Human Services Committee

Members Present: Alexander, Dippel, Bowers, Fordham, Stoeckmann, Endres, Zowin, Vertein

Members Excused: Fabisiak

Members Absent: None

Others Present: Orth, Brattset, Horkan

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

Motion by Dippel, seconded by Zowin to adopt the amended agenda (amended 9/6/06).
Motion Carried.

Motion by Stoeckmann, seconded by Endres to approve minutes of the previous meeting.
Motion Carried.

Communications:

None

Business Items:

1. Review and Approval of Monthly Vouchers: Horkan distributed monthly vouchers report (see attached). Endres reviewed the report, noting that the administrative line was higher in August 2006 due to computer training. The community living line was down from July 2006 due to changes in roommate situations resulting in savings. Community treatment was up this month and institutional line was down considerably due to there not being a Mendota bill this month. Income Maintenance was down due to less funerals in the month. Energy assistance was up due to the end of August reconciliation process. Motion by Endres, seconded by Dippel to approve vouchers in the amount of $1,668,359.56.
   Motion Carried.
2. State/County Contract Amendment - MA Administrative Pass Through: Orth spoke about the contract amendment from the State on adult family homes. Horkan noted that this contract was for $82,900. Motion by Fordham, seconded by Stoeckmann to accept this contract amendment.
   Motion Carried.
3. Staff Training Approval: Brattset presented on the AAMFT (American Association of Marriage and Family Therapists) training in Austin, Texas which the Department would send two staff to attend. This training would focus on community based care and would be funded by the CST grant from the State. Motion by Stoeckmann, seconded by Vertein to approve out of state travel for training at the AAMFT in Austin, Texas for two Human Services staff members.
   Motion Carried.

Department Updates:

1. Long Term Care Redesign : Orth reported on the Long Term Care Redesign quarterly report included with this month's agenda. Endres noted that several counties have pulled out of coalitions and inquired as to why that is. Orth noted that it was due to reorganization and the fact that one other county pulled out to stay with one consortium due to cost containment issues. Orth spoke briefly about capitation's, risk, and populations. Orth further explained that Sauk County is in the ADRC development only in the southwest region due to staff efficiency and time. Orth presented on ADRC's briefly, explaining that the next step would be to determine potential staffing patterns and discuss that with Personnel. In addition, full fledge organization on ADRC's would occur sometime in the spring or summer of 2007. In the near future, presentations on ADRC's will occur to the Human Services Board. Orth handed out the Long Term Care conference brochure which is to occur in October 2006 (see attached). Orth noted that board members could attend and to forward registrations to the Department. Orth expanded that the State has estimated Long Term Care dollars that would pertain to Sauk County at 1.3 million. In addition, the State noted that this contribution would be capped permanently and that this would be the annual contribution. Orth spoke about the Milwaukee partnership research institute having the ability to run a model county by county and he has requested this to be done for Sauk County to assess risk reserve and financial perspectives. Information on this model will be forthcoming.
2. SCAN Update: Brattset reported that SCAN has started in conjunction with the new school year and that their current census is 8-9 students. There have been some changes to include considerations in the referral process as well as increased team communications with family members and referral sources. This continues to be a continued quality improvement process. A meeting will occur sometime in the near future among Human Services and SCAN management to discuss further direction.
3. 2007 Budget: Orth reported that there were some reductions in the budget due to MIS reduction. The full budget will be presented on September 13, 2006. There was a request to reduce the budget by the Administrative Coordinator and Orth complied taking approximately $96,000 out of the budget that was designated for inpatient hospitalization and FPI services. This new configuration presents an increased risk, but is possible and necessary.
4. Psychiatry Time : Orth reported that Dr. Jack Bradt, Child Psychiatrist will be retiring in October of 2006. There is a currently an active effort by the Department to recruit a replacement.
5. Personnel Update: Orth reported that Heather Sorenson has been hired in the collections area of the Department.
6. Institutional Placements: Orth reported that institutional placements are projected to be $800,000 in 2006. This is a significant increase over last year and the year subsequent to that. This figure results in increase in length of stays, particularly with elderly and developmentally disabled clients. There continues to be challenges with this profile of client in terms of case management and placement and there are efforts among the Department to discuss potential staffing issues pertaining to deciding if increased resources and case management would be beneficial. This increase, according to Orth, would have to be offset by savings and the committee will be updated at a later date.

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

The next meeting of the Sauk County Human Services Board is scheduled for Monday, October 2, 2006 at 5:00 p.m.

Respectfully Submitted: Judith Stoeckmann