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Home My WebLink About02-13-2019 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD February 13, 2019 5:00 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services (HHS) Board Chair Dave Ostness called the February 13, 2019 meeting of the Health and Human Services (HHS) Board to order at approximately 5:00 p.m. ROLL CALL Attendee Name Organization Title Status Arrived Tom Coulter St. Croix County Supervisor Present Buck Malick St. Croix County Supervisor Present Tammy Moothedan St. Croix County Supervisor Present Dan Fosterling St. Croix County Supervisor Present Dave Ostness St. Croix County Chair Present Paulette Anderson St. Croix County Vice-Chair Present Vacancy Citizen Member St. Croix County Excused Natasha Ward St. Croix County Board Member Present Paul McGinnis St. Croix County Board Member Present Others in Attendance: County Administrator Pat Thompson, Health and Human Services Director Fred Johnson, Fiscal Manager Dr. Beata Haug, County Board Chair Roger Larson, ADRC Administrator Brad Beckman, Behavioral Health Administrator Steve Kirt, Children Services Administrator Julie Krings, Economic Support Administrator Ronda Brown, Public Health Administrator Kelli Engen, Nursing Home Administrator Sandy Hackenmueller, and several other staff and community members. Excused Absences: NA Unexcused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board – Regular Meeting – January 9, 2019 5:00 PM Health and Human Services (HHS) Board Chair Dave Ostness asked if after the review of the January 9, 2019 minutes if any editing was needed. With nothing noted, Chair Ostness accepted the minutes as submitted. RESULT: ACCEPTED PUBLIC COMMENT Health and Human Services (HHS) Board Chair Dave Ostness opened the meeting to public comment for items on or off the agenda. John Strom from the Town of Forest addressed the Board regarding the improper siting of industrial wind turbines causes human health hazards. BUSINESS ITEMS 1. St. Croix County Council on Aging and Disabilities Position on Certified Nursing Assistant Training Requirements Resolution This agenda item was brought back to the Health and Human Services (HHS) Board after a request at the January 9, 2019 HHS meeting to wait to vote on the resolution regarding certified nursing assistant (CNA) training (in next agenda item), until the Council on Aging and Disabilities (COAD) Council had an opportunity to review this same agenda item and provide some feedback. At their January 11, 2019 meeting, the Council on Aging and Disabilities Council (COAD) reviewed Wisconsin's certified nursing assistant training requirements and the resolution. After discussion, a motion for the COAD to support the resolution to reduce the required hours failed four to five . Discussion from COAD meeting reviewed. RESULT: DISCUSSED 2. Certified Nursing Assistant Training Requirements Resolution This resolution requesting the state of Wisconsin to amend state statutes to mirror Federal requirements for certified nursing assistant training was brought back for the Health and Human Services Board's consideration. A Motion was made by Supervisor Coulter to put the resolution on the table and was seconded by Supervisor Anderson. Voice vote taken and all agreed. Chair Ostness put the resolution on the table for further discussion. A motion was made by Supervisor Coulter to move the resolution forward to the County Board of Supervisors and was seconded by Supervisor Anderson. A roll call vote was taken and passed six to two in favor of moving the resolution forward. RESULT: APPROVED [6 TO 2] MOVER: Tom Coulter, Supervisor SECONDER: Paulette Anderson, Vice-Chair AYES: Tom Coulter, Buck Malick, Dan Fosterling, Dave Ostness, Paulette Anderson, Paul McGinnis NAYS: Tammy Moothedan, Natasha Ward EXCUSED: Vacancy Citizen Member 3. 2019 Department of Health and Human Services-Delivery of Service Plan The Board reviewed the 2019 Department of Health and Human Services - Delivery of Service Plan. Health and Human Services (HHS) Director Fred Johnson highlighted the updates for 2019 and HHS staff were available to answer questions that Board members had. Discussion followed. Motion to accept this 2019 Delivery of Service Plan as submitted was made by Supervisor Malick and seconded by Board Member McGinnis. A voice vote was taken, all approved RESULT: APPROVED [UNANIMOUS] MOVER: Buck Malick, Supervisor SECONDER: Paul McGinnis, Board Member AYES: Tom Coulter, Buck Malick, Tammy Moothedan, Dan Fosterling, Dave Ostness, Paulette Anderson, Natasha Ward, Paul McGinnis EXCUSED: Vacancy Citizen Member 4. Centers for Medicaid and Medicare Service Heightened Scrutiny Status Report for the Kitty Rhoades Memorial Memory Care Center and the Orchard View Terrace The Board was provided an update on current information related to the Centers for Medicaid and Medicare Services (CMS) heightened scrutiny process. Discussion on outreach to Wisconsin Department of Health Services, requesting their assistance in moving this process forward. Draft letter requesting assistance reviewed. A motion to authorize Health and Human Services (HHS) Chair Ostness, on behalf of the HHS Board, to submit the letter to the WI Department of Health Secretary, Andrea Palm related to the heightened scrutiny process was made by Supervisor Moothedan and seconded by Board Member McGinnis. A voice vote was taken and all approved. HHS Board Chair Ostness will sign the letter and get it submitted to Secretary Palm. RESULT: APPROVED [UNANIMOUS] MOVER: Tammy Moothedan, Supervisor SECONDER: Paul McGinnis, Board Member AYES: Tom Coulter, Buck Malick, Tammy Moothedan, Dan Fosterling, Dave Ostness, Paulette Anderson, Natasha Ward, Paul McGinnis EXCUSED: Vacancy Citizen Member 5. Wisconsin Department of Health Services 2019 Basic County Allocation and Wisconsin Department of Children and Families 2019 Child and Family Allocations for Counties The Board reviewed the updated allocation spreadsheets and information provided in the packet as requested by the Board. Recommended next steps would involve getting historical trends for statewide allocations along with funding source. Discussion had among the Board on what a new model could look like and what it could potentially mean for St. Croix County allocations. A motion to support further review of the allocations in a best faith effort, with a report back to the Board next month, was made by Supervisor Malick and was seconded by Supervisor Anderson. A voice was taken vote all approved. A short break was requested at this time. RESULT: APPROVED [UNANIMOUS] MOVER: Buck Malick, Supervisor SECONDER: Paulette Anderson, Vice-Chair AYES: Tom Coulter, Buck Malick, Tammy Moothedan, Dan Fosterling, Dave Ostness, Paulette Anderson, Natasha Ward, Paul McGinnis EXCUSED: Vacancy Citizen Member 6. Health and Human Services Department and Veteran Services Department Financial Report Fiscal Manager Dr. Beata Haug reviewed the monthly financials with the Board. No significant changes. RESULT: DISCUSSED 7. Health and Human Services Director Report •St. Croix County Health and Rehab Center Campus The February HHS Directors report highlighted census and outpatient therapy numbers from the Health and Rehab Center Campus as well as the emergency bed report. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS *Review of statutes referenced in Public Comment regarding a governmental division being more restrictive as long as it serves to protect public health or safety of others. May ask that Corporation Council provide some input on this. * Debt service and depreciation included in the financial report * Accounts receivables and billing times ANNOUNCEMENTS & CORRESPONDENCE HHS Director Fred Johnson shared a letter with the Board commending the work of Children Services staff in exceeding the Federal requirements of 95% for out of home care face to face contacts with 99.5% for 2018. HHS Director Fred Johnson will forward this commendation to the Administrator Thompson for recognition by County Board of Supervisors. ADJOURN HHS Board Chair Dave Ostness called this February 13th meeting of the Health and Human Services Board adjourned at approximately 7:15 PM. DATE OF NEXT MEETING March 13, 2019 @ 5:00 PM in the Government Center Boardroom, Hudson