HomeMy WebLinkAboutHealth and Human Services 08-11-2000 Lois Burri to review vouchers at 7:30 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: 08/11/00
TIME: 8:00 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: 08/24/00
ACTION ON PREVIOUS MINUTES: 07/27/00
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
a. Budget Update
3. Cost estimates for courtyard enclosure for office space
4. Program Reports:
a. Economic Support/W-2
b. Nursing Home
5. Personnel Issues
a. Request to convert vacant 60% Long Term Support Speech Therapist to 60%
Social Worker
6. Replacement of Kitchen equipment
7. PTO payout for RN's
8. Contracting for Worker's Compensation Services
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
AUGUST 11, 2000
The St. Croix County Health and Human Services Board met on August 11, 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
Fern Johnson
Mary Louise Olson
Esther Wentz
MEMBERS ABSENT: James Craig, excused
Einar Horne, excused
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
Ron Lockwood, Long Term Support Coordinator
Marilyn Fruit, Economic Support Supervisor
Ron Kiesler, Mental Health/AODA Coordinator
Steve Kirt, AODA/Mental Health Clinical Services
Supervisor
Malva Berg, Secretary
OTHERS PRESENT: Chuck Whiting, Administrative Coordinator
Tom O'Connell, Chair, Finance Committee
Ralph Robole, Facilities Manager
Bill Husbands, Risk Management
Mark Paschke, Architectural Design Group Inc.
Neil Laberee, Derrick Construction
Chairman Stephens called the meeting to order at 8:00 a.m. noting the meeting
was properly and legally publicized.
NEXT MEETING: The next Health and Human Services Board meeting will be
Thursday August 24, 2000 at 6:30 PM. Borup said we are still waiting for some
numbers from Finance but will do our best to have the budget ready to present
to the Board at the meeting on August 24.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Johnson,
and unanimously adopted: That the agenda be approved as circulated. -
MINUTES: Motion: A motion was introduced by Berenschot, seconded by Johnson,
and unanimously adopted: That the minutes of the 07/27/00 Health and Human
Services Board meeting be approved as circulated.
CONSIDERATION OF CLAIMS: The following reports for July were distributed to
the Board: cash report and fixed assets purchased.
Health and Human Services Board member, Burri, reviewed and questioned the
following July vouchers.
Human Services, Workshop, Public Health vouchers 294 through 321, dated July
19, 2000, in the amount of $171, 881. 95.
Social Services and Human Services vouchers 263 through 281, dated July 19,
2000, in the amount of $73, 862. 95.
Human Services and Nursing Home vouchers 363 through 389, dated August 01,
2000, in the amount of $176,540.19.
Human Services, Workshop, Public Health vouchers 322 through 350, dated
August 02, 2000, in the amount of $174,223.19.
Social Services and Human Services vouchers 282 through 301, dated August 02,
2000, in the amount of $72, 646. 14.
COST ESTIMATES FOR COURTYARD ENCLOSURE FOR OFFICE SPACE: Discussion held
regarding type of roof to use for enclosing this courtyard. Robole said he
would prefer a flat roof. Paschke said either a flat or sloped roof would work
in the area but a sloped roof would allow for some natural lighting. Borup said
a flat roof would be more economical. Borup said $2,000 is needed for fees to
continue investigating the project. Borup said he would like to set aside
$45, 000 to $50,000 in the 2001 budget for this project.
Motion: A motion was introduced by Stephens, seconded by Berenschot, and
unanimously adopted: That the Board approves transferring $2, 000 from the Farm
account to the Health and Human Services Account to proceed with the
architectural drawing to enclose the courtyard for office space.
FINANCIAL REPORT: The following reports through June 30, 2000 were distributed
to the Board. Borup said the 2000 budget is on schedule for Health and Human
Services. Borup noted that through June expenditures exceeded revenues by about
to due to unbudgeted salary and health insurance costs. Borup stated this
deficit would grow each month. Stephens informed O'Connell that the Finance
Committee minutes of 09/99 stated the increase in wage and benefits for
employees would come from the contingency fund. Health and Human Services were
instructed to not include this increase in budget planning for the next year.
However, now Health and Human Services has not received the funds for these
increases. O'Connell said he will investigate the situation further.
Borup said he received the agenda for the County Board meeting on August 15.
He said there is an agenda item regarding resolution approving non-union
compensation for 2000-2001. He asked how the increase would be funded.
O'Connell asked for time to find out what this item is about.
See next page.
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HEALTH AND HUMAN SERVICES - 2000
SUMMARY Total
OF REVENUES Jan.-June. Budget Balance %
Administration 368,769.55 656,667.00 287, 897.45 56.216
AODA Services 200,474 .84 371,396.00 170,921.16 54.0%
Intensive In-Home Treat. 99,389.40 217,727.00 118,337.60 45.69.
Long Term Support 4,373, 108.37 10, 992,643 .00 6,619,534.63 39.80
Mental Health 934,105.49 1,711,989.00 777, 883.51 54.60
Family & Children's 1,306,735.50 2,265,806.00 959,070.50 57.7°1.
Economic Support 358,233 .19 986,178.00 627,944.81 36.36
General Relief 0.00 16,214.00 16,214.00 0.0%
TOTAL REVENUES
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ALL PROGRAMS 7,640,816.34 17,218,620.00 9,577,803.66 44.4%
SUMMARY Total
OF EXPENDITURES Jan.-June. Budget Balance %
Administration 299,784.16 656,667.00 356,882.84 45.7%
Alcohol-Drug Abuse 135,137.69 371,396.00 236,258.31 36.4'%
Intensive In-Home Treat. 92,516.31 217,727.00 125,210.69 42.5%
Long Term Support 4,595,758.37 10,992,643.00 6,396,884.63 41.8%
Mental Health 767,477.36 1,711,989.00 944,511.64 44.89.
Family & Children's 1,373,574.00 2,265,806.00 892,232.00 60.6%
Economic Support 430,938.02 986,178.00 555,239.98 43.7%
General Relief 1,450.60 161214.00 14,763.40 8.99.
TOTAL 2000 HUMAN
SERVICES BUDGET 7,696,636.51 17,218,620.00 9,521,983.49 44.716
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PUBLIC HEALTH
Total
Jan.-June Budget Balance o*
TOTAL REVENUES* 437,745.37 993, 887.00 556,141.63 44.0o
TOTAL EXPENDITURES 423,184.60 993, 887.00 570,702.40 42.6$
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 50.00.
CONTRACTING FOR WORKER'S COMPENSATION SERVICES: Bill Husbands from AsteRisk
Managers gave a brief presentation on worker' s compensation investigation and
controlling the cost of worker's compensation. The County dropped the services
of AsteRisk Managers last year. Since that time the Nursing Home has noticed a
dramatic increase in worker' s compensation claims and losses. The following
chart was distributed:
WORKER'S COMP COMPARISON
JAN-AUG, 1999 2000
With Risk Management Without Risk Management
Hours lost 339.5 3,728
Estimated cost $10,066 $122, 651
Husbands said that his firm is independent. Their goal is to get the employee
through the injury and back to work. He said there may still be some bad years
for worker's compensation losses/claims.
Finance is currently investigating risk management services. O'Connell asked
the Board to delay making a decision until Finance is able to discuss further.
Stephens said if general county declines to approve AsteRisk Managers services,
Health and Human Services will put it in their budget for next year.
Berenschot said all insurance companies have risk managers and risk is decided
by the amount of claims made. Berenschot said we need someone like Husbands.
ECONOMIC SUPPORT/W-2: Fruit said the Food Stamp Program is an entitlement
program. If clients meet the eligibility test of income and household size,
they are eligible for food stamps. Fruit said W-2 has affected the food stamp
program. Staff believes that even though many individuals continue to qualify
for food stamp benefits, a reduced level of benefits has discouraged them from
continuing to participate in the program. She said the new program requires a
review every three months versus every six months as was previously required.
Fruit said the change over to the Electronic Benefit Transfer (EBT) occurred in
July. There were approximately 230 scheduled appointments over a two-day
period for this training.
Fruit said the BadgerCare enrollment continues to increase as do the child care
expenditures. She said the unit has to meet certain benchmarks to be selected
to the next W-2 contract and St. Croix County has met all those benchmarks.
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purchase new equipment, not used. Krieger will request an official bid on this
equipment as the cost will be approximately $12,000.
PTO PAYOUT FOR RNS: PTO payout in June has been negotiated with the Nursing
Home union. Krieger said it is more cost effective for the Nursing Home to pay
out the PTO rather than give the employee time off and replace them on the
schedule. Also it prevents staff from losing PTO if they are near the cap.
Krieger is requesting the same option for all non-union Nursing Home staff. She
said it is the same cost advantage for the Nursing Home. She said there are no
other non-union departments that have PTO payouts mid-year.
Motion: A motion was introduced by Berenschot, seconded by Wentz, and
unanimously adopted: That the Board recommends to Personnel that PTO payout
for all non-union staff in the Nursing Home be offered in June.
Stephens asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Wentz, seconded by Stephens, and
unanimously adopted: That the meeting be adjourned.
Time: 10:25 a.m.
Chairman:
Attest:
(Secretary)
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