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Home My WebLink About12-09-2014 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD December 9, 2014 5:30 PM County Board Room - Government Center County Board Room-Government Center - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This meeting was called to order by Health and Human Services Board Chair Dr. Chris Babbitt at 5:30 PM on December 9, 2014. ROLL CALL Attendee Name Organization Title Status Arrived Departed Christopher Babbitt St. Croix County Supervisor Present Heather Logelin St. Croix County Board Member Absent Howard Novotny St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Present Ron Kiesler St. Croix County Supervisor Present 7:28 PM Paulette Anderson St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor 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, Nursing Home Administrator Sandy Hackenmueller, Fiscal Manager Beata Haug, Corp Counsel Scott Cox, Facilities Director Jim Elsbury, County Board Chair Roger Larsen, County Board Supervisor Dave Ostness, other staff and community members. APPROVAL OF MINUTES 1. Health & Human Services Board - Regular Meeting - Nov 11, 2014 5:30 PM HHS Board Chair Chris Babbitt asked if there were any corrections or additions to the minutes. No corrections were noted, Supervisor Anderson made a motion to approve the minutes, Supervisor Kiesler seconded. A voice vote was taken, minutes were approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Christopher Babbitt, Paulette Anderson SECONDER: Ron Kiesler, Supervisor AYES: Christopher Babbitt, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Heather Logelin, Lisa Ramsay PUBLIC COMMENT* No Public Comment INFO/DISCUSSION ITEMS 1. Financial Reports Fiscal Manager Beata Haug reviewed the Financial reports with the Board. Haug shared there are no significant changes to the HHS reports for October, though she did update the Board regarding the fund balance for St. Croix Industries. Also, Director Johnson will be checking on the planned usage for the St. Croix Industries client donation account that was transferred to ESR, and update the Board at a future meeting. Haug noted that the 3rd quarter projections for HHS were overstated due to an additional take back to offset Children Services Waiver local match dollars. Finance is working hard to put all the expenses and the revenue attached to them in the year they occurred. Going forward there should be only one take back per year. Further discussion was had, questions were raised and answered. RESULT: DISCUSSED 2. Health and Human Services Board Duties HHS Director Johnson shared that this agenda item was originally on the November agenda. Per the Board's request for further time to review all the documents it has now been brought back to the Board for their input on any updates or changes to the Rules, Bylaws, and Committee Duties. Corp Counsel Scott Cox also informed the Board on the plan for the meetings of the Subcommittee to compile, review, and make recommendations to the Administration Committee for suggested changes. HHS Chair Babbitt brought a few potential wording changes to the attention of Corp Counsel. No other suggestions were noted. RESULT: DISCUSSED 3. Brown County Board of Health action regarding the Industrial Wind Turbines at Shirley Wind Project HHS Director Fred Johnson gave an update to the Board regarding this agenda item. He shared that HHS Public Health Administrator Deb Lindemann has attempted to contact the Brown County Health Officer regarding the motion the Brown County Board of Health passed declaring the Industrial Wind Turbines at Shirley Wind Project a human health hazard, but she has yet to receive a reply. Several pieces of information are included in the Board packet to keep the Board appraised of the information as HHS Administration obtains it from various sources. Two gentlemen representing the Town of Forest addressed the Board regarding information they have compiled regarding Industrial Wind Turbine Farms. One of their concerns is the infra sound or acoustic pressure waves the turbines give off. These are not heard by the human ear, but can have health impacts on both people and animals. Another concern is the fact that there is no medical professional on the Wind Siting Council. These gentlemen both appreciate the HHS Boards continued support in looking into this project and its potential health effects. Further work will be done and reported back to the Board. RESULT: DISCUSSED 4. Health and Human Services Purchase of Service Contracts HHS Director Johnson shared this is an informational item for the Board and is in place of our routine program report. Purchase of Services Contracts and Letters of Agreement are made with providers for client needs. In the budget there is approximately 3.3 million dollars in the purchased service line item. In 2015, this particular line item will be analyzed and coding of bills will be streamlined. Johnson will bring back to the Board at a future meeting a detailed document highlighting purchased services. RESULT: DISCUSSED 5. 2015 Public Health Permit Fees HHS Director Johnson along with Fiscal Manager Haug addressed the Board regarding this agenda item. This is a follow up from a previous meeting to provide additional clarification. There was a lengthy discussion around different fee options. A Motion was made by Supervisor Novotny to Waive the 7.5% increase of the fee charged to the those establishments currently having their state surcharge paid by the county, only increasing their fee by the state surcharge amount and maintain the 7.5% increase to those establishments currently paying the state surcharge. Seconded by Supervisor Rasmussen. Motion was approved. RESULT: APPROVED [5 TO 2] MOVER: Howard Novotny, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson, Deb Rasmussen NAYS: Chris Kilber, Shaela Leibfried ABSENT: Heather Logelin, Lisa Ramsay 6. Health Center Report--Census and Referrals Nursing Home Administrator Sandy Hackenmueller spoke to this agenda item. The Census is 48 as of today and Westfield's Hospital remains a strong referral source. Payor types are strong with over 200 days of Medicare in November and currently are running extremely strong at 10.42% Medicare, 62 % Medicaid, 4% Family Care and 22% self- pay. RESULT: DISCUSSED 7. Health Center-Ad-Hoc Committee Update Nursing Home Administrator Hackenmueller gave an update on the Ad-hoc Committee's recent meeting. The Committee reviewed different types of construction and the cost of each with the architect and management team. They continue to move forward on finalizing a business plan for the Dementia Crisis Stabilization unit. The site plan was also reviewed and discussed. The next steps will include the construction management team meeting with the managers and staff from each unit to discuss design plans. Another Committee meeting is scheduled for December 30th as well as a meeting by the construction management team with current residents and their families on January 2nd. Facilities Director Jim Elsbury gave an update on the plans for deconstruction of the old HHS building. RESULT: DISCUSSED 8. Health Care Advisory Referendum Johnson addressed the Board on this agenda item. He is looking to the Board for actions that should be taken in regards to this information. Supervisor Anderson suggested the results of the advisory referendum and a letter be sent to the legislatures and the Governor. The letter will include a request for a response. HHS Director Johnson will draft a letter for HHS Board Chair Babbitt to sign which will be sent along with the referendum results and the resolution to the Governor's office. RESULT: DISCUSSED-NO ACTION 9. 2015 Board Meeting Schedule and Location Discussion was held regarding the scheduling and location of the HHS meetings moving into 2015. The Board will continue to meet on the 2nd Tuesday at 5:30 PM at the Government Center. At the January meeting, Johnson will have more information on the cost and time frame to equip the St. Croix County Services Center (SCCSC) with the capacity to live stream meetings. Chair Babbitt shared that his preference would be to hold at least some meetings at the SCCSC in New Richmond. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE HHS Director Johnson shared that the Behavioral Health (BH) team is working on BH recalibration and will be contacting Board members via email. Johnson reminded the Board members to not "Reply all" to email communications to comply with open meeting requirements. Nursing Home Administrator Hackenmueller announced that the Nursing Home's Medical Director, Dr. Hanson, is retiring and Dr. Allen Medini from the New Richmond Clinic will be his replacement starting January 1st. ADJOURN HHS Board Chair Babbitt called this meeting adjourned at 7:39 PM. Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING January 13, 2015 5:30 PM