Loading...
HomeMy WebLinkAbout08 05 2013 Health and Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD August 5, 2013 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER 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 Present Lisa Ramsay Board Member Absent Deb Rasmussen Board Member Present Others Present: Health and Human Services Director Fred Johnson, County Administrator Patrick Thompson, Fiscal Director Tabitha Hanson, , Human Resources Director Tammy Funk, Nursing Home Administrator Jack Williams, Director of Nursing Sandy Hackenmueller, St. Croix Industries Administrator Clark Schroeder, Public Health Administrator Deb Lindemann, New Richmond News Jeff Holmquist, Information and Technology Kim Dupre, Health and Human Services Administrative Assistant Colleen Linder, County Board Chair Daryl Standafer, County Board Supervisor Dave Ostness, Several Parents and Stakeholders representing St. Croix Industries. CliftonLarsenAllen Representative Trenton Fast, CPA APPROVAL OF MINUTES 1. July 1, 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. Nursing Home Report Nursing Home Administrator Jack Williams addressed the Board and shared that we have reached the milestone of 50% completion of the fiscal year. The 2012 audit report will be presented later in the meeting by Trent Fast, CPA with CliftonLarsonAllen. The Year to Date shows a loss of almost $143,000, though we are tracking better than last year. We are approximately $300,000 better on the income side. This is attributed to the effort to curtail labor cost and the consistent high occupancy. We still have work to do, we are reaching near full potential on revenue side, and as we are entering into the budget process we will be working with leadership to take a closer look at cost. We continue to maintain a 5 star rating which is something to be proud of, but also becoming increasingly important as this is being looked at more closely by hospitals as they discharge clients to nursing home facilities. There is still no word on the incentive application, and we do n't expect anything until fall. 2. Financial Reports Tabatha Hansen shared the June YTD financial report. She has taken a deeper look at various Health and Human Services (HHS) Departments revenues during the budget process. They are trending below what was expected on the budget, and it appears in particular the Children's Long Term Support Waiver revenues are coming in low. One explanation for the shortfall could be the number of new staff in this area. It takes a lot of time to train and get the new staff to the point they are reporting billable time. Also, they are no longer able to back date per state changes, so the longer it takes to get a waiver open the more time that is non-billable. Another factor is higher number of placements of clients in higher cost care facilities in May and June which have made the expenses higher while revenues leveled off. Collections are on target. St. Croix Industries still looks like we will be over budget in operating expense by approximately $100,000. Aging and ADRC continue to look good. 3. St. Croix County Nursing Home Financial Statements Years Ended December 31, 2012 and 2011 Trent Fast, CPA with CliftonLarsonAllen presented the 2012 audit reports. He shared two documents, the actual Financial Statements and the Board Report packet which includes some extra communication items with graphs and ratios in comparison to other years and similar facilities. He reviewed some of the changes made to the way the report looks and reads. CliftonLarsonAllen issued a clean op inion this year, meaning the financial statements are materially correct. They had no difficulties in getting the audit done and appreciated this. On the revenue side the high occupancy and the change to 50 beds has been a positive change, many care cent ers are doing this in order to right size their operations. The high number of Medicare residents is also helpful as Medicare typically pays higher than Medicaid, private insurance and private pay. Accounts receivable are doing a great job in collecting o n a timely manner. On the expense side, on cost per day, the audited numbers again show that the cost of nursing care, wages, fringe benefits, and taxes are the highest expenses and from a comparative standpoint remain high. There is still a big hill to climb with some items, but there have been some positive decreases in operating expenses which is good to see. He thanked the County for the opportunity to work with them once again and would be happy to answer more questions. 4. Health and Human Services Facility Planning Report Health and Human Services Director Fred Johnson shared that at last month's meeting of the Committee of the Whole the information in the packet was shared and he wanted to give Health and Human Services Board an update. The slides g ive an overview of what is being proposed to the County Board including a timeline and the tentative agreement. County Administrator Pat Thompson shared that the seller of County Market has met all contingencies and so this resolution will be put to a vot e tomorrow at the County Board meeting. A question was raised regarding Baldwin Ag center employees and the potential they be moved to Hudson in the future. As the Federal Government lease is terminated and they vacate, the Baldwin office would only be ho using approximately 20 employees so this would seem an inefficient use of space. The potential of the Federal Government approaching the county in the future seems unlikely as they have changed their location model, but the door is always open. The building is an asset, but is only large enough to accommodate parts of Health and Human Services, so would potentially best benefit the county to sell that building. 5. St. Croix Industries Parent/Stakeholder Meetings Report HHS Director Johnson is providing an update on this matter. The Board packet includes notes from the meetings that were held throughout June and into July with parents and stakeholders. Additionally, a power point provided by Southwest Family Care Alliance (SFCA) was also included. Since July 1st there has also been a meeting with SCI staff including SCI Administrator Clark Schroeder, Johnson, and Human Resources. Some staff questions were addressed at that time, but many are on hold until the County Board makes a decision regarding transition. There has been one staff retirement so we will be reviewing the Day Services program based on that retirement. Another staff person is leaving for a job outside the county, and there is potential for others to leave. The transition discussion has sta ff looking at other options and as noted, some have already made changes. After the July 9th parent meeting, the parents made the decision they did not need any further information from HHS staff, so all further scheduled meetings with HHS were cancelled. This was clarified and confirmed with Kris Ainsworth, parent representative. The door was left open to them if they felt the need to meet at any time. Since these meetings were cancelled, the opportunity did not present itself for a transition report to be put together. Some of the main concerns shared by parents if transition happens were quality of services, the voice of SCC being heard, and lastly transportation. The quality issue was addressed by SFCA during parent meetings. SFCA also shared they wo uld want SCC staff and SCI parents to be part of writing the Request For Proposal (RFP) so their voice would be heard. Johnson shared that Administration is committed to working with another entity to continue transportation if this is necessary. The use of the SCI building is also in question and this is another area that Administration is willing to work with another provider on, if need be, during transition. SFCA is committed to working with the County if transition is approved. If the need arises SFCA is willing to attend future meetings and report to the Board if there are issues regarding their commitments. Johnson did not want to speak for the parents but did give his impression that after meeting with parents they did feel more comfortable with t he county staying involved. Parent Representative Ainsworth spoke and shared that they did gain a lot of knowledge while meeting with HHS staff, and they have continued to meet on their own to gather more information for themselves. Concern was shared what if no providers accept our RFP. The county has received several inquiries regarding SCI and SFCA will put together a strong proposal that is expected to generate a lot of response. Another concern is that if transition happens tomorrow the county will cu t off services. The County has all intentions of working closely with SFCA during transition and will provide services until another responsible provider is found. Services will continue and SFCA has agreed to keep the rates the same through the first quarter of 2014. County Supervisor Ostness shared that he and another Supervisor went to Eau Claire and met with SFCA staff, it was an excellent meeting and that he felt much better about a potential transition after this meeting. 6. Resolution Supporting Wisconsin Counties Collaborative Statutory Language for Health and Human Services Programs (Umbrella Human Service Statute) This was an informational item at last meeting and the board requested a resolution be drafted and brought to this meeting in support of the proposed umbrella statute. Johnson is looking for Board support in this statutory change. There is one change in wording that will need to be made to the Resolution as the Human Services Board for Wisconsin counties has voted to endorse and support this statue proposal. Johnson will bring the Statute to the Board when it is written in its final form. Motion was made by Rasmussen to accept with the changes recommended, Hawksford 2nd. No one was opposed. Johnson will get the wording in the resolution changed to indicate that the WCA Board voted to support the umbrella statute and bring it to the County Board. RESULT: APPROVED AS AMENDED [UNANIMOUS] AYES: Tom Hawksford, Roger Larson, Fred Horne, Leon Berenschot, Deb Rasmussen ABSENT: Tim Hood, Fred Yoerg, Chris Kilber, Lisa Ramsay ANNOUNCEMENTS & CORRESPONDENCE Next meeting is scheduled on a Holiday so will need to be rescheduled. It has been rescheduled for September 9, 2013 at 1:00pm at HHS Board Room. We will need to reach out to the other Board members to be certain there is a quorum. ADJOURN Respectfully Submitted: Colleen Linder This meting was adjourned at 9:50 A.M. DATE OF NEXT MEETING: SEPTEMBER 9, 2013 1:00 P.M. September 9, 2013 at 1:00 P.M.