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HomeMy WebLinkAboutHealth & Human Services 09-12-02 1 CHRIS BETHKE WILL REVIEW VOUCHERS AT 8:00 AM 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: 09/12/02 (PLEASE NOTE DATE CHANGE) TIME: 8:30 a.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 09/26/02 ACTION ON PREVIOUS MINUTES: 08/22/02 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. 2003 Budget Update 4. Personnel Issues 5. Program Reports a. Nursing Home b. Family & Children's c. Long Term Support 6. Consideration of request from New Richmond School District to lease space at Day Services Center 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 X ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD September 12, 2002 The St. Croix County Health and Human Services Board met on September 12, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Chris Bethke Lois Burri James Craig Fern Johnson-Schmidt Mary Louise Olson Ralph Swenson Esther Wentz MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Carolyn L. Krieger, Nursing Home Administrator Judy Ziegler, Accounting Supervisor Kathy Dunlap, Family and Children's Supervisor Ron Eichstaedt, St. Croix Industries Director Malva Berg, Secretary OTHERS PRESENT: Sue Curtis, New Richmond School District Brian Johnston, New Richmond School District Steve Ramin, New Richmond School District Chair Dorsey called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Thursday, September 26, at 6:00 PM. AGENDA: Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: That the minutes of the 08/22/02 Health and Human Services Board meeting be approved with the following addition on page 5 of the minutes: this is not a duplicate expense. Swenson pointed out that the proposed budget would result in a double levy since the County Board would be levying for the depreciation in the Nursing Home budget and for the Nursing Home items in the capital outlay plan - the capital outlay plan being a separate line item in the County's budget. Since the depreciation is to fund the same items as proposed in the capital outlay plan, it appears the budget request of $698,941 is overstated by $100,000. When queried as to what he thought the budget should be, Swenson suggested adding $100,000 to Krieger's adjusted request ($598,941 after taking out $100,000 for the duplication of depreciation and capital outlay), thus returning to the original request of $698,941 for operations to fund uncertain revenues. He believes the 2002 run St. Croix County Health and Human Services Board Page 2 September 12, 2002 rate of revenue versus expense suggests that a 2003 levy request of only $598,941 would be unduly optimistic. CONSIDERATION OF CLAIMS: The following reports for August were distributed to the Board: August cash report, June-July unemployment, August fixed asset report, and August financial report. Ziegler said because the roof repair of the Nursing Home has a 10-year warranty, the repair costs are considered a fixed asset and will be depreciated. Health and Human Services Board member, Bethke, reviewed the following vouchers: HUMAN SERVICES: 15199: Children's Service Society of Wisconsin, $5,181, foster care coordination. This organization seeks out and trains foster parents for St. Croix County Family and Children's Department. I 15198: Cemstone Ready Mix, Inc. $260.25. LP conversion project. The LP conversion burners were installed late last fall. It was too cold to finish the small cement work and minor landscaping. These items were finished this spring as time and weather permitted. 15397: Shopko Pharmacy, $14.00, Long Term Support client expense. Long Term Support clients live in supported living homes/apartments throughout the County. Prescription drugs, etc. are purchased at local stores and the bills are submitted for payment to us. NURSING HOME: 2236: Sundance Rehabilitation, $2,427.79, speech therapy services. This company provides speech, occupational, and physical therapy services to the Nursing Home residents. The therapists are located at the Health Center so residents do not have to leave the premises to receive services. Motion: A motion was introduced by Bethke, seconded by Wentz, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services vouchers 14954 through 15024, dated August 15, 2002 in the amount of $154,492.85. Human Services vouchers 15025 through 15072, dated August 22, 2002 in the amount of $220,963.25. Human Services voucher 15073, dated August 23, 2002 in the amount of $600.00. Human Services voucher 15074, dated August 23, 2002 in the amount of $532.00. Human Services vouchers 15075 through 15110, dated August 29, 2002 in the amount of $193,500.91. Human Services vouchers 15111 through 15159, dated September 05, 2002 in the amount of $31,713.81. St. Croix County Health and Human Services Board Page 3 September 12, 2002 Human Services voucher 15161, dated September 09, 2002 in the amount of $600.00. Human Services vouchers 15162 through 15318, dated September 12, 2002 in the amount of $213,897.00. Human Services vouchers 15319 through 15456, dated September 12, 2002 in the amount of $97,127.13. Nursing Home vouchers 2167 through 2177, dated August 15, 2002 in the amount of $9,023.29. Nursing Home vouchers 2178 through 2185, dated August 22, 2002 in the amount of $2,124.02. Nursing Home voucher 2186, dated August 29, 2002 in the amount of $294.10. Nursing Home vouchers 2188 through 2192, dated September 05, 2002 in the amount of $1,313.95. Nursing Home vouchers 2193 through 2244, dated September 12, 2002 in the amount of $79,369.20 Human Services, Workshop, Public Health vouchers 436 through 465, dated August 13, 2002 in the amount of $274,381.79. Human Services, Workshop, Public Health vouchers 466 through 487, dated August 27, 2002 in the amount of $265,271.51. Human Services and Nursing Home vouchers 447 through 464, dated August 27, 2002 in the amount of $163,381.00. FINANCIAL REPORTS: The following financial reports though July were distributed to Board members. Ziegler said it is hopeful the year-end projections and figures through August will be available at the 09/16 Finance meeting. Borup noted out of home care expenditures for Family and Children's continues to exceed revenues. He said there have been some significant medical expenses for General Relief. He reminded Board members that General Relief is not a mandated program. The Finance Committee will meet regarding the budget on 09/16. Swenson said he would like to see a comparison on the request for county levy between 2002 and 2003, a list of priorities of the items reported and if a large item, an explanation of the cost and where revenues are coming from. Borup said an update of the budget instructions will be received by staff on 09/20. He said the County is now proposing a 3% wage increase compared to 2% but no adjustments have been made in the budget that will be presented to Finance. Dorsey asked Swenson if the County budget will be able to adjust to the new rate of the wage increase without expecting more monies from Health and Human Services and the Nursing Home. It is anticipated the additional funds for wages will come from the County funds. Berenschot said there will be a Personnel Committee meeting on Monday, 09/16/02 at Health and Human Services to start labor negotiations. Please see next page: St. Croix County Health and Human Services Board Page 4 September 12, 2002 ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/02 THROUGH 07/31/02 NURSING HOME 07/31/02 Cash Balance 07/31/02 $482,109.58 Add: Accounts Receivable, 07/31/02 Private Pay $50,530.80 Medicare $219,972.12 Medicaid $252,840.10 General $0.00 Accounts Payable-07/31/02 ($350,200.07) Net Current Items, 07/31/02 $655,252.53 2002 Revenue Recorded through 07/31/02 $4,066,801.90 Includes Allocations of Anticipated Revenues 2002 Expenses Recorded through 07/31/02 $3,821,156.41 Includes Allocations of Expected Expenses Excess Revenues over Expenses $245,645.49 St. Croix County Health and Human Services Board y Page 5 September 12, 2002 HEALTH AND HUMAN SERVICES - 2002 SUMMARY Total OF REVENUES Jan.-July. Budget Balance I Administration 575,564.43 786,486.00 210,921.57 73.2% AODA Services 243,534.49 434,703.00 191,168.51 56.0% Long Term Support 6,145,802.71 12,358,744.00 6,212,941.29 49.7% Mental Health 1,364,525.22 2,297,343.00 932,817.78 59.4% Family & Children's 1,761,057.58 2,519,843.00 758,785.42 69.9% Economic Support 593,083.47 1,095,090.00 502,006.53 54.2% General Relief 5,058.22 13,494.00 8,435.78 37.5% REVENUES HUMAN SERVICES PROGRAMS 10,688,626.12 19,505,703.00 8,817,076.88 54.8% Public Health 755,124.64 1,256,677.00 501,552.36 60.1% TOTAL REVENUES HEALTH AND HUMAN SERVICES 11,443,750.76 20,762,380.00 9,318,629.24 55.1% SUMMARY Total OF EXPENDITURES Jan.-July. Budget Balance % Administration 405,719.24 786,486.00 380,766.76 51.6% Alcohol-Drug Abuse 198,316.26 434,703.00 236,386.74 45.6% Long Term Support 6,243,633.53* 12,358,744.00 6,115,110.47 50.5% Mental Health 1,249,437.08 2,297,343.00 1,047,905.92 54.4% Family & Children's 1,417,381.18* 2,519,843.00 1,102,461.82 56.2% Economic Support 575,207.79 1,095,090.00 519,882.21 52.5% General Relief 15,788.33 13,494.00 (2,294.33) 117.0% Accrued Payroll 562,998.86 0.00 (562,998.86) 0.0% EXPENDITURES HUMAN SERVICES PROGRAMS 10,668,482.27 19,505,703.00 8,837,220.73 54.7% Public Health 648,949.85 1,256,677.00 607,727.15 51.6% TOTAL EXPENDITURES HEALTH AND HUMAN SERVICES 11,317,432.12 20,762,380.00 9,444,947.88 54.5% To be on budget, percentage should be 58.31%. St. Croix County Health and Human Services Board Page 6 September 12, 2002 NURSING HOME OPERATIONS REPORT JAN-JUNE 2002 JULY TOTAL OPERATING REVENUES 2,358,082.22 2,758,130.90 OPERATING EXPENSES: DAILY PATIENT SERVICES 2,031,203.38 2,376,061.87 SPECIAL SERVICES 136,434.93 162,543.16 GENERAL SERVICES 556,764.43 658,209.64 ADMINISTRATIVE SERVICES 263,963.51 311,892.08 UNASSIGNED: DEPRECIATION % BASED 100,500.00 117,250.00 OTHER 164,423.42 195,199.66 TOTAL OPERATING EXPENSES 3,253,289.67 3,821,156.41 ET FROM OPERATIONS 895,207.45 1,063 025.51 ON-OPERATING ITEMS: REVENUE FROM RATE APPEALS 9,000.00 10,500.00 WAGE PASSTHROUGH REVENUE - - INTERGOVERNMENTAL TRANSFER IGT % BASED 471,234.00 549,773.00 CO. ALLOCATION % BASED on OPS. LEVY OF $1,282,965 641,4-84.00 748 398.00 TOTAL NON-OPERATING ITEMS 1,121,718.00 1,308,671.00 EXCESS of REVENUES OVER EXPENSES 226,510.55 245 INTERFUND TRANSFERS: TRANSFERS FROM OTHER FUNDS - TOTAL INTERFUND TRANSFERS - TOTAL OPERATING, NON-OPERATING & TRANSFERS FUND BALANCE 2002 AUDITED NUMBER 1,506,067.69 1,506,067.69 PERIOD OPERATIONS 226 510.55 245,645.49 ASH REPLENISHMENT % BASED on $250,000 for YEAR 125 000.00 145 833.39 FUND BALANCE, END of PERIOD 1,857,578.24 1,897,546.57 The facility notes that several positions were cut in March in order to decrease expenses by $99,702 for the last ten months of 2002. ACTUAL IGT AWARD FOR 2001-2002 IS $942,471. CONSIDERATION OF REQUEST FROM NEW RICHMOND SCHOOL DISTRICT TO LEASE SPACE AT DAY SERVICES CENTER: Sue Curtis from the New Richmond School District St. Croix County Health and Human Services Board Page 7 September 12, 2002 Transition Program made a request to rent available space from the Day Services Center. She said the program consists of a teacher, teacher aid, and five students. The program has a life center career curriculum where students are taught and perform functional daily living tasks. The monies for the program come from Federal Grant monies. She said if the agreement to lease space was not in the best interest of both parties, the lease could be dissolved. The students would be bussed to the facility and the program would run from 8:30 to 11:00 AM, Monday through Friday during the school year. The County would be compensated about $350/month. The school would have its own liability coverage. Borup recommended proceeding with a lease agreement. Ron Eichstaedt fells this program is compatible with workshop activities. Motion: A motion was introduced by Swenson, seconded by Berenschot, and unanimously adopted: That the Health and Human Services Board authorize John Borup to negotiate and execute a contract with the New Richmond School District along the parameters discussed by the Health and Human Services Board this morning and that the contract be approved by Greg Timmerman. 2003 BUDGET UPDATE: Borup said the State Basic County Allocation has been reduced by .2168$ for a reduction of $3,714 to the Department budget. He said the Department is preparing to appear before the Finance Committee on 09/18/02. He said the budget was prepared as most probable but the Department is at risk with out-of-home expenses and increased costs for purchased services. The Board recessed from 9:20 to 9:30. FAMILY AND CHILDREN'S: Dunlap said all out of home placement rates are set by the State and the County has no control over these rates. She gave a summary of placements in residential care, group homes, foster care, treatment foster care and corrections for the last two months. She said the average monthly cost first six months of 2002 for out of home care was $80,000, it was $74,000 for July and $77,000 for August, so costs have gone down somewhat. Dunlap gave a summary of some of the cases followed by Family and Children's Services. Dunlap said training for workers for WiSACWIS will begin the first week of October with a go live date of October 28. She said this program is a lot more work than was anticipated. PERSONNEL ISSUES: Krieger said administration is meeting one to one with staff and meeting every two weeks with all nursing home staff. Updates will be given at future Board meetings. She said the nursing home is three nurses short. Ads are continuing to run but may have to use pool nurses to maintain coverage in the nursing home. NURSING HOME: The Nursing Home census is 87; admissions have been slow the last two weeks. Krieger said staff are in the first week of computer software training. She said medical records are not transferable into the new computer program so information is being re-entered and should be done next week. She said the Federal and State government send messages only via e-mail, not U.S. mail. Krieger said the 2003 budget has been submitted but she continues to negotiate with vendors and contracts to lower costs. Krieger questioned the Board if the contracts need to be brought before the Board for approval. If a fixed asset is over $5,000, it needs to be brought before the Board, but do contracts need to be brought before the Board. It St. Croix County Health and Human Services Board Page 8 September 12, 2002 was the consensus of the Board if the contract is not going to lower cost, the contract needs to come before the Board. Dorsey said it is necessary to get the service needed and that may not necessarily be the lowest cost. Krieger said the cash replenishment number for the Nursing Home is approximately $250,000. A decision regarding cash replenishment will be made at the Finance Committee meeting next week. Dorsey asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: that the meeting be adjourned. Time: 10:10 AM Chair: Attest: (Secretary)