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HomeMy WebLinkAbout08-12-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD August 12, 2014 5:30 PM County Board Room - Government Center 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services Board Chair Dr. Chris Babbitt called the meeting to order at 5:30 PM on August 12, 2014 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 Absent Ron Kiesler 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 Others in Attendance: Health and Human Services Director Fred Johnson, County Administrator Pat Thompson, Fiscal Manager Beata Haug, Nursing Home Administrator Sandy Hackenmueller, Facilities Director Jim Elsbury, several other County Board members, Employees, and Community members. APPROVAL OF MINUTES Chair Babbitt asked if there were any corrections to the July 8, 2014 minutes. No corrections were stated at this time. A Motion was made to approve the July 8, 2014 minutes by Berenschot and Seconded by Kiesler. A voice vote was taken at this time. The Minutes were approved and stand as distributed. 1. July 8, 2014 5:30 PM RESULT: ACCEPTED PUBLIC COMMENT* No Public Comment. BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug presented the Health and Human Services (HHS) Financial Report. Haug reminded the Board that the monthly financial reports are actual revenue and expenses that have been receipted and does not indicate all revenues and expenses for the month. The year-end budget projection for the 2nd quarter was also reviewed and discussed 2. Health Center Report-Census and Referrals Nursing Home Director Sandy Hackenmuller reported on the Census and referrals at the Nursing Home. The Census continues to stay strong at 49. They continue to monitor the payor mix, which stands at 57% Medicaid, 12.24 % Medicare, 2% Family Care, and 28% for Self pay. Most referrals have come from home. Discussion was had regarding the Chart of Open Beds attachment and if some modifications could be made to the form that would better highlight how well the Nursing Home is doing. Hackenmueller will present modifications at the next meeting. 3. Request for Proposals (RFP) Update and Report Nursing Home Administrator Hackenmueller gave an update regarding the Nursing Home Request for Proposal (RFP) process. The Architectural &Engineering (A & E) preliminary walk through was held last week. The proposals are due on August 18th and on Aug 19th the NH Subcommittee will begin their review. August 28th the scoring will be reviewed with some selections of A & E candidates made. The plan is that at the September HHS Board meeting the Subcommittee will bring suggestions of some vendors, though not all, due to the limited time frame. A preliminary project schedule was reviewed with the Board, with the hope to begin construction in April of 2015. Hackenmueller also clarified to the Board how the current building would be repurposed as there have been some questions around this and she would like to clear this up. SCC Administrator Patrick Thompson and Hackenmueller informed the Board of the information available on the SCC Website pertaining to the RFP process. 4. Eastern Suburban Resources Report HHS Director Fred Johnson introduced Ed Bovie, Executive Director at Eastern Suburban Resources (ESR), ESR Director of Operations Colleen Hammer, and ESR Board Member Susan Langfeldt, to give us an update on operations since taking over St. Croix Industries in April of 2014. Mr. Bovie gave a brief history, which includes 50 years of services to the disabled population. They have 5 program centers including the New Richmond site. Within St. Croix County (SCC) about 110 people are being served which is up just slightly, and they are pleased to report that no clients have left the program since the transition. They have 45 SCC clients that are supported within the community at a variety of job sites. The sight is working fine right now, but they expect to be in a different and potentially multiple locations within SCC in the future. The business customers remain the same and production is slightly up. Overall the transition went well and they are thankful for the assistance from the SCC staff throughout the process. Johnson discussed that the ESR Board opened a slot to allow for a SCC resident to be part of the Board as well as the Advisory Committee. Bovie informed the HHS Board that this Advisory Board is going well and that Susan Langfeldt is the SCC resident representative on the Board. They are looking to increase the size of the Board to allow for 2 SCC residents be part of the Board. 5. Resolution to Support Regulation of E-Cigarettes St. Croix County is part of the Western Wisconsin Working for Tobacco- Free Living Coalition. An E-Cigarette resolution was shared at a recent legislative event and is now before the HHS Board for their consideration. Director Johnson introduced Elizabeth Hagen from the Tobacco- Free Living Coalition. Hagen shared some background on the coalition. They monitor the sale of cigarettes to youth and also help facilitate education to youth on the many tobacco products. Hagen reviewed concerns regarding E-cigarettes which included the lack of regulations, concerns with vapor emissions and advertising targeted at youth. In addition E- Cigarettes are not included in the Wisconsin Smoke Free Air Law. After some discussion, the HHS Board decided that this Resolution should be supported and moved to County Board. A voice vote was taken. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Supervisor SECONDER: Leon Berenschot, Board Member AYES: Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Leon Berenschot, Deb Rasmussen ABSENT: Chris Kilber, Lisa Ramsay 6. Resolution to Support Local Control and Health Impact Assessment on Frac Sand Mining HHS Director Johnson introduced the draft Resolution to support the Health Impact Assessment on Frac Sand Mining and Local Control. This topic was discussed at several previous meetings at which time the HHS Board directed that a draft resolution be written. The HHS Board reviewed the wording of the Resolution and some discussion was had. A voice vote was taken and the Resolution was approved to be moved on to the County Board. RESULT: APPROVED [6 TO 0] MOVER: Ron Kiesler, Supervisor SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSTAIN: Leon Berenschot ABSENT: Chris Kilber, Lisa Ramsay 7. 2015 Budget Planning Review HHS Director Fred Johnson shared that the Proposed 2015 HHS Budget will be presented at the September HHS Board meeting. This agenda item is before the HHS Board to seek input and assure the Board has the detail needed. Discussion was had and it was suggested the budget be presented at a more ground level review so Board members can get a better understanding of what the numbers mean and represent. Also an outline explaining each service would be helpful. HHS Director Johnson will work on getting a document prepared for the Budget review. 8. New Facility Transition Report HHS Director Johnson informed the Board of the continued transition going on within the St. Croix County Services Center. As it has been reported previously, things went fairly smoothly over the long weekend move, and now we are dealing with the new norm of our facility. We have discovered some things that were missed and the minor issues are being addressed. Staff has been provided Current Issues cards to address concerns they have. Things are going well, but not perfect, though progress is being made. We are working on some workflow and policy changes, as well as some equipment needs that staff has which will be part of 2015 budget. We are also working on the HIPPA and Confidentiality Requirements necessary to allow other County staff to utilize the flex areas. ANNOUNCEMENTS & CORRESPONDENCE HHS Citizen Board Member Leon Berenschot announced that after17 years he is retiring his position. September will be his last meeting. The HHS Board, as well as Administrator Thompson, thanked Leon for his years of service and wished him well in his retirement. HHS Chair Babbitt brought to the Boards attention his concern over the current composition of this Board. HHS Vice Chair Supervisor Chris Kilber has not been in attendance at recent meetings and Babbitt is not certain why. Babbitt has tried to reach out to Kilber with no response. Consideration of a new HHS Vice chair will be addressed at the September meeting. Chair Babbitt shared that he has been approached about the location of the HHS meetings which in the past was in New Richmond. Administrator Thompson spoke and said that the relocation of the HHS meetings is this Boards decision to make, though he would like it to be considered that the ability to live stream and record does not exist at this time in New Richmond. Detail will be provided to this Board as to what it would take to get the New Richmond location set up to record and live stream meetings. HHS Director Johnson announced that he will be unavailable for the Oct 14th HHS Board Meeting. If the Board would like the meeting date can be changed, oth erwise Operations Manager Steve Kirt will be available. ADJOURN HHS Chair Dr. Chris Babbitt called the meeting adjourned at 7:07 PM DATE OF NEXT MEETING Tuesday September 9, 2014 @ 5:30 PM at the Government Center Boardroom in Hudson.