HomeMy WebLinkAboutHealth & Human Services 07-11-01
CHRIS BETHKE 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: 07/11/01
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: 07/26/01
ACTION ON PREVIOUS MINUTES: 06/28/01
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Capital Outlay Plan Update
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. 2002 Budget Update
4. Program Reports
a. Public Health
b. Mental Health/AODA
c. Nursing Home
5. Personnel Issues
6. Closed session per Wisconsin Statute 19.85 (1) (g) to confer with legal
counsel regarding potential litigation
7. Reconvene into open session
8. Report on fire at St. Croix Industries
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
July 11, 2001
The St. Croix County Health and Human Services Board met on July 11, 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
Carolyn Krieger, Nursing Home Administrator
Ron Kiesler, Mental Health/AODA Coordinator
Steve Kirt, Mental Health/AODA Clinical Services Supervisor
Judy Ziegler, Accounting Supervisor
Ron Eichstaedt, Director, St. Croix Industries
Ralph Robole, Facilities Manager
Becky Ruka, Accounts Receivable Supervisor
Barbara Nelson, Public Health Supervisor-Health Officer
Geralyn Karl, Tobacco Control Specialist
Ruth Lehman, Public Health
Malva Berg, Secretary
OTHERS PRESENT: Greg Timmerman, Corp Counsel
Abby deNeui
Andrew Neumann
Vanessa Plourde
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 July 26, 2001 at 6:30 PM at the St. Croix County Health and
Human Services/Health Center complex. Krieger announced the Nursing Home
annual picnic will also be held at 4:30 PM on 07/26/01 and Board members have
received an invitation to the picnic.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Wentz,
and unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Horne, seconded by Berenschot,
and unanimously adopted: That the minutes of the 06/28/01 Health and Human
Services Board meeting be approved with the correction that new prices were
given for the chairs and other office furnishing for the resource room for W-
2. The retail price was quoted in the minutes and the county receives a
percentage discount for items ordered from Corporate Express. An updated
list of prices was distributed to the Board.
CAPITAL OUTLAY PLAN: Borup said no additional auto was added for the
restaurant inspection program in the plan for 2002. He said if the program
is approved in the fall, the auto issue would also come up when the program
began.
Robole said he is studying the possibility of going to interruptible service
for natural gas due to the high costs of natural gas last year. He said it
will cost approximately $40,000 for units to switch from natural gas to
interruptible. He will continue to study this and report back to the Board
in the near future.
Horne said the amount in the capital outlay plan for ECHO is low by about
$15,000 according to estimates received from ECHO. Borup said he was
following the advice of Boron by using the $80,000 figure.
Motion: A motion was introduced by Horne, seconded by Stephens, and
unanimously adopted: That the Board approves raising the amount for ECHO in
the capital outlay plan to $93,600 for 2002.
Motion: A motion was introduced by Horne, seconded by Berenschot, and
unanimously adopted: That the cost of an additional automobile be included
in the capital outlay plan for 2002 for the restaurant inspection program.
Stephens reported that Rod Paulson reported how well St. Croix County Health
and Human services is doing on collections in the audit report.
Motion: A motion was introduced by Stephens, seconded by Bethke, and
unanimously adopted: That the Board approves proceeding with enclosing the
courtyard for the Accounts Receivable area.
CONSIDERATION OF CLAIMS: The following reports for June were distributed to
the Board: fixed assets, financial report and cash reports.
Health and Human Services Board member, Bethke, reviewed and questioned the
following June vouchers:
HUMAN SERVICES:
8183: Shopko Pharmacy, $89.99, Long Term Support client meds. Prescriptions
for Long Term Support client living in the River Falls area.
8256: Community Living Specialists, Inc. $1,053.00, Long Term Support client
services. This is a new provider of services for Long Term Support
clients. The main office is located in Hudson.
8425: Linda Fouks, $84.65, guardianship expense. Whenever possible we have
family members or friends of a client apply to be their guardian. We
have several cases where this has not been possible. The County then
finds someone to be a guardian and the guardian receives a fee under a
waiver program.
A corporate guardian is used in circumstances where the management of
the client's affairs is more difficult due to the characteristics of
the client or complexities in the living situation
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Motion: A motion was introduced by Bethke, seconded by Stephens, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book pages 1592 through 1688:
Farm voucher 9, dated June 14, 2001, in the amount of $142.32.
Human Services vouchers 8134 through 8196, dated June 14, 2001 in the amount
of $246,429.66.
Human Services vouchers 8197 through 8198, dated June 15, 2001 in the amount
of $600.00.
Human Services voucher 8199 dated June 15, 2001 in the amount of $450.00.
Human Services voucher 8200 dated June 16, 2001 in the amount of $495.00.
Human Services vouchers 8201 through 8250, dated June 21, 2001 in the amount
of $91,800.44.
Human Services voucher 8251 dated June 21, 2001 in the amount of $467.63.
Human Services vouchers 8252 through 8284, dated June 28, 2001 in the amount
of $152,111.26.
Human Services voucher 8285 dated June 28, 2001 in the amount of $50.00.
Human Services voucher 8286 dated June 29, 2001 in the amount of $600.00.
Human Services vouchers 8287 through 8354, dated July 05, 2001 in the amount
of $3,265.52.
Human Services vouchers 8355 through 8475, dated July 11, 2001 in the amount
of $88,249.55.
Human Services vouchers 8476 through 8609, dated July 11, 2001 in the amount
of $140,677.42.
Farm voucher 10, dated July 11, 2001, in the amount of $121.66.
Nursing Home vouchers 1279 through 1283, dated June 14, 2001 in the amount of
$5,904.36.
Nursing Home vouchers 1284 through 1290, dated June 21, 2001 in the amount of
$6,234.08.
Nursing Home voucher 1291, dated June 28, 2001 in the amount of $969.00.
Nursing Home vouchers 1292 through 1297, dated July 05, 2001 in the amount of
$3,265.52.
Nursing Home vouchers 1298 through 1329, dated July 11, 2001 in the amount of
$17,455.21.
Human Services and Nursing Home vouchers 317 through 343, dated June 19, 2001
in the amount of $181,760.53.
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Human Services, Workshop, Public Health vouchers 325 through 352, dated June
14, 2001 in the amount of $206,832.27.
Social Services and Human Services vouchers 198 through 215, dated June 18,
2001 in the amount of $43,149.79.
Human Services and Nursing Home vouchers 344 through 372, dated July 03, 2001
in the amount of $224,149.18.
Human Services, Workshop, Public Health vouchers 353 through 385, dated June
27, 2001 in the amount of $260,054.82.
Social Services and Human Services vouchers 216 through 235, dated June 28,
2001 in the amount of $45,074.23.
REPORT ON THE FIRE AT ST. CROIX INDUSTRIES: Borup said damage costs for the
fire that occurred at St. Croix Industries on 07/04/01 are estimated at
$92,000. He said a truck is being leased so that business may be maintained.
The estimate to repair the truck is $33,600 with a seven to eight week wait.
Approximately $50,000 in product was in the vehicle and was smoke damaged.
Members questioned how much the truck was new. The truck new was $45,000.
Horne and Berenschot indicated the insurance company should be pushed to get
a new truck, not repair the damaged truck. They were concerned regarding the
damage the heat possibly caused to the frame with the tires being burned off
the truck.
Motion: A motion was introduced by Berenschot, seconded by Horne, and
adopted with Stephens and Craig voting no, That the Board approves purchasing
a new truck for St. Croix Industries rather than repairing the fire-damaged
truck.
Wentz questioned if there was money in the budget to pay for a rental vehicle
until a new truck was purchased and Borup said yes. Borup offered to call the
insurance company. Stephens suggested if the vehicle could be traded well,
for $10,000 or less the Board give Borup authorization to make a trade. This
issue will be finalized at the meeting 07/26/01
Timmerman said in an instance like this there are no formal bidding
requirements but the County still wants to get the best deal so the Board may
want to get two to three estimates.
Borup indicated signs may be posted for no trespassing on the grounds as this
is a government agency. He said law enforcement is investigating the fire.
Berenschot suggested when the rental contract for the farmhouse is renewed
that it carry a clause that the renters are required to carry rental
insurance.
Motion: A motion was introduced by Stephens, seconded by Berenschot, that
the Board enter closed session per Wisconsin Statute 19.85 (1) (g) to confer
with legal counsel regarding potential litigation.
Roll call vote:
Robert Stephens-yes
Leon Berenschot-yes
Chris Bethke-yes
Lois Burri-yes
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James Craig-yes
Einar Horne-yes
Fern Johnson-yes
Mary Louise Olson-yes
Esther Wentz-yes
Nine yes, motion passed.
The Board entered closed session at 9:12 AM.
Motion: A motion was introduced by Berenschot, seconded by Burri, that the
Board reconvene in open session.
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.
The Board reconvened in open session at 9:26 AM.
The Board recessed from 9:26 AM to 9:35 AM.
FINANCIAL REPORT: The following reports were distributed to the Board for
June. Borup said as the planning for the 2002 budget goes forward there are
some union social workers that are still at 1999 wage level due to
arbitration. It was suggested to invite Deb Kathan report to the Health and
Human Services Board at a future meeting. Borup will contact Kathan and
invite her to join us.
Please see next page.
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ST. CROIX HEALTH CENTER
NURSING HOME FINANCIAL REPORT
JANUARY 1, 2001 - May, 2001
MONTH OF YEAR TO
DATE
Operating Revenue $1,863,584.04
Operating Expense:
Daily Patient Services $1,570,729.45
Special Services $ 108,798.46
General Services $ 495,950.54
Administrative Services $ 220,920.24
Unassigned Expenses $ 220,948.24
Total Operating Expenses $2,617,346.93
Net From operations $ (753,762.89)
Non-Operating Items:
County Appropriations $ 220,990.00
State Program Revenues $ 315,387.00
Transfer from Other Funds $ 51,794.00
Total Non-Operating Items $ 588,171.00
Net $ (165,591.89)
Audited Fund Balance 01/01/01 $1,532,591.00
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ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/01 THROUGH 05/31/01
NURSING HOME
Reconciled Cash Balance 05/31/01 ($373,479.23)
Add:
Accounts Receivable, 05/31/01
Private Pay $32,763.25
Medicare $207,822.09
Medicaid $202,595.27
General $0.00
Accounts Payable-05/31/01 ($181,788.70)
Net Current Items, 05/31/01 ($112,087.32)
2001 Revenue Recorded through 05/31/01 $2,451,755.04
Includes Allocations of Anticipated Revenues
2001 Expenses Recorded through 05/31/01 $2,617,346.93
Includes Allocations of Expected Expenses
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SUMMARY Total
OF REVENUES Jan.-May. Budget Balance
Administration 332,150.42 736,431.00 404,280.58 45.1%
AODA Services 184,085.60 353,366.00 169,280.40 52.1%
Intensive In-Home Treat. 70,657.08 176,471.00 105,813.92 40.0%
Long Term Support 4,056,087.75 11,519,994.00 7,463,906.25 35.2%
Mental Health 868,814.74 1,895,384.00 1,026,569.26 45.8%
Family & Children's 1,006,776.98 2,360,749.00 1,353,972.02 42.6%
Economic Support 267,611.42 1,256,132.00 988,520.58 21.3%
General Relief 366.24 5,281.00 4,914.76 6.9%
TOTAL REVENUES
ALL PROGRAMS 6,786,550.23 18,303,808.00 11,517,257.77 37.1%
SUMMARY Total
OF EXPENDITURES Jan.-May. Budget Balance %
Administration 279,611.08 736,431.00 456,819.92 38.0%
Alcohol-Drug Abuse 134,265.48 353,366.00 219,100.52 38.0%
Intensive In-Home Treat. 63,820.26 176,471.00 112,650.74 36.2%
Long Term Support 3,901,466.89* 11,519,994.00 7,618,527.11 33.9%
Mental Health 741,506.85 1,895,384.00 1,153,877.15 39.1%
Family & Children's 835,352.20* 2,360,749.00 1,525,396.80 35.4%
Economic Support 387,093.06 1,256,132.00 869,038.94 30.8%
General Relief 2,290.52 5,281.00 2,990.48 43.4%
Accrued Payroll 244,708.67 0.00 (244,708.67) 0.0%
TOTAL 2001 HUMAN
SERVICES BUDGET 6,590,115.01 18,303,808.00 11,713,692.99 36.0%
*Salaries for union staff who haven't settled their contract are still being
paid at 1999 rates. Estimated cost for 2001 is $50,000 to $75,000
PUBLIC HEALTH
Total
Jan.-May. Budget Balance
TOTAL REVENUES* 433,445.27 1,099,234.00 665,788.73 39.4%
TOTAL EXPENDITURES 387,284.83 1,099,234.00 711,949.17 35.2%
2002 BUDGET UPDATE: Borup said staff are budgeting cautiously for 2002 as
revenues are still unknown. He said Administration is planning on remaining
with the schedule to present the budget as previously discussed and will
present the budget at the 08/14/01 Health and Human Services meeting.
Stephens said the budget should be presented to the Board on 08/14/01 and the
Board may decide at that meeting to either take action on the budget or table
the budget until the next meeting on 08/23/01. Finance has requested the
final budgets by 08/17/01.
Stephens said the Nursing Home Steering Committee met on July 9 and he met
with Finance Committee on July 10. He said the Nursing Home will continue as
is for 2002. He said the Finance Committee agreed to a special County Board
meeting in October to present the information gathered from the Nursing Home
Study. Stephens said it is quite possible that the Nursing Home Steering
Committee may continue even after the study is complete as Finance has
established a budget for this committee for the next year.
MENTAL HEALTH/AODA: Ruka distributed information regarding collections
through June, 2001, comparison of collection history between 2000 and 2001.
She said collections are doing very well except Family and Children's unit is
difficult to predict. She said we are $74,000 over budget and a large amount
of this is due to insurance collections. The largest number of individuals
served by Health and Human Services do not have insurance and a sliding fee
scale is initiated for those clients.
A list of insurance companies Health and Human Services contracts with was
distributed. Insurance contracts have made a large difference in the
collection amounts. Kiesler said some insurance companies require us to
serve both St. Croix County as well as out-of-county clients in order to
retain their contract. He said as of 07/01/01, we are only seeing two out-
of-county clients out of 420 clients. Out of county clients are given other
sources of services before accepted as a client of the county. Kiesler said
we are exploring the possibility of new additional insurance company
contracts. Stephens requested information regarding any resolutions or
references made by either Health and Human Services Board or County Board
regarding serving out of county clients.
It was the consensus of the Board to continue doing business as is to stay
competitive.
Kirt reported on a question posed by Horne at an earlier meeting regarding
the percent of people who were ordered for an intoxicated driver program
(IDP) assessment never followed through on treatment. Kirt said from 05/00
to 04/01, 14% of this population was non-compliant or 45 out of 330. He said
29.9% were repeat offenders who had more than one DWI in St. Croix County;
the state average is 35.4%.
Stephens thanked Ruka for doing a great job and shook her hand.
PUBLIC HEALTH: Geralyn Karl reported the Joint Finance Committee took action
to cut one-third of the Wisconsin Tobacco Control Board funding. She said
this will affect projects in St. Croix County.
Karl and three students, Vanessa Plourde, Abby deNeui, and Andrew Neumann,
who attended the "Kickin' It to Big Tobacco Bash" sponsored by the Tobacco
Control Board reported on their experience and what they learned at this
gathering. Upcoming recruitment and education opportunities for the youth
tobacco prevention movement are 07/22 for Pierce and St. Croix County youth
and 08/02 for all Western Region youth. Karl said our coalition had the
highest presentation of youth at the Bash. son asked when students are taught
that tobacco is harmful and it is constantly reinforced from kindergarten
through high school, why don't all the students get the same message and not
smoke. Neumann said he has supportive parents in his life so is taught the
message twice, not all kids have that support. Plourde said she support from
home and has been taught that you don't have to do what others are doing.
Olson asked why current programs in the schools are not working; Karl said
the coalition has currently assessed several school districts on their
tobacco prevention curriculum and more will be done. Karl said comprehensive
tobacco prevention must include support from all aspects of the community.
Ruth Lehmann reported on the farmer's market nutrition program, which started
07/01/01. She said there are two certified markets in St. Croix County, one
in New Richmond and one in Hudson. Each WIC family is given $20 in farmer's
market drafts for the season along with recipes for the produce. Westcap has
started a program for seniors to utilize the farmer's markets, which Economic
Support is helping to distribute and complete the senior's farmer's market
applications. Senior citizens receive $50 in drafts for the farmer's market.
These drafts are only good at the farmer's market; they are not good for
stores, etc. Lehmann reported that a survey done of WIC clients showed that
43% were food insecure, 31% skip or cut meals due to not enough food in the
home. Information was shared regarding "Share the Bounty". Produce may be
dropped off at senior sites, WIC, First Lutheran Church in New Richmond, and
Immaculate Conception Church in New Richmond. Posters for the Produce Drop-
Off Sites listing days and times will be posted soon. The St. Croix County
Food Resource Collaborative is working on a food resource guide and helping
coordinate the Share the Bounty program.
Lehmann also reported on the "Jump and Jive-Come Alive with Fruit" program
that will be starting this fall at WIC, which will be in coordination with
Martha Mabis through the Extension Nutrition Education Program.
Nelson said the Legislative breakfast is scheduled for 07/16 at the St. Croix
Health Center.
Nelson reported that a meth lab was busted in New Richmond. Public Health is
examining the home to determine if it is safe to live in it or not.
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NURSING HOME: Krieger said the census in the Nursing Home is 94 today. She
said over the holiday, the Nursing Home had three admissions and three
discharges in three days.
Krieger shared the county of residence upon admission for Nursing Home
residents. Of 95 residents, 71 are St. Croix County residents.
Krieger said a survey is sent to all discharged families or residents to
solicit their comments so that we can improve our services. She shared those
comments with Board members. She said she shares these comments with staff
quarterly.
Stephens asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Berenschot, seconded by Wentz, and
unanimously adopted: that the meeting be adjourned.
Time: 11:15 AM
Chair:
Attest:
(Secretary)
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