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HomeMy WebLinkAboutHealth & Human Services 05-23-02 9 REVISED ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Clarence Malick, Chairman St. Croix County Board FROM: Tom Dorsey (John Borup, 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 05/23/02 TIME: 6:00 p.m. NOTE TIME CHANGE MEETING TO BE FOLLOWED BY ANNUAL OPEN HEARING AT 7:00 PM IN NURSING HOME DINING ROOM LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 06/11/02 ACTION ON PREVIOUS MINUTES: 05/14/02 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1. Program Reports a. Nursing Home b. Mental Health/AODA 2. Personnel Issues 3. Budget Update 4. Resolutions to Bank and Unbank Nursing Home Beds ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 23, 2002 The St. Croix County Health and Human Services Board met on May 23, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Lois Burri James Craig Mary Louise Olson Esther Wentz MEMBERS ABSENT: Chris Bethke, excused Ralph Swenson, excused Fern Johnson-Schmidt, excused STAFF PRESENT: John Borup, Health and Human Services Director Ron Lockwood, Long Term Support Coordinator Ron Kiesler, AODA/Mental Health Coordinator Steve Kirt, Mental Health/AODA Clinical Services Supervisor Kathy Leisch, Secretary OTHERS PRESENT: Chair Dorsey called the meeting to order at 6:00 PM noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Tuesday, June 11, at 6:30 PM. AGENDA: Motion: A motion was introduced by Burri, seconded by Berenschot, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Berenschot, seconded by Wentz, and unanimously adopted: That the minutes of the 05/14/02 Health and Human Services Board meeting be approved as circulated. APPOINTMENTS: Borup stated that Malick has confirmed the 14 members on the Long Term Support Steering Committee. The first meeting will be held on June 13, 2002 at 1:00 PM. NURSING HOME: Nursing Home census is 91. Admissions have picked up this week. Borup stated that 51% of residents are returning home. Borup stated that the audit management committee meeting is scheduled for June 11, 2002 at 1:00 PM in the boardroom. Borup stated that the Federal Government has introduced legislation to require nursing home to staff at 4.1 hours per resident per day. Nursing home organizations are endorsing it as long as the staffing mandate is fully funded. Borup stated that the St. Croix Health Center staffs at 3.8 hours per resident. Borup stated that in terms of efficiency he is pleased to see that number. • St. Croix County Health and Human Services Board Page 2 May 14, 2002 Borup stated that the Nursing Home roof has deteriorated more quickly than maintenance had anticipated. The roof is not leaking now. Leaks have been patched this spring. Borup stated that roof replacement may be moved ahead in the 2004 capital outlay plan. RESOLUTIONS TO BANK AND UNBANK NURSING HOME BEDS: Lockwood distributed two memos from Lisa Kelly, administrator for the CIP II slots. The first memo was from February 15, 2002 in which Kelly allocated 24 CIP II slots to us based on the fact that the county had indicated an intention to close 24 beds in the future. Lockwood stated this was done by unbanking the 24 banked beds in order to get CIP II slots. Lockwood stated that the Division of Health has now said that their policy is that we have to close the beds before we get the CIP II slots. The Nursing Home must bank beds to avoid a monetary penalty and Long Term Support is eligible for the banked beds to become a CIP II slot in 18 months if a request is made. Lockwood stated that we had already implemented eight new clients so therefore we will receive eight loaned CIP II slots. Lockwood stated that these eight loaned CIP II slots would have to be renewed each year. Borup stated that he doesn't find anything simple about the way the State has set this plan up. Borup stated that the board has the ability to reverse the previous motion to bank beds. Borup stated that the State requires 91% occupancy rate to avoid the MA Rate penalty. Last year we banked 27 beds and lost 10% on 01/01/02. This year our MA penalty is $2,976 if we don't bank two beds. If we don't bank beds, we lose two beds on 01/01/03 because of the 10% factor. If we do bank beds, we lose three beds on 01/01/03. Borup stated that administration recommends not to bank beds at this time. Lockwood stated that he has cancelled the request for the 60% LTE social worker position to become permanent full time. Motion: A motion was introduced by Burri, seconded by Olson, and unanimously adopted: That the Board not bank any beds at this time. Mental Health/AODA: Kiesler stated that he would have a report for the Board at his next schedule Board Report comparing our services/expenses with Polk County. Kiesler stated that they have hired an AODA clerical position and have reorganized to do intakes in the unit. Kirt stated that they currently have sub units: the Mental Health outpatient clinic, the AODA outpatient clinic and the CSP sub unit. Several different people were entering all of this information and it was hard to trace where mistakes had occurred when inputting in the system. Kirt stated that this reorganization would increase efficiency in the system. There will be one receptionist for data entry to do the intake and to set up the appointment. Kirt stated that there is still a receptionist in the AODA clinic, the Mental Health outpatient clinic and in CSP. Kirt stated that this process would be more efficient. Kiesler stated that the fourth AODA position would be filled by June 10, 2002. She is from Rhinelander and has a master's degree. She will receive the same wage as the others do. Kirt stated that with AODA services, certain insurance companies would only pay for AODA services if provided by a person with a master's degree. This will help us to further improve revenue in the department. St. Croix County Health and Human Services Board Page 3 May 14, 2002 Kiesler stated that he sends counselors to the Rural Institute every year for certification. One of the counselors that are going to the Rural Institute is also going to the module on setting up drug courts in the county. Kiesler stated that this is something he wants to look at further. Kiesler said that this will take the cooperation of the judicial branch in the county but if we can find a way to coordinate in a positive way, we can reduce to recidivism of this population and hence save a great deal of cost to the County. Mike Langin is sent down to the jail on contract a couple of hours a week to run a closed session group. Kiesler stated that the drug courts are showing a good success rate and show the individual a way to not serve jail time but instead go through treatment. In this process they are able to get a job, pay taxes and child support that they are not able to do in prison. Kiesler stated that he would keep the Board educated on this in the future. PERSONNEL: Borup stated that we are beginning recruitment for Michelle Mohn's vacancy as Public Health's Environmental Health Specialist. New and upgraded position requests are due to personnel in June. BUDGET UPDATE: Borup stated that there are no new budget updates at this time. ACTION ON OFFICE RENTAL SPACE FOR HEADSTART-CESA 11: Borup stated we currently have a 30-day clause in which if we do not issue a notice to them the contract automatically rolls over for another year. Borup stated in terms of what the County Board chairman has brought forth on the prospect of the office of Aging moving up here, he wanted the Board to be aware of the policy issue. Borup stated that if something does happen with office on Aging the only space available would be to terminate the contract with Headstart. The contract expires June 30, 2002. Motion: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: That the Board renew the contract with Headstart for another year. Dorsey asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Berenschot, seconded by Wentz, and unanimously adopted: that the meeting be adjourned. Time: 6:55 PM Chair: Attest: (Secretary) ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEARING May 23, 2002 The St. Croix County Health and Human Services Board conducted an "Open Hearing" on May 23, 2002, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Lois Burri James Craig Mary Louise Olson Esther Wentz John Borup called the Open Hearing to order at 7:00 PM noting that the meeting was properly and legally publicized. Borup welcomed everyone to the hearing. He invited everyone to speak and asked that they sign the sign-in sheet. Borup introduced the committee members present. Borup gave special thanks for everyone attending tonight. Borup stated we hold an Open Hearing annually and we listen to all the concerns, complaints and praise from all. Borup stated that there is a difficult year ahead with possible shared revenue cuts in 2003. The County Board will be giving us our direction and then we will do the budget and have in final form in late August, early September and forward to the Finance Department. In late October it will be forwarded to the County Board. Borup introduced staff: Ron Lockwood, Long Term Support Supervisor Barbara Nelson, Public Health Supervisor-Health Officer Ron Eichstaedt, Director, St. Croix Industries Fred Johnson, Family & Children's Supervisor Mary Squyer, Economic Support Supervisor Norma Vrieze, Early Intervention Director Kristie Tellijohn, Director of Nursing Ron Kiesler MN/AODA Coordinator Steve Kirt, MH/AODA Clinical Services Supervisor Kathy Leisch, Secretary Letters were read from those who could not attend or did not wish to speak. See attachments in minutes book. Borup invited all those who wish to speak to do so. There were two persons who did give testimony on appreciation of the workshop at St. Croix Industries and on the Nursing Home staff and services. A spokesperson from St. Croix Family Resource Center gave a summary of their services and how they work closely with Health & Human Services. A spokesperson from Turningpoint gave a summary of their services and stated that they have a new office in New Richmond. He asked that we look at offsetting or reducing their rent with Health & Human Services. Borup asked him to send a letter stating his request. Borup thanked everyone for all the written and verbal testimonies and asked if there was anyone who would like to make a comment. Borup stated we appreciate everyone for coming to the open Hearing. Hearing adjourned at 7:40 PM. Chairman: Attest: Secretary 1