HomeMy WebLinkAboutHealth & Human Services 11-18-09
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Marzolf will review vouchers.
Revised: 11/13/09
NOTICE OF MEETING AND AGENDA
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
DATE AND TIME: November 18, 2009 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 -10/21/09
DATE OF NEXT MEETING -12/16/09 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
3. Federal Poverty Levels information
4. Nursing Home Administrator's Report
5. 2010 Routine Meeting Dates
6. Personnel Issues
a. New employees/vacancies
7. H IN 1 update
8. Nursing Home diversification of revenue - construction of 20-unit assisting living
9. Update regarding Spring Valley Health Care Campus project
10. Review of Ad Hoc Facility Committee planning
11. Implementation of tobacco-free County grounds policy
12. Pre-vocational Services Resolution for St. Croix Industries
13. Review Health and Human Services, St. Croix Industries, and Nursing Home's 2010 budget
14. Resolution amending the 2010 Health and Human Services Youth Community Support Services
budget*
15. Possible agenda items for next meeting
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.
11/13/2009 10:50 AM
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
November 18, 2009
The St. Croix County Health and Human Services Board met on November 18, 2009
at the St. Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT: Esther Wentz, Chair
Leon Berenschot
Charles Grant
Roger Larson
Linda Luckey
Richard Marzolf
Gerald Peterson
Dr. Lisa Ramsay
Deb Rasmussen
STAFF PRESENT: Fred Johnson, Health and Huma,Services;Director
Jennifer Pempek, Financial Manager
Frank Robinson, Nursing Home Administrator
Kathy Dunlap, Family and Children's Coordinator
Wendy Kramer, Public Health Officer/Public Health
Coordinator
F'seii
Geralyn Karl, HeaA. Educator
Kim Dupre, Information Systems Analyst
Malva Sirek, Secretary
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OTHERS PRESENT: Roger Rebholz, County Board Chair
Tammy Funk, Human Resource,„Administrator
Melanie Schorr, Intern
Jeff'olmquist, New Richmond News
Loyla Was}-,al
Chair Wentz called the meeting to order at 8:30 AM noting the meeting was
properly and legally publiciz(~cl. .r
NEXT MEETING. .".The next Health 'and Human Services Board meeting is scheduled
for Wedne diyA December 16,'2009 at 8:30 AM. Berenschot will review vouchers.
AGENDA: Moti6n:5 A notion was introduced by Berenschot, seconded by Larson,
and unanimously'"adopted: That the agenda be approved with moving agenda item
#10 above agenda item #8.
MINUTES: Motion: A motion was introduced by Larson, seconded by Berenschot,
and unanimously adopted: That the minutes of the 10/21/09 Health and Human
Services Board meeting be approved as distributed.
CONSIDERATION OF CLAIMS: Health and Human Services (HHS) Board member Wentz
reviewed the vouchers.
Motion: A motion was introduced by Marzolf, seconded by Larson, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book:
Human Services vouchers 160254 through 160255, dated October 2116, 2009 in
the amount of $12,930.00.
St. Croix County Health and Human Services Board
Page 2
November 18, 2009
Human Services voucher 161133, dated November 04, 2009 in the amount of
$430.00.
Human Services vouchers 161134 through 161176, dated November 04, 2009 in the
amount of $55,964.11.
Department on Aging vouchers 160256 through 160265, dated October 21, 2009 in
the amount of $4,404.91.
Human Services, Nursing Home, St. Croix Industries, and Government Center
vouchers 160266 through 160408, dated October 21, 2009 _in the amount of
$102,214.80.
Human Services, ADRC and Department on Aging voucher 160551 through 160564,
dated October 28, 2009 in the amount of $2,524,14,
Human Services, Nursing Home, and St. Croix Industties~°?Vrouche'rs 160565
through 160676, dated October 28, 2009 in the amount of $9<; 613. 4f)?.
Department on Aging and ADRC vouchers 160 4 through 160865.,E dated November
4, 2009, in the amount of $4,175.76
Human Services, Nursing Home, St.. Croix Industries, Government Center,
Department on Aging, and ADRC vouchers 166II66 through 160954, dated November
04, 2009 in the amount of $76,416.34.
Human Services, Department on:Aging and ADRC, vouchers 161918 through 162016,
dated November 11, 2009 in the, amount of $29,0,25.36.
Human Services, Nursi c~ Home, St. Croix Industries, and Government Center,
vouchers 162017 throb 162106, dated November 11, 2009 in the amount of
$88,156.37.
A
Human Services, Nursing Home, St. Croix Industries, and Government Center,
vouchers 16182,1 through 16191.7, .;dated November 11, 2009 in the amount of
$65,018.93..:
H.
f„
Nursing R6iive'".. ouch,'grs X162103 through 162155, dated November 11, 2009 in the
amount $7g 1y.
Human.Services,Tforkshdp, Public Health, Social Services vouchers 529 through
556, dated Septemb"6r'A,17, 2009 in the amount of $390,689.67.
Human Services and Nursing Home vouchers 495 through 519, dated September 17,
2009 in the alftount of $137,606.19.
Workshop vouchers 110 through 115, dated September 17, 2009 in the amount of
$14,940.60.
Human Services, Workshop, Public Health, Social Services vouchers 557 through
586, dated October 01, 2009 in the amount of $392,599.80.
Human Services and Nursing Home vouchers 520 through 546, dated October 01,
2009 in the amount of $162,790.43.
St. Croix County Health and Human Services Board
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November 18, 2009
Workshop vouchers 116 through 121, dated October 01, 2009 in the amount of
$13,059.77.
Human Services, Workshop, Public Health, Social Services vouchers 587 through
615, dated October 15, 2009 in the amount of $395,844.30.
Human Services and Nursing Home vouchers 547 through 571, dated October 15,
2009 in the amount of $153,033.77.
Workshop vouchers 122 through 127, dated October 15, 2009 in the amount of
$9,154.06.
FINANCIAL REPORT: The following financial report for Health and Human Services
through September, 2009 was distributed. Pempek noted the state has not taken
back an overpayment for Long Term Support funds, .;,tch is estimated to be
approximately $1.2 million.
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St. Croix County Health and Human Services Board
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November 18, 2009
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HEALTH AND HUMAN SERVICES - 2009
SUMMARY Total
OF REVENUES Budget September 30, 2009 Balance %
Administration (282,648.48) (566,829.30) 284,180.82 200.5%
AODA Services 755,622.52 550,078.23 205,744.29 72.8%
Long Term Support 2,631.098.96 31848,834.22 (1,217,735.26) 146.3%
Mental Health 3,445,706.61 2,475,489.83 970,216.78 71.8%
Family & Children's 2,908,13 35 .69 .2,234,927.95 673,907.74 76.B*
Public Health 1,976,028.13 1,661,999.91 314,028.22 84.1%
.Economic Support 1,140,696.47 741,906.67 398,789.80 65.0%
General Relief 0.00 0.00 0.00 0.
Coordinated Services{SED- 2,835,374.19 1,821,602.98 1,013,771.21 64.2%-
ARDC 632,000.00 423,615.00 208,385.00 67.0%
Department on Aging 846.623.00 683,323.00 163,300.00 80.7°/
Carryover Funds 1,312,360.00 984,270.00 328,090.00 75.0°/
REVENUES HUMAN
SERVICES PROGRAMS 18,201,897.09 14,859,218.49 3,342,678.60 81.6%
SUMMARY Total
.OF EXPENDITURES Budget September 30, 2009 Balance %
Administration 1,029,711.52 757,822.00 271,889.52. 73.6%
Alcohol-Drug Abuse 755,822.52 528,056.44 227,766.08 69.9°,
Long Term Support 2,631,098.96 2,071,036.67 560,062.29 78.7%
Mental Health 3,445,706.61 2,590,341.22 855,365.39 75.2%
Family& Children's 2,908,835.69 2,109,527.98 799,307.71 72.5%
Public Health 1,976,028.13 1,386,499.02 589,529.11 70.2%
Economic Support 1,140.696.47 867,622.10 273,074.37 76.1%
General Relief 0.00 29.59 (29.59) 0.0%
Coordinated Service/SED 2,835,374.19 1,736,894.99 1,098,479.20 61.3%
ARDC 632,000.00 384,107.88 247,892.12 60.8%
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Department on Aging 846,623.00 526,133.70 320,469.30 62.1
EXPENDITURES HUMAN
SERVICES PROGRAMS 18,201,897.09 12,958,071.59 51243,825.50 71.2%
Total S 1.901.146.90
The following financial report for St. Croix Industries through September was
distributed.,,
St. Croix County Health and Human Services Board
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November 18, 2009
St. Croix Industries - 2009
SUMMARY Total
OF REVENUES Budget September 30, 2009 Balance %
WS Operations 1,342,664.56 1,044,259.91 298,404.65 77.8%
WS Production 422,286.84 217,744.22 204,542.62 51.6%
WS Helping Hands 71,726.26 77,639.71 (5,913.45) 108.2%
WS Pop/Vending 7,250.00 7,697.30 (447.30) 106.2%
WS Ram 77,44100 26,309.91 51,133.09 34.0%
WS Vocational Placement 371,831.60 253,696.49 118,135.11 68.2%
WS Comm Based Day Prog 183,214.95 120,952.01 62,262.94 66.0%
REVENUES 2,476,417.21 1,748,299.55 728,117.66 70.6%
SUMMARY Total
OF EXPENDITURES Budget September 30, 2009 Balance %
WS Operations 1,342,664.56 958.657.57 384,006.99 71.4%
WS Production 422,286.84 223,085.44 199,201.40 52.8%
WS Helping Hands 71,726.26 49,232.63 22,493.63 68.6%
S Pop/Vending 7,250.00 4,613.04 2,636.96 63.6%
WS Ram 77,443.00 19,622.74 57,820.26 25.3%
WS Vocational Placement 371,831.60 237,646.64 134,184.96 63.9%
WS Comm Based Day Prog 183,214.95 133,086.67 50,128.28 72.6%
EXPENDITURES 2,476,417.21 11625.944.73 850,472.48 65.7%
Total 122.354.82
The following financial. report for the Nursing Home through September, 2009 was
distributed. Projected Medicare residents have been well over the budgeted
figures as the Medicare census:,--,"amproves. The 2009 budget was built on an
average of 6 Medicare residents. September had an average of 7 Medicare
residents 4_,.",Octob"er had an average of 9 Medicare residents and so far in
November, the 'average Medicare resident census is 11-12 and this is before the
rehab rooms were officially opened and without advertising. The rehab unit is
now open and ready fos "admissions.
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St. Croix County Health and Human Services Board
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November 18, 2009
St. Croix Health Center
September 2009
Budget Actual Difference Percentage
Census
Operating Revenue:
Medicare $903,252.00 $840,669.79 $62,582.21 93.07%
Medicaid $2,481,432.00 $1.748,591.87 $732,840.13 70.47%
Private Pay $760,413.00 $641,695.98 $118,717.02 84.39%
Outstanding Rate Appeal rev $12,000.00 $0.00 $12,000.00 0.00%
Revenue - IGT/Supplemental Funds $350,000.00 $348,738.00 $1,262.00 99.64%
All Other Sources $216,041.00 $172,221.22 $43,819.78 79.72%
Total Operating Revenue $4,723,138.00 $3,751,916.86 $971,221.14 79.44%
Operating Expenses
Daily Patient Services $3,397,317.36 $2,477,810.90 $919,506.46 72.93%
Special Services $284,262.00 $194,507.74 $89,754.26 68.43%.
General Services $1,148,672.04 $805,066.28 $343,605.76 70.D9%
Administrative Services $628,277.68 $519,852_.04 $108,425.64 82.74%
Unassigned:
Depreciation Based) $0.00
Others: $402,923.00 $216,657.75 $186,265.25 53.77%
Utilities $202,080.00' $92,712.33
Workers Comp, Computer Tech $133,400.00 $33,288.42
Insurance $67,443.00 $90,657.00
Total Operating Expenses $5,861,452.08 $4,213,894.71 $1,647.557.37 71.89%
Net From Operations ($461,977.85)
(Cost of doing business prior to
applying levy & outstanding rev) „
County Revenues
Cc Allocations Based) $947,314.08 $710,485.56 $236,828.52 75.00%
Nursing Home Carry Over $191,000.00 $143,250.00 $47,750.00 75.00%
Total Outstanding $1,138,314.48 $853,735.56 $284,57852
Net from all Sources $391,757.71
/{XW,y
AGED HEALTH AND HUMAN SERVICES RECEIVABLES REPORT: The aging Accounts
Receivable report for Health and Human Services through September was reviewed.
Staff continue to clean up records, pulling records and sending clients to
collections. The ECHO work group has made the system more user friendly and has
more report options. Claims are getting submitted electronically and we have
received the first electronic payment.
At the end of the month, Open Minds will have an on-site visit to the facility
to perform a maximization desk review in an attempt to enhance Medicaid
revenues. It is anticipated the findings will be available in mid-December.
The cost of the review is approximately $10,000; however, history of similar
St. Croix County Health and Human Services Board
Page 7
November 18, 2009
reviews shows an increase of 5-10% in revenue. Additionally, the review will
assist if a future Medicaid audit were to occur and will also address workflow
process, which can address increased efficiencies.
FEDERAL POVERTY LEVELS INFORMATION: Pempek distributed information regarding
Federal Poverty Levels which were discussed at the October meeting.
NURSING HOME ADMINISTRATOR'S REPORT: Robinson said the average monthly census
for September was 64, with 6 Medicare, 41 Medicaid, 16,:private pay and 1
Family Care resident; for October average monthly census, was 65, with 9
Medicare, 39 Medicaid, 16 private pay and 1 Family Care resident: He said
the rehab construction is completed and most rooms are occupied. The, Nursing
Home license has been changed to reflect the private room number change. The
Nursing Home went from 18 private rooms to 34 private rooms. There have been
approximately 25 resident room changes to accoz odate the shift t€ ' the rehab
unit. Robinson noted the Medicare census is,//`ahead of the census goal for
2009, which is a positive for the Nursing Home." Medicare reimbursement is
approximately $426/resident/day compared to a-;', rate of approximately
$178/resident/day for Private Pay reimbursement. Robinson said staff has
shifted from getting back to discharge planners within a°,,day to getting back
to them within 30 minutes. Staff .,?/,?.is reviewing brocl res for the Nursing
Home. Other items being explored &t~ getting a sign on the highway for the
facility and putting listings in the yellow pages. Robinson reported that the
staff have bought into the change and~.continue to provide input. However,
some residents that have been admitted "have higher acuity needs so he has
increased staffing levels accordingly. Robinson reported he is pleased with
the work done by Building Services to getsthe rehab unit going. Robinson
meets with David Best from .Building Services weekly and communications have
improved greatly.
REVIEW OF AD HOC"-- FACILITY COMMITTEE PLANNING: Johnson distributed information
shared at the County Board meet-a.n€'regarding results of the Long Range Facility
Planning Study`; Phase I. ,The.,'>facility condition index (FCI) is an industry
accepted method for""comparison of building condition. This will need to be
addressed- for thefacilites in New Richmond to assist in making final
decisidhs about 'next steps"'for building use. Phase I of the study should be
completed'=by the first part of December. If approved, Phase II of the study
woubegin,`;,which recommends focus on the New Richmond campus first.
NURSING HOME DIVERSIFICATION OF REVENUE - CONSTRUCTION OF 20-UNIT ASSISTED
LIVING: On(; f'khe 2010 operational targets is to have one (or more) new
product fully assessed, implemented and profitable, which has been accomplished
with the implementation of the rehab unit (implementation currently
underway). A second target is to add one (or more) additional products that
would be researched and staged for implementation. Facility planning and
diversification of revenue need to run hand-in-hand to assure the building
fits with the needs and services. Robinson is researching programming and
outside pay sources to make the facility profitable. It needs to be
determined what the potential is for the building and it would be premature
to do anything until the facility planning study is completed.
St. Croix County Health and Human Services Board
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November 18, 2009
Robinson said the configuration of the Nursing Home has changed with the
implementation of the rehab unit, so meetings with staff have also been
implemented. Robinson reported staff continues to move forward to meet the
needs of the Nursing Home residents. Peterson expressed concern regarding
possibly moving too slow on issues. It was the consensus that Nursing Home
diversification of revenue-construction of assisted living will remain on
future agenda to keep the issue in front of the Health and Human Services
Board and County Board. Dr. Ramsay suggested training staff to go into the
homes of clients who want to stay in their homes. Medicare does not
reimburse for home health services. Robinson is investigating the
possibility of restarting home health services.
UPDATE REGARDING SPRING VALLEY HEALTH CARE CAMPUS PROJECT: Kevin Larson,
Spring Valley Health Care Campus, was not available to°meet prior to today's
meeting. Frank Robinson and Fred Johnson will attempt to meet'' with Kevin
Larson and tour his facility and provide an update at the December meeting.
2010 ROUTINE MEETING DATES: After discussion regarding dates of County Board
and other meetings, this item will be postponed to theDecember meeting.
RESOLUTION AMENDING THE 2010 HEALTH,/AND HUMAN SERVICES YOUTH COMMUNITY SUPPORT
SERVICES BUDGET: The Office of Justic*_ Assistance (OJA) offered an opportunity
for a $100,000 grant with the potential, of funding for two additional years
based on performance. There is a county r6atch requirement of $11,111, which is
anticipated will be funded trough money g~ne.rated through billing. Juvenile
Treatment Court will offer an alternative, I process for families and their
children involved in J 'nil Court where the current services model does not
make lasting change arrd.the.,youth are at high risk for recidivism and/or out of
home placement. Upon rece,ipL of the money, a full-time staff will need to be
hired to work with' the prTime will be needed to get staff trained in
billing requirements to maintain the sustainability of the program.
Additionally, time, will be spelt; ."implementing this new process with assigned
cases. The f686 0f,treatmeiht court will be on the children, but will also work
to actively., enga`ge the parents in routine court and team meetings. Judge Vlack
is very dedicated 'to this program and is determined to make it work similar to
~awhat has beeH,?,.dohe with the"adult Drug Court program. It is believed that after
three, years, t1kp p? xam will be self-sustaining with no need for additional
county monies, due. to 8111ing for services and avoiding out of home placements.
It is anticipated the County match amount of $11,111 will be gained through
case management billing for each year. The position will start by 01/01/2010.
Suggestions".,,were"`made to retool the resolution.
The Board recessed from 10:00 - 10:20 AM.
PRE-VOCATIONAL SERVICES RESOLUTION FOR ST. CROIX INDUSTRIES: At this point, it
appears a resolution supporting pre-vocational services that involve work in a
sheltered workshop for an unlimited period of time as a choice for consumers
may not be necessary due to an outcry from consumers. The State may have a push
towards more integrated employment for sheltered workshop clients in the next
five years. Johnson will work with Wentz on an appropriate response based upon
feedback from meetings that are occurring this week.
. St. Croix County Health and Human Services Board
Page 9
November 18, 2009
RESOLUTION AMENDING THE 2010 HEALTH AND HUMAN SERVICES YOUTH COMMUNITY SUPPORT
SERVICES BUDGET (continued):
Motion: A motion was introduced by Marzolf, seconded by Rasmussen, and
unanimously adopted, that the Board approves the following resolution:
RESOLUTION AMENDING 2010
HEALTH AND HUMAN SERVICES BUDGET
St. Croix County, Wisconsin
WHEREAS, the St. Croix County Department of Health and Human Services
and the St. Croix County Circuit Court have collaborated on a grant
application to the Office of Justice Assistance (OJA'"td request funding for
Juvenile Treatment Court; and
WHEREAS, the problem statement in the
grant application identified 37
of the 140 juvenile delinquency or juvenile in need,of protection or services
court orders have been open before the courtt'-for more than one year; and
WHEREAS, those working with juveniles in St. Croix County recognized
that for these families, the system of ho4 orders are initiated, managed, and
reviewed was not sufficient to make lasting` hanges;~ and
WHEREAS, the cost of purchased services for these cases was estimated
at $500,000 (not including social corker, police, attorney, or court time);
and'' -
WHEREAS, a committee was f&ied in January 2009 to develop a Juvenile
Treatment Court Program that was bayed on the drug court model and
coordinated service teams;, and
WHEREAS, the mission of the Juvenile Treatment is to use intensive
court supervision,,.. evideribe based practices and coordinated service teaming
to assess needs and. implement services to assist families reduce alcohol and
drug abuse, delinquent behaviors, truancy and uncontrollable behavior to
improve.the lives of juveniles, families and the community; and
WHEREAS,\ the Department of Health and Human Services received notice on
November 10't', 2009 that the Federal award from the Office of Justice
Assistance wasr,$100,000 with a local match requirement of $11,111 for the
first year, which will be obtained through case management billing; and
%
WHEREAS:--this Office of Justice Assistance Grant is a three (3) year
grant with a local match requirement for subsequent years; and
WHEREAS, the Department of Health and Human Services has developed
planning to fund a new social work position with no County levy; and
WHEREAS, this new position will administer this program and will track
outcomes of the Juvenile Treatment Court as part of the grant.
THEREFORE, be it resolved that the St. Croix Board of Supervisors
authorizes an amendment to the 2010 Health and Human Services budget for
St. Croix County Health and Human Services Board
Page 10
November 18, 2009
receipt of the Office of Justice Assistance grant and local match totaling
the amount of $111,111.
FURTHER, be it resolved that the St. Croix County Board of Supervisors
authorizes an amendment to the 2010 Health and Human Services budget for
Juvenile Treatment Court and the new social worker position to administer the
program.
PERSONNEL ISSUES: Johnson said there are no vacancies and no new hires. He
reported the CARES call center for the State of Wisconsin will be closed
11/09/09 through 12/04/09 for Economic Support calls. The'`call center will be
focusing on the backlog of BadgerCare Core Plus applications;y The,. State has
extended an offer to any available Economic Support workers tom.„work*'hours to
help with this backlog. These staff and the county would be reimbursed for
actual expenses up to $68/hour. This was reviewed with Human Reso Ices and
staff can provide assistance on Saturdays during AV designated, time frame.
Robinson reported interviews have been conducted 'for the 'Director of Nursing
position and have been narrowed to two candidates. There will be some overlap
of services between Connie Sarauer and the new hire.
REVIEW HEALTH AND HUMAN SERVICES, SD CROIX\INDUSTRIES, AND NURSING HOME'S 2010
BUDGET: Johnson distributed the ''`,budget summary powerpoint which was
distributed at the County Board-'1eeting.'". He said~HOealth and Human Services had
an additional $100,000 reduction, which "Will put more risk in the area of
Behavioral Health mobile crisis and divers iono,,and ADRC guardianship. Johnson
will clarify the process .to • track nendments,.~ade to the 2009 and 2010 budgets
as modifications have been made."'Pay issues5for non-represented employees are
planned to be discussed in December':'
,
Johnson questione'dwhat Board members would like for the adjusted budget
information, if they w8 ld like the entire budget or just the summary sheets.
It was the consensus d the ..embers that the summary sheets would be
sufficient. `these ldocument,, will be distributed when the current 2010 budget
amendments have been4,finalized.
~ Pr.
ry
H
H1N1,,UPDATIE: Kramer `reported the supply of H1N1 vaccine in St. Croix County
continues t&,, be limited'. She said there are different types of vaccine which
carry t4 fferAt approvals for ages and/or medical conditions. Public Health
has been,,;shariAg their supply of vaccine with local providers that need it.
Public Health has not received enough vaccine to hold mass vaccination clinics.
She said therecMs been a slight decline in reported cases of H1N1 statewide.
Kramer reported Public Health opened its Emergency Operations Center on October
5th and continues to meet weekly.
Kramer reported on the satellite phone used as back up communication for Public
Health. The phone is not always dependable; however, it is a recommended
redundant communication. It is the fourth method of redundant communication.
The cost is $25/month for the phone, which is the best we can get for what we
pay. Johnson will follow up with Casey Swetlik and possibly terminate the
service.
St. Croix County Health and Human Services Board
Page 11
November 18, 2009
IMPLEMENTATION OF TOBACCO-FREE COUNTY GROUNDS POLICY: The policy will be
presented and promoted to staff. Staff will be provided education on the
policy. Karl presented a timeline regarding the implementation of the tobacco-
free grounds policy. Cessation presentations will be presented to interested
staff. The message regarding St. Croix grounds being tobacco-free will be
advertised to the public. By the end of the year, signs will be posted to
indicate St. Croix County grounds are tobacco-free and to mark boundaries for
County property. Karl will meet with Human Resources on an as-needed basis
throughout the process.
POSSIBLE AGENDA ITEMS FOR NEXT MEETING: No items were brought----to the Board.
Wentz asked if there were any other issues to bring before the Board.'-
Wentz adjourned the meeting. y
Time: 11:15 AM
Chair:
'Attest:
- (Secretary)
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