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Home My WebLink About12 16 2013 Health and Human Services Minutes MINUTES HEALTH & HUMAN SERVICES BOARD December 16, 2013 3:00 PM Board Room, Department of Health & Human Services 1445 N 4th Street, New Richmond, Wisconsin CALL TO ORDER Meeting called to order @ 3:00 PM.on Dec. 16, 2013. This is the rescheduled meeting from Dec. 2, 2013 as we didn't have a quorum. Chair Fred Horne welcomed everyone. ROLL CALL Attendee Name Organization Title Status Arrived Tim Hood St. Croix County Supervisor Present Fred Yoerg St. Croix County Supervisor Absent Chris Kilber St. Croix County Supervisor Absent Tom Hawksford St. Croix County Supervisor Present Roger Larson St. Croix County Vice Chair Present Fred Horne St. Croix County Chair Present Leon Berenschot St. Croix County Board Member Late 3:05 PM Lisa Ramsay St. Croix County Board Member Absent 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, Children's Services Administrator Kathy Dunlap, Public Health Administrator Deb Lindemann, Public Health Staff Laurie Diaby-Gassama and Jessica Lang, Financial Director Tabatha Hanson, Fiscal Manager Beata Haug, NR News, several other HHS staff, & community members. APPROVAL OF MINUTES 1. November 4, 2013 8:30 AM Chair Horne asked if there were any corrections to the Nov. 4, 2013 minutes. No corrections were stated. Horne announced minutes are approved and stand as distributed. RESULT: APPROVED [UNANIMOUS] MOVER: Fred Horne, Chair SECONDER: Roger Larson, Vice Chair AYES: Tim Hood, Tom Hawksford, Roger Larson, Fred Horne, Leon Berenschot, Deb Rasmussen ABSENT: Fred Yoerg, Chris Kilber, Lisa Ramsay PUBLIC COMMENT No Public Comment BUSINESS ITEMS 1. Financial Reports Fiscal Manager Beata Haug passed out a report with preliminary financial numbers projecting year end and shared she has been working on tracking and trending each departments individual accounts to get more accurate numbers to the managers and in turn to the Board. Health and Human Services (HHS) Operating margin is projected to be in the red, and due to the multiple program areas there is still additional detail to review. St. Croix Industries revenue is showing favorably, the expenses also look good due to continued decrease in staff. Excess funds will be used to pay the incentives to staff that stay until the end of the transition. Finance will provide an estimate of the incentive costs at the next meeting. In Aging, the revenue is good but expenses are running a little high. ADRC also has favorable revenue with expenses running a bit over, though there are carry over funds to cover most of this. Nursing Home revenue is projected to be positive in part due to $ 83,000 dividend insurance pay out. 2. Nursing Home Report Sandy Hackenmueller Interim Nursing Home Administrator, reports that the Nursing Home is at full capacity. Lisa Leahy Social Services Director shared that there are 8 on a wait list and they have had to turn down several requests. Regions Hospital continues to be a strong referral source. Hackenmueller shared they recently had a rate increase for Medicaid from $170.49 to $175.59, the case mix is going up as well and they expect Medicaid rate to continue to climb. Our private pay rate has been increased to $ 229 per day after a cost analysis of the area. January 1, 2014 will be when the changeover to A'viands as the dietary provider will take place. The current dietary staff has the opportunity to apply with the new company or take a position within the facility. They also have the option to take lay off status with severance and pay out of PTO. The change to A'viands as the dietary provider, will allow for savings of approximately $145,000 per year. 3. Birth to Three Administrative Reporting Change HHS Director, Johnson addressed the Board with this informational update. Johnson provided a brief overview of the current organizational structure pertaining to B-3 as it related to long term care reform. Current reorganization with Children Services is primarily related to the planned implementation of the B-3 waivers. This change now aligns programmatic and fiscal reporting more closely with Children Services. The State is aligned in a similar fashion. Johnson also shared that B-3 is running well and a recent state review identified that B-3 is meeting performance requirements. This transition will take place on January 1st. 4. Citizen Review Panel Child Abuse Prevention and Treatment Act (CAPTA) requires state designated Citizen Review Panels (CRP). The panels are comprised of volunteers who broadly represent the community and evaluate the extent to which the State's child welfare system, at both the state and local level, is effectively fulfilling its child protection responsibilities in accordance with the State CAPTA plan. Pierce County had been administering this program and now the Department of Children and Family Services at the State level has approached St. Croix County asking us to take over the responsibility. Johnson feels it is an appropriate step to take as it does address the county initiative of outreach and also recognizes that protecting children was the number one concern of residents on the recent County Survey. This informational item was presented to make the Board aware that we will be taking this responsibility and future reports will be provided as necessary. 5. Public Health Accreditation Report HHS Director Johnson introduced Public Health Administrator Deb Lindemann & Public Health (PH) staff Laurie Diaby- Gassama, and Jessica Lang. The staff presented a power point regarding the Accreditation process to keep the Board informed of their progress towards Accreditation and let them know of the need for input from the Board. Jessica Lang shared she has been working here 1.5 years and this accreditation process has been a great learning process. In going through this process she found a document stating in 1936 Public Health started in St Croix County with one nurse whose focus was on TB. She hopes to share how much Public Health does and spread the word on the variety of things they have a hand in within the community. Laurie Diaby-Gassama reviewed that the Accreditation process started in October 2012 by getting approval from the Board and then in January of 2013 work began. They've had a core team working on this, but all the PH staff has been involved by working on various domains. Accreditation is a National Framework of Public Health excellence which sets forth specific standards or domains. Public Health must show evidence and documentation that we are meeting these 12 domains. Only 4 Health Departments in Wisconsin have received Accreditation. The goal is continued quality improvement and management of Public Health. Domain 12 addresses the Governing body, which is where the Board becomes involved. This looks at the relationship and communication between the Public Health Department and their Governing Board. The staff has been and will continue to be communicating to the Board any important Public Health issues, but also bringing forth their successes toward improving the quality of Public Health. There are 7 steps to Accreditation and our next step will be a site visit. We are asking for volunteers from the Board to be available during part of this site visit. During the site visit we will either be Accredited or given more specific feedback on how to continue towards Accreditation. Chair Horne asked that all Board members be made aware of this opportunity and those interested can then volunteer. The Public Health staff will let the Board know of the potential dates of the site visit. 6. Comprehensive Community Services Application HHS Director Johnson shared that this item was reviewed previously on Oct. 7th. Since that meeting the state has moved forward in planning and has provided a notice of intent form that counties must submit if they have determined they will implement this service on a regional basis. In the State budget, dollars have been earmarked for counties that operate Comprehensive Community Services (CCS) programs, to match the 40% that has been the county's responsibility up until now. This would make this program a fully state and federally funded program. This could have a significant impact with our Severely Emotionally Disturbed youth that we are currently using local match dollars to get them the needed services. St. Croix County and Eau Claire County, our primary partner, have agreed to the shared service model and pending board approval plan to expand our service array to include this certified program. RESULT: APPROVED [UNANIMOUS] MOVER: Tim Hood, Supervisor SECONDER: Tom Hawksford, Supervisor AYES: Tim Hood, Tom Hawksford, Roger Larson, Fred Horne, Leon Berenschot, Deb Rasmussen ABSENT: Fred Yoerg, Chris Kilber, Lisa Ramsay ANNOUNCEMENTS & CORRESPONDENCE January 6th meeting was cancelled. ADJOURN Meeting was adjourned at 4:30PM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING February 3, 2014