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HomeMy WebLinkAbout04-11-2017 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD April 11, 2017 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 called this April 11, 2017 meeting to order 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: Health and Human Services Director Fred Johnson, County Board Chair Roger Larson, County Board Vice Chair Dave Ostness, County Administrator Pat Thompson, Operations Manager Ken Witt, Fiscal Manager Beata Haug, Public Health Administrator Deb Lindemann, Public Health Sanitarian Laurie Diaby Gassama, Children Services Administrator Julie Krings, Children Services Social Worker Ben Tomandl, Children Services Supervisor Michelle Leccia, Assistant Corporation Counsel Heather Wolske, other staff and community members. Excused Absences: Dr. Lisa Ramsay Unexcused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – March 14, 2017 5:30 PM Health and Human Services (HHS) Board Chair asked if after review of the March 14th HHS Board minutes if there were any changes needed. With no changes voiced a motion was made by Supervisor Coulter to approve the minutes as submitted, with a second from Supervisor Long. A voice vote was taken, all 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 opened the meeting to Public Comment. John Strom addressed the board regarding industrial wind turbines, their potential health effects and other legal issues. No other Public Comment. BUSINESS ITEMS 1. Health and Human Services Program Report-Child Protection Services Ongoing Services Children Services On-going Child Protection Social Worker, Ben Tomandl, reviewed a power point with the Board and provided an overview of work and current issues. Discussion. RESULT: DISCUSSED 2. Ordinance Repealing Chapter 40 - Lodging, Recreation Facilities and Food Protection - of the St. Croix County Code of Ordinances and Recreating Chapter 40 - Food, Lodging, and Recreation - of the St. Croix County Code of Ordinances Public Health staff worked with Corporation Counsel to update this ordinance and provided the Board with the recommended changes. Assistant Corporation Counsel Heather Wolske, Public Health Administrator Deb Lindeman and Public Health Sanitarian Laurie Diaby Gassama highlighted areas that were revised. Discussion. Motion made by Supervisor Coulter and second by Supervisor Long to approve the changes to Ordinance Chapter 40 for adoption by the County Board. A voice vote was taken and all approved. RESULT: RECOMMENDED [UNANIMOUS] Next: 5/2/2017 5:00 PM 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 3. Ordinance Repealing Chapter 42 - Public Health - of the St. Croix County Code of Ordinances and Recreating Chapter 42 - Human Health Hazards - of the St. Croix County Code of Ordinances Public Health staff worked with Corporation Counsel to update this ordinance and provided the Board with the recommended changes. Assistant Corporation Counsel Heather Wolske, Public Health Administrator Deb Lindeman and Public Health Sanitarian Laurie Diaby Gassama highlighted areas that were revised. Discussion. Motion made by Supervisor Kiesler to approve the changes to the Ordinance Chapter 42 for adoption by the County Board, second Board Member Logelin. Supervisor Coulter made a motion to amend the original motion to make language additions under Section 42.08 number C2 Manure, to now be called C2 Animal Waste and also adding the same language "This provision shall not apply to animal waste stored and spread in the normal course of farming operations." that is under Section 42.08 number C4 Noxious Odors. Second by Supervisor Kiesler. A voice vote was taken on the amendment, all approved. A voice vote was then taken to approve Ordinance Chapter 42 as amended for adoption by the County Board, all approved. RESULT: RECOMMENDED [UNANIMOUS] Next: 5/2/2017 5:00 PM MOVER: Ron Kiesler, Vice Chair SECONDER: Heather Logelin, Board Member AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 4. Ordinance Repealing and Recreating Chapter 45 - Tattooing and Body Piercing - of the St. Croix County Code of Ordinances Public Health worked with Corporation Counsel to update this ordinance and provided the Board with the recommended changes. Assistant Corporation Counsel Heather Wolske, Public Health Administrator Deb Lindeman and Public Health Sanitarian Laurie Diaby Gassama highlighted areas that were revised. Discussion. Notification will be sent to all establishments regarding these changes and tools will be provided to assist them in becoming compliant. Notification will be sent to establishments if approved and implementation of the changes would be expected at their next routine inspection, not immediately upon County Board approval. There are currently 12 shops in St. Croix County which includes tattooing, permanent cosmetics and body piercings with approximately 30 practitioners. A motion made by Supervisor Coulter to approve Ordinance 45 and was second by Supervisor Long. Motion made by Board Member Logelin and second by Supervisor Kiesler to amend the original motion to change the wording under Section 45.03 C4(a) from "printed" to "written" after care instructions. A voice vote was taken to approve the amendment, all approved. A voice vote was then taken to approve Ordinance 45, as amended, for adoption by the County Board, all approved. Board Member Rasmussen requested an update regarding Hepatitis B cases in St. Croix County. Public Health Administrator Deb Lindemann will get this information to her. RESULT: RECOMMENDED [UNANIMOUS] Next: 5/2/2017 5:00 PM 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 5. 40 Bed Orchard View Terrace Community Based Residential Facility Licensure Plan The license application is complete and will be sent in the next couple of days. The state has 70 days to process applications. Communication will be had with the state to clarify when the 70 day time frame begins which would either be when the state receives the application or when the facility is completed and inspections done. RESULT: DISCUSSED 6. Health and Human Service Financial Report Fiscal Manager Dr. Beata Haug reviewed the monthly financials with the Board. The major variances from 2016 to 2017 in Health and Human Services revenue are mainly due to the surplus not being applied yet in 2017 as well as the timing of payments received. On the expense side the variance is mainly due to increases in salary and fringe. In Aging the variance in revenue is favorable as there was a higher tax levy applied in 2017. The expense side is also favorable mostly due to decreased operating costs. In the Aging and Disability Resource Center revenues look unfavorable due to lower tax levy applied in 2017 and in expenses the increase in salaries and fringe. The Nursing Home 2016-2017 variance in revenue is favorable due to the good payor mix and things are also favorable on the expense side with the variance mainly due to lower operating costs in 2017. Moving forward, the Board would like to see the Nursing Home financials broken down into each facility. In Veterans the variance is again due to levy payments and the expense increase was for salary and fringe when the new Veteran's Service Officer started. RESULT: DISCUSSED 7. Pre Audit Health and Human Services 2016 Year-End Financial Projection Report Fiscal Manager Dr. Beata Haug reviewed the 2016 Year - End Projections Report for Quarter 4 Period 13. Dr. Haug explained period 13 stays open through the 2016 audit which should be completed by July. Veterans has no change for Quarter 4 period 13. RESULT: DISCUSSED 8. Wisconsin U. S. Senators and U. S. Representative Medicaid Waiver Request for St. Croix County Community Based Residential Facilities Health and Human Services Director Fred Johnson provided an update regarding the work being done on the Medicaid Waiver funding for the Community Based Residential Facility (CBRF). Recent requests that have been sent to local representatives regarding Medicaid Waiver funding for the St. Croix County community based residential facilities were reviewed with the Board. There has been some communication back from the offices of Senators Baldwin and Johnson and they have assigned staff to work on this issue. REQUEST FOR FUTURE AGENDA ITEMS Chair Babbitt asked for any requests for future agenda items. Board members are encouraged to contact Health and Human Services Board Chair Dr. Chris Babbitt, Vice Chair Ron Kiesler or Health and Human Services Director Fred Johnson if they have agenda item requests. ANNOUNCEMENTS & CORRESPONDENCE No Announcements. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called the meeting adjourned at approximately 7:00 PM DATE OF NEXT MEETING May 9, 2017 at 5:30 PM in the Government Center Boardroom, Hudson.