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HomeMy WebLinkAboutHealth & Human Services 08-23-01 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: 08/23/01 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 FETING: 09/11/01 ACTION ON PREVIOUS MINUTES: 08/14/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Action on 2002 Department of Health and Human Services Budget a. Public Health b. Nursing Home 2002 Budget NEW BUSINESS: 1. Action on Nursing Home Deficit Cash Balance for 2000 2. Program Reports a. Public Health b. Nursing Home 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 X ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD August 23, 2001 The St. Croix County Health and Human Services Board met on August 23, 2001, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Leon Berenschot Chris Bethke Lois Burri Fern Johnson Mary Louise Olson Esther Wentz MEMBERS ABSENT: James Craig, excused Einar Horne, excused Robert Stephens, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn L. Krieger, Nursing Home Administrator Judy Ziegler, Accounting Supervisor Barbara Nelson, Public Health Supervisor-Health Officer Malva Berg, Secretary Vice Chair Berenschot, called the meeting to order at 6:30 P.M. noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting will be changed to Thursday, September 13, 2001 at 8:30 A.M. at the St. Croix County Health and Human Services/Health Center complex. Bethke will review vouchers at 8:00 A.M. AGENDA: MOTION: A motion was introduced by Wentz, seconded by Johnson, and unanimously adopted: That the agenda be approved as circulated. MINUTES: MOTION: A motion was introduced by Olson, seconded by Bethke, and unanimously adopted: That the minutes of the 08/14/01 Health and Human Services Board meeting be approved as circulated. ACTION ON 2002 DEPARTMENT OF HEALTH AND HUMAN SERVICES BUDGET: New copies of the budget summary for Health and Human Services were distributed to the Board. At the last meeting the Board requested more breakdown of Accounts Receivable Collections and Prior Year Carryover and that information is reflected in the budget summary. A summary of adjustments made in the Health and Human Services budget from the 08/14/01 meeting was given to the Board. The Deputy Director position was reduced to six months to begin July 1, 2002. Also the Public Health budget was completed and reduced by $3,996. Borup said MA deficit revenue generated by the Deputy Director will lessen the County Levy by $11,950. These amounts net a decrease of $55,752 in the County Levy, which would now be $4,314,489. The County levy for operations increased $598,087 or 16.23%. Health and Human Services is requesting County levy of $31,300 to complete the purchase of ECHO software contract. The total levy request for 2002 is increased $629,387 or 17.1%. Borup indicated other counties in the State are having similar experiences with no new State revenue, continued mandates and having to absorb inflation. Berenschot said most of the 17.1% increase is for wages, fuel and maintenance, items we have no control over. PUBLIC HEALTH 2002 BUDGET: The Public Health computer glitch has been rectified and the current Public Health budget was distributed in the Board packets. Olson questioned the Public Health Nurse 50% position for jail services. She said she understood there were accompanying responsibilities for this position with Public Health and asked if there were other reasons for the position than to cover jail services. Nelson said the jail originally requested a 50% RN position but has now reduced that request to 40% and that amount is 1 reflected in the budget. She said the position will be filled at the amount the jail requests for services. Nelson said the 40% is strictly for jail services and there is no other time for other areas. Nelson said if Public Health does not have the staff to cover jail services, the service will not be provided. She said her unit is currently able to provide this service but it is not a Public Health mandated service. Wentz said if anyone other than Public Health provided the services, the jail would have to guarantee hours (most likely 40 hours/week). Public Health only bills for the hours provided. Borup said this is a management problem as the jail population fluctuates. Borup said the department took over juvenile detention from the courts as a good faith effort to provide billing for this area. However, the department has realized a loss for juvenile detention and would be willing to give this back to the Sheriff's department. It was the consensus of the Board that information such as this is hard for the full County Board to understand unless it is pointed out by the parent committee. Nelson said percentage-wise Public Health is requesting less tax levy dollars in 2002 (53%) compared to 2001 (56%). She said the average local health department allocation statewide is 63 to 65%. Olson questioned various items in the Public Health budget including Tobacco Control Board and Tobacco Control II Allocation, WIC and Prenatal Care Coordination. She questioned if the Tobacco Control person would be able to give the Board a success story. She asked for a report on the survey taken of the schools regarding their tobacco control curriculum. Olson questioned the plan for evaluating this program. Nelson said performance is evaluated on each part of the plan based on objectives of the Tobacco Control Board. Olson said she would like success stories from the WIC program reported to the Board. Motion: A motion was introduced by Wentz, seconded by Burri and unanimously adopted: That the Board approve the Public Health budget for 2002 as presented. Borup questioned the Board regarding the Department keeping Juvenile Detention or returning it back to the Sheriff's Department. Wentz said it was late in the budget process to return this to the Sheriff's Department this year but it should be brought to the County Board's attention so they realize Health and Human Services does absorb costs from other departments. Motion: A motion was introduced by Burri, seconded by Bethke and unanimously adopted: That the Board approves the following adjustments made in the Health and Human Services budget since 08/14/01 meeting: Decrease in County Levy - 3,996 Public Health Budget completed -39,806 Deputy Director to start in July, 2002 -11,950 MA deficit revenue generated by Deputy Director $55,752 The total Health and Human Services budget increased by $1,241,230 or 6.4%. The levy for operations increased $598,087 or 16.23%. We are also requesting County levy of $31,300 to complete the purchase of ECHO software contract. The total levy request for 2002 is $4,314,489, which equals a County Levy increase of $629,387 or 17.1%. CHANGES IN DEPRECIATION POLICY FOR THE NURSING HOME: Borup said we went through the 1990s with a minimum of county cost, however this year's budget represents a change. The Nursing Home budget presented on August 14 had a depreciation cost of $205,311. Subsequent to this August 14 meeting, conversation with Rod Paulson has resulted in a differing opinion on how we 2 should budget depreciation/capital asset acquisition. In follow up meetings with Rich Loney, Chuck Whiting and Carolyn Krieger, we now have the option for budgeting as an estimated depreciation expense or budget for "actual anticipated capital" purchases, which is what Rod Paulson has recommended. The net result of this is a reduction in cost from $205,311 to $73,600, which equals a County cost reduction of $131,711. This reduces the County cost from $991,469 to $859,758. Administration is recommending this approach. Krieger said she couldn't budget for depreciation as she had no cash balance. The amount budgeted now is what is anticipated will be spent. She said the majority of the $859,758 is for the wage package. Motion: A motion was introduced by Wentz, seconded by Burri, and unanimously adopted: That the Board approves changing the depreciation policy to budget an estimated deprecation expense or budget for actual anticipated capital purchases. ACTION ON NURSING HOME DEFICIT CASH BALANCE FOR 2000: The audited deficit for the Nursing Home for 2000 is $418,022. After discussion with Rich Loney and Chuck Whiting, an alternate would be to request funds to cover the difference in the net current items at December 31, 2000 which is $264,859. Administration asked the Board to consider either putting the above amount in the 2002 budget or requesting direction from Finance Committee regarding future year's allocation. Berenschot said he would like to start the year with the deficit cleared. For most departments, the general fund just covers the deficits. Krieger said no other department has been required to budget for their deficit. Krieger said the deficit started in 1999 and we are now in the third year of a deficit for the cash balance. It was the consensus of the Board that the whole county needs a consistent policy on cash balance. Motion: A motion was introduced by Burri, seconded by Wentz, and unanimously adopted: That the Board make a request to Finance to receive direction on the negative cash balance and request $264,859 to cover the net current items at 12/31/00. PUBLIC HEALTH: Nelson updated the Board on communicable diseases for the following: Eastern Equine Encephalitis (EEE) Virus Infection, Hepatitis B, and rabies control issues. She said EEE is not a major concern in humans; it is only carried by mosquitoes, but could be a risk to humans if the horse is infected. She said there have been no reported cases in St. Croix County, but have been some cases investigated in neighboring counties. She said someone has contacted the State communicable disease department and the Governor's office regarding an outbreak of Hepatitis B from the Apple River. She said this is a rumor. Nelson said there have been no reported cases of Hepatitis B in St. Croix County this year. She said Public Health issued a news release on Hepatitis B to local papers. Nelson reported on reported cases of rabies in St. Croix County. She said all were negative but each report requires considerable follow up. Nelson said Public Health was at the County Fair and Farm/City Days. She said signs were posted requesting people not eat in the animal barns and to remind people to wash their hands after petting animals and before eating. She said this was an effort to prevent communicable diseases. Nelson said Board members received a notice at last month's Board meeting regarding Community Improvement Process: A Strategic Approach to Creating and Maintaining Healthy communities workshop on November 12 and 13 in Wausau. She would like one Board member to volunteer to attend the workshop. Nelson said the profiles for Public Health for 1999 are in the Board packet. She said there is a report for the State, western region and for St. Croix County specifically. She asked that members put the report in their manuals and to contact her if they have any questions. Nelson said she would report on Emergency Preparedness for Local Health Departments at a future meeting. She received information at a workshop held 3 today and will share that information with the Board in the future. NURSING HOME: Krieger said the Nursing Home census is 94 today with three admissions pending. Krieger shared letters received from families regarding the care of residents in the Nursing Home. Krieger said she has received word that the swingbed unit at Holy Family Hospital will reopen but will be used in a limited capacity. She said Medicare has lessened the rates for swingbed care. Berenschot asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Wentz, seconded by Burri, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 7:45 p.m. Chairman: Attest: Secretary 4