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HomeMy WebLinkAbout10-08-2012 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD October 8, 2012 1:00 PM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Chair Horne called the meeting to order at 1:00 PM noting the meeting was properly and legally publicized. ROLL CALL Attendee Name Title Status Arrived Tim Hood Supervisor Present Fred Yoerg Supervisor Absent Chris Kilber Supervisor Absent Tom Hawksford Supervisor Absent Roger Larson Vice Chair Present Fred Horne Chair Present Leon Berenschot Board Member Present Lisa Ramsay Board Member Present Deb Rasmussen Board Member Absent Others present: Health and Human Services Director Fred Johnson, Nursing Home Contracted Administrator Cindy Anderson, County Administrator Patrick Thompson, Finance Director Tabatha Hansen, Fiscal Administrator Deb Suchla, Assistant Finance Director Bob Mittet, St. Croix Industries Administrator Clark Schroeder, ADRC Administrator Brad Beckman, Economic Support Administrator Ronda Brown Anderson, Family and Children's and YCSS Administrator Kathy Dunlap, Behavioral Health Administrator Steve Kirt, Public Health Officer/Coordinator Wendy Kramer, Administrative Support Supervisor Malva Sirek, Human Resource Director Tammy Funk, and Supervisor Dave Ostness. APPROVAL OF MINUTES 1. September 20, 2012 9:00 AM The Chair asked if there were any corrections to the minutes. The Chair announced if there are no corrections to the minutes, they stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT No public comments. BUSINESS ITEMS 1. Financial Reports The financial report for August was reviewed. Suchla highlighted the bottom portion of the report that shows the operating margin for July and August. She indicated Health and Human Services is under in revenue and this will continue through 2012 due to the change in Children's Waivers funds not going through Health and Human Services.It is anticipated Health and Human Services will have a good bottom line for 2012. The Nursing Home net loss has decreased in the August report. 2. 2013 Health and Human Services Budget Review Hansen reviewed the proposed 2013 Health and Human Services Budget Summary with the Board. Hansen reported 2013 retirement figure is 6.65%. This is a figure the State calculates. The health insurance is locked in at a 3% increase. The proposed budget at this time is focused on revenues and operational expenses and not capital expenses. Johnson provided highlights for each unit's budget. St. Croix Industries anticipates applying reserves to balance the St. Croix Industries' funds for 2013. It is anticipated rates will be decreased further for 2013. A new care management organization is scheduled to be announced 10/19/12 with new provider scheduled to be in place by 01/01/13. Administration will work with the new managed care organization to increase rates, which could minimize the use of fund balance. If rates are not increased, operational cost will need to be reduced. The Nursing Home budget was formed based on 45 residents and includes a county tax levy of $333,002 for 2013. Administration is looking at some additional expense reductions and will be discussing reduction in wage and fringe benefits. Recruitment is ongoing to fill the Administrator position with an employee versus a contracted employee. YCSS billing is now going through third-party administrator and not through the Health and Human Services. YCSS plans to move a contracted social worker to a full time position within the organizational structure. There is no requirement that the county administer Child Waiver Programs; however, the county receives State and Federal money to address health and safety needs for children with a disability. Many of these costs could require more local tax levy support if we did not administer this program. The Consortium started in 2012 for Economic Support and will continue in 2013. One Economic Support staff was not replaced. Health and Human Services capital request is due to Medical Records transferring to electronic health records. Behavioral Health expenses increased due increasing psychiatry time due to wait lists to prevent inpatient hospitalizations. If hospitalizations are not covered b y insurance or the client, then expenses come back to the County. Family and Children's had no change in staffing. The State approves all out of home rates and the county has no control over rate increases. Public Health eliminated one .5 Nurse position. The unit continues to work on Healthier Together St. Croix County and to work with the Health Task Force in an effort to improve health factors. ADRC increased benefit specialists' time and will draw down State/Federal revenue as much as possible. A steady decrease in Long Term Care Reform payments continues. Aging has realized increased costs in gas and food costs; usage has increased and donations have been down. Johnson will continue to work with County administration on the budget. Horne requested a special meeting to discuss the next steps for Nursing Home planning. A special meeting will be held 10/29/12 at 8:30 AM. The November regular Health and Human Services meeting needs to be rescheduled due to a conflict with the County Board meeting. The November Health and Human Services meeting is scheduled for 11/12/12 at 8:30 AM. ANNOUNCEMENTS & CORRESPONDENCE The meeting was adjourned at 2:30 PM. ADJOURN DATE OF NEXT MEETING--OCTOBER 29, 2012 AT 8:30 AM. The next meeting of the Health and Human Services Board will be October 29, 2012 at 8:30 AM to discuss next steps for the Nursing Home. The following meeting will be November 12, 2012 at 8:30 AM.