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Minutes January 25, 2011 HS
Wabasha County Human Services Board
Meeting of January 25, 2011
 
The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:00 a.m., January 25, 2011 in accordance with MS 402.01 to 402.10. The previous meeting was recessed to this time and place. The following members were present: Commissioners Hall, Norman, Roschen, and Wobbe. Absent: Harms
ROSCHEN – NORMAN
BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with one addition: Accept donations for PHS Special Needs Fund
Adopted Unanimously.
ROSCHEN – WOBBE
WHEREAS, the Minutes of the December 28, 2010 meeting have been presented for review and that no changes have been made to the Minutes;
BE IT RESOLVED, the Human Services Board accepts the Minutes as an accurate reflection of the content and actions taken at its previous meetings.
Adopted Unanimously
ROSCHEN – WOBBE
WHEREAS, the Director of Social Services has advised that all Income Maintenance case actions are in conformance with State, Federal, and County laws, rule, regulations and policies;
BE IT RESOLVED, that all Income Maintenance case openings, closings, suspensions, grant changes and any other action affecting client eligibility and payments documented in the Department on listing of proposed case actions, (through MAXIS computerized client files and reports, and MMIS II), Director's Actions, abstracts of payment, and reports of refunds and cancellations for the period 12/28/10 through 1/24/11 are hereby approved.
WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health and Social Services case actions are in conformance with State, Federal and County laws rules, regulations and policies;
BE IT RESOLVED, that all Public Health and Social Services case openings, closings, payments, placements and licensing actions as documented in the Department on Agency listing for Licensing actions, case records, record of Social Service plan, purchase of service abstracts, reports of refunds and cancellations, payment authorizations and computer printouts for 12/28/10 through 1/24/11 are hereby approved.
WHEREAS, the Directors of Public Health and Social Services have advised that all personnel actions are in conformance with State and Federal law, Merit System rules, existing labor agreements and personnel policies;
BE IT RESOLVED, that all personnel actions for 12/28/10 through 1/24/11 for employees of the Departments of Public Health and Social Services as documented in the Department on proposed personnel actions listing, personnel abstracts, payroll reports and personnel actions forms are hereby approved.
WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health claims and, Social Services and Welfare claims against the County submitted for payment for 12/28/10 through 1/24/11 have been reviewed and are eligible for payment pursuant to all applicable rules, regulations, laws and policies;
BE IT RESOLVED, that all bills as listed on listing of warrants and claims against the Public Health, Social Services and Welfare funds and warrant registers shall be approved as valid claims against the County and are hereby approved for payment.
WHEREAS, the Directors of Public Health and Social Services have advised that employee requests to attend conferences and/or training have met approval of Administration, and are within the budgetary guidelines of the Agency;
BE IT RESOLVED, that all requests presented by the Directors of Public Health and Social Services are hereby approved.
Adopted Unanimously.
NORMAN – ROSCHEN
Whereas, Wabasha County Human Services Board receives a number of documents requiring signature during the calendar year in the Public Health Services and Social Services Department; and
Whereas, the Minnesota Department of Health and the Minnesota Department of Human Services provide continuing funding for services through grants and allocation of funds authorized by Legislation, which also need signature by a representative of Public Health Services or Social Services staff; and
Whereas, these documents can be signed by administrative personnel as a matter of routine administrative procedure; and
Whereas, there has been a long history of administrative personnel signing certain documents on behalf of the Human Services Board; and
Whereas the authorized staff involved in these actions understand they will also comply with the Wabasha County Purchasing Policy, adopted Feb 5, 2002;
Now therefore be it resolved, the Wabasha County Board of Human Services hereby authorizes the Directors of Public Health and Social Services, or their designees, to approve purchases, sign contracts, placement agreements, and other legally binding documents on behalf of the County during 2011. There is a limitation of $2,500 per individual item and $12,000 per contract (excluding contract for medical assistance waivers). The primary individuals/positions with this authorization are listed below:
Judy Barton               PHS Director
Laurie Hodgson          PHS Nurse
Terry Smith               SS Director
Lisa McNally               Financial Supervisor
Marcia Hitz                Social Services Supervisor
Nicole Moline             Fiscal Supervisor
Lisa Schuth-Stuhr      Child Support Supervisor
Adopted Unanimously.
ROSCHEN – WOBBE
Whereas, the Wabasha County Human Services Board has maintained an agreement for the provision of mental health and chemical dependency services with Hiawatha Valley Mental Health Center (HVMHC) for many years and wishes to continue this contractual relationship; and
Whereas, the Director of Social Services recommends approval of this agreement;
Now, therefore be it resolved the Wabasha County Human Services Board approves the mental health and chemical dependency services agreement with Hiawatha Valley Mental Health Center at a maximum cost of $125,500. This agreement will end December 31, 2011.
Adopted Unanimously.
ROSCHEN – WOBBE
Whereas, South Country Health Alliance (SCHA) and Wabasha County have previously agreed to the terms of the 2010 Delegation Agreement; and
Whereas, SCHA wishes to make changes in the rates for care coordination and the Connector position; and
Whereas, SCHA wishes to make Wabasha County aware of changes in responsibility for delegated services; and
Whereas, the Directors of Public Health Services and Social Services recommend the delegation agreement be approved;
Now therefore be it resolved by the Wabasha County Board of Commissioners hereby authorizes the Directors of Public Health and Social Services to sign the 2010 delegation agreement amendment on behalf of the County.
Adopted Unanimously.
WOBBE – ROSCHEN
Whereas, the Wabasha County Public Health Services has received additional donations to the PHS Special Needs Fund; and
Whereas, these funds are used at the discretion of PHS staff to assist county residents access health care services, where other funds are not available; and
Whereas, the Greenfield Township combined fund wishes to donate $410.67 and Ms. Caroline Brown wishes to donate $25.00 to the Special Needs Fund;
Whereas, the Director of Public Health Services has recommended the donations be accepted;
Now therefore be it resolved by the Wabasha County Board of Commissioners hereby accepts the donations of $410.67 from the Greenfield Township Combined Drive, and $25.00 from Ms. Caroline Brown. The Human Services Board wishes to thank those who have donated to the Special Needs Fund. These donations will be used according to guidelines put forward by the Public Health Services Department.
Adopted Unanimously.

 
DISCUSSION and INFORMATIONAL ITEMS

Statewide Health Improvement Project
Laurie Hodgson, Public Health Nurse presented an update on the State Health Improvement Project Grant that the Southeast Region Public Health agencies were awarded. She has been working in Wabasha County with many community partners, including but not limited to schools, cities, civic organizations, and medical providers to implement projects that will help make it easier for people to choose healthier lifestyles. SHIP funding as been awarded to several local projects within the county, via Public Health, that are intended to help with reaching this goal. Laurie outlined many of these projects and stated there are still more in the planning stages. This grant is part of the state’s Health Reform plan.
 
Environmental Health Services Report
Darrin Thompson reported on activities for the past month. Also reported on the Individual Septic Treatment Systems (ISTS) rule and enforcement of this rule. Reported he is working on year end reports due to the state on wells and septic systems, as well as abandoned well disclosure issues. Suzie West has mailed out all license renewals, approx ¾ are back, due date is Jan. 31, 2011. Also continues to work with flooded facilities in their efforts to reopen. Reported on activities she does in the area of Public Nuisance complaints as well as lead and radon testing and abatement.
 
Social Services Quarterly Reports
Budget & Collections: Dawn Robinson provided a report on collections activity for calendar year 2010, when her position was part-time. Approximately $204,000 was collected, of which $76,000 was able to be maintained by Wabasha County. Her detailed report identified the major program areas from which the funds were recovered. Commissioner Hall provided additional background on the development of the position and thanked her for this work.
Nikki Moline provided a year end fiscal report on the Department. Overall, revenues were at 112% of projections and expenditures were at 95%. This created a growth in the cash balance for the Department. Moline then shared a document highlighting the specific program areas in which additional revenues had been unexpectedly received. Much of the credit was given to the Supervisors and staff for addressing the detailed case reporting needed to generate this revenue. The additional revenues will be important as we enter a year in which significant funding cuts can be anticipated from State and Federal sources.
Income Maintenance Unit: Lisa McNally provided an update on the transition of General Assistance Medical Care clients that will begin in March. Those clients will return to Medicaid (MA) as the State moves forward to accept Federal funding. McNally also updated the Board on “case banking” that is now in the fourth week. Staff is piloting this approach to services through June 2011. Cautiously optimistic at this stage of the pilot. Other counties have been contacting McNally to learn more about how this process has developed and the outcomes. Social Services Unit: Marci Hitz provided an update on the numbers of children in out-of-home care and intakes during the last quarter.
 
Child Protection Presentation at Statewide Supervisor Meeting
Hitz reported Wabasha County staff has been invited to make a presentation at the February Statewide Supervisor meeting. The improvement in working with child protection cases has been dramatic in the past few years. The Department of Human Services has asked staff to share this knowledge and be available for questions.
 
Care Connector Role with South County Health Alliance
Jodi Johnson, Public Health, reported on the activities she does as Care Connector for South Country Health Alliance. Time spent performing the duties of this position are funded by South Country Health Alliance and it is considered the local connection to the health plan. Members of the health plan can contact Jodi for assistance with benefits, forms, explanations of payment, etc. Also local providers can contact her for assistance with billing issues or coverage issues. In addition Jodi contacts members who are hospitalized or have a high usage of the emergency room or overall medical costs to offer assist with locating community services which may be available to help them get better control of their medical issues or to access lower cost resources rather than higher cost services. An example would be a referral to a Home Care agency that can assist with medication management as the member has been hospitalized 3 times in the past 6 months because they are taking their medications wrong. Jodi works 3 hours per day doing this function.
 
PHS/SS Miscellaneous
Barton clarified the role being requested of Commissioner Wobbe on a statewide health committee. The County Board will reconsider this committee appointment after Barton and Wobbe have a chance to discuss this further. Smith shared an invitation to an upcoming regional meeting for County Commissioners, Administrators, Social Services Directors and Finance Directors. The meeting will be held on February 10th. The topic is an update to the social services redesign project of SE Minnesota. Governing and finance options will be presented to attendees; with the expectation each county will continue discussions on which option(s) might be considered to move forward.
 
WOBBE – NORMAN
Being no further business to come before the Board, motion was made and duly carried at 10:58 a.m. to recess this meeting until 9:00 a.m. on February 22, 2011
Adopted Unanimously.
Agenda for this meeting

 

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