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HomeMy WebLinkAboutHealth & Human Services 10-24-02 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: 10/24/02 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: 11/12/02 ACTION ON PREVIOUS MINUTES: 10/11/02 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Budget Update NEW BUSINESS: 1. Consideration and Action to join 9-County Western Wisconsin Regional Public Health Partnership for Preparedness 2. Program Reports a. Nursing Home b. Public Health 3. Personnel Issues 4. Scheduling future Board meetings 5. Community Health Partnership presentation and request to enter into letter of agreement 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 October 24, 2002 The St. Croix County Health and Human Services Board met on October 24, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Chris Bethke Lois Burri Fern Johnson-Schmidt James Craig Esther Wentz Mary Louise Olson MEMBERS ABSENT: 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 Supervisor Kristie Tellijohn, Director of Nursing Kathy Leisch, Secretary OTHERS PRESENT: Karen Bullock, CEO, Community Health Partnership Clarence Malick, County Board Chair 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, November 12, 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 Wentz, seconded by Burri, and unanimously adopted: That the minutes of the 10/11/02 Health and Human Services Board meeting be approved as circulated CONSIDERATION AND ACTION TO JOIN 9-COUNTY WESTERN WISCONSIN REGIONAL PUBLIC HEALTH PARTNERSHIP FOR PREPAREDNESS: Nelson stated that Polk County has passed a resolution to serve as the fiscal agent for the 9-County Western Wisconsin counties. Nelson stated that the contract with the State has not yet been completed. Nelson said she would have a copy of the contract and the attachments mailed to the Board members to review prior to the next meeting. PUBLIC HEALTH: Nelson updated the Board on communicable disease. There have been a significant number of cases of Lyme disease but this is not contagious between person to person so it is not a major concern. Nelson stated that five horses and three birds have tested positive in St. Croix County for the West Nile Virus. She said that the cold weather should bring a reduction in the transmission of the disease. Berenschot asked for an update on what our role is with the Chronic Wasting Disease. She said the venison donation programs have been discontinued in St. Croix County. Nelson stated that Public Health's role is an informative role and said that she has an St. Croix County Health and Human Services Board Page 2 October 24, 2002 informative tape on the subject if anybody wishes to view it. Nelson stated there have been several recalls on chicken, turkey and beef in the area. The news releases for these recalls are listed on the county website and are also sent to St. Croix County newspapers. Nelson stated flu season is upon us. There have been sporadic reports of flu in the United States since the beginning of September but she encouraged everyone to get their flu shots. Public Health starts giving flu shots on Monday, October 28 for high-risk population and then in mid November the shots will be given to the general population. The schedules are also on the website. Nelson gave an update on the influenza pandemic that was held on September 19. There were 50 participants representing clinics and hospitals with both administration and staff present. They received 35 evaluations from the tabletop and all 35 said it was worth their time.to attend. Nelson stated they would conduct a follow up exercise in the four communities based on the hospitals: River Falls, Hudson, New Richmond and Baldwin areas. They will follow up with a countywide functional exercise. Nelson stated there were three evaluations turned in by state persons and they were very positive about the exercise. Nelson distributed a copy of the minutes from the legislative event that was held on Monday, October 21st. COMMUNITY HEALTH PARTNERSHIP PRESENTATION AND REQUEST TO ENTER INTO LETTER OF AGREEMENT: Lockwood stated that in Long Term Support that they are always looking for ways to provide quality service as quickly as possible and to reduce the waiting list. He said they have a resource available with Community Health Partnership. Lockwood introduced Karen Bullock, CEO of Community Health Partnership. Bullock gave a presentation on the program. Community Health Partnership (CHP) is a community-based managed care organization providing long-term care services to residents of Eau Claire, Chippewa and Dunn Counties. CHP is considering expanding services to include residents of Pierce and St. Croix Counties. This is a federal and state sponsored program that provides a comprehensive range of medical and support services to persons with long term care needs. CHP is a non-profit corporation similar to the family care system but includes Medical Assistance benefits. Medicare and Medicaid capitations are the primary funding sources for the program. Services are targeted to elderly and persons with physical disabilities. Resources channeled through this program would represent the equivalent of 60 CIP 2 Waiver slots or $900,000 annually during the first two years. To accomplish the expansion would require legislative action and support from the respective county boards of supervisors. Bullock explained the program has helped to reduce the waiting list in other counties. Lockwood stated his staff feels threatened by this and they have raised concerns that this program may redirect some client intake away from them in the future and there is a possibility of losing their jobs. Bullock stated with the current budget crisis they are under a limited enrollment until April or May. There is currently a waiting list in the three counties. Bullock stated the program involves Federal and State monies and no matching county dollars to run the program. Dorsey asked Lockwood if he supports the program. Lockwood said he does and this is the way of the future. Olson asked if there would be disadvantages to this concerning staff if the Board agreed to this. Lockwood stated he invited his staff to come to the meeting and ask questions and that he understands their concerns. Borup • St. Croix County Health and Human Services Board Page 3 October 24, 2002 stated the year 2004 would be a pivotal year for the State of Wisconsin with a two billion dollar deficit. Borup stated that it is his understanding that this does not affect the nursing home dramatically. Motion: A motion was introduced by Olson, seconded by Craig, and unanimously adopted. That the Board issues a letter of support to Community Health Partnership. BUDGET UPDATE: Borup stated the 2003 budget process is complete, pending action of the County Board on 10/29/02. Projected state revenues, e.g. Basic County Allocation, Youth Aids, Long Term Support, etc. are materializing as planned-increases are flat, meaning we fall behind inflation. Borup stated the auditors are here from Tracey & Thole. Rod Paulson should be done with the compliance portion of the audit next week. Borup stated they have not come across any problems so far. Borup stated that Jane Gottwald is here conducting the field audit of the M.A. Cost Report, Estimated IGT, Health Insurance and Worker's Compensation, as we are self-funded. NURSING HOME: Krieger introduced Kristie Tellijohn, Director of Nursing. Krieger stated that she would be having staff members attend future meetings to give reports and to meet the board members. Krieger updated the board on staff cuts that were made in 2001-2002 to reduce the budget. A total of 12.61 FTE's were cut in 2001-2002 with 11.08 FTE's cut in 2002. Krieger stated that there was a question of how the cuts were made. Krieger stated the schedule was not reduced by 12.61 FTE's but the budget amount was decreased by $361,718. Wentz asked whether we are impairing the care by reducing the staff. Krieger stated that care has not been impaired and they are adequately staffed with CNA's and staffing on the floors. Krieger stated that the census is at 89 and remains fairly steady with discharges equaling admissions. Several admissions are pending. Krieger stated the 7/01/02 Medicaid rate is delayed due to State auditing which will delay the IGT estimate. The Medicare add-ons for 10/01/02 have expired unless Congress reinstates the add-ons after the fact. Krieger stated that all nursing positions have been filled. Permanent duties can now be assigned to staff nurses so the case manager concept can be implemented. Krieger stated that administration is aware of the continued "fallout" from the departure of the nurses in August 19th. Krieger stated that some of the in-house staff are having some real problems getting over their anger and have involved Board members in this issue. Krieger stated that Wentz showed her support by attending a nurse's meeting. Krieger said the words of support were very helpful and that the nurses need to hear that they are doing a good job. Krieger said the number one complaint from the nurses was that Tellijohn was not visibly out on the floor. Krieger stated that when the nurses left they were three positions short. Krieger said there was administrative paperwork that had to be done in order to get paid and it was hard for Tellijohn to be out on the floor. Krieger said they will continue having two- week meetings with the nurses and are also working on having Tellijohn be more visible out on the floor. Krieger is also meeting with staff privately and will be holding office hours on both floors in an effort to mend the anger with the staff. Krieger said she has been with the nursing home for ten years and has done a good job keeping the team together and will continue to St. Croix County Health and Human Services Board Page 4 October 24, 2002 do so. Wentz said the one thing that the nurses want most of all is communication, to be part of the team and to be part of the solution. Krieger stated the nurses are working in a professional manner on the floor, they are working very well together and they are showing respect for administration. Krieger said she should have kept the Board informed of the problems they were having with staff as they were happening and not when it had reached the "blow up" stage. Borup stated that he is pleased with the progress Krieger has made with the nurses. SCHEDULING FUTURE BOARD MEETINGS: Borup stated that Ralph Swenson has asked us for consideration of eliminating the night Health and Human Services Board meetings. Borup stated that he would like to table the discussion because Swenson was excused from tonight's meeting. Borup stated that administration is comfortable with going to one meeting, recognizing day meetings may need to be a bit longer. Borup also suggested the possibility of having two-day meetings if a second meeting is needed. PERSONNEL ISSUES: Borup stated that Jennifer Rodriguez, CSP Social Worker, has resigned and is relocating with her husband in St. Cloud, MN. Recruitment has begun. 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: 8:04 PM Chair: Attest: (Secretary)