.57 $ 1,772,550.43 0.6213273
OPERATING EXPENSES:
DAILY PATIENT SRVICES $ 3,411,4137.50 $ 1,942,224.00 $ 1,469,263.50 0.5693188
SPECIAL SERVICES $ 266,510.42 $ 143,702.00 $ 122,808.42 0.5391184
GENE
.. RAL SERVICES
_ _ _$ 1,111084.21 $ 547 _$ 563,918-22 = 0.492507
ADMINISTRATIVE SERVICES $ 539,734.15 1 $ 356,984.39 $ 182,749.76, 0.6614078
UNASSIGNED:
DEPRECIATION( %BASED) $ ,OTHERS: (INS -WC- CAPITAL -UTIL) $ 255,635.00 $ 213,038.45 $ 42,796.55 , 03327182;
TOTAL OPERATING EXPENSES $ 5,584 751.28 $ 3,203,214.83 $ 2,381 536.45 ` 0.5735645
NET FROM OPERATIONS $ - (294,848.26)
(COST OF DOING BUSINESS PRIOR TO
APPLYING LEVY & OUTSTANDING REV)
OUTSTANDING REVENUES
OUTSTANDING RATE APPEAL REV $ 2,828.00 $ - $ 2,828.00 0
% OF OUTSTANDING IGT REV $ 314,771.00 J - $ 314,771.00 0.
CO ALLOCATIONS( %BASED) $ 1,017,504.00 $ 593,5444.00 $ 423,960.00 0.5833333
TOTAL OUTSTANDING $ 1,335,103.00 $ 593,544.00 $ 741,559.00
NET FROM ALL SOURCES w... , .. 298,735.74 ,
PERCENTAGE SHOULD BE 58.3
Prior years dividend payment of
$12,185.61 rec'd 4105
Depreciation Expense Removed
St. Croix County Health and Human Services Board
Page 5
October 21, 2005
ST CROIX HEALTH CENTER
OPERATIONS REPORT
JANUARY THROUGH AUGUST JAN - AUGUST
2005 BUDGET ACTUAL DIFFERENCE %
CENSUS 70 71 1 1.0142857
OPERATING REVENUE:
MEDICARE $ 743,498.00 $ 546,704.93 $ 196,793.07 ; 0.7353146
MEDICAID $ 2,642,397.00 $ 1,747,412.93 $ 894,984.07 0.6612984
PRIVATE PAY i . $ 817,926.00 $ 440,098.48 $ 377,827.52 0.5380664
RATE APPEALS - ACTUAL $ 17,652.00 $ 14,824.00 $ 2,828.00 , 0.8397915_
IGT FUNDS - ACTUAL $ 450,0 $ 476,007.00 $ (26,007.00) 1.0577933
,ALL OTHER SOURCES*" 9,484.00 $ 23,492.62 $ (14,008 2.4770793:
TRANSFER FROM CONTINGENCY $ $ 8,600.00 $ (8,600.00)
TOTAL OPERATING REVENUE w $4,680,957.00 $ 3,257,139.96 $ 1,423,817.04 0.6958278
OPERATING EXPENSES:
DAILY PATIENT SRVICES $ 3,411,487.50 $ 2,213,792.19 $ m 1,197,695.31 : 0.6489228
SPECIAL SERVICES ; $ 266,510.42 $ 165,158.42 $ 101,352.00. 0.6197072
GENERAL SERVICES $ 1,111,184.21 $ 623,758.27 $ 487,425.94 0.5613455
:ADMINISTRATIVE SERVICES $ 539,734.15 $ 404,336.81 $ 135,397.34 0.7491407
.UNASSIGNED:
DEPRECIATION( %BASED) $ - $ - $ -
.OTHERS: (INS -WC- CAPITAL -UTIL) $ 255,835.00 $ 221,471.54 $ 34,363.46 0.8656812
TOTAL OPERATING EXPENSES $ 5,584,751.28 $ 3,628,517.23 $ 1,956,234.05 0.6497187
NET FROM OPERATIONS ...._ -- $ _ (371,377.27) ..
(COST OF DOING BUSINESS PRIOR TO
.APPLYING LEVY & OUTSTANDING REV)
, OUTSTANDING REVENUES
:OUTSTANDING E EA
RAT APPL REV $ 2 828.00
....... _ ... ..._._ _ ,� ....__..._$_ _ _..._ ... _ -_ . _....$ 2,828.00 ........ 0
% OF OUTSTANDING IGT REV $ 314,771.00 $ - $ 314,771.00 ; 0
CO ALLOCATIONS BASED) $ 1,017,504.00 $ 678,336.00 $ 339,168.00 0.6666667
.TOTAL OUTSTANDING $ 1,335,103.00 $ 678,336.00 $ 656,767.00
NET FROM ALL SOURCES $ 306,958.73
PERCENTAGE SHOULD BE 66.64
'"''" Prior years dividend payment of
$12,185.61 rec'd 4/05
Depreciation Expense Removed
St. Croix County Health and Human Services Board
Page 6
October 21, 2005
HEALTH AND HUMAN SERVICES - 2005
SUMMARY Total
OF REVENUES Budget Jan - July Balance
Administration 1,020,399.92 884,283.18 136,116.74 86.7%
AODA Services 473,948.78 297,389.34 176,559.44 62.7°
Long Term Support 17,299,811.93 10,405,280.88 6,894,531.05 60.1%
Mental Health 3,006,239.35 1,313,725.64 1,692,513.71 43.7%
Family & Children's 3,059,580.00 1,820,297.20 1,239,282.80 59.5
Public Health 1,471,999.17 938,515.88 533,483.29 63.0
Economic Support 927,622.06 662,572.91 265,049.15 71.4%
General Relief 14,832.45 11,018.00 3,814.45 74.3'
Coordinated Services /ED 360,509.60 380,509.80 0.00 100.0°
REVENUES HUMAN
SERVICES PROGRAMS 27.654.943.46 16.713,592.83 10,941,350.63 60.4%
SUMMARY Total
OF EXPENDITURES Budget Jan.- July Balance %
Administration 1,020,399.92 525,156.34 495,243.58 51.5%
Alcohol -Drug Abuse 473,948.78 302,762.34 171,186.44 63.9`/
Long Term Support 17,299,811.93 9,284,316.52 8,015,495.41 53.7°
Mental Health 3,006,239.35 1,416,982.18 1,589,257.17 47.1%
Family & Children's P.2age 9,580.00 1,7 ,396.30 1,295,183.70 57.7°
Public Health 532.84 677,466.33 54.0%
Economic Support 55 ,613.10 374,008.96 59.70
General Relief 14,832. 2,969.46 11,862.99 20.0
Coordinated Service /SED 380,509.80 22,312.72 358.197.06 5.9`0
EXPENDITURES HUMAN
SERVICES PROGRAMS 27,654,943.46 14,667,041.80 12,987,901.66 53.0
Excess Rev over Expenses s 2.046.551.03
Percentage of Budget: 5831
July Human Services Total $ 2,046,551.03
Amount above includes County
Appropriations of $3,757,187.00 $ (3,757,187.00)
Revenue prior to CoApprop $ (1,710,635.97)
St. Croix County Health and Human Services Board
Page 7
October 21, 2005
HEALTH AND HUMAN SERVICES - 2005
SUMMARY Total
OF REVENUES Budget Jan- August Balance %
Administration 1,020,399.92 945,305.76 75,094.16 92.6%
AODA Services 473,948.78 329.111.85 144,836.93 69.43'
Long Term Support 17,299,811.93 11,963,107.73 5,336,704.20 69.2%
Mental Health 3,006,239.35 1,474,569.00 1,531,670.35 49.1%
Family & Children's 3,059,580.00 1,990,113.66 1,069,466.34 65.0%
Public Health 1,471,999.17 1,051,019.53 420,979.64 71.0
Economic Support 927,622.06 707,180.20 220,441.66 76.2%
General Relief 14,B32.45 12,268.00 2,564.45 82.7%
Coordinated Services /ED 360,509.80 360,509.80 0.00 100.0%
REVENUES HUMAN
SERVICES PROGRAMS 27.654.943.46 18.853.185.53 8.801,757.93 68.22i
SUMMARY Total
OF EXPENDITURES Budget Jan. - August Balance %
Administration 1,020,399.92 ;61.9,954.10 400,44532 60.8%
Alcohol -Drug Abuse 473,948.78 358,664.59 115,284.19 75.7%
Long Term Support 17,299,811.93 10,810,201.18 6,489,610.75 62.5%
Mental Health 3,006,239.35 1,703,502.36 1,302,736.97 56.7%
Family & Children's 3,059,580.00 2,075,643.99 983,936.01 67.8%
Public Health 1,471,999.17 980,498.22 491,500.95 66.6%
Economic Support 927,622.06 670,411.32 257,210.74 72.3%
General Relief 14,832.45 190.31 14,642.14 1.3%
Coordinated Service /SED 380,509.80 27,063.85 353,445.95 7.1%
EXPENDITURES HUMAN
SERVICES PROGRAMS 27,654,943.46 17,246,129.94 10,408,813.52 62.4%
Excess Rev over Expenses 3 1.607.055.59
Percentage of Budget: 66.64
August Human Services Total $ 1,607,055.59
Amount above includes County
Appropriations of $4,293,928.
$ (4,293,92B.00)
Amount prior to Co. App: $ (2,686,872.41)
NURSING HOME OPERATIONAL ASSESSMENT Studies of the Nursing Home were completed
by Keefe in 2001 and Wipfli in 2002. Recommendations from the studies were
implemented such as downsizing and remodeling. Staff are requesting an
operational nursing assessment to look at our care delivery model to make sure
the model is as efficient as it can be.
Krieger also reported the Chippewa Falls county home was sold to an Extendicare
chain and is now scheduled to close January 31, 2006. Polk County also voted
down the resolution to sell its nursing home due to financial losses.
Wipfli forwarded a proposal for an operational nursing assessment study that
would cost approximately $9,000 plus expenses. The study could be funded
through a transfer from the capital outlay budget due to med carts that do not
need to be purchased but were part of the capital outlay budget. The study
e '
St. Croix County Health and Human Services Board
Page 8
October 21, 2005
could start by the first part of November. The study would be an operational
assessment with a long range plan update.
Dr. Kretz questioned how the 43% fringe benefit package with the county could
be dropped to the 26% public sector level. Whiting said this would be
difficult to obtain as the county is mandated to provide Wisconsin Retirement
whereas the public sector is not. The County made a commitment to stay in the
Nursing Home business the question now is how efficient can we make it.
Motion A motion was introduced by Caflisch, seconded by Burri, and
unanimously adopted: That the Board allows the study to go forward with the
maximum amount of cost to be no more than $12,000. The Board insists the
report be presented to the Health and Human Services Board by November 18, 2006
and to the County Board on December 13, 2006.
It was the consensus of the Board that they do not want Larry Lester to give
the presentation. Johnson said he will move as quickly as possible to bring the
report back to the Board. The Board requested as part of this operational
assessment that a review of the previous Nursing Home studies be included as
this would give the consultants as complete a picture as possible to assure
successes in implementation of the current and past reviews.
Dr. Kretz questioned results from the last report and Krieger estimated the
Nursing Home realized approximately $700,000 in savings from the last study.
Dr. Kretz left the meeting at 10:20 AM.
The Board recessed from 10:20 to 10:25 AM.
BAD DEBT WRITE OFFS There have been no bad debt write offs since 2003. All
options for paying the balance of $1,292.51 for a Nursing Home resident who is
deceased have been exhausted. Accounting is requesting approval to write off
the account. There is still a legal obligation to pay the debt; the amount is
just taken off the books.
Motion A motion was introduced by Caflisch, seconded by Swenson, and
unanimously adopted: That the Board approves a nursing home bad debt write off
of $1,292.51.
VELOCITY WIRELESS CONTRACT Johnson said notice has been received that
Velocity is canceling their contract to rent air space from the County for
their antenna. Their equipment will be removed by 11/25/05. Johnson said the
rental monies have been removed from the budget.
2006 BUDGET ADJUSTMENTS Johnson said after meeting with Finance, several
adjustments were made in the budget. He said no programs were eliminated. All
new positions, including the new AODA Counselor position in the jail, were
eliminated. 'There were significant cuts on DHHS and Nursing Home capital
outlay, cuts in staffing and operational costs to reach the County levy goal.
Some additional reductions were necessary in DHHS to assist the Nursing Home in
staying within the identified levy goal from Finance as it was discovered
revenues in the Nursing Home side were counted twice. With the reductions, it
will be necessary to upgrade financial reporting to actively monitor the budget
for 2006.
The Nursing Home was budgeted at 67.5 with two bedholds. Johnson said in the
future there will be centralized entry for the budget through one person to
allow for fewer errors.
Swenson requested a summary of reductions made in the budget by Monday or
St. Croix County Health and Human Services Board
Page 9
October 21, 2005
Tuesday so he can present to the County Board. Dorsey wanted the County Board
aware the Health and Human Services Board has done its share for making cuts.
Revenues from the State and other places are going down. Whiting said the
budget will not be a lot different next year. There are dangers of over
extending by using existing fund balances.
Motion A motion was introduced by Caflisch, seconded by Wentz, and
unanimously adopted: That the Health and Human Services Board accepts the
budget for the Nursing Home and Health and Human Services as presented.
Malick left the meeting at 11:10.
PURCHASE SERVICE EXPENSE REVIEW Spreadsheets for Mental Health, AODA, Family
and Children's, and Long Term Support that highlighted purchase contract status
were provided to the Board. Each unit has a different format for reporting.
The spreadsheets will be completed until the end of the year and at the
beginning of the new year the formats will be made uniform.
PERSONNEL ISSUES Sandra Torrey was hired to fill the half -time vacant payroll
position. Randy Cook resigned as AODA Counselor and personnel is proceeding to
fill that position. All vacant positions will go through Johnson for approval
to fill.
Dorsey asked if there were any other issues to bring before the Board.
The Board questioned administrative charges for Long Term Support. Johnson
said there are no written rules or regulations around Long Term Support
administrative charges but the State is setting up a workgroup to study these
charges and we have volunteered to participate. He said he is legally and
ethically comfortable with the current Long Term Support administrative
charges but is concerned about the Federal Government's request of the State
to review criteria for these charges. As this develops, information will be
forwarded to the Board.
CLOSED SESSION PER WISCONSIN STATUTE 19.85 (1) (C) FOR DIRECTOR'S ANNUAL
REVIEW Chuck Whiting remained in the meeting.
Motion A motion was introduced by Wentz, seconded by Rasmussen, with a roll
call vote: That the Board enter into closed session per Wisconsin Statute 19.85
(1) (c) for Director's review.
Roll call vote:
Thomas Dorsey -yes
Lois Burri -yes
Tom Caflisch -yes
Tom Dowd - absent
Michael Kretz- absent
Linda Luckey -yes
Deb Rasmussen -yes
Ralph Swenson -yes
Esther Wentz -yes
Seven yes, two absent, motion passed.
Motion A motion was introduced by Caflisch, seconded by Burri, with a roll
call vote: That the Board reconvene into open session per Wisconsin Statute
19.85 (2).
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St. Croix County Health and Human Services Board
Page 10
October 21, 2005
Roll call vote:
Roll call vote:
Thomas Dorsey -yes
Lois Burri -yes
Tom Caflisch -yes
Tom Dowd - absent
Michael Kretz- absent
Linda Luckey -yes
Deb Rasmussen -yes
Ralph Swenson -yes
Esther Wentz -yes
Seven yes, two absent, motion passed.
The Director's review was completed in closed session.
Motion A motion was introduced by Caflisch, seconded by Burri, and
unanimously adopted: That the meeting be adjourned.
Time: 12:08 PM
Chair:
Attest:
(Secretary)
04,