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HomeMy WebLinkAboutHelath & Human Services Board 05-28-98X 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: 05/28/98 TIME: 6:30 p.m. LOCATION: $t. Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 06/10/98 ACTION ON PREVIOUS MINUTES: 05/12/98 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Personnel Issues a. Administrative staff needs NEW BUSINESS: 1. Financial Report 2. Personnel Issues 3. Resolution from County Homes Association to not change the Intergovernmental. Transfer Program (ZTP) formula 4. Setting 1998 Home Health Rates 5. Lease Extension with CESA 11-Headstart 6. Program reports a. Public Health b. Nursing Home 7. Possible Expenditure for Facility Improvements 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 May 28, 1998 The St. Croix County Health and Human Services Board met on May 28, 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 Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: None STAFF PRESENT: John Borup, Health and Human Services Director Judy Ziegler, Accountant Ron Lockwood, Long Term Support Jaye Hay, Public Health Judy Aronson, Secretary OTHERS PRESENT: Tom Dorsey, County Board Chair 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 Wednesday, June 10, 1998 at 8:00 A.M. at the St. Croix County Health and Human Services/Health Center complex. Horne will review the vouchers at 7:30 A.M. AGENDA: MOTION: A motion was introduced by Johnson, seconded by Berenschot, and unanimously adopted: That the agenda be approved as circulated. Horne had a couple of questions about the 05/12/98 minutes. On page 3 after the audit report by Paulson the minutes stated, "Discussion followed:" Home stated there should be more in there than just a blank space, it should have stated what was discussed. Also on page 6, " Motion: A motion was introduced by Horne, seconded by Olson and adopted with Home voting no." Home stated he would not introduce a motion and then vote no. 1 MINUTES: MOTION: A motion was introduced by Horne, seconded by Stephens, and unanimously adopted: That the minutes of the 05/12/98 Health and Human Services Board meeting be approved as amended. Financial Report: Borup stated he and Ziegler have received communication issues between Finance, Administration and program units and have corrected the recording of there Long Term Support revenues and expenditures. At the last Board meeting Ron Lockwood was appointed Long Term Support Coordinator on an interim basis. Chair Stephens, Ziegler and Borup have reviewed administrative staff changes in 1997 and 1998. A part of the discussion included the reality of how we have downsized (elimination of Deputy Director, one line supervisor, the loss of Karen Hall's service, and the fact that administration shares one administrative support person who is extremely busy with other ongoing duties). Rather than recommending a new clerical position, Ziegler and Borup have agreed to review internal procedures that will allow us to allocate more staff time to monitor state contracts. With the fragmentation of state agencies, contract monitoring has become more complex. Stephens stated there is a little bit of a glitch in our backup system here between bookkeeping and staff. We need to come up with a plan to be discussed at the June 10', 1998 meeting. Personnel will be here, we know we are short staffed. The concept is we do not want to get into a situation like we had last year. If someone gets sick, we need a backup that understands the process. Stephens stated he spoke to Rich Loney who stated we have an uncommitted cash reserve, and Loney had stated that our system between Finance and Health and Human Services failed. The financial picture of uncommitted funds may need to be consolidated with Hudson. This is still to be discussed. Stephens stated we know we can't hold the money up here. He stated Don Brown told us he would take care of us and said he will not forget us. Lockwood stated in the past we have used the contracts to monitor funding we were to get, now the reconciliation process is different. You don't earn money until the reconciliation process is complete. In the meantime the county is fronting the money until we are reimbursed many months after the year is over. Olson stated these monies came from expenses incurred; this is not a windfall, but a reimbursement. Horne stated he probably has asked more financial questions than anyone else has. Horne stated the board looks pretty stupid about the money. Is it a lack of numbers of people or what? The money came in July and it was not until the audit was done that anyone knew about the $630,000. Horne stated in his opinion we have an inadequate number of staff to do all the financial work. We have to get staff financial help or we run the risk of not knowing what we are doing financially. Horne stated he is sick of not understanding the finance system. It is such a mystery why we don't have this number or why we have that number. Borup stated Ziegler and Loney would hopefully have this together by the meeting on the June 10 `''. Stephens stated we want to make this understandable and we will make it work. Horne stated we are not a finance 2 committee, we are here to make sure things are run right for Health and Human Services and the Nursing Home. It would be better handled with finance in New Richmond. Stephens stated we need a change in our bookkeeping system. Sinclear stated we need a complete accounting between Hudson and New Richmond. Stephens stated we need one coordinated cash balance supplied on the 15' of every month. Stephens stated the two staffs have to work together and that may mean to move some of our bookkeeping staff to Hudson. Stephens stated this miscommunication will stop, and we will get a handle on this. Stephens stated he takes this very personally. Chair Stephens also reminded the Board that excess funds is a good position to be in and are a sign of success. Dorsey questioned Ziegler as to how she gets the reports. Ziegler stated she receives a summary printout of the cash report, which is usually a three to four month delay. Ziegler stated it is like getting your bank statement. Stephens stated at the June 10`h meeting we will review the number of persons on the waiting lists and discuss thoroughly. Public Health: Jaye Hay, RN from our Public Health Unit, gave a brief report on the American Cancer Society's Mammogram Program available to low-income women. Hay stated they received a grant in the amount of $2,500. She stated there are four counties in Wisconsin chosen to be pilot Counties. This grant runs from May through August. Hay stated this is a feather in our cap to have been chosen to do this. Stephens stated this is a tremendously important project. Hay stated most women do not have early detection. With the screening process, hopefully people will be diagnosed early. Hay stated, hopefully, if we do the right thing in St. Croix County, this program would then go statewide. HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Borup stated Ruby Smith is on medical leave. Outside help has been brought in. The nursing home census is at 94. The Nursing Home's second floor residents continue with upper respiratory infection. Borup stated we are reducing staff through attrition, due to reduced census. Resolution from County Homes Association to not change the Intergovernmental Transfer Program (ITP) formula: Borup stated the resolution is still not available tonight. The ITP monies are always a guess. We were looking at $240,000, but are now looking at receiving $508,000 for this year. This is good news. Setting 1998 Home Health Rates: The Medicare Cost Report was recently completed by Rod Paulson. Overall we were pleased with the final numbers. Our administrative costs are considerably lower than the average program. For every dollar billed, $.38 is administrative cost 3 (including travel). Paulson has recommended that Home Health raise the rate for physical therapy. Current rates and proposed rates are as follows: 1997 Rates Skilled Nursing $ 112.00 Physical Therapy $ 96.00 Occupational Therapy $ 101.00 Home Health Aide $ 52.00 Proposed 1998 Rates % of Change $ 112.00 0% $ 101.00 5.2 % $ 101.00 0% $ 52.00 0% These rates reflect what is billed out. They do not necessarily reflect what we get paid. MOTION: A motion was introduced by Berenschot, seconded by Olson, and unanimously adopted: That the Health and Human Services Board approve the 1998 Home Health rates stated above. Lease Extension with CESA 11-Headstart: CESA 11-Headstart is again requesting to extend our lease for the gymnasium area from 07/01/98 through 06/30/99. Terms of the contract from last year are unchanged. $690/month=$8,280/year including utilities. They clean their own area. Borup stated our relationship with CESA 11 has been positive and recommends extending the lease one more year. Horne asked if Corp Counsel has looked over the contract. Borup stated they did in a past year and nothing in this contract has changed. MOTION: A motion was introduced by Dowd, seconded by Bethke, and unanimously adopted: That the Health and Human Services Board approve the lease extension with CESA 11-Headstart from 07/01/98 through 06/30/99. Possible Expenditure for Facility Improvements: With our fund balance, discussions have occurred as to the use of this surplus that is in the best interest of the county, e.g. return money to County Board, pay off part of Nursing Home bond, facility improvements: windows, blacktop, etc. A list of facility upgrades was distributed. Stephens stated in view of the fact that we have this money, we need to look at what to do with it. The smart use of these funds would be to reduce the bonds and to ask the Finance Director to begin the process. Borup's recommendation would be for the windows/entryway. Families of residents complain they can't even see through the windows. Stephens stated we would need to get those costs clarified before doing anything with this. Bethke stated the staff have asked him about the bus and car garage. This is something they would like to have. Borup stated this is an issue that should go through administration who would then bring it to the board. Borup advised the Board to not commit these funds until bid 0 information is complete for the windows and black top repair. MOTION: A motion was introduced by Stephens, seconded by Dowd: That the Health and Human Services Board direct the Finance Director to go ahead with the processing of the bonds to pay off the remaining nursing home bonds in their entirety, approximately $634,210 including interest. Roll call vote: Robert Stephens - yes Leon Berenschot - yes Chris Bethke - yes Jack Dowd - yes Einar Horne - yes Fern Johnson - yes Allen Limberg - yes Mary Louise Olson - yes George Sinclear - yes Nine yes, zero no, motion passed. Horne questioned why we are prepaying the interest. Borup stated it is part of the contract. Stephens stated this fits with what we do up here. We cannot sit here with this amount of money. Stephens stated we need firm bids on the rest of the list of facility upgrades. The Board went over the list for further discussion at the June 10`h meeting. Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Olson, seconded by Bethke, and unanimously adopted: That the Health and Human Services Board meeting be adjourned. Time: 8:15 p.m. Chairman: Attest: 5 Secretary