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HomeMy WebLinkAbout02-14-2017 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD February 14, 2017 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This February 14, 2017 meeting of the Health and Human Services (HHS) Board was called to order at approximately 5:30 p.m. by Health and Human Services Board Chair Dr. Chris Babbitt. 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 Absent Shaela Leibfried St. Croix County Supervisor Absent Lisa Ramsay St. Croix County Board Member Present Deb Rasmussen St. Croix County Board Member Absent Others in Attendance: Health and Human Services Director Fred Johnson, Fiscal Manager Dr. Beata Haug, Health Center Administrator Sandy Hackenmueller, Public Health Supervisor Sharon Reyzer, Director of Veterans Services Phillip Landgraf, County Board Chair Roger Larson, County Board Vice Chair Dave Ostness, and other staff and community members. Excused Absences: Shaela Leibried, Paulette Anderson, and Deb Rasmussen Unexcused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – December 13, 2016 5:30 PM Health and Human Services Board Chair Chris Babbitt asked if there are any edits to the minutes from the December 13, 2016 meeting. With no changes voiced, a motion was made by Supervisor Coulter to approve the minutes, this was seconded by Supervisor Long. A voice vote was taken and minutes were approved as submitted. RESULT: APPROVED [UNANIMOUS] AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Lisa Ramsay ABSENT: Paulette Anderson, Shaela Leibfried, Deb Rasmussen PUBLIC COMMENT John Strom, a Town of Forest resident, addressed the Board and highlighted a few points within Resolution 37-2016. No other Public Comment. BUSINESS ITEMS 1. Introduction of New County Veteran Service Officer Phillip Landgraf The new Veterans Service Officer, Phillip Landgraf introduced himself to the Health and Human Services (HHS) Board and provided a brief history of his previous work and some plans moving forward. He is looking forward to working with the members of the HHS Board on future needs for the Veterans Department. RESULT: DISCUSSED 2. Health and Human Service Financial Report Fiscal Manager Dr. Beata Haug presented the monthly Financial Reports for Health and Human Services (HHS) and Veterans. She discussed the variances in 2015 to 2016, with the majority of revenue variances due to timing of when monies are received by HHS. The variances in expenses from year to year are very minor. When reviewing the financial report for Veterans, Dr. Haug reports the variance in revenue is mainly due to a levy increase and on the expense side due to staffing changes. RESULT: DISCUSSED 3. Fourth Quarter Health and Human Services 2016 Year-End Financial Projection Report Dr. Beata Haug informed the Board that when reviewing quarter four with each division that Health and Human Services (HHS) as a whole should end on the positive side though the amount could change when doing the state reconciliation, as there are many variables that come into play, in particular within Children's Long Term Support. In Aging they are doing well. The revenue remains consistent, with a recent increase due to higher donations in Home-Delivered meals. On the expense side there is a slight increase in food/meal costs. Aging and Disability Resource Center (ADRC) should end the year on the plus side mainly due to the increased claiming of federal match funds which is based on time studies. Nursing Home variances are in part due to some changes regarding benefit eligible positions that were not budgeted during the 2016 budget process, changes in Medicare reimbursement rates and census. The variation in bed census is due to the budgeted payer mix of long term residence and short term rehab individuals. The expense numbers do not include depreciation for 2016. Veterans quarter four shows favorably and is mainly due to staffing changes. RESULT: DISCUSSED 4. 2017-2019 Healthier Together Community Health Improvement Plan and Appendices The 2017-2019 Community Health Improvement Plan (CHIP) and appendices were presented to the board. The CHIP plan was reviewed and approved previously, but as part of the Health Accreditation process approval with the appendices is recommended. Public Health Supervisor Sharon Reyzer provided an overview of the appendices. A Motion made by Supervisor Kiesler to approve the Healthier Together Community Health Improvement Plan and Appendices, this was seconded by Supervisor Long. A voiced vote was taken, all approved. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Vice Chair SECONDER: Bob Long, Supervisor AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Lisa Ramsay ABSENT: Paulette Anderson, Shaela Leibfried, Deb Rasmussen 5. 2017-2019 Healthier Together Community Health Improvement Work Plans Public Health Supervisor Sharon Reyzer reviewed the work plan and summarized the priority areas within the plan - Alcohol Abuse, Mental Health, and Obesity/Overweight. She discussed the work being planned and the ways community partners will be utilized and will help with implementing the priority areas. Board Member Heather Logelin emphasized that much of the work plan is being headed up and collaborated with community partners and hasn't fallen on just one entities plate. Both Logelin and Reyzer appreciate the collaborative efforts. RESULT: DISCUSSED 6. Health Care Education and Training Funds Request to Increase Public Health Staff Time for Colposcopy Services Additional funding has become available through the Health Care Education and Training grant to increase Nurse Practitioner time for Colposcopy services. The funds are grant dollars that will allow an increase in the current .2 FTE to a .27 FTE and will not require additional tax levy. This increase will allow for an additional day each month for the current position to provide these services. Public Health Supervisor Sharon Reyzer explained that a Colposcopy is a process where a women who has an abnormal pap smear will have additional testing done to further check for cancer and provide follow up. A motion to accept the funds, the increase in hours and move to the Administration Committee was made by Supervisor Kiesler and seconded by Board Member Logelin. A voice vote was taken, all approved. As this is an amendment to the budget and the FTE counts, this will go to the Administration Committee for their approval as well. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Vice Chair SECONDER: Heather Logelin, Board Member AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Lisa Ramsay ABSENT: Paulette Anderson, Shaela Leibfried, Deb Rasmussen 7. Kitty Rhoades Memorial Memory Care Center Community Based Residential Facility Licensure Update Delay in receiving the licensure for the Kitty Rhoades Memorial Memory Care Center was reviewed. On February 23rd the final survey is scheduled. The hope is to have residents in the Kitty Rhoades Memorial Memory Care Center in March. A question was raised regarding the financial impact the delay may cause. It was explained that since there are neither revenue or expenses, it would be budget neutral at this time. Waiting lists for admissions were also reviewed. RESULT: DISCUSSED 8. Medicaid Waiver Funding for the Kitty Rhoades Memorial Memory Care Center Review of process expected for submittal includes licensure, admissions and services to residents. The second heightened scrutiny application and supporting documents have been completed and will be reviewed with the Wisconsin Department of Health Services (WDHS). A conference call will be held on February 27th with WDHS regarding the heightened scrutiny request and will allow us to ask questions to be sure we are providing all the information needed. Health and Human Services (HHS) Board Chair Dr. Babbitt asked if it would be a possibility for Board members to listen in to the conference call with WDHS. HHS Director Johnson will make this request and will follow up with board members. Discussion had on the length of time we are looking at for approval of this heightened scrutiny request. Additional discussion had on the financial impact to the budget due to this delay. Director Johnson will bring more detailed and accurate information back to the board regarding this at another meeting. RESULT: DISCUSSED 9. 2015 Act 272: Dementia Crisis Unit Pilot Proposal-A Report by the Wisconsin Department of Health Services to the Wisconsin Legislature In the agenda packet, the Board was provided the Dementia Crisis Unit Pilot Proposal Report. Health and Rehab Center Administrator Sandy Hackemueller has participated in a stakeholder group regarding this pilot proposal. Inquiry into the currnt status of this report is the legislature could consider this report in the next biennial budget and would look to the Board to consider showing support for this pilot program. Dr. Babbitt expressed he is in favor of the plan and doing whatever we can to be considered for this pilot program and also increasing awareness of dementia. Supervisor Kiesler made a motion for the Health and Human Services Board Chair Dr. Chris Babbitt to draft a letter in support of Act 272 and forward to local legislators, seconded by Board Member Ramsey. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Vice Chair SECONDER: Lisa Ramsay, Board Member AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Lisa Ramsay ABSENT: Paulette Anderson, Shaela Leibfried, Deb Rasmussen 10. Health and Human Services Board Priorities Action Plans: Resolution and Legislative Subcommittee Action Plan and Health and Human Services Funding Education Action Plan Health and Human Services Director Johnson presented a draft of the Board Priority Action plans for review and possible revisions by the Board if needed. With each of the plans Johnson has some action items scheduled. The Board likes the idea of this being a working document and amended and approved as we go. A motion made by Board Member Logelin to adopt the two action plans, as proposed by Fred, for the two strategic priorities identified by the Board , seconded by Supervisor Long. A voice was taken, all approved. RESULT: APPROVED [UNANIMOUS] AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Lisa Ramsay ABSENT: Paulette Anderson, Shaela Leibfried, Deb Rasmussen REQUEST FOR FUTURE AGENDA ITEMS Dr. Babbitt asked if there were any requests for future agenda items. Nothing noted at this time. Health and Human Services Director Johnson has a couple of agenda items planned for next month with a presentation from Sarah Diedrick- Karsdorf. ANNOUNCEMENTS & CORRESPONDENCE *The Wisconsin Counties Association (WCA) Health and Human Services (HHS) Steering Committee meeting will be on March 3rd. Supervisor Ostenss will keep us informed on the work by this committee. * The Regional Legislative meeting will be held March 23rd from 9-12, with opportunity to review WCA budget. *The Wisconsin Counties Association Human Services Day at the Capital will be April 5th. *HHS Director Johnson shared information regarding a press release from January on the closure of the Waupaca County Nursing Home. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called this meeting adjourned at approximately 6:50 PM. DATE OF NEXT MEETING March 14, 2017 @ 5:30 PM in the Government Center Boardroom, Hudson