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Minutes April 26, 2011 HS

Wabasha County Human Services Board

Meeting of April 26, 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 9:04 a.m., April 26, 2011 in accordance with MS 402.01 to 402.10. The previous meeting was recessed to this time and place.

 

The following Board members were present: Hall, Harms, Norman and Wobbe.

Absent: Roschen

 

HARMS –WOBBE

BE IT RESOLVED, that the Wabasha County Human Services Board hereby approves the agenda, with no additions.

Adopted Unanimously.

WOBBE – NORMAN

WHEREAS, the Minutes of the March 22, 2011 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

WOBBE – NORMAN

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 3/22/11 through 4/25/11 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 3/22/11 through 4/25/11are 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 3/22/11 through 4/25/11for 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 3/22/11 through 4/25/11have 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.

HARMS – WOBBE

Whereas, Wabasha County Department of Social Services has formerly supported in-school therapy for students who are uninsured; and

Whereas, the Hiawatha Valley Mental Health Center is willing to provide this service to the public school districts in Wabasha County during school calendar year 2011-2012; and

Whereas, the Wabasha-Kellogg and Lake City school districts have indicated they will also participate financially in the support of in-school therapy and assessment services; and

Whereas the provision of assessment and therapy services in a school setting provides excellent availability of the student and parent to fully participate with minimal interruption in the student's education; and

Whereas, the Agency Director supports for the provision of assessment and therapy services in a school setting during the 2011 – 2012 school year;

Now therefore be it resolved, the Wabasha County Board of Human Services hereby accepts the recommendation of the Director for Wabasha County to fund an in-school therapy program for students in the public schools of Wabasha County. The County will fund up to $20,000 for this service. This Resolution is contingent upon good-faith funding by the school districts and the County funding will be reduced should Hiawatha Valley Mental Health Center receive additional grant funding. Contractual and billing documents will be executed by the parties prior to the start of the 2011-12 school year.

Adopted Unanimously.

HARMS – NORMAN

Whereas, the Wabasha County Social Services Director has received a letter of resignation from Kate Smith, Financial Worker, and

Whereas, Ms. Smith is an employee in good standing with 26 years of employment by Wabasha County; and

Whereas, Ms. Smith has indicated her last day of County employment will be May 2, 1011; and

Whereas, the Agency Director has previously accepted Ms. Smith's letter of resignation on behalf of the Human Services Board and recommends acceptance, with thanks for her years of service,

Now therefore be it resolved, the Wabasha County Board of Human Services hereby accepts the resignation of Ms. Kate Smith with regrets, and gratitude for the 26 years of service to the residents of Wabasha County

Adopted Unanimously.

NO ACTION

Terry Smith requested the Board authorize filling the vacancy created by Ms. Smith. The Board heard many positive reasons on why the position should be filled, in addition to reasons why the position might not be filled. After consideration, the Board requested the position be held vacant for one month, until the Minnesota Legislature has moved further along it budget decisions that may affect individual counties.

 

HARMS – NORMAN

Whereas, the Wabasha County Human Services Board is the governing body that sets license fees for Food, Beverage, and Lodging facilities in Wabasha County; and

Whereas, the Human Services Board previously determined that a late fee should be charged to Coffee Mill Motel and River Town Café; and

Whereas, the Public Health Director has since learned of circumstances that were not known at the time of this decision, which indicate that it was staff misjudgment and error which caused these facilities to delay payment of their license fees in a timely manner; and

Whereas, based on the new information available the Public Health Director recommends that we waive the late fees for Coffee Mill Motel and River Town Cafe for the year 2011.

Now therefore be it resolved by the Wabasha County Board of Human Services hereby approves the waiving of late fees for Coffee Mill Motel and River Town Cafe for the year 2011.

Adopted Unanimously.

NORMAN – HARMS

Whereas, the Wabasha County Department of Social Services is the fiscal agent for the Mentorship Program in Wabasha County; and

Whereas, the Mentorship Coordinator has received notice of available funding through the Frontenac State Park Manager, Harry Roberts; and

Whereas, the Human Services Board wishes to continue support for the Mentorship Program and provide positive experiences for the children participating in the Mentorship Program; and

Whereas, the Mentorship Coordinator and Agency Director recommend acceptance of the $1,200 funds that are now available;

Now therefore be it resolved, the Wabasha County Board of Human Services hereby authorizes the Social Services Director to execute the required documents that will provide $1,200 to the Mentorship Program, with a letter of thanks being sent to the donor.

Adopted Unanimously.

WOBBE – HARMS

Whereas, the Wabasha County Human Services Board has been offered a grant in the amount of $2,924 from DHS for technology upgrades needs to implement the new Long Term Screening tool, MN CHOICES; and

Whereas, this is a computerized based program that is utilized by both Public Health and Social Services to complete assessments for the various waiver program; and

Whereas, the Public Health Director and Social Services Director recommends acceptance of the grant;

Now therefore be it resolved by the Wabasha County Board of Human Services hereby accepts the DHS grant of $2,924 for technology upgrades needed to implement the new MN CHOICES screening tool.

Adopted Unanimously.

HARMS – NORMAN

Whereas, the Wabasha County Human Services Board has received SHIP (State Health Improvement Project) grant funding to work collaboratively with community partners to meet the goals of the SHIP grants; and

Whereas, the grant requires that part of the funds be redistributed to community partners based on county wide SHIP plan and goals; and

Whereas, City of Lake City has submitted a project plan that will help the SHIP project meet its goals and objectives and is requesting $20,000 of SHIP grant funding pass thru

from Wabasha County Public Health;

Now therefore be it resolved by the Wabasha County Board of Human Services that they approve awarding of $20,000 SHIP pass thru money to City of Lake City to be used as per the plan submitted to Public Health.

Adopted Unanimously.

WOBBE – HARMS

Whereas, the Wabasha County Human Services Board has previously adopted a series of fee policies for services provided by the County; and

Whereas, the fee policies are annually updated to reflect a change in the Federal Poverty Guidelines; and

Whereas, all fee schedules are adopted in accordance with Minnesota Statutes 246.511, 252.27 and 256B.14 and Minnesota Rules 9550.620-3240;

Now therefore be it resolved by the Wabasha County Board of Human Services that the following fee schedules are hereby approved, and effective May 1, 2011: Shelter Care Fee Schedule, General Sliding Fee Scale, Child Out-of-Home Placement Sliding Fee Scale, Non-MA Targeted Case Management Sliding Fee Scale, and Detoxification Fee Schedule.

Adopted Unanimously.

 

DISCUSSION and INFORMATIONAL ITEMS

 

Presentation of Retirement Plaque to Mary Arens

Board Chair Hall presented a Wabasha County retirement plaque to Ms. Mary Arens, who has been employed by Public Health Services for 25 years. Ms. Arens will be retiring from her position on May 3rd.

 

Environmental Health Services Report

Darrin Thompson indicated the number of permits for wells and septic systems is now increasing with the Spring weather. The amount of rainfall will slow some of the projects that have been issued permits. He will also bring updated information to the Board at the May meeting in regard to the County septic ordinance. This will give the new Board an opportunity to review areas of the ordinance that have local options for enforcement/action.

Suzie West reported the PHS office has issued 96 radon kits, plus another 90 have been handed out by local companies. Of the initial 96 kits, 39 have readings indicating a high level of radon. Water sampling has now started for the year, with licensed entities having their samples submitted to Pace Testing Lab in the Twin Cities for analysis. Privately owned wells continue to have their samples sent to a facility in Rochester. Finally, she has been busy with the opening of a couple new restaurants, the sale of a couple restaurants, and with the movement of refrigeration equipment in another facility.

 

Social Services Monthly Reports

Waivered Services Report: Marci Hitz provided this update on waivered services provided by her unit staff. Waivered services have a primary goal of maintaining a person in the community versus placement in an institutional setting. The waiver is from Federal Rules. Approximately 200 county residents receive waivered services through Social Services. The County has been allocated approximately $10 million in funds. Fiscally, these programs continue to be well-managed and are not a further burden on the local tax dollar.

Quarterly Budget Report: Nicole Moline provided a handout showing a comparison of funding from the first quarter of 2011 with the 4th quarter of 2010 and 1st quarter of 2010. Both revenues and expenditures appear to be less than projected. There were no budgeting concerns reported by Administration. The cash balance for Social Services on March 31st was approximately $3.2 million.

Quarterly Collections Report: Dawn Robinson showed a comparison of quarterly data for the 4th quarter of 2010 and first quarter of 2011. The Collections Officer position has been in place for 15 months and recovery efforts continue to show positive results. During 2010, the County retained $76,000 of collected funds, and in the first quarter of 2011, the County has retained almost $24,000.

 

Redesign Update

Terry Smith provided a brief update on redesign efforts. A draft of information was shared with the Board. The Steering Committee will be meeting with DHS Commissioner Jesson on May 3rd. Smith has agreed to continue as the eastern hub representative on the Steering Committee. The committee will work towards producing a succinct mission/vision statement and development of planning to take the redesign effort to the next level.

 

New Home Care Rules

Judy Barton indicated there are changes coming to Home Care providers that will have financial implications. The primary concern is the increased level of supervision that will be needed of home health aides. Barton pointed out that the supervision hours are not eligible for reimbursement. Chronic care provided by home care agencies has a supervision requirement of once every 60 days. The new rule will require supervision every 14 days. Barton is concerned that this new rule may force some home care agencies out of business, or refuse to do Home Health Aide services that are in the middle of the county due to increased supervision travel, thus limiting access to home care for our residents.

Barton also explained the Home Health Compare system in place on the web and some of the inaccuracies it contains when comparing acute care agencies with agencies that provide mostly long term chronic care.

 

Service Delivery

Smith requested additional time be allowed on a future agenda to discuss the Board's directions on how the delivery of services will be determined. In an environment where the public wants to see less government, the Board will need to determine the level of service that might be provided with less staff? Are waiting lists reasonable? How long should residents have to wait to have an application processed and services provided? There was insufficient time available to comment today, but this will be part of the process necessary for continuation of our budget, and overall strategic planning of the County.

 

PHS/SS Miscellaneous

Smith asked the Board for feedback on the monthly reports that have been provided, looking to see if additional information is requested. The Board indicated they are receiving enough information to make decisions. Smith also reminded them to make contact if they have topics in which they would like additional detail.

 

NORMAN – HARMS

Being no further business to come before the Board, motion was made and duly carried at 11:00 a.m. to recess this meeting until 9:00 a.m. on May 24, 2011

Adopted Unanimously.

Agenda for this meeting

 

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