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HomeMy WebLinkAboutHealth and Human Services 03-11-1999 E CHRIS B TREK WILL REVIEW VOUCHERS AT 7:30 A.M. ST. CROIX COUNTY NOTICE: OF COMMITTEE MEETING TO: Thomas Dorsey, Chairman St. Croix County Board FROM: Robert Stephens (John Borup, 246-8223) COMMITTEE TITIM: St. Croix County Health and Human Services Board DATE: 03/11/99 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 MSETING: 03/25/99 ACTION ON PREVIOUS MINUTES: 02/25/99 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Bids for Soil Contamination Clean Up 2. Cable TV for Nursing Home 3. Nursing Home Entryway NEW BUSINESS: 1. Consideration of Claims and vouchers 2. Financial Report 3. Personnel Issues a. Limited Term Employee-Bookkeeper for Accounts Receivable 4. Program Reports a. Public Health b_ Mental Health/AODA c. Nursing Home 5. Reappointment and Privileges of Medical Staff (and new) for 1999 Board Approval 6. St. Croix Industries Air Conditioning 7. St. Croix Industries Auto Door Openers ANNOUNCEMENTS & COPMESPONDENCE POSSIBLE AGENDA ITEM 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 t ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD MARCH 11, 1999 999, The St. Croix County Heaith and Human Services in NewmRichmond, Wisconsin. at the St. Croix County Human Services complex MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Lois Burri Jack Dowd Fern Johnson Allen Limberg MEMBERS ABSENT: Einar Horne, excused Mary Louise Olson, excused STAFF PRESENT: John Borup, Health and Human Services Director Judy Ziegler, AccountJng Supervisor Carolyn Krieger, "ursing Home Administrator Ron Kiesler, AODA/Mental Health Coordinator Melinda Hanson, .,7IC Coordinator Deb Lindemann, Public Health Nurse Ralph Roboie, Facilities Manager Malva Berg, Secretary OTHERS PRESENT: none to order at 8 :00 a.m. noting the meeting Chair Stephens called the meeting was properly and legally publicized. is NEXT MEETING: The n�x6.30a1tm and Human t$eCroixsBoard County Healthgand Human for March 25, 1999 a P Services/Nursing Home complex. 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 Limberg, and unanimously adopted: That the minutes of the 02/25/99 Health and Human Services Board meeting be approved as circulated. Borup indicated that Henk Van Dyk has requestedanwextensill beon theon the lease 99 for the County barn with no change in language. Thismeeting agenda. ate n that Borup said a letter "'l theas ceived criteriaoforhthetrightfoflfirstlselectionrforW-2. department has met all approval. This will need Health and Human Services Board and County Board announced that Marilyn Fruit was in a car accident in February and will Borup four to six weeks because of the accident. be out of the office for another ications CABLE TV FOdiscussNcableETV forktheall nursingFhome1eHeCgavendifferentwoptions present to one floor �'� the Board could pursue such as wiring one wing at a time or wiring Motion: A motion was =a reduced by Dowd, seconded by Berenschot, and unanimously adopted: -`=at t--e Boara approves Amdahl Locksmith for the automatic door opener _�staller at a cost of $' 2, 349 with a ten year warranty i on opener and two year on electronics. CONSIDERATION C= CLAIZ^S: -ne following reports were distributed to the Board transfer of funds report, f_xea assets purchased, and unemployment report. Health and Human Services Board member, Sethke, reviewed the February vouchers and questioned or reviewed t..e following vouchers: HUMAN SERVICES: 19981: REM-Wisconsin.-"Ii, $35, 033. 61, Long Term Support purchased services. This is one of the companies that provides supported living homes for Long Term Support clients . -he 1-cme office is in Madison. 20057 : St. Croix Electric Co-op. , $1, 127.25, lifeline. Lifeline services for COP clients. D:ffere_nl: �rganizatiens supply these services in different parts of the county. 20319: GWD, $4 , 088. 4 ;-2 expense. 'his bill to the Department of Workforce Development _s to purchase services for W-2 clients who are not yet -s a monthly c^arge from the department fully employed. This e, =4, 620.00, CCI. Cost of one juvenile for care for 20113: Northwest ?assag the month of February '28 days) . Placements to childcare institutions are court ordered. 20249: Wisconsin Department of Justice, $110.00, criminal background check. The new State law requires new employees, all foster parents, childcare staff, etc. to have criminal background checks. NURSING HOME: 79: Dalco, $13, 049.711 housekeeping expense. Cost of two new floor cleaning machines. Old ones were traded in. These items are capitalized. 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 1673 through 1709: Home Health vouchers 20073 through 20089, dated February 28, 1999 in the amount of $5, 429.56. Human Services vouchers 19901 through 19947, dated February 18, 1999 in the amount of $250, 411.58 . Human Services vouchers 19948 through 19989, dated February 25, 1999 in the amount of $139, 363. 53. Human Services vouchers 19991 through 20072, dated February 27, 1999 in the amount of $29, 537.11. Human Services voucher 20405, dated February 26, 1999 in the amount of $39.96. Human Services vouchers 20193 through 20402, dated February 28, 1999 in the amount of $251, 682.12. 3 D ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/98 THROUGH 12/31/98-not audited NURSING HOME Reconciled Cash Balance 12/31/98 $378,773.94 Add: Accounts Receivable, 12/31/98 $4,494.61 Private Pay $81, 056.45 Medicare $216,287.55 Medicaid $480.23 General Accounts Payable-12/31/98 ($54,240.45) Net Current Items, 12/31/98 $626, 852.33 1998 Revenue Recorded through '2/31/98 $4,848,320.20 Includes Allocations of Anticipated Revenues 1998 Expenses Recorded through 10/31/98 $4,965, 106.75 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1998 $256,107.50 bond principle (93.13% of total 1998 bond principle of $275,000) NH98sum * Operations = $172,526.26 Capital Acquisitions= 206,247.68 5 HOME HEALTH Total Budget Balance a* Jan. -Dec. g 398, 207 .07 531,504.00 133,296 .93 74.9% TOTAL REVENUES** TOTAL EXPENDITURES 469,257.60 531,504 .00 62,246 .40 88.3% PUBLIC HEALTH (12 month programs) Total Bud o* Jan. -Decet Balance.. g 763, 637.66 857, 670.00 94,032.34 89.0 TOTAL REVENUES* . TOTAL EXPENDITURES 860,277.88 857, 670.00 (2,607. 88) 100.38 *TO BE ON BUDGET, PERCENTAGE SHOULD BE 100.00. 7 HEALTH AND HUMAN SERVICES - 1999 i Total UMMARY S SUREVENUES Jan. -Jan. Budget Balance Administration 44, 157.62 698,208.00 654, 050 .38 6.3`6 AODA Services 25,253 . 95 365,137.00 339, 883 . 05 6.9%- Long Term Support 630, 548 .00 9,487, 068.00 8,856, 520 . 00 6.6% Mental Health 139, 630 .21 1,873, 859.00 1,734,228 . 79 7.5%, Family & Children's 171, 890 .59 2,217,757.00 2, 045, 866 .41 7.8%- Economic Support 88, 104. 95 844, 865.00 756, 760 . 05 10.40 General Relief 0.00 13,417.00 13,417. 00 0.096 TOTAL REVENUES ALL PROGRAMS 1,099, 585.32 15,500, 311.00 14,400, 725 .68 7.1'6 SUMMARY Total OF EXPENDITURES Jan.-Jan. Budget Balance Administration 43,313.92 698,208.00 654,894 .08 6.20 Alcohol-Drug Abuse 20,381.58 365,137.00 344, 755 .42 5.6'6 Long Term Support 275,515 .38 9,487, 068.00 9,211,552.62 2.9%- Mental Health 118,371.15 1,873,859.00 1,755,487.85 6.398 Family & Children's 176,126.58 2,217,757.00 2,041, 630.42 7.9% Economic Support 64,138.51 844,865.00 780,726.49 7.696 General Relief 611.86 13,417.00 12,805.14 4.69k TOTAL 1999 HUMAN SERVICES BUDGET 698,458 .98 15,500,311.00 14,801, 852.02 4.5'6 9 PUBLIC HEALTH: :?elinda Hanson gave a brief presentation on Turning Point (Wisconsin' s initiative to transform public health) . She said John Chapin wants to view Public Health as more of a business. Right now there are a lot of pots of money and we have to track the spending on each one. Chapin' s plan is to consolidate the money and negotiate an outcome for it. The funds will depend on the level c= public health, population, risk factors, and geographic size. She said we will find out in April or May the results of the consolidated contracts and what our monies will be based on outcomes. Deb Lindemann, PHN, gave an update on the nicotine patch distribution. She said St. Croix County received 400 patch kits at a value of $160 per kit as part of a tobacco settlement agreement. She said the program is going well. Lindemann distributed a brochure on TRUST (Tobacco Reduction Using the SettlemenT) . She said half the settlement dollars will go towards reduction in tobacco addiction. She will present a resolution to the Board at the 03/25/99 meeting for support of the TRUST campaign. REAPPOINTMENT AND PRIVILEGES OF MEDICAL STAFF FOR 1999: Motion: A motion was introduced by Limberg, seconded by Berenschot, and unanimously adopted: That --he Board approves the following reappointments and privileges for the medical staff. 1. REAPPOINTMENTS TO MEDICAL STAFF: The Credentials Committee of the Medical Staff recommends to the St. Croix County Department of Health and Human Services Board the reappointments to the Medical Staff of the following members: ACTIVE STAFF CONSULTING STAFF David DeGear,MD Pastor Colon,MD Joseph Beuning, Bruce Hanson,MD Colin Drury,MD Physician's David Olson,MD Hamid Khan,MD Assistant Joseph Powell,MD Neal Melby,MD Clifford Tenner,MD John Simon,MD Robin Reichert.MD Anthony Hecht,MD Sandra Beulke,MD 2. DELINEATION OF PRIVILEGES: The Credentials Committee of the Medical Staff recommends to the St. Croix County Department of Health and Human Services Board the approval of the Delineation of Privileges as applied for by the medical staff to include Group 1 privileges: 1. Care of non-critical medical and geriatric patients, and patients who are admitted for diagnostic purposes. 2. Care of terminally ill patients. 3. Care of first and second degree bums. 4. Minor surgery,including simply lacerations,incision and drainage of superficial abscesses,removal of lightly imbedded corneal foreign bodies,and emergency tracheostomy. For: David DeGear,MD Pastor Colon,MD Bruce Hanson,MD Colin Drury,MD David Olson,MD Hamid Khan,MD Joseph Powell,MD Neal Melby,MD 11