Loading...
HomeMy WebLinkAboutHelath & Human Services Board 11-24-98TO: FROM: COMMITTEE DATE: ST. CROIX COUNTY NOTICE OF COMMITTEE MEETING Tomas Dorsey, Chairman . Croix County Board bert Stephens (John Borup 246-8223) ` TLE: St. Croix County Health and Human Services Board 1�/24/98 (TUESDAY) TIME: 6 30 p.m. LOCATION: S _ Croix County Health and Human Services Complex, New R chmond CALL TO ORD R ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 12/10/98 ACTION ON PREVIOUS MINUTES: 11/10/98 APPOINTMENTS: UNFINISHED ZUSINESS: NEW BUSINES 1. Rose of Long Term Support planning Committee to Health and Human Services Board 2. Health and Human Services Program Reports a. Nursing Home b. Public Health 3. Pierce and St. Croix County Environmental Health Consortium 4. Request to seek bids for St. Croix Industries transportation vehicle S. State of Wisconsin reduction of "Basic County Allocation" (BCA) S & CORRESPONDENCE POSSIBLE AG NDA ITEMS FOR NEXT MEETING., ADJOURNMENT (h re SUBMITTED B : DATE: COPIES TO: a not necessarily presented in this order) John M. Borup COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD November 24, 1998 The St. Croix County Health and Human Services Board met on November 24, 1998, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Jack Dowd Einar Home Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: None STAFF PRESENT: John Borup, Health and Human Services Director Ron Lockwood, Long Term Support Barbara Nelson, Public Health Supervisor Judy Aronson, Secretary OTHERS PRESENT: Robert Boche, Long Term Support Committee Lee Kellaher, Long Term Support Committee John Mortenson, Long Term Support Committee Keith Gregerson, Long Term Support Committee Marguerite Sumner, Long Term Support Committee Robert Palewicz, Long Term Support Committee Ray Mealey, Long Term Support Committee Susie West, Environmental Health Specialist Dave Geske, Vector Control Manager, LaCrosse County Chair Stephens, called the meeting to order at 6:30 P.M. noting the meeting was properly and legally publicized. NEXT MEETING: The next Health and Human Services Board meeting is scheduled for Thursday, December 10, 1998 at 8:00 A.M. at the St. Croix County Health and Human Services/Health Center complex. Bethke will review vouchers at 7:30 a.m. AGENDA: MOTION: A motion was introduced by Bethke, seconded by Berenschot, 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 11/10/98 Health and Human Services Board meeting be approved as circulated. ANNOUNCEMENTS: Stephens announced that Wally Cox, a resident of the nursing home, passed away November 21, 1998. There will be a memorial service on Friday, November 26`' at 2:00 p.m. at St. Luke's Lutheran Church. He is the son of Helen and Dick Cox. Stephens also announced the Board sent flowers to the funeral of Sheriff Paul Burch. Public Health: Nelson introduced Dave Geske, La Crosse County Vector Control Manger, to speak on St. Croix County LaCrosse Encephalitis Control Program. Geske stated La Crosse Viral Encephalitis is a severe disease of the central nervous system carried by a mosquito Aedes triseriatus. He stated La Crosse Viral Encephalitis has been found to occur in approximately 30 states. The majority of identified clinical cases involved children. Geske stated controlling the habitat of the Aedes triseriatus (basal tree holes, artificial containers and unrimmed tires) is the most effective control method. He stated approximately 80 % of the case sites investigated by this program, man- made containers provided habitat for Aedes triseriatus. The goal of the Encephalitic Control Program is to set in place an on -going program for control of La Crosse strain of encephalitis. Although medical facilities in our area have provided excellent medical care for patients with encephalitis, interruption of the vector hose cycle, and therefore, prevention of infection is the ultimate goal. Geske stated a total of 105 oviposition traps were placed in St. Croix County. These traps are monitored approximately every 10 days, removing any larva or eggs that are deposited in the trap. These traps act as a control measure and also as a monitoring device. Discussion followed. Stephens thanked Geske for his presentation. Nelson stated Public Health has given 1,400 flu vaccines so far this season. She stated there is a very low incidence of influenza in the State of Wisconsin so far. Nelson stated to date, 143 persons have had diabetes screening. The goal is to screen 200 persons. Early detection is critical. Some persons were found to have elevated blood sugar levels and referred to their physician. A full report will be given later when referrals have been followed up on. Pierce and St Croix County Environmental Health Consortium: Nelson introduced Susie West, Environmental Health Specialist. West gave a brief overview on the activities of the Pierce -St. Croix County consortium -human health hazard, lead, radon, etc. She stated her number one goal is to educate, and then assist and direct the public. West stated they have a well program where persons can have their water tested. The paint used today does not contain any lead but there are buildings out there that used paint containing lead. Public Health has radon testing kits that one can purchase. West does presentations at schools, groups, etc. She sends out articles, flyers, and pamphlets. She stated her emphasis is on education to prevent any illness or accidents. Discussion followed. Stephens thanked West for her presentation. 2 Role of Long Term Support Planning Committee to Health and Human Services Board: Health & Human Services Board introduced themselves to the Committee and the Committee did the same for Health & Human Services. Stephens stated the role of Long Term Support is diagnosis of the needs and going forth to provide care under the program. Stephens stated this county is very generous to the unfortunate. Administration presented information on role/relationship between Health and Human Services Board and Long Term Support Planning Committee. Items discussed were the history, statutory authority and why some purchases are made for clients that may be questioned during review of vouchers. The question arose as to what happens to the items purchased for the client when the client passes away. Lockwood stated they are doing some research on that. Stephens stated the property should really be returned to the county. Lockwood stated that once Medical Assistance pays for it, the consumer is the owner. If we can't get clarification from the State we may need to have Corp Counsel look at it. Anyone over the age of 55 y/o receiving Medicaid is subject to the estate recovery program. . Lockwood stated that most things we purchase are services. If homes need to be modified (ex. Cabinets lowered so they are accessible from a wheelchair) those modifications reduce the value of the home, do not increase the value. Lockwood stated we pay for adaptation, not increased space. It was recommended that the Long Term Support Committee meet on a monthly basis and record meetings. There are persons needing housekeeping, yard work, etc. Lockwood stated those services are covered. We may have to pay $20.00-$25.00/hr for yard work. Home stated there ought to be a better way. Why do we have to pay these people such a wage. Lockwood stated they say it is a huge liability. Kellaher stated maybe we should table this and see if we can come up with something and report back to the Health and Human Services Board. Stephens stated he would try to attend the Long -Term Support Committee meetings. Sinclear stated we do need to communicate with the committee and that we do have good responsible people on the committee. Lockwood stated Long Term Care Redesign has been trying to reorganize for the past two years Lockwood stated the system is going to be changing dramatically - all the money will be in one pot. Nursing Home: Borup reported the nursing home census is at 103 today. Borup reported the receipt of $10,000 from the Bayport Foundation for facility upgrade. A special thanks to Carolyn Krieger for her work on this. Borup stated these monies may be used on something not budgeted. It may be used for draperies, landscaping, shrubbery to make the entrance look attractive, etc. It may not be used for windows. This item will be put on the agenda for the December 10' meeting. Stephens asked that the Board come back with some good ideas. 3 Reguest to seek bids for the St Croix Industries transportation vehicle : St. Croix Industries is requesting to bid for a lease -purchase of a new bussette, 16 passenger plus two wheelchair stalls with a power lift. The present machine has 145,000 miles. The estimated cost is $43,000. MOTI N: A motion was introduced by Horne, seconded by Berenschot, and unanimously adopted: That the Health and Human Services Board approve seeking a vehicle replacement bid for a new bussette, 16 passenger plus two wheelchair stalls with a power lift. Borup distributed a Resolution regarding Community Aids for Human Services. Home stated it should be rewritten so as to be consistent. Discussion followed. MOTION: A motion was introduced by Stephens, seconded by Bethke, and adopted with Home voting no: That the Health and Human Services Board approve the Resolution regarding Community Aids for Human Services as presented. The Board members signed the resolution. State of Wisconsin reduction of "Basic County Allocation" (BCA): Borup stated word was just received from the State that due to a cut in the Federal Social Service Block Grant, the State will be cutting our BCA by an estimated $58,532. Borup stated his recommendation was to take the money from the W-2 profits. Home and Stephens stated we made a deal with the County Board and so we cannot take it from the W-2 profits. The Board wants to wait to review our year end balance before making a decision and do not want to cut programs to offset this reduction. Stephens asked if there were any other issues to bring before the Board. M TI N: A motion was introduced by Home, seconded by Dowd, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 7:58 p.m. Chairman: Attest: Secretary 4