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HomeMy WebLinkAboutHealth & Human Services 05-22-09 Marzolf will review vouchers. Revised: 05/18/09 NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 22, 2009 at 8:30 (Please note date change) (Board Room, St. Croix County DHHS Building, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 04/15/09 DATE OF NEXT MEETING — 06/17/09 — 3:30 PM and 6:00 PM OLD AND NEW BUSINESS 1. Election of Officers 2. Consideration of Claims and Vouchers and appoint member to review vouchers at next meeting 3. Financial Report a. Monthly financial report for Nursing Home and Health and Human Services b. aged receivable report- Health and Human Services c. 2008 year -end financials for Nursing Home and Health and Human Services 4. Nursing Home Report 5. Nursing Home long range planning proposal 6. Response to County Board on which Statute grants the Health and Human Services Board the authority to give private pay residents a discount for services provided at the Nursing Home and criteria used to determine each private pay residents' rate. 7. Affect of a 10% tax levy cut or Health and Human Services and Nursing Home for 2010 operations. 8. Cost to County Human Services and Nursing Home in the 2009 -2011 State Biennial budget/Cost Shifting and Cuts 9. Centralized intake for Behavioral Health and Family & Children's 10. Personnel Issues a. New employees /vacancies 11. Wisconsin Tobacco Prevention and Control Program (TPCP) Multi- Jurisdictional Local Tobacco Control Coalitions Lead Agency Eligibility Requirements 12. Swine flu report 13. 2009 Governor's Foster Parent Award" ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 5/18/2009 9:56 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD May 22, 2009 The St. Croix County Health and Human Services Board met on May 22, 2009 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Leon Berenschot Charles Grant Roger Larson Linda Luckey (arrived at 9:55) Richard Marzolf Gerald Peterson Dr. Lisa Ramsay Deb Rasmussen MEMBERS ABSENT: none STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Manager Ron Kiesler, Behavioral Health Coordinator Wendy Kramer, Public Health Officer /Public Health Coordinator Sharon Reyzer, Public Health Supervisor Clark Schroeder, Director, St. Croix Industries Kathy Dunlap, Family and Children's Coordinator Pat Haeny, Family and Children's Supervisor Dennis Reiman, Contracted Nursing Home Administrator Frank Robinson, Nursing Home Administrator Connie Sarauer, Contracted Director of Nursing -NH Lisa Leahy, Director of Social Services -NH Kim Dupre, Information Systems Analyst Brian Cloutier, Building Services Malva Sirek, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator Dave Ostness, County Board member Roger Rebholz, County Board Chair Duncan McDougal, Pathways Loyla Waskul, Nursing Home CNA Chair Wentz called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Wednesday, June 17, 2009 at 3 :30 PM. The Open Hearing meeting will be held in the Head Start area at 6:00 PM following the monthly meeting. Wentz will review vouchers. AGENDA Motion A motion was introduced by Berenschot, seconded by Larson, and unanimously adopted: That the agenda be approved as distributed. MINUTES Motion A motion was introduced by Berenschot, seconded by Larson, and unanimously adopted: That the minutes of the 04/15/09 Health and Human Services Board meeting be approved as distributed. St. Croix County Health and Human Services Board Page 2 May 22, 2009 ELECTION OF OFFICERS Wentz announced the election of officers would take place. Wentz turned the meeting over to Vice Chair, Berenschot. Berenschot asked for nominations for the position of Chair. Peterson nominated Wentz for the Chair position, seconded by Marzolf. Berenschot called for additional nominations three times. Nominations were closed. Peterson requested a unanimous vote be cast for Wentz for Chair, seconded by Berenschot, unanimously adopted. Wentz resumed the position of chair. Wentz asked for nominations for the position of Vice Chair. Wentz nominated Berenschot for the position of Vice Chair. Wentz called for additional nominations three times. Nominations were closed. Grant requested a unanimous vote be cast for Berenschot for Vice Chair, seconded by Peterson, unanimously adopted. Wentz asked for nominations for the position of Secretary. Berenschot nominated Rasmussen for the position of Secretary. Wentz called for additional nominations three times. Nominations were closed. Grant requested a unanimous vote be cast for Rasmussen for Secretary, seconded by Berenschot, unanimously adopted. CONSIDERATION OF CLAIMS Health and Human Services (HHS) Board member Marzolf reviewed the vouchers. Motion A motion was introduced by Marzolf, seconded by Rasmussen, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services vouchers 149010 through 149064, dated April 16, 2009 in the amount of $12,940.05. Human Services voucher 149302, dated April 16, 2009 in the amount of $100.00. Human Services vouchers 149775 through 149778, dated April 30, 2009 in the amount of $25,820.00. Human Services voucher 150193, dated May 07, 2009 in the amount of $59.00. Human Services vouchers 150194 through 150233, dated May 07, 2009 in the amount of $66,061.71. Human Services vouchers 149999 through 150033, dated May 07, 2009 in the amount of $7,171.09. Human Services vouchers 149999 through 150033, dated May 14, 2009 in the amount of $30,780.00. Human Services, Government Center and Nursing Home vouchers 148907 through 149009, dated April 16, 2009 in the amount of $149,470.32. Human Services and Nursing Home vouchers 149065 through 149088, dated April 16, 2009 in the amount of $15,879.86. Human Services, Department on Aging, ADRC, Government Center and Nursing Home vouchers 149433 through 149554, dated April 23, 2009 in the amount of $175,470.45. St. Croix County Health and Human Services Board Page 3 May 22, 2009 Human Services, Department on Aging, Government Center and Nursing Home vouchers 149717 through 149774, dated April 30, 2009 in the amount of $41,744.61. Human Services, ADRC, and Department on Aging vouchers 150068 through 150110, dated May 07, 2009 in the amount of $11,866.31. Human Services, Department on Aging, ADRC, Government Center and Nursing Home vouchers 150111 through 150192, dated May 07, 2009 in the amount of $58,967.71. Human Services, Government Center and Nursing Home vouchers 150613 through 150743, dated May 14, 2009 in the amount of $125,426.40. Human Services, Government Center and Nursing Home vouchers 150234 through 150302, dated May 07, 2009 in the amount of $22,898.45. Nursing Home and Government Center vouchers 150034 through 150067, dated May 07, 2009 in the amount of $27,962.01. Department on Aging and ADRC vouchers 150748 through 150815, dated May 14, 2009 in the amount of $11,226.09. Human Services, Workshop, Public Health, Social Services vouchers 247 through 265, dated April 30, 2009 in the amount of $350,955.76. Human Services, Workshop, Public Health, Social Services vouchers 266 through 296, dated May 14, 2009 in the amount of $393,691.62. Human Services and Nursing Home vouchers 237 through 253 dated April 30, 2009 in the amount of $132,743.12. Human Services and Nursing Home vouchers 254 through 280, dated May 14, 2009 in the amount of $144,376.38. Workshop vouchers 49 through 54, dated April 30, 2009 in the amount of $10,089.61. Workshop vouchers 55 through 58, dated May 14, 2009 in the amount of $9,404.82. ANNOUNCEMENTS Brian Cloutier, Building Services, was honored for the remarkable amount of work he has done for the Nursing Home. Cloutier has gone above and beyond the call of duty to repair the braising pan and tubs in the Nursing Home and in doing so has saved the Nursing Home a tremendous amount of money. The Board thanked Brian Cloutier for his help and efforts. Applause. 2009 GOVERNOR'S FOSTER PARENT AWARD Fred and Toni Chambers were presented the 2009 Governor's Foster Care Award in a ceremony at the Governor's mansion in Madison on May 19th. John Bretl, St. Croix County Foster Care Coordinator, nominated Fred and Toni for this award. In addition to being committed foster parents, Toni Chambers has helped to write the curriculum for training other foster parents, trains for the Western Wisconsin Partnership and serves on several state committees. They have done a fantastic job for St. Croix St. Croix County Health and Human Services Board Page 4 May 22, 2009 County. This will be added to the County Board agenda to recognize the efforts and services Chambers' have put forth. Dr. Lisa Ramsay was introduced as the new physician member to the Health and Human Services (HHS) Board. The Board thanked Dr. Ramsay for taking on this responsibility. NURSING HOME LONG RANGE PLANNING PROPOSAL Johnson said the result of the referendum question is to maintain Nursing Home operations. He said Frank Robinson will begin as the Nursing Home Administrator on May 29. Johnson said Community Living Solutions, the company that gave a presentation last month, has signed a contract with another vendor in the area so is no longer available. Johnson introduced Duncan McDougall from Pathway Health Services who will give a proposal for long range planning for the Nursing Home that will include strategic planning, market analysis and business planning to address the County Board goal developed on April 24"' which is as follows: County Board will agree to a shared vision for the nursing home operation and set a target levy appropriation by the Fall of 2009. Action item #1: Health and Human Services Board will develop a shared vision for the nursing home operation by August, 2009. McDougall has worked with Clark and Dunn County who are both pleased with the long range plan created with McDougall's guidance. McDougall congratulated the Board on hiring Robinson as he has worked with Robinson in the past and knows he will do well. McDougall said there are changes happening in the nursing home field. He said there is no magic answer and a lot of organizations are struggling with what to do with the future. McDougall said health care providers cannot just keep doing what they are doing because change is so great and change is what drives the need for planning. He said an agreement needs to be reached on the vision of the future between HHS Board, County Board, and the staff. The first phase is planning and it will be important to get as many people as possible in agreement on the mission for the nursing home. He said the county residents want the county entity to be there to provide care and service in the future and the county needs to determine how to fill that need. There are many changes in the nursing home business such as assisted living beds are outnumbering nursing home beds. Consumers would rather be in an apartment setting versus a nursing home setting. Consumers have more options than in the past; however, the population is aging and there will be a wave of increasing health care needs that will explode in approximately 20 years. The staffing pool is also getting smaller and will decrease further in the future. Regulatory requirements may get tougher in the future and Wisconsin would like to increase regulations on assisted living and home health. McDougall said Larry Lester has completed assessments and financial projections for the nursing home and would be available to update fiscal projections based upon updated planning. Sharing common operational and financial goals will define where an organization needs to go. A balanced vision with a foundation of strong operations with re- tooling and diversifying will create a balanced vision for the nursing home. The organization needs to have a clear vision to reach a common goal but all areas need to work together. Goals need to be measurable and usually are converted to numbers to confirm progress. This work on goals needs to be implemented immediately to make the plan work. McDougall offered to assist with developing a business plan, but he St. Croix County Health and Human Services Board Page 5 May 22, 2009 said a business plan does not guarantee feasibility. A market study should be updated with LarsonAllen to assess /confirm market need and he has had communication with representatives from LarsonAllen and they are available to complete this updated assessment. Possible niche services need to be identified such as specialty care, behavior management, higher acuity care, etc. He said in his role as facilitator he would help the county to gather information, create and implement a vision for the future, and assist with development of a business plan. He would not make decisions for the county, but assist the county in a process to make decisions. He also commented that staff needs to participate in planning so there is an alignment of efforts. There needs to be at least an annual update of the plan. The county will need to be able to track which parts of the business are making money and which are not, so as to possibly subsidize certain areas. Marzolf said there needs to be a common goal /vision for the future to make this work and questioned how to mend the rift in vision with the County Board. There is a limit on what the county can do with county levy to subsidize business. McDougall said both Clark and Dunn County have dealt with this issue. Peterson questioned the number of nursing home beds. McDougall said large nursing homes are going away and the number of nursing homes is going down. The cost for McDougall's services will be approximately $23,000 to $29,000. This cost includes strategic planning, updated market study, and updated financial projections. Johnson said this study was not budgeted in the 2009 budget. Johnson questioned using prior year carryover monies to cover this cost, managing within the current budget or going to the Finance Committee to request contingency funds. Johnson suggested bringing this project to the county at some level to get buy in from county supervisors given some of the questions that were raised at the last County Board meeting. $23,000 to $29,000 would be a wise investment for a practical course for future business for the Nursing Home. This could also possibly eliminate some costs for the ad hoc facilities planning committee given recent planning discussions, or at a minimum, supplement the information they need to make long range facility decisions. Rebholz said planning is important. A plan is needed and people to manage the plan are also important. Staff needs to feel ownership in decision making to get a business to survive. Whiting questioned what services in the Nursing Home will look like in the future. It may not necessarily be a nursing home. We do not necessarily need to keep what we have but determine what will be needed in the future. This needs to be a group effort without a predetermined outcome. The Nursing Home is currently running as well as it has ever been running in Whiting's time in his position. Whiting said county facilities are being looked at by the Ad Hoc Committee. The Ad Hoc facility planning process is not to the point to hire a planning consultant yet. This planning study could augment what has already been done by the Ad Hoc Committee. There is no need to pay for a separate planning process. Planning needs to be completed by August/ September, 2009, which is a short timeframe. If planning starts in June, the plan may be done by the end of July as a lot of the work has already been completed. It may be possible to present the plan to the County Board in August or September. Motion A motion was introduced by Berenschot, seconded by Larson, and unanimously adopted: That the Board approves spending money with Pathways from the current budget and review with Finance and County Board. St. Croix County Health and Human Services Board • Page 6 May 22, 2009 The Board recessed from 10:20 to 10:30 AM SWINE FLU REPORT This is now referred to as novel H1N1. Kramer said information regarding novel H1N1 is now posted on the County's website. She said cases continue to grow and have spread worldwide; however, it is not in the forefront of the news each day now. The first case was identified in April, 2009. Kramer said social distancing is a key factor in controlling a pandemic. She strongly suggested if you are sick, stay home. Kramer ran through steps taken during the last month which included opening an emergency operations center. The staff followed the incident command structure, had daily briefings, maintained contact with community health partners, and opened a phone bank, which included having information available to the public. Contact has been maintained with the Department of Health, Western Region. Press releases have been issued along with information posted on the Intranet. Public Health joined WEDSS to receive lab sample report updates within the state. Kramer said situational reports have been provided to healthcare providers along with in -house providers. Johnson thanked Public Health for all the work performed and for the great job getting information out at the local level. Kramer said Public Health has tracked approximately 300 hours so far regarding novel H1N1 tracking. The Nursing Home has put out a stand with masks and alcohol cleanser for resident and visitor use. EFFECT OF A loo TAX LEVY CUT OR HEALTH AND HUMAN SERVICES AND NURSING HOME FOR 2010 OPERATIONS COST TO COUNTY HUMAN SERVICES AND NURSING HOME IN THE 2009- 2011 STATE BIENNIAL BUDGET /COST SHIFTING AND CUTS Johnson distributed an article from the River Falls Journal regarding possible budget cuts and funding cuts. Johnson said funding from the State to the County has been flat funded for decades and any cuts will greatly impact the county's budget and services. Johnson plans to attend the Wisconsin Counties Human Services Association (WCHSA) meeting on June 5 th , as there are planned budget updates and discussion on impact for Health and Human Services. The State trend in the current budget proposal is to cost shift to the county and decrease incoming revenue. This also affects the Nursing Home. Some nursing home revenues are diverted to general Medicaid program versus being routed back to the nursing homes. A motion was passed at the March 5, 2009 Finance Committee meeting to include in the 2010 budget instructions a requirement for departments to forecast proposed budgets with a 100 levy funding reduction as a planning tool. Johnson said making a 10% cut in the Health and Human Services budget can get somewhat complicated based upon how we receive funding. He gave the example of Economic Support. Economic Support basically receives 50C reimbursement from Federal funds for every dollar that is spent in Economic Support. If one staff person in Economic Support is eliminated, state and federal dollars are lost, not just county dollars. Economic Support has experienced a large increase in the number of cases with the economic downturn. In April, 105 new cases were opened, which is the result of an increased demand for services. Rasmussen questioned what percentage of the budget is personnel. Johnson estimated that figure to be between 75 to 85 %, but this information could be made available at the next HHS board meeting. St. Croix County Health and Human Services Board • Page 7 May 22, 2009 Dunlap said services in Family and Children's cannot be cut further without affecting child and community safety. Dunlap gave examples of out of home placements in surrounding counties of similar population. Eau Claire County has approximately 150 kids in out of home care, LaCrosse County has approximately 182 kids in out of home care, and St. Croix County has only 27 kids in out of home placement. Dunlap said being interconnected between departments makes the system work to keep numbers down and to leverage Federal dollars which has freed up County monies for other programs. Kiesler said of outpatient clients, approximately one -third are indigent, one -third hare covered by Medicare /Medicaid which require a 40% match, and the remaining third are covered by insurance. If a therapist is cut in Behavioral Health, the insured population will be impacted, which is the population that offsets losses in other areas. It would also affect wrap around services for drug court and keeping kids in the home versus putting in placement. Kiesler said cuts would also impact juvenile treatment court which is slated to begin September 1, 2009. Cuts would impact many areas including the chronically mentally ill population, services with the Matrix programs, etc. Services are inter - related and integrated to make more efficient and viable to clients. Situations such as the H1N1 pandemic affect Public Health. Schroeder said Community Health Partners (CHP) does not develop a budget until well into the fall for services for St. Croix Industries, so forecasting revenues from CHP will be estimates based upon last year's operations. Staff will continue to monitor the biennial budget and work to create solutions to projected revenue decreases. FINANCIAL REPORT The following financial report for Health and Human Services through March, 2009 was distributed. Long Term Support is at $2,834,165 because the state has not adjusted their contracts from last year. The state will begin take backs soon as the Long Term Support Program final reconciliation for 2008 is done. St. Croix County Health and Human Services Board • Page 8 May 22, 2009 HEALTH AND HUMAN SERVICES - 2009 SUMMARY Total OF REVENUES Budget March 31, 2009 Balance % Administration 1,038,854.00 (196,433.40) 1,235,287.40 -18.9% AODA Services 760,671.16 213,864.25 546,806.91 28.1% Long Term Support 2,631,402.00 2,834,165.40 (202,763.40) 107.7% St. Croix Industries 2,482,747.71 571,108.95 1,911,638.76 23.0% Mental Health 3,448,843.99 759,284.09 2,689,559.90 22.0% Family & Children's 2,911,874.13 876,338.06 2,035,536.07 30.1% Public Health 1,976,209.95 459,286.77 1,516,923.18 23.2% Economic Support 1,152,939.29 155,921.07 997,018.22 13.5% General Relief 0.00 0.00 0.00 0.0% Coordinated Services /SED 2,836,586.35 814,528.19 2,022,058.16 28.7% ARDC 632,000.00 122,008.00 509,992.00 19.3% Department on Aging 846,623.00 83,561.78 763,061.22 9.9% REVENUES HUMAN SERVICES PROGRAMS 20,718,751.58 6,693,633.16 14,025,118.42 32.3% SUMMARY Total OF EXPENDITURES Budget March 31, 2009 Balance % Administration 1,029,711.52 261,583.44 768,128.08 25.4% Alcohol -Drug Abuse 755,822.52 182,022.52 573,800.00 24.1% Long Term Support 2,631,098.96 240,817.96 2,390,281.00 9.2% St. Croix Industries 2,476,417.21 651,410.85 1,825,006.36 26.3% Mental Health 3,445,706.61 887,822.96 2,557,883.65 25.8% Family & Children's 2,908,835.69 775,338.56 2,133,497.13 26.7% Public Health 1,976,028.13 518,280.25 1,457,747.88 26.2% Economic Support 1,140,696.47 308,912.45 831,784.02 27.1% General Relief 0.00 29.59 (29.59) 0.0% Coordinated Service /SED 2,835,374.19 496,409.32 2,338,964.87 17.5% ARDC 632,000.00 101,306.66 530,693.34 16.0% Department on Aging 846,623.00 162,945.94 683,677.06 19.2% EXPENDITURES HUMAN SERVICES PROGRAMS 20,678,314.30 4,586,880.50 16,091,433.80 22.2% Total # 2,106.752.66 The following financial report for the Nursing Home through March, 2009 was distributed. The current census is 64. Recent IGT funding received will be reflected in the April report. St. Croix County Health and Human Services Board Page 9 May 22, 2009 St. Croix Health Center REvl4EU 1- -I W,� Mai ch 2009 Budget Actual Difference percentag4 Census 64 0 Opeiatir %g Revenue: Medicare $903,262.00 $249,787.62 $653,464.38 27.65% Medicaid $2,481,432.00 $603,476.41 $1,877,955.59 24.32% Private Pay $760,413.00 $211,018.50 $649,394.50 27.75% All Other Sources $216,041.00 $46,762.96 $169,278.04 21.65% Total (Teiating Revenue $4.36 $1.111.045.49 $3.250.092.51 25.48?o Operatiing Expenses Daily Patient Services $3,397,317.36 $856,331.67 $2,540,985.69 25.21% Special Services $284,262.00 $69,471.90 $214,790.10 24.44% General Services $1,148,672.04 $252,112.21 $896,559.83 21.96% Administrative Services $628,277.68 $154,372.86 $473,904.82 24.57% Unassigned: Depreciation (% Based) $0.00 Others: $402,923.00 $125,924.39 $276,998.61 31.26% Utilities $202,080.00 $16,919.80 Workers Camp, Computer Tech $133,400.00 $19,347.59 Insurance $67,443.00 $90,657.00 Total Operating Expenses $5.861.452.08 $1,458,213.03 $4.103.239.05 24.88?c, Net From Opeiations 4347.167.541 (Cost of doing business prior to applying levy & outstanding rev) ' ntstanding Revenues Outstanding Rate Appeal rev $12,000.00 $0.00 $12,000.00 0.00% Revenue - IGT Funds $350,000.00 $0.00 % of Outstanding IGT Rev $0.00 $0.00 Co Allocations (% Based) $944,665.00 $247,224.00 $697,441.00 26.17% Nursing Home Carry Over $191,000.00 $47,750.01 TotalOwstanding $1.497.665.00 $294.974.0'1 $709.441.00 Net from all Sources 452.193.531 AGED RECEIVABLE REPORT: The aging Accounts Receivable report for Health and Human Services through March was reviewed. Outstanding accounts for 2007 are down to $409,331.37. Berenschot complimented staff on what has been accomplished to clean up accounts. Accounts are deemed uncollectible if there is no address available after 12 months and the client cannot be located. "Write off" accounts are moved to doubtful accounts. The auditors were here one day this week and are expected back again next week St. Croix County Health and Human Services Board Page 10 May 22, 2009 to complete the full HHS audit. Nursing Home audit has been completed. The audit reports for the Nursing Home and HHS will be presented to the Board in July. CENTRALIZED INTAKE FOR BEHAVIORAL HEALTH AND FAMILY & CHILDREN'S Kiesler stated centralized intake was started as a pilot in October of 2008 as part of the Behavioral Health strategic plan. Intake duties were performed by a social worker position. It is anticipated that centralized intake will eventually be agency -wide, but currently, Behavioral Health, Youth Community Support Services and Family and Children's Child Protection are participating in centralized intake. Child Protection intake is mandated to be available 24 hours /day. Dunlap said St. Croix County is one of the child protection intake models for the rest of the state. The person performing this duty is an administrative resource aide who interviews to obtain the intake information, which is then provided to an assessment person. Behavioral Health and Family and Children intake will be able to be back up for each other for intake information. So far, the pilot is working well with use of internal staff and is meeting the needs of the clients. Johnson, Kiesler, and Dunlap recommended working with this process for a while longer before considering expansion of centralized intake. Kiesler announced staff are halfway through office moves. Approximately 35 staff have already been relocated and another 35 are scheduled to move June 2. The moves are taking place to grant easier public access. Kiesler said IT and Building Service staff have been instrumental in making the move successful and congratulated staff on the excellent collaborative efforts put forth to make this happen. The cost for the moves so far has been approximately $1,300. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson announced Sara Felland has been hired as a Public Health Nurse to begin July 7, 2009. The position is a .8 position. WISCONSIN TOBACCO PREVENTION AND CONTROL PROGRAM (TPCP) MULTI - JURISDICTIONAL LOCAL TOBACCO CONTROL COALITIONS LEAD AGENCY ELIGIBILITY REQUIREMENTS Geralyn Karl, Tobacco Control Specialist, was on Kare 11 news last week regarding Smoke -Free Wisconsin. Interviews of local businessmen were also included on the program. Smoke -Free Wisconsin was signed into law by the Governor to be effective 07/05/2010. The State is reorganizing the Tobacco Prevention and Control Program to form coalitions across the state. The State would like to combine counties and have one tobacco control specialist per coalition. St. Croix County is currently fully funded and possibly could become the provider for the program. Corporation Counsel has looked at the proposed contract. Concerns were raised regarding liability, worker's compensation, etc. if St. Croix County is the fiscal manager. More information will be shared with the Board as it becomes available. NURSING HOME ADMINISTRATOR'S REPORT Johnson and Wentz thanked Reiman for the work he has done in the Nursing Home over the past six months. There was a round of applause for Reiman. Reiman reported the April census average was 65 and the census today is 63 with one resident in the hospital and one anticipated admission later today. The average census for the year is 64.75. ,St. Croix County Health and Human Services Board • Page 11 May 22, 2009 Reiman reported Medicare residents were fewer in April than in March with 7 Medicare Part A residents and 6 Medicare Part B residents. Reiman will discuss equipment needs with Robinson along with projects for the Nursing Home. Reiman reported the Nursing Home is a strong operation now. Reiman thanked the Board for their support and kind words. He said St. Croix Health Center is a great place and a good organization with committed staff and management. He said the line staff are very, very good people and he is proud to have worked here. RESPONSE TO COUNTY BOARD ON WHICH STATUTE GRANTS THE HEALTH AND HUMAN SERVICES BOARD THE AUTHORITY TO GIVE PRIVATE PAY RESIDENTS A DISCOUNT FOR SERVICES PROVIDED AT THE NURSING HOME AND CRITERIA USED TO DETERMINE EACH PRIVATE PAY RESIDENTS' RATE Johnson said Corporation Counsel needs more time to do more research so there is no response to this; a statement will be ready for the June County board meeting. The Board agreed that this will be encompassed in the overall plan for the Nursing Home long range strategic plan and reported to County Board as part of long range planning. The same practice of subsidizing private pay is occurring in other counties. Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. Time: 11:45 AM Chair: Attest: (Secretary)