Loading...
HomeMy WebLinkAbout10-21-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD October 21, 2014 5:30 PM County Board Room - Government Center 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This meeting was called to order by Health and Human Services (HHS) Board Chair Dr. Chris Babbitt at 5:30 PM on October 21,2014. ROLL CALL Introductions were made for new HHS Citizen Board Member Heather Logelin. Heather shared some of her experience and background of working in health care. Welcome Heather. Attendee Name Organization Title Status Arrived Christopher Babbitt St. Croix County Supervisor Present Heather Logelin St. Croix County Board Member 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 Absent Lisa Ramsay St. Croix County Board Member Present 5:35 PM Deb Rasmussen St. Croix County Board Member Present Others in Attendance: Health and Human Services Director Fred Johnson, Nursing Home Administrator Sandy Hackenmueller, Fiscal Manager Beata Haug, Children Services Staff; Social Worker Brett Riberich, Social Worker Dina Williams, Children Services Administrator Kathy Dunlap, Children Services Supervisor Michelle Leccia, Public Health Staff; Administrator Deb Lindemann, Laurie Diaby Gassama, & Jessica Lang, County Board Supervisor Dave Ostness, other staff and community members. APPROVAL OF MINUTES 1. May 29, 2014 3:30 PM Health and Human Services (HHS) Board Chair Chris Babbitt asked if there were corrections to any of the minutes. Babbitt also noted there are meeting minutes from a couple joint meetings and will be approved by the HHS Board on behalf of both the Council on Aging and the HHS Board. No corrections were stated and a motion was made by Anderson and Seconded by Rasmussen to approve all the minutes. A vote was taken, all minutes were approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Shaela Leibfried 2. June 10, 2014 7:00 PM RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Shaela Leibfried 3. September 9, 2014 5:30 PM RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Shaela Leibfried 4. September 30, 2014 5:30 PM RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Lisa Ramsay, Deb Rasmussen ABSENT: Chris Kilber, Shaela Leibfried PUBLIC COMMENT* HHS Board Chair Babbitt informed the Board that there was one community member from Glenwood City that has asked for a moment to address the Board. This county resident shared with the Board some information he had regarding Brown counties passing of a Resolution related to the wind turbine projects. The resolution declares the wind turbines a public health risk. The turbines in Brown County are the same size proposed for the town of Forest in St. Croix County. No other Public Comment. BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug addressed the Board on this agenda item. HHS Revenue continues to be consistent, with claiming of approximately $650,000 a month. St. Croix Industries continues to phase out with the payment for claims submitted being received and followed up on. On the expense side for SCI the only thing being expensed is unemployment, which should continue to reduce and be phased out as well . In Aging and ADRC revenues and expenses continue to be stable. The Nursing Home also looks favorable due to a good census number. RESULT: DISCUSSED 2. 2015 Budget Update HHS Director Johnson shared a handout of some graphs and charts depicting the HHS 2015 budgeted expense and revenue. This visual tool is to assist the Board to get a better understanding of the large HHS budget. Johnson also discussed the HHS Budget Summary Reports that were given to the Board members at the Committee of the Whole meeting and were also provided tonight to the Citizen Board members. The Summary Reports are a further breakdown of how each Department utilizes its revenue and where their major expenses occur. Johnson added that there may be some adjustments needed on these reports as the Budget is finalized, updated versions will be provided to the Board when available. RESULT: DISCUSSED 3. Health and Human Services 2015 Rate Setting HHS Director Johnson handed out a listing of the services HHS bills for and added that the rates for 2015 continue to be a work in progress as most are not set yet. Some of these rates get approved by the state, others will need approval by the Board. Fiscal Manager Haug added she will be devoting time to dig further into these rates doing some market comparisons and time studies. This will take some time, but should be done before the start of 2015. This will be a future agenda item to get Board approval. RESULT: DISCUSSED-NO ACTION 4. Health and Human Services Dashboard Report HHS Director Johnson informed the Board that this will become a monthly agenda item to share with the Board a dashboard report of data that is collected and tracked for the various programs. Children Services Administrator Kathy Dunlap passed around a handout as the first Department to present to the Board. This report will continue to evolve as more data is collected. RESULT: DISCUSSED 5. Health and Human Services Program Report-Child Protection Services Children Services Administrator Kathy Dunlap introduced her staff available tonight , Supervisor Michelle Leccia, Ongoing Child Protection Social Worker Dina Williams , and Child Protection Initial Assessment Social Worker Brett Riberich . There are 4 Social Workers that do Initial Assessments and 4 Social Workers that do Ongoing work. Dunlap shared that these are experienced staff and she feels very fortunate to have such a great team . They are a passionate and compassionate group that work together and support each other. Child Protection is a very difficult area to work that demands flexibility. At the end of the day it is all about the safety of the children. Director Johnson added that we can only bring general information to the Board as to not breech confidentiality so this is an attempt to give the Board insight into the day in the life of a Child Protection Social Worker. Brett Riberich shared that he has been with the County for 15 yrs. His day involves investigating and assessing new referrals and to back up the intake process. He also shares in the On Call duties during evenings and weekends. Child Protection is available 24hrs. 7 days a week and investigates neglect issues, physical abuse, and sexual abuse. Though there is no typical day as cases evolve, most days begin with a meeting that includes, Administrator Dunlap, the Intake Worker and the other Initial Assessment staff. Here they receive information on and discuss the new referrals to determine whether to open a case or screen it out. The Intake staff does a great job in doing the initial in depth interview, most referrals are by phone and come from schools and other mandated reporters, though they do receive a few from community and family members. If a case is opened, Brett, or another Initial worker, than takes over and begins the assessment process which needs to be complete within 60 days. It would then be turned over to an Ongoing Social Worker. Ongoing Social Worker Dina Williams addressed the Board stating she has been with the County for 14 years. As the Ongoing Social Worker she then continues to monitor the safety of the child/children and works with the families to get them the services they need to improve the family situation. She makes connections with everyone involved with this child and family whether they are formal or informal supports. She works with everyone involved to coordinate services, from visitation and transportation, to finding respite or foster care. With all of this there is much documentation, case planning, and potentially court involvement. The ultimate goal is for the children to be safe whether it is with a parent, family member, or within a foster home. To help a child is very rewarding, the support from other staff, the Supervisors, Law Enforcement, Community Partners as well as the quality staff throughout HHS make it a job they can continue to do everyday. Some questions were answered and discussion was had. The Board Members thanked the staff for doing what they do and for their time tonight. RESULT: DISCUSSED 6. Health Center Report-Census and Referrals Nursing Home Administrator Sandy Hackenmueller spoke on this agenda item. The patient/payor mix is good and makes the Budget numbers very favorable. Regions continues to be the number one referral source, due in part to their connection with Westfield's Hospital in New Richmond. The Census is at 50 so they are currently full. RESULT: DISCUSSED 7. Health Center Quality Assurance Survey Report Nursing Home Administrator Hackenmuller informed the Board that there was a recent Quality Assurance Survey done at the Nursing Home. The Report shows that there were 3 level D deficiencies, which are isolated, minor incidents. The attached scope grid was reviewed with the Board and the incidents explained. Hackenmueller shared it was an excellent survey and the team was very complimentary of the staff and the facility. Under the Life Safety code they also received 3 violations. Hackemueller discussed the issues and explained to the Board. RESULT: DISCUSSED 8. Ad-Hoc Committee - Building Update The Ad-Hoc Committee will hold it's first organizational meeting next Tuesday and then meet on the 4th Tuesday of each month after this. They will be interviewing construction manager candidates on November 4th. Demolition of old HHS building is planned to begin in November, there will also be some structural and heating changes made to the existing Nursing Home, mainly in the lobby area. Chair Babbitt asked to move to Agenda Item 11. RESULT: DISCUSSED 9. Review of Final Report on the Public Health Impacts of Non-Metallic Industrial Sand Mining in Trempealeau Director Fred Johnson and HHS Board Chair Babbitt thought it would be good to update the Board on some of the action taken on Frac sand mining. Johnson and the Environmental Health specialist have called the State regarding the feedback given on ambient air monitoring and have received no response. Also no response on annexation. PH Administrator Lindemann informed the Board that a health impact study is going to be done on the health effects of Frac sand mining and she will keep the Board appraised on this as it progresses and more information becomes available. Discussion was had on the lengthy report from Trempealeau County and any potential implications it has for St. Croix County. Director Johnson asked the Board what direction they would like to take regarding Frac Sand mining at this time. It was suggested to have a health officer or other representative from Trempealeau County come and address the Board, gather more information regarding the health study and then bring this agenda item back to the Board for some recommendations on how to move forward. RESULT: DISCUSSED 10. Communicable Disease Report Public Health Administrator Deb Lindemann informed the Board on 3 communicable diseases, Influenza, Enterovirus, and Ebola. Influenza season has started but there has been little activity. PH has received all their vaccine supply. They have given about 140 doses so far within schools, to County employees, and to consumers. There are vouchers from Walgreen's for those that have no insurance and cannot afford the vaccine. The Enterovirus has reemerged and is effecting children in 42 states with 15 cases in Wisconsin, none within St. Croix County. Using good hand washing and staying home if you are sick are best preventions. There are no Ebola cases in St. Croix County or Wisconsin. The Wisconsin Division of Health is taking this very seriously and PH continues to receive updated information. A plan has been developed and protective equipment provided for the Services Center front staff if someone presents with illness . Information was also put on the County website. Public Health has been working closely with area hospitals and EMS to be certain they are prepared for a potential Ebola case. Other information regarding Ebola planning and prevention was shared and discussed. RESULT: DISCUSSED 11. Public Health Accreditation Report An update was given to the Board regarding the favorable results of the Public Health Accreditation. Public Health Administrator Deb Lindemann introduced Jessica Lang and Laurie Diaby-Gassama who were the core staff involved in the Accreditation Process. Laurie shared their gratitude for all the support they received throughout the process and all the hard work of all the Public Health Staff. A power point was reviewed and discussed with the Board. The Board was invited to the St. Croix County Services Center for a celebration of their success. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE Public Health Accreditation celebration being held Thursday October 23, 2014 in the St. Croix County Services Center Room 171 from 1-3 PM. Everyone welcome. ADJOURN HHS Chair Chris Babbitt called the meeting adjourned at 8:07 PM. Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING Tuesday November 11, 2014 @ 5:30 PM in the Government Center Boardroom, Hudson.