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HomeMy WebLinkAboutHealth & Human Services 05-27-04 Revised 05/20/04 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: 05/27/04 TIME: 4:30 p.m. (Note time change) LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 06/11/04 ACTION ON PREVIOUS MINUTES: 05/14/04 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. 2005 -2009 Capital Outlay Plan 2. Action on Springsted Study Update NEW BUSINESS: 1. New and upgrade position requests for 2005 a. Social Worker -Long Term Support b. Social Worker - Family and Children's Unit C. Health Educator - Public Health 2. Headstart lease agreement renewal 3. Program Reports 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 May 27, 2004 The St. Croix County Health and Human Services Board met on May 27, 2004 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Lois Burri Thomas Caflisch Dr. Michael Kretz Ralph Swenson Esther Wentz MEMBERS ABSENT: Linda Luckey, late Stan Krueger, late Deb Rasmussen, absent STAFF PRESENT: John M. Borup, Health and Human Services Director Kathy Dunlap, Family and Children's Supervisor Fred Johnson, Family and Children's Supervisor Ron Kiesler, Mental Health /AODA Coordinator Barbara Nelson, Public Health Supervisor - Health Officer Carolyn Krieger, Nursing Home Administrator Ron Lockwood, Long Term Support Coordinator Mary Squyer, Economic Support Supervisor Kathy Leisch, Secretary OTHERS PRESENT: None Chair Dorsey called the meeting to order at 4:30 PM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for June 11, 2004 at 8:30 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 Caflisch, seconded by Kretz, and unanimously adopted: That the minutes of the 05/14/04 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENTS Borup stated things are busy with the Springsted activity, the Capital Outlay Plan and Budget activity for this year and 2005. The Nursing Home Construction Committee met last Wednesday and we are still within the 10% contingency. Borup stated there is a three to four week delay in the project due to late delivery of HVAV equipment. CAPITAL OUTLAY PLAN UPDATE Borup distributed updated capital outlay plans for the Nursing Home. Discussion held on various line items in the plan. Swenson asked if this was showing the most probable amount needed because if the Legislature sets its levy limits for 2006 and there is a shortage the Board will be forced to go with what is set in the Capital Outlay Plan. Dorsey stated that we should take another look before approving the plan. Swenson stated that Finance and the Board needs to have an accurate look at the cost of operating the Nursing Home on a year -to -year basis. If we show anything less than that, we are looking at raising issues down the road. Krieger stated she would like to discuss the issue again with her nursing St. Croix County Health and Human Services Board Page 2 May 27, 2004 staff so she is not missing anything in the nursing area. Krieger stated she would like to add the cost of two bathtubs for an approximate cost of $25,000. It was decided to table the final decision until the June 11 meeting and Krieger could give a more precise cost at that time. ACTION ON SPRINGSTED STUDY UPDATE Borup stated he had distributed the Springsted documents to the Board at the May 14 meeting. Borup stated there were a few minor changes and it was open to discussion about the mission, business responsibilities, etc. that was laid out by the Springsted group. Borup stated he was prepared to go through the changes with the Board. Discussion ensued and it was decided that if there were no substantial changes that the Board was ready to vote. Motion A motion was introduced by Swenson, seconded by Wentz, and unanimously adopted: That the Board move forward in the process to approve the capital outlay plans as presented and forward to the Finance Committee. NEW AND UPGRADE POSITION REQUESTS FOR 2005 Borup stated the new position requests for 2005 include: Social Worker —Long Term Support: Borup stated that Lockwood is withdrawing his request for an additional social worker to service the M.A. Children's Waiver Program. Borup stated they are looking at some unstable funds in the Long Term Support Unit. Lockwood stated that in reviewing the total picture for the Long Term Support Unit he is finding that expenses for serving other persons are causing an increase in demand for County dollars. Lockwood stated he needs to use his existing Social Work staff to provide for these additional responsibilities and to generate some savings in this program to finance the services in the total budget. Lockwood stated that basically we couldn't afford to expand our services at this time. Lockwood stated the workload with the elderly and physically disabled persons are going down, but younger clients moving into adulthood are costing more. Therefore there is some social work staff time being freed up. Lockwood said he had a meeting with his staff and they came up with some strategies to reallocate the workload. Social Worker — Family and Children's Unit: Borup stated this position is a coordinated Family Services Social Worker request. The intended outcome of this position is to reduce out -of -home placement costs. The Coordinated Family Services Social Worker will provide supportive activities that are individualized for each child and family enrolled in the program. The CFS Social Worker will facilitate the family team process. Each interagency family team identifies the unique strengths and needs of the child and family and then creates a plan of care outlining the services and activities necessary to meet the identified needs. It is the CFS Social Worker's responsibility to utilize the strengths of the child, family and community to meet the family's needs in a creative way. The CSF Social Worker will also be responsible for coordinating other services to the family including: respite care, mentoring, advocacy, to help with parenting skills, financial counseling, case management, chemical dependency treatment, and mental health services. We estimate the cost of this position (and ancillary costs) to be $96,750. We are pursuing a grant through Office of Justice Assistance in the amount of $87,955. The remaining $8,795 will be covered by billed services. No County cost is anticipated. Non -union pay range 7. Note: Per Diem costs for targeted youth range from $170 to $250 /day. St. Croix County Health and Human Services Board Page 3 May 27, 2004 Motion A motion was introduced by Wentz, seconded by Burri, and unanimously adopted: That the Board approve the Social Worker — Family and Children's Unit position contingent on grant monies and with a sunset clause provision. Health Educator — Public Health: The Health Educator position is currently an LTE position being funded totally by grant and consolidated contract dollars. The tobacco control specialist portion of the position had been jointly contracted with Pierce County Health Department since 2001. As the role and responsibility of Public Health in preparedness efforts expands, this position will have a major role in developing plans, initiating and coordinating activities, and providing training. The position is instrumental in delivering the essential public health services and addressing the health priorities established in the Healthiest Wisconsin 2010 (State health plan) as well as our local needs assessment. The Health Educator position is integral in the mission of Public Health: "To protect and promote the health of the people of St. Croix County ". Education is essential to implementing health promotion and prevention practices. The position is instrumental in delivering the "Essential Public Health Services" as well as addressing the health priorities established in the Healthiest Wisconsin 2010 (State health plan) and our recent local St. Croix County needs assessment. The tobacco control specialist portion of this position had been jointly contracted with Pierce County Health Department from 2001 until 2003. Starting in 2004, the Health Educator position is a 100% LTE and incorporates the tobacco control specialist duties. These responsibilities include: leadership of the countywide Tobacco Free Coalition; coordination/ implementation of the local tobacco control /prevention program (including Wisconsin Wins Program); and providing consultation and technical assistance to individuals, groups and the community on tobacco control /prevention initiatives. This position will have major involvement in developing plans, initiating and coordinating activities, and providing training. The preparedness duties, with guidance /assistance from the Western Region Partnership for Public Health Preparedness (WRPPHP) consortium staff include: update Strategic National Stockpile (SNS) plans; assist in development of Local Mass Clinic plans; update 24/7 agency phone tree information; engage with community partners to identify special needs populations for inclusion in consortium response plan; coordinate with and advise local department staff on plans and activities; monitor staff completion of mandated training; plan /implement annual department tabletop exercise. With major responsibilities in the preparedness and tobacco control/ prevention areas, this position is currently being funded totally from grant /consolidated contract and Wisconsin Wins dollars; no County tax levy dollars support it. Consolidated contract funding for both these initiatives is expected to be stable in 2005. Health educator services are also being utilized in other program areas for which non - County dollars are supporting the service. Request position to become permanent full -time. Non -union pay range 7. Discussion ensued with Caflisch stating he would like to see the position stay as an LTE rather than a permanent full -time position. Nelson stated they would get better applicants with the position becoming a permanent full -time position. St. Croix County Health and Human Services Board Page 4 May 27, 2004 Motion A motion was introduced by Kretz, seconded by Wentz, and adopted with Caflish voting no, That the Board approve the Health Educator — Public Health position contingent on grant monies and with a sunset clause provision. HEADSTART LEASE AGREEMENT RENEWAL Borup stated that Headstart —CESA #11 has been leasing space in the old gymnasium since 1996. Contract renewal comes due 07/01/04 through 06/30/05. Borup stated he has negotiated a $75.00 a month rent increase, putting rent at $1,050 per month or $12,600 per year. The contract we use today was originally approved by Corp Counsel (1996). Borup stated the only noted changes are dates and rent increases. Motion A motion was introduced by Wentz, seconded by Kretz, and unanimously adopted: That the Board approve to renew the Headstart lease agreement for 2004 -2005. It was noted that board members Luckey and Krueger arrived at the meeting at 5:50, late due to other County Board duties. Dorsey asked if there were any other issues to bring before the Board. Motion A motion was introduced by Kretz, seconded by Wentz, and unanimously adopted: that the meeting be adjourned. Time: 5:55 PM Chair: Attest: (Secretary) ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEARING May 27, 2004 The St. Croix County Health and Human Services Board conducted an "Open Hearing" on May 27, 2004, at St. Croix Industries in the small production area. MEMBERS PRESENT: Thomas Dorsey, Chair Lois Burri Dr. Michael Kretz Stan Krueger Linda Luckey Deb Rasmussen Ralph Swenson Esther Wentz John Borup called the Open Hearing to order at 6:00 PM noting that the meeting was properly and legally publicized. Borup welcomed everyone to the hearing. He invited everyone to speak and asked that they sign the sign -in sheet. Borup introduced the committee members present. Borup gave special thanks for everyone attending tonight. Borup stated we hold an Open Hearing annually and we listen to all the concerns, complaints and input from all. Borup stated there is a difficult year ahead. The County Board will be giving us our direction in mid -June and then we will do the budget and have in final form to present to the Health & Human Services Board in late August. It will then be forwarded to the Finance Committee in September and in late October it will be forwarded to the County Board. Borup introduced County Board member Roger Rebholz and welcomed him to the meeting. Borup stated that Economic Support cases have doubled in the last 2 years with MA benefits increased by $7.5 million dollars. Borup stated MH /AODA has had a dramatic increase in cases. Borup stated that Long Term Support cases continue to increase with caseload demands of 640 clients in the community; the majority would require institutional care without these services. Borup stated Public Health has a new position request for next year that would not require any County dollars. Borup stated Family & Children's caseload continues to grow. Intake for the first part of 2004 is up 70 from last year. Borup introduced staff: Ron Lockwood, Long Term Support Supervisor Barbara Nelson, Public Health Supervisor- Health Officer Ron Eichstaedt, Director, St. Croix Industries Fred Johnson, Family & Children's Supervisor Kathy Dunlap, Family & Children's Supervisor Mary Squyer, Economic Support Supervisor Norma Vrieze, Early Intervention Director Carolyn L. Krieger, Nursing Home Administrator Ron Kiesler MN /AODA Coordinator Kathy Leisch, Secretary Letters were read from those who could not attend or did not wish to speak. See attachments in minute book. Borup invited all those who wished to speak to do so. Margie Miller distributed a handout to Board members and gave testimony in regards to her daughter with Down's Syndrome. She expressed concern that her 1 daughter is number 32 on the waiting list for the CIP program and has been on the waiting list since she was 12 years old. She is concerned because her daughter will need supervision to be able to move to a group home versus an institution and the funding will not be available for her. She said it is very difficult to ask people for money that she doesn't know but she needs the money so her daughter can move out on her own. She feels there is a need for more CIP funding or to get the waiting list moving somehow. She asked the Board to keep her daughter in mind when they make their decision on the 2005 budget. Borup thanked everyone for all the written and verbal testimonies and asked if there was anyone who would like to make a comment. Borup stated that on behalf of the Board we appreciate everyone for coming to the Open Hearing and that we are pleased to serve St. Croix County. Hearing adjourned at 6:55 PM. Chairman: Attest: Secretary 2