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HomeMy WebLinkAboutHealth & Human Services 05-18-11 Marzolf will review vouchers. NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD DATE AND TIME: May 18, 2011 at 8:30 LOCATION.• (Board Room, St Croix County DHHS Building, 1445 N. Fourth Street, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 04/20/11 DATE OF NEXT MEETING — 06/15/11 at 4:00 p.m. OLD AND NEW BUSINESS 1. Election of Officers 2. Consideration of Claims and Vouchers and appoint member to review vouchers at next meeting 3. Financial Report a. Monthly financial report for Nursing Home and Health and Human Services b. aged receivable report c. Fiscal transition planning update 4. Nursing Home Administrator's Report 5. Permanent waiver request for HVAC improvements 6. Loading dock construction 7. Nursing Home Private Pay Rates Review 8. Schedule open hearing on the 2012 budget 9. Review May 12 Committee of the Whole Discussion 10. * *St. Croix County Nursing Home Cost Analysis 11. Resolution on recommended business model for the St. Croix County Health Center 12. Income Maintenance Consortia Model 13. Increase DHHS Agent fees 4% for fiscal year 07/01/2011 - 06/30/2012 14. Family Care Audit 15. Personnel Issues a. New employees /vacancies 16. Possible agenda items for next meeting NOTE: A quorum of the St. Croix County Board of Supervisors (County Board) may be present at this meeting. Therefore, this notice also serves as notice of a meeting of the County Board for the purpose of obtaining information relating to subjects listed above for use at future County Board meetings. ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 5/13/2011 11:38 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 18, 2011 The St. Croix County Health and Human Services Board met on May 18, 2011 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Leon Berenschot Frederick Horne Roger Larson Linda Luckey Richard Marzolf Dr. Lisa Ramsay Deb Rasmussen Alfred Schrank STAFF PRESENT: Fred Johnson, Health and Human Services Director Frank Robinson, Nursing Home Administrator Wendy Kramer, Public Health Officer/Public Health Coordinator Laurie Diaby - Gassama, Public Health Sanitarian Ronda Brown Anderson, Economic Support Supervisor Cheryl Brickner, Lead Worker, Economic Support Clark Schroeder, St. Croix Industries Director Malva Sirek, Clerical Supervisor OTHERS PRESENT: Michelle Pietrick, Finance Director Tammy Funk, Human Resource Coordinator Art Tobin, Building Services Director Kim Dupre, Information Systems Analyst Pam Benson Pam Vruwink Katie Korbel Norm Matzek Ted Mackmiller Jeff Holmquist, New Richmond News Chair Wentz 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 Wednesday, June 15, 2011 at 4:00 PM with the Open Budget Hearing following at 6:00 PM. Schrank will review vouchers. St. Croix County Health and Human Services Board Page 2 May 18, 2011 AGENDA Motion A motion was introduced by Berenschot, seconded by Schrank, and unanimously adopted: That the agenda be approved as distributed. MINUTES Motion A motion was introduced by Berenschot, seconded by Schrank, and unanimously adopted: That the minutes of the 04/20/11 Health and Human Services Board meeting be approved with the following change: Page 5, paragraph 5, should read as follows with the change noted in italics: Motion A motion was introduced by Marzolf, seconded by Schrank, and adopted with Berenschot voting no: That the Board accepts the settlement offered by Child Support for principle only of $22,000 and writing off $22,500 interest. ELECTION OF OFFICERS Wentz turned the meeting over to Vice Chair Larson. Larson asked for nominations for Chair. Schrank nominated Wentz, seconded by Marzolf Larson called for other nominations three times. Motion A motion was introduced by Schrank, seconded by Marzolf, and unanimously adopted: To close the nominations and cast a unanimous ballot for Wentz as Chair. Wentz resumed as Chair of the meeting. Wentz requested nominations for Vice Chair. Horne nominated Larson, seconded by Rasmussen. Wentz called for other nominations three times. Motion A motion was introduced by Schrank, seconded by Berenschot, and unanimously adopted: To close the nominations and cast a unanimous ballot for Larson as Vice Chair. Wentz asked for nominations for Secretary. Luckey nominated Rasmussen, seconded by Berenschot. Wentz called for other nominations three times. Motion A motion was introduced by Schrank, seconded by Marzolf, and unanimously adopted: To close the nominations and cast a unanimous ballot for Rasmussen as Secretary. CONSIDERATION OF CLAIMS All check registers for April for funds 205, 225, 230, 600 and 625 were reviewed by Health and Human Services (HHS) Board member Marzolf. All questions were answered satisfactorily. Motion A motion was introduced by Marzolf, seconded by Larson, and unanimously adopted: To approve the April vouchers. NURSING HOME ADMINISTRATOR'S REPORT Robinson said the average monthly census for April was 58, with 4 Medicare, 36 Medicaid, 16 private pay, and 1 Family Care resident. The Medicare average daily rate paid was $569.84 for April compared to the budgeted amount of $485.00. Robinson said it has been 13 months since the annual survey, which is done every nine to fifteen months. Staff anticipates the annual survey anytime. Robinson reported a successful Mother's Day Tea for residents and families with over 300 people attending. Robinson also reported the Nursing Home Prom was last weekend with over 200 people in attendance. Pictures were taken and are given to family members. St. Croix County Health and Human Services Board Page 3 May 18, 2011 The Medicare census in the Nursing Home rebounded in May with a current Medicare census of 10. The Nursing Home continues to market the facility on WIXK radio. A booth representing the Nursing Home will be at the May 25 Health Fair at the aquatic center. PERMANENT WAIVER REQUEST FOR HVAC M'ROVEMENTS Last year the Nursing Home received a violation for airflow issues in the basement of the Nursing Home. Staff is still waiting on a request submitted for a waiver for the K -tag violation. The State changed specifications on the return air plenum for the HVAC system. Staff is working with SEH to get a waiver on this issue and have been on contact with the State engineer. It looks favorable that the Nursing Home will receive the waiver, which will be a renewable waiver for each year. LOADING DOCK CONSTRUCTION A contract was award to get this work done and security background checks are being done. It is hoped the work will be done by the end of July. Everything has been ordered that is needed for the project so materials will be in place when contractors are ready to start work. A meeting will be held every Wednesday to update the status of the project. Bids for the water heater are going out tomorrow with a close date for bidding of 05/27/2011. The current tank cannot be replaced or repaired due to age and parts no longer being available. The plan is to replace with a plate heater with hopes to lower utility costs. There will also be redundancy in the water heating system. Staff are monitoring the boilers every shift daily with the hope that the current system continues to operate as is until the new system is installed. NURSING HOME PRIVATE PAY RATES REVIEW Johnson reported the County is not subsidizing private pay rates based upon 2009 audit report. Johnson indicated he is not recommending any additional increases in private pay rates at this time. St. Croix Health Center has the highest private pay rates in the area. It was the consensus of the Board to revisit the private pay rates again in another six months. At this point the higher private pay rates do not appear to have had a negative impact on the Nursing Home census. The quality of care provided at the Nursing Home and the 5 -Star rating speak highly of the Nursing Home. The Nursing Home has experienced lower than budgeted census for private pay clients; however, all census numbers are lower than budgeted. Johnson indicated he receives a vacant bed report monthly which shows the empty available nursing home beds in the county. Johnson offered to share the report with Board members monthly. One variable that is impacting the Nursing Home's census is Family Care. SCHEDULE OPEN HEARING ON THE 2012 BUDGET The annual Open Hearing on the 2012 Budget will be held at 6:00 PM on 06/15/2011. REVIEW MAY 12 COMMITTEE OF THE WHOLE DISCUSSION Johnson reported that Corporation Counsel Timmerman is working on pulling together information on mandates. Johnson reported that just because a service is mandated, it is not necessarily required that the St. Croix County Health and Human Services Board Page 4 May 18, 2011 County provides the services and it is likely that this will be part of the review completed by Corporation Counsel. Health and Human Services have done a preliminary review of services and will further evaluate based upon the assessment from Timmerman. Marzolf recommended reviewing the Ozaukee County website for their report on mandated services. ST. CROIX COUNTY NURSING HOME COST ANALYSIS Two additional budget planning scenarios were created by LarsonAllen. One scenario reflects 72 bed nursing home with 48 bed assisted living and the other is a 72 bed nursing home with 48 bed assisted living with reduced levy. The assumptions remained the same as previous scenarios. Wentz said letters of support for the Nursing Home have been received from area township boards of Somerset, Stanton and Richmond. Wentz said our motto is "service is our purpose" and it is a priority to take care of our own and the St. Croix Health Center serves as a model for other nursing homes. RESOLUTION ON RECOMMENDED BUSINESS MODEL FOR THE ST. CROIX COUNTY HEALTH CENTER A draft form of the resolution was presented to the Board. Blanks were left for the number of beds for Nursing Home and Assisted Living. Corporation Counsel has reviewed the resolution. Johnson said the 50 -bed option is reasonable as the Nursing Home will receive additional revenue per bed for a facility of 50 -beds or less. If 90% of the rooms are private rooms, reimbursement is an additional $2 /day. Market study indicates there is a market for more assisted living beds in this area. Brian Schoeneck has indicated the moratorium is still in place regarding additional nursing home beds. Beds may be transferred within a geographic area, but no new licensed beds will be issued. Some of the nursing home beds could be sold. The St. Croix Health Center census has fluctuated from 57 to 64. Robinson indicated there are some residents in the Nursing Home now that could qualify for assisted living. If a new one level facility is built, there would also be an additional $500,000 one time savings realized. If a new Nursing Home was built, the current Nursing Home building could address the need for Health and Human Services to have a different space and could continue with one campus. This would allow for the continued support of psychiatry and behavioral health services on campus. If an Assisted Living facility was built, it would target the lower income residents. Phase III of the Building Facilities Planning Process should be completed by December, 2011. Negotiations with the union will be taking place. The Administration Committee is looking for more details and may discuss at the May 25, 2011 meeting. Pietrick reported there may be more information on the Governor's budget by the August meeting. The Board recessed from 9:44 — 9:52 AM. It was the consensus of the committee to submit the resolution with the scenario of 50 -bed nursing home and 48 -bed assisted living. Motion A motion was introduced by Schrank, seconded by Berenschot, and adopted with Luckey voting no, That the Board approves to include the Resolution Regarding Health Center Business St. Croix County Health and Human Services Board Page 5 May 18, 2011 Plan with a 50 -bed nursing home and 48 -bed assisted living in the County Board's June packet and to finalize at the August County Board meeting. Luckey indicated the Board is going forward without making any progress on negotiations. Wentz indicated the hope is to have more information regarding an update from the Negotiation Committee by July and the budget by the August meeting. In the future, all resolutions must include fiscal impact, human resource impact and legal impact. Motion A motion was introduced by Berenschot, seconded by Schrank, and adopted with Luckey voting no, That the Board approves the following resolution: RESOLUTION REGARDING HEALTH CENTER BUSINESS PLAN Resolution No. St. Croix County, Wisconsin WHEREAS, the Health and Human Services Board is the established standing committee for the St. Croix County Health Center; and WHEREAS, the Health and Human Services Board has reviewed strategic plans and business plans for the future operation of the St. Croix County Health Center; and WHEREAS, all scenarios required County tax levy beyond the year; and WHEREAS, the Health and Human Services Board reviewed and implemented programs to enhance revenue and is now researching niche markets to meet the needs of St. Croix County residents that are service connected with other Health and Human Services Departments; and WHEREAS, the County Board approved Resolution 34(2011) at the May 3, 2011 meeting, to pursue negotiations pertaining to wages and fringe benefits with the Health Center employees' bargaining unit to enable the continued operation of the Health Center without County levy; and WHEREAS, the Health and Human Services Board determines the business model that has a 50 bed new skilled care facility and a 48 unit new assisted living building is preferred; and WHEREAS, the Health and Human Services Board determines that the current Nursing Home portion of the Health Center building be repurposed and remodeled for the Health and Human Services Department; and WHEREAS, the Health and Human Services Board determines that this plan be forwarded to the Ad Hoc Facility Planning Committee to set a clear direction on future utilization of facilities so facility planning can be completed. NOW, THEREFORE BE IT RESOLVED that the St. Croix County Board of Supervisors directs the Ad Hoc Facility Planning Committee to pursue future facility plans that include a 50 bed new skilled care facility, a new 48 unit assisted living building, and repurpose and remodel of the St. Croix County Health and Human Services Board Page 6 May 18, 2011 current Nursing Home portion of the Health Center to meet the needs of Health and Human Services and further direct the Ad Hoc Facility Planning Committee to submit its recommendation to the County Board. The Board recessed from 10:10 — 10:16 AM. INCOME MAINTENANCE CONSORTIA MODEL Income Maintenance (IM) does not include Child Care and WHEAP; however, covers Medical Assistance, Food Share, BadgerCare Plus, Family Care, and does eligibility determination and ongoing case management functions associated with several federal and state programs. The State Biennial Budget for 2011 -2013 proposed centralized income maintenance eligibility and ongoing case management for all income maintenance programs. It would allow the Department of Health Services to contract with a public or private entity to provide income maintenance administrative services, which would process applications, determine eligibility, conduct fraud investigation and fraud prevention activities, implement error reduction procedures and recover overpayments of benefits. The state plans to begin deducting from a county's Basic County Allocation starting in 2013 to fund the centralized administration in the amount of the county levy in the program in 2009. This may have an impact on other service areas if there is a reduction in Basic County Allocations. The Wisconsin Counties' Association opposes this proposal to centralize income maintenance functions, including the use of county tax levy to fund the state's centralization effort. An alternative model has been developed by the Wisconsin County Human Services Association and had 36 counties participate in the workgroup. The alternative model was adopted by the Wisconsin County Human Services Association at their April 27, 2011 meeting. The alternative model would utilize best practice to realize savings of county functions. The alternative model utilizes state, county and private staff. The system is based on the development of county- defined consortia with no more than 14 consortia across the state. This would reduce staff and create efficiencies. Checks and balances would be built in to help underperforming counties as trained staff would be available. All call centers will be connected using technology, which will allow for inter - consortia support for high demand times such as staff leaves, natural disaster, etc. Geography would not dictate what counties would come together. Residents would be able to apply at any location within the consortia. Technology would be utilized but there would be at least one physical presence in each county. The alternative model would comply with federal regulations with regards to use of private staff for CARES administration, second party reviews, training, scanning, and reviewing six month review forms (SMRFs) for completeness. Economic Support staff have knowledge of wraparound services available within the consortium to service as a resource /referral unit. The counties would be required to fund at 2009 levy amounts for IM services, which would allow dollars to be maintained at a local level, there would be no deduction from the Health Services Basic County Allocation, and beginning in 2013, all savings achieved will accrue to the counties. State and Federal funds will be distributed based on consortia staffing needs and tied to caseload. St. Croix County Health and Human Services Board Page 7 May 18, 2011 Economic Support provided benefit assistance that helped St. Croix County residents access $6,108,000 in Food Share benefits and $46,000,000 in BadgerCare benefits for calendar year 2010. A decision will be made by the Joint Finance Committee soon. There is no formal resolution available at this time but Board members, staff, etc. can make individual contact with legislators. INCREASE DHHS AGENT FEES 4% FOR FISCAL YEAR 07/01/2011 - 06/30/2012 The Division of Health Agent Contract Program is committed to remain 100% fee funded with no county appropriations. In order to maintain 100% fee funded a 4% increase in fees is being requested due to the following: • State reimbursement amounts have increased due to increases in the state license fees, and • The state has added new fee categories including operation without a license, operating without certifications, and special inspection fees. Diaby - Gassama indicated the State fees have gone up. The increase was calculated on 2010 wages/benefits, which could change. The Agent Program began in 2002. The Agent Program cannot make money, but can only charge what the program costs. It is difficult to predict the number of new places requiring inspection or the change in owners for establishments that require inspections on which to base the license fees. Motion A motion was introduced by Larson, seconded by Berenschot, and unanimously adopted: That the Board approves a 4% increase in annual license fee, added the new state fee categories, and increased the fees for school inspections, the late charge, and the re- inspection fee. Horne left the meeting at 10:55 AM. FAMILY CARE AUDIT The Legislative Audit Bureau completed a comprehensive evaluation of the Family Care Program. Several areas were reviewed including program expenditures and participation, services provided to program participants and how their needs were assessed, the process of setting capitation rates, the financial solvency of the nine managed care organizations (MCOs) that currently participate in Family Care, and quality -of -care indicators. The result was a 95 page report. It is difficult to determine if this is a cost effective program as more people are signing up, which makes it difficult to determine if the program is saving money. St. Croix County is the third highest of 59 counties involved in Family Care in the state for contribution. Community Health Partners (CHP) has the highest capitation rate in the state. CHP has the highest number of developmentally disabled adults compared to other managed care organizations (MCO's). Aurora group home gave notice to 21 clients due to rate reductions. CUP cannot force Aurora to stay in business. Johnson suggested inviting Paul Cook from CHP to speak at the June Health and Human Services Board meeting and will do so. PERSONNEL ISSUES NEW EMPLOYEESNACANCIES Johnson distributed a position St. Croix County Health and Human Services Board Page 8 May 18, 2011 justification for Nurse Practitioner for Women's Health with prescriptive authority. This position is current filled by Jan Ray who is a .4 employment agreement position. She is also lab director for Reproductive Health and the Nursing Home plus has done some staff training. Reproductive Health has experienced a slight decrease in visits which is possibly due to the result of BadgerCare. The recommendation is to refill this position. The other option, if the position is not filled, would be to refer to other providers. Johnson indicated this program generates revenue. The position may be eligible for Wisconsin Retirement System (WRS) due to the number of hours worked. Motion A motion was introduced by Rasmussen, seconded by Schrank, and unanimously adopted: That the Board approves filling the APNP position as outlined and to forward the request to the Administration Committee. Johnson distributed a position justification for a Youth Community Support Services Social Worker full time position. Johnson said this is a request to refill a position. There are currently 61 on the wait list with new referrals received at approximately two per week. This position qualifies for waiver billing, which are expected to cover costs. By not filling the position, there would be a decreased ability to serve clients and would reduce reimbursement. Motion A motion was introduced by Berenschot, seconded by Rasmussen, and unanimously adopted: That the Board approves filling the Youth Community Support Services Social Worker position and to forward the request to the Administration Committee. Funk will add the above requests to the Administration Committee agenda for next week and Johnson will attend the meeting. FINANCIAL REPORTS The following financial report for Health and Human Services through April, 2011 was distributed. Expenses are running below budget and Pietrick is unaware of any outstanding large invoices. 100% of levy has been received in the revenue account. St. Croix County Health and Human Services Board Page 9 May 18, 2011 Health & Human Services - Fund 225 A ri12011 Annual Aril Budget % of Revenue by Service Budget Actuals Balance Budget Administration $ 5,624,119 $ 5,025,146 $ 598,973 89.3% ACDA Services 696,880 253,306 443,574 36.3% Mental Health 2,561,597 484,080 2,077,517 18.9% Family & Children's 1,501,668 70,705 1,430,963 4.7% Public Health 1,127,707 217,953 909,754 19.3% Economic Support 814,943 173,943 641,000 21.3% General Relief - - - 0.0% Coordinated Services /SED 3,644,207 289,449 3,354,758 7.9% Service Revenue $ 15,971,121 $ 6,514,583 $ 9,456,538 40.8% Annual Aril Budget % of Expenditure by Service Budget Actuals Balance Budget Administration $ 1,337,034 $ 479,592 $ 857,442 35.9% Alcohol-Druq Abuse 797,658 221,751 575,908 27.8% Mental Health 3,515,766 934,403 2,582,363 26.6% Family & Children's 3,039,817 779,334 2,260,484 25.6% Public Health 2,112,632 607,423 1,505,209 28.8% Economic Support 1,187,786 362,768 825,018 30.5% General Relief 1,500 500 1,000 33.3% Coordinated Service /SED 3,977,928 705,476 3,272,452 17.7% Service Expendituresl Expenditures $ 15,971,121 $ 4,091,246 $ 11,879,875 25.6% Revenues Over (Under) Expenditures $ 2,423,338 Expected Percent of Budget 33.3% The following financial report for St. Croix Industries through April, 2011 was distributed. St. Croix Industries expenses are better than budgeted. Revenue is ahead of expenses; however, there may be some 2010 reported in the revenue. St. Croix Industries is doing well for this time of year. The auditors are expected to be here after Memorial Day. St. Croix County Health and Human Services Board Page 10 May 18, 2011 St. Croix Industries - Fund 625 April 2011 Annual Aril Budget % of Revenues Budget Actuals Balance Budget WS Operations $ 1,496,000 $ 569,588 $ 926,412 38.1% WS Production 321,482 171,066 150,416 53.2% WS Helpinq Hands 116,700 51,698 65,002 44.3% WS PopNendinq 10,500 4,053 6,447 38.6% WS Vocational Placement 365,500 133,129 232,371 36.4% WS Comm Based Day Prog 108,000 41,566 66,434 38.5% Total Revenue $ 2,418,182 $ 971,100 $ 1,447,082 40.2% Annual Aril Budget % of Expenditures Budget Actuals Balance Budget WS Operations $ 1,407,854 $ 415,753 $ 992,101 29.5% WS Production 324,778 139,916 184,862 43.1% WS Helpinq Hands 86,250 32,901 53,349 38.1% WS Popf\/endinq 10,500 1,696 8,804 16.2% WS Vocational Placement 421,630 104,855 316,775 24.9% WS Comm Based Day Proq 167,170 45,561 121,609 27.3% Total Expenditures $ 2,418,182 $ 740,682 $ 1,677,500 30.6% Revenues Over (Under) Expenditures $ 230,418 Exp ected Percent of Budg 33.3% The following financial report for the Nursing Home through April, 2011 was distributed. Numbers are running better than budgeted figures for operating expense and revenues are ahead of expenditures. There is a move towards full accrual for revenue for the Nursing Home. When services are billed out, they are booked as revenue as the Nursing Home rarely has bad debt. Johnson thanked Pietrick for the work done to move towards full accrual. St. Croix County Health and Human Services Board Page 11 May 18, 2011 St. Croix Health Center - Fund 600 April 2011 Operating Revenue: Budget Actuals Difference of Budget Medicare $ 1,646,150 $ 232,941 $ 1,413,209 14.2% Medicaid 2,178,532 346,145 1,832,387 15.9% Private Pay 1,548,651 195,632 1,353,020 12.6% Revenue - GT/Supplernental Funds 463,416 217,150 246,266 469% Out Patient Therapy 20,000 2,047 22,047 - 10.2% All Other Sources 18,500 1,577.85 16,922 8.5% Cafe Revenue $0.00 3,458 3,458 0.0% Total Operating Revenue $ 5,875,249 S 994,856 $ 4,880,393 16.9% Operating Expenses Dail Patient Services $ 3,887,323 $ 1,183,142 $ 2,704,181 30.4% Special Services 277,387 87,297 190,090 31.5% General Services 1,259,760 378,355 881,405 30.0% Administrative Services 690,335 158,631 531,704 230% Cafe Expenses $0.00 2,486 2,486 0.0% Sub Total S 6,114,805 S 1,809,911 S 4,304,894 29.6% Unassigned: De reciation % Based Others: Utilities $ 169,761 $ 40,120 $ 129,641 236% Workers Comp, Computer Tech 160,065 99,520 60,545 62.2% Insurance 55,000 74,465 19,465 1354% Unassigned Sub Total $ 364,826 S 214,105 $ 170,721 55.6% Total Operating Expenses I S 6,499,631 S 2,024,017 S 4,475,614 31.1% Revenues Aver f Under Ex endifures from Operations S (1,029,160) County Revenues Insurance ❑ividend - unexpected revenue not result of Operations $ 9,000 $ - $ 9,000 0.0% Co Allocations - Le % Based 369,019 369,019 $ - 100.0% Nursinq Home CarrV Over 246,363 246,363 0.0% Total Outstanding S 624,382 $ 369,019 S 255,363 59.10% Revenues Over (Under) Expenditures Including County Contributions S (660,141) Expected Percent of Budget 33.3% AGED HEALTH AND HUMAN SERVICES RECEIVABLES REPORT: The aging Accounts Receivable report for Health and Human Services through March was briefly reviewed. Accounts Receivables have been set up to auto adjust Community Support Program (CSP) charges to better anticipate what revenue will be. FISCAL TRANSITION PLANNING: Johnson distributed an outline of anticipated fiscal transition planning. He reported fiscal staff will meet with Barron County on May 19 to see how they have their chart of accounts set up, review their budget, etc. The applications for fiscal manager will be accepted through May 25, 2011. A contract is in process to bring in temporary staff to help in the interim. Interviews for the fiscal manager will be set up for the first part of June. Johnson reported work will continue to update the chart of accounts and include the work already done on revenue accounts. Work will also be done to manage time tracking for allocating administrative costs, salary and fringe expenses and indirect cost allocations. St. Croix County Health and Human Services Board Page 12 May 18, 2011 POSSIBLE AGENDA ITEMS FOR NEXT MEETING • Community Health Partnership presentation by Paul Cook, CEO • Health and Human Services annual report review Wentz asked if there were any other issues to bring before the Board. Kramer invited Board members to attend the WALHDAB meeting scheduled June 1, 2011. Board members were instructed to contact Kramer for registration and travel. Plans need to be in place by May 20, 2011. Wentz adjourned the meeting. Time: 11:46 AM Chair: Attest: (Secretary)