HomeMy WebLinkAboutHealth & Human Services 11-13-01
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: 11/13/01
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: 11/20/01 (TUESDAY)
ACTION ON PREVIOUS MINUTES: 10/25/01
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Discussion/Action on possible updates to Department or Nursing Home 2002
Budget
a. W-2 Program Status
2. Review of services and pharmaceutical contract with Econofoods Quality Care
Pharmacy
NEW BUSINESS:
1. Consideration of Claims and vouchers
2. Financial Report
3. Nursing Home Bed "Banking" withdrawal
4. Program Reports
a. Nursing Home
b. Long Term Support
c. Family & Children's
5. Setting 2002 Child Care Rates
6. Setting 2002 Nursing Home private pay rates
7. Resolution for St. Croix County Health and Human Services Board to give
their recommendation regarding the status of the Nursing Home
8. Converting Nursing Home Beds to CIP II Slots (Community Integration Program)
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
November 13, 2001
The St. Croix County Health and Human Services Board met on November 13, 2001
at the St. Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT: Robert Stephens, Chair
Chris Bethke
James Craig
Einar Horne
Fern Johnson
Mary Louise Olson
Esther Wentz
MEMBERS ABSENT: Leon Berenschot, excused
Lois Burri, 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
Becky Ruka, Accounts Receivable Supervisor
Fred Johnson, Family and Children's Supervisor
Ron Lockwood, Long Term Support Coordinator
Malva Berg, Secretary
OTHERS PRESENT: Audrey Roecker, Western Region Area Administrator
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 scheduled for
Tuesday, November 20, 2001 has been cancelled unless urgent agenda items
arise.
AGENDA: Motion: A motion was introduced by Bethke, seconded by Craig, and
unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Bethke, seconded by Wentz, and
unanimously adopted: That the minutes of the 10/25/01 Health and Human
Services Board meeting be approved as circulated.
Horne requested copies of his letters regarding the Nursing Home be sent to
the remaining County Board members with the official copy of the 10/25/01
minutes.
CONSIDERATION OF CLAIMS: The following reports for October were distributed
to the Board: fixed assets, financial report and cash reports.
Health and Human Services Board member, Wentz, reviewed the following
vouchers.
HUMAN SERVICES:
10049: $1,200.00, homeless. This check represents a
t
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October 11, 2001
deposit to secure shelter for a homeless person. The checks are
always issued to the landlord.
10082: Grandstand Funeral Home, $1,500.00, funeral expense. Economic
Support administers the funeral/cemetery funds. This program is
reimbursed 100% by the State. The amount of the check to the
funeral home is determined by State guidelines after reviewing
any assets of the deceased.
Motion: A motion was introduced by Wentz, seconded by Stephens, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book pages 1965 through 2064:
Human Services voucher 10049, dated October 17, 2001 in the amount of
$1,200.00.
Human Services vouchers 10050 through 10144, dated October 18, 2001 in the
amount of $267,998.70.
Human Services voucher 10145, dated October 19, 2001 in the amount of
$600.00.
Human Services vouchers 10146 through 10163, dated October 25, 2001 in the
amount of $88,187.40.
Human Services vouchers 10164 through 10165, dated October 26, 2001 in the
amount of $389.21.
Human Services voucher 10166, dated October 26, 2001 in the amount of
$750.00.
Human Services vouchers 10167, dated October 27, 2001 in the amount of
$750.00.
Human Services vouchers 10168 through 10199, dated November 11, 2001 in the
amount of $212,465.51.
Human Services vouchers 10200 through 10265, dated November 08, 2001 in the
amount of $61,615.53.
Human Services voucher 10266, dated November 08, 2001 in the amount of
$385.56.
Human Services vouchers 10329 through 10353, dated November 13, 2001 in the
amount of $131,408.16.
Human Services vouchers 10354 through 10552, dated November 13, 2001 in the
amount of $194,959.23.
Nursing Home vouchers 1570 through 1588, dated October 18, 2001 in the amount
of $39,957.37.
Nursing Home vouchers 1589 through 1591, dated October 25, 2001 in the amount
of $51.50.
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` October 11, 2001
Nursing Home vouchers 1592 through 1593, dated November 01, 2001 in the
amount of $2,200.00.
Nursing Home vouchers 1594 through 1596, dated November 08, 2001 in the
amount of $567.67.
Nursing Home vouchers 1597 through 1643, dated November 13, 2001 in the
amount of $47,999.15.
Human Services, Workshop, Public Health vouchers 591 through 618, dated
October 18, 2001 in the amount of $211,879.08.
Social Services and Human Services vouchers 368 through 386, dated October
19, 2001 in the amount of $42,035.14.
Human Services and Nursing Home vouchers 554 through 580, dated October 23,
2001 in the amount of $165,814.05.
Human Services, Workshop, Public Health vouchers 558 through 590, dated
October 04, 2001 in the amount of $269,631.80.
Social Services and Human Services vouchers 347 through 567, dated October
20, 2001 in the amount of $43,033.29.
Human Services and Nursing Home vouchers 524 through 553, dated October 09,
2001 in the amount of $215,286.77.
Human Services, Workshop, Public Health vouchers 619 through 651, dated
November 01, 2001 in the amount of $275,027.51.
Social Services and Human Services vouchers 387 through 407, dated November
01, 2001 in the amount of $42,749.53.
Human Services and Nursing Home vouchers 581 through 609, dated November 06,
2001 in the amount of $218,775.76.
Borup announced that ECHO training began last week and will be discussed at
information services tomorrow. This training is the beginning of
centralizing the intake process. When a client contacts the department for
services, there will be one central point of contact for services. The
process will start with Mental Health and AODA and will then expand to Long
Term Support. Borup said this will involve Chapter 51 programs and he feels
good about the process.
W-2 PROGRAM: Squyer distributed a report on W-2 caseload as defined by the
State. Stephens requested Squyer to also bring this information to Finance.
Stephens has been requested to report to the Finance Committee every other
month. An escape/exit plan for W-2 is to be formulated by the end of the
year. Finance agreed that W-2 should continue as long as it is not an undue
liability to the County and then it is a decision of the Health and Human
Services Board as to what to do. Borup said W-2 was authorized by resolution
by the full County Board. Horne asked the definition of undue liability.
Borup reminded the Board that W-2 pays a portion of administrative services
in the Department. Economic Support has mandated services of food stamps,
Medical Assistance, etc. even if we no longer administered W-2. Squyer will
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October 11, 2001
give a presentation to the Health and Human Services Board in December. We
will report to Finance upon request.
Squyer said work has begun on the training room as part of the W-2 program.
If we no longer have W-2, we will not need this room.
Squyer said there are no dentists in St. Croix County that will provide
services to medical Assistance/Badgercare recipients.
SETTING 2002 CHILD CARE RATES:
Motion: A motion was introduced by Wentz, seconded by Horne, and unanimously
adopted: That the child care rates be approved as presented. (Rate schedule
is attached at the end of the minutes.)
RESOLUTION FOR ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD TO GIVE THEIR
RECOMMENDATION REGARDING THE STATUS OF THE NURSING HOME:
Motion: A motion was introduced by Wentz, seconded by Bethke, That the Board
approve a resolution for making a recommendation for the status of the
Nursing Home to be option #3-building a new building after downsizing.
The Steering Committee will make a recommendation the day of the meeting but
not before. Horne said more issues need to be studied regarding the Nursing
Home. Stephens said the charges made to the Steering Committee were
followed. The County is not mandated to operate a Nursing Home. The County
is responsible for the placement of protectively placed residents. Every
resident is assessed to determine the most appropriate placement. There are
currently 26 protectively placed clients in the nursing home and that number
will be ongoing. There is a definite need for dementia care in nursing homes.
Motion: A motion was introduced by Horne, seconded by Craig, That the Board
table the existing motion regarding making a recommendation regarding the
status of the Nursing Home.
Roll call vote:
Robert Stephens-no
Leon Berenschot-absent
Chris Bethke-no
Lois Burri-absent
James Craig-yes
Einar Horne-yes
Fern Johnson-no
Mary Louise Olson-yes
Esther Wentz-no
Three yes, four no, motion defeated.
A statement made by Judge Lundell for the August meeting was questioned as to
why it would be a hardship to the judicial system if the Nursing Home is
closed. There would be no other place accepting of some placements other
than jail. The majority of the admissions to St. Croix Health Center would
not be accepted in area facilities.
The Chair called for a vote on the motion regarding the resolution.
St. Croix County Health and Human Services Board
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October 11, 2001
Roll call vote:
Robert Stephens-yes
Leon Berenschot-absent
Chris Bethke-yes
Lois Burri-absent
James Craig-no
Einar Horne-no
Fern Johnson-yes
Mary Louise Olson-no
Esther Wentz-yes
Four yes, three no, motion passed. (Resolution attached at the end of the
minutes.)
REVIEW OF SERVICES AND PHARMACEUTICAL CONTRACT WITH ECONOFOODS QUALITY CARE
PHARMACY: Krieger reported there were no pharmacy errors for the last month
but they are basically still doing a manual system.
FINANCIAL REPORTS: The following reports through September, 2001 were
distributed to the Board. The IGT funds received were better than the
numbers projected by Keefe. Borup indicated MA Mental Health/AODA deficit
reduction dollars received were higher than anticipated. The Department
budgeted for $36,000 and $62,000 was received.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/01 THROUGH 09/30/01
NURSING HOME
Reconciled Cash Balance 09/30/01 ($923,656.57)
Add:
Accounts Receivable, 09/30/01
Private Pay $49,543.73
Medicare $241,005.22
Medicaid $274,848.04
General $13,300.00
Accounts Payable-09/30/01 ($208,566.53)
Net Current Items, 09/30/01 ($553,526.11)
2001 Revenue Recorded through 09/30/01 $4,545,046.19
Includes Allocations of Anticipated Revenues
2001 Expenses Recorded through 09/30/01 $4,885,491.54
Includes Allocations of Expected Expenses
*Includes $72,529.79 Medicaid receivable July-September
Net current items $ (553,526.11)
Estimated IGT for November $ 168,000.00
Estimated IGT for December $ 250,000.00
Adjusted Net Current Items $ (135,526.11)
HEALTH AND HUMAN SERVICES - 2001
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October 11, 2001
SUMMARY Total
OF REVENUES Jan.-Sept. Budget Balance
Administration 554,667.07 736,431.00 181,763.93 75.3$
AODA Services 329,895.32 353,366.00 23,470.68 93.4%
Intensive In-Home Treat. 135,960.35 176,471.00 40,510.65 77.0%
Long Term Support 8,015,163.32 11,519,994.00 3,504,830.68 69.6%
Mental Health 1,485,260.82 1,895,384.00 410,123.18 78.4%
Family & Children's 1,840,984.55 2,360,749.00 519,764.45 78.0%
Economic Support 654,553.82 1,256,132.00 601,578.18 52.1$
General Relief 5,262.01 5,281.00 18.99 99.6
TOTAL REVENUES
ALL PROGRAMS 13,021,747.26 18,303,808.00 5,282,060.74 71.1%
SUMMARY Total
OF EXPENDITURES Jan.-Sept. Budget Balance %
Administration 517,179.87 736,431.00 219,251.13 70.2%
Alcohol-Drug Abuse 244,197.79 353,366.00 109,168.21 69.1%
Intensive In-Home Treat. 123,692.49 176,471.00 52,778.51 70.1%
Long Term Support 7,592,283.75* 11,519,994.00 3,927,710.25 65.9%
Mental Health 1,376,750.84 1,895,384.00 518,633.16 72.6%
Family & Children's 1,637,913.97* 2,360,749.00 722,835.03 69.4
Economic Support 808,300.67 1,256,132.00 447,831.33 64.3%
General Relief 54,842.95 5,281.00 (49,561.95) 1038.5%
Accrued Payroll 0.00 0.00 0.00 0.0%
TOTAL 2001 HUMAN
SERVICES BUDGET 12,355,162.33 18,303,808.00 5,948,645.67 67.5%
*Salaries for Human Services Professional Union Component are still being paid
at 1999 rate. Estimated costs for 2001 are $50,000 to $75,000.
PUBLIC HEALTH
Total
Jan.-Sept. Budget Balance
TOTAL REVENUES* 819,114.34 1,099,234.00 280,119.66 74.5%
TOTAL EXPENDITURES 735,931.65 1,099,234.00 363,302.35 66.9%
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October 11, 2001
CONVERTING NURSING HOME BEDS TO CIP II SLOTS (COMMUNITY INTEGRATION PROGRAM):
27 Nursing Home beds were banked on June 27, 2001 to preserve the Medicaid
rate. Administration is recommending unbanking these beds at this time to
maximize the availability of CIP II funds. If the nursing home is downsized
or closed, the banked beds are not eligible for CIP II slots. The value for
each CIP II slot at this time is $14,885. For every year the beds are
banked, the Nursing Home will lose 10% of those beds, but it takes 18 months
to get the beds back once the request is made to unbank beds. Lockwood
explained Long Term Support is currently serving 45 CIP II clients and there
are 31 on the CIP II waiting list. He said CIP II slots are filled from the
waiting lists first as the County does not receive money unless the slots are
filled.
A resolution authorizing the St. Croix County Nursing Home to unbank 27 beds
for the purpose of creating CIP II slots was presented to the Board.
Motion: A motion was introduced by Bethke, seconded by Wentz and unanimously
adopted: That the Board approves the resolution authorizing the St. Croix
County Nursing Home to unbank 27 beds for the purpose of creating CIP II
slots. (Copy of the resolution attached at the end of the minutes.)
Motion: A motion was introduced by Wentz, seconded by Bethke, That the Board
approves that if anything happens that the Nursing Home is closed or
downsized, that Nursing Home beds will be converted to CIP II slots.
If the Nursing Home is sold, the Nursing Home beds could not be converted to
CIP II slots.
Motion: A motion was introduced by Horne, seconded by Olson, and unanimously
adopted: That the motion regarding converting Nursing Home beds to CIP II
slots be postponed.
SETTING 2002 NURSING HOME PRIVATE PAY RATES:
Motion: A motion was introduced by Craig, seconded by Bethke, and
unanimously adopted: That the Board approves the following increase in
Private Pay Rates for the Nursing Home effective January 1, 2002:
ISN $145/day
SNF $130/day
ICF $120/day
Krieger said the distributor Horne requested to be investigated at the last
meeting is a bulk distributor pharmaceutical company and would not meet the
Nursing Home needs.
Krieger reported that the Nursing Home census is 87 with referrals being
slow. She said the opinions being given by local radio stations and
newspapers have resulted in a negative impact on the Nursing Home census. She
said the Nursing Home is cutting expenses any way possible without dropping
the quality of care.
FAMILY AND CHILDREN'S: Johnson gave an update on the work through the
State/County workgroup on the ongoing standards. He said the State has been
working on ongoing standards for several years and recently involved County
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October 11, 2001
representation. He said there is a need for standards, but is unsure how
this will impact St. Croix County. He said the outcome of having ongoing
standards would be more uniform services throughout the state. He said some
of the standards will be piloted in 2002 but questions if some can be met and
liability surrounding these standards, a concern that has been raised by
several counties. Roecker said the standards are just a map to follow.
Investigation standards have been in place for several years.
Stephens left the meeting at 10:20 and turned the meeting over to Secretary
Bethke.
Horne questioned child monitoring. Johnson said this tracking service was
part of our intensive supervision program, which was a six to eight month
pilot program. There were a lot of restrictions to get youth into the
program so the intensive supervision program was discontinued but the tracker
program continues to be implemented with juvenile justice cases. Program is
grant funded.
Johnson said he predicts alternate care costs will be approximately $50,000
to $60,000 over for 2001.
Audrey Roecker, Area Administrator for the Department of Health and Family
Services, distributed a number of handouts regarding her department and the
functions of the various divisions within the Department. The State is not
going to give more monies to the counties but will continue to require
services. Costs are being passed onto the counties.
Bethke asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Horne, seconded by Wentz, and unanimously
adopted: that the meeting be adjourned.
Time: 10:45 AM
Chair:
Attest:
(Secretary)