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Home My WebLink AboutHealth and Human Services 06-13-2000 X Esther Wentz tc review vouchers at 7:30 AM ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Th mas Dorsey, Chairman St Croix County Board FROM: Ro ert Stephens (J hn Borup, 246-8223) CCNMITTEE TIT St. Croix County Health and Human Services Board DATE: 06/13/00 TIME. 8- 30 a.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF A=NnA DATE OF NEXT ETING: 06/22/00 ACTION ON PREF OUS MINUTES: 05/25/00 ,ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BU3 NESS: NEW BUSINESS= 1, Considerati n of Claims and Vouchers 2. Financial Raport 3. Program Rep rts: a. Econ mic Support b. Nurs ng Horne 4. Personnel Issues a. Sob description reviews and possible referral to Personnel Committee: • Confidential Secretary/Receptionist Clerical Supervisor • Mental Health/AODA Clinical Services Supervisor • Family and Children's Social Work Supervisor-Ongoing • Family and Children's Social Work Supervisor-Assessment • Public Health Receptionist • Ment 1 Health/AODA Coordinator b. Reallocation of Mental Health Social Work Resources C. Request to create full-time Environmental Health Specialist from defunct Tri-county Environmental Health Consortium 5. Public Health Rabies Control policy 6. Creation of Community Options Program (COP) Risk Reserve ANNOUNCEMENTS 6 CORRESPONDENCE POSSIBLE AGE 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 MDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD JUNE 13, 2000 The St. Croix County Health and Human Services Board met on June 13, 2000, at the St. Croix County Human Services complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens Leon Berenschot Chris Bethke Lois Burri Fern Johnson Einar Horne Mary Louise Olson Esther Wentz MEMBERS ABSENT: James Craig, 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 Mary Squyer, Economic Support Ron Kiesler, AODA/Mental Health Coordinator Malva Berg, Secretary OTHERS PRESENT: Rod Paulson, CPA, Auditor, Tracey & Thole 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 June 22, 2000 at 6:00 PM followed by the Open Budget Hearing at 7:00 PM in the Nursing Home dining room. AGENDA: Motion: A motion was introduced by Bethke, seconded by Johnson, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Olson, seconded by Johnson, and unanimously adopted: That the minutes of the 05/25/00 Health and Human Services Board meeting be approved as corrected as follows: Remove following from page 4, paragraph 6 which reads as follows: "Stephens stated if it costs one million dollars to run the nursing home, it reaches a point where the County will close it. At the next meeting Krieger was asked to find out what it would cost to fund unemployment for 34 people. Krieger was asked for a simple report as we are preparing for our budgeting project," as this statement is not accurate. Borup announced the cross training is scheduled for 06/14/00 at Health and Human Services. He said five County Board members have signed up. Bids have been approved for the delivery truck for St. Croix Industries but delivery of this vehicle has been pushed to November. This item will be added to the agenda for the 06/22/00 meeting and addressed at that time. Human Services, Workshop, Public Health vouchers 195 through 216, dated May 24, 2000, in the amount of $160,376.01. Social Services and Human Services vouchers 187 through 206, dated May 24, 2000, in the amount of $98,030. 65. Human Services and Nursing Home vouchers 220 through 246, dated May 24, 2000, in the amount of $152, 477.46. Human Services, Workshop, Public Health vouchers 217 through 242, dated June 07, 2000, in the amount of $177, 689.28. Human Services and Nursing Home vouchers 247 through 271, dated June 06, 2000, in the amount of $169, 847.28. Social Services and Human Services vouchers 207 through 225, dated June 07, 2000, in the amount of $75, 122.81. PERSONNEL ISSUES: Borup said per County policy, it is time to update non-union job descriptions and present for committee review. Any job descriptions approved by the Health and Human Services Board are forwarded to the Personnel Committee. The Board reviewed the following updated job descriptions: • Confidential Secretary/Receptionist Clerical Supervisor • Mental Health/AODA Clinical Services Supervisor • Family and Children's Social Work Supervisor-Ongoing • Family and Children's Social Work Supervisor-Assessment • Public Health Receptionist • Mental Health/AODA Coordinator Motion: A motion was introduced by Horne, seconded by Stephens and unanimously adopted: That the Board approves to submit the above job descriptions as appropriate with emphasis on the job description for Confidential Secretary/ Receptionist Clerical Supervisor and Public Health Receptionist as the duties for those descriptions have increased significantly. All of the above the job descriptions will be forwarded to the Personnel Committee/Hay Committee. Reallocation of Mental Health Social Work Resources: Kiesler is recommending of Mental Health Social Work resources by moving one of the two social worker positions in Intensive In-Home Team to our Community Support Program. This would not increase or decrease staff size, nor result in any additional expenditures in wage/fringes. It is expected that this reallocation would result in an increase in the number of clients served and additional Medical Assistance revenue. This reallocation requires downgrading our level 10 psychologist position to a level 7 social work slot and returning the vacated union social worker position to the Family and Children's Unit to do union work. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Board approves reallocation of Mental Health Social Work resources as outlined above with a reduction in pay level to a Grade 7. Request to create full-time Environmental Health Specialist from defunct Tri- County Environmental Health Consortium: The Tri-County Health Consortium arrangement began in 1995 with St. Croix County, Dunn County and Pierce County. Dunn County hired a permanent full-time Environmental Health Specialist in 1998 3 ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/99 THROUGH 03/31/00 NOT AUDITED NURSING HOME Reconciled Cash Balance 03/31/00 ($191, 086.74) Add: Accounts Receivable, 03/31/00 Private Pay $14,699.66 Medicare $119,502.77 Medicaid $208,769.39 General $159.82 Accounts Payable-03/31/00 ($18,662.10) Net Current Items, 03/31/00 $133,382.80 2000 Revenue Recorded through 03/31/00 $1,036,209.04 Includes Allocations of Anticipated Revenues 2000 Expenses Recorded through 03/31/00 $1,061,499.33 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 2000 bond principle $138,541.00 (93.130 of total 2000 bond principle of $148,761) NHOOsum * Operations = ($191, 086.74) Capital Acquisitions= 5 PUBLIC HEALTH Total Jan.-March Budget Balance %* TOTAL REVENUES* 233,464.36 993,887.00 760,422.64 23.50 TOTAL EXPENDITURES 189,363 .34 993,887.00 804,523.66 19.10 *TO BE ON BUDGET, PERCENTAGE SHOULD BE 25% ECONOMIC SUPPORT: Mary Squyer gave a brief update on the Food Stamps (EBT) Electronic Benefit Transfer and the (MAPP) Medical Assistance Purchase Plan program. She said staff are currently working with Ron Lockwood on waiver cases. Electronic Benefit Transfer is being set up for clients on 07/17/00. The Office on Aging is providing transportation for clients who need transportation. The State has set appointments for 10 people to be seen every half hour. Clients will see a 20-minute film on the purpose of Electronic Benefit Transfer and how the card is used. About 120 families have appointments to set this up. Squyer said Economic Support is making an effort to get machines for EBT in the stores in the area. Stores need to pay for these machines and staff have already found some smaller stores announcing they will no longer accept food stamps. NURSING HOME: The Board asked Krieger to get information regarding what costs would be to place 34 for Nursing Home residents who are protectively placed with St. Croix County if the Nursing Home closed. Krieger distributed this report. She said there are only approximately five places in the State that would take protectively placed clients. Discussion followed regarding this report. Krieger will revise the report for the next meeting to include the net cost including the State Medicaid reimbursement and present to the Board at the next meeting. Borup said State institutions are not resources due to their limit on length of stays. If placement is made for protectively placed residents, it would probably be with an IMD or other nursing homes if it is even possible to find other placement. An article from the St. Paul Pioneer Press regarding 40 Wisconsin nursing homes that are facing bankruptcy was distributed to the Board because of cuts in federal Medicare spending. Krieger said the Medicaid rate is based on cost. c Krieger said census is 94. The Board recessed from 9:05 to 9:10 AM. PUBLIC HEALTH RABIES CONTROL POLICY: Nelson said legal authority for the local health department is specified in Wisconsin Statues, specifically Ch. 95.21 (Animal Health-Rabies Control Program) and Ch. 254.51 (Environmental Health- Animal-borne and Vector-borne Disease Control) . The powers and duties of the 7