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HomeMy WebLinkAboutHealth & Human Services 06-28-01 K 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: 06/28/01 TIME: 6:30 p.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROIL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 07/11/01 ACTION ON PREVIOUS MINUTES: 06/12/01 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. High Cost General Relief Case NEW BUSINESS: 1. 2000 Department Audit Report-Tracey and Thole 2. Wisconsin Works (W-2) Community Reinvestment Plan Update a. Mental Health "Drop In" Center 3. Program Reports a. Long Term Support b. Nursing Home 4. Financial Report/2002 Budget Planning 5. Personnel Issues a. Reproductive Health Clerk position review 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 June 28, 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: Robert Stephens, Chair 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 Judy Ziegler, Accounting Supervisor Carolyn Krieger, Nursing Home Administrator Mary Squyer, Economic Support Supervisor Ron Lockwood, Long Term Support Coordinator Judy Aronson, Secretary OTHERS PRESENT: Rod Paulson, Auditor - Tracey and Thole 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 is scheduled for Wednesday, July 11, 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 Berenschot, seconded by Bethke, and unanimously adopted: That the agenda be approved as circulated eliminating #2a. MINUTES: MOTION: A motion was introduced by Berenschot, seconded by Burri, and unanimously adopted: That the minutes of the 06/12/01 Health and Human Services Board meeting be approved as circulated. 2000 Department Audit Report-Tracey and Thole: Paulson stated the final state report was sent out from Madison on 06/15/01. There are no more changes to Human Services, the numbers will remain the same. Paulson stated the cash audit started at $910,000 and ended at $416,000. He noted the Accounts Receivable collection balance shows a significant increase. Paulson stated they concentrated on getting the cash reconciled. 1 The year end fund balance was $1,482,479.66 of which $1,215,416.78 is the spendable balance and $267,062.88 is net property and plant. Of the spendable balance, $90,175.00 is reserved for equipment replacement, $413,979.00 is reserved for 2001 operations, and $54,901.08 is reserved for inventories and donations, leaving $710,033.54 as designated. Paulson stated the budget is based on prior experience. Stephens stated we need to impress on people all the indefinites with the budget. Paulson stated there is a brand new reporting model for counties (Governmental Accounting Standards Board 34) depreciation of assets. Stephens thanked Paulson for his presentation. High Cost General Relief Case: Squyer stated we had a young lady with a brain tumor who had surgery at Abbott-Northwestern Hospital. Our part of the bill under General Relief Medical is 60%, which is $44,086.14. This young lady is alive today and will be going back to work and be a productive person due to the surgery. It was suggested that Squyer see what HMO would charge and if less than $44,086.14, pay that amount. Squyer stated this year we had two individuals in pretty tough shape and we had not budgeted for this. We will need to budget more for General Relief Medical. These monies were absorbed in other services as we had not needed them for GR-Medical in prior years. Home asked how do you decide who will get GR-Medical. Squyer stated those in life threatening situations, most prescriptions, but very few surgeries are considered under GR-Medical. Wisconsin Works (W-2) Community Reinvestment Plan Update: Squyer presented a revision on the W-2 Community Reinvestment Plan. Squyer stated she just attended a Regional Meeting and received significantly different direction, changing the plan proposal outlined in the Fact Sheet. Funds available to St. Croix County, to be approved by the State by 07/01/01 are $37,481. Squyer stated we cannot carry the dollars over into next year. Squyer stated we are proposing the addition of a Resource Center by modifying empty space in the 74 Building. Squyer stated we are the only county without this facility. The Resource Center would allow clients to develop employability plans. The monies would be used to furnish the Center. Horne questioned the amount of $309.00 per chair and stated he does understand there are different qualities of chairs but that seemed quite high. Squyer stated we have only one source to obtain our supplies. Borup stated we have a contract with Corporate Express, per Finance. Horne stated this is ridiculous that we are restricted to whom we can order. Olson questioned the purpose of the Resource Room. Squyer stated it will be used to obtain an employment plan, it will be furnished with computers for the client to complete their resume and get ready for employment. Squyer stated we have several videos for clients to view. Olson stated this sounds like a duplication of efforts with the Job Center. Squyer stated we do have a sub-contract with Job Center but we are doing most all of the work now so we will be cutting the dollar amount of this contract next year. MOTION: A motion was introduced by Wentz, seconded by Bethke, and unanimously adopted: To accept the W-2 Community Reinvestment Plan Revision presented by Squyer. 2 Long Term Support: Lockwood distributed a program summary. Lockwood stated he and his staff met with Secretary Phyllis Dub6 and came up with ways of serving people on waiting lists without spending any State aid. They asked to simplify the waiver process and consolidate waivers as much as possible. Lockwood stated they asked Secretary Dub6 for special housing allowance. At the present time we cannot transfer funds from one program to another so would like that flexibility. Olson stated when the legislators come, this needs to be discussed with them. There is a legislative breakfast in our Nursing Home Conference Room on July 16, 2001, at 9:00 a.m. Lockwood stated there is a positive note in the Governor's budget to basically allow the waiver to pay for Community Based Residential Facilities (CBRF) up to 20 beds. Hopefully when the budget bill is approved we will be able to use the Community Based Residential Facilities again. Stephens thanked Lockwood and asked that he pursue this very aggressively. Nursing Home: Krieger invited the Board members to a Roaring 20's picnic on 07/26/01. Krieger stated the Nursing Home census is 96 and on Monday there is to be an admission bringing the census to 97. Krieger stated we have received three checks, which included the ITP monies of $314,371. Our cash balance will look good in June. Krieger stated she received a letter from 13 of her RNs. They have an issue with four items the Union employees received which they would like the same. 1) $2.00/hr. additional for weekends, 2) Easter paid, 3) be allowed to cash in their PTO, and 4) charge nurse to receive additional monies. Krieger stated they are unified. Krieger stated she did remind them of their 9.5% increase (which the Union did not receive), in January 2002 they will receive another 6.6% increase and in January 2003 they will receive another 6.6% increase. Our RNs are also paid at a higher rate than the state's average R.N. rate. Krieger stated that with all the fringe benefits added, our RNs receive $31.00/hour. Most of these RNs are part time. Financial Report/2002 Budget Planning: Borup stated he received the budget instructions this past week. Borup stated he plans on having the budget to present to the Health & Human Services Board members by 08/10/01. Finance is asking for the budget on 08/17/01. Horne stated he would like to have the proposed budget earlier so he could look it over more thoroughly. Personnel Issues: Borup stated the job description for the position recently vacated by Linda Adams has been revised, removing the Registered Health Technician requirement. Barb Nelson has recently updated the job description with Deb Kathan resulting in the position being declassified from a non-union Grade 5 to Grade 4. MOTION: A motion was introduced by Wentz, seconded by Berenschot, and unanimously adopted: To send this job description to Personnel for review. Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Wentz, seconded by Bethke, and unanimously adopted: 3 ^ v That the Health and Human Services Board meeting be adjourned. Time: 8:00 p.m. Chairman: Attest: Secretary 4