WCDHHS Board Meeting Minutes
October 3, 2012
Waupaca County Courthouse
Room 1068
Waupaca, WI
Members Present: Dave Neumann, Carl Kietzmann, Don Morgan, Jerry Murphy, Jan Lehrer, Jim Boyer, Don Aasen
Members Excused: Dr. Steven Goedderz., Elizabeth Tautges
Members Absent: None
Staff Present: Chuck Price, Lana Draeger, Chris Machamer, Heidi Dombrowski, Gail Yest, Linda Behm, Alan Stauffer, Alysia Dillenberg, Celeste Leider, Gene Ruppert, Mandy Welch, Pat Enright, Mary Robbins
The regular meeting of the Health and Human Services Board was called to order at 6:00 pm by Chair Gerald Murphy.
Public Comment: None
Motion by Lehrer, second by Aasen, to accept agenda. Motion carried.
Motion by Lehrer, second by Neumann, to approve minutes from August 22 with one typographical correction and September 5, 2012. Motion carried.
A. Presentation of the 2013 DHHS Budget. Managers introduced themselves to the Board. Key points to the development of the budget were reviewed by Director Price. No additional tax levy is being requested. Managers were directed to bring a 0% budget into the Board. Total budget revenue is projected at $12,566l.268 and expenses are projected at $15,838,813. Two key pieces to the budget are a 0% health insurance increase, and the Family Care buy-down is $187,092 less than for the 2012 budget. Director Price feels we have challenges ahead for 2013, but also have the opportunity to be creative. Three themes to identify: 1. Overall data system/The Clinical Manager (TCM); 2. Service collaboration with both internal and external stakeholders; 3. Analytics and predictive technology, which will be tied into our new data system. Future Considerations and Concerns: Mobile crisis response; comprehensive community services; alternative response; restructure of the Fiscal/Administrative unit, and the Children and Families unit; requests for additional staff; trauma informed care; strategic planning for future programming; workforce shifts, i.e., retirements.
Heidi Dombrowski, County Finance Director presented the Department’s 2013 Budget. Heidi met with all managers. She stated managers are all very knowledgeable about their budgets. They played a key role in putting together the budget. Heidi’s Department staff has been very helpful also in putting together the budget. The DHHS Budget is broken into three areas – Health Services, Elderly Services, and the remainder of Human Services.
Health Services – In some areas, there may be budget overages, but they get grants to offset 100% of the costs. Overall, revenues are meeting the expenses. This Department has many grant programs that receive 100% funding. Those are shown on pages E7, E8, and E9. These are $0 levy programs.
Human Services – This is the largest budget. Programs have been moved around to other budgets, which explains the amounts of decreases. Business and Financial Operations are the support and overhead operations of the Department. Many of the expenses are allocated to other areas of the Department. We had a decrease of about $187,092 in the County Contribution to Family Care. The budget includes a projected amount of $215,161 for the contingency fund in case we have unexpected or unforeseen expenses.
Economic Support Division – W-2 and Children First Programs will be discontinued in 2013, which is the reason for the $0 budget. Income Maintenance has a direct expense of $46,000, but Heidi feels we can capture more AMSO funding to offset this budget.
Family and Community Services Division – Children’s long term care, Early Intervention Program, Family Support, Community Options, etc.
Community Behavioral Health Division – Mental Health, AODA, Crisis services. This is a volatile budget that could be affected by only a few inpatient admissions. This budget receives funding through collections and fees.
Child and Youth Services – Services to juveniles, such as Child protective services, juvenile justice, foster care, kinship care, etc. No major changes are expected in revenues. This is the other volatile budget due to high-cost juvenile placements.
Waupaca County Industries – Part of Rehab funds goes into AMSO distribution. Heidi wants to keep an eye on this program and monitor the budget.
Elderly Services – There is a large increase in expenses and revenues. The offset is because of moving the ADRC budget into this budget. Transportation has a required county match for services. Expenditures decreased in the Elderly Benefit Specialist position, which helps to capture more funds in the ADRC.
Motion by Lehrer, second by Neumann, to accept the 2013 Health and Human Services budget. Motion carried. Chair Murphy thanked Chuck, Heidi, and the DHHS Managers for their work on the budget.
B. Finance
1. Cell Phone Signal Booster at WCI – Gene Ruppert and Celeste Leider presented a proposal for a cell phone booster at WCI. Due to the high cost of regular phones through the Manawa Telephone Company, they are looking to switch to cell phones at a reduced cost. However, due to the workshop, they didn’t have good reception. With assistance from Leighton Trice, Maintenance Manager, they were able to get a trial cell phone booster that made a great difference on the cell phone signal. Celeste received a bid from Ben’s Radio for an antenna and increased reception, at a one-time cost of $4,100 with no ongoing monthly service fee. Motion by Morgan, second by Boyer to approve the request as presented. Motion carried.
2. Director Price reviewed the Income Statement Overview. The overall budget appears to be on track heading into the last quarter of 2012. We continue to monitor out-of-home care costs.
3. Payment Register was reviewed. Motion by Lehrer, second by Boyer, to approve bills. Motion carried.
C. Personnel
1. Pat Enright submitted a letter announcing his retirement for January 4, 2013. Motion by Neumann, second by Morgan, to accept with regrets the retirement of Pat Enright. Motion carried with Lehrer voting No.
2. Employee Update was shared with the Board.
A. EIP/FSP/COP Advisory Committee Meeting Minutes of September 13, 2012, were reviewed.
B. Director’s Report
1. General Update and Discussion – Compensation study has come out and staff have been educated. A letter has been sent to the legislature by various legislators to look into LogistiCare. Next week is trauma informed care training. Volunteer picnic was a few weeks ago. About 350 people attending and it was a fantastic program with entertainment and food. The Department has started an agency newsletter, The Porchlight. A copy was routed. Copies will be sent either by email or hard copy to the Board.
2. Alternate Care – we have a number of high-risk kids in residential treatments and treatment foster homes. We continue to work with finding community placements.
3. Mental Health – acute hospitalization admissions spiked in August, but reduced again in September. We continue to monitor placements.
C. Announcements and Correspondence
1. WCHSA Fall Conference Agenda was shared with the Board. Lana will make reservations for anyone wishing to attend. Members should contact Lana by October 26 so she has time to make reservations. The Quarterly WCHSA Eastern Region Meeting in Green Bay/Allouez is October 18. Member should contact Lana by October 10 to make reservations.
2. A report on Food Insecurity in the WIC Population was shared with the Board.
Motion by Lehrer, second by Neumann, to adjourn into Closed Session Pursuant to WI State Statutes 19.85(1)(C) for the purposes of reviewing the performance of county employee. Role Call: Lehrer: Yes; Morgan: Yes; Kietzmann: Yes; Aasen: Yes; Boyer: Yes; Neumann: Yes; Murphy: Yes. Motion carried.
Motion by Morgan, second by Lehrer, to adjourn from Closed Session and Return into Open Session. Role Call: Lehrer: Yes; Morgan: Yes; Kietzmann: Yes; Aasen: Yes; Boyer: Yes; Neumann: Yes; Murphy: Yes. Motion carried.
Motion by Neumann, second by Boyer to authorize the Human Resource Director and DHHS Director to modify the DHHS Organizational Chart to include a Fiscal Director and an Accountant to be effective immediately upon approval by the County Board of Supervisors. Motion carried.
Motion by Aasen, second by Morgan, to adjourn from meeting at 7:45 pm. Motion carried.
Next meeting is November 7, 2012.
Submitted by,
Lana Draeger
Office Manager
Approved by,
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