HomeMy WebLinkAboutHealth & Human Services 04-11-02
Mary Louise Olson will review vouchers.
REVISED
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: 04/11/02
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 MEETING: 04/25/02
ACTION ON PREVIOUS MINUTES: 03/28/02
ANNOUNCEMENTS
APPOINTMENTS :
UNFINISHED BUSINESS:
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Program Reports
a. Long Term Support
b. Economic Support/W-2
c. Nursing Home
4. Personnel Issues
5. Increase 60% Long Term Support Social Worker position to 100%
6. Resolution to enact 2002-2003 fee structure for Chapter 20, Lodging and Food
Protection, and Chapter 21, Tattooing and Body Piercing
7. Reappointments and Privileges of the Medical Staff for 2002
8. New appointment and privileges for Mike Melby, MD
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
April 11, 2002
The St. Croix County Health and Human Services Board met on April 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-Schmidt
Esther Wentz
MEMBERS ABSENT: Einar Horne
Mary Louise Olson, excused
STAFF PRESENT: John Borup, Health and Human Services Director
Carolyn Krieger, Nursing Home Administrator
Judy Ziegler, Accounting Supervisor
Barbara Nelson, Public Health Supervisor-Health Officer
Ron Lockwood, Long Term Support Coordinator
Mary Squyer, Economic Support Supervisor
Malva Berg, Secretary
OTHERS PRESENT: none
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, April 25, at 6:30 PM; Bethke and Craig asked to be excused from
the meeting on the 25th. The following meeting is scheduled for Tuesday, May
14, 2002. Olson is scheduled to review vouchers.
AGENDA: Motion: A motion was introduced by Bethke, seconded by Wentz, and
unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Berenschot, seconded by Burri,
and unanimously adopted: That the minutes of the 03/28/02 Health and Human
Services Board meeting be approved as circulated.
CONSIDERATION OF CLAIMS: The following reports for March were distributed to
the Board: unemployment report for February, and March cash report.
Health and Human Services Board member, Stephens, reviewed the vouchers.
No specific vouchers were pulled.
Motion: A motion was introduced by Stephens, seconded by Berenschot, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book:
Human Services vouchers 12516 through 12580, dated March 14, 2002 in the
amount of $103,956.21.
► St. Croix County Health and Human Services Board
Page 2
April 11, 2002
Human Services vouchers 12581 through 12633, dated March 21, 2002 in the
amount of $170,933.30.
Human Services voucher 12634, dated March 22, 2002 in the amount of $450.00.
Human Services voucher 12635, dated March 25, 2002 in the amount of $300.00.
Human Services vouchers 12636 through 12661, dated March 28, 2002 in the
amount of $142,613.84.
Human Services voucher 12662, dated March 28, 2002 in the amount of
$1,032.93.
Human Services voucher 12663 through 12735, dated April 04, 2002 in the
amount of $144,519.48.
Human Services voucher 12736 through 12962, dated April 11, 2002 in the
amount of $222,587.94.
Human Services voucher 12963 through 13027, dated April 11, 2002 in the
amount of $37,441.81.
Nursing Home vouchers 1881 through 1890, dated March 14, 2002 in the amount
of $5,639.08.
Nursing Home vouchers 1891 through 1892, dated March 21, 2002 in the amount
of $94.90.
Nursing Home vouchers 1893 through 1897, dated March 28, 2002 in the amount
of $1,188.69.
Nursing Home voucher 1898, dated April 04, 2002 in the amount of $30.00.
Nursing Home vouchers 1899 through 1942, dated April 11, 2002 in the amount
of $51,063.58.
Human Services, Workshop, Public Health vouchers 107 through 139, dated March
07, 2002 in the amount of $295,804.32.
Social Services and Human Services vouchers 73 through 93, dated March 08,
2002 in the amount of $43,540.53.
Human Services and Nursing Home vouchers 106 through 135, dated March 12,
2002 in the amount of $231,529.02.
Human Services, Workshop, Public Health vouchers 140 through 167, dated March
21, 2002 in the amount of $223,844.35.
Social Services and Human Services vouchers 94 through 112, dated March 22,
2002 in the amount of $43,097.21.
Human Services and Nursing Home vouchers 136 through 164, dated March 26,
2002 in the amount of $169,445.71.
• St. Croix County Health and Human Services Board
Page 3
April 11, 2002
FINANCIAL REPORTS: Ziegler reported the auditors are scheduled to do the
Nursing Home audit the week of April 22 and will come back in May to perform
the Health and Human Services audit. Borup stated the Nursing Home 12/31/01
cash balance at $635,640 includes the year 2000 deficit of $418,000. Borup
also reported the Department has a pre-audited surplus through 2001 and the
Department and Nursing Home both are under budget through February of 2002.
Ziegler distributed following reports to the Board for 2001, Unaudited, and
through February, 2002:
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/01 THROUGH 12/31/01
*Unaudited
NURSING HOME
Cash Balance 12/31/01 ($635,640.08)
Add:
Accounts Receivable, 12/31/01
Private Pay $17,726.00
Medicare $186,941.36
Medicaid $338,968.53
General $0.00
Accounts Payable-12/31/01 ($350,341.25)
Net Current Items, 12/31/01 ($442,345.44)
2001 Revenue Recorded through 12/31/01 $6,233,786.07
Includes Allocations of Anticipated Revenues
2001 Expenses Recorded through 12/31/01 $6,567,319.19
Includes Allocations of Expected Expenses
Farm Revenue 2001 $46,580.90
Farm Expense 2001 $7,331.92
Unaudited Farm Profit 2001 $39,248.98
St. Croix County Health and Human Services Board
Page 4
April 11, 2002
HEALTH AND HUMAN SERVICES - 2001- UNAUDITED
SUMMARY Total
OF REVENUES Jan.-Dec. Budget Balance
Administration 691,708.84 736,431.00 44,722.16 93.9%
AODA Services 430,953.99 353,366.00 (77,587.99) 122.0%
Intensive In-Home Treat. 144,279.37 176,471.00 32,191.63 81.8
Long Term Support 11,247,372.45 11,519,994.00* 272,621.55 97.6%
Mental Health 2,025,401.81 1,895,384.00 (130,017.81) 106.9%
Family & Children's 2,408,943.56 2,360,749.00 (48,194.56) 102.0%
Economic Support 1,076,039.12 1,256,132.00** 180,092.88 85.7%
General Relief 8,197.01 5,281.00 (2,916.01) 155.2%
TOTAL REVENUES
ALL PROGRAMS 18,032,896.15 18,303,808.00 270,911.85 98.5%
SUMMARY Total
OF EXPENDITURES Jan.-Dec. Budget Balance %
Administration 719,408.21 736,431.00 17,022.79 97.7W
Alcohol-Drug Abuse 359,462.06 353,366.00 (6,096.06) 101.7%
Intensive In-Home Treat. 123,940.67 176,471.00 52,530.33 70.2%
Long Term Support 11,447,827.03 11,519,994.00 72,166.97 99.4%
Mental Health 2,034,835.40 1,895,384.00 (139,451.40) 107.4%
Family & Children's 2,405,185.84 2,360,749.00 (44,436.84) 101.9%
Economic Support 1,133,067.55 1,256,132.00 123,064.45 90.2%
General Relief 63,193.66 5,281.00 (57,912.66) 1196.6%
Accrued Payroll 0.00 0.00 0.00 0.0%
TOTAL 2001 HUMAN
SERVICES BUDGET 18,286,920.42 18,303,808.00 16,887.58 99.9%
*Salaries for Human Services Professional Union Component are still being paid
at 1999 rate. Estimated costs for 2001 are $50,000 to $75,000.
*Estimated W-2 Close Out 140,000
**Estimated Close Out 405,436
Total Close Out Revenue 545,436
Total HHS Revenue 19,136,160
Total HHS Expense 19,333,612
Excess expense over revenue (197,452)
Close out Revenue 545,436
Excess revenue over expense 347,984
PUBLIC HEALTH - UNAUDITED
Total
• St. Croix County Health and Human Services Board
Page 5
April 11, 2002
Jan.-Dec. Budget Balance
TOTAL REVENUES* 1,103,263.77 1,099,234.00 (4,029.77) 100.4%
TOTAL EXPENDITURES 1,046,692.00 1,099,234.00 52,542.00 95.2%
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/02 THROUGH 02/28/02
NURSING HOME
Cash Balance 02/28/02 $432,910.30
Add:
Accounts Receivable, 02/28/02
Private Pay $19,325.37
Medicare $225,223.10
Medicaid $379,353.02*
General $0.00
Accounts Payable-02/28/02 ($239,729.61)
Net Current Items, 02/28/02 $817,082.18
2002 Revenue Recorded through 02/28/02 $1,220,439.69*
Includes Allocations of Anticipated Revenues
2002 Expenses Recorded through 02/28/02 $1,115,991.40
Includes Allocations of Expected Expenses
St. Croix County Health and Human Services Board
Page 6
April 11, 2002
HEALTH AND HUMAN SERVICES - 2002
SUMMARY Total
OF REVENUES Jan.-Feb. Budget Balance
Administration 129,703.29 786,486.00 656,782.71 16.5%
AODA Services 67,695.98 434,703.00 367,007.02 15.6%
Long Term Support 1,551,297.04 12,358,744.00 10,807,446.96 12.6%
Mental Health 434,677.31 2,297,343.00 1,862,665.69 18.9%
Family & Children's 407,779.50 2,519,843.00 2,112,063.50 16.2%
Economic Support 176,480.91 1,095,090.00 918,609.09 16.1%
General Relief 0.00 13,494.00 13,494.00 0.0%
REVENUES HUMAN
SERVICES PROGRAMS 2,767,634.03 19,505,703.00 16,738,068.97 14.2%
Public Health 186,196.37 1,256,677.00 1,070,480.63 14.8%
TOTAL REVENUES HEALTH
AND HUMAN SERVICES 2,953,830.40 20,762,380.00 17,808,549.60 14.2%
SUMMARY Total
OF EXPENDITURES Jan.-Feb. Budget Balance %
Administration 97,389.31 786,486.00 689,096.69 12.4%
Alcohol-Drug Abuse 39,363.81 434,703.00 395,339.19 9.1%
Long Term Support 1,033,012.10* 12,358,744.00 11,325,731.90 8.4%
Mental Health 281,546.23 2,297,343.00 2,015,796.77 12.3%
Family & Children's 273,089.05* 2,519,843.00 2,246,753.95 10.8%
Economic Support 153,531.81 1,095,090.00 941,558.19 14.0%
General Relief 1,897.46 13,494.00 11,596.54 14.1%
Accrued Payroll 306,792.54 0.00 (306,792.54) 0.0%
EXPENDITURES HUMAN
SERVICES PROGRAMS 2,186,622.31 19,505,703.00 17,319,080.69 11.2%
Public Health 158,531.64 1,256,677.00 1,098,145.36 12.6%
TOTAL EXPENDITURES HEALTH
AND HUMAN SERVICES 2,345,153.95 20,762,380.00 18,417,226.05 11.3%
*Salaries for Human Services Professional Union Component are still being paid at
1999 rate. Estimated costs for 2002 are $95,000 to $110,000.
To be on budget, percentage should be 16.67
R' St. Croix County Health and Human Services Board
Page 7
April 11, 2002
LONG TERM SUPPORT: Lockwood reported some proposed changes in Long Term
Support. It is anticipated that Northern and Central Developmental
Disability Centers will be closed and care will need to be provided for these
clients in the community. The County has seven clients at Northern Center.
Lockwood distributed a report describing the average daily costs for the
1998, 1999, and 2000 for a client to live in the community versus living at
one of the Centers. He said the counties get very few increases in the cost
of care for clients versus the centers. Pressure has been applied to provide
State match dollars for these clients as the additional costs to care for
these clients will belong to the counties.
INCREASE 60% LONG TERM SUPPORT SOCIAL WORKER POSITION TO 100%: Lockwood said
the State has allocated 24 CIP II slots to Long Term Support that the County
will implement effective 01/01/2002. This will allow the County to serve at
least 19 persons from the COP-W waiting list. If the current 60W social
worker position is expanded to 1008, seven of those 19 clients will be able
to be served. The 40% increase in this position would be limited term
employee status due to the process to be permanent would have to go through
Personnel. The estimated cost for increasing this position would be $14,273
and the estimated revenue generated due to increasing the position would be
$16,512. Lockwood said this is the only change he is requesting for this year
as future requests would be done through the formal budget process.
Motion: A motion was introduced by Berenschot, seconded by Burri and
unanimously adopted: That the Board approves to increase Long Term Support
Social Worker from 60% to 100% for 2002 and this request will be forwarded to
Personnel.
ECONOMIC SUPPORT/W-2: Squyer reported the client count for W-2 is down but
has no explanation for the decrease. She said Polk, Pepin, Pierce, Chippewa
and Dunn are also reporting similar declines in caseloads. Borup and Squyer
gave a presentation to the Finance Committee on 04/10/02 and are scheduled
for another update in July.
Squyer reported notice was received there would be some Community
Reinvestment money available to the counties based on the Performance
Standards criteria set by the State. She said the first allocation was for
$20,084 and this money will be used to supplement the W-2 Contract. This
includes customer benefits and supplementing the salary and fringes of
Financial Employment Planners.
She said we anticipate a second allocation of Community Reinvestment dollars
up to $29,000. A portion of this amount will be restricted for customer
benefits and the balance will be used to offset the Economic Support Program.
Squyer said the Estate Recovery Program issued an incentive check for $8,656.
This money will be used for supplement the 2002 Economic Support Contract.
Squyer said the total of $57,740 for the above listed monies was not budgeted
for in the 2002 budget.
Of the State revenues, for W-2 we will receive 1/24th revenue per month and
for Economic Support we will receive 1/12th revenue allocation per month.
Charlotte Skoviera is currently 50% Economic Support Specialist and 50% Child
Care Certifier. Her position will change to 40% Economic Support Specialist
and 60% Child Care Certifier due to changes in childcare requirements. She
St. Croix County Health and Human Services Board
Page 8
April 11, 2002
is required to monitor childcare centers and visit each center at least once
a year and monitor attendance reports effective May 1, 2002. We were
notified of this change in March, 2002, so this was not budgeted in the 2002
budget. This change will require a lot of travel and time out of the office.
Stephens suggested investigating purchasing another vehicle for this new
responsibility in May or June.
NURSING HOME: Nursing Home census is 83 with one admission pending. Borup
reported that Wipfli has been here doing the management audit. The survey
process with the State surveyors went well.
PERSONNEL ISSUES: Borup announced that Michele Johnson resigned her position
in Long Term Support effective 04/12/02. Discussion held regarding union
issues and open positions.
RESOLUTION TO ENACT 2002-2003 FEE STRUCTURE FOR CHAPTER 20, LODGING AND FOOD
PROTECTION, AND CHAPTER 21, TATTOOING AND BODY PIERCING: This resolution is
attached at the end of the minutes. Fee schedule for annual fee, pre-
inspection fee for change of owner, pre-inspection fee for new construction
were reviewed and compared to state fees.
Motion: A motion was introduced by Wentz, seconded by Burri, and unanimously
adopted: That the Board approves the resolution to enact 2002-2003 fee
structure for Chapter 20, lodging and food protection, and Chapter 21,
tattooing and body piercing (attached at the end of the minutes).
Nelson said the Legislative Event is scheduled for Monday, April 15, 2002,
from 9:00 AM to 11:00 AM at the St. Croix Health Center. She distributed an
agenda for the event and minutes of the previous event held on January 21,
2002. Board members were invited to attend.
Nelson said she has a copy of the Wisconsin State Health Plan 2010 and will
provide hard copies for the Board members after she receives them. The
website for accessing the report was provided.
Nelson informed the Board that the 2001 Wisconsin Youth Risk Behavior Survey
is now available. A copy of access address and website were distributed.
REAPPOINTMENTS TO MEDICAL STAFF AND DELINEATION OF PRIVILEGES FOR 2002:
MOTION: A motion was introduced by Craig, seconded by Wentz, and unanimously
adopted: That the Health and Human Services Board approves the following
reappointments and privileges of the Medical Staff:
1. REAPPOINTMENTS TO MEDICAL STAFF:
The Credentials Committee of the Medical Staff recommends to the St.
Croix County Department of Health and Human Services Board the
reappointments to the Medical Staff of the following members:
ACTIVE STAFF: CONSULTING STAFF:
David DeGear, M.D. Pastor Colon, M.D.
Bruce Hanson, M.D. Colin Drury, M.D.
David Olson, M.D. Hamid Khan, M.D.
Joseph Powell, M.D. Neal Melby, M.D.
• •St. Croix County Health and Human Services Board
Page 9
April 11, 2002
Clifford Tenner, M.D. John Simon, M.D.
Robin Reichert, M.D. Yev Mandelbroyt, M.D.
Bruce Schultz, M.D. John Swangim, M.D.
Anthony Hecht, M.D.
Sandra Beulke, M.D.
Michael Melby, M.D.
Joseph Beuning, PA
Cyndi Blader, PA
2. DELINEATION OF PRIVILEGES:
The Credentials Committee of the Medical Staff recommends to the St. Croix
County Department of Health & Human Services Board the approval of the
Delineation of Privileges as applied for by the medical staff to include
Group 1 privileges:
1. Care of non-critical medical and geriatric patients, and patients
who are admitted for diagnostic purposes.
2. Care of terminally ill patients.
3. Care of first and second degree burns.
4. Minor surgery, including simple lacerations, incision and
drainage of superficial abscesses, removal of lightly imbedded
corneal foreign bodies, and emergency tracheostomy.
For: David DeGear, M.D. Pastor Colon, M.D.
Bruce Hanson, M.D. Colin Drury, M.D.
David Olson, M.D. Hamid Khan, M.D.
Joseph Powell, M.D. Neal Melby, M.D.
Clifford Tenner, M.D. John Simon, M.D.
Robin Reichert, M.D. Yev Mandelbroyt, M.D.
Bruce Schultz, M.D. John Swangim, M.D.
Anthony Hecht. M.D.
Sandra Beulke, M.D.
Michael Melby, M.D.
And recommends Group 11 Specialty Privileges as applied for by:
David DeGear, M.D. Pastor Colon, M.D.
Bruce Hanson, M.D. Colin Drury, M.D.
David Olson, M.D. Hamid Khan, M.D.
Joseph Powell, M.D. Neal Melby, M.D.
Clifford Tenner, M.D. John Simon, M.D.
Bruce Schultz, M.D. Yev Mandelbroyt, M.D.
Robin Reichert. M.D. John Swangim, M.D.
Michael Melby, M.D.
Joseph Beuning, P.A Sandra Beulke, M.D.
Cyndi Blader, P.A. Anthony Hecht, M.D.
NEW APPOINTMENT AND PRIVILEGES FOR MIKE MELBY, MD:
Motion: A motion was introduced by Craig, seconded by Wentz, and unanimously
adopted: That the Board approves the following appointment to the Medical
Staff for Michael Melby, MD to include both Group I and Group II Privileges:
1. APPOINTMENT TO MEDICAL STAFF:
St. Croix County Health and Human Services Board
Page 10
April 11, 2002
The Credentials Committee of the Medical Staff recommends to the St.
Croix County Department of Health and Human Services Board the
reappointments to the Medical Staff of Michael Melby, MD
2. DELINEATION OF PRIVILEGES:
The Credentials Committee of the Medical Staff recommends to the St.
Croix County Department of Health and Human Services Board the approval
of the Delineation of Privileges as applied for by the medical staff to
include Group 1 privileges:
1. Care of non-critical medical and geriatric patients, and patients
who are admitted for diagnostic purposes.
2. Care of terminally ill patients.
3. Care of first and second degree burns.
4. Minor surgery, including simply lacerations, incision and drainage
of superficial abscesses, removal of lightly imbedded corneal
foreign bodies, and emergency tracheostomy.
For:
Michael Melby, MD
And recommends Group II Specialty Privileges as applied for by:
Michael Melby, MD
Stephens 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: 9:40 AM
Chair:
Attest:
(Secretary)
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