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HomeMy WebLinkAboutHealth and Human Services 05-11-2000 Lois Burri to review vouchers at 7 : 30 AM ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING i 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: 05/11/00 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: 05/25/00 ACTION ON PREVIOUS MINUTES: 04/27/00 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1 . Consideration of Claims and Vouchers 2 . Financial Report 3 . Program Reports : a. Family and Children' s b. Public Health c . Nursing Home 4 . Action on bids for delivery truck (26, 000 lbs . ) for St . Croix Industries-9 : 00 AM 5 . Presentation of 1999 Annual Report 6 . Setting date for 2001 Open Hearing 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 X ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD MAY 12, 2000 The St. Croix County Health and Human Services Board met on April 11, 2000, at the St. Croix County Human Services complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens Leon Berenschot Chris Bethke James Craig Fern Johnson Einar Horne Mary Louise Olson Esther Wentz MEMBERS ABSENT: Lois Burri STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Kathy Dunlap, Family and Children's Supervisor i Fred Johnson, Family and Children's Supervisor Barbara Nelson, Public Health Supervisor-Health Officer Ron Eichstaedt, Director St. Croix Industries Clark Schroeder, St. Croix Industries Malva Berg, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator 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 May 25, 2000 at 6:30 PM. 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 Berenschot, seconded by Bethke, and unanimously adopted: That the minutes of the 04/27/00 Health and Human Services Board meeting be approved as circulated. CONSIDERATION OF CLAIMS: The following reports were distributed to the Board: cash report, unemployment report and fixed assets purchased. Health and Human Services Board member, Bethke, reviewed the April vouchers. Motion: A motion was introduced by Bethke, seconded by Stephens, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book pages 267 through 358: Human Services voucher 1421, dated April 12, 2000 in the amount of $257.33. Human Services voucher 1422, dated April 12, 2000 in the amount of $215.00. L Human Services vouchers 1423 through 1491, dated April 13, 2000 in the amount of $272, 950. 67. i I� FINANCIAL REPORT: Borup said we are still waiting for numbers from the Government Center so there is no financial report. He said the Government Center still has not posted the payroll and general ledger from the beginning of the year. He said on a pre-audited basis, the. Department' s 1999 numbers are looking good with the year ending strong with revenues exceeding expenditures. Borup, Krieger and Ziegler met with the Finance Committee on 05/08/00. The Finance Committee authorized a transfer to Health and Human Services from the County contingency fund of $30,000 for detention services. He said also discussed was the financial status of the Nursing Home. Finance was certainly concerned with the losses in the Nursing Home but handled them in businesslike manner. Borup said Supervisor Krueger made the positive comment that the Nursing Home has a cash flow problem but also recognized that the asset was paid for. Stephens said when the annual report is presented to the County Board on 05/16/00, he will also report that the Health and Human Services Board is willing to come back before the County Board in August when our final numbers are received. FAMILY AND CHILDREN'S SERVICES: Dunlap offered Board members cookbooks for sale from the Royal Neighbors of America, a life insurance company, for $3.50 or for $2.50 if a food shelf donation is made. She said all the donation monies go to Family and Children's and will be used for diapers, underwear, socks, etc. for children in need. Johnson gave the Board an update on the Intensive Supervision Program, which is grant funded. He said the goal of this program is to try to avoid out-of-home placements. He said there is a "tracker" position for this program which is a para-professional who does weekend and evening checks on juveniles under this program. This person does face-to-face contact or will do random telephone checks to make sure the individual is where he/she is supposed to be. In the j future this person will also be able to apply electronic monitoring devices. Johnson said what makes this program work is the immediate consequences to the child if they are found out of compliance by the tracker or social worker. Johnson also reviewed current placement issues and how that has impacted the budget. He said there has been a high level of placements in the last six months and Family and Children's budget is approximately $80,000 over budget in the first three months of this year because of that. PUBLIC HEALTH: The Board viewed a Public Health film. Nelson said this film is available for viewing to any Board member or agency. Nelson gave an updated report on Public Health to the Board. She said she is awaiting a copy of the new Communicable Disease Administrative Rule, which was effective April 1, 2000. She reported on a case of measles found in a 23-month old who arrived at the Minneapolis/St. Paul Airport. Nelson reported on a food it borne outbreak at an Eau Claire luncheon meeting where one St. Croix County resident was affected. She also reported on a reduction in hours for the immunization clinics effective June, 2000 for Baldwin and Hudson based on decreased numbers seeking the service. She said Senate Bill 136 states that insurance companies must provide coverage for necessary immunizations to children birth to six year of age, which will impact Public Health immunization numbers. Nelson distributed a rabies control policy and procedure to the Board for their review. She said there is no ordinance in St. Croix County on rabies at this 3 Lois Burri to review vouchers at 7: 30 AM REVISED ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Thom- s Dorsey, Chairman St_ roix County Board FROM: Robezt Stephens (John Borup, 246-8223) i COMMITTEE TITL�: St. Croix County Health and Human Services Board DATE: 04/11/00 TIME: 8 : 00 a.m. LOCATION: St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGEIMA DATE OF NEXT ME TING: 04/27/00 ACTION ON PREvI US MINUTES: 03/23!00 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSII SS: NEW BUSINESS: 1_ Consideration of Claims and vouchers 2 . Financial Rep rt 3. Program Repor .s: a . Long Term Support b. Economic Support/W-2 c. Nursing Home 4 . Reappointments and Privileges of Medical Staff (and new appointments) for 2000 Board approval 5 . Action on ren�wal of barn lease with Henk Van Dyk 6. W-2 Reinvestm nt Phan update 7 . personnel iss es 8 . Action to clo e fund balance deficit in Home Health Account ANNOUNCEMENTS & IIORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJrOLMOONT (Agenda not necessarily presented in this order) SUBMITTED BY: Jrhn M. Borup DATE: CONIES TO: CQUNTY BOARD OFFICE CgUNTY CLERK 7 WS MEDIA/NOTICE 04/07/00 13:37 COUNTY CLERK Q001 �hxcxck%N% x%xk�k:xxkkNx�:xxk%xkxk ACTIVITY REPORT xx x:xx*x�xxx*xxxx:x�x*x*:xxx:x�x:x TRANSMISSION OK TX/RX NO. 6840 CONNECTION TEL 917152657496 CONNECTION ID START TIME 04/07 13:36 USAGE TIME 00'40 PAGES 1 RESULT OK Lois Burri to eview vouchers at 7 :30 AM R VISZD ST. =IX COUNTY NDTICE OF COMITTEI I Er&TING To: Thom s Dorsey, Chairman St_ roix County $pard Mmd: Robert Stephens (John Borup, 246$223) OTTER TI St.St. Croix County Health and Human Services Board DATE: 04/11/00 T3390 8 : 00 a .m. LOCATION: St. Croix County Health and Hurnan Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGZIMA JDA= OF NEXT ME TING: 04/27/00 ACT3:CW ON PREVIOUS MINUTES: 03/23/00 ANNOUNCEMENTS APPOINTmMTs UNFINISFIED SUsl I SS NEN BUSINESS: 1_ Consideration of Claims and vouchers 2 . Financial Reprt 3. Program Repor�s : a. Long fiem Support b_ Economic Support/w,2 o. Nursing Home 4 . Reappointments and Privileges of 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: 04/11/00 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: 04/27/00 ACTION ON PREVIOUS MINUTES: 03/23/00 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: NEW BUSINESS: 1 . Consideration of Claims and Vouchers 2 . Financial Report 3 . Program Reports : a. Long Term Support b. Economic Support/W-2 c. Nursing Home 4 . Reappointments and Privileges of Medical Staff (and new appointments) for 2000 Board approval 5 . Action on renewal of barn lease with Henk Van Dyk 6 . W-2 Reinvestment Plan update 7 . Personnel issues 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 i ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD APRIL 11, 2000 j I The St. Croix County Health and Human Services Board met on April 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 Jack Dowd Fern Johnson Einar Horne Mary Louise Olson MEMBERS ABSENT: none STAFF PRESENT: John Borup, Health and Human Services Director Judy Ziegler, Accounting Supervisor Carolyn Krieger, Nursing Home Administrator Marilyn Fruit, Economic Support/W-2 Supervisor Mary Squire, Economic Support/W-2 Karen Hall, Long Term Support Supervisor Malva Berg, Secretary OTHERS PRESENT: None 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 April 27, 2000 at 6:30 PM. AGENDA: Motion: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the agenda be approved as circulated. MINUTES: Krieger said on page three, paragraph five, the sentence, "Our costs have more than doubled in the past year." should be deleted as that statement is not true. The following sentence, "The biggest percentages of admissions are on M.A." should be changed to: "The biggest percentages of admissions are on Medicare." Motion: A motion was introduced by Johnson, seconded by Burri, and unanimously adopted: That the minutes of the 03/23/00 Health and Human Services Board meeting be approved as corrected. ANNOUNCEMENTS: Borup brought the Board's attention to information in their folders regarding the Wisconsin State Laboratory Public Health Hygiene 1999 Annual Report and upcoming ETN' s. He also said the next Legislative breakfast will be held on 04/17/00 at 9:00 AM at St. Croix County Health and Human Services and invited Board members to attend. Olson said issues other than Public Health need to be discussed at the Legislative breakfast. i CONSIDERATION OF CLAIMS: The following reports were distributed to the Board: cash report, unemployment report and fixed assets purchased. Health and Human Services Board member, Burri, reviewed the March vouchers and questioned or reviewed the following vouchers: i Human Services, Workshop, Public Health vouchers 111 through 127, dated March 29, 2000, in the amount of $134,223. 99. Human Services and Nursing Home vouchers 124 through 142, dated March 28, 2000, in the amount of $134, 149.18. Social Services and Human Services vouchers 106 through 122, dated March 29, 2000, in the amount of $83, 789.24. NURSING HOME REPORT: Krieger said the census today is 90 with one admission scheduled for today. She said due to the high cost of fuel, several vendors have begun attaching a delivery fee to their statements (for example: laundry and oxygen delivery) . Krieger said the final June ITP payment was estimated at $159,000, however, after the State received all nursing home costs, the final ITP payment will be $245, 000. She said effective April 1, 2000 15 Medicare rates ("RUGS" levels) were increased 20% and all "RUGS" levels will increase by 5% in October, 2000, which will amount to about $10,000 per year increase. She said according to preliminary numbers received from Rod Paulson, Auditor, the Nursing Home should be in the black for the year. Krieger said she contacted John Keefe, President of Keefe and Associates, Inc, Specialists in Health Care Management, regarding his charge to do consulting for our Nursing Home. She said his fee is estimated at the low end to be about $50,000 to $75, 000. She said his fee for Sheboygan County was $110, 000. Krieger said she feels we have qualified consultants in Brian Schoeneck and Theresa Lang and should utilize their services. Stephens said the Board will take action on bed banking at the 04/27/00 meeting. Krieger said she hopes to have numbers from Brian Schoeneck soon. LONG TERM SUPPORT: Hall distributed information regarding waiting lists in Long Term Support. She said there is nothing new. She said services are not expanding in any area, we are just maintaining the number of clients we are serving. She said we are losing about six clients per year on the waiting j list, but gaining between 12 to 18. Hall said the County is contracting with REM for three persons on the MA Waiver (CIP) lA waiting list who are scheduled to be moved from Northern Center after 07/01/00. She said there is at least a six year wait before names on the MA Waiver (CIP) 1B waiting list can be moved to the top of the list. She said the wait time for CIP II/COP W for elderly and physically disabled is about six months. Hall said Community Health Partnership, Inc. from Eau Claire is a pilot Medicaid, Medicare, health management corporation that is the only rural pilot in the country serving physically and mentally disabled persons. This pilot was set up with start up fees coming from a grant from Robert Wood Johnson. She said this pilot may expand into St. Croix County but will only expand here if invited. They would be competition for Health and Human Services but would also give client's another choice. There would be no county money involved and we would have to look for non-county money for start up. She said this is a very client-centered organization that coordinates services for clients. One of their goals is to spend at least 15% less than the nursing home state average rate to stay in the community. Hall will get more information for the Board and will eventually ask the Health and Human Services Board to pursue inviting Community Health Partnership, Inc. into St. Croix County. This company needs a client base of at least 35 clients to break even. 3 Bruce Hanson, MD Colin Drury, MD David Olson, MD Hamid Khan, MD Joseph Powell, MD Neal Melby, MD Clifford Tenner, MD John Simon, MD Robin Reichert, MD Bruce Schultz, MD And recommends Group 11 Specialty Privileges as applied for by: David DeGear, MD Pastor Colon, MD Bruce Hanson, MD Colin Drury, MD David Olson, MD Hamid Khan, MD Joseph Powell, MD Neal Melby, MD Clifford Tenner, MD John Simon, MD Bruce Schultz, MD Joseph Beuning, PA ACTION ON RENEWAL OF BARN LEASE WITH HENK VAN DYK: Discussion held on barn lease. The lease specifies that repairs to the barn are the responsibility of the tenant and repairs have not been made. Bethke and Borup will meet at 9:00 AM on 04/12/00 to tour the barn and make of list of what needs to be fixed in the barn. This list will then be brought to the attention of the tenant. Motion: A motion was introduced by Bethke, seconded by Stephens and unanimously adopted: That the Board approves extending the barn lease on 06/01/00 contingent that all necessary repairs brought to the attention of the tenant are done before that date. Borup said he will have the lease updated to state the lease is between St. Croix County and Henk Van Dyk only as John Van Dyk is no longer leasing the barn. W-2 REINVESTMENT PLAN UPDATE: After the original Community Reinvestment Plan was submitted, we found that some of the dollars could be utilized to meet the administrative costs of the program (10% for 1999 and 15% for 2000-2001) . Fruit recommended to following transfers to more effectively meet the administrative costs and needs of our residents. ESTIMATED NEEDS: These are the estimated needs for the year 2000: Administration $33, 668 Supportive Services (W-2-under 115% of FPL) 18,000 Supportive Services (115%-200% of FPL) 17, 000 Crisis Respite Child Care (regular program) 10,000 $78, 668 TRANSFER FROM: To meet the above estimated needs we propose to transfer the following amounts from the identified categories: Self-Sufficiency Loan Funding $33, 668 Planned Respite Care 10,000 Short-Term Respite Care/disabled children 20, 000 Mentoring Program 15, 000 $78, 668 5