HomeMy WebLinkAboutHealth & Human Services 12-12-02
ESTHER WENTZ WILL REVIEW VOUCHERS AT 8:00 AM
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: 12/12/02
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: 12/26/02 (next scheduled meeting is January 10th)
ACTION ON PREVIOUS MINUTES: 11/12/02
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Scheduling future Board meetings
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Personnel Issues
4. Program Reports
a. Nursing Home
b. Long Term Support
c. General Relief Program
5. W2 Program Reimbursement formula change
6. Action on rates for Preferred One Contract for Nursing Home
7. Action on Nursing Home Pharmacy Contract
8. Closed session pursuant to Wisconsin Statute 19.85 (1) (g)-Conferring with
legal counsel with respect to litigation in which the County is likely to
become involved
9. Reconvene into open session
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 CLERIC
NEWS MEDIA/NOTICE
MINUTES
HEALTH AND IIUMAN SERVICES BOARD
DECEMBER 12, 2002
The St. Croix County Health and Human Services Board met on December 12, 2002 at the St. Croix County Health and
Human Services/Health Center complex.
MEMBERS PRESENT:Thomas Dorsey, Chair
Chris Bethke
Fern Johnson-Schmidt
Mary Louise Olson
Ralph Swenson
Esther Wentz
MEMBERS ABSENT: Lois Burri, excused
Leon Berenschot, excused
James Craig, excused
STAFF PRESENT: John Borup, Health & Human Services Director
Carolyn L. Krieger, Nursing Home Administrator
Kristie Tellijohn, Director of Nursing
Judy Ziegler, Accounting Supervisor
Mary Squyer, Economic Support/W-2 Supervisor
Norma Vriese, Early Intervention Supervisor
Kathy Leisch, Secretary
OTHERS PRESENT:Greg Timmerman, Corporation Counsel
Chuck Whiting, Administrative Coordinator
Jim Zajkowski, Economic Foods Pharmacy
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 Friday, January 10th at 8:30 AM.
The December 26th meeting will not be held unless important agenda items arise. Chris Bethke will review vouchers at 8:00
am.
AGENDA: Motion: A motion was introduced by Wentz, seconded by Bethke, and unanimously adopted: That the agenda
be approved as circulated.
MINUTES: Motion: A motion was introduced by Swenson, seconded by Wentz, and unanimously adopted: That the
minutes of the 11/12/02 Health and Human Services Board meeting be approved as circulated.
SCHEDULING FUTURE BOARD MEETINGS: Borup stated that the day meetings for 2003 were set at the last
meeting. The day meetings were set for the 2"d Friday of the month and the night meetings for the 4th Thursday night of the
month. Wentz asked the board to consider having the second meeting of the month as an optional meeting and that the
board meeting during the day if a second meeting is required. Wentz stated it would be easier for personnel to be present
during a day meeting.
Motion: A motion was introduced by Swenson, seconded by Wentz, and unanimously adopted: That the board continue
with the day meetings to be held on the 2nd Friday of each month and any additional meetings will be set up on a "need be"
basis to be held during the day and to start at 8:30 am.
ACTION ON NURSING HOME PHARMACY CONTRACT: Krieger distributed three bids for the Nursing Home
Pharmacy Contract for review and action. Krieger stated that administration recommends continuing with the local
Pharmacy (EconoFoods) as they are offering a saving to us of $15,000.00 a year under the current contract. Krieger stated
that EconoFoods was the only bid that responded to all the questions on the bid spec while the other two vendors responded
to some bid specs in a less measurable manner in terms of cost savings.
Motion: A motion was introduced by Bethke, seconded by Wentz, and unanimously adopted: That the Board approve the
current contract with EconoFoods Pharmacy.
CONSIDERATION OF CLAIMS: The following reports were distributed to the Board: September, October and
November unemployment report, November cash report and October financial report.
Health and Human Services Board member, Wentz, reviewed the following vouchers:
HUMAN SERVICES:
16475: Cottonwood Group Home, $2,366.46, youth assisted group home. The bill was for a juvenile for 18 days of care.
The juvenile was placed in this facility by court order.
16531: Cullen Crea Hegstrom Funeral Home, $2,500.00, funeral expense. The State will reimburse the county for this
funeral.
16676: Holy Family Hospital, $72.00, funeral expense. Long Term Support Client Expense. Meals on Wheels cost for
one client in the Elder Abuse Prevention Program.
Motion: A motion was introduced by Wentz, seconded by Swenson, and unanimously adopted: That the following
vouchers be approved and be made a part of the supplemental minute book:
Human Services vouchers 16352 through 16413, dated November 14, 2002 in the amount of $157,421.07.
Human Services vouchers 16416 through 16465, dated November 21, 2002 in the amount of $222,553.50.
Human Services vouchers 16466 through 16509, dated November 27, 2002 in the amount of $206,214.53.
Human Services vouchers 16510 through 16583, dated December 05, 2002 in the amount of $70,523.58.
Human Services vouchers 16584 through 16708, dated December 12, 2002 in the amount of $168,923.68.
Human Services vouchers 16709 through 16857, dated December 12, 2002 in the amount of $104,432.88.
Nursing Home vouchers 2359 through 2372, dated November 14, 2002 in the amount of $34,657.51.
Nursing Home vouchers 2373 through 2374, dated November 21, 2002 in the amount of $731.41.
Nursing Home vouchers 2376 through 2379, dated December 05, 2002 in the amount of $1,770.94.
Nursing Home vouchers 2380 through 2429, dated December 12, 2002 in the amount of $47,683.53.
Human Services, Workshop, Public Health, Social Services vouchers 652 through 681, dated November 19, 2002 in the
amount of $273,040.39.
Human Services and Nursing Home vouchers 612 through 639, dated November 19, 2002 in the amount of $159,721.19.
Human Services, Workshop, Public Health, Social Services vouchers 682 through 713, dated December 03, 2002 in the
amount of $319,571.78.
Human Services and Nursing Home vouchers 640 through 670, dated December 03, 2002 in the amount of $195,281.41.
FINANCIAL REPORTS: Ziegler reported the yearend financial projections for the Department and Nursing Home is good
through October. The Nursing Home has $361,016.00 excess revenues over expenses. Ziegler stated the November IGT
revenues of $183,000.00 had not been received until December 5`h and are not reflected in the November cash total. Borup
added that $183,000.00 will be received for December 2002 and March 2003.
Borup stated the department revenue projections are generally strong and should help us close out within budget. Closure to
long term support revenues (as always per State design) will carry into mid-2003. The following reports through October
were distributed:
HEALTH AND HUMAN SERVICES - 2002
SUMMARY Total
OF REVENUES Jan.- Oct. Budget Balance %
Administration 705,612.69 786,486.00 80,873.31 89.7%
AODA Services 350,769.91 434,703.00 83,933.09 80.7%
Long Term Support 9,237,722.16 12,358,744.00 3,121,021.84 74.7%
Mental Health 1,795,560.14 2,297,343.00 501,782.86 78.2%
Family & Children's 2,212,246.64 2,519,843.00 307,596.36 87.8%
Economic Support 940,043.86 1,095,090.00 155,046.14 85.8%
General Relief 24,441.59 13,494.00 (10,947.59) 181.1%
REVENUES HUMAN
SERVICES 15,266,396.99 19,505,703.00 4,239,306.01 78.3%
PROGRAMS
Public Health 1,073,320.53 1,256,677.00 183,356.47 85.4%
TOTAL REVENUES HEALTH
AND HUMAN 16,339,717.52 20,762,380.00 4,422,662.48 78.7%
SERVICES
SUMMARY Total
OF EXPENDITURES Jan.- Oct. Budget Balance %
Administration 587,959.02 786,486.00 198,526.98 74.8%
Alcohol-Drug Abuse 299,878.73 434,703.00 134,824.27 69.0%
Long Term Support 9,458,053.93 12,358,744.00 2,900,690.07 76.5%
Mental Health 1,896,998.54 2,297,343.00 400,344.46 82.6%
Family & Children's 2,061,563.19 2,519,843.00 458,279.81 81.8%
Economic Support 837,005.74 1,095,090.00 258,084.26 76.4%
General Relief 17,844.02 13,494.00 (4,350.02) 132.2%
Accrued Payroll 472,014.41 0.00 (472,014.41) 0.0%
EXPENDITURES
HUMAN
SERVICES PROGRAMS 15,631,317.58 19,505,703.00 3,874,385.42 80.1%
Public Health 967,028.93 1,256,677.00 289,648.07 77.0%
TOTAL EXPENDITURES HEALTH
AND HUMAN 16,598,346.51 20,762,380.00 4,164,033.49 79.9%
SERVICES
To be on budget, percentage should be 83.33%.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01 /01 /02 THROUGH 10/31/02
NURSING HOME 10/31/02
Cash Balance 10/31/02 $93,570.80
Add:
Accounts Receivable, 10/31/02
Private Pay $64,553.51
Medicare $204,819.07
Medicaid $237,158.31
General $0.00
Accounts Payable-10/31/02 ($268,918.36)
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Net Current Items, 10/31/02 $331,183.33
2002 Revenue Recorded through 10/31/02 $5,765,420.40
Includes Allocations of Anticipated Revenues
2002 Expenses Recorded through 10/31/02 $5,404,404.28
Includes Allocations of Expected Expenses
Excess Revenues over Expenses $361,016.12
NURSING HOME OPERATIONS REPORT JAN-AUGUST OCTOBER
TOTAL OPERATING REVENUES 3,520,044.80 3,895,890.40
OPERATING EXPENSES:
DAILY PATIENT SERVICES 3,059,944.51 3,346,901.51
SPECIAL SERVICES 208,748.43 232,577.14
GENERAL SERVICES 855,156.63 951,363.49
ADMINISTRATIVE SERVICES 390,812.32 431,252.93
UNASSIGNED:
DEPRECIATION BASED) 150,750.00 167,500.00
OTHER 249,465.08 274,809.21
TOTAL OPERATING EXPENSES 4,914,876.97 5,404,404.28
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NET FROM OPERATIONS (1,394,832.17) (1,508,513.88)
NON-OPERATING ITEMS:
REVENUE FROM RATE APPEALS 13,500.00 15,000.00
WAGE PASSTHROUGH REVENUE - -
INTERGOVERNMENTAL TRANSFER (IGT) BASED) 706,851.00 785,390.00
CO. ALLOCATION BASED on OPS. LEVY OF $1,282,965) 962,226.00 1,069,140.00
TOTAL NON-OPERATING ITEMS 1,682,577.00 1,869,530.00
EXCESS of REVENUES OVER EXPENSES 287,744.83 361,016.12
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 282,288.63 361,016.12
CASH REPLENISHMENT BASED on $250,000 for YEAR) 166,666.64 208,330.00
FUND BALANCE, END of PERIOD 1,955,022.96 2,075,413.81
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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.
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ACTUAL IGT AWARD FOR 2001-2002 IS $942,471.
ANNOUNCEMENTS: Borup stated the Three County meeting with Pierce and Dunn counties have been rescheduled for
December 18th. Borup stated he will be out of the office and Ron Kiesler will be attending in his place.
W-2 REIMBURSEMENT FORMULA CHANGE: Borup stated that Ziegler and Squyer attended an IM/W-2 Random
Moment Time Study (RMTS) Training on November 20th and received new information concerning the counties ability to
access W-2 funds in 2003. St. Croix County will be placed in a pool with 26 other counties. The State will place 2,500
phone calls per quarter to the 27 counties asking what staff is doing at exactly that moment. This will determine how our
IM/W-2 funds will be reimbursed. Squyer stated there are several concerns with how this will be conducted:
1.This change by the State will probably result in a reduction of W-2 funds, which have for the past six years been
used to help fund the mandated Economic Support programs i.e. Medical Assistance and Food Stamps.
2.13ased on current statistics we will lose an estimated 1.8% of our administration costs in W-2 and they will be
taken out of the Economic Support funds. This loss is roughly estimated at $12,000.00 in 2003. With
"Federal Pass Thru" dollars, this loss is reduced to $6,000.00.
3.The pilot counties showed many problem areas not yet addressed.
4.The interpretation by the pollsters to the response from staff will determine which program will be reimbursed.
S.The proportions of IM/W-2 clients in the pool may not accurately reflect client caseloads in St. Croix County.
Squyer stated the conundrum here is that the majority of Wisconsin Counties have been using W-2 funds over the past six
years to help reduce county costs for mandated Economic Support Programs. Borup stated if we opt to get out of the W-2
Program, we will lose W-2 revenues that will result in additional county costs for mandated Economic Support Programs in
2003.
Squyer stated if we stay in the W-2 Program, we will probably require additional money for a non-mandated program,
again estimated at approximately $6,000.00. If we choose to withdraw from W-2, we need County Board approval and 120
days written notice to the State. Ziegler stated if the losses could be contained at this level, administration would
recommend continuing with W-2 and absorbing losses in the Department budget. If the losses grow, then we may be
forced to consider other steps. Borup stated the RMTS would start on January I" and will be conducted for three months.
Swenson stated that the Board does not have enough information right now to make a decision and to wait until April when
more information is available from the State.
Note: IM = Income Maintenance, which is the same as Economic Support.
ACTION ON RATES FOR PREFERRED ONE CONTRACT FOR NURSING HOME: Krieger stated the Nursing Home
has a Managed Care Contract with Preferred One for covered Nursing Home Services. Krieger stated that Preferred One
patients are very minimal. There is only one or two a year. Krieger distributed Attachments A & B for review and
approval. (Attachment A is HMO and Attachment B is PPO-Physician Provider Organization). Krieger stated that
approval of this contract would improve our revenues.
Motion: A motion was introduced by Swenson, seconded by Wentz, and unanimously adopted: That the Board approves
the Preferred One/HMO/PPO rates submitted by Krieger and that Greg Timmerman, John Borup and Carolyn Krieger
collaborate on any language deemed appropriate for termination and review options.
The Board recessed from 9:35 to 9:45.
Motion: A motion was introduced by Olson, seconded by Bethke, and unanimously adopted: That the Board enter closed
session per Wisconsin Statute 19.85(1)(gy-Conferring with legal counsel with respect to litigation in which the County
is likely to become involved. Dorsey noted that John Borup, Chuck Whiting and Greg Timmerman would also be present at
the closed session.
Roll call vote:
Thomas Dorsey-yes
Leon Berenschot-absent
Chris Bethke-yes
James Craig-absent
Fern Johnson-Schmidt-yes
Mary Louise Olson-yes
Ralph Swenson-yes
Esther Wentz-yes
Lois Burri-absent
Six yes, three absent, motion passed.
The Board entered into closed session.
Motion: A motion was introduced by Bethke, seconded by Wentz, and unanimously adopted: That the Board enter open
session.
Motion: A motion was introduced by Bethke, seconded by Olson, and unanimously adopted: That the Board moves to draft
a letter responding to Mr. Stean's 11-27-02 letter indicating that there has been nothing done improperly by the
County regarding the subject of his letter and misconceptions.
Roll call vote:
Thomas Dorsey-yes
Leon Berenschot-absent
Chris Bethke-yes
James Craig-absent
Fern Johnson-Schmidt-yes
Mary Louise Olson-yes
Ralph Swenson-yes
Esther Wentz-yes
Lois Burri-absent
Six yes, three absent, motion passed.
Dorsey asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Wentz, seconded by Bethke, and unanimously adopted: that the meeting be
adjourned.
Time: 11:25 AM