Continuum of Care Committee Meeting Minutes

Date: September 14, 2005

PRESENT: Linda Borleske, Joan Fordham, Joan Wheeler, Al Dippel, Art Carlson, Tommy Bychinski, Paul Endres, Jeanne Leeck, Gene Wiegand, Bill Orth, Kerry Beghin, Kathy Schauf, Diane Keylock

ABSENT: Larry Volz, Judith Stoeckmann, John Earl, Lowell Haugen

1. Called to order at 6:00 p.m. by Paul Endres. The open meeting law requirements were met.
2. Motion by Bychinski, second by Carlson to adopt the agenda.
   Motion carried.
3. Motion by Fordham, second by Borleske to approve the minutes.
   Motion carried.
4. Communications: Paul indicated that the Baraboo News survey asking if the county should sell the HCC if a buyer could be found resulted in a vote of 71% against selling and 29% for selling.

   Kathy passed around copies of an e-mail received from Tom Kriegl in which he asked if other county owned nursing homes operate with minimal levy dollars and if so what conditions allow for this. Paul has done some checking on Columbia County operations and will present a response to this committee, the whole board, with a written response to Mr. Kriegl. Communication also received from Joan Wheeler and Joel Gaalswyk asking that another representative from Eau Claire County present to this committee. Will discuss under future plans.

5. Presentation of community care costs by Bill Orth. Total waiting list of 300 with 267 costing an average of $42/day to serve and 33 costing $200/day to serve = $6,502,110 to remove all from waiting lists. Tax levy needed would be $4,589,055 each year plus additional HS staff, computers, work stations etc. This assumes the placements are there - includes no building costs.
6. Jeanne updated the board on the request from Mr. Davidson. Copies of all material requested will be sent. There is only one copy of the Medicare/Medicaid cost reports so will remain at the HCC however will be available for inspection there. Will make one copy of books to send to him. Three copies of all other information will be available for the committee in Kathy's office.
7. Kathy reviewed the goal sheet with additions made by Joan W. Joan asked if it would be possible to find in which communities the needy populations are located. Bill suggested looking at his waiting list but If they aren't on a waiting list we would have no way of knowing where the elderly/disabled live. The Health Care Center MDS has address information - Jeanne will look into that. Looking at a way to define the characteristics of the population to be served. Access to the waiver programs is fairly consistent in that they have functional and financial assessments. Could use the COP assessment tool as a starting point for financial characteristics. Committee then looked at the chart of services provided, funding, gaps and the county's role in the service. Additions/changes were made to the chart as well as discussion of entries. (Paul asked Bill to update the board on the homeless program. An 800 number has been set up for residents to call if need rental assistance, shelter etc. Card has been printed and will be distributed. System is now organized.)

   Quorum was lost since Tommy had to leave.

   Kathy suggested the committee take the forms home and pencil in ideas. If information is given to her ahead of time, she can make changes and get it out before the next meeting.

8. Possible presentation by member of Eau Claire County board with an opposing view to Ms. Bates was discussed. Joan Wheeler has contacted the Eau Claire County board and one member of the board and Corp. Counsel would be available on October 11 by conference call with a Power Point presentation. Preliminary arrangements have already been made by Joan for the presentation.
9. Future meetings. Next meetings will be on September 28, October 11, and October 24 all at 6:00 p.m.
10. Motion by Endres, second by Fordham to adjourn.
    Motion carried.

Respectfully Submitted: Joan Fordham, Secretary