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HomeMy WebLinkAbout11-11-2014 Health & Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD November 11, 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 November 11, 2014. ROLL CALL HHS Board Chair Dr. Chris Babbitt asked everyone for a moment of silence to honor all Veterans as today is Veteran's Day. Chair Babbitt thanked all Veterans for their service. 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 Present Ron Kiesler St. Croix County Supervisor Absent Paulette Anderson St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Lisa Ramsay St. Croix County Board Member Late 5:38 PM Deb Rasmussen St. Croix County Board Member Present Others in Attendance: Health and Human Services Director Fred Johnson, County Administrator Pat Thompson, Nursing Home Administrator Sandy Hackenmueller, Finance Director Tabatha Hansen, Corp Counsel Scott Cox, Public Health Staff; Administrator Deb Lindemann, Laurie Diaby -Gassama, Children Services Supervisor Julie Krings, B-3 Speech Therapist Lisa Frank, County Board Supervisor Dave Ostness, other staff, students, and community members. APPROVAL OF MINUTES 1. October 21, 2014 5:30 PM HHS Board Chair Chris Babbitt asked if there were any corrections to the minutes. No corrections were noted, Supervisor Novotny made a motion to approve the minutes and was Seconded by citizen member Logelin. A voice vote was taken, minutes were approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Howard Novotny, Supervisor SECONDER: Heather Logelin, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Ron Kiesler, Lisa Ramsay PUBLIC COMMENT* No Public Comment BUSINESS ITEMS 1. Financial Reports HHS Director Johnson addressed the Board along with Finance Director Tabatha Hansen regarding the HHS Financials. Johnson highlighted the reports in the packet. The Actuals report shows the revenue coming in and expenses going out up through September. This report was contrasted with the revenue and expenses report from September of 2103. Quarterly year end projections were reviewed. The addition of the lead worker in HHS Finance will allow additional time for analysis of the projections, particularly in the Children's Long Term Support Waiver. RESULT: DISCUSSED 2. 2015 Public Health Permit Fees HHS Director Johnson introduced Public Health Administrator Deb Lindemann, and Laurie Diaby-Gassama to speak on the annual rates regarding the programs in the Public Health Dept. The information in the packet was reviewed with the Board, these rates have not been increased for three years. Diaby informed the Board of the various fees, licensing, and contracts. The states originally established these fees, but is now up to the counties to set and are based on the amount of time it takes to do an inspection. State statutes require inspections to be done by the State, but counties are able to be agents of the state and do the inspections. Johnson recommended the Board support a 7.5% increase in the fees which still keeps us in line with other counties. A motion was made by Novotny to approve the rate increase and was Seconded by Anderson. Voice vote was taken and was approved. RESULT: APPROVED [7 TO 1] MOVER: Howard Novotny, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen NAYS: Chris Kilber ABSENT: Ron Kiesler 3. Trempealeau County Health Department Presentation Johnson informed the Board that the Trempealeau County Public Health Officer was unavailable tonight, so he and Public Health Administrator Lindemann will give a brief update. Lindemann shared that she spoke with the Health Officer from Trempealeau County. Next steps for Trempealeau County Health Department are pending full County Board action. Administration will continue to seek input from Trempealeau County and bring this back as an agenda item at a future meeting when more information is available. St. Croix County is also a part of the Health Impact Assessment and as this process begins, information will be brought to the Board. Board members asked questions which led to some further discussion, in particular the effects of fracing on radon gas. Lindemann will follow up with the Health Impact Study to see if this will be part of the assessment. RESULT: DISCUSSED 4. Provider Certified Financial and Compliance Audit Report Waiver Finance Director Tabatha Hansen addressed the Board on this agenda item. Hansen shared that State statutes require providers that receive more than $25,000 in payments from the County to complete an audit. Audits can have a high cost to the providers and require much time from the staff in the Finance. Hansen and Johnson reviewed other checks and balances in place and feel very comfortable in increasing this threshold to $100,000. Hansen shared that this will come as an official item in the form of a Resolution from the Administration Committee, though HHS Director Johnson asked if the HHS Board would like they could go on record to support the increase. A Motion was made to support the Mandate Relief Waivers of Audit Threshold. Voice vote was taken. Unanimous approval, and is moved to the Administration Committee. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Heather Logelin, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen ABSENT: Ron Kiesler 5. Health and Human Services Dashboard Report Birth to Three dashboard information was presented to the Board in conjunction with the program report. Children Services Supervisor Julie Krings shared that the graphs show that enrollment remains consistent with referrals going down a bit. They've had 85 discharges, which most often are because the child turns 3 and moves to Early Childhood programs. The other pie charts show the budget; the revenues that support the program, and the expenses. In the 2015 budget the Board approved adding another B-3 Service Coordinator. Chair Babbitt added that B-3 is a critical program as research shows that early intervention decreases the need for further services down the road. These kids and families need our support and these services. RESULT: DISCUSSED 6. Health and Human Services Program Report-Birth to Three HHS Director Johnson introduced Children Services Supervisor Julie Krings along with Birth to Three Service Coordinator and Speech Therapist Lisa Frank. Krings informed the Board this program has 4 internal staff, a speech therapist, an occupational therapist, a teacher, and a support staff. They also contract with a few providers to better meet the needs of families. The program serves about 100 kids between birth and 3 years of age. Anyone can make a referral, from physicians to day cares, as well as parents. This program has been using evidence base practice of the "coach approach” which assists in building the confidence and competence of parents. Also doing "joint visiting" allows all therapists to meet together with the family working collaboratively as a team in the child's natural environment. Lisa Frank shared that she goes into the homes and works with the families. When a referral comes in they have two days to make contact with the family and check on their concerns. They then set up an intake/screening visit to meet with the family, do some observations, go over medical history and come up with a plan. They may decide to monitor the child for a while or go into a full evaluation. Evaluations need to be complete within 45 days from time of referral to enrollment, with services started within 30 days. Each evaluation requires 2 evaluators that address all areas of development. Staff also assists with transition for services after they turn 3 and provide support and guidance to the families regarding the developmental delays of their child/children. HHS Chair Babbitt thanked the B-3 staff for their time tonight. RESULT: DISCUSSED 7. Health Center Report--Census and Referrals Health Center Administrator Sandy Hackenmueller reviewed the documents in the Board packet. As of today the Census is at 49 with an admission planned for tomorrow. Further discussion was had, particularly regarding the ebb and flow of clients and pay sources. With no further questions Chair Babbitt moved to the next agenda item. 8. Ad-Hoc Committee- Building Update Health Center Administrator Hackenmueller updated the Board on the Ad-Hoc Committee progress. The Committee met on November 4th to interview construction management companies, a decision was made and they are currently working on a contract. Building deconstruction is progressing slowly as utilities are shifted from the old HHS building to the current Health Center building. The design of the new building will determine any further changes to the lobby or where the new building will attach to current building. The changes being made right now are the more cost effective way to avoid constructing a whole new entrance to the current Health Center building. Hackenmueller will provide the Board with a map of where destruction of the old HHS building will take place in connection with the Health Center. Facilities staff is saying bricks should begin falling in early December. RESULT: DISCUSSED 9. Committee Duties Review (Rules and Bylaws) Corp Counsel Scott Cox addressed the Board on this item. He shared that the Administration Committee is forming a sub-committee that will begin to meet in December. Cox is here tonight looking for feedback from the Board on suggested changes to the HHS Board duties. HHS Chair Babbitt, with Supervisor Novotny in agreement, asked for more time to review the whole Rules and Bylaws document including the HHS Board duties. This agenda item will be brought back to the next HHS Board meeting. Cox informed the Board that once the process goes forward the HHS Board will be given another opportunity to review and approve. Any changes currently requires a 2/3 vote. HHS Director Johnson stated that the Rules and Bylaws document has been provided to Board members and will be emailed to the Citizen Board members for their review. The entire document will also be part of the Board packet for next meeting RESULT: DISCUSSED 10. Affordable Care Act Informational and Enrollment Planning Report HHS Director Johnson gave an update on informational and enrollment sessions that are being planned in St. Croix County. Provided in the packet is the news release that is being distributed around the county. An information and enrollment session will be held at the St. Croix County Services Center (SCCSC) on November 17th from 5-8PM. St. Croix County now has a Contract with a Certified Application Counselor (CAC), funded through Economic Support budget, who will work with HHS to provide assistance to the consumers. Several open enrollment sessions are being planned around the county and events are being scheduled to have the CAC available at the SCCSC to provide assistance. Heather Logeline informed the Board on further events in Hudson. She also shared they are working hard to get the word out that assistance is available. All newspapers have been given the information, but she asked everyone to help spread the word about enrollment. Administration will check into getting this information on the County Website. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE County Board Supervisor Dave Ostness shared that he sat in on the Public Health 140 Review. Ostness thought this was an informative and educational experience. Public Health does a lot of great work, and is something for us to smile about. Hats off to the Public Health Dept.! Director Johnson added that when the state sends the results of the 140 Review it will be brought to the Board as an agenda item. ADJOURN HHS Board Chair Babbitt called this HHS Board meeting adjourned at 7:09 PM. Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING December 9, 2014 @ 5:30 PM in the Government Center Boardroom, Hudson