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HomeMy WebLinkAboutHealth & Human Services 04-25-02 z 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: 04/25/02 TIME: 6:30 p.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 05/14/02 ACTION ON PREVIOUS MINUTES: 04/11/02 ANNOUNCEMENTS APPOINTMENTS : UNFINISHED BUSINESS: NEW BUSINESS: 1. Health and Human Services Board Reorganization a. Election of officers 2. Program Reports a. Nursing Home b. Family and Children's 3. Personnel Issues a. Status of Deputy Director Position and possible action on position. 4. Budget Update 5. Capital Outlay plan update. 6. Schedule Annual 2003 Open Budget Meeting 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 25, 2002 The St. Croix County Health and Human Services Board met on April 25, 2002 at 6:30 PM at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Leon Berenschot, Chair Lois Burri Fern Johnson-Schmidt Esther Wentz Tom Dorsey Mary Louise Olson Ralph Swenson MEMBERS ABSENT: Chris Bethke, excused James Craig, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Kathy Dunlap, Family & Children's, Supervisor Kathy Leisch, Secretary OTHERS PRESENT: Robert Boche Buck Malick Chair Berenschot called the meeting to order at 6:30 PM noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Tuesday, May 14, 2002 at 8:30 AM. The following meeting is scheduled for Thursday, May 25, 2002 at 6:00-6:45 PM. An open hearing will follow at 7:00 PM. Wentz is scheduled to review vouchers. AGENDA: Motion: A motion was introduced by Wentz, seconded by Johnson- Schmidt, 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 04/11/02 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENTS: Berenschot and Olson were reappointed to the Health and Human Services Board. New members of the Health and Human Services Board are Ralph Swenson and Tom Dorsey. ELECTION OF OFFICERS: Berenschot announced that the election of officers would take place. Berenschot asked for nominations for the position of chair. Dorsey was nominated for the Chair position. Berenschot declared Dorsey to be the Chair of the Health and Human Services Board. Berenschot turned the meeting over to Chair Dorsey. Dorsey asked for nominations for the position of Vice Chair. Wentz and Berenschot were nominated for the position of Vice Chair. Wentz withdrew her nomination. Dorsey declared Berenschot to be the Vice Chair of the Health and Human Services Board. St. Croix County Health and Human Services Board Page 2 April 25, 2002 Dorsey asked for nominations for the position of Secretary. The Board cast a unanimous vote for Bethke. Dorsey declared Bethke to be the Secretary of the Health and Human Services Board. Borup stated that the Long-Term Support Planning Committee members' two-year terms expire and the appointments are selected by the County Board chair and approved by the County Board. Borup stated that they are losing some committee members. Malick stated that Borup would be doing a public service announcement for the media to see if there are other people interested in being on the Committee. Current members are: Margaret Wolske, County Board Rep John Mortensen, County Board Rep James Craig, MD, New Richmond Bruce Bayer, New Richmond Fern Johnson-Schmidt, Star Prairie- Health and Human Services Board Richard Peterson, Baldwin Keith Gregerson, Baldwin Ray Mealey, New Richmond Robert Palewicz, Glenwood City Francis Schaffner, Hudson Marguerite Sumner, Hudson Wanda Viellieux, New Richmond Glenda Zielski, River Falls Robert Boche, New Richmond Nursing Home Adm. Selection for membership from our by-laws (per Wis. Statute 46.27 (4)) are as follows: Article III: Membership 1. Members of the Committee will be selected by the Chairperson of the St. Croix County Board of Supervisors and approved by the County Board of Supervisors. 2. The Committee will be composed of at least thirteen, but no more than fifteen persons. 3. The Committee will include, at a minimum, the following members: a. At least six (6) persons receiving long-term community support services, each of whom represents of the following consumer groups: (1) Elderly persons; (2) Persons with physical disabilities; (3) Persons with developmental disabilities; (4) Persons with severe and long term mental illness; (5) Persons with chemical dependency; (6) Persons with Alzheimer's disease; Note that up to four (4) of the six (6) consumer representatives may be guardians or relatives of consumers. At least two of the above must be actual recipients of long-term community support services. b. Two (2) County Board Supervisors c. One (1) member of the Health and Human Services Board. County also be County Board Supervisor. St. Croix County Health and Human Services Board Page 3 April 25, 2002 d. One (1) representative from the Department on Aging Board of Directors. e. One (1) discharge planner from a local hospital. f. One (1) representative from a local nursing home. g. One (1) physician. h. One (1) veteran of the U.S. Military Service. 4. Members will be appointed for two-year terms, beginning May 1 immediately following the election of a new County Board. Members may be removed without cause at the discretion of the County Board. Members appointed to serve committee vacancies will serve the remainder of the two-year term and then will be eligible for reappointment. St. Croix County employees are excluded from membership to eliminate conflicts of interest as well as to reduce the appearance of conflict of interest. NURSING HOME: Krieger welcomed the new members to the Health and Human Services Board. Krieger stated that the census is at 88 with three admissions pending. Krieger stated that the final IGT award has been determined and will be deposited in the June cash balance. The amount is $235,471 making the total 2001-2002 IGT award 942,471. This amount is $140,529 less than the State originally stated. Krieger received the notification for bed banking on or before June 30, 2002. Krieger stated that if we do not downsize she might have to bank two beds and then unbank them the same day so the Long Term Support Committee would have access to those beds for CIP slots in 18 months. Krieger stated that if the Board decides to downsize by June 30, 2002, she will be able to negotiate a downsizing rate with the State and she would not have to bank any beds. Berenschot recommended that the board wait until the management audit report is complete before a decision is made. Motion: A motion was introduced by Berenschot, seconded by Burri, and unanimously adopted: That the Board waits until the management audit report is complete before a decision is made whether or not to downsize or bank beds. FAMILY AND CHILDREN'S: Dunlap stated that the main job of Family and Children's is child protection and juvenile delinquency. Dunlap stated that they are currently looking to update their computers. Dunlap stated that they are beginning pre-implementation of WISACWIS (WI Statewide Automated Child Welfare Information System). This is a State mandated system. Dunlap stated that originally this system was to be for child welfare cases only. Counties objected to the exclusion of juvenile delinquency and are now working on expanding the system to include that population. Dunlap stated with this new statewide system everybody will be using the same forms and the same information will be available for combined caseloads. Dunlap stated that when the 2002 budget was done they were allocated five computers at a cost of $1,680 per computer in the capital outlay plan. Costs applicable to implementation are potentially 50% federally reimbursable. Dunlap stated that she has talked to our IT and the State IT and found out that some of Family and Children's computers are not going to be compatible with the WISACWIS program. Dunlap stated that with the price of computers right now she would be able to purchase the 14 computers for $485 more than she had originally St. Croix County Health and Human Services Board Page 4 April 25, 2002 budgeted for the five computers. Borup stated that this would leave us with an overall savings of $40,000 in the original capital outlay plan because we are using less county money to purchase this equipment. Dunlap stated that she would be able to use the 50% discount on computers for accounts receivable as well because they interface with Family and Children's. Dunlap stated that they would also be reimbursed for time spent implementing this computer system. All of the files since January 2000 will have to be put manually into this new system. Borup stated that the State wants a statewide system so that they can track kids and families when they move. Dunlap stated that she would like to pursue this as it could allow the computers to be updated with cost savings to the County. Borup stated that any changes would be reflected in the capital outlay system. Dunlap stated that the intent of this system is to improve social service work throughout Wisconsin and sees this as an improvement. PERSONNEL ISSUES: Borup stated that the Community Support-Mental Health Social Worker position was unanimously approved by the County Board with a sunset clause. LTE Social Worker Jennifer Rodriguez has filled this vacancy. Borup stated personnel has approved the immediate filling of the Long Term Support 40% LTE Social worker position. Sue Lyksett has filled this vacancy. Borup stated that they would work with the Personnel Committee in May to pursue making this permanent. Borup stated that this position is needed to provide case management services for CIP II slots opened with Nursing Home downsizing. Borup stated that Angie Magoon has been hired into the Long-Term Support Program Specialist position vacated by Michele Johnson effective April 15, 2002. Borup stated that Carmen Swartz has been hired in the vacant clerical position for AODA/front desk receptionist. STATUS OF DEPUTY DIRECTOR POSITION AND POSSIBLE ACTION ON POSITION: The Board asked Malick to join in the discussion about the deputy director position. The Deputy Director position is scheduled in the 2002 budget to be filled effective July 1, 2002. This position has been vacant for five years. Borup stated that he is requesting to recruit this position for July 1, 2002. Malick stated that we all recognize that we are facing some tough financial times but the Health and Human Services Board needs to make the best decision to fill this position that the County Board did authorize. Berenschot stated that right now we have nobody to take over Borup's position if he is unable to be here. Borup stated that right now Kiesler assumes this position when he is gone but isn't compensated for it. Borup stated that we need to make a closure on this issue. Borup asked to fill the position. The Board discussed three choices: to fill the position, not to fill the position or delay the decision on filling the position. Borup questioned whether we would lose the position if it were not filled by June of 2003. Swenson stated that this is a new position, not a vacancy, so the 12-month rule doesn't apply because the new position has already been budgeted for. He said that this is a time in which Borup and Ziegler could use administrative help in doing the 2003 budget. Borup stated that they would be able to focus more on MA and insurance revenues in the area of Long Term Support and across the board to spend more time in budget analysis. Borup stated that this position was budgeted to start on July 1, 2002. Burri suggested that the Board wait until St. Croix County Health and Human Services Board Page 5 April 25, 2002 all the board members are present to vote on filling the position for July 1, 2002. Motion: A motion was introduced by Berenschot, seconded by Burri, and unanimously adopted: That the Board indefinitely table the possible action on the deputy director to be able to get the best possible fiscal information before making a decision. Malick stated that he is going to encourage the finance committee to give credit to department heads like Borup that voluntarily cut positions while taking other actions to increase revenues and decrease expenses. Borup stated that we have fewer employees now than when he came here in 1989. BUDGET UPDATE: Borup stated that Rod Paulson started the Nursing Home audit on April 19, 2002 and will return for the Department audit in May. CAPITAL OUTLAY PLAN UPDATE: Borup presented the Capital Outlay Plan update. Chuck whiting is planning report to finance on May 10, 2002. Changes include using non-County revenues for additional purchases that could reduce County costs, adjustments to Nursing Home plan pending Board direction. Borup stated that the Health & Human Services has made the computer adjustments and purchased the automobiles and the ECHO software is about halfway done. The courtyard project has been delayed until 2004. Borup stated that there has been no change in St. Croix Industries. Krieger stated that she had spent part of the capital outlay plan even though she wasn't budgeted for it, but she cut some staff to pay for the licenses, hardware and the server. The actual software updating transition fee was paid for by the Bayport grant. Krieger stated that she did cover that cost of that and it would show up in the depreciation and that she moved forward the room and other type of things that they were going to purchase into the next year and pushed every year down another year further. Motion: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: That the Board approve the Capital Outlay Plan draft as stated by Borup with the correction of the Nursing Home years as 2003 and 2004, not 2002 and 2003 as shown. SCHEDULE ANNUAL 2003 OPEN BUDGET HEARING: Borup stated that it is time to schedule our mandated Annual Open Hearing. It was decided by the Board to hold the May 23 meeting at 6:00 PM. The Annual Open Hearing will follow at 7:00 PM. Swenson stated that he would not be at that meeting. Borup stated that it is not mandatory for Board members to be at the open hearing. There was discussion on changing the days and times of the Health and Human Services Board meetings. Borup stated that the history has always been that the day meetings have always been held after the finance committee meets. Swenson questioned why the finance committee is approving vouchers relating to Health and Human Services without this Board taking action on those vouchers first. Borup stated that he would check as to whether the meetings have to be held after the finance committee meets. Burri stated that she has a conflict with the starting time of the day meetings because she is on another committee at that time. Dorsey asked if there were any other issues to bring before the Board. St. Croix County Health and Human Services Board Page 6 April 25, 2002 Malick presented Dorsey with a plaque for his years of exemplary service to the St. Croix County Board. Dorsey stated that he is happy to be on the Health and Human Services Board and he is looking forward to serving on the Board. Motion: A motion was introduced by Berenschot, seconded by Wentz, and unanimously adopted: that the meeting be adjourned. Time: 8:15 PM Chair: Attest: (Secretary)