HomeMy WebLinkAboutHelath & Human Services Board 08-11-98MARY 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: 08/11/98
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 NEXT MEETING: 08/27/98
ACTION ON PREVIOUS MINUTES: 07/10/98
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Juvenile Youth Shelter/Group Home discussion
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Personnel Issues
4. Health and Human Services Reports
a. Nursing Home b. Mental Health/AODA c. Public Health d. W-2
5. Resolution authorizing County Highway Department to repair
County Health Center driveways and parking areas.
6. Resolution authorizing 72-hour short term detention for
adjudicated delinquents.
7. Request to air condition St. Croix Industries.
8. Request for Echo computer training money.
9. Closed session per Wis. Statute 19.85 (1)(b) considering
vender licensing.
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
AUGUST 11,1998
The St. Croix County Health and Human Services Board met on August 11. 1998, at the
St. Croix County Human Services complex in New Richmond, Wisconsin.
MEMBERS PRESENT:
MEMBERS ABSENT:
Robert Stephens, Chair
Leon Berenschot
Einar Horne
Fern Johnson
Allen Limberg
Mary Louise Olson
Chris Bethke, excused
John Dowd, excused
George Sinclear, excused
STAFF PRESENT: John Borup, Health and Human Services Director
Judy Ziegler, Accountant
Marilyn Fruit, Economic Support Supervisor
Barb Nelson, Public Health Supervisor
Carolyn Krieger, Nursing Home Administrator
Fred Johnson, Family & Children's Supervisor
Kathy Dunlap, Family & Children's Supervisor
Ron Kiesler, AODA/Mental Health Coordinator
Steve Kirt, AODA/MH Clinical Services Supervisor
Melinda Hanson, WIC Coordinator
Cindy Gulyash, Public Health RD
Trudy Kapaun, Intern
OTHERS PRESENT: Eileen Wichelman
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
August 27, 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 Johnson and
unanimously adopted: That the agenda be approved as circulated.
MINUTES: Motion: A motion was introduced by Stephens, seconded by Berenschot,
and unanimously adopted: That the minutes of the 07/10/98 Health and Human Services
Board meeting be approved as circulated.
REQUEST TO AIR CONDITION ST. CROIX INDUSTRIES: A request to have the
workshop air conditioned has been made to some Board members. Currently the main
assembly area is not air conditioned. The reception area, lunchroom and offices are air
conditioned. Stephens said in ordinary businesses, areas similar to the main assembly
area are not air conditioned. He said the workshop is not a mandated service. He said air
conditioning the assembly area was requested and denied in a previous budget process.
Stephen said it would be appropriate to put the request to air condition the assembly area
in the 1999 budget. This project would be bid out if approved. Borup reminded the
Board no additional monies will be received in 1999 for this project or the bus garage.
An estimate of $17,250 was received. The Board agreed to place $12,000 in the 1999
budget for air conditioning for St. Croix Industries workshop area.
JUVENILE YOUTH SHELTER/GROUP HOME DISCUSSION: Johnson said Prentice
House has located two properties in New Richmond to bid on. He said Prentice House is
currently looking for a lead staff person for this project and will probably make a
decision in the next month. Johnson will report back to the Board when he receives more
information.
CONSIDERATION OF CLAIMS: Ziegler distributed the following reports, transfer of
Rinds report, unemployment report for June, fixed assets purchased, and cash report for
July. Horne inquired if computer reports were running as they should be running.
Ziegler said they were not and Horne said this should be brought up at the next computer
services meeting.
Health and Human Services Board member, Olson, reviewed the July voucher and
questioned or reviewed the following vouchers:.
HUMAN SERVICES:
14980: Tousley Ford, Inc. $6,963.00, LTS client expense. Van modification (wheelchair
lift) necessary for a CIP IB client. We have approval for State funding for this high cost
client expense.
15029: Eau Claire Academy, $18,123.84, CCI. Cost for three female juvenile offenders
for one-month's care in a child care institution. Juveniles are placed here by court order.
Motion: A motion was introduced by Olson, seconded by Stephens, and unanimously
adopted: That the following vouchers be approved and be made a part of the
supplemental minute book pages 1366 through 1403:
Home Health voucher 14896, dated July 16, 1998 in the amount of $392.00.
Home Health vouchers 15096 through 15115, dated July 31, 1998 in the amount of
$38,534.03.
Human Services vouchers 14897 through 14961, dated July 16, 1998 in the amount of
$312,124.44.
Human Services vouchers 14962 through 14982, dated July 23, 1998 in the amount of
$89,445.30.
Human Services voucher14983, dated July 23, 1998 in the amount of $25,995.00.
Human Services vouchers 14986 through 15008, dated July 30, 1998 in the amount of
$13,641.75.
Human Services vouchers 15010 through 15041, dated July 29, 1998 in the amount of
$208,502.20.
Human Services vouchers 15042 through 15095, dated August 5, 1998 in the amount of
$29,372.72.
Human Services vouchers 15121 through 15321, dated July 31, 1998 in the amount of
$31,408.74.
Human Services vouchers 15118 through 15255, dated July 31, 1998 in the amount of
$45,797.67.
Nursing Home vouchers 490 through 494, dated July 16, 1998 in the amount of
$1,003.05.
Nursing Home vouchers 502 through 562, dated August 11, 1998 in the amount of
$109,305.10.
Social Services and Human Services vouchers- 251 through 271, dated July 8, 1998, in the
amount of $99,530.45.
Human Services and Nursing Home vouchers 343 through 369, dated July 8, 1998, in the
amount of $294,888.48.
Social Services and Human Services vouchers 272 through 293, dated July 22, 1998, in
the amount of $81,939.35.
Human Services and Nursing Home vouchers 370 through 400, dated July 22, 1998, in
the amount of $259,900.56.
Social Services and Human Services vouchers 294 through 314, dated August 5, 1998, in
the amount of $99,123.41.
Human Services and Nursing Home vouchers 401 through 429, dated August 5, 1998, in
the amount of $295,209.39.
FINANCIAL REPORT: The following financial report was distributed and reviewed
with the Board:
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/98 THROUGH 06/30/98
NURSING HOME
Reconciled Cash Balance 06/30/98 $318,044.37
Add:
Accounts Receivable, 06/30/98
Private Pay
($32,063.21)
Medicare
$90,500.19
Medicaid
$264,642.97
General
$1,201.16
Accounts Payable-06/30/98
($105,990.23)
Net Current Items, 06/30/98
$536,335.25
1998 Revenue Recorded through 06/30/98 $2,409,252.84
Includes Allocations of Anticipated Revenues
1998 Expenses Recorded through 06/30/98 $2,492,549.12
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 = $111,796.69
Capital
Acquisitions= 206,247.68
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HEALTH AND HUMAN
SERVICES - 1998
SUMMARY
Total
OF REVENUES
Jan. -June.
Budget
Balance
Administration
286,378.62
522,095.00
235,716.38
54.9%
AODA Services
198,939.42
395,834.00
196,894.58
50.36
Long Term Support
4,086,689.27
8,815,952.00
4,729,262.73
46.40
Mental Health
1,041,071.98
1,658,960.00
617,888.02
62.8g
Family & Children's
1,330,713.57
2,046,238.00
715,524.43
65.09k
Economic Support
431,838.00
896,334.00
464,496.00
48.2%
General Relief
1,855.03
17,204.00
15,348.97
10.89.
TOTAL REVENUES
ALL PROGRAMS
7,377,485.89
14,352,617.00
6,975,131.11
51.4%-
SUMMARY
Total
OF EXPENDITURES
Jan. -June.
Budget
Balance
%_
Administration
251,004.14
522,095.00
271,090.86
48.19.
Alcohol -Drug Abuse
146,259-.85
395,834.00
249,574.15
36.9%
Long Term Support
3,752,628.01
8,815,952.00
5,063,323.99
42.69.
Mental Health
677,303.35
1,658,960.00
981,656.65
40.89k
Family & Children's
972,123.95
2,046,238.00
1,074,114.05
47.5%
Economic Support
401,394.10
896,334.00
494,939.90
44.8%
General Relief
18,483.37
17,204.00
(1,279.37)
107.4%
TOTAL 1998 HUMAN
SERVICES BUDGET
6,219,196.77
14,352,617.00
8,133,420.23
43.3g
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HOME HEALTH
Total
Jan. -June.
Budget
Balance
o*
TOTAL
REVENUES**
226,034.27
531,504.00
305,469.73
42.59.
TOTAL
EXPENDITURES
260,878.95
531,504.00
270,625.05
49.116
**five months of revenue
six
months of expense
PUBLIC HEALTH
(12 month programs)
Total
Jan. -June.
Budget
Balance
,
TOTAL
REVENUES*
398,906.14
857,670.00
458,763.86
46.59.
TOTAL
EXPENDITURES
484,327.04
857,670.00
373,342.96
56.5%
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 50.00t.
Stephens would like a report of the uncommitted cash reserves available at the August
27, 1998 meeting.
Borup said there will be changes in the Medicare reimbursement that will effect both
Home Health and the Nursing Home. Discussed installing cable TV in the Nursing
Home. Stephens said this cost should be included in the 1999 budget.
Borup said there have been lower out -of -home placements and Mental Health/AODA
costs remain unexpectedly low. He said we hope to have a surplus in Mental Health/
AODA, but will have a deficit in Family and Children's Services. Questioned if some
equipment included in the 1999 budget process should be purchased in 1998 due the
surplus funds. Stephens said equipment should not be purchased if it is not currently
budgeted.
ANNOUNCEMENT: Stephens and other Board members received an unsolicited letter
from Wangard Partners inquiring regarding possible sale of the nursing home.
Discussion followed. The Board will not pursue this. Borup cautioned the Board
regarding making any move to sell the Nursing Home and the cost of staff, morale,
census, etc.
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PERSONNEL ISSUES: The Nursing Home has cut .9 FTE due to rearranging schedules
due to empty postings.
HEALTH AND HUMAN SERVICES REPORTS:
NURSING HOME: Krieger reported the loss of bedhold dollars due to occupancy below
95%. These are monies that are not recouped through ITP. Theresa Lange will be at the
September Board meeting to give the Board more information on the Nursing Home.
Krieger gave a report to the Board regarding the turnover rate of the Nursing Home
compared to other nursing homes statewide. St. Croix County has less turnover than the
state average. She said St. Croix County staffs higher than the State recommendation for
staffing but similar to other nursing homes. Brief discussion, activities all right and in
best interest of the nursing home.
Krieger said the Nursing Home has been working with all nine nursing homes in St.
Croix County to reach an agreement for mutual aid in the event of an emergency. She
requested Board support for this plan.
Information was given to the Board regarding bed banking. Stephens said this will be
brought up again in September or October after Theresa Lange gives a presentation to the
Board. He said this will not happen during the budget process.
Horne brought up employee PTO system. Discussion followed. Stephens said the PTO
system is ungovernable. Horne said there should be a time card system in every building
in the county to help control the PTO system.
The Board recessed from 9:15 to 9:25 a.m.
FAMILY AND CHILDREN'S SERVICES: Alternate care costs in Family and
Children's Services have increased. The $11,000 that was recently approved by the
Board was used for shelter care homes only. Johnson said Family and Children's
Services would like to add a new line item in the 1999 budget for Alternate Care
Recruitment Contract. St. Croix County would hold the license for foster homes and the
foster homes would be used exclusively for St. Croix County residents. The contracted
vendor would do recruitment and training for the foster homes. Johnson said it is
beneficial to keep children in their home community. Alternate care costs are linked to
other programs and potentially some of the surplus funds from other areas could be used
for this line item. Borup indicated recruitment, retention and training are becoming a
statewide issue. Such a contract is estimated at $70,000.
MENTAL HEALTH SERVICES: Kiesler reported a decline in inpatient admissions for
Mental Health and AODA. He said his department had another reportable death of a
client on 08/01/98. Kiesler reported the second In -Home Team has started and the
therapist for the second team resigned. He is looking at the possibility of running both
teams with one therapist and two social workers.
REQUEST FOR ECHO TRAINING MONEY: Borup said ECHO is improving. It is in
operation only in the Mental Health clinic. We are looking for monies for more training
to format HCFA forms so the system can be moved into billing. This would be the
second level of training to develop insurance forms.
Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously
adopted: That the Board approve a line item transfer of $4,600 to use for Echo training.
WIC: Hanson gave an update on the WIC program noting that the number of participants
has been dropping. She said this is not a Welfare program but a prevention program.
She said WIC is a supplemental food program for women, infants and children to provide
short-term intervention designed to influence lifetime nutrition and health behaviors in a
high -risk population. Hanson said the number of participants in WIC is dropping. Horne
and Olson questioned WIC's effectiveness and impact on families. Discussion ensued.
PUBLIC HEALTH: Nelson distributed the current Public Health Newsletter. She
updated the Board on the E. coli outbreak. She said fruit still remains the suspect in the
outbreak. Nelson said there have been two confirmed cased of Pertussis in St. Croix
County. Nelson said she has applied for additional funds for immunizations for the
immunization grants that were previously decreased.
Nelson distributed a brochure on mosquitoes that carry Encephalitis and measures to be
taken to control the mosquito population. St. Croix County has contracted with the
LaCrosse Health Department for them to provide surveillance for the tree -hole mosquito
in this area.
ECONOMIC SUPPORT/W-2: Fruit said there is a continual turnover of cases in W-2.
She said staff are juggling the workload with the resignation of Jeff Esterholm. Fruit and
Berenschot. reported on attending the One -Stop Conference.
RESOLUTION AUTHORIZING COUNTY HIGHWAY DEPARTMENT TO REPAIR
COUNTY HEALTH CENTER DRIVEWAYS AND PARKING AREAS:
Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously
adopted: That the Board approves the following resolution and forward it to the full
County Board:
WHEREAS, sec. 59.52 (29), Wisconsin Statutes, requires all County public work,
including any contract for the construction, repair, remodeling, or improvement of any
public work, building, or improvement of any public work, building, or furnishing of
supplies or materials of any kind where the estimated cost of such work will exceed
$20,000 shall be let by contract to the lowest responsible bidder; and
WHEREAS, that section of the statute contains an exception to the above requirement
which allows the County Board, by a three -fourths vote of all the members entitled to a
seat (24), to authorize public work or any part thereof be done directly by the County
without submitting the same for bids; and
WHEREAS, the County Highway Department desires to perform asphalt replacement
work on County Health and Human Services Department driveways and parking areas in
New Richmond; and
WHEREAS, the County Health and Human Services Board desires that the County
Highway Department perform the work, cost of which exceeds $20,000.
THEREFORE, be it resolved by the St. Croix County Board of Supervisors that the
County Highway Department is hereby authorized to perform the above described work
necessary as of this date without submitting the same for bids.
RESOLUTION AUTHORIZING 72-HOUR SHORT-TERM DETENTION FOR
ADJUDICATED DELINQUENTS:
Motion: A motion was introduced by Berenschot, seconded by Olson, and unanimously
adopted: That the Board approves the following resolution and forward it to the full
County Board:
WHEREAS, Chapter 938.355 (6d) of the Juvenile Justice Code allows the use of short
term detention for placement in a secure detention facility or in non -secure custody for up
to 72 hours; and
WHEREAS, short term detention can be utilized if the juvenile has been adjudicated
delinquent, and
WHEREAS, the juvenile's caseworker or any other person authorized to provide intake
or dispositional services for the Court may, without a hearing, take the juvenile into
custody and place for up to 72 hours as an immediate intervention, and
WHEREAS, the juvenile must be informed and understand that 72 hour placement may
occur while alleged violations and appropriateness of a sanction are being investigated or
for a violation of supervision conditions; and
WHEREAS, utilization of the 72 hour hold will follow juvenile court operating policies
and procedures for St. Croix County.
NOW, THEREFORE, be it resolved, by the St. Croix County Board of Supervisors that
effective August 18, 1998 the St. Croix County Department of Health and Human
Services is authorized to utilize the 72 hour short term detention with cases where youth
have been adjudged delinquent. Utilization of this 72 hour short term detention shall be
limited to the established procedure of the St. Croix County Department of Health and
Human Services, Family and Children's Unit, juvenile court policy, and by order of the
Court.
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CLOSED SESSION PER WISCONSIN STATUTE 19.85 (1) N CONSIDERING
VENDOR LICENSING:
Motion: A motion was introduced by Stephens, seconded by Berenschot: That the Board
enter closed session per Wisconsin Statute 19.85 (1) (b) to consider vendor licensing.
Roll call vote:
Berenschot-yes
Bethke -absent
Dowd -absent
Horne -yes
Johnson -yes
Limberg-yes
Olson -yes
Sinclear-absent
Stephens -yes
Six yes, three absent, motion passed.
The Board entered closed session. Time: 10:35 a.m.
Chair Stephens announced no action was taken in closed session.
Stephens asked if there were any other issues to bring before the Board.
Motion: A motion was introduced by Horne, seconded by Berenschot, and unanimously
adopted: That the meeting be adjourned.
Time: 10:45 a.m.
Chairman:
Attest:
(Secretary)
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