HomeMy WebLinkAboutHealth and Human Services 12-13-2000 X
Einar Horne to review vouchers at 8:00 AM
ST. CROIX COUNTY
NOTICE OF COMMITTEE MEETING
TO: Thomas Dorsey, Chairman
St. Croix County Board
FROM: Robert Stephens
(John Borup, 246-8223)
COMMITTEE TITLE: St. Croix County Health and Human Services Board
DATE: 12/13/00 NOTE DATE CHANGE
TIME: 8 :30 a.m.
LOCATION: St. Croix County Health and Human Services Complex, New Richmond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 12/28/00
ACTION ON PREVIOUS MINUTES: 11/14/00
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NEW BUSINESS: -
1. Consideration of Claims and Vouchers
2. Financial Report
3. Program Reports:
a. Family & Children's
b. Nursing Home
c. Mental Health/AODA
d. W-2 Update
4. Personnel Issues
a. CSP Staff Request
5. Radon and Public Health Implications
6. Action to update Nursing Home Records Retention Ordinance
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily presented in this order)
SUBMITTED BY: John M. Borup
DATE:
COPIES TO: COUNTY BOARD OFFICE
COUNTY CLERK
NEWS MEDIA/NOTICE
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
DECEMBER 13, 2000
The St. Croix County Health and Human Services Board met on December 13,
2000, at the St. Croix County Human Services complex in New Richmond,
Wisconsin.
MEMBERS PRESENT: Robert Stephens
Leon Berenschot
Chris Bethke
Lois Burri
James Craig
Einar Horne
Fern Johnson
Mary Louise Olson
Esther Wentz
STAFF PRESENT: John Borup, Health and Human Services Director
Carolyn Krieger, Nursing Home Administrator
Judy Ziegler, Accounting Supervisor
Barbara Nelson, Public Health Supervisor-Health
Officer
Kathy Dunlap, Family and Children' s Supervisor
Becky Ruka, Accounts Receivable Supervisor
Marilyn Fruit, Economic Support Supervisor
Mary Squyer, Economic Support
Ron Kiesler, Mental Health/AODA Supervisor
Steve Kirt, AODA/Mental Health Clinical Services
Supervisor
Michele Mohn, Environmental Health Specialist
Malva Berg, Secretary
OTHERS PRESENT: Jody Johnson, Social Work Intern
Chairman Stephens called the meeting to order at 8:30 a.m. noting the meeting
was properly and legally publicized.
NEXT MEETING: The next Health and Human Services Board meeting will be
Thursday December 28, 2000 at 6:30 PM. The following meeting will be January
11, 2001 at 8:30 AM; Olson will review vouchers at 8:00 AM.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Wentz,
and unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Berenschot, seconded by Wentz,
and unanimously adopted: That the minutes of the 11/14/00 Health and Human
Services Board meeting be approved as circulated.
ANNOUNCEMENTS: Stephens said there was a joint meeting of the Health and
Human Services Board and Finance on December 8. He said there will be
another joint meeting on January 10, 2001. He said a letter will be going
out to Keefe regarding consulting on the Nursing Home to preserve the Nursing
Home and make it a going entity. Borup will have this letter ready for the
Board's review at the meeting on December 28. Keefe will be at the meeting on
January 10 to give a presentation of his services. The fee to hire this firm
is uncertain and depends on the scope of the project. Costs at other
facilities have been around $50, 000.
Nursing Home vouchers 802 through 855, dated December 13, 2000 in the amount
of $69, 869. 98.
Human Services, Workshop, Public Health vouchers 587 through 616, dated
November 21, 2000, in the amount of $197, 332.76.
Human Services and Nursing Home vouchers 601 through 624, dated November 21,
2000, in the amount of $154, 742.15.
Social Services and Human Services vouchers 443 through 460, dated November
21, 2000, in the amount of $38, 440.96.
Human Services, Workshop, Public Health vouchers 617 through 649, dated
December 06, 2000, in the amount of $250, 498.28.
Human Services and Nursing Home vouchers 625 through 650, dated December 05,
2000, in the amount of $217,213.39.
Social Services and Human Services vouchers 461 through 478, dated December
05, 2000, in the amount of $39,768.22.
Horne asked the status of hiring a worker' s compensation consultant. The
County has hired a risk management firm for the entire and more information
will be provided soon.
FINANCIAL REPORT: Borup said that the numbers for collections have improved
significantly due to Becky Ruka and the work of her staff. Ruka gave a brief
report regarding collection status. She said the goal for accounts receivable
for the year was $968, 921 and through November the actual is $1, 105,764, well
above our anticipated goal. Ruka outlined duties of the various staff in the
accounts receivable department. She said we have entered into contracts with
four insurance companies for services. She said claims are filed on a more
current basis now where previously claims were filed one time per month and now
are filed between two and three times a month. Ruka said there is also an
active collections committee, which meets monthly. Stephens thanked Ruka on
behalf of the Board for her efforts in making the accounts receivable office
more efficient.
The following reports through October, 2000 were distributed to the Board:
Please see next page.
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HEALTH AND HUMAN SERVICES - 2000
SUMMARY Total
OF REVENUES Jan.-Oct. Budget Balance %
Administration 651,458.07 656,667.00 5,208.93 99.216
AODA Services 356,697.68 371,396.00 14,698.32 96.0%
Intensive In-Home Treat. 174,674.02 217,727.00 43,052 .98 80.2%
Long Term Support 7, 794,852.21 10, 992,643.00 3, 197, 790.79 70.9%
Mental Health 1,457,308.07 1, 711,989.00 254,680.93 85.1%
Family & Children's 2,026,173.89 2,265, 806.00 239,632.11 89.4%
Economic Support 752,285.25 986,178.00 233,892 .75 76.3%
General Relief 7,304.00 16,214.00 8, 910.00 45.016
TOTAL REVENUES
ALL PROGRAMS 13,220,753.19 17,218,620.00 3, 997, 866.81 76.816
SUMMARY Total
OF EXPENDITURES Jan.-Oct. Budget Balance o
Administration 538,594.55 656,667.00 118, 072 .45 82.0%
Alcohol-Drug Abuse 235,164.40 371,396.00 136,231.60 63.3%
Intensive In-Home Treat. 148,746.89 217,727.00 68, 980.11 68.3%
Long Term Support 8,101,478.48 10,992,643.00 2,891,164.52 73.716
Mental Health 1,270,836.47 1,711,989.00 441,152.53 74.2%
Family & Children's 1,899, 876.77 2,265,806.00 365,929.23 83.89w.
Economic Support 777,596.21 986,178.00 208,581.79 78.8%
General Relief 5,617.22 16,214.00 10,596.78 34.66
TOTAL 2000 HUMAN
SERVICES BUDGET 12, 977, 910.99 17,218,620.00 4,240, 709.01 75.4%
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to the Nursing Home. A letter will be drafted regarding items the Board would
like Keefe to cover at his presentation on January 10 and the Board will review
this letter at the December 28th meeting.
ACTION TO UPDATE NURSING HOME MEDICAL RECORDS RETENTION ORDINANCE: Krieger
said the County Board passed a resolution regarding record retention in 1993.
She said this resolution needs to be updated. She said the specific item the
Nursing Home is requesting to be changed is the retention of the accident/
incident report for residents for five (5) years and the retention for ten (10)
years of the full medical record. She said State statutes do not require a
five (5) year retention for accident/incident reports and only five (5) years
for the full medical record. Krieger said the Health and Human Services Board
is required to approve this change so that it can be reviewed by the
Administration Committee and Corp. Counsel. It then needs to go before the full
County Board for approval.
Motion: A motion was introduced by Berenschot, seconded by Wentz and
unanimously adopted: That the Board approves updating the Nursing Home records
retention ordinance to coincide with State regulation as outlined above and
that this be reviewed by the Administration Committee.
MENTAL HEALTH/AODA: Kiesler said St. Joe closed for adolescent inpatient
services. He said we changed to United for adolescent and adult inpatient
services but United has turned away about 50% of our clients due to no space.
Kiesler said he in exploring contracts Miller Dwan in Duluth and St. Joe' s as
secondary options.
Kiesler reported that New Richmond Transport has terminated their
transportation contract effective 01/01/01 to transport clients back from
United if not admitted. He said law enforcement will not drive the client back
from United if not admitted. He said he will investigate TenderCare regarding
transportation options and will work with them and the sheriff's departments.
Kiesler said Mental Health is projecting expenditures approximately $300,000
less than was projected, approximately $177,000 increase in revenues for an
approximate $400,000 Mental Health carryover into the 2001 budget. He said
these figures are the result of staff commitment to clients, MA deficit
reduction dollars and Ruka's efforts in the accounts receivable department. He
said also about 75% of the clients admitted to United were insured and between
60 to 70% of outpatient clients have insurance, which is a large difference
from a few years ago. Kirt said the number of clients continues to increase
and new appointments are currently booked into the second week of January.
PERSONNEL ISSUES: Kiesler said in May there was a waiting list of three
clients for CSP and now the waiting list has grown to 11. He said these are
long-term clients. Kiesler said since August we have had seven commitments
with another commitment in the process. The Department has to provide services
if court ordered by the commitment. He said this situation brings him to the
Board to request a limited term employment Social Worker for the Mental Health
Community Support Program. He said this position is not in the budget but
Mental Health has the revenues to cover this position's cost. He said revenues
will also increase with services provided. Kiesler said he could not have
anticipated this large of an increase in the waiting list in May when the
budget process began. The chair called for a motion on the LTE request for a
Mental Health Social Worker position. He called for a motion a second time.
The Chair called the issue dead. The Board requested Kiesler to bring this
issue back to the Board on December 28. Horne asked if this position could be
contracted out, could the waiting list be handled by a consultant or covered by
overtime?
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