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Home My WebLink About04-14-2015 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD April 14, 2015 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services Board Chair Dr. Chris Babbitt welcomed everyone and called the meeting to order at 5:30 PM on April 14, 2015. ROLL CALL 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 Present Lisa Ramsay St. Croix County Board Member Present Deb Rasmussen St. Croix County Board Member Present Others is Attendance: Health and Human Services (HHS) Director Fred Johnson, County Administrator Pat Thompson, Public Health Administrator Deb Lindemann , Fiscal Manager Beata Haug, Nursing Home Administrator Sandy Hackenmuller, County Board Supervisor Dave Ostness, County Board Chair Roger Larson, several other staff, students, and community members. APPROVAL OF MINUTES 1. Tuesday, March 10, 2015 PUBLIC COMMENT* Citizen members representing The Forest Voice presented information to the Board on industrial wind turbines. The emphasis of their concern is on the health effects of infra-sound and the landowner restrictions a wind turbine can place on other property adjacent to or near to where the turbine is built. BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug presented and reviewed a financial guide to assist the Board in reviewing the monthly report. Haug reviewed the February 2015 financial report and addressed variances compared to February 2014. RESULT: DISCUSSED 2. Quarterly Health and Human Services Dashboard Report Director Johnson and Fiscal Manager Beata Haug reviewed with the Board some of the Dashboard reports from the various departments. Discussion was had and feedback was given by several Board members. Director Johnson shared that this report will continue to be a work in progress and will be reported to the Board quarterly. Health and Human Services Board Chair Babbitt expressed appreciation on behalf of the Board for the work on the Dashboard reports as it will help make the Budget a living document. RESULT: DISCUSSED 3. Rebased Nursing Home Five Star Rating letter HHS Director Johnson shared with the Board that Nursing Home Administrator Sandy Hackenmueller completed the extra research regarding this item and it is greatly appreciated. Hackenmueller is unavailable for the meeting due to another meeting in Madison. The drafted letter included for the Board's review addresses the concerns of the negative impact the new five star rating system could have on the Health Center. Within this new federal rating system there are only 3 diagnosis in which the use of anti-psychotic medications will not impact the 5 star rating. There are however several more diagnosis where the use of anti-psychotic medication may be indicated and appropriate. Administration is looking to the Board for approval of this letter which can then be sent to State and Federal representatives. HHS Chair Babbitt asked if there are any Board members with concerns in sending this letter or have any recommended editing that should be done? The consensus by the Board is that the letter is approved and should be sent. RESULT: APPROVED [UNANIMOUS] AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen 4. Health Center Campus Facility Design and Budget Review County Administrator Pat Thompson addressed the Board, and shared that this agenda item is a request of the Health and Human Services (HHS) Board to pass a motion to endorse the Health Center facility design and budget. With the HHS Board's endorsement, it will then move this agenda item to the Administration Committee and then on to the full County Board. Administrator Thompson indicated that he is aware that this information has been reviewed previously at other meetings but encouraged Board members or Citizen Board members to ask questions. The information included in the Board packet was reviewed. A Motion was made by Supervisor Ron Kiesler to approve that the Health Center Design and Budget be moved forward to the Administration Committee, this was seconded by Supervisor Paulette Anderson. All in favor none opposed. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen 5. Resolution Opposing Proposed 2015-2017 State Budget Bill Requiring Drug Testing of Adults Without Children who are receiving Foodshare and/or BadgerCare Plus Health and Human Services (HHS) Board Chair Babbitt reminded the Board that this agenda item was previously discussed at the March 10, 2015 HHS Board meeting. At that time the Resolution from Eau Claire County was reviewed and the Board had directed HHS Director Johnson to draft a similar resolution for St. Croix County. Motion made by Supervisor Ron Kiesler to approve the resolution and was seconded by Supervisor Novotny. All in favor, none opposed. RESULT: APPROVED [UNANIMOUS] Next: 5/5/2015 7:00 PM MOVER: Ron Kiesler, Supervisor SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen 6. Legislative Request for Audit of Medicaid Family Planning Reimbursement Letter Health and Human Services (HHS) Director Fred Johnson and Public Health Administrator Deb Lindemann addressed the Board on this item. This was also an agenda item at the March 10, 2015 meeting, at which time the Board asked that a letter be drafted to be sent to the Senator and State Representatives. A Motion was made by Board member Logelin to approve and send the letter and was seconded by Supervisor Novotny. All in favor, none opposed. RESULT: APPROVED [UNANIMOUS] MOVER: Heather Logelin, Board Member SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen 7. Review of Resolution No. 34 (2009) Tobacco-Free Policy For County Grounds With Government Building, County Owned Parks, the Fair Grounds and County Owned Vehicles Health and Human Services (HHS) Director Johnson and Public Health Administrator Deb Lindemann spoke to the Board on this agenda item as well. Johnson shared the history of several past Resolutions that have been passed, including the one in the Board packet. The County Board of Supervisors passed a Resolution in 2014 opposing legislation and any other attempt to exempt that use of E-Cigarettes from Wisconsin's 40 Smoke-free Air Law. However, review of the current county tobacco-free policy Resolution # 34 (2009) does not include the E-cigarettes. County employees are covered by the tobacco use policy, but the public is not. Discussion regarding recommendation to the Administration Committee to include the E- Cigarettes in an updated policy or ordinance. A motion to move this issue on to the Administration Committee for consideration was made by Supervisor Kiesler and was seconded by Board member Deb Rasmussen. All were in favor, none opposed. Director Johnson added that Health and Human Services Public Health Department can assist the Administration Committee, if requested, to draft a resolution or ordinance regarding the use of E-Cigarettes in and on County property. Public Health Administrator Lindemann provided a copy of the Dunn County ordinance as well as some sample language. Public comment was made regarding information on E- cigarettes possibly exploding. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Supervisor SECONDER: Deb Rasmussen, Board Member AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay, Deb Rasmussen 8. Wisconsin Counties Association 2015-2017 Biennial Budget Review Health and Human Services Director Johnson stated this agenda item was provided to the Board for their information and further review. If any Board members have questions please feel free to contact Fred Johnson to schedule some time to meet. RESULT: DISCUSSED 9. Health and Human Services Day at the Capital Report Health and Human Services Director Johnson and County Board Vice Chair Ostness attended the Health and Human Services Day in Madison on April 8, 2015. They were able to meet with Representatives Knudson, Murtha, Jarchow, and Senator Harsdorf. Aging and Disabilities Resource Council member, George Zaske, also attended the meetings on April 8th. Director Johnson and County Board Vice Chair Ostness reviewed some of the information and talking points within the Wisconsin Counties Human Services Association (WCHSA) and Wisconsin Counties Association (WCA) summaries. The Board had further discussion. Supervisor Anderson and Supervisor Ostness shared information regarding upcoming listening sessions with Representative John Murtha. HHS Chair Babbitt shared that within the WCA Summary there is mention of a wind energy study that the Board may want to pay attention to. Babbitt also informed the Board he recently attended a Wisconsin Counties Association (WCA) meeting in Menominee and sensed a struggle by many on how this budget all fits together. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE Johnson informed the Board that Public Health received an Ebola supplemental payment, which over 2 years will amount to $20,500. Johnson announced that New Horizons Food Services will go into effect at the Health Center near the end of the month. Johnson also announced, that live streaming of meetings at the St. Croix County Services Center are being considered to be installed as part of the new Health Center project in the large social room. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called this meeting adjourned at approximately 7:10 PM. Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING May 12, 2015 @ 5:30 PM in the Government Center Boardroom, Hudson