HomeMy WebLinkAboutHealth and Human Services 12-14-1999 CHRIS BETHKE WILL REVIEW VOUCHERS
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: 12/14/99
TIME: 7 : 00 a .m.
LOCATION: $t . Croix County Government Center,
Hudson , Room 1281
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING: 12/23/99
ACTION ON PREVIOUS MINUTES: 11/11/99
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NEW BUSINESS:
1 . Consideration of Claims and Vouchers
2 . Financial Report
a . 2000 Budget Update
3 . Nursing Home Generator Replacement
4 . Program Reports
a . Family & Children' s Services
b. Nursing Home
c . Public Health
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
CHRIS BETHKE WILL REVIEW VOUCHERS
ST, CROIX COUNTY
NOTICE OF COMMITTEE FETING
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: 12/14/99
TIME: 7 : 00 a.m.
LOCATION: St. Croix County Government Center,
Hudson
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING. 12/23/99
ACTION ON PREVIOUS MINUTES: 11/11/99
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NES BUSINESS:
1. Consideration of Claims and Vouchers
2 . Finan,yial Report
a. 2000 Sudget Update
3. Nursing Home Generator Replacement
4 . Program Reports
a. Family & Children' s Services
b. Nursing Horne
c. Public Health
5. Personnel Issues
ANNOUNCEMENT'S 6 CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEST MEETING:
ADJOURMdENT
(Agenda not necessarily Presented in this order)
SUBMITTED BY: John M. Borup
DATE:
COPIES TO: COUNTY BOARD OF'''FICE
COUNTY CLERK
NEWS MEDIA/NOTICE
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
DECEMBER 14, 1999
The St. Croix County Health and Human Services Board met on December 14,
1999, at the St. Croix County Government Center in Hudson, Wisconsin.
MEMBERS PRESENT: Leon Berenschot
Chris Bethke
Lois Burri
Fern Johnson
Einar Horne
Mary Louise Olson
MEMBERS ABSENT: James Craig, excused
Jack Dowd, excused
Robert Stephens, excused
STAFF PRESENT: John Borup, Health and Human Services Director
Judy Ziegler, Accounting Supervisor
Carolyn Krieger, Nursing Home Administrator
Fred Johnson, Family and Children' s Supervisor
Ralph Robole, Facilities Manager
Mai a-Berg, Secretary
Secretary Bethke called the meeting to order at 7:00 a.m. noting the meeting
was properly and legally publicized.
NEXT MEETING: The next Health and Human Services Board meeting will be
January 11, 2000 at 8:00 AM.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Burri,
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 11/11/99 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, cash report, unemployment report and fixed
assets purchased. Ziegler -noted that the -unemployment report consisted
mainly of former Home Health employees.
Health and Human Services Board member, Bethke, reviewed the November
vouchers and questioned or reviewed the following vouchers:
HUMAN SERVICES:
24746: A. H. Wilder Foundation, $17, 553.82, child care in an institution.
Costs for four juveniles for November. Their placements are court ordered.
24941: Sunburst Youth Homes, $5,843.70, November care for one juvenile in a
CCI facility. This was a court ordered placement. This facility provides
specialized services
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/99 THROUGH 10/31/99
NURSING HOME
Reconciled Cash Balance 10/31/99 $18,351.17
Add:
Accounts Receivable, 10/31/99
Private Pay $27,894.47
Medicare $72,668 .38
Medicaid $256,419.90
General $677.87
Accounts Payable-10/31/99 ($312,295.13)
Net Current Items, 10/31/99 $63,716.66
1999 Revenue Recorded through 10/31/99 _ $3, 816,475.02
Includes Allocations of Anticipated Revenues
1999 Expenses Recorded through 10/31/99 $4, 176,296.42 **
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 = $ (350, 929.17)
Capital
Acquisitions 332.,578.00
**Includes legal fees and State fine for cites ($29, 150)
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HOME HEALTH
Total
Jan. -Oct. Budget Balance o*
TOTAL REVENUES** 179, 957.19 510,602.00 330,644 .81 35.20
TOTAL EXPENDITURES 304, 907.50 510,602.00 205, 694 .50 59.71-8
PUBLIC HEALTH (12 month programs)
Total
Jan. -Oct. Budget Balance °s*
TOTAL REVENUES* 704, 617.27 869,351.00 164, 733 .73 81.1%
TOTAL EXPENDITURES 766, 895.80 869,351.00 102,455 .20 88.216
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 83.331.
Krieger said Congress has passed a bill that will increase the Medicare rates
as follows:
1. Allows the Health Center to immediately transition to the full Federal rate
effective 12/29/99,
2. Adjust the 44 RUGS (Resource Utilization Group) categories by 20% on
04/01/00 and 4% on 10/01/00.
3. Removal of the cap on Part B.
4 . The Nursing Home will no longer have to pay for ambulance services for
dialysis, chemo-therapy, and prosthetic devices.
Krieger said the census is 99 today but was 101 this past week. Referrals
are slow due to the holidays.
NURSING HOME: Krieger said St. Croix Health Center has secured a contract
with the VA to admit veterans. She said St. Croix Health Center will also be
signing a contract on December 16 with Preferred One for future admissions.
WORKFORCE ATTACHMENT AND ADVANCEMENT (WAA) PROGRAM: We have received the
announcement and planning instructions for the implementation of the WAA
program. St. Croix County W-2 agency will receive $46, 321 for the WAA
program for a two-year contract period (2000-2001) and 15% may be used for
administration costs. The WAA program provides an opportunity to develop new
service strategies to stabilize low-income workers, provide skill training to
persons so they can advance to higher-paying employment and help employers to
retain and upgrade the skills of employees. Krieger said she is working with
Fruit to formulate a plan and this will be brought to the Board in January.
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Johnson said we have done billing for secure custodv costs for the last
quarter of 1999.
Olson left the meeting at 8:00 AM.
W-2 UPDATE: W-2 cases have increased to 19. There is an increased level of
participation in case management only, with some needing minimal support
services such as uniforms, etc.
The FSET cases are at 16, ChildCare at 78 and BadgerCare at 138 . The
maintenance associated with the ChildCare and BadgerCare caseloads have
caused the overall workload to increase substantially.
Bethke asked if there were any other issues to bring before the Board.
Borup said the State contract for DHFS came in with an overall increase more
than anticipated. Basic County Allocation was up $53, 669, but 4E incentives
for children is down $18,000.
Borup said he and Don Gillen met with the City of New Richmond in November
regarding contamination at the City landfill. He said the landfill was
apparently used by anyone from the area who wanted to use it, there are no
records available of what :.==_s dumped. The -City is asking area users to
voluntarily share in the clean up costs.
Motion: A motion was introduced by Berenschot, seconded by Bethke, and
unanimously adopted: That the meeting be adjourned.
Time: 8 :06 a.m.
Chairman:
Attest:
(Secretary)
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