HomeMy WebLinkAboutHelath & Human Services Board 01-13-98X
JACK DOWD WILL REVIEW VOUCHERS AT 7:30 A.M.
"KVISED
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: 01/13/98
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: 01/22/98
ACTION ON PREVIOUS MINUTES: 12/10/97
ANNOUNCEMENTS
APPOINTMENTS:
UNFINISHED BUSINESS:
NEW BUSINESS:
1. Consideration of Claims and Vouchers
2. Financial Report
3. Personnel Issues
4. Health and Human Services/Nursing Home Report
S. Action on Bids for Diesel Fuel and Gasoline
6. Domestic Abuse Funding Changes Participation
ANNOUNCEMENTS & CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING:
ADJOURNMENT
(Agenda not necessarily presented in this order)
SUBMITTED BY: John M. Borup
DATE: December 30, 1997
COPIES TO: COUNTY BOARD OFFICE
COUNTY CLERIC
NEWS MEDIA/NOTICE
ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD
January 13, 1998
The St. Croix County Health and Human Services Board met on January 13, 1998, at the St.
Croix County Health and Human Services/Health Center complex.
MEMBERS PRESENT
MEMBERS ABSENT
Robert Stephens, Chair
Leon Berenschot
Chris Bethke
Einar Horne
Fern Johnson
Allen Limberg
Mary Louise Olson
Jack Dowd
George Sinclear
STAFF PRESENT: John Borup, Health and Human Services Director
Judy Ziegler, Accountant
Carolyn Krieger, Nursing Home Administrator
Karen Hall, Long Term Support Coordinator
Ron Lockwood, Long Term Support SW Supervisor
June Merkt, Home Health Coordinator
Rochelle Haugen, Long Term Support SW Intern
Fred Johnson, Family & Children's Supervisor
Judy Aronson, Secretary
OTHERS PRESENT: Tom Dorsey, County Board Chair
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
Tuesday, February 10, 1998 at 8:00 A.M. at the St. Croix County Health and Human
Services/Health Center complex. The Health and Human Services Board meeting scheduled for
January 22, 1998 at 6:30 p.m. was cancelled due to lack of agenda.
AGENDA: MOTION: A motion was introduced by Bethke, seconded by Johnson, and
unanimously adopted: That the agenda be approved as circulated.
MINUTES: MOTION: A motion was introduced by Horne, seconded by Stephens, and
unanimously adopted: That the minutes of the 12/10/97 Health and Human Services Board
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meeting be approved as circulated with the following change:
}
Add to Page 7, paragraph 2, There are so few clients on W-2, it was felt we should not sponsor
this program.
CONSIDERATION OF CLAIMS: Ziegler distributed the following reports: transfer of funds
report, fixed assets purchased, unemployment, and cash report for December.
Health and Human Services Board member, Stephens reviewed the December vouchers.
MOTION: A motion was introduced by Stephens, seconded by Bethke, and unanimously
adopted: The following vouchers be approved and be made a part of the supplemental minute
book pages 1024 through 1067:
Home Health vouchers 11539 through 11561, dated December 30, 1997, in the amount of
$26,424.41.
Human Services vouchers 11373 through 11375, dated December 11, 1997, in the amount of
$580.00.
Human Services vouchers 11376 through 11381, dated December 12, 1997, in the amount of
$1,106.79.
Human Services vouchers 11382 through 11435, dated December 18, 1997, in the amount of
$135,659.97.
Human Services vouchers 11436 through 11454, dated December 23, 1997, in the amount of
$18,410.30.
Human Services vouchers 11455 through 11477, dated December 27, 1997, in the amount of
$357,320.53.
Human Services vouchers 11483 through 11538, dated December 29, 1997, in the amount of
$217,659.49.
Human Services vouchers 11567 through 11861, dated December 31, 1997, in the amount of
$191,221.99.
Human Services vouchers 11719 through 11837, dated December 30, 1997, in the amount of
$36,280.34.
Farm voucher 10, dated January 13, 1998, in the amount of $21.88.
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Nursing Home vouchers 823 through 836, dated December 18, 1997, in the amount of
$10,529.61.
Nursing Home vouchers 844 through 910, dated January 13, 1998, in the amount of
$106,392.69.
Social Services and Human Services vouchers 442 through 462, dated December 10, 1997, in the
amount of $96,040.70.
Human Services and Nursing Home vouchers 1327 through 1355, dated December 10, 1997, in
the amount of $305,781.42.
Human Services and Nursing Home vouchers 1356 through 1386, dated December 22, 1997, in
the amount of $249,311.33.
Social Services and Human Services vouchers 463 through 481, dated December 22, 1997, in the
amount of $80,814.80.
Human Services and Nursing Home vouchers 1387 through 1415, dated January 7, 1998, in the
amount of $297,415.46.
Social Services and Human Services vouchers 482 through 501, dated January 7, 1998, in the
amount of $97,575.70.
M TI N: A motion was introduced by Stephens, seconded by Bethke, and unanimously
adopted: The following vouchers be approved and be made a part of the supplemental minute
book pages.
FINANCIAL REPORT: Krieger stated the Nursing Home census is 108. The following
financial report was distributed and discussed.
PLEASE SEE NEXT PAGE.
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ST. CROIX COUNTY HUMAN SERVICES BOARD
FINANCIAL SUM"-IPRIES
FOR THE PERIOD 01/01/97 THROUGH 11/30/97
NURSING HOME
Reconciled Cash Balance 11/30/97
Add:
Accounts Receivable, 11/30/97
Private Pay
Medicare
Medicaid
General
Accounts Payable-11/30/97
$87,965.10
($24,427.58)
$170,635.61
$208,022.62
$422.78
($103,863.67)
Net Current Items, 11/30/97 $338,754.86
1997 Revenue Recorded through 11/30/97 $4,211,431.38
Includes Allocations of Anticipated Revenues
1997 Expenses Recorded through 11/30/97 $4,482,313.97
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
(93.13t of total 1997 bond principle of $265,000)
NH97sum
* Operations = $(36,980.15)
Capital
Acquisitions = 124,945.25
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l
SUMMARY
OF REVENUES
Administration
AODA Services
Long Term Support
Mental Health
Family & Children's
Economic Support
General Relief
TOTAL REVENUES
ALL PROGRAMS
SUMMARY
OF EXPENDITURES
Administration
Alcohol -Drug Abuse
Long Term Support
Economic Support
Mental Health Services
Family & Children's
General Relief
TOTAL 1997 HUMAN
SERVICES BUDGET
hs97-sum
HUMAN SERVICES -
1997
Total
Jan. -Nov.
Budget
Balance
o
472,549.08
508,055.00
35,505.92
93.O9.
338,501.38
365,476.00
26,974.62
92.6%-
6,416,333.07
8,036,806.00
1,620,472.93
79.8g
1,509,006.31
1,620,643.00
111,636.69
93.1%
1,842,864.45
2,076,775.00
233,910.55
88.76
936,202.44
1,309,495.00
373,292.56
71.50
37,095.91
42,124.00
5,028.09
88.19.
11,552,552.64
13,959,374.00
2,406,821.36
82.8%;
Total
Jan. -Nov. Budget Balance W
438,187.24
508,055.00
69,867.76
86.29.,
235,466.67
365,476.00
130,009.33
64.49.,
6,850,430.94
8,036,806.00
1,186,375.06
85.29.
775,055.45
1,309,495.00
534,439.55
59.2g
1,362,385.40
1,620,643.00
258,257.60
84.1%
1,633,118.03
2,076,775.00
443,656.97
78.6g
9,802.90
42,124.00
32,321.10
23.3%
11,304,446.63
13,959,374.00
2,654,927.37
81.0%
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HOME HEALTH
Total
Jan. -Nov.
Budget Balance %*
TOTAL REVENUES** 394,654.75 531,636.00 136,981.25 74.2%
TOTAL EXPENDITURES 439,343.87 531,636.00 92,292.13 82.6%
**9 months of revenue=83.339.
PUBLIC HEALTH (12 month programs)
Total
Jan. -Nov. Budget Balance %*
TOTAL REVENUES 711,331.89 845,706.00 134,374.11 84.1%
TOTAL EXPENDITURES 792,657.44 845,706.00 52,848.56 93.89.
*TO BE ON BUDGET, PERCENTAGE SHOULD BE 91.67%.
ph97-sum
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Action on Bids for Diesel Fuel and Gasoline: Stephens stated bids have been received through
advertisement:; for #2 diesel fuel and gasoline. The ad that was published is as follows:
St. Croix County Health and Human Services is seeking bids for approximately 8,000 gallons of
87 octane unleaded gas and approximately 14,000 gallons of diesel fuel of #2 grade vehicle fuel
and arctic blend diesel vehicle fuel to be delivered throughout 1998. Please submit sealed bids to
St. Croix County Health and Human Services, 1445 North Fourth Street, New Richmond, WI
54017. Bids accepted until 12:00 noon on Friday, January 3, 1998. Any questions, contact Rich
Monn between 7:30 a.m. to 4:00 p.m. Monday through Friday at 715/246-8210. We reserve the
right to refuse any and all bids.
Stephens stated he read all bids. Skogland Oil was chosen as they could furnish the arctic blend
diesel vehicle fuel.
Stephens stated that Home Oil Company was asked to bid but declined due to a conflict of
interest.
MOTION: A motion was introduced by Stephens, seconded by Bethke, and unanimously
adopted: To accept the bid received from Skoglund Oil.
PERSONNEL ISSUES: Stephens introduced June Merkt, RN, who has been hired as our new
Home Health Supervisor, replacing Marcey Backes, RN. Merkt began employment on January
5, 1998.
HEALTH AND HUMAN SERVICES/NURSING HOME REPORT: Krieger stated the State
survey team is here. They came on Wednesday and the exit interview is today at 1:00 p.m.
Krieger invited all Board members to attend. Bethke asked where do the nursing home referrals
come from. Krieger stated that the majority of the referrals come from the hospitals and it
depends on the discharge planners. The patients now have to be informed of every place
available that could meet their needs. Ultimately the family is the ones who decide what facility
their family member will go to.
Krieger stated the nursing home has three types of admissions: 1) Residents needing Aggressive
Therapy - so they can be discharged home, 2) Terminal - here until they die, and 3) Alzheimer
residents - no one at home to take care of them.
Stephens stated the turnaround at mealtime in the nursing home used to take around 2 hours.
Now everyone gets fed at the same time so there is a quicker turn around. Stephens stated this is
a success story. The residents are given tremendous attention at mealtime. All employees work
equally hard. Everyone in the dining room is attending to the residents.
Bethke asked about the elevator - we used to have problems with it and haven't heard anything
lately. Borup stated we have changed to another company. This company is very responsive to
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any problems. even on weekends. We have less of a problem than two years ago and at a better
cost. We are r Ttting our monies worth.
Borup stated last week we received very good news. We received Medical Assistance deficit
reduction dollars: Home Health - $85,000 for 1996; Mental Health/Alcohol and Other Drug
Abuse, Community Support Program, and Long Term Support - $86,000; Public Health -
$3,700. This was a windfall for us. This was more money than we had anticipated.
LONG TERM SUPPORT PRESENTATION: Hall and Lockwood gave a presentation on the
Community Options Waiver (COP W) and Community Integration Program II (CIP II). Because
these two programs serve the same population (elderly and physically disabled) and operate
under the same rules, they were referred to as one program: CIP II/COP W. These programs
are also referred to as Home and Community Based Waivers, which is the Federal Medicaid
term for them. (CIP II/COP W is an agreement or waiver with the Federal Medicaid agency to
use Medicaid funding for services in the recipient's home in the community rather than in an
institution.)
County participation in these waiver programs was mandated effective January 1, 1990, and all
counties are actively participating. Individual service plans are developed for each applicant by
the appropriate county agency and submitted for approval to the state as required by federal
regulations. Each service plan is reviewed to ensure that the proposed plan of care meets all
federal specifications, is comprehensive, individualized, and guarantees the health, safety and
welfare of the program participant. The state contracts with an outside vendor, The Management
Group, Inc., to monitor these safeguards and compliance with program requirements by county
agencies.
Hall's presentation was to increase knowledge of CIP II/COP W waivers waiting list. Hall stated
often times that the first referral comes from the hospital when client is being discharged. They
may go to a nursing home and wait for an opening in CIP II/COP W. Prior to clients waiting
for an opening in CIP II/COP W their needs may be met temporarily by relatives or a short
nursing home stay. Hall followed an actual case from waiting list through assessments, case
plan, approval and audit. Hall stated there are three assessments that need to be completed to
determine what level of care the client is at: 1) functional assessment, 2) financial assessment
and, 3) medical assessment. The functional screen is the eligibility determination before they can
be put on the waiting list. The assessment findings are then sent to the State and the State reviews
the plan. The plan needs to be approved before the plan goes into effect. The case manager has
to make contact with the client at least one time a month, and every three months there has to be
a face-to-face contact.
Home stated because of this presentation he understands that the peoples' needs are being met
while they are on the waiting list and that was a concern of his. Stephens wanted clarity, is
anyone suffering physically or mentally because they are not on the waiting list. Hall stated that
is not in black and white.
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Lockwood dis,--ibuted copies of brochure "What is the difference between COP, CIP, and COP-
W?" This is a detailed description of the programs.
The Board requested that at the March 10`h meeting Hall and Lockwood return and continue with
the eligibility criteria. Also how do you get on the waiting list, how many are there on the
waiting list and when they were referred, etc.
Stephens thanked Hall and Lockwood for the presentation.
Kinship Care Report: Effective 01/01/98, all open AFDC -NLRB (Non -Legally Responsible
Relatives) cases were transferred from Economic Support to Family and Children's Unit for
Kinship Care Program. Johnson gave a brief overview of caseload size, program requirements
and funding. This is not an intense program but does have six-month and annual reviews. The
family receives $215.00/month per child. Johnson stated Family and Children's utilizes relative
placement. Johnson stated they try keeping the children with family whenever possible. Borup
stated this program is a by-product of W-2 which mandated the change of program
administration from Economic Support to Family and Children's. Johnson stated that many
counties have found the funding from the State has short falls. Some counties are going to pay
until the State money runs out, and then implement a waiting list. Johnson stated that State
Representative said you couldn't have a waiting list for Kinship cases, as this is an entitlement
program. However, the State is aware that some counties intend to implement a waiting list for
this service if State allocations do not cover costs. The needs of the program would not be
fulfilled if there were a waiting list. The Board asked that St. Croix County not start a waiting
list for this program. Johnson stated this is a very worthwhile program. It keeps the family
together to avoid other types of placement. Johnson stated we always look at relative's history,
criminal checks, child support checks, etc. We look at each on a case -by -case basis. The Health
and Human Services Board asked that Johnson update them in three months. Stephens asked that
Johnson update the Board at the April 1998 meeting. County money allocated to this program for
the 1998 budget will remain.
Domestic Abuse Funding Changes: Borup stated that for many years we have received $6,000.
Recent changes in State funding will result in counties losing domestic abuse funding across
Wisconsin. Our loss will be $6,000. The State will establish new programs "through a
competitive bidding process". This change also means that our County "matching" funds is no
longer required. Borup stated it was approved in the budget and would like to continue it. We
will wait to hear from Madison, as we do not know right now.
Borup stated he would like to continue the manager's 5-minute report on three program areas to
help keep the Board abreast of programs on a monthly basis. The Long Term Support Unit will
report at the March meeting and at the April meeting there will be an update of the Kinship Care
Program.
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Stephens asked if there were any other issues to bring before the Board.
Bethke stated Schottler has done a wonderful job in clearing the land. He is satisfied and enjoys
working with us.
Berenschot stated there would be a meeting on Healthy Community and Healthy Youth at the
Community Center Sunday night, 01/18/98 at 6:00 p.m., meal included. If interested, let
Berenschot know. He has a brochure to view. He stated the more community assets for the
children, the better the kids do.
MOTION: A motion was introduced by Stephen's, seconded by Bethke, and unanimously
adopted: That the Health and Human Services Board meeting be adjourned.
Time: 10:30 a.m.
Chairman:
Attest:
Secretary
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