Loading...
HomeMy WebLinkAbout12-10-2012 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD December 10, 2012 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Vice Chair Larson called the meeting to order at 8:30 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 Absent Leon Berenschot Board Member Absent Lisa Ramsay Board Member Absent Deb Rasmussen Board Member Absent Others present: Health and Human Services Director Fred Johnson, Nursing Home Interim Administrator Lisa Leahy, County Administrator Patrick Thompson, Finance Director Tabatha Hansen, Fiscal Administrator Deb Suchla, Emergency Support Services Director Casey Swetlik, Building Services Director Art Tobin, Public Health Officer/Coordinator Wendy Kramer, Public Health Nurse Reproductive Health Jaye Hay, Administrative Support Supervisor Malva Sirek, County Board Chair Daryl Standafer and Kim Dupre. APPROVAL OF MINUTES 1. November 12, 2012 8:30 AM The Vice Chair asked if there were any corrections to the minutes. The Vice Chair announced if there are no corrections to the minutes, they stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT Kim Dupre spoke on Health and Human Services building issues and the 9-1-1 center. She recognizes there are urgent needs in the County but asked the Board to consider the public perception of rushing things through committee when considering selling the county land. BUSINESS ITEMS 1. Financial Reports Suchla reviewed report through October. She noted St. Croix Industries had the largest change due to revenues being moved from 2012 to 2011. St. Croix Industries will use some fund balance reserves for 2012. St. Croix Industries losses are a result of a rate cut made earlier this year. Southwest Family Care will take over as the long term managed care provider in our County in 2013. Southwest Family Care has been open to discussing rates; however, a final response has not been received. Staff are meeting with Southwest Family Care again tomorrow to discuss rates. St. Croix Industries and Nursing Home are enterprise funds and separate from Health and Human Services. Aging will use trust fund monies to balance for 2012. The final payment for 2012 for Long Term Care for ADRC was made to the State. ADRC is maximizing resources for funding. The Nursing Home rate of loss has slowed since operational adjustments were made this summer. 2. Nursing Home Report The Nursing Home census today is 47 plus one resident in the hospital. One Medicare admission is pending. The November average census was 46. Leahy reviewed the referrals/admissions to the Nursing Home for the last month. She noted a lot of the referrals to the Nursing Home were not St. Croix County residents. The payer mix for the Nursing Home is 63% Medicaid, 23% private pay, 12% Medicare A and 2% Medicare Advantage. This is higher than was budgeted. The payer mix will be tracked for the next several months. Hansen will prepare the report and send to Board members. The monthly open bed report will be reported on a monthly basis. 3. Update on Great Rivers Income Maintenance Consortium This item will be discussed at the January meeting. 4. Presentation to consider adding colposcopy service to the Reproductive Health Program Health Care Education and Training (HCET) has received funds from WI Department of Health to help fund the purchase of colposcopy equipment and Nurse Practitioner colposcopist training in the western and northern regions. HCET has $22,000 set aside for St. Croix County Reproductive Health for colposcopy services. The funds would cover equipment, training and program set up. Offering colposcopy services would assure continuity of care for clients. HCET has indicated there will be continuous grant money to maintain services. With funds available through the Medicaid, the program should be self-sustaining. If costs are significantly higher than the reimbursement, then the program can be re-evaluated and possibly discontinue services. Reproductive Health is not looking to compete with the private sector, only to provide continuity of care. Part of the strategic plan is to protect at-risk populations and this service fits with that plan. Motion: Motion introduced by Hood, seconded by Kilber: That the Board approves adding colposcopy service to the Reproductive Health Program. RESULT: APPROVED [UNANIMOUS] MOVER: Tim Hood, Supervisor SECONDER: Chris Kilber, Supervisor AYES: Tim Hood, Fred Yoerg, Chris Kilber, Tom Hawksford, Roger Larson ABSENT: Fred Horne, Leon Berenschot, Lisa Ramsay, Deb Rasmussen 5. Health and Human Services Restricted Use Fund Balance Policy Health and Human Services currently has a fund balance. Any funds unassigned at the end of the year are turned over to the County general fund. It was previously discussed with the auditors to set aside some funds for designated funds . Administration recommends that money be set aside for restricted use for potential year-end cost overruns for designated programs for Health and Human Services, such as placements. This would protect the county from using the general fund if a risk reserve fund for Health and Human Services was established. Discussion was held regarding using a three-year average for placements for the 2013 budget. Placements can be volatile. The Board would like a review of the risk reserve fund at least quarterly, if not monthly. Motion: Motion introduced by Yoerg, seconded by Hood, That a designated fund be established to be set at $500,000 for placement risk reserve fund. RESULT: RECOMMENDED [4 TO 1] MOVER: Fred Yoerg, Supervisor SECONDER: Tim Hood, Supervisor AYES: Tim Hood, Fred Yoerg, Chris Kilber, Roger Larson NAYS: Tom Hawksford ABSENT: Fred Horne, Leon Berenschot, Lisa Ramsay, Deb Rasmussen 6. Discuss Resolution to Authorize the Sale of Vacant County Land and Assign Proceeds to Create a Separate Capital Projects Fund The Board recessed from 10:05 to 10:10 AM. This item came before Administration Committee, went to County Board on 12/04/12 and has been postponed to the January 8th, 2013 County Board meeting. Decision was made to take the resolution to authorize sale of vacant county land and assign proceeds to create a separate capital projects fund through standing committees for additional review. The committees are not being asked to take action on the resolution but to allow additional discussion and dialogue at the standing committee level. Discussion was held on the sale of the land along with an overview of Health and Human Services and 9-1-1 planning steps. It was questioned how much debt could be supported from the rent from the land. The rent monies are already in the budget as a revenue. 7. Additional Meeting Documents for HHS Relocation ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting was adjourned at 11:13. DATE OF NEXT MEETING - 01/07/13 AT 8:30 AM