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HomeMy WebLinkAboutHealth & Human Services 06-15-11 Schrank will review vouchers. NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD DATE AND TIME: June 15, 2011 at 4:00 PM 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 - 05/18/11 DATE OF NEXT MEETING — 07/20/11 at 8:30 a.m. OLD AND NEW BUSINESS 1. Consideration of Claims and Vouchers and appoint member to review vouchers at next meeting 2. Financial Report a. Monthly financial report for Nursing Home and Health and Human Services b. aged receivable report c. Fiscal planning work update 3. Nursing Home Administrator's Report 4. Nursing Home Annual Survey ** 5. Personnel Issues a. New employees /vacancies 6. Community Health Partnership presentation by Paul Cook, CEO 7. Health and Human Services annual report review 8. Review Year End 2010/2011 Health and Human Services Strategic and operational planning. 9. 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. 6/13/2011 10:09 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD June 15, 2011 The St. Croix County Health and Human Services Board met on June 15, 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 Deb Rasmussen Alfred Schrank MEMBERS ABSENT: Dr. Lisa Ramsay, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Frank Robinson, Nursing Home Administrator Colleen Hammer, Rehab Coordinator, St. Croix Industries Tammy Wilson, Health Information Management Supervisor Brad Beckman, ADRC Manager Clark Schroeder, St. Croix Industries Administrator Kathy Leisch, Secretary OTHERS PRESENT: Pat Thompson, County Administrator Art Tobin, Building Services Director Norm Matzek Ted Mackmiller Jeff Holmquist, New Richmond News Paul Cook, CEO Community Health Partners Rick Sommerfeld, Community Health Partners Chair Wentz called the meeting to order at 4:00 PM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Wednesday, July 20, 2011 at 8:30 AM. Berenschot will review vouchers. AGENDA Motion A motion was introduced by Schrank, seconded by Berenschot, and unanimously adopted: That the agenda be approved as distributed. MINUTES Motion A motion was introduced by Schrank, seconded by Marzolf, and unanimously adopted: That the minutes of the 05/18/11 Health and Human Services Board St. Croix County Health and Human Services Board Page 2 June 15, 2011 meeting be approved as distributed. CONSIDERATION OF CLAIMS All check registers for May for funds 205, 225, 230, 600 and 625 were reviewed by Health and Human Services (HHS) Board member Schrank. All questions were answered satisfactorily. Motion A motion was introduced by Schrank, seconded by Larson, and unanimously adopted: To approve the May vouchers. FINANCIAL REPORTS The following financial report for Health and Human Services through May, 2011 was distributed. Overall revenues are at 42.2 %. Johnson stated that in Administration we had earmarked County Appropriations and that has all been credited which can skew the numbers in our favor. Johnson stated that financial reports were late because of the audit time. Most of the revenues were delayed based on receipt of payment from the State or from us holding the billing. Johnson stated he will work with Thompson on standardized reporting across all committees. Thompson stated he would like to see uniformity amongst committees as to how they are reporting on financial matters regarding the department. Thompson noted that each department is going to have unique reporting requirements and he doesn't want to standardize it and then sacrifice the information that is given on a monthly basis. Thompson stated he wants the reports to be meaningful and capture the uniqueness of each department but be more uniform. St. Croix County Health and Human Services Board Page 3 June 15, 2011 Health & Human Services - Fund 225 Ma 2011 Annual M ay Budget % of Revenue by Service Budget Actuals Balance Budget Administration $ 5,624,119 $ 5,031,886 $ 592,233 89.5% ACDA Services 696,880 284,538 412,342 40.8% Mental Health 2,561,597 564,161 1,997,437 22.0% Family & Children's 1,501,668 74,279 1,427,389 4.9% Public Health 1,127,707 249,100 878,607 22.1% Economic Support 814,943 200,135 614,808 24.6% General Relief - - - 0.0% Coordinated Services /SED 3,644,207 336,353 3,307,854 9.2% Service Revenue $ 15,971,121 $ 6,740,452 $ 9,230,669 42.2% Annual M ay Budget % of Expenditure by Service Budget Actuals Balance Budget Administration $ 1,337,034 $ 571,096 $ 765,938 42.7% Alcohol-Druq Abuse 797,658 280,342 517,316 35.1% Mental Health 3,515,766 1,194,868 2,321,898 34.0% Family & Children's 3,039,817 991,783 2,048,034 32.6% Public Health 2,112,632 748,300 1,364,332 35.4% Economic Support 1,187,786 447,992 739,794 37.7% General Relief 1,500 500 1,000 33.3% Coordinated Service /SED 3,977,928 944,766 3,033,162 23.8% Service Expenditures $ 15,971,121 $ 5,179,648 $ 10,791,473 32.4% Revenues Over (Under) Expenditures $ 1,560,804 Expected Percent of Budget 41.7% The following financial report for St. Croix Industries through May, 2011 was distributed. St. Croix County Health and Human Services Board Page 4 June 15, 2011 St. Croix Industries - Fund 625 Ma 2077 Annual May Budget % of Revenues Budget Actuals Balance Budget WS Operations $ 1,496,000 $ 600,183 $ 895,817 40.1% WS Production 321,432 132,532 133,950 56.8% WS Helpinq Hands 116,700 69,407 47,293 59.5% WS PopNendinq 10,500 5,197 5,303 49.5% WS Vocational Placement 365,500 147,640 217,850 40.4% WS Comm Based Day Prog 108,000 43,807 64,193 40.6% Total Revenue $ 2,418,182 $ 1,048,767 $ 1,369,415 43.4% Annual May Budget % of Expenditures Budget Actuals Balance Budget WS Operations $ 1,407,854 $ 510,655 $ 897,199 36.3% WS Production 324,778 173,457 151,321 53.4% WS Helpinq Hands 86,250 41,376 44,874 48.0% WS Popf\/endinq 10,500 2,061 8,439 19.6% WS Vocational Placement 421,630 130,846 290,784 31.0% WS Comm Based Day Proq 167,170 56,600 110,570 33.9% Total Expenditures $ 2,418,182 $ 914,995 $ 1,503,187 37.8% Revenues Over (Under) Expenditures $ 133,772 Exp ected Percent of Budg 41.7% The following financial report for the Nursing Home through May, 2011 was distributed. Overall revenues are at 38 %. Johnson stated that census is down so it is not a surprise to see revenue down a little bit. Johnson stated that coding and timing of receipt in revenues or moving towards full accrual of revenues has yet to be completed. Johnson said he would be working with Pietrick in getting some of those details clarified but overall revenues look reasonable. Johnson stated he would be asking for clarification on insurance and outpatient therapy. St. Croix County Health and Human Services Board Page 5 June 15, 2011 St. Croix Health Center - Fund 600 May 2011 Operating Revenue: Budget Actuals Difference of Budget Medicare $ 1,646,150 $ 629,150 $ 1,017,000 38.2% Medicaid 2,178,532 876,813 1,301,719 40.2% Private Pay 1,548,651 503,930 1,044,721 32.5% Revenue - GT/Supplernental Funds 463,416 217,150 246,266 469% Out Patient Therapy 20,000 4,591 24,591 - 23.0% All Other Sources 18,500 2,894.03 15,606 15.6% Cafe Revenue $0.00 4,546 4,546 0.0% Total Operating Revenue $ 5,875,249 S 2,229,891 $ 3,645,358 38.0% Operating Expenses Dail Patient Services $ 3,887,323 $ 1,455,363 $ 2,431,960 37.4% Special Services 277,387 106,657 170,730 38.5% General Services 1,259,760 473,975 785,785 37.6% Administrative Services 690,335 203,201 487,134 294% Cafe Expenses $0.00 3,934 3,934 0.0% Sub Total S 6,114,805 S 2,243,131 S 3,871,674 36.7% Unassigned: De reciation % Based Others: Utilities $ 169,761 $ 58,108 $ 111,653 342% 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 232,094 $ 152,732 60.3% Total Operating Expenses I S 6,499,631 S 2,475,225 S 4,024,406 3B.1% Revenues Aver f Under Ex endifures from Operations S [245,334] County Revenues Insurance ❑ividend - unexpected revenue not result of Operations $ 9,000 $ 1,855 $ 7,145 20.6% 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 $ 370,874 S 253,508 59.40% Revenues Over (Under) Expenditures Including County Contributions S 125,540 Expected Percent of Budget 41.7% AGED HEALTH AND HUMAN SERVICES RECEIVABLES REPORT: The aging Accounts Receivable report for Health and Human Services through May was briefly reviewed. Wentz stated it is nice to see some of the numbers going down on the accounts receivables. Johnson stated that because of timing issues we won't see any billing for Mental Health Inpatient or for Public Health. Johnson stated as we start to look at the 2012 budget it may be better to put all the service charges for sliding fee adjustments line by line to see better where they came from. The reason that is important is that when we start to project the revenue streams for 2012 that we know exactly where those revenues have come in. NURSING HOME ADMINISTRATOR'S REPORT Robinson said the average monthly census for May was 59, with 7 Medicare, 36 Medicaid, 13 private pay, and 1 Family Care resident. The Medicare average daily rate paid was $550.25 for May compared to the budgeted amount of $485.00. Robinson stated we continue to market our facility on WIXK Radio. Robinson stated they will continue this advertisement and will be doing some longer in -depth interviews on the radio highlighting the nursing home care that clients have received. Robinson stated that overall he is pleased with the care and service at our facility by all departments. He said we have a great spirit of cooperation between departments and the residents are receiving excellent care. Johnson St. Croix County Health and Human Services Board Page 6 June 15, 2011 stated there are vacancies in facilities throughout the county. Robinson said the nursing home picnic will be held in August and will have a Hawaiian theme. Robinson complimented Tobin and his staff on the work done on the loading dock without interruption to service. NURSING HOME ANNUAL SURVEY Johnson stated he was fortunate to sit on the exit interview and the survey team was complimentary of the staff and the quality of care. • State Surveyors came in on Monday, June 6 th at 10:30 a.m. and exited on June 8 th at 11:00 a.m. This is an annual survey from Wisconsin which looks at federal and state regulations for the nursing home. • After reviewing and observing all departments, interviewing residents and families, Robinson is happy to report that we received only one deficiency in infection control, hand washing. • This is a minimal deficiency and was rated at an E, which is no actual harm. The staff did cares on a resident and did not wash after taking off gloves and then working the lift. The lift was to be disinfected after use. We will be doing some more training on this to reinforce our existing policy and procedure. • When you think of the thousands of regulations pertaining to nursing homes and to only receive one deficiency is a testament to our outstanding staff in all departments. Nursing homes are the most regulated industry in the nation. Robinson stated the average number of deficiencies per facility in Wisconsin is ten and we had one. Robinson said we are still a five star quality facility out of five stars and staff does a great job of taking care of patients. • We are still waiting for our building inspection to happen. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson stated there have been no vacancies to bring before the committee today. Johnson stated there have been some organizational changes in county policy and bylaws. Johnson said at this time he will certainly inform the committee of any vacancies and he will continue to do that but process is anticipated to change in that management within Health & Human Services would still bring Johnson new position requests. He would then bring those specific requests to Funk and she would then organize a review with Thompson, as the County Administrator. Johnson stated the 3 -tier process was modified to more of a day -to -day operations issue rather than a policy decision. Thompson stated we need to balance any of these changes that are being made organizationally with the ability to still report to the committees in regards to staffing levels. Thompson said that as a Policy Board you should still know if staff is fluctuating and why is it fluctuating or why certain positions aren't being filled. Rasmussen asked if there has been an update with hiring a financial person. Wentz stated they have not hired an assistant for Pietrick yet. Thompson stated they are in the pre - interview stage right now. Johnson stated that workload issues without that staff have created delays in that process. HEALTH AND HUMAN SERVICES ANNUAL REPORT REVIEW The Health and Human Services annual report was provided to the County Board on June 7 Johnson stated they adjusted the format for reporting which is consistent with other departments had shifted to in the last couple of years. Johnson stated this is a segway to internal strategic planning and operational planning that has been in place over the last several years but specifically in 2010 and 2011. Horne asked if the St. Croix County Health and Human Services Board Page 7 June 15, 2011 report breaks out the different services that people have received in St. Croix County by distinct number. Horne asked if we have a distinct number of how many residents in St. Croix County have received some sort of public assistance. Johnson stated there is some overlap in the charts with households receiving both FoodShare and Medical Assistance. Wentz stated numbers are high right now because of the state of our economy. Johnson stated that planning has allowed us an opportunity about how 95% of our day is structured around routine matters. We should be taking a smaller percentage of the time and think about where we should be next year or the following year and what operational efficiencies should we be thinking about. Johnson looks forward to enhance strategic planning at the county level. REVIEW YEAR END 2010 /2011 HEALTH AND HUMAN SERVICES STATEGIC AND OPERATIONAL PLANNING Updated reports for 2010 and 2011 were provided to Board members. Johnson stated these reports identify work that is anticipated and also work that may have already been accomplished in 2011. Johnson stated the work is categorized into four different areas; High Quality Effective Community Service Provider, Adjust/Retool to Meet Changing Needs, Financial Accountability and Stable, Motivated Staff. Johnson stated we then take the long range vision and operationalize it in each calendar year. Johnson said some items were accomplished and some things were not. Johnson said this document has not been reviewed as routinely as we could have but can be added as an agenda item for July if needed. Johnson highlighted Health and Human Services 2011 Operational Performance Targets under: Financial Accountability • Expand crisis billing within the department. • Health and Human Service staff will work with the Finance Department to develop updated financial reporting. 2011 objectives for Financial Accountability: • By December of 2011, crisis billing will be implemented within 3 Health and Human Services Departments. • By December of 2011, the following deliverables on updated financial reporting will be completed: • Monthly reports. • Projections. • Budget development. • Chart of Accounts. • Fiscal and program State reporting responsibilities. • Monthly calendar of fiscal timeline. Specifically within the Behavioral Health Unit, there is more detail regarding the crisis billing. We were certified under a subchapter; Department of Health Services Administrator code, chapter 34, subchapter 3. Our internal emergency service staff are now billing along with the mobile staff that we contract with. We are moving ahead with Behavioral Health, Alcohol and Drug Abuse, Youth Community Support Services and Adult Community Support Services with expanded billing. Johnson stated that as you look through this document you will see that departments have accomplished a lot. St. Croix County Health and Human Services Board Page 8 June 15, 2011 The Board recessed from 5:10 – 5:25 PM. COMMUNITY HEALTH PARTNERSHIP PRESENTATION BY PAUL COOK, CEO Cook stated he wanted to start out by letting people know what has been happening with CHP particularly around the residential vocational services. Cook introduced Rick Sommerfeld, who has a lot of history working with people who have developmental disabilities. Sommerfeld has helped teams make sure they have competence in serving people with developmental disabilities and to put more emphasis on the broader community. Cook gave a power point presentation concerning the direction and challenges that CHP has faced. Challenges in changing the system • Many consumers have had these support structures for many years • New consumers aging into the adult system have faced these same choices • Many consumers have long standing relationships with other consumers through work and through housing Core focuses on CHP's efforts • Providing more choices for community integration to new consumers aging into the adult system • Respecting long - standing patterns that consumers have found balance with – while creating new choices • Rapid and major standardization and reduction of payments to reduce cost of services and match capitation Developmental Disability Services in the Family Care Program— Vision Statement • Transform the service model to promote independence while supporting members in reaching their highest quality of life while maintaining the fiscal viability of the system. Developmental Disability Services in the Family Care Program— Guiding Principles: • Right Service, Right Amount, Right Time • Community Integration • Building Independence • Expanding and Exploring Creative Solutions Sommerfeld stated there have been many changes in the last 30 years. In the 1800's people with developmental disabilities typically lived at home and worked on the farm. In the Twentieth Century the idea came around that institutions were the best place for these folks. Then the idea came about that maybe institutions were not the best place for them to be and transition started to move these folks into the community. In the 1980's many services were put into place with the development of adult family homes, the development of group homes, workshops and day service programs. These were major shifts with downsizing of those institutions and with folks moving to community settings. For the most part those folks have done well and like moving into a community setting. We are now approaching another transition because Medicaid money is under attack and not available. We have to change the way we do services and if we approach it carefully and sensibly, we can do things for some people that will give them more freedom and independence. This will make them happier and will cost less as we do that. Sommerfeld stated they are working to transform the system. St. Croix County Health and Human Services Board Page 9 June 15, 2011 Wentz stated it would be devastating for us here in St. Croix County to lose St. Croix Industries. She stated there are satisfied people that work there and families that are satisfied. Wentz stated that St. Croix Industries really care about the people they serve! Cook stated that we don't have to disband everything we have done but begin to create other options that work. Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. Time: 5:53 P.M. Chair: Attest: (Secretary) ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD AND COUNCIL ON AGING AND DISABILITIES PUBLIC HEARING June 15, 2011 The St. Croix County Health and Human Services Board conducted an "Open Hearing" on June 15, 2011, at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair, HHS Leon Berenschot, HHS Frederick Horne, HHS Roger Larson, Vice Chair, HHS Linda Luckey, HHS Richard Marzolf, HHS Deb Rasmussen, Secretary, HHS Alfred Schrank, HHS Lois Burri, Council on Aging and Disabilities Vera M. Grant, Council on Aging and Disabilities OTHERS PRESENT: See attachment Esther Wentz called the Open Hearing to order at 6:00 PM. Johnson welcomed everyone to the hearing. Johnson stated that this open hearing is an opportunity to hear from you as constituents, consumers and vendors to give input and feedback as we develop the 2012 budget for Health & Human Services and the Aging and Disability Resource Center. The following staff introduced themselves: Wendy Kramer, Health Officer /Public Health Coordinator Brad Beckman, ADRC Manager Ron Kiesler, Behavioral Health Administrator /Community Support Services Administrator Frank Robinson, Nursing Home Administrator Tammy Wilson, Health Information Management Supervisor Kathy Dunlap, Family & Children's Administrator /Community Support Services Administrator Colleen Hammer, Rehab Coordinator, St Croix Industries Johnson stated it is important that the people who came to provide testimony have an opportunity to do so as we begin preparing the 2012 budget for Health & Human Services and the Aging and Disability Resource Center. Johnson also stated that we now have a changed governmental structure with a new County Administrator, Pat Thompson, and Johnson will be working directly with him on budget developments. Johnson stated there is a sign -up sheet for people attending who would like to give testimony and invited all those who wished to speak to do so. Johnson invited Ninette Nolen to speak first. Nolen stated that in order to improve the quality and breadth of mental health services in St. Croix County and with being aware of budget cuts and freezes she suggests: 1. Coordinating with ADRC to decrease duplication of services and non - provision of basic services because of lack of shared information 2.Devote entire block grant money to and for consumers 3.Training and hiring a Peer Support Specialist 4.Involve peers in helping peers /trained or not! S.Partner with the community • use community as extenders of mental health services • Share the expertise of your staff with community • Inform yourselves of consumer initiatives in WI (i.e. GEP NAMI) • Be aware of the research on recovery being shared through consumer networks 6. Utilize the expertise of the WI Department of Prevention and Recovery to educate and inform non - professionals 7.Work with law enforcement and group homes to increase knowledge of mental illness, recovery and communication 8. Work with consumers to meet "crisis' needs in respectful, streamlined manner: a WARMLINE perhaps 9. Find alternatives to hospitalization. Look at peer respite or a model similar to Hewitt House in St. Paul Nolen formally requested that a representative from the Castle Center be added to the committees which oversee the Adult Community Support Service program and the Adult Behavioral Health Services. Johnson stated there were letters that would be read from those who could not attend or did not wish to speak. See attachments in minute book. Wendy Kramer, Health Officer /Public Health Coordinator, read a letter about "A First Breath Success Story ". First Breath is a program offered in the Public Health Department to pregnant women to assist them to quit smoking. Kramer stated this program is sponsored by the Wisconsin Women's Health Foundation. This is a statewide foundation and Public Health receives a small grant from this Foundation to provide incentives to women who are pregnant and smoking. Kramer stated that the person who wrote this letter has had success with the program and her daughter is now two months old and she has not touched a cigarette in over five months and wanted to thank us for helping her. Johnson invited Kim Edwards, Positive Alternatives - Western Wisconsin's Resource for Youth & Families, to speak next. Edwards stated they provide services for at -risk youth and families in several counties, including St. Croix County. Packets were passed out for Board members. Edwards gave an overview of core programs; intervention services, prevention services, group home care, and services as follows: • Alpha House Group Homes; Temporary (Crisis) Shelter, Long Term Care, Short Term Care, 72 hour holds, Day Supervision and Respite. • Prevention Services; TeenCare, Community Education & Presentations, and Dunn County School Mentoring. The following services are available at no cost to Dunn, Pepin, Polk, Pierce, St. Croix and Barron counties: • Confidential Hotline • Temporary Shelter • Youth Advocacy • Street Outreach • Intervention Services; Positive Alternatives Supportive Services, Short Term Adolescent Tracking and Support, and Electronic Monitoring. Kelli Kamholz, Program Coordinator Positive Alternatives, spoke next. They have partnered with Northwest Journey to provide a community -based treatment option at the group home which offers a comprehensive treatment aimed at preventing out of home placements. In addition, Northwest Journey provides therapeutic support services for adolescents and children transitioning to the community from out -of -home placements. Kamholz stated that kids age 12 -17 can come to receive mental health services for 5 hours per day. This includes individual and family therapy along with alcohol and drug abuse therapy. Kids that come to the group home for either a short term or a long term stay participate in daily schedules and educational programs. Group Home Services is a per diem based service that is provided and paid through the Department of Human Services, by whichever county is placing the youth. The Day Treatment program is insurance billable; however, if a youth is in a situation where they don't have insurance then either the Department of Human Services or a school district will team up to provide the services. 2 Brad Beckman, ADRC Manager, read a letter from a person in Baldwin concerning services in the ADRC and Economic Support. They asked to keep the services going, especially for the elderly, disabled and the children in the community. Patty Draxler, Executive Director, Family Resource Center of St. Croix Valley, spoke next. Draxler stated these are the top six reasons to contract Family Resource Center support: 1. FRCSCV was instigated through St. Croix County DHHS 2. Home Visiting is an effective child abuse prevention method • FRCSCV uses Parents as Teachers, a research and evidence based home visiting program shown to reduce abuse and neglect 3. Child abuse prevention saves money for St Croix County and taxpayers • Only $1,600 a year for FRCSCV staff to visit a family in their home • $14,000 a year for foster care for one abused or neglected child • $30,000 a year to house a single prisoner— either an adult who abuses a child or an abused child who goes on to commit a crime in adulthood 4. St Croix County families receive FRCSCV services, BUT waiting lists remain • 26 home visiting families, 14 are teen parents • Cost is $41,600 per year • Funding from St Croix County: $0 5. Pierce and Polk Counties invest in child abuse prevention • $15,000 - $20,000 per County /year • 19 and 25 families per County, respectively 6. Home Visiting helps at -risk families not reached by CPS (Child Protection Services) • Of 585 referrals made to St Croix County in 2009, 62% were screened out - these families do not typically receive any services (WiSACWIS sm0201 Access report) • These are the families the County should invest in to prevent abuse Draxler respectfully requested that this be the year that St. Croix County will approve Family Resource Center in their budget. Packets were passed out to Board members along with the winter newsletter featuring Lois Burri, Council on Aging and Disabilities member. Colleen Hammer, Rehab Coordinator, St Croix Industries, read two letters. The first letter was from an advocate whose brother works at St. Croix Industries who asked two questions. Community Health Partners (CHP) is a subsidiary of the Wisconsin Department of Health. In 2010 the Wisconsin Department of Health received $2.1 million from St. Croix County. Where has that money gone and was any of it designated to St. Croix Industries? The second question is: According to St. Croix Industries, CHP is cutting their rates over $250,000 annually. Is there evidence of cuts made by CHP within their own agency OR are the majority of their State budget cuts in health care being placed on the disabled and elderly by CHP? She said the State of Wisconsin and its agencies have become very active in the health care business. Health care is one of the fastest growing businesses in our country. Like any business, it will look for large monetary gains. However, the health care business is dealing with people's lives. Hopefully, the State of Wisconsin health care will not sacrifice the needs of the people it serves - the elderly and disabled - for monetary gain. The mentally disabled do not understand what is happening and as their family and guardians, we have to be their voice. It is so important and necessary that we be heard and stand up for their rights. 3 The second letter is from parents with a special needs daughter who works at St. Croix Industries. She stated that St. Croix Industries provides so many of the services that are needed for their daughter to have a successful work week. They provide transportation with very qualified drivers. They provide very skilled and educated work counselors to help her with vocational and social needs at work. They provide a change of jobs to help her work on various skills. They have very skilled staff that is very attentive to any changes they might see. They stated they are proud to have their daughter work and be a part of St. Croix Industries. Health & Human Services Board member Richard Marzolf stated he is inspired, impressed and amazed by the testimonies of so many caring people who have spoken. He stated that so much credit goes to the people who give so much back to the community. He gave a sincere thank you on behalf of all the Board members. Johnson stated that he will take this information and review with Health & Human Services and the ADRC committee at the July meetings along with our new County administrator, Pat Thompson, as we look forward in preparing the 2012 budget. Johnson asked if the meeting should be adjourned. Wentz then adjourned the meeting and thanked everyone for attending. Hearing adjourned at 7:10 PM. Chairman: Attest: Secretary 4