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HomeMy WebLinkAbout03-04-2013 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD March 4, 2013 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 Present Lisa Ramsay Board Member Present Deb Rasmussen Board Member Present Others present: Health and Human Services Director Fred Johnson, County Administrator Patrick Thompson, Finance Director Tabatha Hansen, Human Resource Director Tammy Funk, Nursing Home Administrator Jack Williams, Nursing Home Director of Nursing Sandy Hackenmueller, Nursing Home Social Services Director Lisa Leahy, Fiscal Administrator Deb Suchla, Behavioral Health Administrator Steve Kirt, St. Croix Industries Administrator Clark Schroeder, and Administrative Support Supervisor Malva Sirek. APPROVAL OF MINUTES 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. 1. January 7, 2013 8:30 AM RESULT: ACCEPTED PUBLIC COMMENT No public comments. BUSINESS ITEMS 1. Nursing Home Report Thompson introduced Jack Williams, Nursing Home Administrator, to the Board. Williams gave a brief summary of his background. He indicated he is looking forward to the challenge and opportunities afforded with the Nursing Home. Sandy Hackenmueller, Director of Nursing, was introduced to the Board. Thompson thanked Leahy for filling the interim role of Administrator after the Administrator and Director of Nursing left. She did a superb job in the interim. Thompson indicated the Nursing Home has a strong management team for the Nursing Home. Work is ongoing for the property incentive application with the state. Work has begun with Hoffman and Associates for construction of a new nursing home to bring a final financial picture and preliminary Nursing Home construction plan to the County Board. 2. Financial Reports The pre-audit December financial report was reviewed. The revenue shortfall in St. Croix Industries due to rate reductions by Community Health Partners. Aging is overspent due to using trust monies. Aging has two trusts. One trust is for transportation; the other is for nutrition. If all monies for Aging are not spent by year end, monies for Aging can be set aside in a trust for future use for Aging. The trust monies are now being used to purchase major expenses such as a new dishwasher in the nutrition site. Aging trust accounts are reviewed on a quarterly basis with the ADRC committee. Health and Human Services had some recent court-ordered placements, which lowered the Health and Human Services operating margin. Children's waivers were changed after the 2012 budget was created. Previously the County received money from the State and vendors claimed funds from the County. In 2012 the State changed the process so vendors send claims directly to the State and monies are not routed through the Health and Human Services books. The audit report should be available approximately in July. The Board requested a report on fund balances and trust accounts at the next meeting. The January, 2013 projected financial report was reviewed. The Nursing Home is showing strong revenue due to the payer mix for January. IGT funds will not come in until March or April. The changes in the FTE and 5% wage reduction for the Nursing Home staff will be reflected in the February report. Nursing Home census numbers have been higher than what was budgeted. Notice was received that the property incentive applications will be released in March and will probably be awarded in late July. 3. Recognition of Small Business of the Year for St. Croix Industries St. Croix Industries has been part of the New Richmond and Hudson Chamber of Commerce for about four years. St. Croix Industries clients have had more involvement in volunteer activities in the community. This has been an educational outreach project. St. Croix Industries received recognition as the New Richmond Small Business of the Year. 4. Updated St. Croix Industries 2013 Budget Projections An updated 2013 projected budget was provided to the Board. The projection shows a reduction in the amount of prior year carryover needed in 2013 to balance this budget. The initial budget projected $340,195 of prior year carryover and this amount was reduced to $91,837. Increases in rates that are negotiated with Southwest Family Care Alliance largely account for this positive adjustment and are in effect for this year. Financial projections for the next three to five years will be provided at the April Board meeting. Additional Meeting Documents 5. Substance Abuse Subcommittee Report The Substance Abuse Committee is a subcommittee of the Health and Human Services Board. A brief outline of how and why the subcommittee was formed was provided. The Substance Abuse Subcommittee's decision to hold off scheduling future meetings as the Criminal Justice Coordinating Committee (CJCC) develops was reviewed with the Board. If there is a specific initiative that the subcommittee can address in the interim, a meeting will be scheduled. 6. Strengthening Treatment Access and Retention-State Initiative (STAR-SI) and Lean Management Program Report An overview of STAR-SI and lean management process was reviewed. Two reports were included in the packet. The first report addresses steps that were taken to reduce the waiting list for AODA treatment. The results of the process is that the AODA waiting list is virtually gone and the unit has been able to stay up with consumer demand at this point. The formation of the orientation group reduced no-shows for appointments from over 35% to 12% and has gotten consumers into services more quickly. The second report summarizes efforts to eliminate duplicate steps for intake. Originally 11 signatures were needed for intake and the number of signatures needed after the lean process is down to four. This new process is more consumer friendly and the process moves more quickly. 7. Health and Human Services Facility Planning Report The RFP for leasing space is scheduled to go out next week. The plan is to relocate Health and Human Services staff to alternate space, which may be either leased or current vacant space within existing County buildings. The County will utilize the space we have first and then look at leased space. The Baldwin facility has existing space to utilize. Representation of one Health and Human Services Board member to sit on the RFP selection committee is needed. An environmental assessment will be done for the Health and Human Services building before it is deconstructed. The hope is to have the building deconstructed prior to next winter. Yoerg questioned if any consideration has been given to employees that have worked in New Richmond for a length of time. Information of where employees live was provided in the Board packet and will be reviewed, but is not a primary driver for space needs. Data on consumer location was also provided. The proposed timeline for the RFP process is as follows: The RFP is scheduled to be posted on March 11, 2013. RFP submission deadline is April 19, 2013. The Committee will meet between April 22 and May 20, 2013 for the proposal review, final selection and negotiation. The goal is to have occupancy of leased space by August 1, 2013. Electronic Health Records (EHR) kick-off is scheduled for April 20 through April 23, 2013. There is still a lot of work to be done. The hope is to go live with EHR by year end. Johnson offered to give additional details at a future meeting. 8. Appointment of HHS Board Member on the RFP Selection Committee Hood volunteered to be on the RFP Selection Committee. Larson appointed Hood to the RFP Selection Committee. ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting was adjourned at 9:58 AM. DATE OF NEXT MEETING: 04/01/2013