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HomeMy WebLinkAboutHelath & Human Services Board 02-26-98ST. 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: 2/26/98 TIME: 6:30 P.M. LOCATION: St_ Croix County Health and Human Services Complex, New Richmond CALL TO ORDER ROLL CALL ADOPTION OF AGENDA DATE OF NEXT MEETING: 3/10/98 ACTION ON PREVIOUS MINUTES: 2/10/98 ANNOUNCEMENTS: APPOINTMENT$: UNFINISHED BUSINESS: 1. Juvenile Youth Shelter/Group Home Proposal. 2. Co -location of Wisconsin Works (W-2) staff to Job Center in New Richmond NEW BUSINESS 1. Reappointments and Privileges of Medical Staff for 1998 2. Health and Human Services Program Report a. Nursing Home b. Long Term Care Redesign 3. Future Usage of Incinerator (American Resource Recovery) and Proximity to Health Center grounds 4. Personnel Issues ANNOUNCEMENTS & CORRESPONDENCE POSSIBLE AGENDA ITEMS FOR NEXT MEETING: ADJOURNMENT (Agenda not necessarily presented in this order) SUBMITTED BY: John M. Borup DATE: February 13, 1998 COPIES TO: COUNTY BOARD OFFICE COUNTY CLERK NEWS MEDIA/NOTICE ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD February 26, 1998 The St. Croix County Health and Human Services Board met on February 26, 1998, at the St. Croix County Health and Human Services/Health Center complex. MEMBERS PRESENT: Robert Stephens, Chair Leon Berenschot Jack Dowd Einar Horne Fem Johnson Allen Limberg Mary Louise Olson George Sinclear MEMBERS ABSENT: Chris Bethke, excused STAFF PRESENT: John Borup, Health and Human Services Director Karen Hall, Long Term Support Coordinator Fred Johnson, Family & Children's Supervisor Kathy Dunlap, Family & Children's Supervisor Kathy Carlson, Foster Care Coordinator Lisa Grant, Social Worker Marilyn Fruit, Economic Support Supervisor Judy Aronson, Secretary OTHERS PRESENT: Tom Dorsey, County Board Chair Tim Emholtz, Principal of N.R. High School Jim Wold, Superintendent of N.R. School Dave Levi, New Richmond Police Chief Gary Paquin, New Richmond Police Officer David Schnitzler, New Richmond Mayor Paul Burch, St. Croix County Sheriff 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 Tuesday, March 10, 1998 at 8:00 A.M. at the St. Croix County Health and Human Services/Health Center complex. Olson will review the vouchers at 7:30 A.M. AGENDA: MOTION: A motion was introduced by Berenschot, seconded by Johnson, and unanimously adopted: That the agenda be approved as circulated. 1 MINUTES: MOTION: A motion was introduced by Berenschot, seconded by Johnson, and unanimously adopted: That the minutes of the 02/10/98 Health and Human Services Board meeting be approved as circulated. JUVENILE YOUTH SHELTER/GROUP HOME PROPOSAL: This needse before the Board on 11/12/96 as a result of Departmental planning that looked at unmet The request of the Board was to rent the county -owned home (currently rented to River Ridge) to a group home provider that the Department could contract with for services on a local level. Between 11/96 and 05/97, much was discussed and reviewed related to this proposal which included: selecting Prentice House as the vendor, reports on fiscal issues, a visit to the Ashland School District, service advantages for contracting locally, concerns about contracting locally, and opposition to having a group home in New Richmond. The Board delayed action on this item on 03/13/97 to allow the school and human services more opportunity to review joint programming. To date no such programming has developed. The Department continues to recommend renting the Transition House (River Ridge Rehab) to a group home to contract locally to meet our service needs. Johnson stated we are here to update and review mere the proposal fr the t the needs of longroup and shorteterm Carlson stated there are 33 foster homes/respite hoesto meet placements for juveniles. There is a decrease in the number of foster homes, which increases the need for group homes. Grant stated she was here to represent line staff here at St. Croix County Health and Human Services. She stated we deal with kids in placement who may be two hours away, so a lot of time is spent on the road. Having a group home on the grounds would decrease the time on the road and we could deal with the kids more. Coordination of treatment for the kids with a transition to home would be quicker and easier. It would be beneficial to the families. Dunlap reported that there are current private agencies licensing foster homes in St. Croix County for youth. The county exercises no control over admissions or programming with these private agencies. Dunlap felt it was appropriate for the county to be involved in bringing a group home vendor to St. Croix County because the county could exercise control over admission criteria and direct programming. Johnson stated Prentice House would be $81.00/day. Johnson stated group home fees range from $120.00/day, which is the highest and the average, is $100.00/day. We would pay Prentice House only when we have kids placed there. We have $207,500 in the budget for out of county group and shelter homes ($192,500 is spent on out of county group and shelter homes). By having a group home on the grounds we could move some of the money spent on facilities that are out of county to the group home that would be in county. , , Stephens stated the problem is not going away. Within two years we will be forced into a decision. This is a tremendous impact on the ;ommunity. If we write up a contract we should include an out clause to be included in the contract to try to eliminate any problems. Stephens stated he has confidence in the people of our community. 2 Borup stated we have a good working relationship with River Ridge. He is meeting with Turning Point about renting a room at River Ridge tomorrow. Stephens stated we are very fortunate to have so many interested persons here with us tonight. Johnson stated Prentice would house only boys, the girls that need group home care would still need to be placed out of county. Emholtz asked what other sites have been investigated in St. Croix County for a group home. Johnson stated as far as the county goes we have not investigated any other sites. We have a facility here on the grounds that would be ideal for the group home. Emholtz questioned if the county would have any control as to who is placed at the group home. Johnson stated the county would work with Prentice House on admission criteria. Emholtz stated the school budget is a real big issue. Additional staff may be required. Some programs may need to be cut. Emholtz stated they have already had to cut summer school. Wold stated the programs have been to keep kids in school here. The school is under federal law to provide this. He stated we work hard with these kids. We can't be all things to all people. It is just a matter of resources. Stephens stated we share your frustration. Borup focused on the school district. We have to send our kids away as we have no resource in our back yard for group home care. Burch stated that would probably be an increase on our service but firmly believes we should service St. Croix County youth. Levi stated with the property crimes, we do not know the financial impact, it effects the whole community. Dorsey asked if the facility is full, what would happen. Johnson stated we would attempt to make temporary arrangements out of the county until an opening at Prentice House. Horne stated there are five group homes in St. Croix County, why worry about one more. Dunlap stated they are not group homes, but treatment foster homes. Home stated we have spent a lot of time on this. The cost was the major thing when we started - cost of transporting kids. Burch stated it would cost a minimum of $120.00 transport if male, if female, the cost would be more because a matron is needed. Burch stated usually the next day we would have to go back and pick them up for court. This brings the cost to about $240.00 per person to transfer. Horne asked about the timing of this program. Johnson stated we would like this to begin in September 1998, the beginning of the school year. 3 Olson asked if these children are mainstreamed into regular classrooms. This does have an impact on regular classrooms, if nothing else but - time. MOTION: A motion was introduced by Stephens, seconded by Berenschot: That the Health and Human Services Board direct Fred Johnson and John Borup to contact Corporation Counsel to come up with a contract agreement for a group home to be on the county grounds. Roll call vote: Robert Stephens - yes Leon Berenschot - yes Jack Dowd - yes Einar Horne - no Fern Johnson - yes Allen Limberg - yes Mary Louis Olson - no George Sinclear - yes Six yes, two no, one absent, motion passed. Stephens asked that this contract be done by June 1998. Borup expressed concern about negotiations with River Ridge and possibly with Turning Point for office space. Stephens then asked to have the contract negotiated in a shorter time period, by April 1998. CO LOCATION OF WISCONSIN WORKS (W-2) STAFF TO JOB CENTER IN NEW RICHMOND: Fruit stated there were five major issues to consider: 1) Best location of the Job Center for the general public of St. Croix County, job seekers and employers. 2) Best location of the Job Center for the W-2 participant and potential participant. 3) The five mandatory Job Center partners (The W-2 Agency, Private Industry Council, Job Service, Technical College, and the Division of Vocational Rehabilitation) must mutually agree upon location of the Job Center. 4) Most effective and efficient location of the Job Center for the Administration of W-2. 5) Cost and usage of the vacated space in the Health and Human Services Building. Stephens asked what triggered this issue. Fruit stated it came up in a conversation that the space was being vacated next door to the Job Center. Borup stated that the State is pushing county's to develop one stop Job Centers and may mandate them in two years. Borup feels co -location will improve services. Horne stated the program is going fine now. Fruit stated we are not just looking at W-2 people, if someone is making minimum wage, we can take them down the hall to see the job net. Home stated we are prematurely going to another area. Every choice costs money. Fruit stated the best location for the W-2 staff would be a location with the Job Center. Berenschot stated the environment is important for people who are looking for jobs. Fruit stated the W-2 agency being located at the Health and Human Services building connects the program to the welfare office. 4 The general public regards this as a place to go to obtain assistance when they are desperate and quite often think of this as not only the welfare office but also the old poor farm. Stephens stated "asylum" means protection and comfort. Discussion followed. MOTION: A motion was introduced by Berenschot, seconded by Sinclear: That the Health and Human Services Board approve the co -location of Wisconsin Works (W-2) staff to Job Center in New Richmond. Roll call vote: Robert Stephens - no Leon Berenschot - yes Jack Dowd - yes Einar Horne - no Fern Johnson - no Allen Limberg - yes Mary Louis Olson - no George Sinclear - yes Four yes, four no, one absent, motion failed. REAPPOINTMENTS AND PIRIVILEGES OF MEDICAL STAFF FOR 1998: It is time for the annual reappointment and privilege of medical staff for 1998 per medical staff by-laws. MOTION: A motion was introduced by Limberg, seconded by Horne, and unanimously adopted: That the Health and Human Services Board approve the following reappointments and privileges for medical staff: REAPPOINTMENTS TO MEDICAL STAFF: The Credentials Committee of the Medical Staff recommends to the St. Croix County Department of Health and Human Services Board the reappointments to the Medical Staff of the following members: ACTIVE STAFF David DeGear, MD Bruce Hanson, MD David Olson, MD Joseph Powell, MD Clifford Tenner, MD 2. DELINEATION OF PRIVILEGES: CONSULTING STAFF Pastor Colon, MD Colin Drury, MD Hamid Khan, MD Neal Melby, MD John Simon, MD Joseph Beuning, Physician's Assistant 5 The Credentials Committee of the Medical Staff recommends to the St. Croix County Department of Health and Human Services Board the approval of the Delineation of Privileges as applied for by the medical staff to include Group 1 privileges: 1. Care of non -critical medical and geriatric patients, and patients who are admitted for diagnostic purposes. 2. Care of terminally ill patients. 3. Care of first and second degree burns. 4. Minor surgery, including simple lacerations, incision and drainage of superficial abscesses, removal of lightly imbedded corneal foreign bodies, and emergency tracheostomy.- For: David DeGear, MD Bruce Hanson, MD David Olson, MD Joseph Powell, MD Clifford Tenner, MD Pastor Colon, MD Colin Drury, MD Hamid Khan, MD Neal Melby, MD John Simon, MD And recommends Group 11 specialty Privileges as applied for by: David DeGear, MD Bruce Hanson, MD David Olson, MD Joseph Powell, MD Clifford Termer, MD Pastor Colon, MD Colin Drury, MD Hamid Khan, MD Neal Melby, MD John Simon, MD Joseph Beuning, PA HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Borup stated the census is 108. There are five residents in the hospital, so in-house census is 103. The nursing home is experiencing many technological changes this year due to federal and state mandates. No funding is available for the changes, so the Nursing Home will be needing to acquire internet access, buy more computers and cable for them, train staff, and possibly purchase new software. Updates will be given throughout the year. , LONG TERM CARE REDESIGN: Hall stated Long Term Care Redesign is alive and well, the Governor has endorsed it. Several work groups have since been formed to develop recommendations to the Steering Committee on identified issues. After further refinement of the details, LTC legislation will be included in our biennial budget request to the Governor in C September. Hall outlined some of the clarifications of coordination of acute and primary health care. Department of Health and Family Services (DHFS) has stated that funding for acute and primary health care will not be included in the monthly payment to LTC care management organizations (CMOs). These CMOs will not be responsible for paying for specified services such as hospital, physician, lab and X-ray, or emergency medical services. Instead, these services will continue to be paid by the Medicaid and Medicare programs, either as fee -for - service or, if recipients have chosen a managed care option, through prepaid HMO plans. However, the Department remains committed to holistic care for people with LTC needs. Adequate health care services are important to maintaining and improving a LTC client's ability to function. New LTC Benefits - The minimum set of services will include: • A Community Option Benefit to deliver COP -like services to people who live in their own home or apartment • A Community Residential Options Benefit to deliver services to people who live in alternate care settings (such as Adult Family Homes, CBRFs, Residential Care Apartment Complexes, Assisted Living) • A Nursing Facility Options Benefit to deliver services to people who live in nursing homes or Centers for the Developmentally Disabled. Protections for clients currently receiving LTC services - This "grandfathering" is intended to assure that no one loses services as a result of the change to a new system. No elderly person who lives in a nursing home and has given up his or her home in the community will be required to leave. CMO contracts will include requirements that cost-effectiveness considerations take a broad and long-range view. Discussion followed. Hall is scheduled to attend the March 10' Health and Human Services meeting to give detail on waiting lists and statistics. Horne stated we are adequately taking care of our people. He stated he had a good feeling the last time Hall gave her presentation. He stated these presentations really help to understand the programs. Future Usage of Incinerator (American Resource Recovery) and Proximity to Health Center Grounds: Dorsey stated we have an application from a firm to look at future usage of the incinerator. They will look it over and see if there is anything to sell, use, etc. Nothing will be sold until they come to this meeting to discuss. Proposal will be brought to the Finance Committee on March 9', 1998. Stephens asked if there were any other issues to bring before the Board. MOTION: A motion was introduced by Stephens, seconded by Sinclear, and unanimously 7 adopted: That the Health and Human Services Board meeting be adjourned. Time: 8:10 p.m. Chairman: Attest: Secretary