HomeMy WebLinkAboutHealth and Human Services 07-11-2000 i
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Mary Louise Olson 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: 07/11/00
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: 07/27/00
ACTION ON PREVIOUS MINUTES: 06/22/00
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. 1999 Health and Human Services Audit Report-Rod Paulson, CPA, Tracey and
Thole
3. Financial Report
a. Discussion of 2001 Budget Schedule
4. Program Reports:
a. Public Health
b. Mental Health/AODA
c. Nursing Home
5. Review of June 22, 2000 Open Hearing
6. Personnel Issues
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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
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ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
JULY 11, 2000
The St. Croix County Health and Human Services Board met on July 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: 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
Wendy Kramer, Public Health
Jay Hay, Public Health
Malva Berg, Secretary
OTHERS PRESENT: Janet Mills-Holmes, Nurse Intern
Michele Rice, Nurse Intern
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 July 27, 2000 at 6:30 PM.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Bethke,
and unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Johnson, seconded by Berenschot,
and unanimously adopted: That the minutes of the 06/22/00 Health and Human
Services Board meeting and Open Hearing be approved as circulated.
CONSIDERATION OF CLAIMS: The following reports for May were distributed to
the Board: cash report, unemployment report and fixed assets purchased.
Stephens announced that Rod Paulson, Auditor, would be present at the
08/10/00 Finance Committee meeting to present the audits.
Health and Human Services Board member, Olson, reviewed and questioned the
following June vouchers.
HUMAN SERVICES:
2406: Brotoloc Health Care Systems, Inc. $4,832.00 CIP 1A, Monthly charges
for CIP lA clients who live in homes/apartments supervised by Brotoloc.
Home office is in Eau Claire.
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Social Services and Human Services vouchers 226 through 243, dated June 21,
2000, in the amount of $73,464. 64 .
Human Services and Nursing Home vouchers 298 through 30.8, dated June 28,
2000, in the amount of $144,779.47.
Human Services and Nursing Home vouchers 309 through 334, dated July 04,
2000, in the amount of $175, 931.72.
Human Services, Workshop, Public Health vouchers 268 through 293, dated July
05, 2000, in the amount of $177, 343.20.
Social Services and Human Services vouchers 244 through 262, dated July 05,
2000, in the amount of $72,244.62.
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DEPARTMENT 1999 AUDIT REPORT: Stephens distributed the Equity Analysis (see
attachment) for St. Croix County Health and Human Services. He said the union I
contract is not settled so funds have not been budgeted for insurance premium
increases and wage increases. The audit leaves the Department with $517, 407.49
undesignated funds and $461,177 prior year (designated) carryover for the 2000
Budget.
Borup pointed out that $129,825.78 was used to close out Home Health. He said
this is a one-time transfer and won't be repeated in next year's budget. He
said we hope to get some monies from Medicaid Deficit Reduction Plan for Home
Health.
Borup said the 2000 budget is on schedule according to what is budgeted but
will be a tighter budget than in past years. He said it is difficult to predict
and manage a budget without settlement of the union contract and negotiations
to settle that may carry into 2001.
Ziegler said Paulson has completed the financial audit and 2000 numbers are in
place. She said we received the last ITP funds until December and received
$14,356 in appeals monies. She said the PTO pay out and union raise for the
nursing home, which was paid at the end of June, were not reflected in these
figures. Finance has agreed to pay the increase for union salaries, but are
not agreeing to pay non-union increases.
The following reports were distributed to the Board.
See next page.
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HEALTH AND HUMAN SERVICES - 2000
SUMMARY Total
OF REVENUES Jan.-May. Budget Balance %
Administration 312, 987.29 656,667.00 343,679.71 47.70
AODA Services 135, 012.40 371,396 .00 236,383.60 36.4%
Intensive In-Home Treat. 90,501.52 217,727.00 127,225.48 41.69.
Long Term Support 3, 773,020.00 10,992,643.00 7,219,623.00 34.3%
Mental Health 793,556.05 1,711, 989.00 918,432.95 46.4%
Family & Children's 1, 088,547.15 2,265,806.00 1,177,258.85 48.0%
Economic Support 309,648.64 986,178 .00 676, 529.36 31.416
General Relief 0.00 16,214.00 16,214.00 0.09.
TOTAL REVENUES
ALL PROGRAMS 6,503,273.05 17,218,620.00 10,715, 346.95 37.8%
SUMMARY Total
OF EXPENDITURES Jan. -May. Budget Balance
Administration 218,401.42 656,667.00 438,265.58 33.3°%
Alcohol-Drug Abuse 228,873.59 371,396.00 142,522.41 61.6%
Intensive In-Home Treat. 75,706.03 217,727.00 142, 020.97 34.8%
Long Term Support 3,786,022.90 10,992,643 .00 7,206,620.10 34.4%
Mental Health 626,357.12 1, 711,989.00 1,085,631.88 36.6%
Family & Children's 981,298.54 2,265,806.00 1,284, 507.46 43.3%
Economic Support 351,083.31 986,178.00 635,094.69 35.69.
General Relief 1,000.62 16,214.00 15,213.38 6.2%
TOTAL 2000 HUMAN
SERVICES BUDGET 6,268,743.53 17,218,620.00 10,949, 876.47 36.416
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priorities: protective placements, terminally ill (six-month life
expectancy) , and mentally ill in IMD slots. Lockwood said the State has not
increased money contributed to the MA Waiver Programs for 10 years. He said
in the 80's the move was to move more people out of the nursing home as the
costs initially were less when out of the nursing homes and all increase in
costs were borne by the local and Federal government. In the 90's the
programs were designed to have waiting lists. Lockwood said we will need
significant additional monies to affect the waiting lists and would like some
direction from the Board on this issue. It was the consensus of the Board
that if the County allocates the money, the State will not allocate more
funds for programs. Lockwood said this is a State policy issue. Lockwood
indicated that under the proposed Family Care Program, the Governor has said
there will be no waiting lists. --
Lockwood said Long Term Support is currently meeting mandates according to
the law and these programs are not "entitlement" programs.
Motion: A motion was introduced by Stephens, seconded by Berenschot, and
unanimously adopted: That the Board directs Long Term Support to meet the
mandated requirements as is currently being done.
Lockwood said he contacted Brown County regarding their Family Support
Program. Brown County subcontracts this program to a private agency. Clients
are served based on need and who is the most disabled.
PERSONNEL ISSUES: Borup said recruitment continues for the Long Term Support
supervisor position. Borup said the Medical Records position for the Nursing
Home has been filled effective 07/17/00.
Stephens asked if there were any other issues to bring before the Board.
Borup said the Regional Human Services Directors will be meeting in Menomonie
on 07/21. He invited Board members and asked they notify him if they plan to
attend.
Bethke said work is continuing on the orchard. He said a garden area may be
ready from the orchard to the road by next year or the following year.
Motion: A motion was introduced by Berenschot, seconded by Bethke, and
unanimously adopted: That the meeting be adjourned. ° -
Time: 9:25 a.m.
Chairman:
Attest:
(Secretary)
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