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HomeMy WebLinkAbout05-05-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD May 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 May 5, 2014. Convener Roger Larson and Administrator Pat Thompson welcomed everyone. Introductions were made. ROLL CALL Attendee Name Organization Title Status Arrived Christopher Babbitt St. Croix County Supervisor Present Howard Novotny St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Present Paulette Anderson St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Leon Berenschot St. Croix County Board Member Present Lisa Ramsay St. Croix County Board Member Absent Deb Rasmussen St. Croix County Board Member Present Roger Larson St. Croix County Supervisor Present Others present: Health and Human Services (HHS) Director Fred Johnson, County Administrator Pat Thompson, Corp Counsel Scott Cox, 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, Public Health Administrator Deb Lindemann, Public Health Environmental Services Specialist Ed Thurman, New Richmond News staff and several other HHS staff, college students, and community members. APPROVAL OF MINUTES 1. March 5, 2014 8:30 AM Chair Roger Larson asked if there were any corrections to the March 5, 2014 minutes. No corrections were stated. Larson announced minutes are approved and stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT* No Public Comment BUSINESS ITEMS 1. Election of Officers Larson asked for nominations for the position of Chair on the Health and Human Services Board. Deb Rasmussen nominated Roger Larson, Larson declined as he informed the Board that due to his commitments as County Board Chair he would be resigning from his position on the HHS Board after this meeting. Paulette Anderson nominated Chris Babbitt and Leon Berenschot nominated Chris Kilber. With no further nominations, Larson closed nominations for Chair and a voice vote was held. Kilber received 3 votes and Babbitt received 5. See vote box. At this time Chris Babbitt took over as Chair, he thanked the group for their vote of confidence and proceeded with the meeting. Chair Babbitt asked for nominations for Vice Chair. Rasmussen nominated Kilber, no other nominations were voiced and Kilber was named Vice Chair of the Health and Human Services Board. No vote was needed. RESULT: APPROVED [5 TO 3] MOVER: Roger Larson, Supervisor AYES: Howard Novotny, Paulette Anderson, Shaela Leibfried, Deb Rasmussen, Roger Larson NAYS: Christopher Babbitt, Chris Kilber, Leon Berenschot ABSENT: Lisa Ramsay 2. Establish Regular Meeting Schedule County Administrator Pat Thompson informed the Board that the preferred plan is for all committee meetings to be held in the boardroom in Hudson so they can eventually be recorded and live streamed. This is in response to the public's request that the County be more transparent and meetings more accessible. With that said, it is up to this Board to determine where and when they want to meet. The Board members agreed that Hudson would be the best location as this is the only location equipped at this time to record the meetings. The date and time was suggested to not be so close to the date of the County Board Meeting so the HHS Board has more time to prepare for this meeting. After further discussion the consensus was that HHS Board meetings be held the 2nd Tuesday of the month at 5:30 PM in the Hudson boardroom. The next meeting will be June 10th at 5:30 PM, with the Open Public Hearing to follow at 7:00 PM. 3. Department Fact Sheet Review and HHS Board Orientation Folder HHS Director Johnson reviewed the packet of information that was compiled by himself and Nursing Home Administrator Sandy Hackenmueller for the Board members to use as a reference for information regarding Health and Human Services. 4. 2013 Annual Report Johnson informed the group that this is a look back into 2013 and is also a source of information regarding services here at HHS. The Board decision was for each member to take some time to review this document. If questions or concerns arise they are encouraged to contact Johnson or Hackenmueller to set up some time to meet with them and or other HHS staff to discuss. 5. Nursing Home Report Administrator Sandy Hackenmueller and Social Services Director Lisa Leahy gave a brief update regarding the Nursing Home. The census is full at 50 with 64 % on Medicaid, 10 % Medicare, 2% Medicare Advantage, and 24% private pay. The payer source mix has improved since January which helps the budget. Referrals continue to be strong and they continue to have a wait list. They are always monitoring the wait list to meet both the Nursing Home and the client need. Discussion was held regarding why we continue to be a 50 bed facility when there continues to be a wait list. The main reason being, there are enough beds within the county to meet the need and the only way to change bed capacity would be if another facility was to close. This is something the Board would like to have further in depth discussion on sometime in the near future as the wait list is a concern. 6. Health Center Facility Planning Options Hackenmueller informed and updated the group regarding the options she, Administrator Thompson, and Finance staff have been working on regarding the building of a new facility and where things stand with the initiative from the state. In August they received a letter from the state regarding the initiative, stating the funding could be made available, but it would be monitored and have a potential take back of $1.1Million.The initiative also requires another bed reduction from 50 to 40. Working with our accountant, different options were drawn up. In March Hackenmueller took these options to Madison and met with the Head of HHS Finance Dept. for him to review. Tuesday of last week he came here and further discussion was had, but the initiative stays as is. Hackenmueller presented four options for the Board: 1. Stay a 50 bed Health Center in current facility with upgrades costing approximately $3.175 million. 2. Build a new 40 bed Health Center with State Property Incentive based on our current application with estimated cost of $9.75 to $13.25 million, with a potential take back of $1.1 million. 3. Build a new 50 bed Health Center, remodel current building to a 40 bed Community Based Residential Facility/Assisted Living, and use 10 beds as a Regional Behavior Center. This would follow the state Dementia Care redesign and the 10 beds would serve as a behavior stabilization facility. Estimated cost of $9.1-$12 million. This is the option being recommended. 4. Build a new 50 bed Health Center, a new 40 bed Community Based Residential Facility, and a 10 bed Regional Behavior Center. With estimated cost of $14-19 million. In depth discussion was held regarding each option and the pros and cons of each. Today we are asking the Board to vote and authorize which option we should move forward with to start to gather data and get true costs of the project. This information will then be brought back to this Board and then to the County Board to determine next steps. There was a Motion by Roger Larson and 2nd by Shaela Leibfried, stating; We as the Health and Human Services Board will support moving forward with Option 3. RESULT: APPROVED [UNANIMOUS] MOVER: Roger Larson, Supervisor SECONDER: Shaela Leibfried, Supervisor AYES: Christopher Babbitt, Howard Novotny, Chris Kilber, Paulette Anderson, Shaela Leibfried, Leon Berenschot, Deb Rasmussen, Roger Larson ABSENT: Lisa Ramsay 7. Frac Sand Report HHS Director Fred Johnson along with Public Health Administrator Deb Lindemann and Public Health Environmental Specialist Ed Thurman reported to Board regarding the Public Health concerns surrounding the Frac Sand mining project in Glenwood City. A pre-annexation agreement is going before the Glenwood City Council for a vote on May 12, 2014 to annex land for frac sand mining that is near the Glenwood City Schools. Staff has looked at the pre-annexation agreement and has identified some potential concerns related to the monitoring of the ambient air and remediation should a problem arise. From the staff review, the agreement states that the mining company itself will be doing the monitoring of the air, with no independent monitoring or chain of custody of the data listed within the agreement. Also, there is no plan listed as to what the mining company will do if the air quality becomes poor. At this time, there is no national standard for monitoring of the air surrounding frac sand mines. The concern is that fugitive dust that gets into the air surrounding the frac sand mine can contain silica. If the concentration of these particles gets too high there are potential health implications, one of which is called Silicosis. Discussion was had about the positives of this mine for the community of Glenwood City such as income and jobs, and also the fact that this matter has been reviewed by the Glenwood City Council for quite some time. A Memorandum of Understanding is still not signed by the Glenwood City School district, but is up for a vote this week as well. Scott Cox from Corp Counsel informed the Board what role the county has and what options we have at this time to legally deal with this matter. Cox shared that Counties are creatures of the legislature and can only do what has been explicitly granted to counties per statute. In regards to the regulations for this type of mine the county does have authority under zoning laws, but only in unincorporated areas in the county. The strategy being used by Vista Sand and other large frac sand companies is to annex properties within municipalities to avoid county regulations. If they are successful at annexing, the county would lose its authority under its police powers within the zoning regulations, as the property would no longer be within county jurisdiction. The County PH Dept. has jurisdiction in both incorporated and unincorporated areas, though it is questionable that the county would have the authority, if ever challenged, to impose a moratorium based on its PH authority. The PH statutes are intended for regulation of known health hazards and at this time we don't know what the effects are. In Trempealeau County, the Public Health (PH) Board, after a failed attempt by the Planning Committee, brought forth a Resolution for a moratorium. It doesn't make reference to PH statute for the very reason that the statute deals only with known human health hazards. The moratorium in Trempealeau County is only effective in unincorporated areas, so development of mining continues in incorporated areas. Cox answered questions from the Board and further discussion was had regarding how the Board should proceed with this matter. Due to time constraints it was decided the best option would be for the Board to request from the Glenwood City Council more time to further look into the Public Health implications of this mining project. Johnson shared that we will have County staff at the May 12th Glenwood City Council meeting so we can bring any recommendations the Board has to the meeting, as well as information regarding the upcoming Frac Mining webinar. A motion was made by Anderson that The St. Croix County Health and Human Services Board would like to advise the Glenwood City Council to delay the annexation of the Frac sand property for 90 days while we at the Department of Health and Human Services review the Public Health implications of Frac Sand Mining. 2nd Rasmussen- Vote 5 Yes : Anderson, Babbitt, Leibfried, Novotony, Rasmussen Vote 3 No: Berenschot, Larson, Kilber Motion carries In regards to another Public Health matter, Lindemann informed the Board of the upcoming accreditation process and is in need of Board representation on Wednesday May 21st from 10:30 -11:30. Deb Rasmussen, Shaela Leibfried, and Paulette Anderson volunteered to attend. Dave Ostness has previously agreed to attend and will also be part of the accreditation process. Board chair Chris Babbitt asked for a 10 minute recess. 8. Children's Long Term Support Waiver Contract Increase and Hiring an Additional Social Worker Johnson informed the Board that the Children Services Department will be receiving a contract increase from the state in the amount of $888,948. This is above and beyond our regular budget. As a condition of accepting this funding we need to increase our case load by 36 and to facilitate this would need to add a Social Work position. We are asking the HHS Board to support a budget amendment resolution that will come from the Administration Committee to amend the 2014 HHS budget for the Children's Long Term Care Expenditures and the addition of a Social Work position. RESULT: APPROVED [UNANIMOUS] MOVER: Roger Larson, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Howard Novotny, Chris Kilber, Paulette Anderson, Shaela Leibfried, Leon Berenschot, Deb Rasmussen, Roger Larson ABSENT: Lisa Ramsay 9. Dementia Care Specialist Grant Award and hiring an Additional Social Worker Johnson, HHS Director along with Brad Beckman, ADRC Administrator informed the Board on this agenda item. Previously the Council on Aging and Disabilities approved the submission of the grant application and last week we were notified we have been awarded this grant. Johnson commended Beckman and the ADRC staff for their hard work on the grant application. The funding from this grant includes $53,000 for the balance of 2014 and $80,000 for calendar year 2015. There is a chance that the Dementia Care Specialist program funding could be eliminated after 2015 and if that were to occur, Johnson recommends looking at the position at that time. Johnson recommended that the HHS Board to support a budget amendment resolution that will come from the Administration Committee to amend the 2014 HHS budget for the ADRC and the addition of a Social Work position. RESULT: APPROVED [UNANIMOUS] MOVER: Chris Kilber, Supervisor SECONDER: Leon Berenschot, Board Member AYES: Christopher Babbitt, Howard Novotny, Chris Kilber, Paulette Anderson, Shaela Leibfried, Leon Berenschot, Deb Rasmussen, Roger Larson ABSENT: Lisa Ramsay 10. St. Croix County Services Center Facility Planning Report We have a move in date of July 1st with a Ribbon Cutting ceremony and other Grand Opening events being planned. On May 29th from 3:30 to 4:30 there will be an opportunity for the HHS Board and the Council on Aging and Disabilities to get a tour of the new St. Croix County Services Center. 11. Future Agenda items At this time when agenda items come forth the Chair is notified, is reviewed with the Administrator, and then an agenda is populated. If any Board members have agenda items they would like added to the agenda they can contact Fred Johnson or Sandy Hackenmueller. One suggested agenda item for next meeting would be a Frac Sand mine update. ANNOUNCEMENTS & CORRESPONDENCE No Announcements ADJOURN Adjourned by Chris Babbitt at 10:55 AM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING Tuesday June 10, 2014 at 5:30 PM in the Hudson Boardroom. Open Public participation to follow at 7:00 PM