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HomeMy WebLinkAboutHealth & Human Services 01-11-02 t + ESTHER WENTZ WILL REVIEW VOUCHERS AT 8:00 AM ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Thomas Dorsey, Chairman St. Croix County Board FROM: Robert Stephens (John Borup, 246-8223) COMMITTEE TITLE: St. Croix County Health and Human Services Board DATE: 01/11/02 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 MEET3:NG: 01/24/02 ACTION ON PREVIOUS MINUTES: 12/11/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Nursing Home bed "banking" withdrawal NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Program Report's a. Nursing-Home b. Family and Children's c. Public Health 4. ECHO software update 5. Public Health ordinance designating "Agent Status" for St. Croix County Department of Health and Human Services 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 January 11, 2002 The St. Croix County Health and Human Services Board met on January 11, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Lois Burri James Craig Fern Johnson Mary Louise Olson Esther Wentz MEMBERS ABSENT: Einar Horne STAFF PRESENT: John Borup, Health and Human Services Director Judy Ziegler, Accounting Supervisor Wendy Kramer, Public Health, Lead PHN Fred Johnson, Family & Children's Supervisor Kathy Leisch, Secretary OTHERS PRESENT: Chair Stephens 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, January 24, 2002. AGENDA: Motion: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Wentz, seconded by Johnson, and unanimously adopted: That the minutes of the 12/11/01 Health and Human Services Board meeting be approved as circulated. Nursing Home bed "banking" withdrawal: Stephens noted that we had previously banked 27 beds, which brought the beds down closer to the number of residents. Now with the county board action on 12-15-01 it would go down to 72. He stated that we should put the beds back in so that when we downsize we can get CIP II slots for these beds. Borup stated if there is a downsize, we would be in a position to claim those 27 beds (minus the 10%=24) so that those dollars could be put back into St. Croix County. The County has the discretion to remove the beds from the program upon an 18-month notice to the State. All that is needed is to send Mr. Cobb a brief letter, indicating that you want to remove the beds in 18 months. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Board forward the Resolution postponed at the November 11, 2001 meeting on the Nursing Home bed "banking" withdrawal and to have it added to the County Board meeting agenda on Tuesday for discussion/action. St. Croix County Health and Human Services Board Page 2 January 11, 2002 CONSIDERATION OF CLAIMS: The following reports for December were distributed to the Board: fixed assets, unemployment report, financial report and cash reports. Health and Human Services Board member, Wentz, reviewed the following vouchers. HUMAN SERVICES: 11055: Stipend vendor, $55.00 refund. The "stipend vendor" designation is used by all county departments for people or institutions who do not regularly receive a check from the county. In this case, the check was to an individual to refund an over collection in accounts receivable. The client paid the bill in full and then a payment came in from an insurance company. Motion: A motion was introduced by Wentz, seconded by Stephens, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book pages 2150 through 2233: Human Services vouchers 11010 through 11105, dated December 13, 2001 in the amount of $191,155.64. Human Services voucher 11106, dated December 18, 2001 in the amount of $100.00. Human Services vouchers 11107 through 11171, dated December 20, 2001 in the amount of $185,204.61. Human Services voucher 11172, dated December 21, 2001 in the amount of $605.00. Human Services vouchers 11173 through 11205, dated December 27, 2001 in the amount of $41,865.28. Human Services vouchers 11206 through 11268, dated January 3, 2002 in the amount of $24,349.07. Human Services vouchers 11272 through 11362, dated January 11, 2002 in the amount of $10,827.34. Human Services vouchers 11363 through 11538, dated January 11, 2001 in the amount of $135,405.84. Nursing Home vouchers 1692 through 1700, dated December 13, 2001 in the amount of $33,139.62. Nursing Home vouchers 1701 through 1708, dated December 20, 2001 in the amount of $4,902.37. Nursing Home vouchers 1709 through 1710, dated December 27, 2001 in the amount of $2,914.38. Nursing Home vouchers 1711 through 1745, dated January 11, 2002 in the amount of $49,890.04. St. Croix County Health and Human Services Board Page 3 January 11, 2002 FINANCIAL REPORTS: The following financial reports for December were distributed to Board members. Ziegler pointed out that the cash report is an estimate through December 31, 2001. Hudson has not reconciled through December yet. During December we received the IGT payment of $374,000. Ziegler pointed out that the General Relief balance is high due to two major medical claims. Borup stated that Homelessness is up significantly. Ziegler stated that the final W-2 contract report has not been turned in yet. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/01 THROUGH 11/30/01 NURSING HOME Cash Balance 11/30/01 ($840,832.00) Add: Accounts Receivable, 11/30/01 Private Pay $9,266.54 Medicare $177,028.37 Medicaid $181,584.79* General $14,300.00 Accounts Payable-11/30/01 ($359,168.87) Net Current Items, 11/30/01 ($817,821.17) 2001 Revenue Recorded through 11/30/01 $5,651,303.53 Includes Allocations of Anticipated Revenues 2001 Expenses Recorded through 11/30/01 $5,972,075.93 Includes Allocations of Expected Expenses f St. Croix County Health and Human Services Board Page 4 January 11, 2002 HEALTH AND HUMAN SERVICES - 2001 SUMMARY Total OF REVENUES Jan.-Nov. Budget Balance % Administration 689,703.09 736,431.00 46,727.91 93.7% AODA Services 404,788.65 353,366.00 (51,422.65) 114.6% Intensive In-Home 139,518.37 176,471.00 36,952.63 79.1% Treat. Long Term Support 9,402,742.91 11,519,994.00 2,117,251.09 81.6% Mental Health 1,884,644.74 1,895,384.00 10,739.26 99.4% Family & Children's 2,188,423.35 2,360,749.00 172,325.65 92.7% Economic Support 812,778.79 1,256,132.00 443,353.21 64.7% General Relief 7,398.01 5,281.00 (2,117.01) 140.1% TOTAL REVENUES ALL PROGRAMS 15,529,997.91 18,303,808.00 2,773,810.09 84.816 SUMMARY Total OF EXPENDITURES Jan.-Nov. Budget Balance % Administration 652,189.46 736,431.00 84,241.54 88.6% Alcohol-Drug Abuse 305,276.10 353,366.00 48,089.90 86.4% Intensive In-Home 123,648.19 176,471.00 52,822.81 70.1% Treat. Long Term Support 9,300,571.41 * 11,519,994.00 2,219,422.59 80.7% Mental Health 1,736,773.09 1,895,384.00 158,610.91 91.6% Family & Children's 2,011,475.70 * 2,360,749.00 349,273.30 85.2% Economic Support 965,314.72 1,256,132.00 290,817.28 76.8% General Relief 60,683.57 5,281.00 (55,402.57) 1149.1% Accrued Payroll 494,968.38 0.00 (494,968.38) 0.0% TOTAL 2001 HUMAN SERVICES BUDGET 15,650,900.62 18,303,808.00 2,652,907.38 85.5% *Salaries for Human Services Professional Union Component are still being paid at 1999 rate. Estimated costs for 2001 are $50,000 to $75,000. 1 St. Croix County Health and Human Services Board Page 5 January 11, 2002 PUBLIC HEALTH Total Jan.-Nov. Budget Balance TOTAL REVENUES* 1,013,060.7 1,099,234.0 86,173.29 92.20 1 0 TOTAL EXPENDITURES 905,183.24 1,099,234.0 194,050.76 82.3°% 0 *TO BE ON BUDGET, PERCENTAGE SHOULD BE 83.330 FAMILY & CHILDREN'S PROGRAM REPORT: Johnson gave an update on alternate care, from foster care to correctional placement: • The correctional cost has gone from $154.00 per day to $167.00 per day. Last year in correctional placement we spent $126,000 and this year we spent $55,000. Currently there are 2 females in placement. • We currently budget $30,000 for this secure detention program and this year we have spent $42,000 for Northwest Regional juvenile detention. • Kinship care has lost a little money over the years, however our expenses are a little under the projected budget and we have spent $47,000 for the year. • This year's budget is $788,000. The projected expenses are $840,000, which means we will be over about $57,000 for this year on alternate care (unaudited). • Johnson stated that there are currently 2 females in correctional placement, about 5 juveniles in residential treatment and 4 juveniles in group home placement. Johnson also reviewed the status of the counties foster care recruitment contract with Children's Service Society of Wisconsin. Johnson stated that he would know in February if we may be eligible for federal pass through money. He will keep the board posted. Johnson stated that he hoped that PACE, Partners in Alternate Care Education, training will be able to be done in County by April. This training will better prepare foster parents to deal with difficult children. One of the major adjustments made in the contract this year was that we limited the number of homes we have. We are currently at 30 licensed homes. Bethke asked Johnson if he felt that we had enough foster homes available in the County. Johnson stated we are able to deal with emergency needs and that we have resources in the county to take care of St. Croix County Health and Human Services Board Page 6 January 11, 2002 those needs. We are also meeting more of the respite needs. He stated that we continue to lack in resources to help the 15-17 year olds. PUBLIC HEALTH PROGRAM REPORT: Kramer presented an eight-minute video on the influenza pandemic epidemic. There was a pandemic planning meeting on 12/04/01 and an additional planning meeting will be held on February 7, 2002. Kramer stated that the legislative event will be held on January 21, 2002. Also, on March 20, 2002, the Western Region WALHDAB and Board of Health will hold a joint meeting on bioterrorism. More information will be forthcoming. Kramer stated that we are currently moving our files over to the State Wisconsin Immunization Registry system. We are currently one of two counties who have not done this yet. Public Health Ordinance Designating "Agent Status" for St. Croix County Department of Health and Human Services: Borup stated that at this time we are still working with Corporate Counsel to come to an agreement on this ordinance. The ordinance was sent in to Corporate Counsel and issues were raised in the requirements attached to it. Borup requested to have the ordinance tabled until February. Borup stated that we are still targeting mid-year for implementation. NURSING HOME: Borup reported the census in the Nursing Home is 90 today. The Medicaid rates increased 07/01/01 but we have not received that rate due to the legislature. Borup stated that some of the software is expiring early this year and Krieger is currently working on that project. Borup commented on the statements he has heard regarding the uncertainty of where people will go if this facility closes. He stated that he feels that there will be adequate facilities for the residents to go to in the county as well as out of county placements. Borup clarified that 41 counties now administer nursing homes and of those 41 there are a total of 49 facilities. Echo Software Update: Borup stated that the first training component for the ECHO conversion was held December 4-6, 2001. This training was for the Data Base Administration of the Clinician's Desktop (which streamlines necessary management information). The training centered on the configurations that are needed to implement Clinician's Desktop and how Clinician's Desktop is used. The training also provided a starting point for the changes that will be necessary to convert to Clinician's Desktop. The next training component will be for Revenue Manager (Revenue Manager is the billing-collection component) and will be scheduled for the first part of 2002. ECHO has developed a "timeline" of tasks that need to be completed for the implement/conversion to take place. The "go-live" date is scheduled for June 1, 2002 with the intention of running side-by-side (old and new systems) systems for the month of May; this is to ensure that information being entered is identical. The Impact Study has been completed and reviewed by managers. A follow-up conference call was held with ECHO to make any additions or corrections to the document. The study will become the working document to ensure that all departments' needs and/or wants are accomplished during the implementation/conversion process. Borup stated that the December training was positive. Borup informed the Board that Cecil Brighton retired from the maintenance department and his retirement party was held last week. Borup reported that St. Croix Industries has issued bids for a new 12- passenger bussette with lift and 2 wheelchair spaces. This will replace a St. Croix County Health and Human Services Board Page 7 January 11, 2002 1992 bus with almost 270,000 miles. Bids will close on February 1, 2002, and brought to you at the February meeting for action. This vehicle is approved in the 2002 budget. Borup reported that the County Board hired Springstedi to study the County Personnel system. The first meeting between managers and Springsted is scheduled for 01/11/02 at 9:00 AM, which conflicts with our Board meeting. Managers will be at the Personnel meeting in the Courthouse. Borup reported that the Legislative Breakfast is scheduled for January 21 from 9:OOAM to 11:00AM in the nursing home conference room. Borup reported that the Arbitration-Hearing for Social Workers' arbitration occurred on December 19, 2002. Outcome pending hearing examiner's decision- which will probably not be received until this spring. Arbitration centers around salary dispute. Stephens 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: 9:45 AM Chair: Attest: (Secretary)