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Home My WebLink About12-11-2019 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD December 11, 2019 5:00 PM Room 1284-County Board Room Government Center - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services (HHS) Board Chair Dave Ostness called the December 11, 2019 HHS Board meeting to order at approximately 5:00 PM. ROLL CALL Attendee Name Organization Title Status Arrived Departed Tom Coulter St. Croix County Supervisor Absent 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 Deb Lindemann St. Croix County Board Member Present Natasha Ward St. Croix County Board Member Present Paul McGinnis St. Croix County Board Member Present 6:09 PM Others in Attendance: Health and Human Services Director Fred Johnson, County Board Chair Roger Larson, Assistant County Administrator Ken Witt, Fiscal Manager Fay Strenke, Children Services Administrator Julie Krings, Behavioral Health Administrator/HHS Operations Manager Steve Kirt, Public Health Administrator Kelli Engen, Public Health Nurse Sue Lindberg, Public Health Supervisor Laurie Diaby - Gassama, and several other staff and community members. Excused Absences: Tom Coulter Unexcused Absences: NA APPROVAL OF MINUTES 1. Health & Human Services Board Regular Meeting November 13, 2019 5:00 PM Health and Human Services (HHS) Board Chair Dave Ostness asked the Board if after review of the November 13, 2019 meeting 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. A resident from the Town of Forest, John Strom, addressed the Board regarding the improper siting of industrial wind turbines causes human health hazards. Several members of the community addressed the Board regarding the personal conviction waiver for immunizations. BUSINESS ITEMS 1. St. Croix Valley Immunization Coalition Report Sue Lindberg, Public Health Nurse and Chair of the St. Croix Valley Immunization Coalition provided the Board with a report on the coalition's history, make up and activities. She reviewed the mission and goals of the coalition as well as the immunization information and data provided in the packet. Sharon Bergsholm Director of Infection Prevention, Risk Management and Employee Health from Western Wisconsin Health in Baldwin and also a coalition member, shared some information regarding vaccines and the immunization waivers, including personal conviction waiver rates. Board discussion included St. Croix County immunization data,1997 mandated vaccines versus the current mandated and impact on rates of immunization, more recent vaccines (Varicella (chicken pox) and Hepatitis B), individuals that are those most vulnerable to these diseases, adverse side effects of vaccinations and personal conviction waiver. St. Croix County immunization and waiver rates shared in the packet were read into the record. Board members requested data on the immunization rates from the 34 states with no personal conviction waiver as well as which vaccines are being declined when using the personal conviction waiver . This information will be brought to an upcoming meeting, with a minimum of a status report at the next meeting if requested data isn't finalized. Board members also requested information on state legislation . RESULT: DISCUSSED 2. Comprehensive Community Services Provider and Program Effectiveness Outcome Measures Comprehensive Community Services (CCS) outcome measures was a strategic initiative included in the 2019 Health and Human Services work plan. As the CCS program has grown, Board members had asked for a report on outcomes, which was presented tonight. Behavioral Health Administrator/ SCCSC Operations Manager Steve Kirt and Children Services Administrator Julie Krings, shared with the Board the plan which includes service recipient rating of progress on goals and cost analysis for children receiving CCS services versus children in out of home care by using the Child Adolescence Needs and Strengths (CANS) assessment. They have just started working with a new IT staff to begin building things into the reporting system so they can gather data and produce a report. This is a continued work in progress, but service facilitators are ready to implement once IT is able to build this. Within this data collection they hope to show the effectiveness of the services provided. The plan is to connect the goal of the service recipient to the providers that are working with service recipient on achieving this goal. There will be 5 different options to choose from showing the status of goal progress; Active, achieved, partially achieved, did not achieve, or discontinued. There will also be a rating sheet completed by the service recipient regarding their view of the service provider. A similar assessment is planned to be done with the adults in CCS once the report is completely implemented for children. Currently there aren't any statewide initiatives regarding CCS outcomes. RESULT: DISCUSSED 3. Health and Human Services Department and Veteran Services Department Financial Report Fiscal Manager Fay Strenke reviewed the monthly financials with the Board. RESULT: DISCUSSED 4. Targeted Safety Support Funds Application Application for Targeted Safety Support Funds was due November 27, 2019 and has been submitted. Children Services Administrator Julie Krings, reviewed a copy of the application included in the board packet and informed the Board on the plan on how funds would be used if awarded. RESULT: DISCUSSED 5. Wisconsin Association of Local Health Departments and Boards-Wind Turbine Workgroup Report Health and Human Services (HHS) Director Fred Johnson, updated the Board on activities of the Wisconsin Association of Local Health Departments and Boards (WALHDAB)-Wind Turbine Workgroup. A small group met yesterday including HHS Director Johnson, Public Health Administrator Kelli Engen, Director, Bureau of Environmental and Occupational Health Dr. Mark Werner and Epidemiologist fellow Nathan Kloczko with the State Department of Health Services. Johnson reviewed our list of questions with them and shared what feedback he received. *How are individuals nominated/recruited for vacancies on the Wind Siting Council? What is the roll of the Public Service Commision (PSC) staff? They discussed statutory requirements for wind siting council (Wisconsin Statutes 15.797). All positions of the council, with the exception of the UW Faculty member with expertise regarding health impacts of wind energy systems, are currently filled. Dr. Werner will follow up to request more specifics regarding recruitment/nomination. *What is the recommendation from our workgroup related to the Wind Siting Council not meeting? Due to limited attendance at this meeting, this agenda item will carry over to the next meeting. Inquiries can be made to the PSC or legislators. *Has a chairperson/convener been elected for the Wind Siting Council? Yes, but Dr. Werner will be requesting information on who the chair of the council is. *Status of State report on Wind Turbines? What are the expectation of how this report will be used? Nathan Kloczko will be putting together a report and is reviewing the available literature on wind turbines and health. This report is planned to address the th questions raised in the St. Croix County July 24 letter, amongst other issues (not specifically identified). This report should be available in the Spring of 2020. Discussion on how this report will be used. Dr. Werner indicated that he would be checking with others on how the report could be used. *What is being done to address vacancies? All positions of the council, with the exception of the UW Faculty member with expertise regarding health impacts of wind energy systems, currently filled. Dr. Werner will follow up with PSC staff to clarify potential process to broaden this membership position. Director Johnson shared that the July 24th, St. Croix County letter has still not been posted but some follow up will be done to check on it's status, also more discussion will be had regarding additional membership of this workgroup, in particular Eau Claire County. Their next meeting is scheduled for Jan. 14, 2020. Discussion and questions followed. RESULT: DISCUSSED 6. Centers for Medicaid and Medicare Service Heightened Scrutiny Status Report for the Kitty Rhoades Memorial Memory Care Center and the Orchard View Terrace The Health and Human Services Board was updated on current information related to the Centers for Medicaid and Medicare Services (CMS) heightened scrutiny process. RESULT: DISCUSSED 7. -Intoxicated Driver Program Census and outpatient therapy data from the Health and Rehab Center campus was reviewed with the Board. The Board was also provided a handout of the emergency bed report. Behavioral Health Administrator/HHS Operations Manager Steve Kirt provided an update on the wait time for appointments for the Intoxicated Driver Program (IDP). RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS *Immunization updates ANNOUNCEMENTS & CORRESPONDENCE * Alcohol and Other Drug Abuse (AODA) Staff will be recognized by the Board of Supervisors * Narcon grant received and one staff is trained * Assembly Bill 76 was vetoed regarding training hours for CNA's * Assembly Bill 639 on increasing bed space * Senate Bill 618 regarding grant in sustaining emergency room telehealth * Great Rivers Consortium (GRC) had a child care subsidy review with no findings or recommendations, good job by Economic Support staff. ADJOURN Health and Human Services Board Chair Dave Ostness called this December 11, 2019 meeting of the Health and Human Services Board adjourned at approximately 6:56 PM. DATE OF NEXT MEETING January 8, 2020 @ 5:00 PM, in the County Boardroom, Hudson