HomeMy WebLinkAboutHealth & Human Services 06-12-01 X
ESTHER WENTZ WILL REVIEW VOUCHERS AT 8:00 AM
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: 06/12/01
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: 06/28/01
ACTION ON PREVIOUS MINUTES: 05/24/01
ANNOUNCEMENTS
APPOINTMENTS:
ELECTION OF OFFICERS
UNFINISHED BUSINESS:
1. Filling Deputy Director job position
2. Approval of Resolution to Bank Beds
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. 2000 Department Audit Report-Tracey & Thole
3. Financial Report
4. Program Reports
a. Economic Support/W-2
b. Nursing Home
5. Request to bid for new forklift for St. Croix Industries
6. Personnel Issues
a. Job description reviews and possible referral to Personnel Committee
1. Health Officer/Public Health Supervisor
b. New position request-2002 Budget
1. Mental Health Community Support Program Social Worker-Limited Term
to Permanent
2. Registered Sanitarian
7. Tour of Health Center grounds and farm land
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
ESTHER WENTZ WILL REVIEW VOUCHERS AT 8:00 AM
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: 06/12/01
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: 06/28/01
ACTION ON PREVIOUS MINUTES: 05/24/01
ANNOUNCEMENTS
APPOINTMENTS:
ELECTION OF OFFICERS
UNFINISHED BUSINESS:
1. Filling Deputy Director job position
2. Approval of Resolution to Bank Beds
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. 2000 Department Audit Report-Tracey & Thole
3. Financial Report
4. Program Reports
a. Economic Support/W-2
b. Nursing Home
5. Request to bid for new forklift for St. Croix Industries
6. Personnel Issues
a. Job description reviews and possible referral to Personnel Committee
1. Health Officer/Public Health Supervisor
2. Birth to Three Program Director
b. New position request-2002 Budget
1. Mental Health Community Support Program Social Worker-Limited Term
to Permanent
2. Registered Sanitarian
7. Tour of Health Center grounds and farm land
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
r
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
June 12, 2001
The St. Croix County Health and Human Services Board met on June 12, 2001 at
the St. Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Lois Burri
Einar Horne
Fern Johnson
Mary Louise Olson
MEMBERS ABSENT: James Craig, Excused
Esther Wentz, Excused
STAFF PRESENT: John Borup, Health and Human Services Director
Carolyn Krieger, Nursing Home Administrator
Ron Kiesler, Mental Health/AODA Coordinator
Judy Ziegler, Accounting Supervisor
Ron Eichstaedt, Director, St. Croix Industries
Clark Schroeder, St. Croix Industries
Malva Berg, 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 June 28, 2001 at 6:30 PM at the St. Croix County Health and
Human Services/Health Center complex. Krieger announced the Nursing Home
annual picnic will also be held at 5:00 PM on 06/28/01 and Board members will
receive an invitation to the picnic.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Bethke,
and unanimously adopted: That the agenda be approved, moving item #2, 2000
Department Audit Report-Tracey and Thole to the July 11th meeting and removing
item #7, tour of Health Center grounds and farm land.
MINUTES: Motion: A motion was introduced by Berenschot, seconded by
Johnson, and unanimously adopted: That the minutes of the 05/24/01 Health
and Human Services Board meeting be approved as circulated.
MINUTES: Motion: A motion was introduced by Horne, seconded by Berenschot,
and unanimously adopted: That the minutes of the 05/24/01 Health and Human
Services Board Open Hearing be approved as circulated.
FILLING DEPUTY DIRECTOR JOB POSITION: Stephens said the Deputy Director
position has been open for the past four and a half years. He said there is
a need to fill this position as the current director is working 60 hours a
week. Stephens said Borup has appointments outside the facility also and
needs to appoint someone to be in charge in his absence. Borup said once a
position is established, the position remains on the organizational chart
unless it is formally removed by the County Board.
Motion: A motion was introduced by Burri, seconded by Berenschot, and
unanimously adopted: That the Board approves filling the position of Deputy
Director effective 01/01/02, placing it in the 2002 budget.
RESOLUTION TO BANK NURSING HOME BEDS: Stephens said the Keefe study
indicated the Board should not hold off on banking nursing home beds. Borup
said Keefe is scheduled to be at the 06/19/01 County Board meeting along with
Krieger and Borup and will give a brief presentation on the status of the
Nursing Home study. Banking 27 beds would result in a loss of three beds as
of 01/01/02. Stephens said this request needs to be to the State before
06/30/01. Horne said he objects in principle to this resolution due to the
amount of money involved.
Motion: A motion was introduced by Stephens, seconded by Burri, That the
Board approves the following resolution for banking nursing home beds and
forward to the full County Board for their June 19, 2001 meeting:
RESOLUTION AUTHORIZING THE ST. CROIX COUNTY NURSING HOME
TO BANK 27 BEDS
RESOLUTION #
WHEREAS, The St. Croix County Nursing Home is responsible for caring for
those needing nursing home care; and has experienced a declining census; and
WHEREAS, the State of Wisconsin has recognized the declining census statewide
and imposed a penalty on the Medicaid rate if occupancy drops below 90.5°%,
and
WHEREAS, the St. Croix County Nursing Home has experienced a penalty each
year since the State of Wisconsin initiated the Medicaid penalty, and
WHEREAS, if granted, the St. Croix County Nursing Home would bank 27 beds by
June 30, 2001 to qualify for the full Medicaid rate 07/01/01 but if needed
could request those beds back within 18 months, and
WHEREAS, the State of Wisconsin would permanently delicense 10% of the
remaining banked beds on January 1 of each year, creating a 126-bed facility
as of January 1, 2002.
NOW, THEREFORE, be it resolved by the St. Croix County Board that the St.
Croix County Nursing Home will proceed with banking 27 beds effective
07/01/01 with a letter to the State of Wisconsin dated by June 30, 2001.
Dated this 19th of June, 2001.
~I
Offered by: St. Croix County Health and Human Services Board.
Roll call vote:
Robert Stephens-yes
Leon Berenschot-yes
Chris Bethke-yes
2
Lois Burri-yes
James Craig-absent
Einar Horne-no
Fern Johnson-yes
Mary Louise Olson-yes
Esther Wentz-absent
Six yes, one no, two absent motion passed.
CONSIDERATION OF CLAIMS: The following reports for May were distributed to
the Board: unemployment, fixed assets, and cash reports.
Health and Human Services Board member, Stephens, reviewed and questioned the
following May vouchers:
HUMAN SERVICES:
7811: Cox Motor Sales, Inc, $28,990.00, two fleet cars. Purchase of two -
2001 Ford Taurus sedans for department fleet.
Motion: A motion was introduced by Stephens, seconded by Bethke, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book pages 1501 through 1592:
Human Services vouchers 7643 through 7712, dated May 17, 2001 in the amount
of $267,052.71.
Human Services vouchers 7713 through 7757, dated May 24, 2001 in the amount
of $89,716.72.
Human Services vouchers 7759 through 7787, dated May 30, 2001 in the amount
of $171,915.55.
Human Services vouchers 7788 through 7789, dated May 31, 2001 in the amount
of $1,207.45.
Human Services voucher 7790 dated June 01, 2001 in the amount of $750.00.
Human Services vouchers 7791 through 7852, dated June 07, 2001 in the amount
of $135,797.07.
Human Services vouchers 7853 through 8132, dated June 12, 2001 in the amount
of $114,326.62.
Human Services vouchers 8064 through 8133, dated June 12, 2001 in the amount
of $26,587.97.
Nursing Home vouchers 1210 through 1216, dated May 17, 2001 in the amount of
$8,655.91.
Nursing Home vouchers 1217 through 1223, dated May 24, 2001 in the amount of
$917.41.
Nursing Home vouchers 1224 through 1226, dated May 30, 2001 in the amount of
$873.15.
Nursing Home voucher 1227, dated June 07, 2001 in the amount of $100.00.
3
Nursing Home vouchers 1230 through 1278, dated June 12, 2001 in the amount of
$67,775.32.
Human Services and Nursing Home vouchers 261 through 287, dated May 22, 2001
in the amount of $160,961.98.
Human Services, Workshop, Public Health vouchers 264 through 290, dated May
23, 2001 in the amount of $207,183.46.
Social Services and Human Services vouchers 161 through 178, dated May 23,
2001 in the amount of $44,470.98.
Human Services and Nursing Home vouchers 288 through 316, dated June 05, 2001
in the amount of $218,717.48.
Human Services, Workshop, Public Health vouchers 291 through 324, dated May
31, 2001 in the amount of $264,479.27.
Social Services and Human Services vouchers 179 through 197, dated May 31,
2001 in the amount of $44,913.23.
FINANCIAL REPORT: Borup said there will be no increase in 2002 community
aids funding. He said the Department may have to re-evaluate whether or not
we want to be a W-2 provider as funding cuts occur in the program. In
general, State revenues for mandated services will not increase in 2002,
while the County will incur inflationary increases. Borup indicated Rod
Paulson's "exit" audit has been postponed to June 28. Borup reminded the
Board of the large carryover funds from 2000-2001 which will reduce our
account to a lower balance than in recent years. The following financial
reports for April were distributed to the Board:
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/01 THROUGH 04/30/01
NURSING HOME
Reconciled Cash Balance 04/30/01 ($283,209.88)
Add:
Accounts Receivable, 04/30/01
Private Pay $22,583.38
Medicare $117,360.24
Medicaid $196,748.07
General $0.00
Accounts Payable-04/30/01 ($179,276.30)
Net Current Items, 04/30/01 ($125,794.49)
2001 Revenue Recorded through 04/30/01 $1,901,494.75
Includes Allocations of Anticipated Revenues
2001 Expenses Recorded through 04/30/01 $2,085,015.36
Includes Allocations of Expected Expenses
r
HEALTH AND HUMAN SERVICES - 2001
SUMMARY Total
OF REVENUES Jan.-Apr. Budget Balance
Administration 253,178.53 736,431.00 483,252.47 34.40
AODA Services 130,381.50 353,366.00 222,984.50 36.9%
Intensive In-Home Treat. 43,723.31 176,471.00 132,747.69 24.8%
Long Term Support 3,187,647.00 11,519,994.00 8,332,347.00 27.70
Mental Health 659,585.33 1,895,384.00 1,235,798.67 34.8°6
Family & Children's 822,210.28 2,360,749.00 1,538,538.72 34.89.
Economic Support 197,350.39 1,256,132.00 1,058,781.61 15.70
General Relief 366.24 5,281.00 4,914.76 6.90
TOTAL REVENUES
ALL PROGRAMS 5,294,442.58 18,303,808.00 13,009,365.42 28.99.
SUMMARY Total
OF EXPENDITURES Jan.-Apr. Budget Balance %
Administration 223,944.65 736,431.00 512,486.35 30.49.
Alcohol-Drug Abuse 105,599.03 353,366.00 247,766.97 29.9%
Intensive In-Home Treat. 50,753.99 176,471.00 125,717.01 28.8%
Long Term Support 2,938,689.62 11,519,994.00 8,581,304.38 25.5%
Mental Health 568,684.19 1,895,384.00 1,326,699.81 30.0%
Family & Children's 634,562.63 2,360,749.00 1,726,186.37 26.9%
Economic Support 293,377.90 1,256,132.00 962,754.10 23.416
General Relief 4,421.28 5,281.00 859.72 83.7%
Accrued Payroll 269,738.49 0.00 (269, 73 8.49) 0.09.
TOTAL 2001 HUMAN
SERVICES BUDGET 5,089,771.78 18,303,808.00 13,214,036.22 27.8%
PUBLIC HEALTH
Total
Jan.-Apr. Budget Balance
TOTAL REVENUES* 328,159.26 1,099,234.00 771,074.74 29.9%
TOTAL EXPENDITURES 305,377.04 1,099,234.00 793,856.96 27.8%
REQUEST TO BID FOR NEW FORKLIFT FOR ST. CROIX INDUSTRIES: Schroeder said the
forklift at St. Croix Industries is 18 years old and has 10,800 hours of use.
He said the machine is used four to five hours every day at St. Croix
Industries. Schroeder said in the bid process he will request evaluation of
the current machine for trade-in or sale value. Robole has indicated an
interest in the current machine for use at the Government Center. He said
local service availability is also important. He said this item is in the
budget.
Motion: A motion was introduced by Horne, seconded by Johnson and
unanimously adopted: That the Board approves St. Croix Industries to solicit
bids for a new forklift.
ECONOMIC SUPPORT/W-2: Squyer reported to the Board that St. Croix County is
up about $20,000 in W-2 funding, but is one of a few counties that received
an increase in W-2 funding and many counties received a substantial cut in
funding. She indicated the County may not want to be a W-2 agency if the
funding continues to be cut. She said the Right of First Selection for W-2
has been submitted and the State will issue a Notice of Intent to Contract in
July, 2001 to those vendors with acceptable plans. She said the dollar
amount is not listed on the contract yet. She said if less money comes
through, we will need to write some things into our contract before signing
it. Squyer indicated that the State took programs away from W-2 and put them
in Income Maintenance (IM) and then put more money into IM. Many Wisconsin
Counties received a large cut in contracted W-2 monies.
Horne said the County is looking at significant County cost for W-2. Borup
indicated that the County cannot get out of the IM program as it is mandated.
Horne said we need to examine all the ramifications as this will greatly
impact the County.
The Board questioned if the County is not happy with W-2, how will the
private sector make money? Squyer said there is no way for the private
sector to make a profit from W-2 and there is a possibility W-2 will become
part of Job Service. She said a decision will have to be made by November
whether or not the County will want to stay with the W-2 contract.
Squyer reported that $80,000 has been distributed to various other
departments in Health and Human Services and now the State has changed the
rules that the County will not be allowed any carryover funds at the end of
y
the year. She is working with Health and Human Services Departments to spend
down the monies for services provided to clients.
Board members requested a report in July on W-2 on the possible outcomes if
the County remains a W-2 provider or if the County would chose to stop being
a W-2 provider.
Squyer said the County is mandated to provide food stamps and Medical
Assistance under IM. It is not clear what the mandate is for child care.
Squyer reported with W-2 a client has one worker and the client is seen on a
regular basis. If responsibilities are switched to Job Service, the client
will have two different workers on different ends of town and the process
will not be easy on the client. A surveyor was sent to Job Service from DWD
as there have been some problems with job centers and DWD is not pleased with
services provided or allocations distribution.
The State no longer allows us to use W-2 monies to pay per diem or mileage to
members of the Community Steering Committee. County Board policy requires
reimbursement for all committee(s). There are 12 members on this committee,
not including staff. Horne suggested the committee be disbanded. Borup said
we are mandated to have the committee and Sue Nelson has indicated she will
find monies for paying per diems for one of the meetings this year. Borup
indicated the committee is less relevant now than it was at the beginning of
W-2. Squyer reported the State is considering lowering the number of required
members for the committee. She said only about half of the current membership
are charging per diem, the rest are volunteering time.
Olson asked that this item be on the agenda for the next legislative meeting
and asked Squyer to attend that meeting.
General Relief: Squyer said there was a brain surgery client under the
General Relief Program. The client came through the surgery well and will
not be disabled. General Relief will pay about $8,000 plus hospital costs,
which are 60% of costs for out-of-state hospitals. Squyer mentioned that she
is having trouble recouping costs of prescription medicines for a client who
received services from Econofoods Pharmacy. Econofoods has refused to bill
EDS due to the process being too much paperwork. She has contacted Pamida
pharmacy who has indicated they would bill EDS for clients. It was the
consensus of the Board that Pamida Pharmacy should be used rather than
Econofoods Pharmacy in the future. The Board instructed Borup to contact
Econofoods Pharmacy to let them know of the Board's feelings.
LIHEAP-Low Income Home Energy Assistance Program: Squyer reported that the
LIHEAP program was extended to May 31 this year. She said Kathy Waldal took a
total of 494 applications with 423 being approved for assistance. Waldal
processed all applications on-line, which was a more efficient process.
Squyer said Waldal did an outstanding job with this program and has also
received an A+ rating from the State on her performance. She said we have a
remaining balance of $17,922 for crisis dollars in the event monies are
needed due to problems with hot weather.
Horne questioned Squyer if she would recommend remaining a W-2 vendor. She
said if child care was removed from W-2, she would not recommend this.
Olson said she would like to hear more about success stories in the
department.
7
1
Self-Disclosure for family related Medical Assistance cases: Effective July
1, 2001, Medical Assistance for family related cases will not have to verify
anything unless it is questionable. Interactive interviews will not be
necessary. It will be possible to put the application on the County Web
page. Squyer said this is only for MA for family related cases and does not
apply to food stamps.
NURSING HOME: Krieger said the Nursing Home census is 97 today with two
admissions pending. Krieger said in the last month the Nursing Home has had
14 admissions and 13 residents went home. Articles called "Pathways to Home"
are published in the "Scotsman" and copies of those articles are posted in
the hallway of the nursing home leading to first floor.
Krieger said with the closing of the swingbed unit at the hospital, Nursing
Home staff have been busy trying to cover admissions for residents that are
more medically needy.
Krieger reported the Nursing Home has received requests for respite care.
She is in the process of requesting a waiver from the State so that all the
paperwork associated with each admission would not be required for respite
care admissions.
Horne questioned if anyone has verified the information presented by Keefe
regarding the number of nursing home beds in St. Croix County and the number
of projected beds needed by 2010. Krieger said the trend for need for beds
is predicted to reverse in 2018. Stephens said Keefe is giving the
committee facts and figures without any sugar-coating. Stephens said the
Nursing Home Steering Committee will bring facts and options to the County
Board but will not make any recommendations as per the charges outlined in
the resolution.
Krieger said if the 27 Nursing Home beds are banked those rooms will be used
for isolation rooms for residents with infection or are in need of private
rooms due to behavior or infection. She said these beds will not free up
space for offices or administrative needs. Currently we are limited as to
what can be done with rooms as the space has to be able to be re-converted
back to nursing home beds within 24 hours. She said of the 27 beds requested
to be banked, 11 are already being used for something else.
Krieger said the Nursing Home software company has notified users that it
will not support this software after 12/31/04. She said the cost to
transition from this version to the new version will be $13,000 to $20,000
and $15,300 plus travel for training costs. This was not included in the
capital outlay plan and will need to be added to the plan.
This will also be added to Information Services agenda.
PERSONNEL ISSUES: Updated job descriptions for Health Office/Public Health
Supervisor and Birth to Three Director were presented to the Board for
review. Also new position requests for Mental Health-Community Support
Program Social Worker from limited term to permanent and Registered
Sanitarian were presented to the Board. Borup asked that these updates and
new positions be approved and forwarded to the Personnel Committee. Olson
said the job description should reflect what is actually done. She
questioned the title of Birth to Three Director/Supervisor and suggested the
title be changed to a more appropriate title. Borup will coordinate with Deb
8
1' -
Kathan. Olson said she is not questioning the format but the language of the
descriptions.
Motion: A motion was introduced by Burri, seconded by Johnson, and
unanimously adopted: That the Board approves Health Officer/Public Health
Supervisor and Birth to Three Director job description updates and the Mental
Health-Community Support Program Social Worker from limited term to permanent
and Registered Sanitarian new position requests with corrections suggested on
the descriptions made by Olson so these items will pass at the Personnel
Committee.
Stephens asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Bethke, seconded by Berenschot, and
unanimously adopted: that the meeting be adjourned.
Time: 10:25 AM
Chair:
Attest:
(Secretary)
9