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HomeMy WebLinkAboutHealth & Human Services 05-13-05 TOM DORSEY WILL REVIEW VOUCHERS AT 7:45 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: 05/13/05 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: 06/10/05 (06/02/05 Open Hearing- meeting tentative) ACTION ON PREVIOUS MINUTES: 04/15/05 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Health and Human Services Governing Body By -laws review 2. Velocity Wireless contract negotiation NEW BUSINESS: 1. Election of Health and Human Services Board Officers 2. Consideration of Claims and Vouchers 3. Financial Report a. Nursing Home Trial Balance b. Update on Health and Human Services Audit 4. Review General Relief Policy 5. Presentation of 2004 Annual Report 6. Deputy Director 7. Resolution supporting Gottlieb Smoke -free Workplace 8. Resolution supporting Wisconsin Children's Initiative 9. Program reports a. Structure of program reports b. Nursing Home Report 1. Close out of furniture purchase 2. Survey results c. Changes in bankruptcy laws d. WIMCR update (Wisconsin Medicaid Cost Reporting) 10.New position request 11.Personnel Issues 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 * *ADDITIONS /CHANGES /CORRECTIONS ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 13, 2005 The St. Croix County Health and Human Services Board met on May 13, 2005 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Tom Caflisch Dr. Michael Kretz Stan Krueger Linda Luckey Deb Rasmussen Ralph Swenson Esther Wentz MEMBERS ABSENT: Lois Burri, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Manager Carolyn L. Krieger, Nursing Home Administrator Ron Kiesler, Mental Health /AODA Coordinator Steve Kirt, Mental Health /AODA Clinical Services Supervisor Mary Squyer, Economic Support Supervisor Malva Berg, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator 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 Thursday, June 2, 2005 at 5:00 PM, (at the end of the meeting it was the consensus of the Board that a meeting will not be held at 5:00 PM); the open hearing will be held at 6:00 PM. The following meeting will be Friday, June 10, 2005 at 8:30 AM. Swenson and Rasmussen will review vouchers at 7:45 AM. AGENDA Motion A motion was introduced by Wentz, seconded by Rasmussen, and unanimously adopted: That the agenda be approved as circulated. MINUTES Motion A motion was introduced by Kretz, seconded by Wentz, and unanimously adopted: That the minutes of the 04/15/05 Health and Human Services Board meeting be approved with the following corrections: Remove the word ` on page 7, paragraph 7, line 8. Also on page 7, Dr. Kretz would like statements he made regarding Mental Health Outpatient reorganization recommendations added to the minutes. He recommended looking at building an infrastructure within the community with clergy, schools, etc. to take some of the pressure off the unit. ANNOUNCEMENTS The July Health and Human Services Board meeting will be moved from July 8" to July 15. HEALTH AND HUMAN SERVICES GOVERNING BODY BYLAWS One change is recommended in the bylaws to change Public Health Nursing to Public Health in three places. Johnson checked with Timmerman regarding the change and he agreed St. Croix County Health and Human Services Board Page 3 May 13, 2005 Human Services vouchers 48715 through 48880, dated May 13, 2005 in the amount of $105,725.60. Human Services vouchers 48941 through 49092, dated May 13, 2005 in the amount of $129,459.09. Human Services and Nursing Home vouchers 47685 through 47780, dated April 21, 2005 in the amount of $225,155.35. Human Services and Nursing Home vouchers 47781 through 47823, dated April 21, 2005 in the amount of $17,960.88. Nursing Home vouchers 47904 through 47911, dated April 28, 2005 in the amount of $3,550.74. Nursing Home vouchers 47986 through 48015, dated May 05, 2005 in the amount of $23,885.16. Nursing Home vouchers 48881 through 48933, dated May 13, 2005 in the amount of $34,081.25. Human Services, Workshop, Public Health, Social Services vouchers 236 through 266, dated April 28, 2005 in the amount of $356,077.13. Human Services, Workshop, Public Health, Social Services vouchers 267 through 299, dated April 29, 2005 in the amount of $362,396.74. Human Services and Nursing Home vouchers 242 through 273, dated April 21, 2005 in the amount of $113,347.55. Human Services and Nursing Home vouchers 274 through 306, dated May 05, 2005 in the amount of $176,376.58. FINANCIAL REPORTS No reports were issued this month. The Nursing Home Trial Balance showed an ending fund balance for 2004 of approximately $307,000. Pempek indicated a change will be made in reporting to reflect what is on the general ledger. A projection of one - twelfth has been included in the reports, which works for county monies but not for IGT funds. The accrual is not a true picture of what is happening financially. Johnson said clarity is needed on how to handle fund balances. This will be defined and brought back to the Board. The philosophy on the mix of beds in the nursing home should be revisited. Whiting suggested the Board may want to discuss this more than once a quarter and define who we need to serve. Rasmussen suggested studying the trend in nursing home residents and Krueger recommended basing figures on the most probable case. IGT funding payment is due in June based on 2004. The preliminary audit for Health and Human Services showed $629,000 deficit in the audit report. Some of this deficit is attributed to a State "take back" on the 2004 Basic County Allocation contract in the amount of $522,801 to balance the deficit reduction program. Payments for the 2004 deficit reduction program were received in early 2005. Two payments were received; one totaling $574,910.19 and a second of $314,007.91. Discussion arose as to how this funding should be applied. "Take back" is an issue for all counties and counties have voiced concern over this practice. Krueger suggested putting on the WCA agenda to make all counties aware of the State funding issue. Administration will work with auditors to get a final audit report completed. St. Croix County Health and Human Services Board Page 5 May 13, 2005 County Board on May 17` Johnson said a powerpoint presentation, of the report would be available to Board members after the meeting.. It was suggested for staff to do a future assessment for trends, accomplishments, current or emerging issues and what the developing issues or pitfalls might be. A few managers will probably be at the Open Hearing. CHANGES IN BANKRUPTCY LAWS Due to changes in the bankruptcy laws we have seen an increase in bankruptcy filings in the last month. The laws are due to go into effect November 1, 2005. It is anticipated that the number of individuals filing bankruptcy and being discharged from their debt will increase dramatically until November. Ruka will keep the Board informed how this will affect revenues. WIMCR UPDATE (WISCONSIN MEDICAID COST REPORTING The 2002 and 2003 cost reports for Mental Health, AODA Clinics, CSP and Targeted Case Management have been re- submitted. The 2004 cost report has also been resubmitted. The purpose of resubmitting the 2002 cost report is to raise the "2002 WIMCR cap" by which all future years are judged so would hopefully impact the revenue coming in. It is anticipated additional 2002 and 2003 MA deficit revenue as well as 2004 MA deficit revenues will be paid out to the counties in June /July 2005 and the Board will be notified if /when the money comes in. STRUCTURE OF PROGRAM REPORTS It was the consensus of the Board that Johnson will have the option on how the program reports will be presented, either by him or have a department head also come in to present the report. Reports were originally requested by the Board to educate to the Board as to what is going on in Human Services. Wentz said program reports are a good way for the Board to get to know the people they are responsible for. MENTAL HEALTH PROGRAM REPORT Johnson distributed a grid for Mental Health contract usage and information was reviewed. It was the consensus of the Board that the information in this report is good information for the Board to have but a staff person doesn't need to go through the report every month. Whiting said the Board may need to look at operations in order to create policy, but the Board is responsible for policy issues, not operational issues. It was the consensus of the Board that the Nursing Home will continue to be a regular agenda item. RESOLUTION SUPPORTING GOTTLIEB SMOKE -FREE WORKPLACE It is Board member's responsibility to actively participate in political activities at local, state, and national level concerning local public health. Dr. Kretz asked the Board to consider the resolutions presented. Dr. Kretz said there is no safe level of exposure to second hand smoke. If passed, this resolution would pre -empt local ordinances. Motion A motion was introduced by Kretz, seconded by Rasmussen, and adopted with Wentz voting no: That the Board supports the following resolution: LOCAL CONTROL RESOLUTION RESOLUTION # WHEREAS, secondhand smoke is a Class A carcinogen containing over 4,000 chemicals, 200 of which are known poisons and 50 of which are known to cause cancer; and WHEREAS, secondhand smoke kills 50,000 to 60,000 Americans and more than 1,200 Wisconsinites every year from heart disease and lung cancer; and St. Croix County Health and Human Services Board Page 7 May 13, 2005 WHEREAS, Every year over 16,400 Wisconsin children become addicted to tobacco of whom more than one -third will die prematurely because of this addiction; and, WHEREAS, Increasing Wisconsin's excise tax on cigarettes by $1.00 per pack would significantly reduce the number of children who become addicted to tobacco, save over a billion dollars in health care costs, and provide hundreds of millions of dollars per year in additional state revenues. BE IT THEREFORE RESOLVED That the undersigned organization endorses: • Increasing the Wisconsin excise tax on cigarettes by $1.00 per pack; and • Using the money raised by this excise tax increase to: (1) assure that Wisconsin has a comprehensive program to reduce tobacco use that follows and is funded within the Centers for Disease Control best practice guidelines; (2) fund the Medical Assistance Program (including waiver programs); (3) fund other state programs that will advance the health, education, and general welfare of Wisconsin citizens. BE IT FURTHER RESOLVED That the undersigned organization will: • Inform its members and, if possible, the general public, of its endorsement of this Resolution; and • Inform the Governor and members of the Legislature of its endorsement of this Resolution, to the extent permitted by law, and urge its constituency to do so also. Dated this 13 day of May, 2005. Offered bv: St. Croix County Health and Human Services Board. PERSONNEL ISSUES No new position requests were received. Johnson announced the Family and Children's Supervisor position has been filled by Pat Haeny. Swenson asked if there were any other issues to bring before the Board. The Vice Chair declared the meeting adjourned. Time: 11:25 AM Chair: Attest: (Secretary)