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HomeMy WebLinkAbout03-05-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD March 5, 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 March 5, 2014. This is the rescheduled meeting from March 3, 2014 as there was a lack of a quorum. 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 Late 8:39 AM 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 Present Deb Rasmussen St. Croix County Board Member Present Others present: Health and Human Services (HHS) Director Fred Johnson, County Administrator Pat Thompson, Human Resources Director Tammy Funk, Financial Director Tabatha Hanson, Fiscal Manager Beata Haug, Social Services Director Lisa Leahy, Director of Nursing & Interim Nursing Home Administrator Sandy Hackenmueller, Behavioral Health Administrator Steve Kirt, Childrens Services Administrator Kathy Dunlap, Public Health Administrator Deb Lindemann, Public Health Nurse Jaye Hay, Economic Support Administrator Ronda Brown - Anderson, several other HHS staff, college students and community members. APPROVAL OF MINUTES February 3, 2014 1. February 3, 2014 8:30 AM Chair Horne asked if there were any corrections to the February 3, 2014 minutes. No corrections were stated. Horne announced minutes are approved and stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug reported on the financials. She shared the 2013 yearend report and January of 2014. The 2013 report is still preliminary awaiting fi nal closings and audit entries. The 2013 report includes all pay roll and the majority of other expenses. The revenue side is anticipated to increase as the final state reconciliations are made. HHS revenue is up as there is an increase in collections from the Community Support Program and in the state match funds for the Income Maintenance Consortium and Children Services. The expense side is up a bit as well, mainly due to purchased services in various departments to meet client needs. St. Croix Industries (SCI) revenue trended downward due to an overstatement of revenues in December. There is still revenue to be collected for SCI and staff will work on getting these claims paid even when SCI closes. Overall SCI revenues are higher than the budgeted amount which is primarily due to the enhanced rate the ContinuUs agreed to pay the county. The SCI expenses continue to decrease as the salary and fringe payout goes down, and operating costs are less as the transition continues. Aging and Aging and Disability Resource Center (ADRC) revenues are up, as are their expenses.. The ADRC expenses are up due to new equipment purchases, but as mentioned in previous meetings the 2012 carry over dollars will cover this. Nursing Home revenue is up slightly with expenses trending up slightly as well. This is in part due to the PTO payout at the end of the year, increase in food prices, and extended employment of the Administrator position. The final 2013 report is due in approximately 60 days and will be made available then. For the 2014 Financials there is only one month of data to report. All Departments expenses reflect payroll, PTO pay out, and payment of insurance premiums. In HHS all other expenses remain low as we await billing from providers. On the revenue side there are pending state claims. SCI continues to decrease in both revenue and expenses as the transition takes place. Nursing Home is showing an increase in payroll as the dietary staff was paid their severance incentives as they vacated their position. Nursing Home revenue remains stable. Aging and ADRC expenses are stable with the revenue side waiting on pending state claims. 2. Nursing Home Report Director of Nursing & Interim Nursing Home Administrator Sandy Hackenmueller and Social Services Director Lisa Leahy gave a brief update regarding the Nursing Home. Census is full at 50, with Medicare payments at 6%, Medical Assistance 66%, and Private Pay is up at 28%. Regions Hospital and home continue to be the highest referral sources. There continues to be a wait list. Last week they were honored by a visit from Secretary Kitty Rhoades, due to the success with the Music Therapy program. The IPods and music have shown to help with decreasing behaviors and improving appetites. Families were interviewed to determine the music preference of the residents, with music ranging from religious, to upbeat, to soothing for bedtime. Director Johnson shared that HHS staff was able to meet with Secretary Rhodes regarding some of their programs as well. It was a good v isit. 3. BadgerCare Implementation Update Related to State Budget Changes Director Johnson and Economic Support (ES) Administrator Ronda Brown-Anderson updated the board on this agenda item. In June 2013 the State budget was approved for implementation of the BadgerCare changes. This was scheduled to take place in January 2014, but was changed to an April 2014 implementation. Depending on income levels, people are being moved to or from BadgerCare or to the Federal Exchange. The Federal Poverty Level (FPL) changes and Modified Adjusted Gross Income (MAGI) impact what health insurance consumers qualify for. This is a significant shift in workload and policy, which impacts Income Maintenance (IM) time, leading to mandatory overtime. These extra hours are being funded by Patient Protection and Affordable Care Act (PPACA) dollars. There were 3,500 more calls in January than December showing that consumers are aware of the changes and looking for more information. Performance is being monitored, and although call center calls are taking longer and repeat calls are happening as people have more questions, we are meeting guidelines for timeliness. In the 2014 budget process we anticipated hiring a staff with the PPACA funding to assist individuals with enrollment in the Federal Market Place. Johnson reported that Ronda has coordinated with other providers and other departments within Health and Human Services so haven't yet felt the need to hire. In addition, the Economic Support staff is answering many consumer questions about the Federal Market Place as a part of routine calls that are coming into the department. We will continue to reevaluate the need to hire another staff person if the need. With approval by the lead agency, we used some of these PPACA funds to be put towards purchasing laptops for all of the ES staff. As we move to the new facility, and workflow changes are made, laptops will be a necessity for the ES staff. Discussion followed regarding how the implementation of the Affordable Care Act is going and how it is affecting the consumer as well as the service providers. 4. Wisconsin Well Women Program Multi-Jurisdictional Service Coordination Director Johnson informed the Board that after the 2014 county budget process was completed, we were informed that approximately $16,000 in funding from the state to support the services of Wisconsin Well Women Program (WWWP) would end in June. As noted in the fact sheet, this notice was rescinded and we have updated information on WWWP restructuring that includes options related to multi-jurisdictional service coordination. Deb Lindemann and Jaye Hay are participating in a workgroup with the State to review local models of service delivery. This item is before the board to consider authorizing the department to be a lead agency for a multi-jurisdictional service model. Lindemann shared that this program is for uninsured or under insured women and has proven to be life changing for many women. These women may otherwise not have gotten the testing, diagnosis, and treatment necessary when cancer is present. Concerns with the initial plan from the state with transferring these funds to other health care organizations, was the lack of a local provider in St. Croix County. The need for this program may decrease as the Affordable Health Care Act is implemented so it is being looked at to be regionalized, but there is concern for the women that may fall through the cracks, whether they just don't apply for insurance or don't qualify. As the regionalization takes place we would like St. Croix County to apply to be the Coordinator for this region and have a lead role in how WWWP restructuring takes place. Our hope is that we would have some input in to which providers will be chosen to provide the services and therefore have some local providers for the women in our county. Our present WWWP Coordinator Jaye Hay has been with this program since its inception in 1994, so local expertise, experience, and knowledge will be an asset if the board authorizes our department to apply to be a lead agency. Director Johnson recommended the board approve to move forward with the application process to be a lead agency. Johnson highlighted that while we do not have the final details on the service model, we want to be in a position to apply as the lead agency because response time could be limited. If local funding requirements exceed current allocations, Johnson would bring this back to the Board before accepting a lead role, if selected. With no objections, the St. Croix County Public Health Department will apply to be Coordinator for the Wisconsin Well Women Program. The Board did ask that we reevaluate the need in two years after we see how the Affordable Care Act impacts the number of women being seen here in Public Health. RESULT: APPROVED [UNANIMOUS] MOVER: Roger Larson, Vice Chair SECONDER: Leon Berenschot, Board Member AYES: Tim Hood, Fred Yoerg, Chris Kilber, Roger Larson, Fred Horne, Leon Berenschot, Lisa Ramsay, Deb Rasmussen ABSENT: Tom Hawksford ANNOUNCEMENTS & CORRESPONDENCE The Public Health Accreditation visit is scheduled for May 20th and 21st, they are looking for volunteers from the Board to come and share the day. Deb Rasmussen has volunteered and after the election we will ask for others. At this time the April meeting will be cancelled, if one becomes necessary we will contact you. ADJOURN Meeting was adjourned at 10:00 AM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING May 5, 2014 with the new Board members.