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Home My WebLink About06-19-2024 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD June 19, 2024 5:00 PM St. Croix County Government Center -Room 1284 Government Center -1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services (HHS) Board Chair Greg Tellijohn called this June 19, 2024 meeting of the Health and Human Services (HHS) Board to order at approximately 5:00 PM. ROLL CALL Attendee NameOrganizationTitleStatusArrived Lisa LindSt. Croix CountySupervisorPresent Shawn AndersonSt. Croix CountySupervisorPresent Cathy LeafSt. Croix CountySupervisorExcused Dave OstnessSt. Croix CountySupervisorPresent Greg TellijohnSt. Croix CountySupervisor-ChairPresent Mike BarcalowSt. Croix CountySupervisor-Vice ChairPresent Kathleen FindlaySt. Croix CountyCitizen MemberRemote Deb LindemannSt. Croix CountyCitizen MemberPresent Julie SmithSt. Croix CountyCitizen MemberPresent Others in Attendance:HHS Director Bob Rohret, County Administrator Ken Witt, Public Information Officer Adam Kastonek, Economic Support Administrator Ronda Brown, and several members of the community APPROVAL OF MINUTES 1.Health & Human Services Board Regular Meeting May 15, 20245:00 PM Health and Human Services (HHS) Board Chair Greg Tellijohn asked the Board if after review of the minutes from the May 15, 2024 HHS Board meeting if any editing was needed. With nothing noted, the minutes were accepted as submitted. RESULT: ACCEPTED PUBLIC COMMENT Health and Human Services (HHS) Board Chair Greg Tellijohn opened the meeting to Public Comment for items on or off the agenda. Several members of the community addressed the HHS Board to voice their concerns with the recent discussions regarding the future of the Health Care Campus. BUSINESS ITEMS 1. Open Public Participation Process-Review Letters and Take Public Testimony Related to the 2025 Health and Human Services Budget Health and Human Services Board Chair Greg Tellijohn informed everyone that tonight's first agenda item is for the 2025 Open Public Participation Process, and the meeting is now open for input from the public related to the 2025 Health & Human Services Budget and Service Planning. Chair Tellijohn shared that there is one email to be read into the minutes and one person here to address the Board. * Lea Kaiser, CFO for Western WI Health expressed gratitude for funding provided by St. Croix County to support the Recovery Support Solutions withdrawal management services. This program also provides medication- assisted treatment options and follow up support. * Kathleen Lauerer submitted an email that was read by Chair Tellijohn. Ms. Lauerer is asking that the county consider contributing funding to make the limited public transportation options more affordable. RESULT: DISCUSSED 2. Health and Human Services Monthly Financials In the absence of Fiscal Manager Fay Strenke, HHS Director Rohret reviewed the monthly financials with the Board. Rohret highlighted that the revenue increase shown is mainly within Public Health due to receiving license and inspection fees as well as in substance use disorder treatment fees. Rohret informed that on the expense side it is purchased services that continues to be high, but these are mandated services, and we need to provide placement. Children Services has worked hard to reduce the number of kids in placement, but many of those still in placement are higher need and higher cost. Rohret also noted within the ADRC the catered food costs continue to go up, but raw food costs have gone down some. The Health Care Campus continues to see a high census and has been able to hire 4+ nursing positions as well as several Certified Nursing Assistant (CAN) positions due to summer hiring which helps reduce the contracted services cost. RESULT: DISCUSSED 3. Review of Health Care Campus Financials vs. WIPFLI Projections Pre-2016 Construction St. Croix County Administrator Ken Witt provided information to the Board regarding the Health Care Campus (HCC) financials. Witt shared the report provided in 2015 by WIPFLI to show if or when the HCC could contribute to the debt service per their 5 yr analysis. The actuals show that the HCC has stayed positive throughout these years. (2015-2023) The actuals are better than the projections by WIPFLI. Witt stated that HCC Administrator Sandy Hackenmueller has done an excellent job in staffing based on census. The cash flow shows things are currently positive, though when including depreciation over the years there were some negative balances, but has been turned around in the last few years. The plan would be that when there is cash surplus it would go to help cover the debt service. But there is still 11 years to paying back the loan on the HCC, which means the tax payers have been paying down the debt service. It appears it will be at least three years before the HCC would be contributing toward this debt balance. Administrator Witt informed that it is up to the County Board to determine if the county continues to run this facility, sell the facility, or make any other policy changes regarding the HCC. RESULT: DISCUSSED 4. Consideration of Capital Improvement Projects St. Croix County Administrator Ken Witt brought this agenda item to the HHS Board for their review of the 2025-2029 Capital Improvement Plan (CIP) projects. Witt informed that there is one item that reflects a need within HHS, which is the replacement of a bus for the Aging and Disability Resource Center (ADRC) for client transports. This is a recurring item as different vehicles need to be replaced about every 5 years. Administrator Witt is here tonight looking for HHS Board support for the CIP projects. This CIP plan will be reviewed by the Committee of the Whole in July and then brought to the County Board for formal adoption in September. RESULT: DISCUSSED-NO ACTION 5. HHS Strategic Plan Update: Communications Committee Executive Administrative Assistant Colleen Linder provided an update on the work being done by the HHS Communication Committee, based on initiatives within the HHS 2023- 2026 strategic plan. Linder shared that a survey was sent out to all HHS staff, and she reviewed the results and some findings with the Board. The HHS Communications Committee will continue to do work towards next steps in making improvements to provide more timely and consistent communication across HHS. Questions asked and answered. RESULT: DISCUSSED 6. -Year Department Updates HHS Director Bob Rohret reviewed the work being done across Health and Human Services as a mid-year report. Rohret highlighted that many areas have seen increased service demands and discussed some of the ways that HHS is working to try to meet these demands; in particular with several grant applications. Rohret also shared that the Economic Support "unwinding" has been taking place and will officially end this month and the Economic Support Specialists received acknowledgement from the Medicaid Director for their great work throughout this. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Health and Human Services (HHS) Board Chair Tellijohn asked the Board Members if there are any requests for future agenda items. Board Members are encouraged to contact HHS Director Rohret or HHS Board Chair Tellijohn if items arise. * HHS Board Chair Tellijohn suggested this Board go tour the HHS facilities and possibly hold a meeting at the Services Center in New Richmond-in the near future ANNOUNCEMENTS & CORRESPONDENCE Health and Human Services (HHS) Board Chair Tellijohn asked for any announcements for tonight. * Supervisor Ostness shared some information regarding the Elder Abuse display that is out front at the Government Center * HHS Director Rohret informed that Department of Health Services emailed asking for volunteers to be on an advisory committee for the ACT 249 rule writing process. Rohret has volunteered to be on the committee to advise DHS as they develop the regional crisis stabilization facilities. He will bring any information back to the HHS Board * Grant work is being done and could amount to $400,000 for 4 years for an additional Adult Protection worker. Another grant for $400,000 for a Navigator Position, similar to our ARPA Case Managers, to assist in expanding harm reduction efforts within our communities with the goal of improving access to care and reducing overdose deaths ADJOURN Health and Human Services (HHS) Board Chair Tellijohn called this June 19, 2024 meeting of the Health and Human Services Board adjourned at approximately 6:10 PM. DATE OF NEXT MEETING July 17, 2024 @ 5:00 PM in the Government Center Boardroom, Hudson