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HomeMy WebLinkAboutHealth & Human Services 09-26-02 A% 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: 09/26/02 TIME: 6:00 PM (Please note time change) LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 10/11/02 ACTION ON PREVIOUS MINUTES: 09/12/02 ANNOUNCEMENTS APPOINTMENTS : UNFINISHED BUSINESS: NEW BUSINESS: 1. Program Reports a. Nursing Home b. Public Health-The Wisconsin Children's Initiative c. Mental Health/AODA 2. 2003 Budget Update 3. Personnel Issues 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 S ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD September 26, 2002 The St. Croix County Health and Human Services Board met on September 26, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Chris Bethke Lois Burri Mary Louise Olson Esther Wentz MEMBERS ABSENT: James Craig, excused Fern Johnson-Schmidt, excused Ralph Swenson, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn L. Krieger, Nursing Home Administrator Barbara Nelson, Public Health Supervisor-Health Officer Ron Lockwood, Long Term Support Coordinator Ron Kiesler, Mental Health/AODA Clinical Services Supervisor Geralyn Karl, Tobacco Prevention & Control Specialist Kathy Leisch, Secretary OTHERS PRESENT: Maureen Busalacchi, Deputy Director-Smoke-Free Wisconsin 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 Thursday, October 11, at 8:30 AM. 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 Berenschot, seconded by Bethke, and unanimously adopted: That the minutes of the 09/12/02 Health and Human Services Board meeting be approved as circulated. NURSING HOME: The Nursing Home census is 87 with two admissions coming on Friday. Krieger said three nurses have left and one nurse has been hired to replace one of the positions. Krieger stated that they are continuing to run ads. Krieger also stated that one nurse is out for a month because of a death in the family and another nurse will be out at the end of October for knee surgery. Krieger is hoping to fill the positions soon. Right now two of the nurses are doing two jobs each in order to keep up with the work. Krieger stated we are required to have a RN on the premises 24 hours a day. Krieger stated they are finished with the installation of the new software and training for the staff. She said that the new software is quicker and easier for the staff to use. MENTAL HEALTH/AODA: Kiesler reviewed program trends and services since 1985 by showing Mental Health/AODA charts. Kiesler also discussed possible program/budget implications for the future. Kiesler stated that since 1985 the combined Basic County Allocation (BCA) and County Levy commitment has remained relatively the i St. Croix County Health and Human Services Board Page 2 September 26, 2002 same, while at the same time the cost of doing business has increased. Kiesler stated the only way to support the programs and to balance the budget is to find ways to increase revenues. Hence, a considerable amount of staff time has gone into maintaining current and developing new revenue streams. He said that costs started to climb after 1997 for Inpatient Psychiatric Admissions. Within the last year we have experienced a 41W increase in the number of psychiatric inpatient admissions. Kiesler stated that inpatient facilities are very costly and that has increased our cost dramatically within the last year. Kiesler said there is a correlation between the number of inpatient days and the escalating expenses experienced by the MH/AODA unit. Kiesler stated that the number of intoxicated driver assessments has been on the increase since 1998. St. Croix County has completed over 1000 assessment in the last three years. Kiesler stated this area of business has become a profit center for the Mental Health/AODA unit. Dorsey asked if we have a contract with the State stating that someone who goes through the St. Croix County Court system has to come to us for assessment. Kiesler stated that St. Croix County residents must receive an assessment from the St. Croix County MH/AODA unit, unless there is a conflict of interest, as we are the only approved IDP assessor in the County. Kiesler went on to state that if there is a conflict of interest, the resident may ask for a referral to a different approved facility in a neighboring County. Kiesler stated one of the biggest concerns is having a growing county as we do and the number of individuals that are being taken into an inpatient setting. This is very costly and the length of stay is increasing because the individuals that are being taken in are much more dysfunctional than they have been in the past. PUBLIC HEALTH-THE WISCONSIN CHILDREN'S INITIATIVE: Borup introduced Maureen Busalacchi, Deputy Director of Smoke-Free Wisconsin. Maureen gave a presentation on "The Wisconsin Children's Initiative." Tobacco Control Specialist, Geralyn Karl, joined the discussion on this initiative and the efforts to prevent youth smoking. PUBLIC HEALTH: Nelson gave a financial update on the "Agent Status" program. Nelson stated that in terms of the year to date revenue we have collected $67,126.00 with expenditures being $28,666.05. The revenues are higher at this point because the licenses come due at a set time. Nelson stated we would continue to collect licensure fees as businesses exchange hands and as new businesses open. Nelson stated we received the $10,000.00 start up funds from the State so that helps the revenues. Nelson said we are working with Pierce and Dunn County to come up with a format so we can publicize the restaurant inspection reports. Nelson said that a meeting is set for next week with Dunn and Pierce Counties. Nelson gave an update on the West Nile Virus. Four birds have tested positive in the River Falls and Hudson area and one horse has tested positive in Somerset. Based on the number the State has decided they will not do additional bird testing from St. Croix County because they have already documented that the virus is here. Nelson stated we would continue to do a paper report for surveillance. Nelson said she met with Dave Geske who is the individual we contract for surveillance on mosquito born activity in St. Croix County. When he has finished his surveillance he will give a report on his findings to the Board. Nelson gave an update on the bioterrorism consortium. We are officially in a consortium with eight other counties. Nelson will bring a resolution to the last meeting in October asking for the support or agreement to be in the consortium with the eight counties. Nelson stated a few things that have transpired so far in these meetings is that they have developed a work plan, established a budget and there St. Croix County Health and Human Services Board Page 3 September 26, 2002 has been an agreement on an MOU. The intent is for Polk County to be approved as the fiscal agent. Nelson stated they had a tabletop activity on Thursday, September 19th. They had 35 evaluations turned in and they were all positive. Nelson stated this is a worthwhile activity and they will be planning additional tabletop activities. Nelson said there will be a conference for the Wisconsin Association of Local Boards of Health in Wisconsin Rapids on October 10th and 11th if anybody wishes to attend. 2003 BUDGET UPDATE: Borup stated the finance meeting went very well. The nursing home budget was discussed and no adjustments were made. The department budget received some adjustments. Long Term Support Revenues +$40,000 Jail Revenue (Public Health Nurse) cut -$65,000 Farm surplus applied +$18,000 Family & Children's-Foster Care Contract -$20,000 Public Health-jail expense -$48,043 Net levy adjustment -$61,043 Net levy $4,506,496 Health insurance cost reductions are anticipated. Borup spoke with Whiting and he is hoping to have health insurance numbers tomorrow. Borup stated we are budgeted at +17%. PERSONNEL ISSUES: Borup stated one LPN has been hired and started in the Nursing Home on 09/16/02. Two RNs will be interviewed for the two remaining positions. To date staff has either picked up extra hours or worked with one less nurse for a few hours, so no pool nurses have been needed. Labor agreement bargaining began this week. The County has also received word from WERC that a petition for "decertification" has been filed by Human Services professionals (social workers). Dorsey asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: that the meeting be adjourned. Time: 7:35 PM Chair: Attest: (Secretary)