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HomeMy WebLinkAbout11-14-2017 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD November 14, 2017 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER This November 14, 2017 meeting of the Health and Human Services (HHS) Board was called to order by HHS 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 5:33 PM Christopher Babbitt St. Croix County Chair Present Tom Coulter St. Croix County Supervisor Present Bob Long St. Croix County Vice Chair Present Scottie Ard St. Croix County Supervisor 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 Administrator Pat Thompson, County Operations Director Ken Witt, Fiscal Manager Dr. Beata Haug, Behavioral Health Administrator Steve Kirt, Public Health Administrator Deb Lindemann, Public Health Nurses Sue Lindberg and Kathy Fredrickson, County Board Chair Roger Larson, County Board Vice Chair Dave Ostness, as well as several other staff and community members. Unexcused Absences: Lisa Ramsay Excused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – October 10, 2017 5:30 PM Health and Human Services Board Chair Dr. Chris Babbitt asked the HHS Board members if after review of the October 10, 2017 minutes if there was any editing needed. With no changes noted a motion was made by Supervisor Coulter to approve the minutes as submitted and was seconded by Supervisor Leibfried. RESULT: APPROVED [UNANIMOUS] AYES: Christopher Babbitt, Tom Coulter, Bob Long, Scottie Ard, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Heather Logelin, Lisa Ramsay PUBLIC COMMENT Health and Human Services Board Chair Dr. Chris Babbitt opened the meeting to Public Comment. Chair Babbitt informed the group that one member of the community has asked to address the Board this evening. John Strom from the Town of Forrest addressed the Board regarding the improper siting of Industrial Wind Turbines and their potential health effects. Mr. Strom provided some information regarding the Health Canada Study. BUSINESS ITEMS 1. Rural Health Care Services Outreach Program Grant-Health Benefits Screening and Enrollment Service in Behavioral Health Division With the Boards approval, this agenda item was moved to later in the meeting. Mike Rust from ABC for Rural Health and Health Watch provided background information on a grant opportunity for Health Benefit Screenings and Enrollment Services for Behavioral Health. Questions and discussion followed. A motion was made by Supervisor Anderson to support this grant application and was seconded by Supervisor Ard. RESULT: APPROVED [UNANIMOUS] MOVER: Paulette Anderson, Supervisor SECONDER: Scottie Ard, Supervisor AYES: Heather Logelin, Christopher Babbitt, Tom Coulter, Bob Long, Scottie Ard, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 2. Communicable Disease Surveillance and Control Report Public Health Administrator Deb Lindemann provided an update to the Board regarding communicable disease surveillance and control. RESULT: DISCUSSED 3. Health and Human Services Program Report-Prenatal and Postpartum Care Public Health Nurse Sue Lindberg along with Nurse Kathy Fredrickson provided a program report to the Board on the work they do each day in the Prenatal and Post Partum Care Program . RESULT: DISCUSSED 4. Heightened Scrutiny Medicaid Waiver Home and Community-Based Services Setting Requirement Submittal for the Kitty Rhoades Memorial Memory Care Center and the Orchard View Terrace Health and Human Services Director Fred Johnson provided an update to the Board regarding where things currently stand with our heightened scrutiny submittal and what to expect moving forward. Our submittal's are near completion and the plan is to send it out yet this week. We then will wait to hear from the State of WI , expecting they will do a site visit as well as meet the requirement for public comment. If the application is approved at the State level it will then go to the Federal level, to the Centers for Medicare and Medicaid Services. The Board will be kept informed as this process moves forward. RESULT: DISCUSSED 5. St. Croix County Health and Rehab Center Campus Resident Census Report and Emergency Support Services Monthly Nursing Home Bed Report This monthly agenda item provides the Board with current census numbers for the Health and Rehab Center Campus as well as available beds throughout the County. RESULT: DISCUSSED 6. St. Croix Health and Rehab Center Campus New Resident Outreach Report This monthly agenda item provides the Board with current work being done on outreach for new residents at the Health and Rehab Center Campus. RESULT: DISCUSSED 7. Health and Human Service and Veteran Services Financial Report Fiscal Manager Dr. Beata Haug reviewed the monthly financials with the Board and reports no significant changes since last month. RESULT: DISCUSSED 8. Third Quarter Health and Human Services, Health and Rehab Center Campus and Veterans Services 2017 Year-End Financial Projection Report Fiscal Manager Dr. Beata Haug reviewed the Health and Human Services (HHS) 3rd Quarter year-end projections. HHS is running a bit of a deficit, which is reflected by an increase in purchased services in Behavioral Health and Children Services. Aging and ADRC are stable. The Health and Rehab Center Campus is showing a deficit due to the lower census numbers, the payor mix. The expenses are being carefully watched and staffing filled only as needed. Veterans Services is showing a slight deficit as well. RESULT: DISCUSSED 9. Health and Human Services Board Consideration of Living Wage Ordinance Health and Humans Service Director Fred Johnson informed the Board that this agenda item was brought back as follow up from questions raised at the last meeting. Director Johnson had separate phone conference calls with the Eau Claire County Human Services Director and Aging and Disability Resource Center Director to follow up on the Health and Human Services Board members questions from the previous meeting regarding the Implementation of the Living Wage Ordinance. Eau Claire County Human Services Director shared that they added to their contracting process, provider meetings, with those expected to be impacted by the living wage ordinance prior to implementation. They also developed a process for providers to sign off that they have received living wage ordinance information and have added contract language in their boilerplate contract template related to said ordinance. Their management team meets monthly for living wage ordinance review and provides a quarterly report to their Board. No significant issues in implementing. Eau Claire County reports no discernable fiscal impact as many of the services provided are Comprehensive Community Services (CCS) reimbursable. Some providers have reported increasing wages though this is also impacted by the market, not just the living wage ordinance. A survey has also been initiated to get feedback from providers. Eau Claire County Human Services has not lost any providers due to the implementation of the ordinance. One provider was initially unwilling to contract and now has reentered a contract, though this provider plans to stay under $30,000 which is a threshold for when the living wage ordinance would apply. The ADRC Director reported a change in the nutrition program as a longer-term contract provider did not submit a bid in a request for proposal process that included living wage ordinance information. They are working to implement a new delivery model for congregate and hole delivered meals. Discussion had and questions raised weighing the potential positives and negatives of this ordinance. Motion made by Board Member Logelin to Support the Living Wage Ordinance and refer back to the Administration Committee which was seconded by Supervisor Leibfried. After further discussion and additional questions regarding further information that seems needed to make an informed decision, Supervisor Ard called the question. Health and Human Services Board Chair Dr. Chris Babbitt asked for a voice vote on the motion on the floor. 6 voted yes, 2 no. Supervisor Coulter asked for a roll call vote. See vote results. RESULT: APPROVED [6 TO 2] MOVER: Heather Logelin, Board Member SECONDER: Shaela Leibfried, Supervisor AYES: Heather Logelin, Christopher Babbitt, Scottie Ard, Paulette Anderson, Shaela Leibfried, Deb Rasmussen NAYS: Tom Coulter, Bob Long ABSENT: Lisa Ramsay REQUEST FOR FUTURE AGENDA ITEMS No requests at this time. Board members are encouraged to contact Chair Babbitt, Vice Chair Long or Health and Human Services Director Fred Johnson with any agenda item requests. ANNOUNCEMENTS & CORRESPONDENCE Health and Human Services Director Fred Johnson shared a co-signed letter by the U.S. Senator Johnson and Congressman Duffy regarding the heightened scrutiny process. Correspondance regarding increased Medicaid rates starting January 1, 2018, for outpatient mental health and substance abuse services was also shared. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called this November 14, 2017 meeting adjourned at approximately 7:30 PM. DATE OF NEXT MEETING December 12, 2017 @ 5:30 PM in the Government Center Boardroom, Hudson.