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HomeMy WebLinkAbout08-09-2016 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD August 9, 2016 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This August 9, 2016 meeting of the Health and Human Services (HHS) Board was called to order at approximately 5:30 PM by HHS Board Chair Dr. Chris Babbitt. Welcome everyone! ROLL CALL Attendee Name Organization Title Status Arrived Heather Logelin St. Croix County Board Member Present Christopher Babbitt St. Croix County Chair Present Tom Coulter St. Croix County Supervisor Present Bob Long St. Croix County Supervisor Present Ron Kiesler St. Croix County Vice Chair Present 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: County Administrator Pat Thompson, Administrative Operations Manager Ken Witt, Health and Human Services Director Fred Johnson, Fiscal Manager Dr. Beata Haug, Public Health Administrator Deb Lindemann, Public Health Sanitarian Laurie Diaby-Gassama, Nursing Home Administrator Sandy Hackenmueller, Dementia Care Specialist Nancy Abrahamson, County Board Chair Roger Larson, family members of the late Kitty Rhoades, other staff and community members. Excused Absences: Dr. Lisa Ramsay Unexcused Absences: APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – July 19, 2016 5:30 PM Health and Human Services Board Chair Dr. Chris Babbitt asked if after review of the July 19, 2016 minutes if there were any edits needed. With nothing noted a motion was made by Supervisor Coulter and seconded by Supervisor Long to approve the minutes as submitted . A voice vote was taken and minutes were unanimously approved. RESULT: APPROVED [UNANIMOUS] MOVER: Tom Coulter, Supervisor SECONDER: Bob Long, Supervisor AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay PUBLIC COMMENT Health and Human Services Board Chair Dr. Chris Babbitt informed the board of several community members attending tonight wishing to address the board with public comment. Virginia Drath spoke regarding the Emerald Sky Dairy and shared additional consumer concerns she has heard since last meeting on wells being contaminated near large Concentrated Area Feeding Operation (CAFO). Kim Dupre also addressed the board regarding Emerald Sky Dairy and highlighted portions of newspaper articles and a letter to the editor regarding the pollution and other issues from CAFO's in other areas around Wisconsin and Iowa. Cindy Kuscienko spoke regarding concerns with the proposed Wind Energy System in the Town of Forest and asked the board if there is anything residents of the Town of Forest can do to assist the board in addressing this issue. She also thanked the board for their continued efforts. John Strom representing the Forest Voice and Brenda Salseg from the Town of Forest also addressed the board regarding potential health effects from Industrial Wind Turbines being improperly sited and shared some recent information regarding testing of noise from industrial wind turbines. No further public comment. . BUSINESS ITEMS 1. Community Based Residential Facility Name Due to the dedication and commitment of the late Secretary Kitty Rhoades to creating a Dementia Capable Wisconsin, and after discussion and approval from her family, it is coming to the board tonight to consider naming the new 10 bed residential facility in her honor. Ms. Rhodes' husband Frank and brother Tony were introduced and addressed the board with their comments on Ms. Rhoades' passion to improve the lives of those dealing with dementia around Wisconsin. The family is honored and humbled at the request to name the facility in her honor. A motion made by Supervisor Coulter and seconded by Supervisor Kiesler to draft a resolution that the HHS Board can consider supporting the naming of the 10 bed residential dementia unit, name yet to be determined, in honor of the late Secretary Kitty Rhodes. This resolution would be presented to the HHS Board in September and moved to the full County Board for consideration in October. A voice vote was taken and unanimously approved. RESULT: APPROVED [UNANIMOUS] MOVER: Tom Coulter, Supervisor SECONDER: Ron Kiesler, Vice Chair AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 2. Resolution Regarding the Planned Development of Wind Turbine Energy Systems in St. Croix County Health and Human Services (HHS) Director Fred Johnson shared that per this board's approval of the Public Health position paper on wind energy turbine systems at the July 19, 2016 meeting a resolution has been drafted and brought to the HHS Board for consideration. If approved it would be moved to the full County Board in September. Motion by Supervisor Anderson to approve and move the resolution, second by Supervisor Long. Voice vote passed unanimously. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Bob Long, Supervisor AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 3. Community Based Residential Facility Application Health Center Administrator Sandy Hackenmueller updated the board and reviewed items that will be submitted in the Community Based Residential Facility Application for the 10 bed unit. Health Center Administrator Hackenmueller will complete the application yet this week or early next week, and submit. There are application items that will have to be submitted at a later date, once the building is completed and programs running. In addition, heightened scrutiny will need to be resubmitted for home and community based funding with Centers for Medicaid and Medicare (CMS) once the facility is open and serving individuals. Health and Human Services Director Fred Johnson added that currently it is looking like the opening of the Skilled Care facility will be the end of November with the Community Based Residential Facility (CBRF) opening in mid December. RESULT: DISCUSSED-NO ACTION 4. 2017 Private Pay Rates for Health Center Services Health and Human Services Director Fred Johnson along with Health Center Administrator Sandy Hackenmueller reviewed the 2017 recommended private pay rates for skilled care and community based residential services. Discussion had and questions asked by the board on how the rates were determined and how it relates to the costs and services provided. More financial costs and budget information will be gathered and brought back to the board for their review at the next meeting. RESULT: DISCUSSED-NO ACTION 5. 2017 Public Health Fee Schedule Health and Human Services Director Fred Johnson along with Public Health Administrator Deb Lindemann and Sanitarian Laurie Diaby-Gassama reviewed the recommended 2017 Public Health permit fees. With board approval these fees will go into effect January 1, 2017. Fiscal Manager Beata Haug shared that these recommended rates are based on the costs to meet licensing requirements, of which the state requires one routine inspection per year. Currently St. Croix County Public Health fees are based upon direct service costs and do not include overhead expenses. Discussion on if the county is choosing to do this licensing, allowing for local control, should we continue to do it at a deficit and have levy dollars back fill this. To cover all costs the increase would need to be significantly more than the proposed fees. Discussion included the need to remain competitive to attract businesses. The board asked for a review of other local counties fees, actual cost comparisons to provide this licensing service, and the state fees to be brought back so the board can make an informed decision on if and how to adjust these fees. RESULT: DISCUSSED-NO ACTION 6. Health and Human Service Financial Report Fiscal Manager Dr. Beata Haug reviewed the monthly financials with the board. Haug reported a few variances in comparison to June of last year. Veterans remains stable. RESULT: DISCUSSED 7. Second Quarter Health and Human Services 2016 Year-End Financial Projection Report Fiscal Manager Dr. Beata Haug reviewed the Health and Human Services 2016 second quarter financial projections with the board. Nothing significant to report on these quarterly projections . Veterans is showing a minor deficit but this is mainly because of timing on submission of billing and payments. RESULT: DISCUSSED 8. Health and Human Services 2015 Year-End Financial Projection Report Fiscal Manager Dr. Beata Haug reviewed the unaudited 2015 Health and Human Services (HHS) year-end financial projections with the board. Discussion was had on why the budget extends into the next year with additional periods beyond the 12 month year end. Haug highlighted in period 15 an increase based on an adjustment from the State as reconciliations within Children's Long Term Support are completed. Veterans shows no significant changes. RESULT: DISCUSSED 9. Health and Human Services 2017 to 2021 Capital Improvement Request An additional request to the 2017-2021 Capital Improvement Plan (CIP) has been submitted for consideration by Health and Human Services (HHS) and was reviewed with the board. Some discussion around what Trauma Informed Care is and how it can make a difference for consumers and staff. A motion was made by Board Member Logelin to approve this additional CIP expense and recommend to the full County Board to be included in the larger CIP plan. This was seconded by Supervisor Kiesler. Voice vote taken and all approved. RESULT: APPROVED [UNANIMOUS] MOVER: Heather Logelin, Board Member SECONDER: Ron Kiesler, Vice Chair AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 10. 2017 Budget Guidelines and Schedule The 2017 budget schedule and guidelines were reviewed and discussed with the board by County Administrator Pat Thompson and Health and Human Services Director Fred Johnson. RESULT: DISCUSSED 11. Health and Human Services Board Priorities Health and Human Services (HHS) Director Fred Johnson shared that at the July 19, 2016 HHS Board meeting the board determined that some rewording of the HHS Board priorities was needed. Dr. Eric Biltonen worked on this and has submitted a draft of the rewording to be reviewed by the board. An updated hard copy was handed out combining priorities 3 & 4 as an option as well. After further discussion a motion was made by Supervisor Kiesler to approve board priorities 1 through 4 as they were rewritten, second by Board Member Rasmussen. Voice vote was taken, all approved. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Vice Chair SECONDER: Deb Rasmussen, Board Member AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay REQUEST FOR FUTURE AGENDA ITEMS Health and Human Services (HHS) Board Chair Dr. Chris Babbitt asked the board for any potential agenda items for future meetings. No requests tonight. Board members are encouraged to contact him or HHS Director Johnson with any requests. ANNOUNCEMENTS & CORRESPONDENCE Health and Human Services Director Fred Johnson informed the board to be expecting an email regarding a joint meeting with the Ad-Hoc Health Center Construction Committee on September 29th @ 2:00 at the Health Center. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt thanked everyone for coming and called the meeting adjourned at approximately 8:00 PM. DATE OF NEXT MEETING September 13, 2016 @ 5:30 PM in the Government Center Boardroom, Hudson