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HomeMy WebLinkAbout10-11-2016 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD October 11, 2016 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This October 11, 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 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, Nursing Home Administrator Sandy Hackenmueller, Behavioral Health Administrator/ HHS Ops Manager Steve Kirt, Behavioral Health Supervisor Kathy Huston, County Board Chair Roger Larson, County Board Vice Chair Dave Ostness, other staff and community members. Excused Absences: NA Unexcused Absences: Lisa Ramsay APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – September 13, 2016 5:30 PM Health and Human Services (HHS) Board Chair Dr. Chris Babbitt asked if after review of the September 13, 2016 minutes if there were any edits needed. With nothing noted a motion was made by Supervisor Coulter and seconded by Supervisor Anderson to approve the minutes as submitted. A voice vote was taken and minutes were unanimously approved. RESULT: APPROVED [UNANIMOUS] MOVER: Tom Coulter, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay PUBLIC COMMENT Kim Dupre from Emerald, informed the board that today she attended a planning committee meeting in Dunn County where they considered a moratorium on Concentrated Area Feeding Operations (CAFO) but have postponed a vote until Monday. If passed this will then move on to their County Board. She asked the board to review an article in the Wisconsin Counties Association (WCA) newsletter about clean drinking water, as well as informed them that Emerald Sky Dairy has turned in another application. John Strom addressed the board regarding improper siting of wind turbines and the potential health hazards. Virginia Drath from Emerald township addressed the board regarding Concentrated Area Feeding Operation's (CAFO) and the potential misuse of antibiotics and the effects on humans. No further public comment. BUSINESS ITEMS 1. Behavioral Health Intake Reorganization Report Behavioral Health Administrator, Steve Kirt, reviewed a power point with the board regarding the work Behavioral Health Services has done to reorganize their intake process. Also reviewed was the approximate wait time for services in Behavioral Health. RESULT: DISCUSSED 2. Genoa Pharmacy Lease Agreement for Onsite Consumer Medication Coordinator Services Natasha Hennessy Director of Operations for Genoa, Jeremiah Reynolds, Genoa Regional Sales Rep., as well as Steve Kirt and Kathy Huston from Behavioral Health reported to the board on the lease agreement and on site services. An overview of Genoa services and anticipated benefits to the consumer and the county discussed. There is no cost to the county and Genoa would pay rent for use of a space in the Services Center. This is to the Health and Human Services (HHS) Board to consider a recommendation to the Administration Committee for continued work on a lease agreement for an onsite Consumer Medication Coordinator. Health and Human Services Director Fred Johnson will work with Corporation Counsel to be certain the lease agreement is worded properly, but also determine if there is a need for a public notice or request for proposal process for other potential providers of this service. Motion by Supervisor Kiesler to move this to Administration Committee for negotiation of and potential approval of the lease. This was seconded by Supervisor Long. A voice vote was taken. RESULT: APPROVED [6 TO 2] MOVER: Ron Kiesler, Vice Chair SECONDER: Bob Long, Supervisor AYES: Heather Logelin, Christopher Babbitt, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried NAYS: Tom Coulter, Deb Rasmussen ABSENT: Lisa Ramsay 3. Community Justice Collaborating Council Mental Health Subcommittee Work Plan Report Health and Human Services Director Fred Johnson informed the board of work being done within the Community Justice Collaborating Council (CJCC) Mental Health Subcommittee. Subcommittee membership was reviewed as well as plans to add new members. The subcommittee has determined 3 priority areas to focus their work which include; area inpatient bed availability, hospital emergency room tele-health use and critical incident training for police officers. RESULT: DISCUSSED 4. Health and Human Service Financial Report Fiscal Manager Dr. Beata Haug reviewed the monthly financial reports for Health and Human Services (HHS) and Veterans. Revenues in HHS, in comparison to last year, are showing a variance which is due to the timing of claims. In expenses the variance is due to less need in purchased services. The Health Center revenues are showing a variance, also due to timing of payments. Nothing significant to report in Veterans. RESULT: DISCUSSED 5. 180 Day Program The board reviewed the programming provided by Northwest Regional Juvenile Detention Center in Eau Claire. If this is going to be an alternative for St. Croix County to use it requires a resolution and final approval by the full County Board. The Health and Human Services Board will refer this to the Community Justice Collaboration Council (CJCC) Subcommittee on Community Issues for further review. Motion from Supervisor Coulter to refer this to the CJCC Subcommittee on Community Issues and a second from Board Member Rasmussen. Voice vote was taken. RESULT: APPROVED [UNANIMOUS] MOVER: Tom Coulter, Supervisor 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 6. Health and Human Service Department Program Designated Fund Balances Reviewed 2015 audited fund balances in Health and Human Services designated fund balances. Currently the county does not have a policy regarding these designated fund balances. Discussion on the need for designated fund balance included budgeting methodology for purchase services, which is based on trends and average costs of previous years. If expenses in purchased services exceed budget, fund balance could be applied to cover the overage. Also discussed capital needs for vehicles for the aging programs. Discussion on the designated fund balance included 10% to 12.5% of overall operating budget or approximately 35% of the county tax levy applied. This is before the HHS Board tonight to consider a recommendation as this may be before the administration committee to develop county policy. No specific motion was made, specifying a fund balance amount. The HHS Board would like to go on the record as having discussed the issue and looks to the Administration Committee on making a policy. RESULT: DISCUSSED-NO ACTION 7. Health Center Wage Grids Health and Human Services Director Fred Johnson along with Health Center Administrator Sandy Hackenmueller reviewed the two wage grids. The current approved wage grid advances through step 6. The recommended wage grid adds steps 7-19 . Operations Manager Ken Witt informed the board that the Administration Committee will be meeting soon and he needs to know which grid to submit to them for approval. Further discussion. Motion made by Supervisor Anderson and second by Supervisor Leibried that the Health and Human Services Board approves the County Administrator to recommend to the Administration Committee to consider the approval of the larger 19 step wage grid for the Health Center to be consistent with the rest of the county. Voice vote was taken . RESULT: APPROVED [6 TO 1] MOVER: Paulette Anderson, Supervisor SECONDER: Shaela Leibfried, Supervisor AYES: Heather Logelin, Christopher Babbitt, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen NAYS: Tom Coulter ABSTAIN: Bob Long ABSENT: Lisa Ramsay 8. Resolution Regarding Implementation of the March 2014 Centers for Medicare and Medicaid Services Home and Community Based Services Regulations Johnson shared at joint meeting a motion was made and passed to bring a resolution to the Health and Human Services board on behalf of the joint Ad-Hoc Health Center Construction Committee and the HHS Board regarding heightened scrutiny. Discussion had on if this will make a difference. Chair Babbitt shared at the joint meeting the feeling has been that we need to go on record in support of this. Further discussion on the history of heightened scrutiny and potential reasoning for its implementation. A motion by Supervisor Kiesler to approve this resolution and move to those in the state and federal government, second by Supervisor Anderson. Motion by Chair Babbitt to amend the resolution to fix some grammatical errors and language, as well as include the 40 bed facility. Second by Supervisor Long. After further discussion the consensus of the board was that the grammatical errors could be fixed without an amendment. Motion to amend was withdrawn by Chair Babbitt. Voice vote was taken. RESULT: APPROVED [UNANIMOUS] Next: 11/1/2016 9:00 AM MOVER: Ron Kiesler, Vice Chair SECONDER: Paulette Anderson, Supervisor 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 Nothing at this time. Board members are encouraged to contact Health and Human Services (HHS) Board Chair Dr. Chris Babbitt or HHS Director Fred Johnson if any items come up. ANNOUNCEMENTS & CORRESPONDENCE Board members received a handout from Wisconsin Counties Association listing priorities. Open enrollment for Affordable Care Act (ACA) starts Nov. 1. The next HHS Board meeting is scheduled on election night. Colleen and Fred will reach out to the group to try and determine and alternate date. The Health and Rehab Center Grand Opening is scheduled for Nov.15th from 5 PM-8PM. We ask that board members be there at 4:30 for photo opportunities. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called this meeting of the Health and Humans Services Board adjourned at approximately 7:40 PM. DATE OF NEXT MEETING November 8, 2016 @ 5:30 PM in the Government Center Boardroom, Hudson. Alternate date to be determined if possible.