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HomeMy WebLinkAboutHealth & Human Services 05-24-01 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: 05/24/01 TIME: 6:15 p.m. (NOTE TIME CHANGE) LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 06/12/01 ACTION ON PREVIOUS MINUTES: 05/11/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Nursing Home Bed Banking 2. Capital Outlay Planning Update NEW BUSINESS: 1. Program Reports a. Alcohol/Drug Abuse and Intoxicated Driver Program b. Nursing Home 2. Financial Report 3. Personnel Issues 4. W-2 Steering Committee Per Diems NOTE: Board meeting will be followed by Public Open Hearing at 7:00 PM 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 May 24, 2001 The St. Croix County Health and Human Services Board met on May 24, 2001, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Leon Berenschot, Vice Chair Lois Burri Einar Horne Fern Johnson Mary Louise Olson Esther Wentz MEMBERS ABSENT: Robert Stephens, Chair, excused James Craig, excused Chris Bethke STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Ron Kiesler, Mental Health/AODA Coordinator Steve Kirt, Mental Health/AODA Clinical Services Supervisor Mary Squyer, Economic Support Supervisor Judy Aronson, Secretary OTHERS PRESENT: Vice Chair Berenschot, called the meeting to order at 6:15 P.M. noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Tuesday, June 12, 2001 at 8:30 A.M. at the St. Croix County Health and Human Services/Health Center complex. Wentz 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. ANNOUNCEMENTS: Borup stated Rod Paulson, Auditor, will be at the June 12" Health and Human Services meeting regarding the department audit exit. Berenschot asked for a motion to approve the minutes of the 05111/01 Health and Human Services meeting. Olson referred to page 2 and stated the second paragraph should reflect the number of facilities subject to regulation grew from 286 to 293. Olson also referred to page 8, regarding the Motion, wanting to clarify that the effective date for the Deputy position to be filled was 07/01/01 and not 07/01/02. She stated after reading the paragraph above was not sure. The motion was correct with the date of 07/01/01. Horne stated 1 that this position would not happen by July 1, 2001, as this needs to go through the budget process and explanation of the position with Personnel. Borup requested clarification as he is working with the Personnel Office regarding the Deputy Director recruitment - as directed at the Board Meeting on 05111101. Horne stated he doesn't oppose the position, but does not like the timing of this. We have done without this position for four and a half years so why does this need to be done by July, 2001. We hadn't even heard about this until the last meeting. Concensus of the Board is to delay filling the position. This discussion will be brought back to the June 12"', 2001, Health & Human Services Board meeting. MINUTES: MOTION: A motion was introduced by Wentz, seconded by Johnson, and unanimously adopted: That the minutes of the 05111/01 Health and Human Services Board meeting be approved as circulated. Nursing Home Bed Banking: Borup stated that the Nursing Home Study Committee met with Keefe who presented a lot of background of downsizing around the State. While bed banking is different than downsizing, we are looking at banking 27 beds, which would result in a permanent loss of three beds this January 1, 2002. We would receive $46,000 by banking 27 beds. As this decision would have an impact on the nursing home capacity, the final decision would need to be handled by the full County Board. If this decision were made, it would need to go to the Board by June 19 and forwarded to the State by June 30, 2001. If all agree, a resolution would be developed for the June 12th Health and Human Services meeting. Horne stated the nursing home has already lost 1 million dollars, so $46,000 is nothing. We should put a hold on bed banking until the study is over. Horne stated that as soon as you start losing beds, you are changing the value of the business. Wentz stated if we do not bank beds we would lose the $46,000. Krieger stated our census is dropping. We have 30 some empty beds and we need storage rooms and we need private rooms. We have 35 extra bedrooms that we cannot do anything with. Home questioned what would happen if we downsized. Borup stated we would have to surrender licensed beds permanently and that is another whole issue. MOTION: A motion was introduced by Wentz, seconded by Burri, That the Health and Human Services Board recommend to the County Board to allow the Nursing Home to bank the 27 beds. Roll call vote: Leon Berenschot-yes Lois Burri-yes Einar Horne-no Fern Johnson-yes Mary Louise Olson-yes Esther Wentz-yes Five yes, one no, motion passed. 2 Borup stated Board members are soliciting options, not recommendations. Horne stated this would effect the financial status of the nursing home with a lot of complications to this. Horne stated we will be losing a million dollars a year of taxpayer dollars for $46,000. Krieger stated this is a positive move for the facility looking at it from a business perspective. This may be a hard sell to the County Board, but does not see three beds as significant to this facility. Capital Outlay Planning Update: Borup stated we need significant upgrades so are requesting to increase our five-year capital outlay plan. Instead of requesting $20,000 per year we are requesting: 2002 $80,000 2003 $30,000 2004 $25,000 2005 $25,000 2006 $20,000 Borup stated that computer systems are in need of ongoing upgrades and that our expenditures for software are considerably less than many other counties. Borup stated this is a good investment. The system is working better than it ever has. Horne stated we might have to spend some of the $80,000 this year (2001). Horne stated he would like to see this on a spreadsheet as to what of the total is for the Nursing Home and what is for Health & Human Services. MOTION: A motion was introduced by Wentz, seconded by Olson, and unanimously adopted: That the Health and Human Services Board approve the addition of $80,000 to the five-year capital outlay plan for 2002 (of which some may be spent in 2001) specifically for computer software with the five year plan to be updated as above. 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: 7:00 p.m. Chairman: Attest: Secretary 3 ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD PUBLIC HEARING May 24, 2001 The St. Croix County Health and Human Services Board conducted an "Open Hearing" on May 24, 2001, at St. Croix Industries in New Richmond, Wisconsin. MEMBERS PRESENT: Leon Berenschot Lois Burri Einar Horne Fern Johnson Mary Louise Olson Esther Wentz Vice Chair Berenschot called the Open Hearing to order at 7:00 P.M. noting that the meeting was properly and legally publicized. Berenschot welcomed everyone to the Hearing. He invited everyone to speak and asked that they sign the sign-in sheet. Berenschot introduced John Borup. Borup introduced Chairman Ray Mealey from the Long Term Support Advisory Committee and Mealey introduced the committee members present. This Public Hearing is being filmed for Cable TV by Channel 10 from Hudson, Wisconsin. Borup thanked Berenschot and asked the Health and Human Services Members identify themselves and the districts they represent. Borup gave special thanks for everyone attending tonight. Borup stated we hold an Open Hearing annually and we listen to all the concerns, complaints and praise from all. The County Board will be giving us our direction and then we will do the budget and have in final form in late August, early September and forward to the Finance Department. In late October it will be forwarded to the County Board. Borup read some letters from those who could not attend or did not wish to speak. See attachments in minute book. Borup introduced Barbara Nelson, Public Health Supervisor and Health Officer. Nelson stated Public Health does provide any part of prenatal care and postpartum symptoms. Public Health provides breastfeeding consultation/education, services and education for family planning and basically serves low-income men and women. Borup introduced Ron Kiesler, Mental Health/AODA Coordinator. Kiesler stated county funds have been expanded by $4,000.00. Mental Health/AODA issues and services have had dramatic increases in referrals. Borup invited all those who wish to speak to do so. There were three persons who did give testimony on appreciation of Mental Health Services, Social Workers, and Psychiatrists; and i regulations for handicapped bathrooms as it would be nice for them to be updated; and a Drop-In Center for the Mentally Ill. Borup introduced Mary Squyer, Economic Support Supervisor. Squyer stated the BadgerCare program is for uninsured working families with children, whose income is not more than 185 % of the federal poverty level. A premium payment is required if the income is more than 150% of the federal poverty level. The premium is not more than 3 % of the family's income. With BadgerCare comes dental and the problem is in our area we do not have dentists who will take MA. Persons who are on MA do not pay premiums but with BadgerCare there is a premium that must be paid. The state is aware of the problem and is working with the Dental Association to get dentists involved but we have not heard anything from the State. Borup introduced Ron Lockwood, Long Term Support Supervisor. Lockwood read a letter regarding the respite program. Lockwood would like to see the respite program expand and realizes how important respite care is and will definitely research that. Borup introduced Carolyn Krieger, Nursing Home Administrator. Krieger stated she would urge the County Board to continue to keep the Health Center open. Our staff are caring and work hard. Borup thanked everyone for all the written and verbal testimonies and asked if there was anyone else who would like to make a comment. Borup introduced more staff: Norma Vrieze, Early Intervention Director. Steve Kirt, Mental Health/AODA Clinical Services Supervisor Ron Eichstaedt, Workshop Director Kathy Dunlap, Family & Children's Supervisor Becky Ruka, Health & Human Services Accounts Receivable Judy Aronson, Secretary Borup stated we appreciate everyone for coming to the Open Hearing. Hearing adjourned at 7:55 p.m. Chairman: Attest: 2