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HomeMy WebLinkAbout04-01-2013 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD April 1, 2013 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER ROLL CALL Attendee Name Title Status Arrived Tim Hood Supervisor Present Fred Yoerg Supervisor Present Chris Kilber Supervisor Present Tom Hawksford Supervisor Absent Roger Larson Vice Chair Present Fred Horne Chair Absent 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 Administrator Jack Williams, County Administrator Patrick Thompson, Fiscal Administrator Deb Suchla, Fiscal Director Tabitha Hanson, St. Croix Industries Administrator Clark Schroeder, Public Health Administrator Deb Linemann, Human Resources Director Tammy Funk, New Richmond News Jeff Holmquist, Hudson Hospital Karen Hansen, Information and Technology Kim Dupre and Aging and Disability Resource Center Administrative Assistant Renea Aeschliman. APPROVAL OF MINUTES 1. March 4, 2013 8:30 AM RESULT: ACCEPTED PUBLIC COMMENT BUSINESS ITEMS 1. Financial Reports The financial report through February was reviewed. It is early in the year and contracts are still being finalized. Some contractors haven’t submitted bills and we are still making some estimates on state revenue until the contracts are complete. Expenses are coming in under budget. Health and Human Services (HHS) is currently at 92% spent with collection/revenue. St. Croix Industries (SCI) is currently working on authorizations for service from Southwest Family Care Alliance for every SCI client. For 2013, Southwest has granted an increased rate for SCI. It is anticipated that there will be a loss, but not as high as initially projected. It is early in the year, but at this time there is no concern at this time regarding department budgets. Fund balance and trust account information was reviewed. Board members received three pages from the audit completed for 2011. HHS, Aging, Aging and Disability Resource Center, and SCI all had fund balances available to be carried over into 2012. The fund balances are earmarked for specific programs. Aging has three Trust Funds which are used for transportation and nutrition. Dollars are mainly used for capital which is not budgeted. 2. Nursing Home Report Administrator Williams mentioned that operationally the financials show improvement. The census this week is 48 out of 50 with a possibility of a full house by the end of the week. The nursing home is budgeted at 45 beds, but marketing continues in order to keep the beds full. The gross revenue stream for a nursing home is fairly fixed, but expenses fluctuate and need to be analyzed. The operations of the nursing home will be analyzed in order to survive. St. Croix County has a high number of nursing homes compared to other neighboring counties, so competition is stiffer. The auditors completed the Nursing Home audit a couple of weeks ago. With the audit, Finance was able to pinpoint where the losses came in and are confident in the reports being utilized and presented. 3. Health and Human Services Facility Planning Report Updated the Board from last month regarding Facility Planning. The Requests For Proposals prebid conference was held on March 25th and there were several attendees. Proposals are due back April 19. A question was raised during the RFP prebid conference regarding where consumers that are primarily based in the community reside and a handout was provided to the Board members with the information. 4. Adult Protective Service Restructuring At the Council on Aging and Disabilities meeting there was discussion regarding emergency services. There are currently 2 staff in Behavioral Health who provide emergency services/mobile crisis and 2 Adult Protection Services (APS) staff within the Aging and Disability Resource Center. A transition will take place merging the Behavior Health Mobile Crisis and APS within Behavioral Health within the next several of months. 5. 2013 St. Croix County Health Rankings Public Health Administrator Linemann and Karen Hansen, Hudson Hospital, spoke to the Board members regarding the Health Rankings. The two are co-chairs in a project called Healthier Together. The rankings are determined looking at the current health of the counties nationwide. The health rankings are based on five measurements - Mortality, morbidity, health factors, social and economic factors and physical environment. When looking at the current year, St. Croix County did very well in all the categories expect mortality rate. St. Croix improved in physical environment and access to care. St. Croix County is doing things now that will hopefully affect the mortality rate in future rankings. Healthier Together is a collaborative effort. The projects that were determined from the Needs Assessment are access to primary/preventative care; obesity/lack of ph ysical activity; access to adequate nutrition; tobacco use and exposure; and Alcohol and Other Drug Abuse (AODA). The Board requested information on how many Full-time Equivalents (FTEs) from the County go towards the Healthier Together program. 6. St. Croix Industries Financial Projections and Future Planning Options Discussion on projections and assumptions. Administration reviewed policy options to address the projected deficit. These options include use of tax levy, operational adjustments, or transition of operation to another provider. This item will be on the agenda for the next meeting to further address information the board may need to develop policy direction for future business planning. ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting was adjourned at 10:30 a.m. DATE OF NEXT MEETING - 05/06/13 @ 8:30 A.M.