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HomeMy WebLinkAbout06-10-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD June 10, 2014 5:30 PM County Board Room - Government Center 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER ROLL CALL Attendee Name Organization Title Status Arrived Christopher Babbitt St. Croix County Supervisor Present Howard Novotny St. Croix County Supervisor Present 5:32 PM Chris Kilber St. Croix County Supervisor Absent 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 Ron Kiesler 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, ADRC Administrator Brad Beckman, Behavioral Health Administrator Steve Kirt, Children Services Administrator Kathy Dunlap, Economic Support Administrator Ronda Brown-Anderson, Public Health Administrator Deb Lindemann, Public Health Supervisor Sharon Reyzer, Public Health Staff Laurie Diaby-Gassama, several other County employees, and community members. APPROVAL OF MINUTES Board Chair Babbitt asked if there were any corrections to the May 5, 2014 minutes. No corrections were stated. Babbitt asked for approval of May 5, 2014 minutes, motion to approve by Leibfried, seconded by Rassmussen. All were in approval. Babbitt announced minutes are approved and accepted as distributed. 1. May 5, 2014 8:30 AM RESULT: APPROVED [UNANIMOUS] MOVER: Shaela Leibfried, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Howard Novotny, Paulette Anderson, Shaela Leibfried, Leon Berenschot, Deb Rasmussen, Ron Kiesler ABSENT: Chris Kilber, Lisa Ramsay PUBLIC COMMENT* No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug presented the financial reports. There were a few changes to the format of the report and these were explained to the Board prior to review of the financials. In Health and Human Services there is a variance of $390,000 on the revenue side, mainly to an increase in funding in Children's Long Term Support Case Management, increased collections in Behavioral Health, and an increase in various program funding within Economic Support. On the expense side of HHS we are coming in over budget due in part to increased PTO payout, additional overtime due to PPACA, and an increase in staff opting for health insurance during open enrollment. Within SCI, the revenue is at a loss due to the close out, though there are pending funds to be collected. Expenses are showing the severance pay outs related to the transition. In Aging the revenue is showing favorable due to a Trust Account that is included and a state revenue increase. On the Expense side Aging is about right on schedule. The ADRC is showing that revenue is up due to the increase in the State Federal Match which includes the Dementia Specialist money awarded. There is an increase on the Expense side, mainly due to wage and fringe increase and the expense of the Glenwood City Postmaster. Nursing Home revenue is up mainly due to the continued high census and the Medicare Part B revenue that is higher than normal due to increase of billable services. Expenses are a little higher due to the PTO payout & severance pay for dietary staff, and also there were some OT wages paid due to being at full capacity. 2. Nursing Home Report Sandy Hackenmueller, Nursing Home Interim Administrator, shared that the current census at the Nursing Home is at 49 and since they only budget for 47 this is helping out their revenues. Also helping the revenues is the increased Medicare Part B services being provided by having a speech therapist dedicated to our facility. This has been a great benefit for our residents as well. Lisa Leahy spoke to the referrals for the month which is at 12 referrals. This is down a bit, which is common in the summer, as people tend to feel more comfortable staying in their own home. The payor source is at 35 Medicaid, 3 Medicare, and 11 private pay. Hackenmueller informed the Board that at a prior meeting the question was raised about the number of Nursing Home beds within the County, there are 509. 3. Ad hoc Health Center Building Sub-Committee Nursing Home Interim Administrator Sandy Hackenmueller came to the Board with the Nursing Home building project Ad hoc Sub-committee recommendations. The role of this committee is to select a firm to complete the architectural and engineering (A&E) to determine the cost to replace the current facility and remodel the existing facility. The purpose will be to review the request for proposals regarding the A&E, and the authority would be to make recommendations to the Administrator, Hackenmueller, and the Board for the selection of a firm to complete the A&E. Hackenmueller would like to recommend County Administrator Pat Thompson, Jim Elsbury from Facilities, Tabatha Hanson from Finance, herself, and 2 or 3 Board members to make up this sub-committee. Regarding committee membership, the thought was that Nursing Home staff would not be part of this process, but Hackenmueller will be setting up focus groups and getting input from them regarding the program design of the building. The discussion regarding this Committee came up when talking about getting the RFP's together and having the ability to respond in a timely manner so the information will move along more quickly than just at regularly scheduled HHS Board meetings. This is a large project needing more focused attention on a timely basis. This Ad Hoc committee will be the active group and bring information and updates to the HHS Board when available. The marketing study is moving forward and should be ready in July. County Administrator Thompson asked the Board what the process will be to determine which Board members that will take part in this sub-committee as a few supervisors are interested. Board Chair Babbitt shared that this is yet to be determined and is a work in progress. *After the recess the Board came back to this agenda item and after further discussion with Corp Council it was determined that the Committee would not be called an Ad hoc sub-committee but a Sub-committee of the HHS Board. This helps in allowing us to not have to take this to the full County Board for approval, which would delay the process. Corp Council recommends a 3 or 5 person Sub-committee so we have an odd number and the recommended staff members would then support the sub-committee members. Board Chair Chris Babbitt would like to go with 3 members and recommends Leibfried, Anderson, and Rasmussen. A Motion was made by Ron Kiesler to create a sub- committee to be made up by Leibfried, Anderson, and Rasmussen, their role will be to select a firm to complete the architectural and engineering (A&E) to determine the cost to replace the current facility and remodel the existing facility. Motion was seconded by Novotny. All in favor, none opposed. 4. Economic Support Child Care Award Director Johnson along with Economic Support (ES) Administrator Ronda Brown- Anderson informed the Board that St. Croix County HHS Economic Support Department received an award which was presented on Thursday May 15th at a meeting in Elkhart Lake. Johnson had not received information about this award, and due to other obligations, had left the conference prior to the presentation. Johnson wanted to take some time tonight to acknowledge the hard work done by the Economic Support staff. Economic Support Administrator Ronda Brown-Anderson shared the award was based on Child Care Performance standards set by the Department of Children and Families which were new to the contract in 2013. It was felt that these standards would be very difficult to achieve, so we are very pleased that we have not only met but exceeded the expectations. This was a huge accomplishment for the ES staff. Chair Babbitt thanked ES staff for their hard work. 5. Public Health Accreditation Site Visit Report This agenda item has been brought to the Board as an update, as Director Johnson has been asked how the Public Health (PH) Accreditation site visit on May 20th and 21st went. Johnson thanked Board members Paulette Anderson, Shaela Leibfried, Deb Rassmussen, and Dave Ostness for participating in the day. A Presentation was shared by the PH staff including Laurie Diaby-Gassama, Supervisor Sharon Reyzer, and Administrator Deb Lindemann. The staff thanked everyone who participated and thanked the Board for their support. Approximately 30 community members participated during the Site Visit as well as staff from State Division of Health, and this was greatly appreciated. In this Accreditation process there are 7 steps, they are now at step 5. A copy of the site visitors report will be forwarded for review within the next couple of months and it is expected that a final decision will be made in September. At the exit interview 3 strengths and 3 opportunities for improvement were reviewed. Strengths were identified as stakeholder partnerships/community support, the staffs' ability to work well together, and our great working relationship with the state. Areas for improvement included being certain documents are signed and dated, communication of policies, and potential gaps of communication between Minnesota and Wisconsin. The PH Departments goal through this process is to become a better health department and a list of things that have been improved upon throughout this process were discussed. 6. Plan for the Health and Human Services Board Member Orientation Director Johnson shared that he and Interim Nursing Home Administrator Hackenmueller have discussed this agenda item with Board Chair Babbitt to recommend putting program reports on the agenda each month and to summarize services. Chair Babbitt supports this as HHS is a very large department with many programs so this would be a nice way to orient the Board. It will take some time to get through the services, so if there is particular information the Board needs prioritized, arrangements can be made. Individual meetings can also be scheduled if requested. 7. Frac Sand Update Report Board Chair Babbitt shared that this agenda item was discussed at a previous meeting so Director Johnson, along with PH Administrator Lindemann, is providing an update. Lindemann and PH Environmental staff Ed Thurman attended the Glenwood City Council meeting on May 12th, they thought they were on the agenda, but only the letter submitted was on agenda. The Glenwood City Council did pass the Frac Sand Mine land annexation agreement. Johnson shared that since that meeting we here at HHS have received a letter from the Department of Natural Resources (DNR) that said they do not have a role in defining applicable items to be included in municipal agreements, not in assessing the health impacts of requirements that are included in municipal agreements. Johnson will follow up with the DNR to clarify the intent of the HHS Board recommendation to the Glenwood City Council. Johnson reviewed the Department of Natural Resources Notice of Public Information Meeting. The DNR has reviewed the ambient air quality monitoring network throughout Wisconsin and public feedback can be submitted to the DNR via an email by June 12th. Johnson recommended the following public comment be submitted: . Include a site for monitoring in St. Croix County (specifically the Glenwood City area or eastern side of the county) . Monitor for Crystalline Silica . Monitor for PM 2.5 . Develop State methodology for monitoring PM 2.5 . Establish a State standard for monitoring PM 2.5 . Include monitoring by sites that are near schools (within 1 mile) Rasmussen made a motion to approve the recommendation, and was seconded by Anderson . A vote was taken with 5 Yes and 1 No, the recommendation was passed. *At this time, Chair Babbitt asked to take a 5 min break to discuss an issue regarding prior agenda item #3 8. Wisconsin State Legislature Act 340 Director Johnson has asked that Corp Council Scott Cox inform the Board of the legislative change and the potential impact of this law on Corp Council and HHS workloads. Cox reviewed Corporation Council role and criteria for filing commitment petitions and processing detentions through civil and voluntary commitments. Previously Corp Council had the discretion whether to file these petitions or not. Corp Council no longer has this discretion and now will at times appear in a limited capacity, which has yet to be defined. This change has been in effect since April 24, 2014. Behavioral Health Administrator Steve Kirt added it is difficult to see at this time how this will impact staff resources and budget. There may be more commitments brought forward, but we will continue to meet with families to help write petitions so it is something that may be minimized through this collaborative work. Also, the Doctors reports and evaluations will continue to go to the courts, and ultimately decide the matter. Kirt indicated that families may look to this process to get someone with drug issues in to the hospital and detained. Involuntary detention of people for drugs is not an effective tool for treatment. We prefer to work with families to do an intervention with the client to get them in to treatment. 9. Health and Human Services 2014-2016 Strategic Planning Director Johnson brought information to the Board regarding strategic planning. The Board has been given 4 attachments that we've been using as tools throughout the HHS strategic planning process. Proposed priorities were also shared with the Board, this would be an agenda item for a future meeting to give the Board time to review. Hackenmueller shared the Nursing Home strategic planning will be mainly focused on the dementia redesign. ANNOUNCEMENTS & CORRESPONDENCE HHS Board Chair Babbitt would like to recognize County Board Chair Roger Larson for his services on the HHS Board as he has stepped down from the HHS Board due to his duties as County Board Chair. Johnson announced that on July 1st at 8:00 AM there will be a Ribbon Cutting ceremony at the St. Croix County Services Center, please feel free to attend, and on July 15th from 5:30-7:30 PM there will be a Public Open House. ADJOURN Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING July 8th meeting @ 5:30 PM in the Government Center Boardroom.