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HomeMy WebLinkAboutHelath & Human Services Board 03-10-98- ---------- ---- 3 , MART 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: 03/10/98 TIME: 8:00 a.m. LOCATION: St. Croix County Health and Human Services Complex., New Richmond CALL TO ORDER ROLL CALL ADOPTION or AGENDA DATE OF NEXT MEETING: 03/26/98 ACTION ON PREVIOUS MINUTES: 02/26/98 ANNOUNCEMENTS APPOINTMENTS: UNFINISHED BUSINESS: 1. Request to Build Garage for Department Vehicles 2. Contract with Prentice House for Group Home Services NEW BUSINESS: 1. Consideration of Claims and Vouchers 2. Financial Report 3. personnel Issues 4. Health and Human Services Reports a. Nursing Home b. Long Term Support c. Economic Support/W-2 d. Family and Children's Services 5. General Relief Policy Update: 6. Resolution Supporting Senate! Bill, 313-Tobacco Control ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: February 27, 1999 COPIES TO:COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD MARCH 10, 1998 The St. Croix County Health and Human Services Board met on March 10, 1998, at St. Croix County Health and Human Services complex in New Richmond, Wisconsin. MEMBERS PRESENT: MEMBERS ABSENT: Robert Stephens, Chair Leon Berenschot Chris Bethke Einar Horne Fern Johnson Allen Limberg Mary Louise Olson George Sinclear Jack Dowd, excused STAFF PRESENT: John Borup, Health and Human Services Director Carolyn Krieger, Nursing Home Administrator Karen Hall, Long Term Support Coordinator Judy Ziegler, Accountant Ron Eichstaedt, St. Croix Industries Director Barb Nelson, Public Health Supervisor Marilyn Fruit, Economic Support Supervisor Ron Lockwood, Long Term Support Mary Squyer, Economic Support Fred Johnson, Family & Children's Supervisor Malva Berg, Secretary OTHERS PRESENT: Robert Boche Tracy Davis, Social Work Intern Paula Welch, Turningpoint 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 Thursday, March 26, 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 Bethke, seconded by Olson, 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 02/26/98 Health and Human Services Board meeting be approved as circulated. CONSIDERATION OF CLAIMS: Ziegler distributed the following reports: transfer of funds report, fixed assets purchased, and cash report for February. Health and Human Services Board member, Olson, reviewed the February vouchers and questioned or reviewed the following vouchers: HOME HEALTH: 12496: W.H.O. $200.00, Home Health staff development. W.H.O. stands for Wisconsin Homecare Organization. Our Home Health Unit is. a member and takes advantage of the staff development program available to members. 12567: River Ridge Professional Services, $4,845.90, purchased services. River Ridge provides occupational therapy, physical therapy, and speech therapy to Home Health clients. We bill all available sources for these services. HUMAN SERVICES: 12399: Minneapolis Clinical Association, $9,125.00, Dr. Colon/ psychiatrist. Dr. Colon sees patients twice a week and we bill all available sources for his services. 12424: Aurora Residential Alternatives, $39,637.69, Mental Health transitional living. 12424: Aurora Residential Alternatives, $160,907.13. Long Term Support transitional living. We have one contract with Aurora, but each coordinator receives and approves the bills for their separate programs. Motion: A motion was introduced by Olson, seconded by Stephens, and unanimously adopted: The following vouchers be approved and be made a part of the supplemental minute book pages 1104 through 1148: Home Health voucher 12371, dated February 12, 1998, in the amount of $77.42. Home Health vouchers 12495 through 12496, dated February 27, 1998, in the amount of $285.00. Home Health vouchers 12550 through 12571, dated February 28, 1998, in the amount of $12,686.36. Home Health vouchers 12825 through 12826, dated February 28, 1998, in the amount of $245.00. Human Services vouchers 12372 through 12420, dated February 12, 1998, in the amount of $61,648.00. Human Services vouchers 12422 through 12446, dated February 19, 1998, in the amount of $228,984.57. Human Services vouchers 12448 through 12494, dated February 26, 1998, in the amount of $95,386.66. Human Services vouchers 12497 through 12548, dated February 27, 1998, in the amount of $56,653.76. Human Services voucher 12549, dated February 27, 1998, in the amount of $140,991.35. Human Services vouchers 12574 through 12714, dated February 28, 1998, in the amount of $35,827.25. Human Services vouchers 12679 through 12822, dated February 28, 1998, in the amount of $45,778.64. Farm voucher 2, dated March 10, 1998, in the amount of $135.67. Nursing Home vouchers 67 through 73, dated February 12, 1998, in the amount of $2,607.38. Nursing Home vouchers 74 through 78, dated February 19, 1998, in the amount of $3,699.46. Nursing Home vouchers 79 through 83, dated February 26, 1998, in the amount of $1,429.99. Nursing Home vouchers 90 through 167, dated March 10, 1998, in the amount of $86,902.02. Human Services and Nursing Home vouchers 93 through 120, dated March 04, 1998, in the amount of $286,619.00. Social Services and Human Services vouchers 62 through 82, dated March 04, 1998, in the amount of $99,040.00. Human Services and Nursing Home vouchers 62 through 90, dated February 18, 1998, in the amount of $252,160.57. Social Services and Human Services vouchers 41 through 61, dated February 18, 1998, in the amount of $83,011.40. REQUEST TO BUILD GARAGE FOR DEPARTMENT VEHICLES: A request to build vehicle garage was discussed and tabled on 11/11/97. Administration supports this building only if it is built without program dollars. Stephens said we are looking at about $40,000 of unbudgeted monies. Discussion followed. Motion: A motion was introduced by Berenschot, seconded by Bethke, and unanimously adopted: That the Board agrees to table discussion regarding building a garage for department vehicles until the fall of 1998. CONTRACT WITH PRENTICE HOUSE FOR GROUP HOME SERVICES: The New Richmond High School has requested to view the contract with Prentice House. Stephens requested they do this before 03/26/98. Wold and Emholz from New Richmond High School will meet with Health and Human Services staff on 03/11/98 regarding the group home. Fred Johnson distributed a lease agreement made with Corporation Counsel input for Prentice House Group Home. Stephens said he doesn't want to subsidize other counties by giving Prentice House a low rent on the house as they will take in clients from other counties. Discussion followed. Motion: A motion was introduced by Sinclear, seconded by Johnson, and adopted with Horne voting no: That the Board approves increasing the rent on the house to $1,000 per month. Horne said there is no damage deposit required in the lease agreement. Johnson said the law mandates that the group home have an advisory committee. Horne said the lease is one issue and the agreement contract with Prentice House is another issue. Johnson said the Regional Office issues a standard contract that is used across the State of Wisconsin for the group home. The high school administration is concerned regarding the workload on the guidance staff for clients of the group home. Currently of the population placed only 20% require special education and they are female. Human Services would have an impact on policies and placement in the group home if Prentice House leases the house on the grounds, if they lease a house somewhere else, Human Services will lose some of that control. Horne said the business in there now is providing a county service and has the potential to provide additional county service there if Turningpoint has an office in the house. Berenschot asked that the Board be given a copy of the contract with Prentice House. More discussion followed. FINANCIAL REPORT: The Board received the following year end financial report. The figures are unaudited. Please see next page. ST. CROIX COUNTY HUMAN SERVICES BOARD FINANCIAL SUMMARIES FOR THE PERIOD 01/01/97 THROUGH 12/31/97 (unaudited) NURSING HOME Reconciled Cash Balance 12/31/97 $526,323.28 * Add: Accounts Receivable, 12/31/97 Private Pay $632.12 Medicare ($9,162.52) Medicaid $284,416.73 General $229,470.21 Accounts Payable-12/31/97 ($341,211.68) Net Current Items, 12/31/97 $690,468.14 1997 Revenue Recorded through 12/31/97 $4,931,668.27 Includes Allocations of Anticipated Revenues 1997 Expenses Recorded through 12/31/97 $4,975,641.92 Includes Allocations of Expected Expenses Add or Deduct any nursing home related items not recorded on nursing home books: 1997 bond principle $246,794.50 (93.130 of total 1997 bond principle of $265,000) NH97sum * Operations = $401,378.03 Capital Acquisitions = 124,945.25 HUMAN SERVICES - 1997 SUMMARY Total OF REVENUES Jan. -Dec.* Budget Balance Administration 521,375.74 508,055.00 (13,320.74) 102.6% AODA Services 363,018.66 365,476.00 2,457.34 99.3% Long Term Support 8,658,555.89 8,036,806.00 (621,749.89) 107.7% Mental Health 1,619,809.76 1,620,643.00 833.24 99.9% Family & Children's 1,981,352.82 2,076,775.00 95,422.18 95.4% Economic Support 934,185.52 1,309,495.00 375,309.48 71.3% General Relief 39,701.25 42,124.00 2,422.75 94.2% TOTAL REVENUES ALL PROGRAMS 14,117,999.64 13,959,374.00 (158,625.64) 101.1% SUMMARy Total OF EXPENDITURES Jan. -Dec.* Budget Balance Administration 502,967.60 508,055.00 5,087.40 99.0% Alcohol -Drug Abuse 270,137.70 365,476.00 95,338.30 73.9% Long Term Support 8,679,155.67 8,036,806.00 (642,349.67) 108.0% Economic Support 938,597.75 1,309,495.00 370,897.25 71.79t Mental Health Services 1,475,202.80 1,620,643.00 145,440.20 91.0% Family & Children's 1,818,031.61 2,076,775.00 258,743.39 87.5% General Relief 11,745.02 42,124.00 30,378.98 27.95k TOTAL 1997 HUMAN SERVICES BUDGET 13,695,838.15 13,959,374.00 263,535.85 98.1% *Unaudited hs97-sum HOME HEALTH Total Jan. -Dec. Budget Balance %* TOTAL REVENUES** 524,356.99 531,636.00 7,279.01 98.6% TOTAL EXPENDITURES 488,820.21 531,636.00 42,815.79 91.90 PUBLIC HEALTH (12 month programs) Total Jan. -Dec. Budget Balance o* TOTAL REVENUES 798,645.08 845,706.00 47,060.92 94.40 TOTAL EXPENDITURES 859,969.44 845,706.00 (14,263.44) 101.7% *TO BE ON BUDGET, PERCENTAGE SHOULD BE 100.000. ph97-sum Van Dyk has requested to extend the barn lease one more year on the same terms. HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Nursing Home: Krieger gave a brief summary of the updates that will be needed for computers for the Nursing Home to meet Federal mandates. Horne said this information should go to the Computer Committee to show the priority of the Nursing Home computer work needed. More discussion followed. The Board recessed from 9:20 to 9:25 a.m. Long Term Support: Hall and Lockwood distributed copies of the waiting lists for Long Term Support programs. Lockwood said last year there were 35 people on the MA Waiver Program waiting list and today there are 15. He said the majority on this list are in process and it is not due to lack of funding. The people on the COP waiting list are there due to lack of monies. The Board complimented staff on the waiting list as it gives the Board something to measure by when considering the budget and makes it easier for the Board to understand the issue. Economic Support/W-2: Fruit gave an update on W-2 statistics. There are 12 active W-2 cases. As of 02/27/98, there are 475 supportive services cases. Horne said he would like to see the number of applications received also to give a baseline of how many clients are processed. Discussion followed. Family and Children's Services: Johnson said the Juvenile Court Operating Policies and Procedures were signed by the judges in January. He said this overrides the original orders received from the judges. Discussion followed. Johnson said this gives staff better guidelines of what and when the courts need to see cases. General Relief: The Health and Human Services Board is required to review the General Relief policy annually. Fruit recommends increasing the payment level for two persons to $210. Motion: A motion was introduced by Bethke, seconded by Berenschot, and unanimously adopted: That the Board approves the General Relief policy with an increased payment level to $210 for two person. RESOLUTION SUPPORTING SENATE BILL 313-TOBACCO CONTROL: The resolution supporting S3313 is to keep tobacco out of the hands of our youth. Horne said he does not support the resolution as he feels there is enough restriction on tobacco as it is, but there is not enough restriction on drugs. He said they have no right to tell a retailer how or where to display merchandise. Discussion followed. Motion: A motion was introduced by Stephens, seconded by Sinclear, that the Board approve the following resolution: RESOLUTION SUPPORTING SENATE BILL 313 WHEREAS, on November 19, 1997 the State Senate voted to protect Wisconsin's children by passing Senate bill 313, and WHEREAS, Senate Bill 313 will work to keep tobacco out of the hands of our youth by banning tobacco vending machines to adult -only locations; banning tobacco displays from which kids are often shoplifting; and affording communities the opportunity to conduct retailer compliance checks to assure that illegal sales to minors are not occurring, and WHEREAS, it is' -Public Health's mission to protect and promote health and prevent disease and injury, and WHEREAS, Public Health is concerned with the diseases caused by tobacco usage and the availability of tobacco to our youth in St. Croix County. NOW, THEREFORE BE IT RESOLVED, that the St. Croix County Health and Human Services Board supports Senate Bill 313 in its efforts to keep tobacco out of the hands of our youth. Dated this loth day of March, 1998. Roll call vote: Robert Stephens -no Leon Berenschot-yes Chris Bethke -yes John Dowd -absent Einar Horne -no Fern Johnson -yes Allen Limberg-yes Mary Louise Olson -yes George Sin.clear-yes Six yes, two no, one absent, motion passed. Stephens asked if there were any other issues to bring before the Board. Olson had some questions on West Cap meeting minutes. Motion: A motion was introduced by Stephens, seconded by Bethke, and unanimously adopted: that the meeting be adjourned. Time: 10:30 a.m. Chairman: Attest: (secretary)