HomeMy WebLinkAbout07 01 2013 Health and Human Services Minutes MINUTES
HEALTH & HUMAN SERVICES BOARD
July 1, 2013 8:30 AM
Board Room, Department of Health & Human Services
1445 N 4th Street, New Richmond, Wisconsin
CALL TO ORDER
Chair Horne called meeting to order at 8:30 noting the meeting was properly and legally
publicized.
ROLL CALL
Attendee Name Title Status Arrived
Tim Hood Supervisor Absent
Fred Yoerg Supervisor Absent
Chris Kilber Supervisor Absent
Tom Hawksford Supervisor Present
Roger Larson Vice Chair Present
Fred Horne Chair Present
Leon Berenschot Board Member Absent
Lisa Ramsay Board Member Absent
Deb Rasmussen Board Member Present
Daryl Standafer Supervisor Present
Others present: Health and Human Services Director Fred Johnson, Nursing Home Administrator
Jack Williams, County Administrator Patrick Thompson, Fiscal Director Tabitha Hanson, St.
Croix Industries Administrator Clark Schroeder, Human Resources Director Tammy Funk,
County Board Chair Daryl Standafer, Director of Nursing Sandy Hackenmueller, Social Work
Director Lisa Leahy, Health and Human Services Administrative Assistant Colleen Linder,
Aging & Disability Resource Center Program Services Specialist Renea Aeschliman, Kim
Dupre, Members of SCI parent group
APPROVAL OF MINUTES
1. May 6, 2013 8:30 AM
Chair Horne asked if there were any corrections to the minutes. Chair announced if there
are no corrections to the minutes they stand as distributed.
RESULT: ACCEPTED
PUBLIC COMMENT
No Public Comment
BUSINESS ITEMS
1. Financial Reports
Fiscal Director, Tabatha Hanson informed the Board that we will start recruitment for a
FT permanent fiscal position for Health and Human Services (HHS) as Deb Suchla's
contract has ended. Hanson will fill in during the interim. The April and May reports
were shared for comparison. SCI is showing a loss of $113,000 and will continue to be
monitored. ADRC looks like a loss but there is $ 75,000 of carry over funds from 2012.
Discussion was had on use of carry over funds and how past carry over funds have been
spent and authorized. NH is showing $102,000 loss, $62,000 is depreciation and $10,000
is architectural fees; this fee will be split with $5000 coming from HHS funds.
Discussion was had on t he increased loss from end of March to April and continuing into
May. More detail will be reported on at the next meeting.
2. Nursing Home Report
Nursing Home Administrator, Jack Williams addressed the board. The financials are an
area that will take an in itial 6 months for Williams to draw a good financial reading. He
states we have seen some improvements. Nursing Home is tracking $400,000 better than
a year ago, but not out of the woods. A great marketing effort by Social Work Director,
Lisa Leahy, Director of Nursing, Sandy Hackenmueller, and other leadership has shown
to be helping a great deal in keeping the census up. Expenses have been looked at and we
have been watching cost very closely. Expenses are down and revenues have been
consistent even with the reduction in beds. Board members would like to see an
Operational comparison leaving out Levy dollars and only look at Operational expenses
and Services revenue. At the August meeting Williams will have financial results for first
half of 2013.
Williams then noted that there appears to be a lot of upheaval and disagreement on the
Boards part surrounding the Nursing Home. He would ask and expect this Board to make
a decision relative to the Nursing Home. Reportedly, it has been put to the public and
they called for the Nursing Home to remain open. The Board now needs to step up in a
cohesive manner and make a decision.
Director of Nursing, Hackenmueller then gave an update on quality of care at the Nursing
Home. St. Croix County Nursing Home is on the 5 star rating from the Center of
Medicare Services. They take pride in this as not many Nursing Homes are on the 5 star
rating. This facility is special in the way staff becomes very involved with clients and
treats them as family; they go out of their way to share stories and happenings with
residents that may be of interest to them. Staff goes above and beyond, and not just here
for a pay check. We admit residents that we can meet the needs of, and staff is trained to
understand their specific needs. Leahy shared that Hackenmueller is a wound specialist
and is educating staff in this area which is giving them the ability to accept these clients
and give good quality care.
The Nursing Home budgets for a total census of 45. The budget is for 3 Medicar e, 37
Medicaid, & 5 Private pay residents, as of today we have 3 Medicare, 32 Medicaid, & 11
Private pay.
3. Wisconsin County Human Service Association Proposed Umbrella Statute
Johnson shared that Wisconsin County Human Services Association (WCHSA) is a
professional association that addresses Human Services issues and St. Croix County is a
member of the association. The Board reviewed the proposed statute. WCHSA
membership voted to support moving forward with this proposal and if St. Croix County
wants to proceed in getting legislative sponsorship, Johnson would ask for support from
this Board. Johnson will prepare a resolution for next meeting and inquire if this is a
voting item for the September Wisconsin Counties Association (WCA) meeting.
4. Wisconsin Counties Association Health and Human Services Budget Summary
Johnson discussed this document with the Board and highlighted a few pieces as
approved by Joint Finance.
* Children and Family Aids are showing cuts in Federal Aid with the effects of
sequestration. We are watching this carefully.
* St. Croix County (SCC) Coordinated Service Teams (CST) was initially funded with a
grant, now there is opportunity to get funding to support our CST program.
* Older American Act Funding could also see reductio ns in allocations with
sequestration.
* Comprehensive Community Services (CCS) program now has funding attached and
SCC will look at joining with other counties to implement.
* Family Care enrollees that are admitted to the mental health institute could include
State cost sharing.
* Implementation of the Affordable Health Care Act and the influx of workload for
Economic Support that will impact our Income Maintenance Consortium.
5. Healthier Together St. Croix County Goals and Outcomes Review
This topic was asked to be brought back to the Board with more information related to
outcomes. Public Health (PH) Coordinator Deb Lindemann spoke as to the purpose of
Community Health Improvement Process (CHIP) and the requirement of the Public
Health Department. This process has been labeled as Healthier Together-St. Croix
County. Primary prevention outcomes related to the 5 health priorities are difficult to
track progress in the short term. We have had positive outcomes through our current
CHIP including better working relations with community and increased community
awareness. People have been active participants on various task forces. Examples of tasks
force work were reviewed. Johnson participated in a meeting with the 4 hospital Chief
Executive Officers as all use this CHIP process to meet requirements for their
organizations. Future meetings will include Pierce County as well. Discussion will
include identifying fewer areas of focus along with increased collaboration amongst
hospital and Health and Human Services leadership to improve outcomes. We will bring
back additional information on CHIP planning after additional collaboration with the
hospitals and Pierce County is completed.
6. St. Croix Industries Parent/Stakeholder Meetings Report
Chair Horne indicated at a prior parent meeting that he would like a parent to speak today
at this meeting. Horne gave a brief overview that there have been 3 parent meetings
since County Board on June 4th.
Kris Ainsworth spoke as a parent representative and indicated that they have appreciated
these meetings. Many questions are being answered regarding the how, when, where, and
why we got here with St. Croix Industries. We've delved into financials and are starting
to understand. The biggest concerns related to transition are safety, transportation, and
continuity of care for our adults. We are going out with flyers and bullet point letters and
contacting everyone we know in the county. We plan on going door to door to let them
know this is happening and let them make t heir own opinions and call county
supervisors. We want to educate and let everyone know this is happening. I need to
know I've done my job for my son. At the meetings we have talked about transition and
what if the resolution is squashed; we need to be pr epared for any possible occurrence.
We need to know where we go next, to achieve what we need to achieve for our children.
Southwest Family Care Alliance (SFCA) came in and did a good job explaining things.
The biggest thing we can do is to educate ourselves to give good information to you to
make the best situation for the population. Ainsworth thanked the Board.
Johnson and Schroeder then spoke in regards to the parent meetings and gave a summary.
June 11th was a planning meeting with two parent representatives. June 18th had a larger
group and covered detail of power points provided earlier to HHS and County Boards.
June 25th agenda was mainly addressing a list of questions from parents presented after
their June 18th meeting. Also on June 25th, SFCA shared a power point. They want to
involve parents and HHS to develop a request for proposal (RFP) should the County
Board vote to transition. They need to know what is important, & what parents want
from a new provider if transition is voted on Aug 6. After advice and input it is SFCA
final decision regarding a contract.
Johnson suggested the next parent meeting agenda may include more questions from
parents. Also, more time for SFCA to talk about the RFP process and have more dialogue
with parents. Johnson indicated that staff is following up as directed by County Board.
Board member asked, do you feel you are making progress? Parent representatives
shared this has alleviated many fears. We had to get over the fight or flight feeling to feel
we were working with or part of the team. Parents feel better educated, calmer, but
anxious. The more educated I get, the more I hear, the better I can make a choice. That's
what you've allowed us in these 2 months. We understand the business side more, but
ha ve more questions.
Thompson shared his concern around the stress level this is placing on the kids. This is
very tough for everyone. Thompson thanked the parents for agreeing to meet and
appreciates the questions.
ANNOUNCEMENTS & CORRESPONDENCE
ADJOURN
This meeting was adjourned at 10 AM
Respectfully Submitted: Colleen Linder
DATE OF NEXT MEETING: AUGUST 5, 2013