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Home My WebLink AboutHealth and Human Services 04-13-1999 04,, 12-99 07 : 14 ST CROIX CO DHHS ID=715 246 6991 P. 01 MARY LOUISE OLSON WILL REVIEW VOUCHERS AT 7:30 A.M. REVISED ST, CROIX COUNTY NOTICE OF COMMITTEE MEETING TO: Thomas Dorsey, Chairman St. Croix County Board FROM: Robert Stephens (John Borup, 246-8223) CONNITTEE TITLE: St. Croix County Health and Human Services Board DATE: 04/13/99 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 Or NEXT MEETING: 04/22/99 ACTION ON PREVIOUS MINUTES: 03/25/99 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: I . Aerial Communications/APT proposal to lease space on Health Center Water Tower to mount antennas NEW BUSINESS: 1. Consideration of Claims and Touchers 2. Financial Report a. Home Health 3. Personnel Issues a. Position request and Supervisor reclassification for Accounts Receivable 4 . Program Reports a. Economic Support b. Long Term Support c. Nursing Home 5. New Richmond Alano Society request to purchase County land 6. Annexation of County land to City of New Richmond 7 . Holy Family Hospital request for temporary use of our water tower for an antenna ANNOUNCEMENTS a CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING; ADJOURNMENT (Agenda no* nscessarlly presented in this order) SUBMTTED SY; John M. Borup DATE: COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE 04/12/99 08:03 $ COUNTY CLERK IM001 is xc �c ACTIVITY REPORTxc �xe�exs�c��cxs�xc�xcxcxc�xx�xe��cxc��xs TRANSMISSION OK TX/RX NO. 2919 CONNECTION TEL 92467117 CONNECTION ID START TIME 04/12 08:03 USAGE TIME 00'43 PAGES 1 RESULT OK 94-12-99 97 : 14 ST CROIX CO DHHS ID=715 246 5991 P•91 NARY LOUISE OLSON WILL RMEW VOUCHERS AT 7:30 A.K, WISED ST. CROIE COONTy NOTICE OF CG TTE$ MEETING TO: Thomas Dorsey, Chairman St. Craig County Board FRC►M: Robert Stephens (John Borup, 2468223) COb TTEZ TI'T'LE: St. Croix County Health and human Services Board DATE: 04/13/99 TIa: 8:00 a.m. LOCATIOp., St. Craik County Health and Human Services Complex, New Richmond CALL TO ORDER ROIL PALL ADOPTION OF AGENDA DATE OF N= bMETING: 04/22/99 ACTION ON :PREVIOUS KngU &S: 03/25/99 ANNOUNCEMENTS APPOINTM NTS: =FINISHED BUSINESS: I. -Aerial CommunicatiOnS/APT proposal to lease space On Health Center Water Tower to mount antennas NEW BUSINZSS 1. Consideration of Claims and Vouchers 2 . Financial Report a. Fiume Health 3. Personnel Issues a. Position request and 5uoervisar 04/12/99 08:05 $ COUNTY CLERK R001 xc x ACTIVITY REPORTxcx� �c�xe��xe��c�cxe�c�c�xc�xc�c�cxexexc�cxcxcxc� TRANSMISSION OK TX/RX NO. 2920 CONNECTION TEL 92467090 CONNECTION ID START TIME 04/12 08:05 USAGE TIME 00'41 PAGES 1 RESULT OK $4-12 99 67 : 14 5T CROIX co D HHS Y =,oUISR 0,,Son SWILL REVI$W v mCmm AT 7.34 A.M. FjiTtSED ST. CROIX COOMY NOTICE Or COMITTES NESTI66 TO: Thomas Dorsey, Cha!,C=n St. Croix County Hoard Robert Stephens (,john Bosup, 20-6223) TITLE. St. Croix County Health and Human Services Cab��IE Hoard D211'E� 04/13/99 Tn= 8 .04 a-m- yCCATIv St. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL C'A�t+ ADOPT:100 or AGFA 0 4/2 2/9 9 DATE OF T 03/25/99 AC1'ION Py MI11LT1'�S ANNOONCMaNTS APPOINTMENTS: ONPZNISHD $Ogy�iESS: oral to lease space on Health 1• Aerial Communications/AST prop Center. Water Tower to mount antennas NM Bus=133; 1. Consideration of Claims and Vouchers 2. Financial Report a. Home Health 3. Personnel Issues uest and Supervisor reclassification for a. POsitian req ,_ , _ MARY LOUISE OLSON WILL REVIEW VOUCHERS AT 7: 30 A.M. ST. CROIX COUNTY - NOTICE Or 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: 04/13/99 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 NTXT MEETING: 04/22/99 ACTION ON PREVIOUS MINUTES: 03/25/99 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1 . Aerial Communications/APT proposal to lease space .on Health Center Water Tower to mount antennas SM BUSINESS: 1. Consideration of Claims and Vouchers 2 . Financial Report a. Home Health 3. Personnel Issues a. Position request and Supervisor reclassification for Accounts Receivable 4 . Program Reports a. Economic Support b. Long Term Support c. Nursing Home 5. New Richmond Alano Society request to purchase County land 6. Annexation of County land to City of New Richmond 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 ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD APRIL 13, 1999 The St. Croix County Health and Human Services Board met on April 13, 1999, at the St. Croix County Human Services complex in New Richmond, Wisconsin. MEMBERS PRESENT: Robert Stephens, Chair Jack Dowd Einar Horne Fern Johnson Allen Limberg Mary Louise Olson MEMBERS ABSENT: Leon Berenschot, excused Chris Bethke, excused Lois Burri, excused STAFF PRESENT: John Borup, Health and Human Services Director Judy Ziegler, Accounting Supervisor Carolyn Krieger, Nursing Home Administrator Karen Hall, Long Term Support Coordinator Ron Lockwood, Long Term Support June Merkt, Home Health Supervisor Jan Place, Economic Support Malva Berg, Secretary OTHERS PRESENT: Ray Mealey Jerry Harvieux John Casey Chair 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 is scheduled for April 22, 1999 at 6:30 p.m. at the St. Croix County Health and Human Services/Nursing Home complex. The election of officers will be held at this meeting. AGENDA: Motion: A motion was introduced by Horne, seconded by Olson and unanimously adopted: That the agenda be approved as circulated. MINUTES: Motion: A motion was introduced by Horne, seconded by Johnson, and unanimously adopted: That the minutes of the 03/25/99 Health and Human Services Board meeting be approved as circulated. CONSIDERATION OF CLAIMS: The following reports were distributed to the Board: transfer of funds report, fixed assets purchased, and unemployment report. Horne would like to review the bids for air conditioning for St. Croix Industries. Health and Human Services Board member, Olson, reviewed the March vouchers and questioned or reviewed the following vouchers: Social Services and Human Services vouchers 87 through 108, dated March 17, 1999, in the amount of $87, 649.22. FINANCIAL REPORT: The following financial report through February, 1999 was distributed to the Board. Krieger said the Medicare days were down for the first two months of 1999. Ziegler said there is a possibility of a cardiac patient as a General Relief client. Borup said there was a credit balance in Home Health at the end of March. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/99 THROUGH 02/28/99 NURSING HOME Reconciled Cash Balance 02/28/99 $471,130.37 * Add: Accounts Receivable, 02/28/99 Private Pay ($4, 928.90) Medicare $98,119.04 Medicaid $239,058.92 General $401.17 Accounts Payable-02/28/99 ($262,959.40) Net Current Items, 02/28/99 $540,821.20 1999 Revenue Recorded through 02/28/99 $734,800.82 Includes Allocations of Anticipated Revenues 1999 Expenses Recorded through 10/31/99 $775,238.11 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1999 bond principle $256,107.50 (93.13% of total 1999 bond principle of $275,000) NH99sum * Operations = $414,903.68 Capital Acquisitions= 56,226.69 3 HOME HEALTH Total Jan. -Feb. Budget Balance �* TOTAL REVENUES** 43,094.67 510,602.00 467,507.33 8.4%- TOTAL EXPENDITURES 58,207.47 510,602.00 452,394.53 11.4% PUBLIC HEALTH (12 month programs) Total Jan. -Feb. Budget Balance �* TOTAL REVENUES* 141,992.53 876,851.00 734,858.47 16.21 TOTAL EXPENDITURES 143,929.06 876,851.00 732,921.94 16.4% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 16.67. Borup said the auditor has been here for two weeks. Ziegler said the Nursing Home and Farm books are closed. The Health and Human Services books will be open until the first week of June for their final audit. Horne said at the last computer meeting there were negative comments made about ECHO and is concerned if ECHO will meet our needs. Finance wants a more centralized general ledger system. Borup said Kathryn Beutel could better answer Horne's questions regarding ECHO and computer needs. NEW RICHMOND ALANO SOCIETY REQUEST TO PURCHASE COUNTY LAND: Harvieux and Casey said that Alano and Alcoholic's Anonymous (AA) are two separate societies. Alano is a non-profit organization that exists to have a building for AA. They would like to have a new structure in place before winter of 1999 as the State as purchased their current building due to the new road going through that land. They said AA provides a service that fits with the County's services and is a benefit to the County. Alano is requesting to purchase two to three acres in the southeast corner of the County farm. The new highway will cut off this section of land. Discussion held on how much Alano is offering for the land, that an appraisal will need to be done, Alano will need to go to the City of New Richmond to change zoning, and that Schottler has a contract to rent this land with a buy-out clause in the contract. This issue will also need to go to the full County Board. Motion: A motion was introduced by Dowd, seconded by Stephens, That the Board proceed to have this land parcel appraised to determine price, get a 5 HOLY FAMILY HOSPITAL REQUEST FOR TEMPORARY USE OF OUR WATER TOWER FOR ANTENNA: Horne said we should wait for a contract. He said he doesn't mind approving the service, but it shouldn't be free. Motion: A motion was introduced by Horne, seconded by Stephens and unanimously adopted: That Borup negotiate a contact with Holy Family Hospital for rental fees to install a temporary antenna on the Health and Human Services water tower. ECONOMIC SUPPORT: Jan Place updated the Board on the status of W-2. She said as of 03/31/99, there were 13 W-2 cases, this is the highest number we have had since starting the program. She said more clients have been eligible for case management and employment retention has become an issue. She said supportive services are not time limited except for child care as the children have to be under 13 years of age. She said Badger Care should be up and running by July or August. She said people will have to be employed to be eligible for Badger Care. The training for this program is going on now. LONG TERM SUPPORT: The Board welcomed Karen Hall back. Hall gave an update on Long Term Support with the number of clients being serviced under various programs under Long Term Support and the number on waiting lists. Hall distributed a chart showing the average cost per day for nursing home residents versus public costs for CIP II and COP-W participants. She said the statewide average of these costs is showing the difference between nursing home care and community care is getting less. Hall outlined Family Care (formerly Long Term Support Redesign) . She said this is for elderly and physically disabled clients only. She said this program is an entitlement so there is no waiting list. She said clients in this program will have to enroll with a care management organization (CMO) and who that would be remains a question. Hall said Adult Protection will still be the county's responsibility and the care management organization cannot refuse to provide services if requested. She said home health would also be a part of this organization. Hall said they are proposing pilot programs for this until July, 2001, but by that time there will be 25% participation in the program. She said St. Croix County does not want to participate in a pilot program. Hall said the CMO cannot be the same governing entity as the resource center, but the county could set up its own Family Care district to capture State care management funds and to administer these funds. Hall said some counties are passing resolutions to remove Family Care from the Governor's budget so that it becomes its own separate bill. NURSING HOME: Krieger said the nursing home census is 104 with two admissions coming and two discharges this weekend. Krieger said Maple Manor was purchased by a private individual from Tennessee on 04/01/99. This individual purchased the land, building and licensed beds. Krieger said with Medicare changes, the Nursing Home is liable for any charges incurred by the residents and outlined two separate incidents where the nursing home potentially would have incurred significant charges due to care needed by a resident. 7 A job description was distributed for the proposed position. This would have to go through the Hay System to set a salary range. Borup said the higher range position salary would be compensated with increased revenue. Discussion held regarding Robin Hanson moving into the additional bookkeeper position and hiring from the outside for the supervisor position. The additional bookkeeper position would have to be posted and Hanson would not be able to move into this position unless the no one signed the union posting. Because vacancies exist in the Department, no action is necessary to approve this position. Motion: A motion was introduced by Horne, seconded by Olson, and unanimously adopted: That the Board approve the Accounts Receivable supervisory position and forward the job description to the Personnel Committee. The Board recessed from 10:15 to 10:20 AM. The position to be posted will be brought in at a beginning level range. ANNEXATION OF COUNTY LAND TO CITY OF NEW RICHMOND: Stephens said the City of New Richmond asked for future planning needs if the County was planning to ask to annex the county farm land into the City. Stephens said the best way to get the best price for the County from the land would be to annex the land into the city. The City needs to know this for planning for sewer, water, streets, etc. The Township of Star Prairie has voiced no concerns; there is no tax base. Stephens asked if he should go to the City and request annexation into the City and if the county would be subject to assessments or if the assessments would be paid when the property is sold or developed. This would have to go before the County Board for approval and also should connect with Planning and Zoning Departments. It was the consensus that Stephens postpone approaching the City until he can find out more information. Borup said the Annual Report will be presented at the County Board meeting on April 20, 1999. Horne said Borup should give the report and have staff there to answer any questions instead of giving individual presentations. Stephens asked if there were any other issues to bring before the Board. Borup said the Joint Finance Committee meets on 04/14/99 and asked Borup to attend. It was the consensus of the Board that Borup need not attend this meeting. Dr. Limberg has sold his home and is moving away from the area. He will resign from the Board at the April 22 meeting. The Board thanked Dr. Limberg for serving on the Board. Motion: A motion was introduced by Horne, seconded by Stephens, and unanimously adopted: That the meeting be adjourned. Time: 10:40 a.m. Chairman: Attest: (Secretary) 9