HomeMy WebLinkAboutHealth and Human Services 08-11-1999 MARY LOUISE OLSON 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 TITLE: St. Croix County Health and Human Services
Board
DATE: 08/11/99
TIME: 8 : 00 a.m.
LOCATION: S�. Croix County Health and Human Services Complex, New
Richmond
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 08/26/99
ACTION ON PREVIOUS MINUTES: 07/22/99
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1 . 2000 Budget update
NEW BUSINESS:
1 . Consideration of Claims and Vouchers
2 . Financial Report
a. 1998 Audit Report-Tracey & Thole
3 . Program Reports
a. Economic Support
b. Public Health
c. Nursing Home
4 . Secure Detention Services for Children
5 . 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
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ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
AUGUST 11, 1999
The St. Croix County Health and Human Services Board met on August 11, 1999,
at the St. Croix County Human Services complex in New Richmond, Wisconsin.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Lois Burri
James Craig
Jack Dowd
Einar Horne
Fern Johnson
Mary Louise Olson
MEMBERS ABSENT: Chris Bethke, excused
STAFF PRESENT: John Borup, Health and Human Services Director
Judy Ziegler, Accounting Supervisor
Carolyn Krieger, Nursing Home Administrator
Ron Kiesler, AODA/Mental Health Coordinator
Barb Nelson, Public Health Supervisor-Health Officer
Fred Johnson, Family and Children's Supervisor
Malva Berg, Secretary
OTHERS PRESENT: Rod Paulson, Auditor
Christy Nelson, New Richmond News
Chair Stephens called the meeting to order at 8:00 a.m. noting the meeting
was properly and legally publicized.
NEXT MEETING: The Health and Human Services Board meeting scheduled for
September 2, 1999 at 6:30 PM. Borup said key expenditure data has not been
received yet and we will probably be well into September before the budget is
done.
AGENDA: Motion: A motion was introduced by Dowd, seconded by Berenschot,
and unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Berenschot, seconded by
Johnson, and unanimously adopted: That the minutes of the 07/22/99 Health
and Human Services Board meeting be approved as circulated.
Borup said that bids will be prepared for a new two-wheel drive pickup for
St. Croix Industries. He said monies for this pickup will be funded 100% by
grant dollars for the wayside project. Specs will be gathered and the bid
results will be brought back to the Board in September or October.
CONSIDERATION OF CLAIMS: The following reports were distributed to the
Board: transfer of funds report, cash report and fixed assets purchased.
Health and Human Services Board member, Olson, reviewed the July vouchers and
questioned or reviewed the following vouchers:
1998 AUDIT REPORT: Rod Paulson reviewed the nursing home audit report. The
report showed a net loss of $93,238, which was an improvement over 1997
operations. Paulson said Home Health received almost $50,000 in deficit
reduction funds in 1997. He said other counties have had negative numbers in
Home Health sooner than St. Croix County and some other counties have put
$100,000 in county levy into their home health program. Paulson said the
home health program is a drain on the budget, it just depends on how much the
county is willing to put into the program. Paulson reviewed the farm audit;
numbers were similar in 1998 to 1997. Paulson said Health and Human Services
had a good year. St. Croix County was the only county he audited that did
not have a payback in the youth aids program and St. Croix County did very
well in youth aids. He also reminded the Board that $1,000,000 was
transferred to the County general fund from Health and Human Services in
1998. It is probable that Health and Human Services will have to cover Home
Health deficits in 1999. Ziegler estimates these deficits to be in excess of
$100,000. Paulson said $721,275.93 will be available for the 2000 budget
after deducting monies for equipment replacement, prior year carryover and
reserved for inventories and donation funds. Paulson reported the following
1998 year end balances:
Home Health: $41, 925.49
Farm Account: $50, 534.19
Horne questioned employee contribution to health insurance premiums in 2000.
He said the County Board spent more money on Perch Lake than on personnel
issues and the County Board needs to set priorities. Health and Human
Services will need money to meet the salary and fringe increases as set by
the County Board. Horne said the salary, benefit and health care costs that
are coming will eat up the balance forwarded to the 2000 budget.
Paulson reminded the Board that the county gets interest on the monies in the
general fund but this interest money is not passed on to Health and Human
Services.
NURSING HOME: Krieger said the Nursing Home census is 101. She said repair
on the elevator was completed over the weekend and some positive feedback was
received due to changes that were implemented due to the elevator not
working. The second floor residents were fed in smaller areas and this
resulted in increased intake and more socialization among the residents.
Staff are studying this feedback to implement possible changes. Krieger said
the cabling for cable television started today.
FINANCIAL REPORT: The following financial reports were distributed to the
Board:
PLEASE SEE NEXT PAGE
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HEALTH AND HUMAN SERVICES - 1999
SUMMARY Total
OF REVENUES Jan.-June. Budget Balance
Administration 320,553 .76 698,208.00 377,654.24 45.98
AODA Services 161,838.80 365,137.00 203,298.20 44.35k
Intensive In-Home Treat. 95,181.05 224,898.00 129,716.95 42.3%
Long Term Support 4,627,571.26 9,487,068.00 4,859,496.74 48.8%
Mental Health 937, 980.76 1,648,961.00 710,980.24 56.9%
Family & Children's 1,410,409.40 2,217,757.00 807,347.60 63.6%
Economic Support 370,654.97 844, 865.00 474,210.03 43.9%
General Relief 450.00 13,417.00 12, 967.00 3.4%
TOTAL REVENUES
ALL PROGRAMS 7,924,640.00 15,500,311.00 7,575,671.00 51.1%
SUMMARY Total
OF EXPENDITURES Jan.-June. Budget Balance %
Administration 270,959.82 698,208.00 427,248.18 38.8%
Alcohol-Drug Abuse 137,905.77 365,137.00 227,231.23 37.8%
Intensive In-Home Treat. 103,578.97 224,898.00 121,319.03 46.1%
Long Term Support 4,534,863.83 9,487,068.00 4,952,204.17 47.8%
Mental Health 677, 029.04 1,648,961.00 971, 931.96 41.1%
Family & Children's 1,075,953.31 2,217,757.00 1,141, 803.69 48.5%
Economic Support 417, 985.19 844,865.00 426,879.81 49.5%-
General
9.5%General Relief 11, 062.55 13,417.00 2,354.45 82.5%
TOTAL 1999 HUMAN
SERVICES BUDGET 7,229,338.48 15,500,311.00 8,270, 972.52 46.6%
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Nelson reviewed staffing issues in Public Health. The PH Nutrition
Coordinator/WIC Director and Environmental Health Special positions are
currently vacant. The Reproduction Health Clerk/Reception position has been
interviewed for and position offered to one candidate. The PH Nutritionist
is on maternity leave until November. The WIC/PH clerk is on medical leave
until 09/10 or after.
PERSONNEL ISSUES: Borup said a letter has gone out to all Home Health staff.
The last day of operation for Home Health will be 10/29/99.
SECURE DETENTION SERVICES FOR CHILDREN: Secure custody costs for juveniles
currently come out of the Sheriff's Department budget. Work has been
completed that hopefully will lead to billing for these services, which has
also lead to discussion about which budget these costs should be allocated.
Johnson said Public Protection is not interested in billing families or using
a sliding fee scale system. Public Protection will put together an opinion
and forward that information to the Health and Human Services Board.
Stephens said we should push to have the Sheriff's Department do the billing.
Horne said making the parents pay makes the parents more responsible for
their children' s actions. Horne said Health and Human Services should offer
to do the collections for 20% of the collections. It was the consensus of
the Board to wait to do anything until information is received from Public
Protection.
Stephens asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Dowd, seconded by Stephens, and
unanimously adopted: That the meeting be adjourned.
Time: 10:05 a.m.
Chairman:
Attest:
(Secretary)
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