The URL can be used to link to this page

Home My WebLink About09-20-2012 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD September 20, 2012 9:00 AM County Board Room - Government Center 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Chair Horne called the meeting to order at 9:00 AM noting the meeting was properly and legally publicized. ROLL CALL Attendee Name Title Status Arrived Tim Hood Supervisor Present Fred Yoerg Supervisor Present Chris Kilber Supervisor Present Tom Hawksford Supervisor Present Roger Larson Vice Chair Present Fred Horne Chair Present Leon Berenschot Board Member Present Lisa Ramsay Board Member Absent Deb Rasmussen Board Member Present Others present: Health and Human Services Director Fred Johnson, Nursing Home Contracted Administrator Cindy Anderson, Assistant Corporation Counsel Heather Wolske, County Administrator Patrick Thompson, Risk Manager Kristen Ziliak, County Board Chair Daryl Standafer, Finance Director Tabatha Hansen, Administrative Support Supervisor Malva Sirek, Human Resource Director Tammy Funk, Captain Jeff Klatt, and WIPFLI Accountant Larry Lester. Please also see sign in sheet for meeting attendance. APPROVAL OF MINUTES 1. September 10, 2012 8:30 AM The Chair asked if there were any corrections to the minutes. Kilber questioned if reading a letter from someone that could not attend a meeting should be allowed. In the future the Board will allow the public to read in public comments from someone not attending the meeting. There are few rules regarding public comment. Under public comment, the public is able to talk about anything, including reading letter from another person. This could be addressed under the bylaws in future if a change is needed. The Chair announced if there are no corrections to the minutes, they stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT The following people spoke and/or submitted comment cards: Ellen Ard: The Nursing Home was founded in 1897. She supports the Nursing Home. She urged the Board to place humanity above the money and not send residents outside the community to receive services. James Mayer: Other facilities are not required to accept Medicaid patients without supplemental insurance. He questioned why the Board continues to talk about the Nursing Home and have it on the agenda. He urged the Board to move to recommend indefinitely postponing or remove closure for the Nursing Home from the agenda. Rick Prokash: The Nursing Home has been voted on twice by public to financially support the Nursing Home. The Nursing Home has become emotional football and the voters have voted twice to financially support the Nursing Home. Bob Johnson: He indicated baby boomers are about ready to need nursing home facilities and that it would be unchristian to close the home. Kim Dupre: The County levy for last 10 years was over $250,000,000. If the Nursing Home had levy of $1million/year, it would amount to $20/year/tax parcel or $1.50/month per tax parcel. This is not a financial decision but a political decision. An outside consultant has been running the Nursing Home four out of last six years. Currently the Nursing Home is housing 50 residents in a building built for 126 residents. The Nursing Home is a public place for people who cannot afford care. Dunn and Polk county are supporting their homes. St. Croix County has a longstanding tradition of caring for our own and asks that they stand by that tradition. Loyla Waskul: She spoke regarding admitting family into the Nursing Home. Employees know their family members will get good care at the Health Center and it is an excellent facility. Norm Matzek: He distributed a handout. He supports the Nursing Home. The Nursing Home has experienced two different business models. He urged that a permanent Administrator be hired for the Nursing Home. Shirley Matzek: She spoke on voting and the importance of votes and letters from citizens. She supports the Nursing Home. She urged the Board to respect the wishes of the voting public. Buzz Marzolf: He read a letter he sent to Supervisor Hawksford. He spoke of Eau Claire closing their County nursing home and that it was a mistake as it cost more to provide care for residents than when there was a county nursing home. He urged the Board to weigh, consider and reflect on long range consequences on closing the Nursing Home. BUSINESS ITEMS 1. Updated Consultant Report on the St. Croix Health Center - Nursing Home Lester provided a report to Board on 09/10. This data was reviewed with Brian Schoeneck. There is no significant update on this report. Phase down/closure/additional funds information will not be available until the end of September. Final phase down funds are connected with construction of a new facility and it is not known at this time if closure would be considered as a phase down. The phase down incentive and building a new facility are two separate incentives and both require an application. It is anticipated there will be no increase or a limited increase in the Medicaid rate over the next few years. Giving up beds costs the state money as they lose bed tax, which is also matched by the Feds. However, with the new model, beds could be removed and there is incentive to replace older nursing homes. 2. Resolution to Determine the Future of the St. Croix Health Center - Nursing Home At the September 10th meeting instruction was given to work with Corporation Counsel to draft a resolution for the Nursing Home that included the following three options: Option One-Build a New Nursing Home, Option Two-Close/Sell Nursing Home, Option Three-Remain in Current Building with Expense Reductions. This resolution will go to the County Board on October 2nd as that is the final entity for making decisions regarding the County. Lester will also be available to provide his presentation to the County Board on October 2nd. Board members discussed the options presented. Operational costs and payer mix for the Nursing Home were examined by Administration. Preliminary work has also been completed on wage and fringe adjustment. Motion: A motion was introduced by Hood, seconded by Hawksford: That the Health and Human Services Board recommends to the County Board to close/sell the Nursing Home. Wolske indicated this changed the resolution so the resolution would need to be amended. Hawksford withdrew his second, Hood withdrew the motion. Motion: Motion by Hawksford, seconded by Hood: That each of the Health and Human Services Board members will vote on each of the three options of the resolution: 1) Build a New Nursing Home, 2) Close/Sell Nursing Home, 3) Remain in Current Building with Expense Reductions. Roll call vote: Tim Hood Option 2 Fred Yoerg Option 2 Chris Kilber Option 2 Tom Hawksford Option 2 Roger Larson Option 3 Fred Horne Option 1 Leon Berenschot Option 3 Lisa Ramsay Absent Deb Rasmussen Option 1 Two votes for Option 1, four votes for Option 2, two votes for Option 3. Motion: Motion by Hawksford, seconded by Hood: That the Board recommends the resolution go to the full County Board for the October 2nd meeting. Roll call vote: Tim Hood Yes Fred Yoerg Yes Chris Kilber Yes Tom Hawksford Yes Roger Larson Yes Fred Horne Yes Leon Berenschot Yes Lisa Ramsay Absent Deb Rasmussen Yes Eight yes, one absent, motion passed. RESULT: APPROVED AS AMENDED [UNANIMOUS] MOVER: Tom Hawksford, Supervisor SECONDER: Tim Hood, Supervisor AYES: Tim Hood, Fred Yoerg, Chris Kilber, Tom Hawksford, Roger Larson, Fred Horne, Leon Berenschot, Deb Rasmussen ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting was adjourned at 10:30 AM. DATE OF NEXT MEETING - 10/08/2012 AT 1:00 PM