Minutes May 22, 2012 HS

Wabasha County Human Services Board

Meeting of May 22, 2012


The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:30 a.m., May 22, 2012 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, Harms, Norman, Roschen, and Wobbe.

Absent: None



BE IT RESOLVED, that the Wabasha County Board of Commissioners hereby approves the agenda, with 2 additions for discussion:

Towards Zero Deaths – Grant

Maternal Child Health - Grant

Adopted Unanimously.


WHEREAS, the Minutes of the April 24, 2012 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


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 4/24/12 through 5/21/12 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 4/24/12 through 5/21/12 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 4/24/12 through 5/21/12 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 4/24/12 through 5/21/12 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.


Whereas, Wabasha County Human Services Board has approved a plan for the access to medical care for Medical Assistance clientele, and

Whereas, Red Wing Mobility, a provider of transportation services in Red Wing, has requested consideration of a contract to provide transportation services to residents of Wabasha County; and

Whereas, funds for transportation are provided through the health care access fund at the State of Minnesota, in accordance with DHS Bulletin #10-21-02 and any subsequent amendments or alterations to allowable access transportation services; and

Whereas, the provision of transportation services through this contract is mutually beneficial to the provider and Wabasha County; and

Whereas, the Director of Social Services recommends the approval of this contract;

Now therefore be it resolved, the Wabasha County Board of Human Services hereby approves the transportation contract between Red Wing Mobility and Wabasha County. This contract will expire on December 31, 2012.

Adopted Unanimously.




Introduction of New Employees

Ms. Jaimi Smiley (Social Worker) and Ms. Taki Huen (Intern) were introduced to the Human Services Board.


Environmental Health Services Report

Susie West is working on the licensure process with the new owners of the Dairy Queen in Wabasha and the Galley in Lake City. She is also working on a special events license at the Wabasha softball field for an event this summer.

A question has been raised during the recent 100-mile garage sale (first weekend of May) and the selling of food. Should the staff work to enforce the special event license requirement? After discussion, the Board recommended an educational approach for next year's event. A focus might be on public service announcements and the area Chambers of Commerce.

The new owners of the Rivertown Café (Wabasha) continue to work with Ms. West regarding the hood for the kitchen. She also brought forward information about the "Dinner on the Farm" and was advised to follow through with a special events license for the caterer bringing food to this event.

Staff is also working to resolve a case of food-borne salmonella poisoning. 5 people were initially identified with the poisoning; only 1 has needed additional treatment.

Darrin Thompson reported the installation of a septic system at the Theilman Opera House has been completed. There have not been many additional septic installations this Spring and continues to work on soil inspections.

Darrin is recommending his work on updating the septic ordinance be held off until Legislative issues become clearer. There were a number of challenges at the Legislature this past Session that asked for revisions to the State plan. Once those issues are resolved, he would then resume his work on the local ordinance, but would make sure the ordinance is completed within the required timelines for the State.


Social Services Quarterly Reports

Social Services Unit Quarterly Report: Marci Hitz provided comments regarding the increase in caseloads and client numbers in the first quarter of the year. The number of clients has increase from 883 to 1,115 (January to March 31). The number of children in out-of-home care has also risen from 20, to 29 in the same period.

Children's Services Report: Attending with Ms. Hitz was: Heidi Young, Tim Hunter, Rachel Luehmann, Jaimi Smiley, Tammy Loretz, and Abbey Riedel. Workloads have been reassigned in the past months due to the changing caseload demands. A social worker from the adult services area has been moved to the children's services area.

Ms. Hitz complimented the work of Judy Siebenaler, YouthLink Coordinator. There are more children matched with mentors at this time than ever. She then reviewed the overall budget of the program, looking at revenues and expenses, and donations.

The number of children in out-of-home care has increased, and was highlighted in a handout showing data from 1992-2011. The needs of the children have become more difficult to treat, which has an effect of being more expensive per month to treat, and of longer duration.


Service Agreement with Olmsted County PHS – TB

Olmsted County has been operating a Tuberculosis diagnostic clinic with physicians from Mayo Clinic infectious disease donating their time. At this clinic they offer free diagnostic workups and then order appropriate treatment dependant on results. Mayo Clinic has asked that Olmsted County allow residents from other counties to participate. Olmsted County has agreed to allow other counties' residents go to their TB clinic if the county of residence has signed a Service Agreement with Olmsted County. There will be no cost to the County or to the resident, however, they will bill the residents insurance if they have it. Approval was unanimous to sign this service agreement.


Update on Home Care –Closure Process

Judy updated the Board on the status of their Home Care closure. Thus far they have transferred 5-6 clients to other agencies. It is taking some time for those closer to Wabasha, as most of these clients chose St. Elizabeth's Home Care and they have to hire staff in order to handle the increase in business. Judy is confident all clients will be transferred by the closure date of June 29


Early Retirement Option

Judy updated the Board that one of her Certified Public Health Nurses, Laurie Hodgson, has decided to enroll in the early retirement program. At this time Judy is going to try a trial basis with not replacing this position. Dependant on revenues that may be lost if this position is not filled, she may come back to the board in 3-4 months requesting at least a part time position. Judy did explain that the bigger issue is that Public Health is now down to 3 Certified Public Health nurses who are all 55 or older, this presents an issue as many programs and grants that are available require that a Certified Public Health nurse do the work. She is encouraging the RN's currently working for the department to go back to school so they can become Certified Public Health Nurses. But this is a 2 year commitment and a significant cost (equal to 2 years of college credits).


Redesign Update

Smith provided a handout of where the redesign project now sits. The April 12th and May 7th meetings in Rochester provided a basic framework that counties were agreeing upon. A funding model that utilizes a base year of 2010 was agreeable (May 7th meeting), and a governing model with a weighted vote for Olmsted County was also agreeable (May 7th meeting). The current model would have a savings of $772,142 in the first 5 years for Wabasha County. And an overall savings of $3.4 million in the first 15 years. These projections are based upon the current model and 12 counties participating.

Board members have significant questions whether or not the finance model would and projected savings will be real? They also have a strong desire for a governance structure of one county, one vote.

Counties will be asked to reach a decision on whether or not to continue participation in the project. Those counties remaining will then re-examine the business model, finance and governance. If acceptable, they will then commit to participation via a final Resolution.


PHS/SS Miscellaneous

Judy Barton indicated there are 2 grants coming up for renewal, requesting permission to move forward with those application processes. The Towards Zero Deaths (TZD) and Maternal Child Health (MCH) grant material may arrive and need action before the next Human Services Board convenes. By consensus, the Board gave permission for the submission of these grant applications if necessary to meet State timelines.



Being no further business to come before the Board, motion was made and duly carried at 11:58 p.m. to recess this meeting until 9:30 a.m. in June (date to be determined in conjunction with a County Board meeting). Legal timeframes for posting will be followed.

Adopted Unanimously.

Agenda for this meeting


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