Rusk County Department of Health & Human Services Board s1

Rusk County Department of Health & Human Services Board Minutes June 12, 2008

The Rusk County Department of Health & Human Services Board meeting was called to order at 8:30 a.m. by Chair Phil Schneider.

Board members present: Ron Grzeszkowiak, Marge Spangberg (9 a.m.), Tom Costello, Sandy Roth, Randy Tatur, Kathy Mai, Henry Golat, Charles Frafjord (9 a.m.), Bill Ellmann and Gene DuSell. Staff present: Gary Rivers with appearances by Ron Moser, Erika Robinson, Sandy Stiner, Kayo Nash, and Shirley Van Dam.

Ron Moser, Veterans Service Officer was introduction to the Board. Ron outlined the progress to date in the Veterans Service Office since his hire.

Motion made by Henry Golat and seconded Gene DuSell to approve the June meeting agenda. Motion carried.

Motion made by Tom Costello and seconded by Bill Ellmann to approve the March and May meeting minutes. Motion carried.

Motion made by Henry Golat and seconded by Tom Costello to approve the vouchers and out of county travel request.

No public in attendance for comments.

Erika Robinson discussed issues concerning the current food contract with A’viands. The Senior Services Advisory Committee had previously recommended checking on other food contract options. Discussions have since occurred with CBM. Both the Sheriff’s Department and Senior Services – Health & Human Services are recommending contracting with CBM. Based upon CBM’s proposal, a savings is projected of .20 cents per meal for a total saving of $8,200 per year for Senior Services and $35,000 to $50,000 for the Sheriff’s Department. Motion made by Randy Tatur and seconded by Henry Golat to discontinue the contract with A’viands and to enter into a contract with CBM. Motion Carried. A thirty day notice is required of the A’viands contract making July 15, 2008 as the approximate transition date. CBM will manage most transition issues directly with A’viands.

Erika Robinson and Gary Rivers provided update on Long Term Care Reform developments. The Family Care Board had its inaugural meeting in early June. The proposal to provide managed care to northwest Wisconsin is planned to be submitted to DHFS later this month. The NW-LTCO consortium will be discontinued.

Erika Robinson reviewed the ADRC Advisory Committee resolution with the Board. Motion made by Charles Frafjord and seconded by Bill Ellmann to approve the resolution and submit the resolution to the County Board. Motion carried. The Board reviewed the multi county ADRC resolution, authorizing Rusk County to join Barron and Washburn Counties in creating a regional ADRC. Motion made by Kathy Mai and seconded by Tom Costello to approve the resolution and submit to the County Board. Motion carried.

Gary Rivers provided an update on personnel matters which included wage issues for professional employees and the changing market place. Planning for personnel changes due to up coming transitions to managed care and ADRC were discussed.

The Board reviewed the 2008 Purchase of Service Contracts. Concern was expressed by staff regarding the quality of service provided by one of the vendors and the need to explore other options.

Sandy Stiner provided a Child Support report which included: April collections increased by $20,000 due a Workman’s Compensation claim; a 5th performance standard may be added regarding medical support orders; changes are being instituted in birthing cost guidelines that base NCP obligations upon income with payments disbursed over a 36 month period.

Sandy Stiner reviewed HHS 2007 budget finals with the Board. The 2007 year end balance is approximately 94,000. Gary Rivers recommended to the Board that the 2007 budget balance be set aside in a risk reserve for the 2009 budget year. The implementation of managed care and ADRC start up will make the 2009 HHS Budget difficult to predict. Motion made by Kathy Mai and seconded by Tom Costello to place the 2007 Health & Human Services budget balance in a risk reserve account for the 2009 service year with the reserve account only being accessible for unplanned expenses related to manage care transition and/or ADRC start up. Motion carried.

Kayo Nash reviewed the Public Health Report. Ms. Nash also informed the Board of the progress of a new hire. One of the responsibilities of public health is public beach water testing (Community Park, Jose Creek and Ttrails End) Jose Creek as been closed and Trails End was posted with a water quality advisory. Retesting will occur next week. Public Health has an intern for 8 weeks who’s primary duties will be working in the area of injury prevention and teenage drinking.

Shirley Van Dam informed the Board of a nurse’s termination and the start date of a new hire. Discussion also occurred regarding the positive outcome of the 2007 Home Care Budget.

Sue Hendricks updated the Board on activities in the Children and Family Services Unit. Ms. Hendricks also updated the Board on the progress of two new social workers. The Board was reminded of a 23% reduction in IV-E money in 2009 and possibly no IV-E money in 2010. IV-E dollars are being used to fund a social work position and a family aide position at this time.

Next meeting date is June 10th. Motion made by Henry Golat and seconded by Tom Costello to adjourn. Motion carried.

Minutes as prepared by staff

Gary Rivers