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HomeMy WebLinkAboutHealth & Human Services 03-11-05 LOIS BURRI WILL REVIEW VOUCHERS AT 7:45 AM Revised: 03/01/2005 ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Clarence Malick, Chairman St. Croix County Board FROM: Tom Dorsey (John Borup, 246 -8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 03/11/2005 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: 04/08/2005 ACTION ON PREVIOUS MINUTES: 02/11/2005 ANNOUNCEMENTS: Proclaim March Healthy Baby Month APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Program Reports a. Public Health 1. Communicable Disease Report 2. HFS 140 Review b. Mental Health /AODA 1. Diversion RFP Update C. Economic Support 1. New Worker Training 2. Caseload Update d. Nursing Home 1. Census Report 4. Action on bids for 14 passenger bussette for St. Croix Industries (wheelchair lift equipped) 5. Request consideration and action to charge nursing home residents State Bed Tax 6. Personnel Issues a. Discussion and action for recruitment of Health and Human Services Director position 7. City of New Richmond implementation of "storm water utility" and possible cost to Health Center grounds ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA /NOTICE r ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD March 11, 2005 The St. Croix County Health and Human Services Board met on March 11, 2005 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Lois Burri Tom Caflisch Linda Luckey Deb Rasmussen Ralph Swenson Esther Wentz MEMBERS ABSENT: Dr. Michael Kretz, excused Stan Krueger, excused STAFF PRESENT: John M. Borup, Health and Human Services Director Jennifer Pempek, Accounting Supervisor Carolyn Krieger, Nursing Home Administrator Ron Eichstaedt, St. Croix Industries Supervisor Malva Berg, Secretary OTHERS PRESENT: Clarence Malick, County Board Chair Chuck Whiting, Administrative Coordinator Dana Baker, Management Systems Specialist 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, April 15, 2005 at 8:30 AM. Wentz will review vouchers at 7:45 AM. 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 Wentz, seconded by Burri, and unanimously adopted: That the minutes of the 02/11/05 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENT Chair Dorsey signed a proclamation declaring March as Healthy Baby Month. Borup said this proclamation is compatible with Public Health's mission. An announcement will be placed in local papers. FINANCIAL REPORTS Pempek is scheduled to attend a Regional Financial Managers meeting in Eau Claire today so will leave the meeting early. The following reports through January, 2005 were distributed to the Board: St. Croix County Health and Human Services Board r Page 2 March 11, 2005 ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/05 THROUGH 01/31/05 NURSING HOME JANUARY Cash Balance 01/31/05 $1,652,457.42 Add: Accounts Receivable 01/31/05 $368,710.80 Account Payable 01/31/05 ($309,503.75) Net Current Items 01/31/05 $1,711,664.47 2005 Revenue Recorded through 01/31/05 $480,417.46 Includes Allocations of Anticipated Revenues 2005 Expenses Recorded through 01/31/05 $475,421.40 Includes Allocations of Expected Expenses Excess Revenues over Expenses $4,996.06 e St. Croix County Health and Human Services Board Page 3 March 11, 2005 HEALTH AND HUMAN SERVICES - 2005 SUMMARY Total OF REVENUES Jan.- Jan. Budget Balance % Administration 70,680.93 1,020,399.92 949,718.99 6.9% AODA Services 43.625.44 473,948.78 430,323.34 9.2% Long Term Support 1,138,899.95 17,299,811.93 16,160,911.98 6.6% Mental Health 186,994.03 3,006,239.35 2,819,245.32 6.2% Family & Children's 250,705.61 3,059,580.00 2,808,874.39 8.2% Public Health 93,330.15 1,471,999.17 1,378,669.02 6.3% Economic Support 52,423.42 927,622.06 875,198.64 5.7% General Relief 1,250.00 14,832.45 13,582.45 8.4% Coordinated Services /ED 47,925.74 380,509.80 332,584.06 12.6% REVENUES HUMAN SERVICES PROGRAMS 1.885 035 27 27.654.943.46 25-769,108.19 6.8;; SUMMARY Total OF EXPENDITURES Jan.- Jan. Budget Balance % Administration 71,970.52 1,020,399.92 948,429.40 7.1% Alcohol -Drug Abuse 32,029.90 473,948.78 441,918.88 6.8% Long Term Support 770,008.30 * 17,299,811.93 16,529,803.63 4.5% Mental Health 191,180.48 3,006,239.35 2,815,058.87 6.4% Family & Children's 147,821.58 * 3,059,580.00 2,911,758.42 4.8% Public Health 114,564.74 1,471,999.17 1,357,434.43 7.8% Economic Support 73.352.28 927,622.06 854,269.78 7.9% General Relief 439.80 14,832.45 14,392.65 3.0% Coordinated Service /SED 0.00 380,509.80 380,509.80 0.0% EXPENDITURES HUMAN SERVICES PROGRAMS 1,401,367.60 27,654,943.46 26,253,575.86 5.1% Excess Rev over Expenses 484.467.67 To be on budget, percentage should be 8.33 St. Croix County Health and Human Services Board Page 4 March 11, 2005 ST CROIX HEALTH CENTER OPERATIONS REPORT JANUARY THROUGH JANUARY JAN- 2005 BUDGET ACTUAL DIFFERENCE % .CENSUS 70.5 71 -D.S; 1.00709 OPERATING REVENUE: MEDICARE $ 743,498.OD $ 76,889.63: $ 666,608.37 6.04 MEDICAID $ 2,642,397.00 $ 215,557.12 $ 2,426,839.88 11.32 PRIVATE PAY $ 817,926.00 $ 63,084.45 $ 754,841.55 5.12 ALL OTHER SOURCES $ 9,484.00 $ 1,123.26 $ 8,360.74 5.64 TOTAL OPERATING REVENUE $ 4,213,305.00 $ 356,654.46 $ 3,856,650.54 8.37 OPERATING EXPENSES: DAILY PATIENT SRVICES $ 3,411,487.50 $ 263,521.34 $ 3,147,966.16 8.37 SPECIAL SERVICES $ 266,510.42 $ 20,005.31 ` $ 246,505.11 9.21 GENERAL SERVICES ; $ 1,111,184.21 $ ' 87,382.42 $ "'1.023,801.'79 6.49 ADMINISTRATIVE SERVICES $ 539,734.15 $ 42,441.47 : $ 497,292.68 ° 8.29 UNASSIGNED: DEPRECIATION(%BASED) $ 118,172.00 $ 16,467.20 $ 101,704.80 8.33 OTHERS $ 255,835.00 $ 45,603.66 _ $ 210,231.34 1.75 TOTAL OPERATING EXPENSES $ 5,702,923.28 $ 475,421.40 $ 5,227,501.88 7.71 NET FROM OPERATIONS $ - $ (116,766.94) NON - OPERATING ITEMS: REVENUE FROM RATE APPEALS $ 17,652.00 1 $ 1 $ 16,181.00. 8.33. _ IGT FUNDS ( %BASED) $ 450,000.00 $ 37,500.00 $ 412,500.00._. _8,33 CO ALLOCATIONS(% BASED) $ 1,017,504.00 $ 84,792.00 $ 932,712.00 ' 8.33 TOTAL NON - OPERATING ITEMS $ 1,485,156.00 $ 123,763.00 $ 1,361,393.00 8.33 NET FROM ALL SOURCES $ 4,996.00 PERCENTAGE SHOULD BE 8.33 FUND BALANCE 01!01!05 $ 1,981,786.89 OPERATIONS $ 4,996.00 FUND BALANCE END OF PERIOD $ 1,986,782.89 CONSIDERATION OF CLAIMS The following reports were distributed to the Board: cash report. Health and Human Services Board member, Burri, reviewed the vouchers and questioned the following vouchers: #65099: State of Wisconsin, Bed Assessment Fee, $5400.00. #66397: Dena's Wildflowers, 3/2/2005 Flowers, $58.00. Motion A motion was introduced by Burri, seconded by Wentz, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book ` St. Croix County Health and Human Services Board Page 5 March 11, 2005 Human Services voucher 43231, dated February 17, 2005 in the amount of $2,250.00. Human Services vouchers 43555 through 43560, dated February 24, 2005 in the amount of $38,045.53. Human Services vouchers 44497 through 44660, dated March 11, 2005 in the amount of $97,299.76. Human Services vouchers 44365 through 44496, dated March 11, 2005 in the amount of $310,887.24. Human Services vouchers 44726 through 44753, dated March 11, 2005 in the amount of $54,466.44. Human Services and Nursing Home vouchers 43092 through 43125, dated February 17, 2005 in the amount of $11,933.17. Human Services and Nursing Home vouchers 43126 through 43230, dated February 17, 2005 in the amount of $150,355.72. Human Services and Nursing Home vouchers 43444 through 43554, dated February 24, 2005 in the amount of $266,860.14. Human Services and Nursing Home vouchers 43565 through 43625, dated March 03, 2005 in the amount of $224,740.78. Nursing Home vouchers 44661 through 44725, dated March 11, 2005 in the amount of $25,495.22. Human Services, Workshop, Public Health, Social Services vouchers 1 through 33, dated January 10, 2005 in the amount of $349,635.86. Human Services, Workshop, Public Health, Social Services vouchers 108 through 138, dated February 22, 2005 in the amount of $354,193.05. Human Services, Workshop, Public Health, Social Services vouchers 139 through 171, dated March 03, 2005 in the amount of $354,383.50. Human Services and Nursing Home vouchers 110 through 142, dated February 24, 2005 in the amount of $171,793.93. Human Services and Nursing Home vouchers 143 through 176, dated March 10, 2005 in the amount of $174,532.93. NURSING HOME Krieger said RFPs were requested from five vendors to possibly change pharmaceutical services. Four of the five responded and one of the four met criteria of the proposals plus had a cost savings to the county. This service could also result in a discount for services the jail receives and an overall savings of approximately $29,000 is anticipated. The transition from the previous vendor to Omnicare is scheduled for July 1. Krieger said Baker is the most wonderful thing that has happened to St. Croix County in a long time. Krieger reported that current Nursing Home census is 69 with a couple of referrals pending. St. Croix County Health and Human Services Board Page 6 March 11, 2005 HFS has recommended relocation of 250 of all nursing home residents in the next eight years. Currently there are 23 residents identified for relocation in St. Croix Health Center. However, the State has not funded long term support to relocate these residents so it is uncertain what direction this move will take. PERSONNEL ISSUES The Administration Committee determined there will be no consolidation efforts and there is no need for change at this time unless they are informed differently by the Health and Human Services Board. Borup will write a memo to the Administration Committee informing the committee that no changes to the Board are needed at this time. The procedure for recruitment will be that only the Health and Human Services Board will be involved in the replacement process for the Director's position. Malick said Borup's performance has been stellar. Malick informed the Board that under the Wisconsin Retirement System an employee may continue to work for the agency under contract. There would be an independent contract between two willing parties however there has to be a clean one - month break in services in order for retirement to pay. Borup indicated the recruitment process has begun and his position has been advertised with a closing date of March 25. He indicated it would be awkward to come back since the process is already in motion. Borup stated he needed to establish a last pay date with payroll to fill out retirement papers. After discussion, it was decided that Borup will be on the payroll with the last day to be paid on an hourly basis as May 13 and the balance of his PTO plus two holidays will be paid out at that time. The Board indicated when Borup is on PTO he will be available to sign any necessary paperwork but will not be expected in the office. Wentz indicated she supports the decision made by the Board and the issue should be brought to personnel and be made a part of the employee handbook. The Board anticipated the position could possibly be filled by mid -May. Borup reminded an acting director has been in place in his absence. There is no compensation for this additional responsibility. It was the consensus of the Board to not appoint an acting director at this time but to address at the April 15 meeting. Motion A motion was introduced by Swenson, seconded by Caflisch: That the Health and Human Services Board will direct the Personnel Director to compensate Borup for two holidays, Martin Luther King Day and Presidents' Day, that Borup be permitted to use PTO to extend his time on payroll to May 13 and that the balance of his PTO be paid as a cash payout per normal existing County policy. Borup will be available for needed signatures when out of the office. Whiting and Dorsey should be contacted for emergencies in the agency. Roll call vote: Thomas Dorsey -yes Lois Burri -yes Tom Caflisch -yes Dr. Kretz- absent Stan Krueger- absent Linda Luckey -yes Deb Rasmussen -yes Ralph Swenson -yes Esther Wentz -yes Seven yes, two absent, motion passed. St. Croix County Health and Human Services Board Page 7 March 11, 2005 The Board recessed from 10:10 to 10:20. ACTION ON BIDS FOR 14- PASSENGER BUSSETTE FOR ST. CROIX INDUSTRIES (WHEELCHAIR LIFT EQUIPPED : Five bids were received for the bussette. Eichstaedt distributed a spreadsheet outlining the bids and recommended accepting Bid #1 from Minnesota Body and Equipment with a trade in to the Nursing Home for the bussette being replaced. Motion A motion was introduced by Wendy, seconded by Rasmussen, and unanimously adopted: That the Board accept Bid #1 from Minnesota Body and Equipment without a trade in. PERSONNEL ISSUES Malick said an excellent job was done in replacing the Chief Deputy position and recommended the same procedure be followed for replacing the Director's position. Motion A motion was introduced by Swenson, seconded by Burri, and unanimously adopted: That the Board appoint Rasmussen and Dorsey to the committee to screen applications for the Director position and to appoint Wentz and Caflisch to the interview committee for the Director position. The screening committee will meet on March 29 and interviews are tentatively scheduled for April 7, 2005. ECONOMIC SUPPORT Borup gave a brief report on the caseload for Economic Support. Caseloads for the unit have increased 300 since 01/01/04 for a total effective 03/01/05 of 3,191. REQUEST CONSIDERATION AND ACTION TO CHARGE NURSING HOME RESIDENTS STATE BED TAX The nursing home Medicaid rate increase has been funded every year for 12+ years by a bed tax assessment imposed on the nursing home by the state. There has been no new state general fund money going into the rate increase. The bed tax was $32 per occupied bed per month for 10+ years. The last state biennial budget increased the bed tax to $75 per licensed bed per month. Some facilities are billing private pay residents for the $75 monthly tax. Krieger requested consideration to bill private pay residents the $75 per month bed tax. At present the facility has seven private pay residents so the revenue would increase $525 per month. Motion A motion was introduced by Swenson, seconded by Wentz and unanimously adopted: That the Board approves charging private pay residents whatever the State bed tax amount is. CITY OF NEW RICHMOND IMPLEMENTATION OF STORM WATER UTILITY AND POSSIBLE COST TO HEALTH CENTER GROUNDS Notification was received from the City of New Richmond for this utility which is effective 04/01/05 with a monthly cost set at $403.20 /month. Borup and Robole negotiated with the City to reduce the acres charged for from 22.5 to 10 acres. He said the amount will be charged 75% to ' • s St. Croix County Health and Human Services Board Page 8 March 11, 2005 Health and Human Services and 25% to Nursing Home. The Board suggested contacting Bob Heise regarding the storm water utility. Dorsey asked if there were any other issues to bring before the Board. Motion A motion was introduced by Caflisch, seconded by Wentz, and unanimously adopted: that the meeting be adjourned. Time: 11:10 AM Chair: Attest: (Secretary)