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GEORGE SINCLEAR 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: 07/10/98
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: 07/23/98
ACTION ON PREVIOUS MINUTES: 06/25/98
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
1. Development of Computer Training Room
NEW BUSYNESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Personnel Issues
4. Health, and Human Services Reports
a. Nursing Home
b. Home Health
c. Economic Support/W-2
d. Family & Children
5. Parking lot and roadway bid action
6. Telephone system battery back up
7. Development of Agency "Subcommittees"
8_ Nursing Home "Bad Debt" Write Offs
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT FETING:
ADJOURNMENT
(Agenda not neceasarily 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
July 10, 1998
The St. Croix County Health and Human Services Board met on July
10, 1998, at St. Croix County Health and Human Services complex in
New Richmond, Wisconsin.
MEMBERS PRESENT: Robert Stephens, Chair
Leon Berenschot
Chris Bethke
John Dowd
Einar Horne
Fern Johnson
Mary Louise Olson
George Sinclear
MEMBERS ABSENT: Allen Limberg, excused
STAFF PRESENT: John Borup, Health and Human Services
Director
Judy Ziegler, Accountant
Marilyn Fruit, Economic Support Supervisor
Mary Squyer, Economic Support
Barb Nelson, Public Health
Fred Johnson, Family & Children's Supervisor
David Best, Service Technician
Rich Monn, Lead Maintenance Worker
Malva Berg, Secretary
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 11, 1998 at 8:00 a.m. at the St. Croix County
Health and Human Services/Nursing Home complex. Sinclear and Dowd
are not able to attend this meeting. Olson will review vouchers
at 7:30 a.m.
AGENDA: Motion: A motion was introduced by Olson, 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
06/25/98 Health and Human Services Board meeting and Open Hearing
be approved as circulated.
CONSIDERATION OF CLAIMS: Ziegler distributed the following
reports: transfer of funds report, unemployment report for May,
fixed assets purchased, and cash report for June.
Health and Human Services Board member, Sinclear, reviewed the
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June vouchers and questioned or reviewed the following vouchers:
HUMAN SERVICES:
14382: Aurora Residential Alternatives, Inc. $171,490.72,
transitional living. Aurora residential provides
supported living services for Long Term Support
clients. They are the largest provider of these
services to St. Croix County residents.
14413: O'Connell's Valley Funeral Home, $1,000.00, funeral
expense. State funded funeral expense. All requests
for this benefit are processed through the Economic
Support unit.
14429: Roberts Caf6, $49.15, Long Term Support purchased
services. Meals for Long Term Support client living in
Roberts.
14571: Minneapolis Clinical Association, $10,312.50, Dr.
Colon, Psychiatrist. Dr. Colon sees Mental Health,
AODA and Long Term Support clients two days a week.
His services are billed out.
Motion: A motion was introduced by Sinclear, seconded by
Stephens, and unanimously adopted: That the following vouchers be
approved and be made a part of the supplemental minute book pages
1295 through 1365:
Home Health vouchers 14548 through 14557, dated June 30, 1998, in
the amount of $4,756.93.
Human Services vouchers 14376 through 14427, dated June 18, 1998,
in the amount of $279,395.00.
Human Services vouchers 14431 through 14463, dated June 25, 1998,
in the amount of $43,722.36.
Human Services vouchers 14465 through 14536, dated July 02, 1998,
in the amount of $28,282.24.
Human Services vouchers 14599 through 14832, dated June 30, 1998,
in the amount of $182,869.42.
Nursing Home vouchers 421 through 426, dated June 18, 1998, in the
amount of $5,117.07.
Nursing Home vouchers 433 through 489, dated July 10, 1998, in the
amount of $80,673.18.
Human Services and Nursing Home vouchers 286 through 313, dated
June 10, 1998, in the amount of $303,525.85.
Social Services and Human Services vouchers 208 through 228, dated
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June 10, 1998, in the amount of $99,271.40.
Social Services and Human Services vouchers 229 through 250, dated
June 24, 1998, in the amount of $84,008.28.
Human Services and Nursing Home vouchers 314 through 342, dated
June 24, 1998, in the amount of $252,084.30.
PARKING LOT AND ROADWAY BID ACTION: Only one bid was received
from Monarch. Board discussed sending resolution to County Board
to approve the County Highway Department to do the blacktopping.
Motion: A motion was introduced by Stephens, seconded by
Berenschot: That the Board rejects the bid of Monarch and will
ask the Highway Department do the blacktopping. A resolution will
be constructed to send to the County Board to have the Highway
Department do -the blacktopping.
Roll call vote:
Robert Stephens -yes
Leon Berenschot-yes
Chris Bethke -yes
John Dowd -yes
Einar Horne -yes
Fern Johnson -yes
Allen Limberg-absent
Mary Louise Olson -yes
George Sinclear-yes
Eight yes, one absent, motion passed.
Stephens read the law regarding bidding procedure for public works
projects. Borup will draft a resolution for the 08/11/98 Board
meeting.
COMPUTER TRAINING ROOM: Borup recommended tabling the computer
training room at this time and building it into the 1999 budget.
Administration is exploring using space north of Public Health for
the training room. Retrofit costs would be considerably less in
this area. Horne said the State approves building plans and the
fire chief should have nothing to do with building plans. Best
said the certification changed on the building so needs changed.
We now know how many people the building is rated for, etc.
Stephens recommended that the computer training room be placed in
the 1999 budgeting process with the different options available
outlined for the Board. Horne said we should buy computers that
will meet our needs.
FINANCIAL REPORT: The following financial report was distributed
to the Board. The reconciled, uncommitted cash balance will be
available by the 15th of each month from either Judy Ziegler or
Rich Loney. See next page.
ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUMMARIES
FOR THE PERIOD 01/01/98 THROUGH
05/31/98
NURSING HOME
Reconciled Cash Balance 05/31/98
Add:
Accounts Receivable, 05/31/98
Private Pay
Medicare
Medicaid
General
Accounts Payable-05/31/98
Net Current Items, 05/31/98
$120,677.82
($5,475.17)
$124,843.58
$278,317.33
$1,175.47
($39,126.92)
$480,412.11
1998 Revenue Recorded through $2,084,099.94
05/31/98
Includes Allocations of Anticipated
Revenues
1998 Expenses Recorded through $2,096,413.62
05/31/98
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 = $ 74,935.14
Capital
Acquisitions= 45,742.68
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HEALTH AND HUMAN SERVICES - 1998
SUMMARY Total
OF REVENUES Jan. -May. Budget Balance
Administration
AODA Services
Long Term Support
Mental Health
Family & Chil-dren's
Economic Support
General Relief
TOTAL REVENUES
ALL PROGRAMS
.
237,078.74
522,095.00
285,016.26
45.4%
132,693.57
395,834.00
263,140.43
33.5%
2,902,765.44
8,815,952.00
5,913,186.56
32.901
684,860.36
1,658,960.00
974,099.64
41.3%
914,731.35
2,046,238.00
1,131,506.65
44.7%
369,938.12
896,334.00
526,395.88
41.3%
6,669.03
17,204.00
10,534.97
38.8%
5,248,736.6114,352,617.00 9,103,880.39 36.6%
SUMMARY Total
OF EXPENDITURES Jan. -May. Budget Balance %
Administration
Alcohol -Drug Abuse
Long Term Support
Mental Health
Family & Children's
Economic Support
General Relief
TOTAL 1998 HUMAN
SERVICES BUDGET
193,066.63
522,095.00
329,028.37
37.0%
123,651.00
395,834.00
272,183.00
31.2%
3,063,779.54
8,815,952.00
5,752,172.46
34.8%
573,379.37
1,658,960.00
1,085,580.63
34.6%
858,573.36
2,046,238.00
1,187,664.64
42.0%
377,297.27
896,334.00
519,036.73
42.1%
3,178.45
17,204.00
14,025.55
18.5%
5, 192, 925. 62 14, 352, 617. 00 9, 159, 691. 38 36.2%
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Total
Jan. -May.
Budget
Balance
%*
TOTAL REVENUES**
193,550.65
531,504.00
337,953.35
36.4%
TOTAL EXPENDITURES
224,321.88
531,504.00
307,182.12
42.2%
**four months of
revenue
PUBLIC
(12 month programs)
HEALTH
Total
Jan. -May.
Budget
Balance
%*
TOTAL REVENUES*
339,782.54
857,670.00
517,887.46
39.6%
TOTAL EXPENDITURES
415,913.54
857,670.00
441,756.46
48.5%
*TO BE ON BUDGET, PERCENTAGE SHOULD BE
41.66%.
PUBLIC HEALTH: Nelson gave a brief update on the E. coli
outbreak. She said one of her duties as health officer is to keep
the governing board informed of communicable disease outbreaks.
NURSING HOME: Borup said census in the Nursing Home as of
07/10/98 is 101. The year average census through June is 102.3.
HOME HEALTH: Changes are being made in Medicare reimbursement. In
1998 our Medicare reimbursement will be the lowest of one of three
ways:
1. Our actual costs,
2. Lower cost limits for each discipline (Skilled Nursing -Home
Health Aide -Physical Therapy -Occupational Therapy), or
3. Per -beneficiary cost limits which are agency specific and based
on our 1993 cost report.
Actual reimbursement is still uncertain.
ECONOMIC SUPPORT: Fruit reported the first case of suspected W-2
fraud has been found and is being investigated. It appears the
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reason for alleged fraud was the need for day care benefits.
Fruit reviewed the W-2 statistics. She said there is a lot more
staff work for a W-2 case versus an AFDC case. The overall number
of staff employed in Economic Support has been reduced. Fruit
said the client/worker relationship is more intense with W-2 than
it was with AFDC. Stephens said the good economy helps with the
success of W-2.
Squyer gave a brief presentation of M.A. Transportation. She said
M.A. Transportation is an entitlement for anyone with a medical
assistance card for mileage, meals, motel if needed, parking fees,
etc. The Office on Aging arranges approximately 5011 of
transportation.
The Board recessed from 9:15 to 9:25 a.m.
INTENSIVE IN -HOME SUPERVISION: Johnson said this program will be
implemented in October, 1998. He said the worker in this program
will have face-to-face contact with clients five days per week at
least once per day. He said there are a lot of control components
worked into the system and will be working with the jail for
coverage on weekends and holidays.
Johnson said a resolution to be passed by the Health and Human
Services Board and the county Board is needed to allow a 72-hour
hold for juveniles. Johnson will present this resolution to the
Health and Human Services Board at the August meeting. Discussion
followed.
The Board was given a copy of the Audited Financial Statement from
Tracey and Thole. If Board members have any questions, they may
contact Judy Ziegler or John Borup. Members should bring the
statement back to the August meeting.
TELEPHONE SYSTEM BATTERY BACK UP: Discussion regarding battery
back up for telephone system. Stephens said this item should be
worked into the 1999 budget.
Motion: A motion was made by Horne, seconded by Olson, that the
Board approves purchase of a battery back up for the telephone
system.
Roll call vote:
Robert Stephens -no
Leon Berenschot-yes
Chris Bethke -yes
John Dowd -yes
Einar Horne -yes
Fern Johnson -yes
Allen Limberg-absent
Mary Louise Olson -yes
George Sinclear-yes
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Seven yes, one no, one absent, motion passed.
DEVELOPMENT OF AGENCY SUBCOMMITTEES: Stephens said after further
consideration, all members are on the Board and Stephens may call
on different Board members as needed to utilize the Board's
talents and knowledge, so subcommittees will not be formed at this
time.
NURSING HOME BAD DEBT WRITE OFF:
Motion: A motion was introduced by Berenschot, seconded by
Bethke, and unanimously adopted: That the Board approves the
write off of the following bad debts for the Nursing Home:
One Nursing Home Private Pay resident in the amount of $315.00,
three Nursing Home Residents in the amount of $360.23 for
Wisconsin Medicaid, two Nursing Home Residents in the amount of
$798.18 for Medicare A, and six Nursing Home Residents in the
amount of $413.08 for Medicare B.
Stephens asked if there were any other issues to bring before the
Board.
Olson asked the status of a drop -in center that has support from
Mental Health. Kiesler will be invited to the August meeting to
discuss this.
Olson said there are problems finding foster parents. It is
difficult to recruit homes due to difficulty of referrals. She
said this needs to be discussed at a future meeting.
Motion: A motion was introduced by Sinclear, seconded by
Stephens, and unanimously adopted: that the meeting be adjourned.
Time: 9:55 a.m.
Chairman:
Attest:
secretary