Minutes Packet - St. Croix County Board

Transcription

MEETING MINUTES
HEALTH & HUMAN SERVICES BOARD
January 13, 2015 5:30 PM
County Board Room - Government Center
County Board Room-Government Center - 1101 Carmichael Road, Hudson, Wisconsin
CALL TO ORDER
This meeting was called to order by Health and Human Services (HHS) Board Chair Dr. Chris
Babbitt at 5:30 PM on January 13, 2015.
ROLL CALL
Attendee Name
Christopher Babbitt
Heather Logelin
Howard Novotny
Chris Kilber
Ron Kiesler
Paulette Anderson
Shaela Leibfried
Lisa Ramsay
Deb Rasmussen
Organization
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
Title
Supervisor
Board Member
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Board Member
Board Member
Status
Present
Present
Present
Absent
Present
Present
Present
Absent
Present
Arrived
Others in Attendance: Health and Human Services Director Fred Johnson, County
Administrator Pat Thompson, Risk Manager Kristen Ziliak, Nursing Home Administrator
Sandy Hackenmueller, Fiscal Manager Beata Haug, PH Administrator Deb Lindemann,
Members of the Human Resource Network; Kristen Sailer, Tracy Davis, Alena Taylor,
Mary Jo Sutton, Duana Bremer, and Nancy Abrahamson, County Board Chair Roger
Larsen, other staff and community members.
APPROVAL OF MINUTES
1.
Health & Human Services Board - Regular Meeting - Dec 9, 2014 5:30 PM
HHS Board Chair Babbitt asked if there were any corrections to the December 9, 2014
minutes. With no corrections noted, a motion was made to approve the minutes by
Supervisor Novotny and seconded by Supervisor Anderson. A voice vote was taken;
minutes were approved and stand as distributed.
RESULT: APPROVED [UNANIMOUS]
MOVER: Howard Novotny, Supervisor
SECONDER:
Paulette Anderson, Supervisor
AYES:
Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler,
Paulette Anderson, Shaela Leibfried, Deb Rasmussen
ABSENT: Chris Kilber, Lisa Ramsay
PUBLIC COMMENT*
HHS Chair Babbitt opened the floor to the Public. One gentleman from the town of Forest
addressed the Board. He is at the meeting tonight to share information he has regarding the
potential health effects of wind turbine farms. He would like any questions or concerns be
brought to his attention and is willing to stay after the meeting for further discussion.
No other Public Comment.
BUSINESS ITEMS
1.
Financial Reports
Fiscal Manager Beata Haug updated the Board on the HHS financials. Revenue for HHS
shows the budgeted amount for 2014 being increased as an adjustment was made for P4P
pay outs as well as for the Children's Long Term Support (CLTS) position that went from
a Social Worker position to a Lead Social Worker position. Haug is reporting that St.
Croix Industries is done collecting revenue. In the Aging Department, local collections
are coming in higher than budgeted mainly due to home delivered meals and the ADRC
claims are shown through October. The Nursing Home is doing well with a strong census
and extra revenue coming in from therapy services.
Haug also informed the Board regarding the Wisconsin Medicare Cost Reporting
(WIMCR). Our St. Croix County Report has been successfully submitted to the state and
we have received our results. For the 4th quarter a new reporting tool was made
available and the results are showing our county keep is 52% less than we had budgeted
for. Several counties will be challenging this new tool as they are experiencing the same
concerning results. More information will be brought to the Board when Fiscal Manager
Haug has more answers from the State.
RESULT:
2.
DISCUSSED
St. Croix County Human Resource Network Presentation
A Presentation was given by members of the Human Resource Network including Tracy
Davis, Duana Bremer, Kristen Sailer, Alena Tayler, Joan Sprain, Mary Jo Sutton, and
Nancy Abrahamson. This network includes members from surrounding counties and they
have been working together for over 20 years. Their focus is on the County Strategic
priorities of Protecting at Risk Populations and Transportation.
This group is looking to the Board, as policy makers, to continue to support all county
staff and organizations, and begin brainstorming along with this group to assist in making
some changes.
Several Board members thanked the group for a great presentation and would like to see
further steps taken to address these issues.
Director Johnson will work with Chair Babbitt to bring this back to the Board for further
input.
Now moving to agenda item #7.
RESULT:
3.
DISCUSSED
Communicable Disease Report
Public Health (PH) Administrator Deb Lindemann shared information regarding
Influenza, Norovirus and other communicable diseases within St. Croix County (SCC).
Influenza is especially high in Wisconsin with 10 hospitalized cases in SCC, with most
cases in the 65 and older population. The PH Department has been closely monitoring the
influenza outbreak. The Norovirus activity seems to be slowing down and no cases of
Ebola have been reported in St. Croix County. Ebola continues to be monitored as new
cases continue in West Africa. There have been 2 reports of Mumps and Pertussis, but the
number one communicable disease in SCC continues to be sexually transmitted diseases.
RESULT:
4.
DISCUSSED
Health Center Report-Census and Referrals
Health Center Administrator Sandy Hackenmueller reviewed the current census and
referrals with the Board. Currently the Health Center (HC) is full, and the bed report
shows that throughout 2014 the HC averaged less than 1 empty bed. Hackenmueller also
reported that fortunately the HC has not had an influenza outbreak and they continue to
closely monitor residents for symptoms.
RESULT:
5.
DISCUSSED
Health and Human Services Dashboard Report
Nursing Home Administrator Sandy Hackenmueller shared a handout with the Board.
Fiscal Manager Beata Haug and Administrator Hackenmueller worked together to
provide this more in depth dashboard report regarding a variety of areas within the Health
Center. This dashboard report will be brought to the Board quarterly along with the
Census and Referral report.
Further discussion was had regarding the 5 star rating.
RESULT:
6.
DISCUSSED
Health and Human Services Strategic Planning Report
HHS Director Johnson shared a document to update the Board on progress regarding the
strategic initiatives that HHS is working on. HHS looked at how these fit into the overall
County initiatives and are now moving forward with work towards completing these
initiatives. Johnson reviewed some of the work being done, and reminded the Board that
things can always be added and changed as we hear of unmet needs such as the
presentation tonight regarding transportation and homelessness in St. Croix County.
Supervisor Anderson added that transportation and homelessness seems to be an
immediate area that should be addressed and would like to see work done on this.
RESULT:
7.
DISCUSSED
St. Croix County Services Center Safety and Security Report
HHS Director Johnson shared that this agenda item is to update the Board on measures
being taken to enhance the safety and security at the new St. Croix County Services
Center (SCCSC). Risk Manager Kristen Ziliak informed the Board of all the areas of
improved security in the new SCCSC vs. the prior HHS building.
A map of the new building has been given to New Richmond Police and to dispatch that
shows the different zones within the building. There are several surveillance cameras and
panic buttons throughout the new building . If staff hit a panic button it goes directly to
dispatch with the information of whom and where the button was pushed.
New severe weather, evacuation, and lockdown procedures have been implemented with
drills completed.
In 2015 a PA system is going to be installed as well as more wall mounted panic buttons
for quicker and easier access. All of these added features make the SCCSC a much more
secure facility.
RESULT:
8.
DISCUSSED
Extension of ESR Lease
HHS Director Johnson addressed the Board on this agenda item. The Eastern Suburban
Resource (ESR) lease has been extended by the Administration Committee until June 30,
2015. In the meantime, the Director from ESR will present a business plan to the
Administration Committee and it will then be determined if the lease will be continued
and at what price. When more information is available Director Johnson will bring this
agenda item back to the HHS Board.
RESULT:
DISCUSSED
ANNOUNCEMENTS & CORRESPONDENCE
Chair Babbitt shared that Supervisor Ostness wants this Board to be aware that he is attending
transportation and health and human service meetings this week. HHS Director Johnson will
forward the Wisconsin Counties Association meeting information regarding health and human
services to the Board.
The HHS Board will be meeting in February, although the full County Board does not have a
meeting scheduled in February. Director Johnson announced that he should have some quotes
available at the February meeting on the costs to upgrade a meeting room at the SCCSC to
record and live stream meetings.
In response to the question rose at the last meeting concerning the previous SCI donation
account, Johnson reported that yes the account did get transferred to ESR and is being used in a
similar manner for client activities.
Director Johnson also announced there was a facility planning meeting today with the Architect
for the new Health Center and a report will be provided at next months HHS Board meeting .
ADJOURN
Chair Babbitt thanked everyone and called this meeting of the HHS Board adjourned at 7:33 PM.
Respectfully Submitted: Colleen Linder
DATE OF NEXT MEETING
February 10, 2015 @ 5:30 PM in the Government Center Boardroom, Hudson
3.1
MEETING MINUTES
HEALTH & HUMAN SERVICES BOARD
December 9, 2014 5:30 PM
County Board Room - Government Center
County Board Room-Government Center - 1101 Carmichael Road, Hudson, Wisconsin
CALL TO ORDER
ROLL CALL
Attendee Name
Christopher Babbitt
Heather Logelin
Howard Novotny
Chris Kilber
Ron Kiesler
Paulette Anderson
Shaela Leibfried
Lisa Ramsay
Deb Rasmussen
Organization
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
St. Croix County
Title
Supervisor
Board Member
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Board Member
Board Member
Status
Present
Absent
Present
Present
Present
Present
Present
Absent
Present
Arrived
Departed
7:28 PM
Others in Attendance: Health and Human Services Director Fred Johnson, Nursing Home
Administrator Sandy Hackenmueller, Fiscal Manager Beata Haug, Corp Counsel Scott
Cox, Facilities Director Jim Elsbury, County Board Chair Roger Larsen, County Board
Supervisor Dave Ostness, other staff and community members.
APPROVAL OF MINUTES
1.
Health & Human Services Board - Regular Meeting - Nov 11, 2014 5:30 PM
HHS Board Chair Chris Babbitt asked if there were any corrections or additions to the
minutes. No corrections were noted, Supervisor Anderson made a motion to approve the
minutes, Supervisor Kiesler seconded. A voice vote was taken, minutes were approved
and stand as distributed.
Packet Pg. 6
Minutes Acceptance: Minutes of Dec 9, 2014 5:30 PM (APPROVAL OF MINUTES )
This meeting was called to order by Health and Human Services Board Chair Dr. Chris Babbitt
at 5:30 PM on December 9, 2014.
3.1
RESULT: APPROVED [UNANIMOUS]
MOVER: Christopher Babbitt, Paulette Anderson
SECONDER:
Ron Kiesler, Supervisor
AYES:
Christopher Babbitt, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette
Anderson, Shaela Leibfried, Deb Rasmussen
ABSENT: Heather Logelin, Lisa Ramsay
No Public Comment
INFO/DISCUSSION ITEMS
1.
Financial Reports
Fiscal Manager Beata Haug reviewed the Financial reports with the Board. Haug shared
there are no significant changes to the HHS reports for October, though she did update
the Board regarding the fund balance for St. Croix Industries. Also, Director Johnson will
be checking on the planned usage for the St. Croix Industries client donation account that
was transferred to ESR, and update the Board at a future meeting.
Haug noted that the 3rd quarter projections for HHS were overstated due to an additional
take back to offset Children Services Waiver local match dollars. Finance is working
hard to put all the expenses and the revenue attached to them in the year they occurred.
Going forward there should be only one take back per year. Further discussion was had,
questions were raised and answered.
RESULT:
2.
DISCUSSED
Health and Human Services Board Duties
HHS Director Johnson shared that this agenda item was originally on the November
agenda. Per the Board's request for further time to review all the documents it has now
been brought back to the Board for their input on any updates or changes to the Rules,
Bylaws, and Committee Duties. Corp Counsel Scott Cox also informed the Board on the
plan for the meetings of the Subcommittee to compile, review, and make
recommendations to the Administration Committee for suggested changes. HHS Chair
Babbitt brought a few potential wording changes to the attention of Corp Counsel. No
other suggestions were noted.
RESULT:
3.
DISCUSSED
Brown County Board of Health action regarding the Industrial Wind Turbines at Shirley
Wind Project
HHS Director Fred Johnson gave an update to the Board regarding this agenda item. He
shared that HHS Public Health Administrator Deb Lindemann has attempted to contact
the Brown County Health Officer regarding the motion the Brown County Board of
Packet Pg. 7
PUBLIC COMMENT*
3.1
Two gentlemen representing the Town of Forest addressed the Board regarding
information they have compiled regarding Industrial Wind Turbine Farms. One of their
concerns is the infra sound or acoustic pressure waves the turbines give off. These are not
heard by the human ear, but can have health impacts on both people and animals.
Another concern is the fact that there is no medical professional on the Wind Siting
Council. These gentlemen both appreciate the HHS Boards continued support in looking
into this project and its potential health effects.
Further work will be done and reported back to the Board.
RESULT:
4.
DISCUSSED
Health and Human Services Purchase of Service Contracts
HHS Director Johnson shared this is an informational item for the Board and is in place
of our routine program report. Purchase of Services Contracts and Letters of Agreement
are made with providers for client needs. In the budget there is approximately 3.3 million
dollars in the purchased service line item. In 2015, this particular line item will be
analyzed and coding of bills will be streamlined.
Johnson will bring back to the Board at a future meeting a detailed document highlighting
purchased services.
RESULT:
5.
DISCUSSED
2015 Public Health Permit Fees
HHS Director Johnson along with Fiscal Manager Haug addressed the Board regarding
this agenda item. This is a follow up from a previous meeting to provide additional
clarification. There was a lengthy discussion around different fee options.
A Motion was made by Supervisor Novotny to Waive the 7.5% increase of the fee
charged to the those establishments currently having their state surcharge paid by the
county, only increasing their fee by the state surcharge amount and maintain the 7.5%
increase to those establishments currently paying the state surcharge. Seconded by
Supervisor Rasmussen. Motion was approved.
Packet Pg. 8
Health passed declaring the Industrial Wind Turbines at Shirley Wind Project a human
health hazard, but she has yet to receive a reply. Several pieces of information are
included in the Board packet to keep the Board appraised of the information as HHS
Administration obtains it from various sources.
3.1
6.
Health Center Report--Census and Referrals
Nursing Home Administrator Sandy Hackenmueller spoke to this agenda item. The
Census is 48 as of today and Westfield's Hospital remains a strong referral source. Payor
types are strong with over 200 days of Medicare in November and currently are running
extremely strong at 10.42% Medicare, 62 % Medicaid, 4% Family Care and 22% selfpay.
RESULT:
7.
DISCUSSED
Health Center-Ad-Hoc Committee Update
Nursing Home Administrator Hackenmueller gave an update on the Ad-hoc Committee's
recent meeting. The Committee reviewed different types of construction and the cost of
each with the architect and management team. They continue to move forward on
finalizing a business plan for the Dementia Crisis Stabilization unit. The site plan was
also reviewed and discussed. The next steps will include the construction management
team meeting with the managers and staff from each unit to discuss design plans.
Another Committee meeting is scheduled for December 30th as well as a meeting by the
construction management team with current residents and their families on January 2nd.
Facilities Director Jim Elsbury gave an update on the plans for deconstruction of the old
HHS building.
RESULT:
8.
DISCUSSED
Health Care Advisory Referendum
Johnson addressed the Board on this agenda item. He is looking to the Board for actions
that should be taken in regards to this information. Supervisor Anderson suggested the
results of the advisory referendum and a letter be sent to the legislatures and the
Governor. The letter will include a request for a response.
HHS Director Johnson will draft a letter for HHS Board Chair Babbitt to sign which will
be sent along with the referendum results and the resolution to the Governor's office.
RESULT:
9.
DISCUSSED-NO ACTION
2015 Board Meeting Schedule and Location
Packet Pg. 9
RESULT: APPROVED [5 TO 2]
MOVER: Howard Novotny, Supervisor
SECONDER:
Deb Rasmussen, Board Member
AYES:
Christopher Babbitt, Howard Novotny, Ron Kiesler, Paulette Anderson,
Deb Rasmussen
NAYS:
Chris Kilber, Shaela Leibfried
ABSENT: Heather Logelin, Lisa Ramsay
3.1
Discussion was held regarding the scheduling and location of the HHS meetings moving
into 2015. The Board will continue to meet on the 2nd Tuesday at 5:30 PM at the
Government Center. At the January meeting, Johnson will have more information on the
cost and time frame to equip the St. Croix County Services Center (SCCSC) with the
capacity to live stream meetings. Chair Babbitt shared that his preference would be to
hold at least some meetings at the SCCSC in New Richmond.
RESULT:
DISCUSSED
HHS Director Johnson shared that the Behavioral Health (BH) team is working on BH
recalibration and will be contacting Board members via email. Johnson reminded the Board
members to not "Reply all" to email communications to comply with open meeting requirements.
Nursing Home Administrator Hackenmueller announced that the Nursing Home's Medical
Director, Dr. Hanson, is retiring and Dr. Allen Medini from the New Richmond Clinic will be
his replacement starting January 1st.
ADJOURN
HHS Board Chair Babbitt called this meeting adjourned at 7:39 PM.
Respectfully Submitted: Colleen Linder
DATE OF NEXT MEETING
January 13, 2015 5:30 PM
Packet Pg. 10
ANNOUNCEMENTS & CORRESPONDENCE
St. Croix County Health and Human Services Department
Actual Financial Report: November 2014
Revenues
Health & Human Services
St. Croix Industries
Aging
ADRC
Nursing Home
Totals Program Revenue
2014
YTD
Budget
13,561,416
571,564
835,406
1,295,945
3,889,299
20,153,630
YTD Actual
Jan ‐ Nov '14
12,505,069
376,345
893,144
1,254,652
4,219,023
19,248,233
Expenses
Health & Human Services
St. Croix Industries
Aging
ADRC
Nursing Home
Total Program Expenses
13,561,416
571,564
835,406
1,295,945
3,889,299
20,153,630
11,388,529
778,597
737,431
1,288,499
3,973,781
18,166,839
YTD
Available
(1,056,347)
(195,219)
57,737
(41,293)
329,724
(905,397)
YTD % Budget
Available
‐7.8%
‐34.2%
6.9%
‐3.2%
8.5%
‐4.5%
2014
Annual Budget
14,794,272
571,564
911,352
1,413,758
4,242,871
21,933,817
2014
Budget
2014
Available
% Available
2,289,203
15.5%
195,219
34.2%
18,209
2.0%
159,106
11.3%
23,848
0.6%
2,685,585
12.2%
2013 Nov YTD
Actual
12,174,131
1,830,534
869,707
1,324,838
4,586,134
20,785,345
(2,172,887)
207,033
(97,975)
(7,445)
84,482
(1,986,791)
‐16.0%
36.2%
‐11.7%
‐0.6%
2.2%
‐9.9%
14,794,272
571,564
911,352
1,413,758
4,242,871
21,933,817
3,405,743
(207,033)
173,921
125,258
269,090
3,766,979
11,742,306
1,947,237
830,703
1,371,428
4,297,666
20,189,340
23.0%
‐36.2%
19.1%
8.9%
6.3%
17.2%
5.1.a
Packet Pg. 11
Attachment: November 2014 (2747 : Financial Reports)
The State of the Valley
Human Resource Network
January 13, 2015
Attachment: Human Resource Network HHS Board Presentation1_13_15 (2759 : St. Croix
5.2.a
Packet Pg. 12
St. Croix County Mission
Innovation through Cooperation
–Protecting At-Risk Populations
–Transportation
Packet Pg. 13
5.2.a
Human Resource Network
• Group of 65 Representatives from 43 agencies
that care for the people in our area – Pierce,
Polk and St. Croix Counties
• Share information and resources of services
Packet Pg. 14
5.2.a
5.2.a
Why are we here today
• To bring forward the issues in our area
– Working Poor and Poverty
– Public Transportation Need
– Domestic Abuse
– Homeless
– Dementia Population
Packet Pg. 15
United Way 2-1-1 Referral’s
2014 Referral’s
Pierce
Polk
St. Croix
247
148
105
65
Basic Needs
79
49
Community Services
39
49
25
Mental Health
12
15
15
Health Care
Packet Pg. 16
5.2.a
Percent of Poverty in St. Croix Co.
7.5%
Poverty
All others
Packet Pg. 17
5.2.a
Amount of Money Needed For
Self-Sufficiency in St. Croix
60000
25% of families =
5,830 of 23,322
50000
40000
30000
20000
10000
0
Buffalo Co.
St. Croix
Packet Pg. 18
5.2.a
FACTS: The Working Poor and Poverty in
St. Croix County
• In 2000, the estimated poverty rate increased from 4% to 7.5%
• In 2012, 56.1% of adults (over 25) did NOT have an Associates or
Bachelors Degree, this put them at high risk for poverty-wage jobs.
$31,860: Median Earned Income by employed adults (over 25)
with only a High School Degree or GED
$54,419: Median Earned Income of Individuals with a
Bachelors Degree
$15,080: Minimum Wage Earnings in a Year
• During the past 5 years, the share of school-age children certified for
free or reduced-price meals grew from 11% to 24%.
• 10.5% of the population reported food hardship.
Packet Pg. 19
5.2.a
Public Transportation Needs
•
•
•
•
•
•
•
Limited municipal public transportation in the county
Very limited town to town transportation available
Boundaries on transportation map (Kristen will get)
Hours and rates
There is a need
Current funding dollars are very targeted
Lack of local/regional taxing authority for public
transportation
Packet Pg. 20
5.2.a
Domestic Abuse in our Area
• Domestic violence often results in homelessness for part or
all of the family.
• Little to no access to funds due to control of the abuser.
• Both women and men experience homelessness due to
domestic violence.
• Turn away many families every month. 90 day stay limit at
the shelter.
• Legal issues due to Domestic violence create barriers to DV
victims finding housing.
• 65 adults and 69 children stayed in our shelter due to
domestic violence that resulted in homelessness in 2014.
Packet Pg. 21
5.2.a
5.2.a
The Homeless in our Area
• HUD homeless definition
• Mckinney vento definition
• Trends with homeless population
Packet Pg. 22
5.2.a
Shelters in our Community
– Our Neighbors Place - River Falls, WI
•
•
•
•
Number of families served 12
Number of individuals within the family unit
length of stay
services provided
– Grace Place - Mew Richmond, WI
•
•
•
•
Number of families served 67
Number of individuals within the family unit 207
length of stay
Services provided
– Serenity Home - Balsam Lake, WI
• Number of individuals served 150
• length of stay
• Services provided
Packet Pg. 23
Other Services Provided
– The Day Center - Our Neighbors' Place
• Homeless Clients encountered from November 2013 -
- 572 families, 779
individuals, 90 unknown
October 2014
– Transitional housing - Grace Place
• Families served 34
Packet Pg. 24
5.2.a
Dementia Population
• Definition of Dementia
• 45% of people with dementia have no one to
help them.
• Vulnerable population
• How can our communities and county serve
and protect this population?
• Educate communities and emergency services
about dementia.
Packet Pg. 25
5.2.a
What Can Be Done?
Prevention
Intervention
Treatment
-Parent ed.
Child Protective Services
Behavioral Health
-Financial ed.
-Youth Dev.
Youth Community Support
-Substance Abuse Prev.
-Community Collaboration
-Create a Transit Focused Development Team which includes decision makers
-Change data privacy laws to be able to talk to other agencies about a client
-Provide future presentations on additional issues or updates on programs
Packet Pg. 26
5.2.a
Contacts
5.2.a
Kristen Sailer, HRN President 715-381-4911
kristen.sailer@co.saint-croix.wi.us
Joann Sprain, UW Ext 715-531-1930
joan.sprain@ces.uwex.edu
Tracy Davis, ADRC 715-381-4361
Tracy.Davis@co.saint-croix.wi.us
Alena Taylor, Turning Point Director 715-425-6751
alenat@turningpoint-wi.org
Mary Joan Sutton, ONP President
maryjoansutton@gmail.com
Duana Bremer, SA Director 715-485-1221
duana_bremer@usc.salvationarmy.org
Nancy Abrahamson, ADRC 715-381-4411
Nancy.Abrahamson@co.saint-croix.wi.us
Packet Pg. 27
5.3.a
1. Influenza: We are seeing an increased incidence of Influenza and Influenza like illness.
Influenza is a contagious disease caused by influenza viruses that infect the respiratory
tract (nose, throat, and lungs). The illness can be mild to severe, and sometimes fatal.
Symptoms usually begin suddenly, with fever, headache, dry cough, sore throat, nasal
congestion, fatigue, and body aches. The best way to prevent Influenza is to get
vaccinated each year. Public Health still has influenza vaccine available for
employees. Call the health department at 715-246-8330 to schedule an appointment
for a flu shot.







Wash your hands often with soap and water, or use an alcohol-based hand
sanitizer
Cover your cough or sneeze using your upper sleeve, try to avoid touching your
face with your hands
Don’t share drinking cups or straws
Avoid being exposed to people who are sick and stay home if you are sick
Eat nutritious meals and get plenty of rest
Frequently clean commonly touched surfaces such as doorknobs, telephone,
faucets
If you think you may have influenza, call your doctor for possible anti-viral
medication.
2. Norovirus: Norovirus is a very contagious group of viruses that cause sudden onset of
gastrointestinal symptoms including vomiting, diarrhea, and stomach pain (often called
the “stomach flu”). You can get Norovirus from an infected person, contaminated food or
water, or by touching contaminated surfaces.
To protect yourself and others from Norovirus:



Wash your hands frequently with soap and water, or use an alcohol-based hand
sanitizer
Avoid being exposed to people who are sick and stay home if you are sick
If you have Norovirus:
 There is no specific treatment but it is important to drink plenty of fluids
to avoid dehydration
 do not prepare food for others or take care of others until at least 48 hours
after symptoms have stopped
 clean all commonly touched surfaces in your home with bleach solution
 wash all laundry in hot water
Packet Pg. 28
Attachment: Disease information (2753 : Communicable Disease Report)
In addition to getting a flu shot, remember to:
5.3.b
December 31, 2014
HHS Board Meeting – January 13, 2015
1. Influenza
 High activity throughout Wisconsin
 Influenza A/H3N2 with a “drift” to the virus (refers to Influenza A virus when one or
more genes starts to change a little – a genetic mutation – results in decreased efficacy
of the vaccine). At least 50% show a “drift” this year
 Recommend treatment with antiviral medication and to start as soon as possible.
 Tamiflu shortage. PH received supply from SNS
 Flu shot still the best defense. Vaccine still available
 Hospitalized Influenza cases in SCC – 6 cases (all elderly)
2. Norovirus
 High activity before Christmas
 Long term care facilities
3. Mumps
 Mumps case in a 28 year old who was vaccinated
 Exposed co-workers, 10 people
 Mumps case in a 5 year old who was vaccinated
4. Pertussis – 2 cases
5. Ebola
 No cases in Wisconsin
 Still monitoring travelers who have returned from the 4 countries in West Africa
 No persons requiring monitoring in SCC
 Updates by WI DHS every 2 weeks.
Packet Pg. 29
Attachment: HHS Board Communicable Disease Update (2753 : Communicable Disease Report)
Communicable Disease Update
5.4.a
Nursing Home Referrals/Payer Source
12/31/2014
Referral from
# referred
# admitted
Inquiries
0
Hudson -CCH
0
Baldwin Hosp
1
Regions Hosp
3
Westfield's Hosp
2
Lakeview
2
Eau Claire-Mayo
1
ADRC
0
Amery BH
1
Home
3
Total
13
Payer Source
Medicaid
Medicare
Medicare Adv.
Family Care
Private Pay
Private Ins
Total Census
0
0
0
0
1
1
0
0
0
0
2
Attachment: Health Center Census (2761 : Health Center Report-Census and Referrals)
Referrals :
#
31
5
0
1
13
0
50
Packet Pg. 30
Open Bed Report
Name of Facility
Cap. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Average Matrix
American Heritage
50
9
7
10
8
12
7
7
7
9
9
8 10 8.58333
17.17%
Baldwin Care Center
50
2
6
8
8
8
5
6
10
8
7
6
6.25
12.50%
Christian Community
81 10 11
14
5
7
8 18
10 20 19
15
11.4167
14.09%
Glenhaven
44 10 10
8 10
Kinnic Health & Rehab
68 15 17
15 14
Deerfield
61
0
0
1
Park View
50
6
4
St Croix Health Center
50
0
The Lutheran Home
50
4
Totals
10 10
1
7
5
8
9
10 10 8.91667
20.27%
9
13.24%
8
3
3
2
5
8
10
0
1
4
3
3
3
1
2
1 1.58333
2.60%
1
5
7
8
7
7
6
6
0
1 4.83333
9.67%
0
0
0
0
1
2
1
4
0
3
0 0.91667
1.83%
4
2
2
3
0
1
0
0
0
1
1
3.00%
504 56 59
59 52
56 46 54
45 63 59
8
1.5
55 32
Packet Pg. 31
Attachment: NH Capacity Report 2014 (2) (2761 : Health Center Report-Census and Referrals)
5.4.b
5.6.a
St. Croix County 2014-2016 Strategic Plan:
Develop a Performance Culture.
Tell our Story.
Prepare for Growth and Promote Economic Development.
Develop our Long Range Plans.
Attachment: HHS Strategic Initiative Report (2758 : Health and Human Services Strategic Planning Report)




Health and Human Services 2014-2016 Strategic Initiatives:




Develop a Performance Culture:
o Agency Intake.
o Agency Record Management.
o Data Tracking, Time Reporting, and Productivity.
o Staff Development.
Tell Our Story:
o Community Health Improvement Plan.
o Dementia Care Redesign.
o Public Health Accreditation.
Prepare for Growth and Promote Economic Development:
o Comprehensive Community Services Implementation.
Develop Our Long Range Plans:
o Monthly Budget Reporting and Quarterly Projections.
o ROWE Expansion.
HHS Strategic Initiative-Agency Intake
Description: Consolidation of agency intake for child protective services and adult protection.
Measurement/Timeline:
1) Justify position request in 2015 budget process/modify position (November 2014).
2) Complete hiring and set up office (January 2015).
3) Complete both APS and CPS cross training (April 2015).
4) Complete ROWE training and results for new agency intake team (April 2015).
Progress on Strategic Initiative: 25% completed.
Packet Pg. 32
5.6.a
HHS Strategic Initiative-Agency Record Management
Description: Transition record management responsibilities to the Records Department.
1) Define how records are created with Adult Protection, Emergency Services and Children Services
(December 2014).
2) Define record sets (December 2014).
3) Take over file management responsibilities (April 2015).
HHS Strategic Initiative-Data Tracking, Time Reporting, and Productivity
Description: Update time reporting procedure for finance and program documentation.
Measurement/Timeline Fiscal:
1) Train all departments that will need to complete time reporting for fiscal and template finalized
(February 2015).
2) Complete first quarter fiscal time study (March 2015).
3) Fiscal time study operational policy completed (April 2015).
Measurement/Timeline Time Reporting and Productivity:
1) Productivity reporting protocol completed and reviewed with staff (January 2015).
2) Train program support specialist on reporting protocol (February 2015).
3) Program time reporting/productivity operational policy completed (April 2015).
Packet Pg. 33
5.6.a
HHS Strategic Initiative-Staff Development
Description: Orientation, On-Boarding, Ongoing Training: Training development and tracking.
1) Determine tracking system for training like access database, halogen, or sharepoint (November
2014).
2) Phase 1-Update orientation, onboarding, and trainings specific to HHS (pre-employment; day one;
week one; one month; 3 months; 6 months; and 12 months-end of probation) (April 2015).
3) Complete Phase 1 of the staff development plan and establish goals for next cycle/review training
matrix and tracking system (April 2015).
HHS Strategic Initiative-Community Health Improvement Plan
Description: Update CHIP and coordinate planning with Pierce County and 4 area St. Croix County
Hospitals (Consolidation of the CHIP is expected to be completed next cycle).
1) Evaluation of current CHIP (January 2015).
2) Complete the Community Health Assessment (February 2015).
3) Development of new CHIP for SCC (March 2015).
HHS Strategic Initiative-Dementia Care Redesign
Description: Dementia Friendly Communities.
1) Obtain board approval for grant and submit application (September 2014).
2) HHS Staff Survey-determine baseline knowledge regarding dementia (November 2014).
3) Training for HHS staff/sites (January 2015/April 2015).
Packet Pg. 34
5.6.a
4) Recruit and train 2 facilitators for each memory café/one café per community in Baldwin, New
Richmond, and Hudson (April 2015).
HHS Strategic Initiative-Public Health Accreditation
Description: Obtain accreditation for the Health Department as well as complete the State 140 review
process (level three health department status).
1) On site accreditation visit (May 2014).
2) Notice of accreditation decision/inform board (September 2014).
3) 140 Review-address services delivery for level 3 health department (November 2014).
4) Quality Improvement Projects implemented to address areas of improvement identified in
accreditation report/140 review (March 2015).
HHS Strategic Initiative-Comprehensive Community Services Implementation
Description: Develop new program in conjunction with Eau Claire County under Chapter DHS 36
Wisconsin Administrative Code.
1) Submit additional information re: Proposal to State as requested for Shared Services Model-partner
with Eau Claire County (May 2014).
2) Develop an implementation committee (July 2014).
3) Organize a Kick-off event for consumers, partners, and providers (November 2014).
4) Have steering committee review CCS policies, making necessary changes (April 2015).
Packet Pg. 35
5) Identify 5 local businesses in each of 3 communities (Baldwin, New Richmond, Hudson) to be
dementia friendly businesses (April 2015).
5.6.a
HHS Strategic Initiative-Monthly Budget Reporting and Quarterly Projections
Description: Update monthly financial report and quarterly projections.
1) Update board report to include actual (without operating margin), and quarterly year end projections
and trust account reports (November 2014).
2) Review projection methodology with HHS management as well as accounts receivable supervisor and
accounts receivable lead worker (December 2014).
3) Update monthly fiscal reporting process and develop instructions for review protocol (January 2015).
4) Complete management review of 4th quarter projections and present to HHS board (February 2015).
5) Review variance in quarterly projections during year end close out process up to final audit (April
2015).
HHS Strategic Initiative-ROWE Expansion
Description: ROWE Expansion for all of HHS.
1) HIPAA Policy updates and training completed based upon updated gap analysis (January 2015).
2) ROWE policy considerations meetings (January 2015).
3) Complete ROWE Training/Results Developed for Economic Support, Behavioral Health, Medical
Records, Administration (February 2015).
4) Team agreements for the above noted units done (April 2015).
Packet Pg. 36
5.8.a
TO:
Administration Committee
FROM:
Patrick Thompson, County Administrator
Kristen Ziliak, Risk Manager, Risk Management
AGENDA ITEM:
Extension of ESR Lease to 6/30/2015
______________________________________________________________________________
BACKGROUND INFORMATION
ESR (Eastern Suburban Resources) is the private company that took over the services previously
provided to disabled adults by St. Croix Industries. St. Croix County entered into a one year
lease agreement with ESR for use of the former St. Croix Industries building in New Richmond
to assist in the transition. ESR is paying $2000/month in rent for use of the building. The lease
expires 3/31/15 and ESR has requested an extension until the Summer of 2016. Demolition of
the buildings that are in poor shape on the Health Center's New Richmond campus will begin in
January of 2015 and will eventually include the building currently used by the Facilities
department. The Facilities Department will then move into the former St. Croix Industries
building. Construction of the new Health Center is scheduled to start in Fall of 2015. Given the
upcoming demolition and construction projects on site and the County's need for the building, an
extension to 6/30/15 at the existing rate will be recommended by staff.
Packet Pg. 37
Attachment: Administration Committee Memo (2754 : Extension of ESR Lease)
COVER MEMO

Minutes Packet - St. Croix County Board

Transcription

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