HomeMy WebLinkAboutHelath & Human Services Board 11-10-98EINAj BORNE 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
Board
11/10/98
8:00 a.m.
Human Services
ON: St. Croix County Health and Human Servics Complex, New
Richmond
CAL TO ORDER
ROL CALL
O TION OF AGENDA
DAT OF NEXT MEETING: 11/24/98 (Tuesday)
ACT ON ON PREVIOUS MINUTES: 10/22/98
UNFINISHED BUSINESS:
1. Cable TV installation for Nursing Home
2. -2 profit/Community Reinvestment Funds
3. Foster Care Recruitment, Retention and Training- ;30 AM
4. Appeal Process for Substantiated Child Abuse/Neglect Findings
NEW
1.
2.
3.
4.
5.
BUSINESS;
Introduction of John Chapin, Administrator, State Division of
Public Health
Consideration of Claims and Vouchers
Financial Report
Personnel Issues
a. Supervisory Staff Needs for Fong Term Supp rt Unit
Program Reports
a. Nursing Home
b. Economic Support
OUNCEM!ENTS & CORRESPONDENCE
SIBLE AGENDA ITEMS FOR NEXT MEETING:
_(Agenda slot necessarily presented in thin
S ITTED BY: John M. Borup
DA E:
TO: COUNTY BOARD OFFICE
COUNTY CLERK
NEWS MEDIAMOTICE
order)
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
NOVEMBER 10, 1998
The St. Croix County Health and Human Services Board met on November 10,
1998, at the St. Croix County Human Services complex in New Richmond,
Wisconsin.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Jack Dowd
Einar Horne
Fern Johnson
Allen Limberg
George Sinclear
MEMBERS ABSENT: Mary Louise Olson
STAFF PRESENT: John Borup, Health and Human Services Director
Marilyn Fruit, Economic Support Supervisor
Carolyn Krieger, Nursing Home Administrator
Barbara Nelson, Public Health Supervisor
Kathy Dunlap, Family and Children's Supervisor
Fred Johnson, Family and Children's Supervisor
Malva Berg, Secretary
OTHERS PRESENT: John Chapin, Administrator, State Division of Public
Health
Larry Gilbertson, Director of Eau Claire Western
Regional Office
Lon Piper
Mike Kenitz, Children's Service Society of Wisconsin
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 November 24, 1998 at 6:30 p.m. at the St. Croix County Health and Human
Services/Nursing Home complex.
AGENDA: Motion: A motion was introduced by Berenschot, seconded by Bethke
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 10/22/98 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 cash report for
October.
Health and Human Services Board member, Horne, reviewed the October vouchers
and questioned or reviewed the following vouchers:
HUMAN SERVICES:
17837: Mary's Maids, $1,488.00 LTS purchased services. This company
provides house-cleaning services for COP clients.
17969: Valley Forrest Resources, $4,492.14, workshop lumber. Lumber for
pallets made by workshop clients and sold for profit.
17975: $450.00, emergency assistance. Check to provide
lodging for a homeless family.
NURSING HOME:
778: Sundance Rehab, $32,588.97, therapy expense. The Nursing Home
contracts with this company to provide all therapies needed by residents.
Motion: A motion was introduced by Horne, seconded by Stephens, and
unanimously adopted: That the following vouchers be approved and be made a
part of the supplemental minute book pages 1485 through 1534:
Home Health vouchers 17989 through 17988, dated October 31, 1998 in the
amount of $16,245.07.
Human Services vouchers 17772 through 17806, dated October 15, 1998 in the
amount of $73,163.86.
Human Services vouchers 17807 through 17867, dated October 22, 1998 in the
amount of $142,456.80.
Human Services vouchers 17868 through 17900, dated October 29, 1998 in the
amount of $68,535.36.
Human Services vouchers 17902 through 17974, dated October 30, 1998 in the
amount of $180,723.50.
Human Services voucher 17975, dated October 31, 1998 in the amount of
$450.00.
Human Services vouchers 18085 through 18153, dated October 31, 1998 in the
amount of $79,434.54.
Nursing Home vouchers 715 through 719, dated October 22, 1998 in the amount
of $1,082.69.
Nursing Home vouchers 726 through 788, dated November 10, 1998 in the amount
of $80,156.68.
Social Services and Human Services vouchers 396 through 416, dated October
14, 1998, in the amount of $101,081.48.
Human Services and Nursing Home vouchers 548 through 577, dated October 14,
1998, in the amount of $292,109.08.
Social Services and Human Services vouchers 417 through 438, dated October
28, 1998, in the amount of $84,961.36.
2
Human Services and Nursing Home vouchers 578 through 609, dated October 28,
1998, in the amount of $245,738.63.
CABLE TV INSTALLATION FOR NURSING HOME: Horne asked why we are pursuing cable
if so few residents are interested in cable. Stephens said it is a
recruitment tool for short-term residents and several potential residents
have declined coming to St. Croix Health Center because cable is not offered.
PUBLIC HEALTH: Nelson introduced John Chapin, Administrator, State Division
of Public Health. Nelson said he is also the State Health Officer. Nelson
announced there will be a luncheon in Public Health at 11:30 and invited
Board members to attend and also announced that flu vaccines would be
available.
FINANCIAL REPORT: Borup detailed financial report through September, 1998.
Krieger reported that we have received all ITP monies and Medicare monies for
1998. She said census is up at 104 so the Nursing Home is holding its own.
Horne said that now that the budget process is over, Loney and Krizek should
be able to keep us up to'date on cash flow. Borup said Loney has been
contacted and a meeting is anticipated. The following financial reports were
distributed to the Board:
PLEASE SEE NEXT PAGE.
3
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/98 THROUGH 09/30/98
NURSING HOME
Reconciled Cash Balance 09/30/98 $353,151.69
Add:
Accounts Receivable, 09/30/98
Private Pay ($25,273.39)
Medicare $154,569.98
$263,645.83
Medicaid
General $931.29
Accounts Payable-09/30/98 ($120,155.95)
Net Current Items, 09/30/98 $626,869.45
1998 Revenue Recorded through 09/30/98 $3,734,415.13
Includes Allocations of Anticipated Revenues
1998 Expenses Recorded through 09/30/98 $3,718,489.22
Includes Allocations of Expected Expenses
Add or Deduct any nursing home related items not
recorded on nursing home books: 1998
bond principle $256,107.50
(93.13% of total 1998 bond principle of $275,000)
NH98sum
* Operations = $146,904.01
Capital
Acquisitions= 206,247.68
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HEALTH AND HUMAN SERVICES - 1998
SUMMARY
Total
OF REVENUES
Jan. -Sept.
Budget
Balance
g
Administration
768,235.51*
522,095.00
(246,140.51)
147.1%
AODA Services
283,680.65
395,834.00
112,153.35
71.7%-
Long Term Support
6,426,220.07
8,815,952.00
2,389,731.93
72.9%
Mental Health
1,371,410.06
1,658,960.00
287,549.94
82.71w.
Family & Children's
1,626,694.29
2,046,238.00
419,543.71
79.5g
Economic Support
680,337.06
896,334.00
215,996.94
75.9t
General Relief
6,813.03
17,204.00
10,390.97
39.6g
TOTAL REVENUES
ALL PROGRAMS
11,163,390.67
14,352,617.00
3,189,226.33
77.8g
SUMMARY
Total
OF EXPENDITURES
Jan. -Sept.
Budget
Balance
%_
Administration
393,588.45
522,095.00
128,506.55
75.496
Alcohol -Drug Abuse
224,590.11
395,834.00
171,243.89
56.70
Long Term Support
6,129,426.89
8,815,952.00
2,686,525.11
69.5%
Mental Health
1,027,569.84
1,658,960.00
631,390.16
61.9%
Family & Children's
1,531,948.51
2,046,238.00
514,289.49
74.9%
Economic Support
646,860.21
896,334.00
249,473.79
72.2%
General Relief
11,343.06
17,204.00
5,860.94
65.9%
TOTAL 1998 HUMAN
SERVICES BUDGET
9,965,327.07
14,352,617.00
4,387,289.93
69.4%;
*Prior year close out net $317,250.00
5
HOME HEALTH
Total
Jan. -Sept.
Budget
Balance
g*
TOTAL
REVENUES**
315,397.84
531,504.00
216,106.16
59.3%
TOTAL
EXPENDITURES
372,409.71
531,504.00
159,094.29
70.10
PUBLIC HEALTH
(12 month programs)
Total
Jan. -Sept.
Budget
Balance
%*
TOTAL
REVENUES*
599,931.63
857,670.00
257,738.37
69.9%-
TOTAL
EXPENDITURES
697,158.42
857,670.00
160,511.58
81.3g
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 75.00%
PERSONNEL: Borup said more staff resource is needed to keep Long Term
Support afloat. He would like to recruit internally for a half-time
supervisor limited term position as a social work supervisor. Discussion
followed whether this would meet our needs. Horne said we should bring in a
management position.
Motion: A motion was introduced by Johnson, seconded by Bethke, and
unanimously adopted: That the Board approves recruiting internally for an
interim temporary half-time supervisor in Long Term Support until Karen Hall
returns and also recruit from the outside to fill a temporary half-time case
manager/social worker position.
NURSING HOME: Krieger said the census is at 104 with one admission pending
at the end of the week. She said staffing reassignments have been made to
meet changing needs in the Nursing Home due to demands of PPS and Medicare.
She said reassignments may also need to be made again next year due to more
changes. Horne asked regarding recruitment success in the Nursing Home.
Horne said we should reward existing employees to recruit new employees if
the new employees stay in our employment for at least six months. Krieger
said she has spoken with Deb Kathan regarding offering rewards for
recruitment. Horne said this is not a personnel problem but a management
problem and we should just go ahead and do it.
6
Motion: A motion was introduced by Horne, seconded by Johnson, and
unanimously adopted: That the Board approves a $500.00 reward to present
employees who recruit new employees that stay employed by the Nursing Home
for at least six months.
ECONOMIC SUPPORT: Fruit said there are about the same number of cases on W-2
as last month but they are not all of the same cases as last month. She said
diversions are down with only one diversion in September. She said child care
is up slightly.
CABLE TV INSTALLATION FOR NURSING HOME (continued): David Ault from
AudioVisual Planners gave a brief .presentation regarding cable TV options in
the Nursing Home. He explained that if we installed a headend amplifier and
channel traps in each room not requesting cable that this could be installed
for around $1,000 for hardware with our maintenance department doing the
work. He said this is one option that could be used rather than rewiring the
entire facility. Krieger will have to work with Frontier regarding getting
cable TV into the building but AudioVisual Planners can also consult with
Frontier on the Nursing Home behalf for a fee.
Motion: A motion was introduced by Stephens, seconded by Horne, and
unanimously adopted: That the Board approve a headend amplifier and channel
trap installation for cable TV for the Nursing Home.
W-2 PROFIT/COMMUNITY REINVESTMENT FUNDS: Discussion held on letter received
from Peter Kilde of the W-2 Steering Committee regarding a proposed Low
Interest Capital Loan Pool to assist eligible FSET and W-2 participants to
acquire transportation. Horne asked why the letter was on Westcap letterhead
and that he would not consider any proposal coming from Westcap. Fruit said
Kilde was a member of the W-2 Steering Committee who was not able to attend
the meeting so put his recommendations in writing.
Borup distributed recommendations from the W-2 Steering Committee regarding
the plan for distribution of community reinvestment funds to send to the
State. He said the rules are changing as we go along and allowable uses are
very limited. The final plan is due to the State by 11/16/98. Discussion
held on each line item in the plan..
Fruit said the State does not want us to just supplant county dollars but to
enhance county dollars with these funds. Borup said this will be a one-time
funding. These recommendations are based on State requirements and
guidelines. Stephens said he made a deal with the County that any profits
from W-2 would go back to the County. Borup and Fruit said they did not make
this statement and Fruit said our department is a part of the County.
Berenschot said the State sets the guidelines of what to do with the $217,093
community reinvestment funds and the $107,000 are discretionary funds. Fruit
said we are not given this money up front. The monies are reimbursed after
they are spent.
FOSTER CARE RECRUITMENT, RETENTION, TRAINING, AND ONGOING SUPPORT: A
conference call was held with Norm Brickl, Director of Sauk County Human
Services. Brickl gave a brief summary of Sauk County. Sauk County is
similar in size and population to St. Croix County. He said the contract
between Sauk County and Children's Service Society (CSS) started in October
of 1995. He said it is hard to measure performance but that the pros far
outweigh the cons. He said CSS provides case management services also.
7
Brickl said two things that have helped retain foster homes have been support
for foster parents and that the training is regular and consistent.
Kenitz distributed an outline of several proposed performance goals proposed
by Sauk County for their 1998 contract.
Stephens thanked Brickl for his presentation.
The Board recessed from 10:00 to 10:05 AM.
Fred Johnson said there are currently 20 children in foster care. He said
all treatment foster care placements are placed outside the county.
Motion: A motion was introduced by Berenschot, seconded by Sinclear and
unanimously adopted: That the Board approves proceeding with the RFP
(Request for Proposal) and bring the contract back to the Board.
Kenitz said it is possible to place children in treatment foster homes rather
than CCI's when the treatment foster homes are properly trained, which would
save the county money.
W-2 PROFIT/COMMUNITY REINVESTMENT FUNDS: Discussion resumed on W-2 Profit/
Community Reinvestment Funds.
Motion: A motion was introduced by Horne, seconded by Stephens, and adopted
with Berenschot voting no: That the Board take out the recommended $35,479
for the Automobile Loan Program from W-2 Profit/Community Reinvestment Funds.
Berenschot, Sinclear, and Dowd suggested the $35,479 be reallocated.
Motion: A motion was introduced by Stephens, seconded by Horne, and adopted
with Berenschot voting no: That the Board approves moving $10,000 from
Supportive Services to the Additional Job Access Loan Funding.
Motion: A motion was introduced by Sinclear, seconded by Dowd, and adopted
with Horne, Bethke and Stephens voting no: That the Board supports the
Mentoring Program.
Horne said the mentoring program should be allocated more funds.
Motion: A motion was introduced by Berenschot, seconded by Sinclear, and
adopted with Horne voting no: That the Board approves amending the above
motion to be the Board supports the Mentoring Program and to increase it to
$18,000 from $8,000 with the extra $10,000 being transferred from the
Automobile Loan Program amount of $35,479.
Motion: A motion was introduced by Horne, seconded by Stephens and
unanimously adopted: That the Board approves transferring the remainder of
amount of the Automobile Loan Program of $25,479 to Additional Job Access
Loan Funding.
APPEAL PROCESS FOR SUBSTANTIATED CHILD ABUSE/NEGLECT FINDINGS: A proposal is
being formed that Borup would handle a desk review of these cases and then a
multi -county administrative panel of Pierce, Dunn, and St. Croix County
colleagues would be formed to review. Stephens asked Dunlap to write a
formal presentation for the Board to present at the 11/24/98 meeting.
8
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: 10:45 a.m.
Chairman:
Attest:
(Secretary)
9