HomeMy WebLinkAboutHealth and Human Services 11-14-2000 Fern Johnson 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: 11/14/00
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: 11/21/00 (TUESDAY)
ACTION ON PREVIOUS MINUTES: 10/26/00
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. 2001 Budget Update
2. Setting 2001 Nursing Home Private Pay Rates
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Program Reports:
a. Family & Children's
b. Long Term Support
c. Nursing Home
4. Personnel Issues
5. Review of Restaurant Inspection Process
6. Request for 800 toll free telephone line for Reproductive Health program
7. Nursing Home bad debt "write offs"
8. Annual General Relief Program Policy review
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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
NOVEMBER 14, 2000
The St. Croix County Health and Human Services Board met on November 14,
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
MEMBERS ABSENT: none
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
Fred Johnson, Family and Children's Supervisor
Kathy Dunlap, Family and Children's Supervisor
Ron Lockwood, Long Term Support Coordinator
Jay Hay, Reproductive Health RN
Malva Berg, Secretary
OTHERS PRESENT: Melissa Gullickson, Social Work Student
Barb Kosterman, Barron County Interim Health Officer
Wanda Viellieux, Long Term Support Committee
Chairman Stephens called the meeting to order at 8 :30 a.m. noting the meeting
was properly and legally publicized.
NEXT MEETING: Motion: A motion was introduced by Berenschot, seconded by
Olson, and unanimously adopted: That the Board agrees to cancel the Health
and Human Services Board meeting scheduled for November 21, 2000 as there are
no agenda items. The next Health and Human Services Board meeting will be
Tuesday December 12, 2000 at 8:30 AM. Horne will review vouchers at 8:00 AM.
AGENDA: Motion: A motion was introduced by Bethke, seconded by Berenschot,
and unanimously adopted: That the agenda be approved as circulated. E
MINUTES: Motion: A motion was introduced by Berenschot, seconded by Wentz,
and unanimously adopted: That the minutes of the 10/26/00 Health and Human
Services Board meeting be approved as circulated.
ANNOUNCEMENT: Borup announced Anyrine Klaasen resigned from the Birth to j
Three Advisory Committee and Heather Kittelson has been appointed by Chair
Stephens to replace her.
CONSIDERATION OF CLAIMS: The following reports for October were distributed
to the Board: unemployment, cash report and fixed assets purchased.
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Nursing Home vouchers 726 through 728, dated October 31, 2000 in the amount
of $1, 157.39.
Nursing Home vouchers 729 through 732, dated November 09, 2000 in the amount
of $756. 97.
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Nursing Home vouchers 734 through 788, dated November 14, 2000 in the amount
of $64, 120.09.
Human Services and Nursing Home vouchers 526 through 551, dated October 10,
2000, in the amount of $204,354.80.
Human Services, Workshop, Public Health vouchers 492 through 523, dated
October 11, 2000, in the amount of $208, 679.43.
Social Services and Human Services vouchers 387 through 407, dated October
11, 2000, in the amount of $74, 885.38.
Human Services and Nursing Home vouchers 552 through 575, dated October 24,
2000, in the amount of $156, 914.08.
Human Services, Workshop, Public Health vouchers 524 through 552, dated
October 25, 2000, in the amount of $192,005.43.
Social Services and Human Services vouchers 408 through 424, dated October
25, 2000, in the amount of $37, 015.89.
Human Services and Nursing Home vouchers 576 through 600, dated November 07,
2000, in the amount of $208, 563.41.
Human Services, Workshop, Public Health vouchers 553 through 586, dated
November 08, 2000, in the amount of $250,027.50.
Social Services and Human Services vouchers 425 through 442, dated November
O8, 2000, in the amount of $34,866.48.
2001 BUDGET UPDATE: Borup said the County Board approved the budgets on
10/31/00. He said revenue projections remain accurate.
SETTING NURSING HOME PRIVATE PAY RATES: Krieger distributed a survey of
private pay rates of local facilities. She said we are similar to St. Croix
Care Center in Prescott and Christian Community Home in Hudson. She said there
is no set rule as to when to review the rates but private pay clients must be
given 30-days notice of rate changes.
Krieger said currently we have 41 empty beds and feels it would be to our
advantage to increase census to convert these empty beds to suites or private
rooms versus two-bed bedrooms.
Motion: A motion was introduced by Stephens, seconded by Wentz, and unanimously
adopted: that the Board approves proceeding with converting some of the empty
beds to private rooms.
Motion: A motion was introduced by Bethke, seconded by Burri, and unanimously
adopted: That the Board approves the following private pay rates effective
O1/01/01: ISN-$140.00, SNF-$125.00, ICF-$115.00.
Horne asked how many beds Dunn County has and what their loss is.
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HEALTH AND HUMAN SERVICES - 2000
SUMMARY Total
OF REVENUES Jan.-Sept. Budget Balance
Administration 605,681.98 656,667.00 50,985.02 92.20
AODA Services 325,668.90 371,396.00 45, 727.10 87.70
Intensive In-Home Treat. 162,543.67 217, 727.00 55,183.33 74.716
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Long Term Support 7,173,150.98 10,992,643.00 3,819,492.02 65.316
Mental Health 1,398,857.73 1,711, 989.00 313,131.27 81.7%
Family & Children's 1, 996,071.20 2,265,806.00 269, 734.80 88.1%
Economic Support 572,253.96 986,178.00 413,924.04 58.091;
General Relief 7,304.00 16,214.00 8,910.00 45.0"6
TOTAL REVENUES
ALL PROGRAMS 12,241,532.42 17,218,620.00 4,977,087.58 71.1%
SUMMARY Total
OF EXPENDITURES Jan.-Sept. Budget Balance %
Administration 484,010.21 656,667.00 172,656.79 73.70
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Alcohol-Drug Abuse 212,838.06 371,396.00 158,557.94 57.3%
Intensive In-Home Treat. 136,785.88 217,727.00 80,941.12 62.8%
Long Term Support 7,208,529.79 10,992,643.00 3,784,113.21 65.6%
Mental Health 1,148,046.94 1,711,989.00 563,942.06 67.1%
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Family & Children's 1,745,688.73 2,265,806.00 520,117.27 77.0%
Economic Support 695,859.99 986,178.00 290,318.01 70.6%
General Relief 5,455.90 16,214.00 10,758.10 33.6%
TOTAL 2000 HUMAN
SERVICES BUDGET 11,637,215.50 17,218,620.00 5,581,404.50 67.6%
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Lockwood distributed the policy on room and board cost of care payments and
earned wages. He said current practice in Mental Health and Alcohol/Other Drug
Abuse unit requires payment from earned as well as unearned income. In Long
Term Support clients are required to pay for room and board from unearned
income only. This proposed policy would also raise unearned income personal
allowance to $100. The current allowance in MH/AODA is $65 and in Long Term
Support it is $65-85. Administration would like to establish a uniform policy
that requires persons receiving residential care services paid for by the
county, pay for room and board from earned income.
Motion: A motion was introduced by Olson, seconded by Wentz: That the Board
approve the Room and Board Cost of Care Payments and Earned Wages Policy for
clients in residential care as presented.
Horne asked why should we bother for the little difference in money this is
going to make. Lockwood said if the client can't pay, the county has to pay
the costs and this policy would make the policy uniform between Long Term
Support and Mental Health/AODA.
Motion: A motion was introduced by Berenschot, seconded by Horne, and
unanimously adopted: That the above motion regarding Room and Board Cost of
Care Payments and Earned Wages Policy for clients in residential care be
postponed until the Board has more information.
NURSING HOME: Krieger said the current Nursing Home census is 88 with two
admissions pending.
Krieger said the Board approved purchasing a combi cooker for the Nursing Home
kitchen for $13,000. However, the bid was for an electric cooker and a gas
oven is needed and the cost increased to $15,158. It was the consensus of the
Board that Krieger should go ahead and purchase the gas oven for $15,158.
Krieger presented concerns she has regarding criminal background check
information and whether or not it is in the personnel files. She said if this
information is not in the personnel files at the time of the survey, the
Nursing Home is at risk of being cited. Olson will contact the Personnel
office regarding the concerns.
A joint meeting with Health and Human Services Board and Finance Committee is
scheduled for 12/08/00 to discuss the future of the Nursing Home. Krieger will
do a survey of surrounding nursing homes to establish their anticipated losses j
for 2000 and 2001.
NURSING HOME BAD DEBT WRITE OFFS:
Motion: A motion was introduced by Horne, seconded by Olson and unanimously
adopted: That the Board approves the following bad debt write offs for the
Nursing Home: Medicare Part B for $4,424.02 and Medical Assistance for
$1, 620.05.
REQUEST FOR 800 TOLL FREE TELEPHONE LINE FOR REPRODUCTIVE HEALTH PROGRAM:
Nelson said the funds for this service will be covered totally by program
generated income, not local tax dollars. She said based on the proportion of
low-income clientele served by this program, providing a toll-free phone line
is one means of assuring access. This line would serve the Reproductive Health
Program only.
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