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HomeMy WebLinkAboutHealth & Human Services 09-27-01 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: 09/27/01 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 MEETING: 10/11/01 ACTION ON PREVIOUS MINUTES: 09/13/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Discussion/Action on possible updates to Department or Nursing Home 2002 Budget NEW BUSINESS: 1. Review of Services and Pharmaceutical Contract with Econofoods Quality Care Pharmacy 2. Discussion of potential to create worksite at County Parks/Perch Lake 3. Program Reports a. Mental Health/AODA b. Nursing Home 4. Personnel Issues 5. Action on plan to administer W-2 and related programs for 2002-2003 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 K ' ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD September 27, 2001 The St. Croix County Health and Human Services Board met on September 27, 2001, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens Leon Berenschot Chris Bethke Lois Burri James Craig Einar Horne Fern Johnson Mary Louise Olson Esther Wentz MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Carolyn L. Krieger, Nursing Home Administrator Mary Squyer, W-2/Economic Support Supervisor Ron Kiesler, Mental Health/AODA Coordinator Steve Kirt, Mental Health/AODA Clinical Services Supervisor Clark Schroeder, St. Croix Industries Kathy Leisch, Economic Support Malva Berg, Secretary OTHERS PRESENT: Jim Zajkowski, Econofoods Pharmacy Marilyn Jess, Pharmacist Chair Stephens, 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 Thursday, October 11, 2001 at 8:30 A.M. at the St. Croix County Health and Human Services/Health Center complex. Horne will review vouchers at 8:00 A.M. AGENDA: MOTION: A motion was introduced by Bethke, seconded by Berenschot, 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 09/13/01 Health and Human Services Board meeting be approved as circulated. APPOINTMENTS: Stephens appointed Debbie Ramacher and Jim Scheibel to the Family Support/Birth to Three Advisory Committee to fill vacancies created when Debra McGowan and Heather Kittelson resigned from the committee. DISCUSSION/ACTION ON POSSIBLE UPDATES TO DEPARTMENT OR NURSING HOME 2002 BUDGET: The Department received information late this afternoon that the Health and Human Services budget is being cut $300,000 and the Nursing Home budget is being cut $200,000. Information was also received from the State that W-2 monies will be cut by $46,917. Borup said this loss of revenue will impact the bottom line of the budget. Because the information was received so late this afternoon, there was no time to meet with managers before tonight's meeting. Stephens said he and Health and Human Services staff met with the Finance Committee on September 26 and there was no action was taken at that time that cuts would be made to the budget. REVIEW OF SERVICES AND PHARMACEUTICAL CONTRACT WITH ECONOFOODS QUALITY CARE PHARMACY: Zajkowski said two new staff have been hired and the most experienced pharmacy clerks are working with unit dose with Jess. He said the Board's concerns regarding the computer system and resident safety/welfare have been relayed to the parent company. Jess has essentially gone back to the 1 manual system for filling unit dose due to concerns with the current computer system. Care is being taken that no residents are harmed during this transition. Horne suggested contacting Tom Boron regarding changing the computer program back to the original program as the original program was working before the computer update. This issue has also been presented to the Medical Staff at the Quality Assurance meeting. Dr. Hanson receives a list of medication errors monthly. Stephens will contact staff on October 1, 2001, as that begins a new month, regarding any medication errors made in the past month. Horne said we should remain on the manual system until the computer problem is resolved. Krieger said Jess is also the Pharmacy Consultant for the facility. Horne requested Borup to contact Tom Boron regarding the pharmacy computer issue. DISCUSSION/ACTION ON POSSIBLE UPDATES TO DEPARTMENT OR NURSING HOME 2002 BUDGET (continued): Information was also received at the Finance meeting that health insurance premiums for 2002 will be increased. This will be an increase of $186,756 for the Nursing Home and $222,908 for Health and Human Services. These amounts were not included in the 2002 budget as the information was forwarded to staff at the Finance meeting. Stephens said he would like the amounts for health insurance added to the budget and take action on the remainder at the October 11, 2001 meeting. Motion: A motion was introduced by Stephens, seconded by Wentz, That the Board accept the $300,000 cut for Health and Human Services, $200,000 cut for the Nursing Home with a $1,000,000 cap for County levy for the Nursing Home and $250,000 for the deficit Nursing Home cash balance replenishment and add $186,756 to the Nursing Home budget and $222,908 to the Health and Human Services budget for additional health insurance costs. Roll call vote: Robert Stephens-yes Leon Berenschot-yes Chris Bethke-yes Lois Burri-yes James Craig-yes Einar Horne-yes Fern Johnson-yes Mary Louise Olson-yes Esther Wentz-yes Nine yes, motion passed. Borup said Robole anticipates a savings for 2002 of $22,992 for the Nursing Home and $27,499 for Health and Human Services fuel costs due to the installation of duel fuel systems for both areas. DISCUSSION OF POTENTIAL TO CREATE WORKSITE AT COUNTY PARKS/PERCH LAKE: Clark Schroeder met with Joe Grant regarding feasibility of client/workers being involved at the Perch Lake project. Schroeder said currently Perch Lake has four full time employees and approximate 18 summer help employees. He said Perch Lake is in the development stage and higher skilled labor is needed at this time than what the client/workers are able to provide. He will contact Grant again in the spring to see if the project is close enough to completion that client/workers are able to do some of the work available. He said he foresees contracting the client/workers to perform duties at Perch Lake rather than having an actual position there. MENTAL HEALTH/AODA: Kiesler distributed brochures regarding Fahrman Center in Eau Claire. He is currently developing a new AODA contract with Fahrman Center to help contain costs associated with purchase of services through L.E. 2 Phillips and Shell Lake. Kirt said further discussion is being held with the State Attorney regarding Chapter 51 civil commitments we experience being a border state. Issues include how to proceed with a Chapter 51.15 (emergency detention) when someone also requires emergent medical care and the transfer of civil commitments between states. When a client who is under emergency detention is transfer to a Twin Cities hospital, that commitment is lost under Chapter 51 law. Kiesler reviewed a message he received from Oconto County regarding their high mental health inpatient hospitalization experience. In 2000, Oconto County spent over $940,000 for mental health inpatient hospitalization compared to $110,751 for 2000 in St. Croix County and anticipates in 2001 will spend over $1 million for Oconto County for mental health inpatient hospitalizations. In the first six months of 2001, St. Croix County has spent $85,365 for mental health inpatient hospitalizations. St. Croix County program tries to solve problems in an outpatient setting versus inpatient setting, which is more costly. NURSING HOME: Krieger said the Nursing Home budget was prepared with predictions made to the best of her knowledge from June figures. She said it is an educated guess as to what resident level of care will be, the projected census and per diems for residents. She said there are many unknowns for the budget because of possible changes in the labor region, IGT funds, and MA rate. Krieger said a copy of the pharmacy contract is included in the Board member's packet for review. Horne was concerned that Jess was the pharmacy consultant to St. Croix Health Center in addition to working for Econofoods as a provider of pharmacy services. He felt this was a conflict of interests. Krieger said the main concern is the residents and it is difficult to recruit and retain a pharmacy consultant. Stephens said the Board would view how the carts are set up for unit dose at the next meeting. Horne requested Krieger to find out what other nursing homes in the area are using for unit dose. A report from the State Bureau of Quality Assurance summarizing staffing data was distributed to Board members St. Croix Health Center's retention rate for employment is better than the State average. PERSONNEL ISSUES: Borup said Lisa Grant, Mental Health /Community Support Program Social Worker, has submitted her resignation. She accepted a position with St. Paul Schools. Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Wentz, seconded by Stephens, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 7:40 p.m. Chairman: Attest: Secretary 3