Human Services Committee

DATE: September 10, 2007
TIME: 5:00 p.m.
PLACE:
County Board Room
Baraboo, WI

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

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 Vertein, seconded by Dippel to adopt the agenda.
Motion Carried.

Motion by Fordham, 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 the monthly voucher report which was reviewed by Endres. Endres noted that salary and benefits were down this month due to no payment of health insurance. Contracted labor was up due to two termination of parental rights cases (TPR's). There was an increase in psychiatry utilization. Administrative expenses were down from average due to annual fees being paid in July. Community Living and Support was up due to extra VARC costs and sending a number of participants to Easter Seals Camp. Residential was up due to increase utilization of CBRF's and AODA costs. Treatment was up due to a CESA payment and Institutions were down significantly as billing was not in yet. Income Maintenance was down due to a decrease in funeral and cemetery costs. Motion by Endres, seconded by Stoeckmann to approve vouchers in the amount of $1,701,836.26.
    Motion Carried.
  2. State/County Contract Addenda: SBIRT-AODA treatment: Orth noted that the screening intervention and referral to treatment program provides AODA savings with federal money passed through to the county. This program provides assessments and potential referral from a center in Hillsboro. Total of $14,947.00 is provided in the contract. Medical Assistance Administrative Pass Through: Horkan noted that the amount from claim reporting from the state was $84,209.00. Motion by Dippel, seconded by Horenberger to approve SBIRT-AODA and MA Pass Through dollars as noted above.
    Motion Carried.

Department Updates:

  1. LaCrosse Lakeview Collaboration: Orth noted that the Sauk County Board passed the Resolution for the LaCrosse Lakeview Collaboration unanimously and the process of collaborating with LaCrosse Lakeview will begin in the near future.
  2. Public Health Department Direction: Orth noted that a meeting occurred with Personnel and the Board of Health Committee to discuss the direction of leadership in the Public Health Department. The Board of Health decided to pursue continued advertisement for a new director. Orth noted that perhaps in the future there could be further discussion of leadership provided by Human Services. Horenberger noted that this process was started late in the hiring process and perhaps if started earlier and discussed in greater detail, this could be a discussion for future plans.
  3. Long Term Care Redesign: Orth reviewed the handout from the Southwest Coalition with summary of the process that has occurred to the present (see attachment). Orth noted that there will be a meeting on October 29, 2007 from 10:30 a.m. - 2:00 p.m. that County Board Chair, Marty Krueger and another board member will attend to discuss the relative aspects of governance between a 66.0301 agreement for becoming a Long Term Care District. Orth referenced a comparison chart (see attached) and indicated that there currently is not legislation for a Family Care District. Orth summarized the difference between a Family Care District and 66.0301 models. In a 66.0301, the risk is retained by the counties and in Family Care Districts, the statement would note that the counties do not assume risk. There is a current split in the Southwest Coalition as to the governance model. The agenda for the meeting on October 29 is designed to discuss which model to choose for the Southwest Coalition with a target date of completing this by December 2007. In addition, Orth noted that startup funds may be offered from the state, particularly to the Southwest Coalition and that ADRC development is moving forward, according to time tables. Currently the Southwest Coalition is moving towards reorganization towards understanding operations. At this time Orth expects Sauk County to be projected to start operations sometime between July and October of 2008.
  4. Quality Service Reviews: Orth noted that the Child Welfare Quality Service Review scheduled for Sauk County Department of Human Services will be conducted February 4 - 8, 2008. Initial meetings are occurring. Orth instructed the board that the meeting on Friday, February 8, 2008 will be a summary report with Sauk County having had about 12 cases reviewed and that board members are invited to attend. In addition, there is a meeting on October 24, 2007 from 1:00 - 4:00 p.m. in the Sauk County Board Room to begin orientation to the Quality Service Review process. Board members are invited to attend this meeting. Orth noted that there will be notices sent regarding this meeting. Orth further explained that there is a state technical assistance component to the review post the review process to rectify problems. Orth is participating as a technical advisor in these sessions with other counties. Orth explained that he will be taking a number of vacation days in the upcoming months to provide consultation to these counties in these correction plans. Stoeckmann noted that although Orth is doing this on his own time, Sauk County benefits due to his learning's in this process and will bring that back to Sauk County to better enhance Sauk County systems.
  5. Jail Diversion Meeting: Orth noted that he attended a meeting organized by Kathy Schauf and attended by Judge Evenson, Randy Stammen, and a representative from the District Attorney's Office to discuss potential options in jail diversion methods. There was a lengthy discussion on the focus on early intervention and prevention programs. Discussions will continue with Brattset attending these meetings and reviewing current county prevention orientated programs with an understanding of what additional programs could be used to enhance jail diversion. The next meeting of this group will be in October, 2007.
  6. 2008 Budget: Orth noted that the process continues and it looks like the county's health insurance costs may be lower than anticipated. This will help the budget proposal. In addition, Orth summarized the online budget survey that was conducted by the County. Orth highlighted that there were approximately 150 participants in this survey and of particular interest was that Human Services/Long Term Care and Disability Services received very high rankings as well as Child Protective Services. It was noted that in addition to high rankings for current provided services, there was an indication that these services should be continued and expanded with enhancements.

The next meeting of the Sauk County Human Services Board is scheduled for Monday, October 1, 2007 at 5:00 p.m.

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

Respectfully Submitted: Judith Stoeckmann