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HomeMy WebLinkAbout09-09-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD September 9, 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 September 9, 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 Absent Lisa Ramsay St. Croix County Board Member Present Deb Rasmussen St. Croix County Board Member Remote Others in Attendance: Health and Human Services Director Fred Johnson, County Administrator Pat Thompson, Fiscal Manager Beata Haug, Finance Director Tabatha Hansen, Nursing Home Administrator Sandy Hackenmueller, Children Services Administrator Kathy Dunlap, Behavioral Health Administrator Steve Kirt, Public Health Administrator Deb Lindemann, Economic Support Administrator Ronda Brown, County Supervisors Dan Hansen, Dave Ostness, and Roger Larson, as well as several community members. APPROVAL OF MINUTES 1. August 12, 2014 5:30 PM HHS Chair Dr. Chris Babbitt asked if there were any corrections to the Aug.12,2014 minutes. No corrections were stated at this time. A motion was made to approve the Aug. 12th minutes by Anderson and Seconded by Novotny. A voice vote was taken, minutes were approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Leon Berenschot PUBLIC COMMENT* HHS Chair Babbitt noted that there was one member from the community that has asked for the opportunity to address the Board . The question was asked of the Board if there could be more information and detail of the events, milestones, and work being done leading up to the construction of the Nursing Home projected to begin April 15, 2015. HHS Chair Babbitt spoke and shared that there will be more information on this topic coming tonight within the meeting agenda, but also emphasized that if not enough information is given during this meeting to please let him know and he will try to get her more details. No other public comment. BUSINESS ITEMS 1. Election of New Health and Human Services Vice Chair HHS Chair Dr. Babbitt addressed the Board regarding the need for this agenda item. This unfortunately results from the difficulty he and others have had in contacting current HHS Vice Chair Chris Kilber to address his lack of attendance. After discussion with Corp Counsel, due to Kilber's inactivity with the HHS Board, it was determined that we need to move forward with the removal of Kilber from the HHS Board and elect a new Vice Chair. A motion was made by Rasmussen and seconded by Novotny to formally remove Chris Kilber from his position as Vice Chair of the HHS Board. A voice vote was taken and the removal of Chris Kilber as HHS Vice Chair was approved. Chair Babbitt asked for nominations to fill the position of HHS Board Vice Chair. Novotny made the nomination of Supervisor Ron Kiesler. With no other nominations made, Kiesler was approved as HHS Board Vice Chair. RESULT: APPROVED [UNANIMOUS] MOVER: Deb Rasmussen, Board Member SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Leon Berenschot 2. Financial Reports Fiscal Manager Beata Haug updated the Board on the current HHS Financials. No significant differences were noted, though on the expense side we are showing a little higher as it shows 3 weeks of payroll. On the revenue side there was also a slight jump due to the state allocation payments released for the 2nd half of 2014. Supervisor Novotny raised the question as to when the St. Croix Industries(SCI) account would be balanced. Fiscal Manager Haug and Finance Director Hansen spoke on this. The original 2014 budget will not balance as it hadn't been determined before the final 2014 budget if there would be severance pay to employees that stayed on at SCI until closing. There was a fund balance in SCI for 2013 that will be applied to the additional expenses in 2014. There are also some outstanding claims of approximately $30,000 from ContinuUs which are from 2013 which will be applied to the 2014 SCI budget. Chair Babbitt shared that he met earlier this week with Fiscal Manager Haug, Nursing Home Administrator Hackenmueller, and HHS Director Johnson to learn more about the budget and the budget process. He certainly appreciated this meeting and highly recommends other Board members do this as it was highly informational and a great learning opportunity. RESULT: DISCUSSED 3. Health Center Report--Census and Referrals Nursing Home (NH) Administrator Sandy Hackenmueller updated the Board on the Health Center Census which is at 47. They are at 8.5% Medicare and in July served 127 days of Medicare A, which is a higher level of care. Most referrals again are from Regions Hospital and they are looking to have 2 admissions this week. Chair Babbitt had a question regarding the bed report which is showing 14 referrals but why we only took in 2. Hackenmueller stated this is mainly due to the payor source and the need to maintain a certain number of beds for more short term rehab residents. RESULT: DISCUSSED 4. Request for Proposals (RFP) Update and Report NH Administrator Hackemueller shared that the RFP process started in June, and in July all RFP's were reviewed by the HHS Subcommittee. Today a significant amount of time was spent interviewing candidates and now are down to one selection. Administrator Thompson shared that throughout the RFP process there was Corp Counsel involvement and based on today's meeting negotiations with this A&E firm will commence. In order to move this on to the County Board in October this will require a special meeting of the HHS Board so a recommendation to the County Board can be completed at the October meeting. Chair Babbitt took a moment to acknowledge the hard work that the subcommittee has been doing . He thanked those members and other staff for their work on this project. RESULT: DISCUSSED 5. Children's Long-Term Support Waiver Administrative Capacity Funding HHS Director Johnson reminded the Board that at the July 8th HHS meeting the application for additional long term care funding/county capacity building funding was reviewed. An application was submitted by our Children Services staff and we now have received the letter of award which is just short of $100,000 that will be split between the rest of 2014 and the remainder carried into 2015. This will help fund the previously approved positions. RESULT: DISCUSSED 6. Review of Cost Estimate to Televise Health and Human Services Board Meetings at the St. Croix County Services Center HHS Director Johnson gave the Board an update on this item after a request at the last meeting by the Board to have the ability to hold the meetings at the New Richmond location. Two estimates were received, one in the amount of $8200 for a more basic service and another option of $31,000 which would offer more camera movement. There would be additional monthly charges to have an IQM2 encoder at the New Richmond site in the amount of $1300-$1700 a month. HHS Chair Babbitt shared his preference to be able to hold the meetings in New Richmond at the St. Croix County Services Center, but realizes that the additional cost to allow the public the best access to our meetings needs to be addressed and put on the agenda at a later meeting. Chair Babbitt asked for a 5 minute recess to have cake and celebrate Leon's retirement. RESULT: DISCUSSED 7. Health and Human Services Board Review of the 2015 Budget Request Finance Director Tabatha Hansen, Fiscal Manager Beata Haug, HHS Director Fred Johnson and Nursing Home Administrator Sandy Hackenmueller gave a brief overview of the 2015 Budget requests. Highlights from each program were shared along with any significant changes. Discussion was had and questions raised were answered. Managers from several of the HHS Departments were also available to clarify any questions and share some of the challenges. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE HHS Chair Babbitt shared that per earlier discussion from Administrator Thompson there is a need for a special HHS Board meeting either yet in September or to reschedule the October meeting to an earlier date prior to the October County Board meeting . After some discussion it was the consensus of the Board to hold a special meeting on Tuesday September 30th at 5:30 PM at the Government Center Board Room in Hudson and then reschedule the HHS Regular Board October meeting to October 21st at 5:30 PM, also in Hudson. ADJOURN HHS Board Chair Chris Babbitt called the meeting adjourned at 7:46 PM DATE OF NEXT MEETING A Special HHS Board meeting will be held on September 30, 2014 at 5:30 PM in the Government Center Boardroom. The regular monthly HHS Board meeting will be rescheduled and held on October 21, 2014 at 5:30 PM in the Government Center Boardroom.