Loading...
HomeMy WebLinkAboutHealth & Human Services 11-12-04 x RALPH SWENSON 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 (John Borup, 246 -8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 11/12/04 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: 12/10/04 (tentative 11/23/04) ACTION ON PREVIOUS MINUTES: 10/08/04 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Resolution to make County properties and grounds tobacco free 2. Updates to 2005 Health and Human Services /Nursing Home Budgets NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report a. 2003 Department prior year carryover 3. Action on bids for Nursing Home generator 9:00 AM 4. Program Reports a. Long Term Support b. Public Health C. Nursing Home d. Mental Health /AODA 5. Personnel Issues 6. Department collections policy updates 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 ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD November 12, 2004 The St. Croix County Health and Human Services Board met on November 12, 2004 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Lois Burri Stan Krueger Linda Luckey Deb Rasmussen Ralph Swenson Esther Wentz MEMBERS ABSENT: Tom Caflisch, excused Dr. Michael Kretz, excused STAFF PRESENT: John M. Borup, Health and Human Services Director Judy Ziegler, Accounting Supervisor Carolyn L. Krieger, Nursing Home Administrator Ron Kiesler, Mental Health /AODA Coordinator Steve Kirt, Mental Health /AODA Clinical Services Supervisor Ron Lockwood, Long Term Support Coordinator Barbara Nelson, Public Health Supervisor - Health Officer Ralph Robole, Facilities Manager Malva Berg, Secretary OTHERS PRESENT: Courtney Watters, Nursing Home Social Work Intern 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, December 10, 2004 at 8:30 AM. Krueger 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 Luckey, seconded by Burri, and adopted with Swenson voting nay: That the minutes of the 10/08/04 Health and Human Services Board meeting be approved with a change on page 11, paragraph one, sentence five to eliminate the word discreet. ANNOUNCEMENTS Borup announced that notices regarding cross training were included in Board packets. The training will be held on December 8. Board members were requested to contact Borup if they plan to attend. RESOLUTION TO MAKE COUNTY PROPERTIES AND GROUNDS TOBACCO FREE Borup has communicated with County department heads regarding the 1992 resolution and shared that information with Board members. Questions did arise about enforcement of the resolution. Three separate possible resolutions were given to the Board for review. NOW, THEREFORE, BE IT RESOLVED, that the St. Croix County Board of Supervisors directs that tobacco use is prohibited in county buildings, on St. Croix County Health and Human Services Board Page 2 November 12, 2004 the grounds and in county owned vehicles, excluding the fairgrounds and designated areas which are to be located a minimum of 50 feet from county owned buildings, or NOW, THEREFORE, BE IT RESOLVED, that the St. Croix County Board of Supervisors directs that tobacco use is prohibited in county buildings, on the grounds and in county owned vehicles, excluding the fairgrounds and areas designated by the local facilities governing committee, or NOW, THEREFORE, BE IT RESOLVED, that the St. Croix County Board of Supervisors directs that tobacco use is prohibited in county buildings, on the grounds and in county owned vehicles, excluding the fairgrounds and designated tobacco -use areas. Concerns were raised about park grounds. Heise indicated the resolution would be difficult to enforce on the park grounds and was mainly concerned about the buildings. The 1992 resolution excluded the highway department. Krieger stated the Nursing Home has to provide a designated place for residents to smoke. The place designated now is the covered patio outside first floor. This area would be less than 50 feet from the building. She said the facility went smoke -free January 1, 2004. New admissions are made aware of the smoke -free policy. Luckey suggested revising the policy to read smoking would only be allowed in areas defined by the building administrator and the building administrator title shall be for the purpose of this resolution only. Swenson said this resolution also addresses chewing. Borup said it also attempts removing smoking from the main entrances. Nelson explained that whatever resolution is chosen, there is going to be a transition time. Borup indicated he supported the second resolution with a change to add a building administrator. It was also suggested that designated areas be located a minimum of 25 feet from county owned buildings. Rasmussen questioned if the County offered smoking cessation classes. Nelson said classes are available through the hospitals and that Public Health has provided them but not on a regular basis. If the interest was there, these could be made available. Nelson stated that free patches have been made available and that some county employees took advantage of this offering. It was suggested smoking cessation classes be made a condition of employment. It was clarified the proposed resolution replaces the previous resolution entirely. Nelson suggested Tobacco Control Prevention Funds could be used for signage after the resolution is determined. The Board requested a resolution be drafted from suggestions made today and the draft resolution be forwarded to all County Department Heads with a comment requested back before the 12/10/04 Health and Human Services Board meeting. REQUEST TO ISSUE BIDS FOR NURSING HOME GENERATOR Four bids were received for the Nursing Home generator. Cost estimates were pushed into the high $70,000's due to a revision needed to replace two 600 AMP panels with one 1200 AMP panel. Motion A motion was introduced by Wentz, seconded by Krueger, and unanimously adopted: that the Board accepts the bid from Simon Electric in the amount of $74,800. UPDATES ON 2005 HEALTH AND HUMAN SERVICES /NURSING HOME BUDGETS An updated copy of the Health and Human Services /Nursing Home budget reflecting t St. Croix County Health and Human Services Board Page 3 November 12, 2004 insurance changes on the County levy was distributed to the Board. Approximately $115,000 was cut due to insurance changes. CONSIDERATION OF CLAIMS The following reports were distributed to the Board: October fixed asset report, October cash report, September and October unemployment report and September financial report. Health and Human Services Board member, Swenson, reviewed the vouchers; the following vouchers were pulled for discussion: HUMAN SERVICES: 33878: Pyle Center, $480.00, staff development. Registration fees for two Mental Health counselors to attend a training session at UW Madison. 33833: REM Wisconsin III, Inc. $97,497.51, Long Term Support purchased services. Portion of the REM Wisconsin III check for CIP -IB clients. This organization provides supervised living arrangements for CIP -IB clients. 33849 Teddybear Playground, $305.00. Day care services. Cost to send a disabled child (a CIP -IB client) to day services at the day care center. 33868 Boulevard, The, $4,177.00, Long Term Support client expense. Cost of a step -in tub with whirlpool heater for a CIP -IA client. This cost will be reimbursed to the County by the CIP -IA waiver program. 33844: St. Croix County Sheriff's Department, $460.18, Public Health gasoline. Health and Human Services keeps a Public Health car at the Government Center in Hudson for staff use. We have a key to get gas from the Sheriff's Department and are billed for what we use. 33914: S &C Bank, $1,000.00, Public Health - Wisconsin Wins. Staff was taking a group of young people out to see if businesses throughout the County were carding to make sure cigarettes weren't sold to anyone under 18. Some of the money is used to purchase the cigarettes if the person isn't carded. If the clerk refuses to sell cigarettes, they are given a small gift certificate. 33928: Corporate Express, $615.98, office supplies. General office supplies for administration. 33957: Mittelstadt, Alicia, $600.00. Long Term Support purchased services. She provides services to an autistic child under the new autism waiver for 2004. 34053: Northwest Passage, LTD, $5,850.00, YA CCI purchased services. Cost of care for one youth in a childcare institution for one month. 34265- 34267: T. J. Tollen, $8,025.00, Long Term Support purchased services. The question was: Why are there ten entries made to issue a check for $8,025.00. We are required to enter each invoice and amount separately in the system. The computer is able to gather all the invoices for each payee and issue one check. 35835: T- Mobile, $183.66, phone expense. The monthly cell phone bill was higher than usual because it included the purchase of cell phones. The phones will be free but the rebate will not be reflected until next month. NURSING HOME: r i c St. Croix County Health and Human Services Board ' Page 4 November 12, 2004 33750: Major moveable equipment, $6,535.82, scale. The Nursing Home used donated funds from the United Way to purchase a tub lift with scale for use by the residents. Motion A motion was introduced by Wentz, seconded by Luckey, 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 33748 through 33866, dated October 14, 2004 in the amount of $217,960.26. Human Services and Nursing Home vouchers 33867 through 33887, dated October 14, 2004 in the amount of $14,196.26. Human Services voucher 33747, dated October 14, 2004 in the amount of $1,320.00. Human Services and Nursing Home vouchers 33915 through 34046, dated October 20, 2004 in the amount of $121,172.36. Human Services vouchers 33913 through 33914, dated October 20, 2004 in the amount of $1,658.09. Human Services vouchers 34047 through 34053, dated October 20, 2004 in the amount of $46,507.00. Human Services and Nursing Home vouchers 34190 through 34287, dated October 27, 2004 in the amount of $300,960.16. Human Services and Nursing Home vouchers 34425 through 34480, dated November 03, 2004 in the amount of $161,166.85. Human Services and Nursing Home vouchers 34712 through 34735, dated November 08, 2004 in the amount of $39,220.25. Human Services vouchers 35695 through 35883, dated November 11, 2004 in the amount of $121,233.03. Human Services vouchers 35508 through 35694, dated November 11, 2004 in the amount of $217,855.11. Nursing Home vouchers 35884 through 35946, dated November 11, 2004 in the amount of $51,802.09. Human Services, Workshop, Public Health, Social Services vouchers 615 through 645, dated October 19, 2004 in the amount of $348,723.11. Human Services, Workshop, Public Health, Social Services vouchers 646 through 678, dated November 02, 2004 in the amount of $351,030.16. Human Services and Nursing Home vouchers 652 through 683, dated October 19, 2004 in the amount of $172,041.20. Human Services and Nursing Home vouchers 684 through 715, dated November 02, 2004 in the amount of $173,865.43. FINANCIAL REPORTS The following financial reports through September were distributed to the Board. Ziegler noted the Nursing Home report excludes some IGT funds that will be received in December. The Mental Health Outpatient St. Croix County Health and Human Services Board Page 5 November 12, 2004 collections will probably not meet the financial goal and may have a deficit of approximately $90,000 at year -end. More and more clients have less ability to pay. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/04 THROUGH 09/30/04 NURSING HOME S. T.MB.R $818,686.28 Cash Balance 09/30/04 Add: $328,620.51 Accounts Receivable 09/30/04 ($230,988.80) Account Payable 09/30/04 $916,317.99 Net Current Items 09/30/04 2004 Revenue Recorded through 09/30/'04 $4,189,729.60 Includes Allocations of Anticipated Revenues 2004 Expenses Recorded through 09/30/04 $4,224,063.98 Includes Allocations of Expected Expenses Excess Revenues over Expenses ($34,334.38) St. Croix County Health and Human Services Board Page 6 November 12, 2004 HEALTH AND HUMAN SERVICES 2004 SUMMARY Total OF REVENUES Jan.- Sept. Budget Balance % Administration 668,717.53 673,534.97 204,817.44 76.6% AODA Services 351,320.50 469,152.15 117,831.65 74.9% Long Term Support 11,822,421.18 14,616,574.52 2,794,153.34 80.9% Mental Health 1,863,994.64 2,745,667.40 881,672.76 67.9% Family & Children's 2,064,695.26 2,844,524.50 779,829.22 72.6% Public Health 1,142,677.22 1,420,079.06 277,401.84 80.5% Economic Support 711,422.45 957,504.85 246,082.40 74.3% General Relief 1,608.29 19,212.68 17,604.39 8.4% REVENUES HUMAN SERVICES PROGRAMS 18.626- 857.09 23 946 25n 13 g 3t9 393-04 77 -8% SUMMARY Total OF EXPENDITURES Jan.- Sept. Budget Balance % Administration 655,489.17 873,534.97 218,045.80 75.0% Alcohol -Drug Abuse 358,813.55 469,152.15 110,338.60 76.5% Long Term Support 11,638,829.89 * 14,616,574.52 2,977,744.63 79.6% Mental Health 1,920,157.11 2,745,667.40 825,510.29 69.9% Family & Children's 2,159,763.12 * 2,844,524.50 684,761.38 75.9% Public Health 1,041,769.32 1,420,079.06 378,309.74 73.4% Economic Support 711,178.14 957,504.85 246,326.71 74.3% General Relief 10,627.59 19,212.68 8,585.09 55.3% EXPENDITURES HUMAN SERVICES PROGRAMS 18,496,627.89 23,946,250.13 5,449,622.24 77.2% Excess Rev over Expenses 130.229.20 To be on budget, percentage should be 75.0. St. Croix County Health and Human Services Board Page 7 November 12, 2004 ST CROIX HEALTH CENTER OPERATIONS REPORT JANUARY THROUGH SEPTEMBER JAN -SEPT 2004 BUDGET ACTUAL DIFFERENCE % CENSUS ._. 70.5 70.78 -0.28 100.4% OPERATING REVENUE: MEDICARE $ 1,226,972.00 $ 551,515.30 $ 675,456.70 44.9° MEDICAID $ 2,135,804.00 $ 1,938,819.33 $ 196,984.67 90.8% .PRIVATE PAY $ 1,074,462.00 $ 572,079.50 $ 502,382.50 53.2% ALL OTHER SOURCES $ 6,706.00 $ 22,837.47 $ (16,131.47) 340.6 TOTAL OPERATING REVENUE $ 4,443,944.00 $ 3,085,251.60 $ 1,358,692.40 69.4% 'OPERATING EXPENSES: DAILY PATIENT SRVICES $ 3,607,369.85 $ 2,538,375.21 $ 1,069,014.64 70.4% SPECIAL SERVICES $ 267,452.94 $ 191,261.61 $ 76,191.33 , 11.5%, GENERAL SERVICES $ 1,173,975.87 $ 784,181.80 $ 389,794.07 66.8% 'ADMINISTRATIVE SERVICES $ 501,036.96 $ 369,724.92 $ 131,312.04 73.8%: UNASSIGNED: DEPRECIATION(' °BASED) $ 178,000.00 $ 133,497.00 $ 44,503.00. 75.0%1 :OTHERS $ 302,423.05 $ 207,023.44 $ 95,399.61 68.5 °I, TOTAL OPERATING EXPENSES $ 6,030,278.67 $ 4,224,063.98 $ 1,806,214.69 70.0 % ,NET FROM OPERATIONS $ (1,138,812.38) .NON- OPERATING ITEMS: j REVENUE FROM RATE APPEALS $ 17,650.00 $ 13,239.00 $ 4,411.00 75.0 °' IGT FUNDS ( %BASED) $ 639,500.00 $ 479,626.00 $ 159,874.00. 75.0% CO ALLOCATIONS( %BASED) $ 815,480.00 $ 611,613.00 $ 203,867.00 75.0% TOTAL NON - OPERATING ITEMS $ 1,472,630.00 $ 1,104,478.00 $ 368,152.00 76.0% NET FROM ALL SOURCES $ (34,334.38) `PERCENTAGE SHOULD BE 75 , FUND BALANCE 01101 /04 $ 1,911,092.35 OPERATIONS $ (34,334.38) :FUND BALANCE END OF PERIOD $ 1,876,757.97 The Board recessed from 10:00 to 10:05. 2003 DEPARTMENT PRIOR YEAR CARRYOVER Borup reminded the Board of the fact that due to unexpectedly high out -of -home (inpatient and foster care costs) the 2003 year end expenditures don't allow a carryover of $200,000 as planned into 2004. Swenson suggested continuing as is and to keep the Board aware of fund balances. It was suggested to wait for the completion of the audit to take any action. The audit will probably occur in March, April or May prior to receiving the last of the funds for the MA Waiver Program. LONG TERM SUPPORT Lockwood said one grievance has been received due to the consolidation of services and he warned the Board that grievances may X St. Croix County Health and Human Services Board Page 8 November 12, 2004 continue. Lockwood said unit costs for cost of care are too high to continue as is. Swenson reviewed the vouchers this month and questioned why the Department was paying for activities such as Curves for LTS clients. Lockwood explained that most clients pay out of their own pocket but that most of their income goes for room and board. If a physician recommends a client lose weight, efforts are made to try to get the person integrated into community options. The State encourages the most integrated means of these activities. Lockwood updated the Board on the downsizing of Northern Center. He said three persons have been moved into the community but four remain at Northern Center. It is possible that all but two clients will be placed by the end of the year. Permission is being sought from the State to delay the move for one person into January; the State's deadline for closing is December 31. Efforts to find appropriate placement for one client who is extremely medically fragile have been unsuccessful. Assistance is being requested from the State to help find appropriate placement. The Intermediate Care Facility for the Mentally Retarded (ICFMR) Restructuring Program is effective 01/01/2005, but most residents will continue to reside in nursing home settings. St. Croix County is responsible for ten clients with mental retardation with a nursing home level of care. These residents need active treatment and the County is responsible for cost of care of these clients effective 01/01/2005 within the allocation established by the State. Lockwood said these clients will be returned to community living situations only when it is in their best interest and if the guardians are fully supporting the move. Lockwood shared information regarding a possible Aging and Disability Resource Center. The RFP for the resource center if awarded would grant $55,000 start up funds and $200,000 per year of State and Federal monies to maintain the center. The center would provide the general public who have long term health care needs one place in the county to go to get resources to get more of those needs met. It could possibly prevent premature entry into a nursing home to prevent Medicaid payment in the nursing home. The resource center would be a central entry point for the organization. The Department on Aging, Long Term Support and family members from the community would coordinate to provide counseling on long -term care. Lockwood indicated a County Board resolution will be needed to have Department on Aging and Long Term Support work together for integrated application for the resource center. The benefits specialist would be located in the Department of Aging. The Department on Aging was going to be the lead on this program; however, Sandy Gehrman announced her retirement and Lockwood recommends that Long Term Support now be the lead. Lockwood indicated there are enough resources in the Department on Aging now to match the required $75,000 by the County. These monies can be in -kind contributions, it does not have to be county money, only services related to this program. A resolution will be brought to the Health and Human Services Board on December 10, then brought to the full County Board on December 14. The RFP is due to the State the first week of January. The Board requested the resolution include a sunset provision that if the State /Federal funding goes away, the program will end. Rasmussen left the meeting at 10:30. St. Croix County Health and Human Services Board Page 9 November 12, 2004 Wentz expressed it would be wonderful to have a one -stop resource center. Lockwood said the resource center may reduce costs so more people on the waiting list may be served. Motion A motion was introduced by Wentz, seconded by Burri and unanimously adopted: That the Board allow Ron Lockwood to pursue the Aging and Disability Resource Center grant as this is a worthwhile opportunity for this county. NURSING HOME Krieger stated the census is 71. Krieger distributed AFSCME counsel minutes in preparation of the December joint meeting with Personnel. The nursing home is a different entity from the Sheriff's department, etc. Luckey recommended this report also be forwarded to the Personnel committee before the joint meeting. Swenson said it would be helpful to have a summary report for the Health and Human Services Board and Personnel Committee. Krieger said in October the average monthly referrals was 16.3, average monthly admissions was 3.8 and average monthly declines for the past year was 12.5. Krieger is attempting to renegotiate some vendor contracts in areas that may be beneficial such as therapies and pharmacy. Krieger distributed a worksheet of costs for furnishings for the new dining room. The total spent so far is $13,255.33. Krieger indicated approximately $3,643 worth of equipment is still needed for the new dining room. She said $285,395 was budgeted for the remodeling project and $246,995 has been spent so far. Staff assumed everything needed to complete the project was included in the work and cost estimates when the final bid was submitted and Ayres is aware of our dissatisfaction with their cost estimates. Krieger said we have a statement of completion for the nursing home dining room. Krieger said nothing has come through from the contractor regarding the fine issued during construction for the nursing home not meeting state code for construction. Vonasek and Schieffer has been paid in full and owe the nursing home reimbursement of the fine amount. Swenson questioned why the contractor was paid in full. Swenson questioned if we have received the final bill from the contractor. Dorsey questioned if the items on the list were all that was needed for equipment for the nursing home. Krieger indicated the chairs were removed from the 2005 capital outlay plan. Swenson suggested tabling the request until December meeting to see if we have received all bills from the contractor. Wentz recommended invoicing the company for the fine amount and have a conversation with Corporation Counsel regarding the bill. Krieger indicated she would contact Corporation Counsel regarding payment of the fine by Vonasek. Motion A motion was introduced by Wentz, seconded by Burri, and passed with Swenson and Krueger voting no, That the Board approves paying the amounts requested for remodeling furnishings from what is left of the remodeling funds. Motion A motion was introduced by Dorsey, seconded by Burri, and passed with Swenson and Krueger voting no, That the above motion be amended to also approve purchasing the chairs requested with the remaining remodeling funds. MENTAL HEALTHIAODA PROGRAM REPORT Kiesler said the Mental Health budget is doing better this year in the areas of State institution days and IMD days than in 2004. He projects there will be an approximate $68,650 deficit this year. The books will be closed in March, 2005 so some catch -up is possible. He said there has been a 75% increase in indigent and non - insured clients, so St. Croix County Health and Human Services Board Page 10 November 12, 2004 there is increased cost to the county due to most if not all of these clients being on a sliding fee scale where the maximum monthly charge is $25.00 /month. Kirt attended a Coordinated Community Response to Methamphetamine Production, Distribution, Use, and Addiction meeting initiated by Kitty Rhoades and Nancy Murphy from Hudson Hospital. Many key members of the community attended including judges, district attorneys, sheriff's department representatives, health and human services and treatment providers. The goal of the meeting was to develop a coordinated effort to combat the growing methamphetamine problem in Pierce, Polk and St. Croix counties. Five committees were formed from this meeting: DEC /Emergency Care, Law Enforcement /Environmental, Prevention /Community Awareness, Human Services /Treatment, and Policy /Legislation. Kirt reported a State total of 409 arrests for met, 67 of those were in St. Croix County, which puts St. Croix County at about one - sixth of the meth arrests in Wisconsin. He said if you add in Pierce and Polk County to St. Croix County, it accounts for about one -third of the arrests for meth in the state. Tom Dorsey stated he heard that there was an ingredient that could be added to anhydrous ammonia that would prevent it from being used in the production of methamphetamine. Kirt stated that while that is true there are other methods to produce it. The only ingredient that is necessary in any methamphetamine production process is Sudafed or ephedrine. Therefore, if they were regulated, it would get rid of the ability to make meth but this would take aggressive action by the State, who is aware of the issue. PUBLIC HEALTH Nelson reported Pertussis has made a come back with six positive cases reported in St. Croix County. Even though this is a small number of cases, it demands a great deal of time in doing case and contact follow -up and added surveillance activities. The school nurses have been a great asset and have provided a significant amount of investigation assistance. Nelson said there have been no positive cases of influenza in St. Croix County but there have been four reported cases in the State. She reported the flu vaccine shortage has been less in St. Croix County than in other parts of the state. Public Health has been assisting in the reallocation of vaccine to agencies in need. Nelson said TB is not a current communicable disease issue in the county. She said that the TB Dispensary proposal was approved by the State. Public Health was approved to bill for 2003 -2004 TB services provided and for 2004- 2005 that may be incurred. The WIC caseload has increased. Funding has been for 814 clients and we currently have 866. The funding was temporarily increased until the end of the year to 868 and will go back to 814 in January, 2005. Nelson has not agreed to a caseload of 814 in 2005 unless we allowed to use a waiting list. Nelson reported there was a Preparedness Consortium exercise where cases of smallpox were the scenario used. Representatives from St. Croix Central School, American Red Cross, Emergency Management, LEPC, Holy Family Hospital and Public Health were present. PERSONNEL There will be a joint session with the Personnel Committee at the December lo meeting with a closed session due to negotiations. Tim Markgraf has been hired as a Family and Children's social worker. a . w r St. Croix County Health and Human Services Board Page 11 November 12, 2004 Judy Ziegler announced her retirement effective 01/05/05. Borup stated that the recruitment process has begun. DEPARTMENT COLLECTION POLICY UPDATE When a minor child receives outpatient services, the parent requesting these services will be billed. The requesting parent will be solely responsible for reimbursing the costs of outpatient services but an exception may be made if a court order is presented that the other parent is responsible for services. Motion A motion was introduced by Wentz, seconded by Krueger, and unanimously adopted: That the Board approves the changes in the minor clients and parental liability policy and procedure as presented to the Board. Dorsey asked if there were any other issues to bring before the Board. Motion A motion was introduced by Wentz, seconded by Swenson, and unanimously adopted: that the meeting be adjourned. Time: 11:35 PM Chair: Attest: (Secretary)