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HomeMy WebLinkAbout09-13-2016 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD September 13, 2016 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This September 13, 2016 meeting of the Health and Human Services (HHS) Board was called to order by Health and Human Services Board Chair Dr. Chris Babbitt at approximately 5:30 PM. ROLL CALL Attendee Name Organization Title Status Arrived Heather Logelin St. Croix County Board Member Absent 5:34 PM 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 Present Deb Rasmussen St. Croix County Board Member Absent Others in Attendance: County Administrator Pat Thompson, Administrative Operations Manager Ken Witt, Finance Director Bob Mittet, 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, Economic Support Administrator Ronda Brown, ADRC Administrator Brad Beckman, Behavioral Health Administrator/ HHS Ops Manager Steve Kirt, Children Services Administrator Julie Krings, County Board Chair Roger Larson, County Board Vice Chair Dave Ostness, other staff and community members. Excused Absences: Deb Rasmussen Unexcused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – August 9, 2016 5:30 PM Health and Human Services (HHS) Board Chair Dr. Chris Babbitt asked if after review of the August 9, 2016 minutes if there were any edits needed. With nothing noted a motion was made by Supervisor Anderson and seconded by Supervisor Coulter to approve the minutes as submitted. A voice vote was taken and minutes were unanimously approved. RESULT: APPROVED [UNANIMOUS] AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay ABSENT: Deb Rasmussen PUBLIC COMMENT Health and Human Services Board Chair Dr. Chris Babbitt introduced several community members wishing to address the board tonight during public comment. Virginia Drath of Emerald township spoke regarding Concentrated Area Feeding Operations (CAFO) and resulting issues with well water quality near them and throughout the county from runoff. Kim Dupre addressed the board regarding Emerald Sky Dairy. She informed the board of upcoming CAFO hearings in Buffalo County. She is concerned that our area will be a focal point for additional CAFO's and asks that St. Croix County be proactive in addressing this issue. John Strom from the Town of Forest presented more information regarding improper siting of Industrial Wind Turbines. Strom highlighted some areas of the Public Service Commission (PSC) Minority Report and asked that everyone take a look at it. He also read a portion of a medical report on dizziness/vertigo and it's effect on people. He is pleased and impressed with the work on the resolution that Health and Human Services Board and County Board recently passed. Cindy Kuscienko from the Town of Forest also shared her appreciation for the work done on the wind turbine resolution.. Kuscienko updated the board on things that have been happening recently on the wind turbine issue. The Town of Forest has filed an appeal regarding the Public Service Commission (PSC) ruling with St. Croix County District Court. She also shared information on a study being done in Vermont at an abandoned house, using it as a wind research center. No other Public Comment BUSINESS ITEMS 1. Recognition of Dale Cotch, St. Croix County Veterans Service Officer Veterans Service Officer Dale Cotch was recognized for his good work and dedication to Veterans. Mr Cotch was presented with a certificate of appreciation by County Administrator Pat Thompson and Health and Human Service Board Chair Dr. Chris Babbitt. Cotch then informed the board that he has submitted his letter of resignation due to health issues and thanked everyone for their support during his time working for the St. Croix County Veterans Service Office. RESULT: DISCUSSED 2. Resolution to Name the Ten (10) Bed Community Based Residential Facility in Honor of Department of Health Services Secretary Kitty Rhoades Resolution was reviewed and the name, "The Kitty Rhoades Memory Care Center", listed in the resolution on line 21 was discussed. . The other name considered is "The Kitty Rhoades Dementia Care Center". Sandy Hackenmueller, Administrator at the Health Center, addressed the board regarding her thoughts on naming the facility. Hackenmueller believes it would describe the facility best to use the word dementia in the name vs. memory. The facility will be a place for consumers to come for any dementia related concerns, different than just a memory care center. Hackenmueller would ask the board to consider naming the CBRF, "The Kitty Rhoades Dementia Center". Further discussion. Motion for an amendment on line 21 by Supervisor Kiesler to name the CBRF "The Kitty Rhoades Memorial Dementia Center" second by Supervisor Long. Voice vote was taken, all approved. Supervisor Kiesler made a motion to pass and move the amended resolution to the full County Board second by Supervisor Anderson . Voice vote, all approved. RESULT: APPROVED AS AMENDED [UNANIMOUS] Next: 10/4/2016 5:00 PM AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay ABSENT: Deb Rasmussen 3. ESR Works Presentation Ed Boeve, ESR Works Executive Director, reported to the board on the recent developments at ESR Works. Construction of a new production facility in New Richmond is underway and plans are to be moving to the new facility sometime in the first quarter of 2017 and the lease for the use of the county building will terminate. Mr. Boeve also informed the board on some regulatory changes implemented by the Federal Dept. of Labor that could impact providers that have a certificate to employ individuals for sub minimum wage. Further discussion with questions raised and answered. RESULT: DISCUSSED 4. 2017 Public Health Fee Schedule Additional data and analysis of the Public Health fees was presented. Public Health Administrator Deb Lindemann as well as Sanitarian Laurie Diaby-Gassama reviewed the data in the board packet and answered questions. They explained that a 9.5 % increase would cover the program costs, the 15% increase would cover program and indirect costs. Additional percentage increases were also presented. Discussion regarding the minimal increase in revenue to the county and risk staying competitive to attracting new businesses if fees are increased. Additional discussion included cost increases to cover actual costs, which are based on the time it takes to do each licensing inspection. Supervisor Coulter made a motion to retain current fees without any increase. This was seconded by Supervisor Long. Roll Call Voting: Logelin-no, Babbitt-no, Coulter-yes, Long-yes, Kiesler-no, Anderson-no, Leibfried-no, Ramsay-no, Rasmussen-absent. Motion failed. Further discussion. Supervisor Kiesler made a motion to increase the 2017 fees by 9.5% to cover operating costs. This was seconded by Supervisor Anderson. Roll Call vote; motion passed. RESULT: APPROVED [6 TO 2] AYES: Heather Logelin, Christopher Babbitt, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay NAYS: Tom Coulter, Bob Long ABSENT: Deb Rasmussen 5. 2017 Private Pay Rates for Health Center Services Health and Human Services (HHS) Director Fred Johnson addressed the board with this carry over item from the last HHS meeting where the board asked for the methodology in determining these rates. The accounting firm, Wipfli was contracted to do a market study which was used when determining these rates. These rates are very close to the original projections and are under or equal to other facilities in the area. Supervisor Kiesler made a motion to accept these rates for the St. Croix County Health and Rehab Center 2017 private pay rates as documented on page 23 of the board packet, this was seconded by Supervisor Liebfried. Voice vote-all approved. RESULT: APPROVED [UNANIMOUS] AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay ABSENT: Deb Rasmussen 6. Health and Human Service Financial Report Health and Human Services Board Chair Dr. Chris Babbitt took a moment to congratulate Dr. Beata Haug on receiving her Doctorate/PHD degree. Fiscal Manager Dr. Haug reviewed the monthly financial reports with the board. Veterans Services continues to be stable and doesn't expect any variances in the next few months, though some changes in wage and fringe with the resignation of Veterans Services Officer Dale Cotch. Health and Human Services financials compared to same time last year showing a variance in revenue, mainly due to Children's and Adult Community Options Program (COP) and timing of processing claims. In expenses the variance is due to some cost savings with less expenses within purchased services in Behavioral Health. Two additional items on the financials this month shows the adjustments in the budget with the transfer of contingency funds and capital budget funds which increased the budget. The $5,000 adjustment is for a revolving loan fund agreement with Chippewa County. Chippewa County is the primary agency on housing authority loans, and this fund allows for quicker payments to the contractors. The $ 50,000 adjustment is to pay for a van, which is part of the capital improvement plan. RESULT: DISCUSSED 7. 2017-2019 Healthier Together Goals and Strategies Public Health Administrator Deb Lindemann provided an interim report and reviewed a power point to keep the board informed of work being done around the results of the Community Health Needs Assessment. Healthier Together Coalition of St. Croix and Pierce Counties has determined their priorities to be Mental Health, Obesity, and Alcohol Abuse. They have worked to develop their goals and strategies and work has begun by the action teams on these priorities. HHS Chair Babbitt recognized Board Member Heather Logelin as being instrumental in the CHIP process. Logelin in turn acknowledged the Public Health staff for all their work and shared that the two county collaboration is a much better way to work and a credit to the community. RESULT: DISCUSSED-NO ACTION 8. Resolution in Support of Increased Funding in the Children and Family Aids Allocation in the State Biennial Budget This template resolution was forwarded by the Wisconsin Counties Association and Wisconsin County Human Services Association around the need for additional funding within child welfare services in the counties. Some changes were made to the resolution to include St. Croix County data and is here for the board to consider. Discussion around where is funding coming from, what do we risk losing or not advocating for in other areas and will more money make a difference. Motion made by Supervisor Anderson to support the resolution and move on to full County Board seconded by Supervisor Leibfried. Voice vote taken. 10 minute recess. RESULT: APPROVED [6 TO 0] AYES: Heather Logelin, Christopher Babbitt, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Lisa Ramsay ABSTAIN: Tom Coulter, Bob Long ABSENT: Deb Rasmussen 9. Health and Human Services Board Review of the 2017 Budget Request Health and Human Services (HHS) Director Fred Johnson as well as Fiscal Manager Dr. Beata Haug, reviewed the preliminary budget information with the board. Discussion was had and questions raised and answered. Board members are encouraged to contact Director Johnson or any management staff in attendance tonight with any further questions. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Health and Human Services Board Chair Dr. Chris Babbitt asked for any requests for future agenda items. No requests at this time. Board members are encouraged to contact the Chair or Director Johnson if they have agenda items in the future. ANNOUNCEMENTS & CORRESPONDENCE NA ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called the meeting adjourned at approximately 8:15 PM. Thanks everyone for coming. DATE OF NEXT MEETING Joint meeting with HHS Board and the Ad-Hoc Health Center Construction Committee on Sept. 29 @ 2:00 PM in the Social Room at the Health Center Regular HHS Board meeting October 11th @ 5:30 in Hudson, Government Center Boardroom