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HomeMy WebLinkAboutHealth & Human Services 09-13-01 CHRIS BETHKE WILL REVIEW VOUCHERS AT 8:00 AM 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: 09/13/01 (PLEASE NOTE MEETING DATE CHANGE) 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: 09/27/01 ACTION ON PREVIOUS MINUTES: 08/14/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. Discussion/Action on possible updates to Department or Nursing Home 2002 Budgets 4. Program Reports a. Long Term Support b. Family and Children's c. Nursing Home 5. Personnel Issues 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 September 13, 2001 The St. Croix County Health and Human Services Board met on September 13, 2001 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Chris Bethke Lois Burri James Craig Einar Horne Fern Johnson Esther Wentz MEMBERS ABSENT: Leon Berenschot, excused Mary Louise Olson, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Judy Ziegler, Accounting Supervisor Mary Squyer, W-2/Economic Support Supervisor Fred Johnson, Family and Children's Supervisor Ron Lockwood, Long Term Support Supervisor Norma Vrieze, Early Intervention Supervisor Malva Berg, Secretary OTHERS PRESENT: Jim Zajkowski, Econofoods Pharmacy Marilyn Gess, Pharmacist 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 September 27, 2001 at 6:30 PM at the St. Croix County Health and Human Services/Health Center complex. 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 Bethke, seconded by Johnson, and unanimously adopted: That the minutes of the 08/23/01 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENTS: Borup reported a check for $15,000 was received from the Bayport Foundation for repairs to the Health Center. He thanked Krieger for her hard work. Krieger said the money will be spent on five special pressure relief mattresses for the residents. CONSIDERATION OF CLAIMS: The following reports for August were distributed to the Board: fixed assets, financial report and cash reports. Health and Human Services Board member, Bethke, reviewed. No vouchers were pulled. Clarification on purchase of duel fuel systems for Nursing Home and Human Services. The total cost for both units is $32,867. We have issued the first check for $11,503.45 or 35W of the total contract price to be paid with the purchase order. Progressive payments will be made as the project is installed and is up and running. Motion: A motion was introduced by Bethke, seconded by Wentz, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book pages 1782 through 1865: Human Services vouchers 9111 through 9178, dated August 16, 2001 in the amount of $154,485.13. Human Services voucher 9180, dated August 21, 2001 in the amount of $300.00. Human Services vouchers 9181 through 9224, dated August 23, 2001 in the amount of $94,723.55. Human Services vouchers 9226 through 9271, dated August 30, 2001 in the amount of $201,668.29. Human Services vouchers 9272 through 9351, dated September 06, 2001 in the amount of $183,952.73. Human Services vouchers 9352 through 9529, dated September 11, 2001 in the amount of $71,320.40. Human Services vouchers 9530 through 9563, dated September 11, 2001 in the amount of $19,305.86. Nursing Home vouchers 1423 through 1433, dated August 16, 2001 in the amount of $91,027.63. Nursing Home vouchers 1434 through 1458, dated August 21, 2001 in the amount of $14,736.87. Nursing Home vouchers 1459 through 1466, dated August 30, 2001 in the amount of $1,652.49. Nursing Home vouchers 1467 through 1468, dated September 06, 2001 in the amount of $125.56. Nursing Home vouchers 1469 through 1501, dated September 11, 2001 in the amount of $28,759.78. Farm voucher 14, dated August 16, 2001 in the amount of $3,032.00. Human Services and Nursing Home vouchers 453 through 468, dated August 28, 2001 in the amount of $173,001.03. Human Services, Workshop, Public Health vouchers 477 through 496, dated August 23, 2001 in the amount of $207,598.91. Social Services and Human Services vouchers 294 through 306, dated August 23, 2001 in the amount of $36,956.33. Human Services and Nursing Home vouchers 427 through 452, dated August 14, 2001 in the amount of $176,086.66. 2 Human Services, Workshop, Public Health vouchers 448 through 476, dated August 09, 2001 in the amount of $206,357.79. Social Services and Human Services vouchers 275 through 293, dated August 08, 2001 in the amount of $42,610.64. PHARMACY: Stephens said this item is not on the agenda and is for discussion only. Krieger introduced Zajkowski and Gess from Econofoods Pharmacy. There has been a problem with the company software for the unit dose system. There was a recent software update at Econofoods and this software will not work for unit dose. Zajkowski said the computer people are working on this problem. He said their goal is to have no errors. The system has been working great for six years and has had no problems until the computers were updated. Stephens said he is concerned for resident safety. He said no action will be taken at today's meeting as this is not an agenda item but will be on the agenda for the 09/27/01 Health and Human Services meeting. Stephens said the situation has to be remedied immediately. Krieger said when the contract with Econofoods was renewed two years ago, the item regarding pharmacy errors was removed from the contract as it was not an issue. Gess has been double-checking on the computer since the update as staff have not had the confidence that computers are doing what they are supposed to do. LONG TERM SUPPORT: Lockwood reported a grievance was filed from an incident which allegedly occurred in 1998 where a client claims a worker shared confidential information at a meeting without the client's permission. The ruling was there was no evidence that the client's rights were violated. The client appealed to the State and the ruling stood. The State has ordered that Long Term Support improve the way the client is informed of his/her rights. Lockwood said he will be working on additional training for staff and report back to the Board. Lockwood said a task force will be studying the State center for developmental disabilities as it is possible these centers will be closed in the future. Lockwood voiced concerns if this does occur as the State does not fully fund the cost to maintain the clients in the community. He said the reimbursement rate is $200/day and the cost is $400/day to maintain the client in the community. EARLY INTERVENTION/BIRTH TO THREE PROGRAM: Vrieze gave a report and distributed a brochure on the Early Intervention/Birth to Three Program. This program cannot have a waiting list. There are no eligibility criteria for clients to be involved in the program other than have a diagnosed condition or being developmentally delayed and being under the age of three. Clients are referred by physicians, day care, Public Health, Head Start and many other sources. The needs of the clients are varied. There are several high-needs children in St. Croix County. This program provides special teaching, physical therapy, occupational therapy, and speech therapy. The current caseload for this program is 63. She said this program does coordinate some services with Public Health but there is no duplication of services for clients. Horne said clients at St. Croix Industries are currently maintaining the rest area in Hudson and questioned if this could be expanded so clients would also maintain the parks. Horne requested Borup to work with the Parks Committee to have St. Croix Industries clients provide maintenance services for the parks. 3 FAMILY AND CHILDREN'S SERVICES: Johnson reviewed the status of collections for secured detention. Paying for this service was shifted to Health and Human Services in 2000 as the Sheriff's Department does not have the mechanism in place to bill and Family and Children's does. Johnson said clients are billed for services when the children are removed from their home. $30,000 was shifted from the Sheriff's budget to Family and Children's for secured detention. In 2000, $35,600 was spent on secured detention with about $1,200 collected. Through June, 2001, $22,400 has been spent for secured detention; anticipated collections for 2001 is approximately $4,500. Borup said this is an added responsibility for Health and Human Services with no additional funding for the services. W-2/ECONOMIC SUPPORT: Squyer said there have been ongoing questions regarding W-2 caseload. She said case management cases are emphasized and in the future there will be more accurate reporting of the number of W-2 cases. FINANCIAL REPORTS: The following reports through July, 2001 were distributed to the Board. The next ITP monies for the Nursing Home are expected in December. General Relief may a third medical emergency case for this year. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/01 THROUGH 07/31/01 NURSING HOME Reconciled Cash Balance 07/31/01 ($259,787.03) Add: Accounts Receivable, 07/31/01 Private Pay $27,159.23 Medicare $268,371.10 Medicaid $225,159.27 General $0.00 Accounts Payable-07/31/01 ($266,065.36) Net Current Items, 07/31/01 ($5,162.79) 2001 Revenue Recorded through 07/31/01 $3,465,693.03 Includes Allocations of Anticipated Revenues 2001 Expenses Recorded through 07/31/01 $3,747,244.61 Includes Allocations of Expected Expenses 4 HEALTH AND HUMAN SERVICES - 2001 SUMMARY Total OF REVENUES Jan.-July. Budget Balance Administration 470,230.80 736,431.00 266,200.20 63.9% AODA Services 244,534.86 353,366.00 108,831.14 69.2% Intensive In-Home Treat. 96,442.89 176,471.00 80,028.11 54.7% Long Term Support 5,765,248.31 11,519,994.00 5,754,745.69 50.0% Mental Health 1,256,991.66 1,895,384.00 638,392.34 66.3% Family & Children's 1,643,886.71 2,360,749.00 716,862.29 69.6% Economic Support 441,322.14 1,256,132.00 814,809.86 35.1% General Relief 4,373.30 5,281.00 907.70 82.8% TOTAL REVENUES ALL PROGRAMS 9,923,030.67 18,303,808.00 8,380,777.33 54.2% SUMMARY Total OF EXPENDITURES Jan.-July. Budget Balance % Administration 396,418.21 736,431.00 340,012.79 53.8% Alcohol-Drug Abuse 197,115.76 353,366.00 156,250.24 55.8% Intensive In-Home Treat. 96,556.61 176,471.00 79,914.39 54.7% Long Term Support 5,683,794.46* 11,519,994.00 5,836,199.54 49.3% Mental Health 1,075,674.44 1,895,384.00 819,709.56 56.8% Family & Children's 1,217,558.98* 2,360,749.00 1,143,190.02 51.6% Economic Support 644,620.68 1,256,132.00 611,511.32 51.3% General Relief 12,322.67 5,281.00 (7,041.67) 233.3% Accrued Payroll 411,357.02 0.00 (411,357.02) 0.0% TOTAL 2001 HUMAN SERVICES BUDGET 9,735,418.83 18,303,808.00 8,568,389.17 53.2% *Salaries for Human Services Professional Union Component are still being paid at 1999 rate. Estimated costs for 2001 are $50,000 to $75,000. 5 PUBLIC HEALTH Total Jan.-July. Budget Balance TOTAL REVENUES* 610,276.76 1,099,234.00 488,957.24 55.5% TOTAL EXPENDITURES 557,170.21 1,099,234.00 542,063.79 50.7% UPDATES TO DEPARTMENT AND NURSING HOME 2002 BUDGETS: Stephens said he is concerned the Nursing Home will not be able to get by on the requested $859,000. Krieger said the State budget will be finalized in the next few weeks, which will greatly impact the Medicaid rate. Horne requested a number as to where the cash balance will be at the end of the year. It is difficult to get a "real" number on the cash balance to operate the Nursing Home due to possible changes in the labor regions, possible changes by the State in the Medicaid formula, etc. Motion: A motion was introduced by Burri, seconded by Wentz, and unanimously adopted: That the Board approves changing the County appropriations in the Nursing Home 2002 Budget to $1,000,000. Krieger questioned how the Board wanted this change reflected in the budget statement. The consensus of the Board was to decrease the IGT line item by the amount the County Levy was increased. Borup said the County Levy for Health and Human Services was reduced by $100,000 by applying some one-time M.A. personal care collections from the Long Term Support Unit. Horne said the courtyard project should be capitalized and should be considered an expense. Motion: A motion was introduced by Wentz, seconded by Stephens and unanimously adopted: That the Department reduce the County Allocation for Health and Human Services by applying $100,000 M.A. personal care collections from Long Term Support, which then reduces the County Levy request for 2002 to $529,387 or 14.37% County Levy increase. Motion: A motion was introduced by Horne, seconded by Stephens and unanimously adopted: That the Board approves capitalizing the courtyard project contingent on agreement of the Finance Committee. Borup directed to report these above changes to Finance through Chuck Whiting's office. PERSONNEL ISSUES: Borup announced that Judy Aronson, Economic Support Clerk III, will retire effective 11/09/01. Jim Allison, LTE Community Support Program Social Worker, has accepted a full-time position with Family and Children's Services. Stephens asked if there were any other issues to bring before the Board. 6 1 ~ s Borup announced the final meeting for the Nursing Home Steering Committee is scheduled for October 1, 2001. He said the Nursing Home Steering Committee is scheduled to give a presentation to the full County Board on October 9, 2001. Motion: A motion was introduced by Wentz, seconded by Bethke, and unanimously adopted: that the meeting be adjourned. Time: 10:15 AM Chair: Attest: (Secretary) 7