Human Services Committee Minutes


DATE: April 6, 2009, 5:00 p.m., ETN Conference Room, Baraboo, WI

Members Present: Alexander, Bowers, Fabisiak, Vertein, Dippel, Fordham, Endres, Stoeckmann, Sinklair

Members Excused: None

Members Absent: None

Others Present: Orth, Brattset, Box

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

Motion by Fordham, seconded by Dippel to adopt the agenda with the amendment of Department Update, Item A to be moved to Business Items, Item G. Motion Carried.

Motion by Bowers, seconded by Sinklair to approve minutes of the previous meeting. Motion Carried.

Public Comment
None
Communications:
CWCAC Update: Fordham noted that she will report in May, 2009 on CWCAC update.

Business Items:

A. Review and Approval of Monthly Vouchers: Box distributed the monthly voucher report (see attached). Stoeckmann reported that there was an increase in mental health hours as well as decrease in administrative costs due to payments schedule. There was an increase in Residential due to CBRF and AODA services. Community Treatment was up by $100,000 due to January and February, 2009 bills held to verify information. Institutional was up by $39,000 due to two new alternative care placements and $20,000 for an inpatient stay. Income Maintenance was up due to an increase in funerals. W-2 was down due to previous monthly payments. Energy Assistance was down due to no bill this month. Motion by Bowers, seconded by Stoeckmann to approve the vouchers in the amount of $1,266,306.52. Motion Carried.

B. Strategic Issues: Orth reviewed a list of Strategic Issues (see attached cover letter). Bowers commented that in regards to homelessness, asking the question if the St. Vincent Project is only for Prairie du Sac residents. Orth noted that this is a county wide project, however, a brief review of the potential St. Vincent Project will be given later and it will serve all county residents. Fordham indicated that the Homeless Haven is working to be reorganized with a local attorney, but in time they could also be part of agencies working on county wide homelessness issues. Motion by Bowers, seconded by Fabisiak to approve the Strategic Issues as noted in cover letter. Motion Carried.

C. Support for Marquette County: Orth indicated that Brattset had gone to Marquette County on a number of occasions to cover for the illness of the Director in that County. This is time limited and will provide support in the hopes that if mutual support is ever needed it will be reciprocated. This period of time shall sunset by June 2009 at the latest and equates to several hours per week for consultation only. Motion by Stoeckmann, seconded by Bowers to continue the support at 6-8 hours per week maximum in the interim of Marquette County finding a new Director. Motion Carried.

D. Stipend for Intern: Orth noted that a Ph.D. student in Rehab Psychology has been participating in a student internship at Sauk County Department of Human Services. This internship would be enhanced potentially in the next year with a full time, one year internship requested by the University of Wisconsin. This would be a paid internship at approximately $15.00 per hour stipend. Currently, administration of Human Services is looking into the ability to bill direct contact hours by this intern during the internship and potential contract directly through the University for the stipend. Orth will update the Board in May, 2009 on this issue.

E. WCHSA Conference: Orth noted that the WCHSA Conference is coming up in May. Board members are not interested in attendance at this time.

F. Appointment of Karen Granberg to the Comprehensive Community Services Coordinating Committee: Orth noted that he recommended appointing Karen Granberg to the Comprehensive Community Services Coordinating Committee at the request of Comprehensive Community Services staff. Motion by Stoeckmann, seconded by Vertein to approve Karen Granberg's appointment to the Comprehensive Community Services Coordinating Committee for a two year term. Motion Carried.

G. Year End Estimate: Box distributed summary of Sauk County Department of Human Services 2008 Year End Preliminary (pre-audit). Box noted on the pre-audit numbers that adjusted 2008 agency variance F(U) at $371,369 favorable to budget. Carry forward from 2007 to 2008 year end agency variance subtotal F(U) is a total of $731,452. This is less carry forward 2009 for unspent balance of continued projects, therefore equaling 2008 year end agency variance remaining F(U) $498,431. Orth noted that included are MIS carry forward, which is already approved in the budget and that Long Term Care Redesign involved three new nurses that ended up under collecting revenues by $14,000 to $15,000 due to training and low revenues in startup. This was covered by the Family Care District as startup in 2008. However in 2009, Sauk County will have to cover full revenues. Request is to set aside $50,000 in the event of possible under billing in 2009 for Family Care. Motion by Fordham, seconded by Stoeckmann to approve $50,000 carry forward for Family Care. Discussion: Sinklair asked if this would be enough, Orth replied, yes. Bowers asked if we could use some carry forward money to supplement the stipend for the internship. Orth replied that he would like to see this intern possibly earn enough revenue to support the position at this time. Motion Carried.

Department Updates:

B. Homeless Project: Orth reviewed the current situation of the Homeless Project at St. Vincent of Prairie du Sac. Currently, there is an initiative with Hope House and CWCAC putting in for a domestic violence grant. Human Services would write a letter of support for this grant. Fabisiak distributed St. Vincent's plans on building a 15 unit complex for homeless mothers and children. St. Vincent's will be doing a fund raising effort to attempt to obtain approximately $100,000 and later to continue to sustain with various contributions this project.

C. Governor's Budget: Orth distributed a review of the 2010/2011 Governor's Budget Proposal (see attached). A review of cuts comes to a projected loss of $510,169.60 with many programs seeing a minimum of 1% cut and elimination of IV-E funds as well as 14% cut in DCF Basic County Allocation and picking up the State's share of Winnebago/Mendota placements being the largest areas of concern. Orth noted that he and Brattset will keep the committee updated on these concerns as we go into the next budget year cycle.

D. Intoxicated Driver Program - Contract For Assessments: Brattset reported on the current IDP contract for assessments, explaining that this contract is currently with the Pauquette Center and is for amounts that is generated by assessments themselves without additional revenue from the Human Services Department. Brattset reported that there have been a number of consumer and local provider concerns regarding the contract such that Brattset, Orth, and Boesl will review current options up to and including perhaps bringing IDP assessments back in to Human Services or putting services out for RFP to other local agencies. There will be continued updates on this topic in the future.

E. Long Term Care District - Family Care Update: Orth reported that the Family Care District will be funding $14,000 to $15,000 underage for the first year as previously mentioned. The Family Care District estimates a $107,000 loss, which was much less than previously thought for the previous year. Currently, Orth noted that this loss will be covered by reserves. Fordham noted that the state has been slowing the number of consumers being taken into Family Care and this has resulted in a decrease in revenues to the Family Care District. As a result of this, losses will continue, but in the long term, it will eliminated waiting with better services for all consumers in the Family Care District. Fordham noted that the Family Care District is very professional and she is confident they are managing the Family Care District appropriately.

The next meeting of the Sauk County Human Services Board is scheduled for Monday, May 4, 2009 at 5:00 p.m.

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

Bev Vertein