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HomeMy WebLinkAbout05-07-2012 Health & Human ServicesNOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 07, 2012 — 8:30 A.M. Board Room, St. Croix County DHHS Building 1445 N. 4ch Street, New Richmond Wisconsin L CALL TO ORDER II. ROLL CALL III. APPROVAL OF MINUTES OF PREVIOUS MEETING: 04/04/2012,04/25/2012 IV. BUSINESS ITEMS 1. Financial Report 2. Establish Meeting Schedule 3. Establish Orientation Plan 4. Review Health and Human Services Mandates 5. Review Financial Projections for 50 Bed Nursing Home 6. Report on Nursing Home Referral Outcomes V. ANNOUNCEMENTS & CORRESPONDENCE VI. ADJOURN DATE OF NEXT MEETING: to be determined REVIEWED AND APPROVED BY: Committee Chair and County Administrator DATE APPROVED: 04/27/2012 A quorum of the St. Croix County Board of Supervisors (County Board) may he present at this meeting. Therefore, this notice also serves as notice of'a meeting of'the County Boardfor the purpose of'ohtaining information relaxing to subjects listed above for use at future County Board Meetings. 4/30/2012 ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 07, 2012 The St. Croix County Health and Human Services Board met on May 07, 2012 at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Fred Horne, Chair Leon Berenschot Tom Hawksford Tim Hood Chris Kilber Roger Larson Dr. Lisa Ramsay Deb Rasmussen Fred Yoerg STAFF PRESENT: Fred Johnson, Health and Human Services Director Deb Suchla, Fiscal Administrator Cindy Anderson, Nursing Home Administrator Malva Sirek, Administrative Support Supervisor OTHERS PRESENT: Pat Thompson, County Administrator Kim Dupre, Information Systems Analyst Pam Benson Jeff Middleton Lona Thompson Loyla Waskul Jeff Holmquist, New Richmond News Chair Horne called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Monday, June 11, 2012 at 4:00 PM with the Open Public Hearing following at 5:30 PM. MINUTES Motion A motion was introduced by Yoerg, seconded by Larson, and unanimously adopted: That the minutes of the 04/04/12 and 04/25/12 Health and Human Services Board meeting be approved with change noted by Berenschot. FINANCIAL REPORT FOR NURSING HOME AND HEALTH AND HUMAN SERVICES: Suchla distributed the preliminary 2011 year -end financial report. She has spent the majority of her time completing 2011 year end claims to assure that all revenue that is available to the department is reported. St. Croix County Health and Human Services Board Page 2 May 07, 2012 Decorn 2011 Pieln inary Year En on MONSOON ■■ ■ ::.1.1.x_ ■ ■ :. .• ■ : ��� _il_-1.:r: 1 ■ ■ 0- EN ■ ■ ■ MONSOON ■ 7: ■ ■ ■ ■� ■ ■0 1 I 1 ■ : ICI Ik ■ I ■ I 1'i 1 I,N•1 � � ■ 11 ■ I r ■ ■.�I � X10.,1 1 � I': �� ■ � 1 ■ .1 1 ■ on ■ ■ ■ 0 MONSOON 11101, 1 0. . 1 1 1 i ■ I I I 'i ■ I y ■� ■. 1 I � N'1 0. . ■ : I ■ it ■ I I'i ■. 1 . I I ■ i ■ 1 1 1 / ■� ■. M MINE ■• 1 . ■ ■ ■- ■. ! � . 1 I ■ i ■ i !I ■ Iy ''i ■. �1 0. X10. I 1 . ■ I I ■ Y ■ II i'� ■. 1 . III ■ I•I ■ I•I ■ on MINIM 0 0 MONSOON ■. 1 1,N•1 � . •' III ■ I ■ I ■� ■. � I � � 1 0. , 1 1 . � / ■ I ■ it ■ on ! . II■ y .I ICI 11' ■� I MINE ■• ■ ■ ■- ■. 1 I N 1 0. . I I I ■ I■ 1 I ■� ■. �1 0. X10. I 1 . • 1 ■ • I ■ I' ■ II 1'i on iYi • y' 11 iYi on I MINE 11 i M ■. Moons IN MINE 0 MONSOON on . I ■ II ! ■ I 1 I 01�30 1 ■. `1 1 . 1, 1 ■ 1 1 11 ■ I ■� St. Croix County Health and Human Services Board Page 3 May 07, 2012 She reviewed the report, noting most personnel lines are at 97% due to the changes that occurred with the implementation of Act 10. St. Croix Industries (SCI) is a little over for personnel due to need for more job coach time. SCI gets funding from Family Care and from jobs in the community, which may increase the need for SCI personnel to assure client workers have appropriate supports. Aging budget review included a discussion on the utilization of trust accounts to pay for capital expenses. The expense for the purchase is part of the monthly financial report, but the revenue has been recorded and placed in a trust account from previous years and has not been recorded on the monthly financial statement. More detail will be reviewed on trust accounts at a future meeting as part of the financial reports. Suchla pointed out that the ADRC expense is over by approximately $200,000. Revenues from a designated fund balance were used to prepay a long term support payment for 2012. The Board reviewed the long term care funding requirements for St. Croix County. A shortfall of approximately $400,000 for 2011 is expected for the Nursing Home. It was questioned if there was a capital expense plan for 2012. Suchla offered to give detail of capital expense plan at the next meeting. The HHS budget is projected to end the year with a positive balance of approximately $400,000. A large reason for the positive ending balance is that Health and Human Services (HHS) is under budget on contracted service. Placement service to address health and safety needs do fluctuate and these areas will be highlighted in more detail in future fiscal reports. Suchla is continuing to work with finance staff at the Government Center regarding financial reports for 2012. Discussion on supplemental reporting was reviewed as the county format will remain consistent between committees. Additional discussion included that this report is cash based and supplemental reporting is planned to include projections. Board members would like to see a column for monthly, year -to -date budget and year -to -date actual added. The following financial report for Health and Human Services, Nursing Home, St. Croix Industries, Aging and ADRC through March, 2012 was distributed. St. Croix County Health and Human Services Board Page 4 May 07, 2012 l on MONSOON on ■ ! ■ ! I ■ :: ■� on ■ . .1.1.x_ ■ ■ : .• ■ : 11 ■■ ■ ■ ■ MONSOON ■■ 0 1 � ■ 1 ■ 1 1 1.' ■ ■ i I on 1 . 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N 1 ■ ' ' I ■ ` ■ ■ ■■ � I 0. 1 0..I 1 ■ I I 1" ■ /■ 1' 1 I/ ti ■®' on 1 ■ 1 III ■ I ■ '! ■®' ■■ 11 ZZIELIONOUK3 Nuzzo on MINIO 11 K iI MONSOON on ME l 1 i' ■ i l 1 ■ ill / INEM ■■ 1 1 ■ i I ■ i i 1■ ' r ■ I Ii ■■ �� ■ i Iii ■ i1 ■ it li ■� St. Croix County Health and Human Services Board Page 5 May 07, 2012 Revenue is low due to delayed claiming for Health and Human Services programs, including the ADRC. Billing has been completed for St. Croix Industries, but the receivables due are not recorded on this report. The year -end close out for 2011 was the priority. Once these reports are filed with the state, it takes approximately 2.5 months to receive monies. Nursing Home budget was created a census of 62, but actual census has been much less, which lead to operational adjustments. Expense and revenues figures will be modified with the move to 50 beds. More details will be available next month. The Nursing Home is not able to capture any of the rate enhancements with going to 50 -beds until licensing is adjusted. None of the IGT revenue has been booked through March of 2012. The IGT funds are in addition to the county levy that is budgeted for the Nursing Home. ESTABLISH MEETING SCHEDULE Board members reviewed the dates of other County committee/Board meetings. HHS meetings will be held the first Monday of the month with the exception of June and September. Health and Human Services is required to hold a public meeting to solicit public input for the 2013 budget. The Open Hearing will be held June 11, 2012 at 5:30 PM with a regular meeting of the Health and Human Services Board held at 4:00 PM. ESTABLISH ORIENTATION PLAN No definite plan for orientation was finalized. Initial program review will be highlighted in conjunction with the fiscal report. Program mandates are expected to be discussed in more detail at future meetings, which can be part of the orientation. REVIEW HEALTH AND HUMAN SERVICES MANDATES Johnson distributed a list of mandates from the Wisconsin Counties Association. This list will be a helpful frame of reference but is not organized to look at each individual program. Johnson will work with Corporation Counsel to coordinate how mandates line up with programs for Health and Human Services. Corporation Counsel is preparing a report of mandates for all departments. The report needs to tie the programs to mandates. It would be useful for the Board to see how the budget ties into the mandate report. REVIEW FINANCIAL PROJECTIONS FOR 50 BED NURSING HOME Updated summary of fiscal projections was provided to the Board based upon operational changes that have been previously reviewed for a 50 bed facility. This trend shows increased demand in future years for county levy to support operations. These projections were developed in conjunction with finance and were reviewed with the auditors. When the facility is down to a census of 50 -beds, the facility will request a move to 50 licensed beds. Then the Administrator position will be 50% and is planned to move to a county employee position versus a contracted position. As operational and staffing adjustments are made, a suggestion box will be set up for input from all for the facility. The St. Croix Health Center is a 5 -star facility and this rating is updated quarterly, but this rating does not enhance reimbursement. REPORT ON NURSING HOME REFERRAL OUTCOMES A list of referrals not accepted at the Nursing Home was distributed and reviewed by the Board. St. Croix County Health and Human Services Board Page 6 May 07, 2012 Horne asked if there were any other issues to bring before the Board. The next Health and Human Services Board meeting will be June 11, 2012 at 4:00 PM followed by the Open Hearing at 5:30 PM. The Open Hearing offers opportunity for the public to give input for the 2013 budget. Staff will be there to answer the public's questions. Horne adjourned the meeting. Time: 11:00 AM Chair: Attest: (Secretary)