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HomeMy WebLinkAbout11 04 2013 Health and Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD November 4, 2013 8:30 AM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Meeting was called to order @ 8: 30 A.M. on Nov.4, 2013. Co- Chair Roger Larson welcomed everyone. ROLL CALL Attendee Name Organization Title Status Arrived Departed Tim Hood St. Croix County Supervisor Present Fred Yoerg St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Present Tom Hawksford St. Croix County Supervisor Present Roger Larson St. Croix County Vice Chair Present Fred Horne St. Croix County Chair Excused Leon Berenschot St. Croix County Board Member Present Lisa Ramsay St. Croix County Board Member Present 9:35 AM Deb Rasmussen St. Croix County Board Member Present Others present: Health and Human Services (HHS) Director Fred Johnson, County Administrator Pat Thompson, Human Resources Director Tammy Funk, Social Services Director Lisa Leahy, Director of Nursing & Interim Nursing Home Administrator Sandy Hackenmueller, Behavioral Health Administrator Steve Kirt, Financial Director Tabatha Hanson, Fiscal Manager Beata Haug, Risk Ma nager Kristen Ziliak, Corp Council Scott Cox, NR News, several other HHS staff, & community members. New Corp Council Scott Cox was introduced to the Health and Human Services Board and County Staff that were present by Administrator Thompson. Welcome Scott. APPROVAL OF MINUTES Co-Chair Larson asked if there were any corrections to the Oct.7, 2013 minutes. No corrections were stated. Larson announced minutes are approved and stand as distributed. 1. October 7, 2013 8:30 AM RESULT: APPROVED [UNANIMOUS] MOVER: Roger Larson, Vice Chair SECONDER: Leon Berenschot, Board Member AYES: Tim Hood, Fred Yoerg, Chris Kilber, Tom Hawksford, Roger Larson, Leon Berenschot, Lisa Ramsay, Deb Rasmussen EXCUSED: Fred Horne PUBLIC COMMENT* No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug reported on the financials. She has been working hard to get all the state claims up to date so we have steady revenue coming in which will make it easier to project our revenues and where to best utilize them. Health and Human Services (HHS) shows a variance in revenue of $319,000, of which $200,000 was over stated in the budget and has been previously reviewed. St Croix Industries (SCI) revenue has dropped this month due to reporting only 1 month, last month there was a late report, so we are now caught up. SCI expenses have also dropped due to staff decreases. SCI will continue to be budgeted for the 1st quarter of 2014. The SCI fund balance will be used to cover any SCI shortfall in 2014. Aging expenses are over budget but there is revenue to cover this. Aging and Disability Resource Center (ADRC) appears over budget due to computer purchases but again there are 2012 carry over funds to cover this. At year end in Health and Human Services the fund balance will be used to cover any deficit. The Nursing Home numbers are excluding depreciation, and still show to be over budget in expenses. Financial Director Tabatha Hanson shared that depreciation has been pulled out as it isn’t a cash expense against the Nursing Home and we would like to be able to show the true net, revenue minus expense. Depreciation will continue to be shown in the footnotes of the financial reports. This change has been discussed in previous meetings and has been implemented. The Nursing Home will be receiving a check from the State for an $83,000 allocation of Medical Malpractice Insurance funds. This will help in covering any year end deficit in the Nursing Home. The question was raised by the Board regarding the increase in wages for 2014. This is due in part to earned base raises and the shift of some contract positions to full time positions. The Nursing Home is a different matter and there is no wage increase. A revised Nursing Home budget will be shared with the County Board and more information brought to the HHS Board next month. 2. Nursing Home Report Sandy Hackenmueller Interim Nursing Home Administrator/Director of Nursing presented the Nursing Home Report. Hackenmueller reported the census is at 50. In looking at the 2014 budget the census payor mix has been revised, as well as wages. She is also working with her Department Heads to be certain they are aware of their month to month spending so they know where they are at and can adjust accordingly. This will help in reporting accurate numbers to the Board and having explanations for any overage. Internally, operational costs are being looked at, including the outsourcing of the dietary department and will be brought to County Board tomorrow. Time studies and efficiencies are also being looked at. We continue to wait on Larry Lester and the State regarding the building incentive, so no further updates. The State survey process is complete and we did end up with 9 tags. There has been some reeducation to appropriate staff as a result to resolve these issues. The state visited last week and cleared the Nursing Home of all citations and recommended approval of the waiver for the basement for another year. The Music Therapy education was completed by the activities staff and Social Worker Lisa Leahy. They will be receiving 15 IPods and $150 of downloadable ITunes cards. They will be starting a campaign for donations of IPods and ITunes cards. 3. Substance Abuse Subcommittee Report An update was given by HHS Director Fred Johnson regarding the information shared with this subcommittee at a recent meeting. This is a subcommittee of the HHS board. The recent heroin presentations in Hudson have brought this issue to the forefront. Behavioral Health staff has been working to form a coalition around substance abuse The coalition is organized to address three areas; treatment alternatives, implementing prevention programs, and community awareness. The coalition is organized independent of the county, and is looking at grants and any funding that would be available. The Community Justice Collaboration Council (CJCC) is looking to potentially have the Substance Abuse Subcommittee be a subcommittee of the CJCC instead of HHS. The Subcommittee has been meeting minimally and the purpose of this agenda item is to keep the HHS Board informed of this anticipated change. 4. Health and Human Services Facility Planning Report and Design Review HHS Director Johnson shared that Architect Bill Aubrey has provided a preliminary design and copies of the plans were shared with the HHS Board as part of the agenda packet. Additional information regarding the projected schedule for construction and alternate options for the build out were also reviewed. Johnson provided an overview of the facility plan for the office build out for the new Health and Human Services site. Next steps will involve planning for the move and reducing the amount of accumulated “stuff” so we move what is needed not what is here. We continue to look at the retention policy and determine what records can be destroyed and what we will need to make room to accommodate in the new facility. ANNOUNCEMENTS & CORRESPONDENCE No announcements or correspondence ADJOURN Meeting was adjourned at 10:00AM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING December 2, 2013