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HomeMy WebLinkAbout02-03-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD February 3, 2014 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Meeting called to order @ 8:30 AM on February 3, 2014. Chair Fred Horne welcomed everyone. ROLL CALL Attendee Name Organization Title Status Arrived Tim Hood St. Croix County Supervisor Present Fred Yoerg St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Present Tom Hawksford St. Croix County Supervisor Absent Roger Larson St. Croix County Vice Chair Present Fred Horne St. Croix County Chair Present Leon Berenschot St. Croix County Board Member Present Lisa Ramsay St. Croix County Board Member Absent Deb Rasmussen St. Croix County Board Member Absent Others present: Health and Human Services (HHS) Director Fred Johnson, County Administrator Pat Thompson, Human Resources Director Tammy Funk, Social Services Director Lisa Leahy, Director of Nursing & Interim Nursing Home Administrator Sandy Hackenmueller, Behavioral Health Administrator Steve Kirt, Children Services Administrator Kathy Dunlap, Public Health Administrator Deb Lindemann, Financial Fiscal Manager Beata Haug, Risk Manager Kristen Ziliak, Info Technology Manager Jim Williams, St. Croix Industries Administrator Clark Schroeder, several other HHS staff, & community members. APPROVAL OF MINUTES Chair Horne asked if there were any corrections to the December 16, 2013 minutes. No corrections were stated. Horne announced minutes are approved and stand as distributed. 1. December 16, 2013 3:00 PM RESULT: APPROVED [UNANIMOUS] MOVER: Fred Horne, Chair SECONDER: Roger Larson, Vice Chair AYES: Tim Hood, Fred Yoerg, Chris Kilber, Roger Larson, Fred Horne, Leon Berenschot ABSENT: Tom Hawksford, Lisa Ramsay, Deb Rasmussen PUBLIC COMMENT No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug reviewed the financial report. Revenue for HHS is showing a variance due to a Wisconsin Medicaid Cost Reporting (WIMCR) adjustment from 2012 that is being reconciled in 2013. Moving forward this should be a consistent payment & take back process within the same year. St. Croix Industries (SCI) is showing a positive number as the number of staff has decreased and ContinuUs reimbursement remains higher than budgeted. Human Resources Director Tammy Funk, reported on numbers that will affect the financials as the SCI transition continues. Severance pay will potentially amount to $250,000, with March 28th as the official transition date. The PTO, long term sick bank, and unemployment payout is still dependent on what staff choose to do moving forward. Aging and ADRC still looking to add 2 months of claiming so revenue will increase. Nursing Home is showing a variance of $4600, with approximately $79,000 of supplemental payments still coming in which will be applied to the 2013 revenue. Finalized numbers for 2013 budget must be submitted 90 days after January 1st, and will then be made available. 2. Nursing Home Report Social Services Director Lisa Leahy says referrals continue to be high from Regions Hospital with Westfield's of New Richmond 2nd. They also have had many inquiries from clients at home. One resident was released last week and that bed will be filled today. There continues to be a waiting list, though there are beds open within the county. Private pay is at 26% which is the highest it's been in quite some time. Transition to A 'viands as the dietary provider is going well. Several Board members enjoyed breakfast with Administrator Pat Thompson at the Nursing Home this morning. 3. Influenza Report HHS Director Johnson asked that Public Health (PH) Administrator Deb Lindemann give an update to the Board in regards to the influenza outbreaks within St. Croix County (SCC), and also educate them on the monitoring and surveillance of communicable diseases. Lindemann shared that there have been 550 cases of influenza leading to hospitalization throughout Wisconsin. SCC noticed in early January the start of the outbreak with now approximately 10 cases. Middle aged adults are being mainly affected, which is unusual, fever, body aches, and cough are the main symptoms. This is the same strain of flu as the H1N1. If sick you are encourage to stay home. PH does have some flu vaccine available. We have no reports of Norovirus like being reported on cruise ships. This is a difficult strain as it is very contagious and can impact many people very quickly. PH just received an alert regarding a Mosquito born virus potentially being brought home from the Caribbean and have notified area clinics of symptoms to watch for. 4. St. Croix Industries Transition Report HHS Director Johnson expressed his appreciation of the efforts made by the SCI staff throughout this transition. They have worked hard to make this a positive transition. East Suburban Resources (ESR) out of Stillwater, MN will be taking over on March 28th. They have sent a lease for the building for 1 yr., which is being reviewed. St. Croix Industries Administrator Clark Schroeder shared that the sub minimum wage license expires at the end of March and will not be renewed by SCC as we move forward with the transition. The Developmentally Disabled clients fall in to this below minimum wage category depending on their abilities. ESR is in the process of completing this licensing requirement for the sub minimum wage. There was a meeting on January 29th with ESR and approximately 75 parents were in attendance. ContinuUs and Iris staff participated along with ESR. Supervisor Hood attended and reports it was a good meeting, he also gave praise to SCI staff for their positive attitude. An assets list has been made and items will be sold to ESR thus removing the county liability. Transportation will be provided by ESR when they take over, but changes could be coming down the road as they see the need. They are also looking to potentially change buildings or add satellite locations to accommodate more clients. ESR will have an advisory board and is changing the bylaws to include 2 SCC residents on the Board of Directors. The week of March 24th is planned to be a dual provider week with SCI staff and ESR staff working together to share knowledge of workflow and client specific needs. Other board members shared their appreciation to SCI staff for their positive outlook during transition. Schroeder thanked the Board for allowing SCI to have a say in how this transition would be done. 5. Proposed legislative changes related to 17 year olds and Juvenile Court Jurisdiction HHS Director Johnson brought this informational item to the Board with input from Children Services staff, Administrator Kathy Dunlap and Supervisor Michelle Leccia. We want the Board to be aware of the potential effects this Bill could have on the 2015 budget, but also the workflow changes that may need to happen to address the 17 year old offender referrals. There was some discussion regarding these workflow changes, and what that might look like down the road. We will continue to keep the Board informed related to impact on the 2015 budget planning. 6. Health and Human Services Facility Planning Report County Administrator Thompson and HHS Director Johnson reported on progress with the new building. Some minor changes have been made to keep the cost down but still keep it user friendly for clients and staff. Most changes are cosmetic, not structural. A handful of alternates have been approved which are above and beyond the base bid. We were able to get the base bid down and there are a few things being rebid to try and get cost down further. Many of the major components of the building like heating and cooling are being redone so are adding to the cost. The costs of technology, furniture, and the actual move are also still being determined. The demolition at the new site has started and we are seeing activity around the building. We are now in the process of cleaning out this building and making a point of recycling and repurposing. Staff is being continuously reminded of the need to purge and is updated on progress at the new site. The plan is to post pictures on the Intranet so staff can see the progress. 7. Resolution Designating the Health and Human Services Department as the Administering Agency for the Coordinated Services Team Initiative HHS Director Johnson addressed the Board stating that the purpose of this agenda item is to request an updated resolution to support CST funding. He asked that several HHS staff give a brief history around the CST program and why they feel it would be good to access these funding dollars. Three staff from Children Services, Kathy Dunlap Administrator, Dawn Campbell CST Coordinator, and Julie Krings Supervisor with YCSS gave an overview of the CST program. SCC received start up dollars in 2005 but currently not receiving funding, though we continue to operate this program as we found it effective in working with families involved in multiple systems. SCC is leader in this initiative and has received Agency of the Year in the past. We currently have a Coordinating Committee that meets regularly and includes community members and families of our clients. Children Services staff are working on completing an application to receive this funding to assist in continuing this program with our Severely Emotionally Disturbed population and expand it to reach out to those clients and families dealing with other disabilities. The statutes require the County Board to designate an administrating agency to receive funding. Administration recommends that a resolution come from the HHS Board to designate the Health and Human Services Department as the administrating agency for the Coordinated Services Team Initiative. RESULT: APPROVED [UNANIMOUS] Next: 3/4/2014 9:00 AM MOVER: Tim Hood, Supervisor SECONDER: Chris Kilber, Supervisor AYES: Tim Hood, Fred Yoerg, Chris Kilber, Roger Larson, Fred Horne, Leon Berenschot ABSENT: Tom Hawksford, Lisa Ramsay, Deb Rasmussen ANNOUNCEMENTS & CORRESPONDENCE No announcements or correspondence ADJOURN Meeting was adjourned at 10:00 AM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING March 3, 2014