Loading...
HomeMy WebLinkAboutHealth & Human Services 06-27-02 REVISED-6/25 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: 06/27/02 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: 07/11/02 ACTION ON PREVIOUS MINUTES: 06/11/02 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1. Program Reports a. Nursing Home b. Long Term Support c. Public Health 1. Update on Agent Status 2. Report on Bioterrorism grants 2. Personnel Issues a. Reclassification requests for 2003 1. Reproductive Health Clerk/Receptionist to a Reproductive Health Program Assistant 2. Lead Public Health Nurse 3. Economic Support/W-2 Supervisor b. New and upgraded position request for 2003 1. Environmental Health Specialist-increase from 60% to 100% c. Long Term Support Social Worker/Case Management Job Share request 3. Budget update 4. Setting 2002 Mental Health/ AODA Rates 5. Nursing Home roof repair needs 6. Review of Wipfli Nursing Home Audit Report 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 June 27, 2002 The St. Croix County Health and Human Services Board met on June 27, 2002 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Thomas Dorsey, Chair Leon Berenschot Chris Bethke Lois Burri James Craig Fern Johnson-Schmidt Mary Louise Olson Ralph Swenson Esther Wentz MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Ron Lockwood, Long Term Support Coordinator Ron Kiesler, AODA/Mental Health Coordinator Mary Squyer, Economic Support Supervisor Laurie Diaby-Gassama, Sanitarian Barbara Nelson, Public Health Supervisor-Health Officer Ralph Robole, Facilities Manager Kristie Tellijohn, Director of Nursing Malva Berg, Secretary OTHERS PRESENT: Jo Dewitt, Nursing Home RN 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 Thursday, July 11, at 8:30 AM. Burri will review vouchers. 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 Bethke, and unanimously adopted: That the minutes of the 06/11/02 Health and Human Services Board meeting be approved as circulated. Discussion held regarding number of meetings per month and times of the Board meetings as some members have conflicts with some of the meeting dates/times. Discussed the possibility of having only one meeting per month. Consensus of members that two meetings per month were needed until the Nursing Home management audit is complete and some issues have been brought to conclusion from that and then to try one meeting per month. The following dates/times were set for Health and Human Services Board meetings for the next three months: July 11, 2002 at 8:30 AM, July 25, 2002 at 6:30 PM, August 13, 2002 at 8:30 AM, August 22, 2002 at 6:30 PM, September 12 (changed from the 11th) at 8:30 AM, and September 26 at 6:30 PM. St. Croix County Health and Human Services Board Page 2 June 27, 2002 Borup said the social worker arbitration has been received and the County's position on salary and health insurance was accepted. Efforts are being made to issue back paychecks by the end of the month. Borup is waiting for a official copy of the settlement. PROGRAM REPORTS: Long Term Support: Lockwood said COP is a state-funded program for people to stay in the community setting in their own home. He said CIP 2 slots are filled first as we only get money if the slots are filled. Lockwood said Brain Injury Waiver (BIW) policies have been modified to permit the creation of locally matched slots. This policy should permit St Croix County to more fully utilize the federal and state resources available through the current BIW program. The seven current regular BIW slots generate $180 per person per day in program revenue. During CY2001 average daily expenses were $113 per person per day. Excess revenue of $171,000 was returned to the state because excess BIW revenue cannot be transferred to other waiver programs that have waiting lists. The locally matched BIW slots now available will permit the county to utilize the excess revenue from the regular slots to serve two or three additional county residents with brain injury at no cost to the county. Lockwood also highlighted other areas of Long Term Support including the Family Support Program, guardianship program, St. Croix Industries and respite care. A memo requesting a job share was distributed to Board members. Details were outlined in the memo. A vacancy would be created if this request is approved and the vacancy would shift from a non-union to a union position. Motion: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: That the job share request be tabled until Deb Kathan is able to attend a Board meeting and Board members are able to get a history of job share in our county. NURSING HOME ROOF REPAIR NEEDS: The Nursing Home roof repair was placed on the 2004 capital outlay plan. Robole reported the east wing of the Nursing Home has deteriorated and needs immediate replacement. No money has been budgeted to do this in 2002. A price of $2.50/square foot or $13,715 for the entire job was received from North Central Insulation. This is the same company that replaced the roof for Health and Human Services and St. Croix Industries and we have been very pleased with their work. Their process also adds insulation to the roof. Discussion held regarding possibly paying for the roof repair out of the farm account. Also discussed whether this would have to be bid. Timmerman has been consulted regarding this. Section 66.0901 (2) allows the County to require the contractor to submit a notarized statement, which consists of information relating to financial ability, equipment, experience in the work required and other information deemed necessary to protect the public. It was the consensus of the Board that this matter is urgent and the Board is responsible for the grounds and buildings and is a repair that should be done immediately. The Health and Human Services Board will request a notarized statement from North Central Insulation describing their financial ability to perform the work, the equipment available to do the work, their experience in St. Croix County Health and Human Services Board Page 3 June 27, 2002 this type of work and any other information deemed relevant to protect the public. Motion: A motion was introduced by Berenschot, seconded by Burri, and unanimously adopted: That the Board accepts the quote from North Central Insulation for $13,715 to repair the Nursing Home roof, and that the monies be taken from Nursing Home funds. Public Health: Nelson introduced Laurie Diaby-Gassama as a registered sanitarian. The County officially gained agent status as of 07/01/02. The State requires Board approval for the policy and procedure book for the program. The book outlines code requirements and was developed using State standards and used model from the state. She said renewal notices have gone out and so far $27,541 has been received and expect to receive a $10,000 grant from the State soon. She said licenses are sent out as soon as fees are received and a newsletter is sent with each license. Licenses are due by July 1, 2002 and there is a $75.00 late fee if the license fee is not received by July 1st. The fees for the program were set based on the State fees. Agent status information is also available on the county website. Board members questioned publishing results of inspections to give information to the public also; a process to share the information is still being developed. Motion: A motion was introduced by Berenschot, seconded by Wentz, and unanimously adopted: That the Board approves the policies and procedures for the agent program, which are the same as the State standards except for fees. Bioterriorism grants: In February, DHHS Secretary Tommy Thompson announced that Wisconsin would be eligible for approximately $19 million dollars this federal fiscal year for public health expenditures across a variety of categories to combat terrorism. Nelson said some of these grants will be applied for and will work with Emergency Management. She reported areas the funding will be used to continue to improve the State and local health department preparedness and response capabilities relative to bio-terrorism. Board members requested a summary of monies received/spent and plans that are in place. The Board recessed from 10:45 to 10:55. Reproductive Health Clerk/Receptionist to a Reproductive Health Program Assistant Reclass Request: This position has gone from a support position to a management position with more program management duties and a significant increase in job responsibilities. Motion: A motion was introduced by Bethke, seconded by Wentz, and adopted with Swenson and Olson voting no, That the Board approves the reclassification of the Reproductive Health Program Assistant and that the position be forwarded to the Personnel Committee for Hay review. Lead Public Health Nurse Reclass Request: Nelson said this position has not been revised since 1994 and has had the most significant changes in the last two years. Board members requested a copy of the organizational chart when a reclass or new position is submitted. Motion: A motion was introduced by Wentz, seconded by Swenson, and unanimously adopted: That the Board approves the reclassification of the Lead Public St. Croix County Health and Human Services Board Page 4 June 27, 2002 Health nurse position and that the position be forwarded to the Personnel Committee for Hay review. Economic Support/W-2 Supervisor: This position was last updated in 1994 but was not updated with W-2 information when that program was added. Also added to this position was the duty of County Computer Security Officer. Motion: A motion was introduced by Wentz, seconded by Burri and unanimously adopted: That the Board approves the reclassification of the Economic Support/W-2 Supervisor and that the position be forwarded to the Personnel Committee for Hay review. Environmental Health Specialist-increase from 60% to 100%: This position has worked 80% since last summer and based on workload and funding, a request is being made to increase the position from 60 to 100%. Funding would come from Clean Indoor Air and Childhood Lead Poisoning grants, with additional monies coming from the licensure/pre-inspection/ inspection fees of the Agent program with no county monies. Motion: A motion was introduced by Swenson, seconded by Berenschot, and adopted with Olson voting no, That the Environmental Health Specialist position be increased from 60 to 100% with funding coming from the Clean Indoor Air and Childhood Lead Poisoning grants and additional monies coming from the licensure/pre-inspection/ inspection fees of the Agent program, with a sunset clause that the position go back to 60% if this funding ends. BUDGET UPDATE: Borup said Rod Paulson will give the audit exit at the July 25 meeting. Dorsey requested Berenschot to attend the next Finance Committee meeting on July 10. SETTING 2002 MENTAL HEALTH/AODA RATES: Mental Health/AODA rates are recalculated every year. Rates are calculated by adding staff salary and fringes, program related costs, space costs, Health and Human Services overhead and St. Croix County Government (indirect) overhead. The sum is then divided by the number of direct service hours provided by each discipline. Motion: A motion was introduced by Berenschot, seconded by Wentz, and unanimously adopted: That the Board approves the following rates effective July 1, 2002: M.D. _ $200 (individual), $67 (group) Ph.D. _ $150 (individual), $50 (group) Master's = $125 (individual), $42 (group) Bachelor's = $100 (individual), $33 (group) AODA Counselor = $ 95 (individual), $32 (group) IDP Assessment = $260 IDP Re-Assessment Fee = $260 IDP Final Report = $ 95 IDP No Show Fee = $ 95 AODA Court Ordered Evals = $170 MMPI Court Ordered Evals = $245 Registered Nurse = $110 (individual), $37 (group) Mental Health Technician = $ 75 (individual) ATLAS House sliding rate = $ 15 per day • St. Croix County Health and Human Services Board Page 5 June 27, 2002 Kiesler also requested direction from the Board on the contracted rate with HMO Medical Assistance plan (Group Health Cooperative of Eau Claire). He said nearly a decade ago the State of Wisconsin restructured a portion of the Medical Assistance Program to be administered by HMOs. At that time the rate offered to providers was $34.00/hour for psychotherapy (master's level) and $29.00/hour for AODA counseling. To date, this rate has not been increased. The dilemma is that it is unlikely that they will increase the rate to our "breakeven point" of $62.05/hour for psychotherapy and $45.23/hour for AODA counseling. (Breakeven point meaning the cost of staff salary and fringe divided by the billable production expectation.) He said if they do not increase our rate and we terminate the contract we will be turning away some of the more "needier" clients we serve. On the other hand, if they do not increase our rate and we continue to honor the contract we will continue to operate at a loss and, in essence, subsidize Group Health Cooperative of Eau Claire HMO health plan. A meeting with Group Health Cooperative of Eau Claire to discuss rates is scheduled on 7/16/02. Borup said the purpose of our agency is to service the needy. Motion: A motion was introduced by Wentz, seconded by Bethke and unanimously adopted: That the Board approves negotiating to get a concession from Group Health Cooperative of Eau Claire HMO and to bring back to the Board at the July 25th meeting. Dorsey left the meeting: 11:40 AM; Berenschot took over as chair. United Hospital has requested an increase in contract rates as of July 1, 2002 and again January 1, 2003. Kiesler said United is serving about 30% of our population for emergency detentions. This would be about 75-80 clients that would need alternative placement and there aren't any other sources available. He reviewed rates of other contracted hospitals. Motion: A motion was introduced by Bethke, seconded by Wentz, and unanimously adopted: That the Board approves the rate increase as requested by United Hospital. NURSING HOME: A proposed letter to the editor regarding the report from Wipfli was distributed to Board members. It was consensus of Board that it would be premature to issue this letter before the full report from Wipfli is received and staff should wait issuing the letter. Berenschot asked if there were any other issues to bring before the Board. Motion: A motion was introduced by Wentz, seconded by Swenson, and unanimously adopted: that the meeting be adjourned. Time: 12:02 PM Chair: Attest: (Secretary)