Human Services Committee

hsbminutesmar2012.pdf (27 KB)

MINUTES
SAUK COUNTY BOARD OF HUMAN SERVICES

Meeting: March 5, 2012, 5:00 p.m., County Board Gallery, Baraboo, WI

Members Present: Sinklair, Dippel, Stoeckmann, Lombard, Bowers

Members Excused: Fabisiak, Vertein, Alexander

Members Absent: None

Others Present: Orth, Brattset, Box

Vice Chair Dippel called the meeting to order and certified compliance with the Open Meeting Law.

Motion by Stoeckmann, seconded by Lombard to amend agenda to include B. Approving TRIP Collection Request. Discussion: Decision to hold this amendment. Motion by Fordham, seconded by Lombard to approve Agenda as read. Motion Carried.

Motion by Bowers, seconded by Sinklair to approve minutes of the previous meeting. Motion Carried.

Public Comment
None.

Communications:
None.

Business Items:

A. Review and Approval of Monthly Vouchers: Box distributed the monthly voucher report (see attached). She noted that Salary and Benefits were up due to health insurance being collected this month. Administration was up due to Hope House contribution. Community Living, Community Residential and Community Treatment were down all as a result of 2012 contracts being late by vendors. Institutions were up due to increased utilization this month. Income Maintenance was up due to an increase in funerals. Motion by Stoeckmann, seconded by Fordham to approve monthly vouchers in the amount of $1,016,706.43. Motion Carried.

B. Quarterly Reports: Box distributed the Quarterly Reports (see attached). She summarized Accounts Receivable, noting that collections will not match due to various collection times and methods. Discussion: Box explained that private pay is billed directly to consumers. Box distributed the Alternate Care statistics and the pre-audit year end. Box noted that CCI is over budget, but all others are favorable. Alternate Care graphs were reviewed. Group Homes and Juvenile Corrections were low. Discussion on Residential Treatment rates. Orth explained that the state rate setting process had caps for a temporary period of time until the rates for these institutions were set. Now, the costs are set by the State DCF. This makes rates more consistent state wide. Bowers indicated it would be interesting to look at children throughout transition to adulthood. Orth indicated that DCF makes efforts to track cases to about age 22 or 23. He will look into the data on this and report back to the Board. Box distributed the Volatile line pre audit reports and 2011 being favorable by $470,854. For January, 2012 there is not much to say yet about this data.

C. Year End Estimate: Box distributed the year end estimate (see attached). Pre audit 2011 looks to come in at $942,296; with carry forward included this figure comes to $1,132,096.00.




D. Carry Forward Request: Orth reviewed specific training needs for the Department to include: trauma based care and teaming trainings. Box indicated electronic medical records and MIS requests include meaningful use federal dollars. The carry forward request includes $25,000 for training, $100,000 for CMHC electronic records, and $170,100 for MIS projects for a total carry forward request of $295,100. Discussion: Stoeckmann indicated that perhaps Steve Pate from MIS could come to the Human Services Board to explore the electronic record interface issues. Orth will pursue for Steve Pate to attend the April Board meeting. Motion by Fordham, seconded by Lombard to approve the carry forward request as reviewed at $295,100. Motion Carried.


Department Updates:

A. Income Maintenance: Orth noted slow progress has been made, but the state central data process is still error prone, but getting better. Weekly contact with the state occurs to problem solve issues. Bowers indicated that he is still hearing some concerns from various parties and wonders if this process could be better. Some suggestions that local processes and decisions have compounded the problem. Bowers asked if we are doing what we can on the local level. Orth noted that things appear to be better as processes have been improved. Brattset noted that the number of people coming through the system via the direct line to Sauk County Human Services has been greatly reduced in the last two weeks. Bowers indicated that some Economic Support workers may be using cell phones to get direct calls from clients. Orth indicated that this would be a concern circumventing the process and he will check with the manager because this defeats the system.

B. TMG Committee and Report (Department Organizational Chart): Orth referred to the organizational chart from the packet presented to board members (see attached). In addition, Orth indicated that the chart has been distributed to citizen board members as well. Stoeckmann noted some concerns about the reporting relationships within the vertical parts of the organizational chart. Orth clarified that these reporting relationships go to area managers as designated on the chart.

C. Functional Group: Orth stated that the functional group meeting has been postponed; however, there will be one meeting before the board reorganization occurs. This meeting will occur most likely on 3/13/12.

D. LEAN Process: Orth noted that a number of staff at the Sauk County Health Care Center have attended training to be LEAN facilitators. They will be able to interface with training Department of Human Services’ employees at times as LEAN facilitators. Discussion: Stoeckmann indicated that it is important that the functional group look at quality improvement models including LEAN and perhaps other models to measure quality improvement.

E. WCHSA Spring Conference-May 22-24, 2012; Ostoff Resort, Elkhart Lake: Orth noted that the WCHSA Spring Conference is scheduled for May 22-24, 2012 in Elkhart Lake, Wisconsin. A flyer will be ready for distribution at the next Human Services Board meeting in April.

F. Ho-Chunk Nation Grant: Brattset reported that the Ho-Chunk Nation had received a $300,000 federal grant to deliver services in an integrated services approach to women struggling with AODA issues. Brattset further noted that as part of that grant, Sauk County Department of Human Services agreed to work collaboratively on several integrated services teams throughout the year. In addition, Brattset and Orth indicated that they had asked for a full copy of the approved grant so that it can be reviewed to determine the level of collaboration and funding streams that Sauk County Department of Human Services can utilize in interfacing with these services.

The next meeting of the Sauk County Human Services Board is scheduled for Monday, April 9, 2012 at 5:00 p.m.

Motion by Bowers, seconded by Lombard to adjourn. Motion Carried.




Andrea Lombard