Loading...
HomeMy WebLinkAbout10 07 2013 Health and Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD October 7, 2013 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Meeting called to order @ 8: 30 A.M. on Oct 7, 2013. Chair Horne welcomed everyone. ROLL CALL Attendee Name Title Status Arrived Tim Hood Supervisor Present Fred Yoerg Supervisor Present Chris Kilber Supervisor Present Tom Hawksford Supervisor Absent Roger Larson Vice Chair Present Fred Horne Chair Present Leon Berenschot Board Member Present Lisa Ramsay Board Member Absent Deb Rasmussen Board Member Absent Others present: Health and Human Services Director Fred Johnson, Cou nty Administrator Pat Thompson, Human Resources Director Tammy Funk, Nursing Home Administrator Jack Williams Social Services Director Lisa Leahy, Director of Nursing Sandy Hackenmueller, St. Croix Industries Administrator Clark Schroeder, Public Health Ad ministrator Deb Lindemann, Family & Children's Administrator Kathy Dunlap, Behavioral Health Administrator Steve Kirt, Economic Support Administrator Ronda Brown -Anderson, Financial Director Tabatha Hansen, Fiscal Manager Beata Haug, several other HHS staff,& community members. APPROVAL OF MINUTES 1. September 9, 2013 1:00 PM Chair Horne asked if there were any corrections to the Sept. 9, 2013 minutes. No corrections were stated. Chair Horne announced minutes are approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Fred Horne, Chair SECONDER: Tim Hood, Supervisor AYES: Tim Hood, Fred Yoerg, Chris Kilber, Roger Larson, Fred Horne, Leon Berenschot ABSENT: Tom Hawksford, Lisa Ramsay, Deb Rasmussen PUBLIC COMMENT* No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug, reported on Health and Human Services financials. Revenues continue to be running the same as reported last month. Expenses show the accrual for payroll lower this month end. The Nursing Home expenses remain stable. 2. Nursing Home Report Nursing Home Administrator Jack Williams asked that Financial Director Tabatha Hansen share the reports on the cost per day analysis. Hansen reviewed the numbers in the report. A Board member shared per his numbers it looks to be a cost of $226.97 per day. He raised the question on reimbursement. Director of Nursing Hackenmueller, shared that Private Pay reimbursement is $224 per day which is in line with other providers in the area, Medicare average is $475 per day & Medicaid average is $170.49 per day. An area of concern for the Board continues to be in the area of employee benefits. Hansen shared that health insurance came in at only a 1% increase which was great, also going into 2014 staff need to work 30+ hours per week to qualify for health insurance through the County package. We are looking at other expense areas for the Nursing Home as well. Hackenmueller is looking into reducing the drug costs with several pharmacies, and always monitoring staff levels and needs. Williams shared that they are looking into contracting dietary services to provide meals to residents, which could reduce the number of staff needed. Williams asked that the Board keep in mind the significant progress that has been made in reducing the levy. Lisa Leahy was recognized by the Board as she has been named Wisconsin Social Worker of the Year. Leahy reports that occupancy remains high as do the referrals. Hackenmueller reported they continue to be at a 5 star rating. They did receive 9 citations from the recent survey so are working on corrective action, though she plans to dispute one citation. She is also looking into Music Therapy as it has been shown to reduce the need for anxiety medication in residents. They have received grant money to get this implemented, to purchase IPods, and train staff. 3. Comprehensive Community Services Implementation Report HHS Director Johnson shared an update on planning efforts around the regional consortium model. The Governor has approved dollars for counties to implement Comprehensive Community Services(CCS). With CCS, the State pays the Federal matching portion instead of the County, so we recoup 100% of dollars. We are reviewing the Severely Emotionally Disturbed (SED) youth that we are currently serving to see what percentage could be moved into this new program. Family and Children's Administrator Kathy Dunlap spoke in regards to this, noting that these kids have services already in place, have health and safety issues, and can be a costly gro up. We are paying 40% local match right now for these kids so it makes sense to see if CCS could save the County dollars. We are waiting to see the bottom line, but CCS could potentially save the County up to $400,000 per year. Behavioral Health Administr ator Steve Kirt noted that this Friday there is a meeting at the State level with the CCS Committee to determine how they will move forward with this program. We want to be prepared, but not obligated to anything. We are waiting to see how many dollars wil l be available as the budgeted amount seems to be low and will be spent quickly. It will take at least 6 months to 1 year to get certified. We are working with all counties in the consortia with this application process. The State reviews the application s, and at that time we will need to inform them of the service array that the consortia developed with consumers, providers, and participants. We are looking to a shared service or multi county model with the consortia to gain efficiencies, but we want to be cautious to preserve the services for our clients in our area. There is a draft governance agreement in the works but nowhere near final. We will keep the Board informed as we continue to get more information and move forward with certification. 4. Patient Protection and Affordable Care Act Implementation Update Health and Human Services (HHS) Director Johnson informed the Board that St. Croix County HHS held an event on Sept. 23rd as a follow up to the regional enrollment meeting. We invited several different entities as we felt a need for a more robust county wide effort in planning for transition. Johnson walked away concerned no entities stepped up to lead this effort; however there was good representation from various local agencies. St Croix County HHS shared we are willing to partner with anyone, but cannot be looked at to lead the outreach effort. Several entities are still awaiting their certification as Application Counselors as this process is back logged, so aren't listed as a provider of this service on the website. Consumers are finding places to call and are getting questions answered. The best resource right now is www.healthcare.gov . We have submitted a Budget request to the Great Rivers Consortium lead agency for temp staff to work with State Navigator to coordinate outreach to the consumers and assist with applications. We are looking at two temp staff for rest of 2013 and into first quarter of next year. We have also done some shifting of positions to allow for hiring of another st aff person to assist with anticipated workload increase. Internally we have staff from Public Health, Economic Support, and ADRC pulling together information on how to access and use the exchange. They will be working with the temp staff on outreach as we ll. We are also taking a close look at the 2 insurance plans being offered to be certain the services offered here at HHS will be covered. 5. St. Croix Industries Transition Planning Report Johnson, HHS Director, provided a quick update along with St. Croix Industries Administrator Clark Schroeder. The Request For Proposal (RFP) from ContinuUs has been posted. You can view this on the ContinuUs website. This week there are a couple of events going on, tomorrow, from 9:00-11:00A.M., there will be a tour of the facility. After the tour questions will be recorded by ContinuUs and answers provided at the October 11th vendor telephone conference from 10:00-11:30 A.M.. Our Day Services program has seen referrals decrease and the plan is for Day Services to close at end of 2013. The County will not be providing this service in 2014 though it is part of the RFP and could be picked up by the new vendor. Proposals will be opened Nov 25th, with final award planned for the end of December. Transition is planned for April 1st 2014. The County is still offering to lease or sell the building and sell the vehicle fleet. This is not being looked at as a money making deal for the county but as assistance to the new provider to make the transition as smooth as possible. 6. Health and Human Services Facility Planning Report HHS Director Johnson spoke in regard to how things are moving along with the plans for the build out of the County Market building. The interior design work of office spaces and general layout for the remodel is close to being finalized. On Oct. 14th we will take the design plan to all HHS staff to give everyone a general overview and a chance to give their input. The surveys that staff have already been asked to fill out will also be taken into consideration to be certain there hasn't been anything missed. We will continue to keep you abreast of the progress. ANNOUNCEMENTS & CORRESPONDENCE No announcements or correspondence ADJOURN Meeting was adjourned at 10:00 AM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING November 4, 2013