Continuum of Care Committee Meeting Minutes

DATE: November 10, 2005

PRESENT: Linda Borleske, Joan Fordham, Joan Wheeler, Art Carlson, Paul Endres, Larry Volz, Jeanne Leeck, Kerry Beghin, Kathy Schauf, John Earl, Lowell Haugen, Al Dippel, Tommy Bychinski, Sue Hebel, Cindy Bodendein

ABSENT: Judith Stoeckmann

1. Called to order at 6:00 p.m. by Paul Endres. The open meeting law requirements were met.
2. Motion by Borleske, second by Carlson to adopt the agenda.
   Motion carried.
3. Motion by Fordham, second by Volz to approve the minutes with a spelling correction.
   Motion carried.
4. Public Comment - None
5. Communications. Kathy received notice from Mr. Davidson that he would be unable to attend this meeting. Will reschedule for November 22. Also received e-mail from Mr. Deignan answering the questions the committee posed. He will discuss the cites received by his nursing home (during the upcoming conference call); regarding the pay differential - he indicated job categories were reduced to a more manageable number however he does not have the actual numbers from prior to the sale. Current FTE/patient ratio which is 1:16 (for all staff) with a census of 133; he stated they do not have adult daycare however have a program for current residents who are mildly demented that resembles formal daycare setting however is not licensed.
6. No updates.
7. Tommy Davidson will be rescheduled.
8. Review and discussion of goal statements. General discussion on the rough draft of the Continuum of Care information which will be presented to the full board. Kathy added in the introduction, statements going back to what the original ad hoc committee was charged with. To the goal statements added the words fiscally responsible. Also added statement regarding the smaller pool of workers which will be available to provide the services in the future. Changes were also made to the Gaps section.

   Jeanne compiled several scenarios which were briefly discussed. Question asked regarding closing/selling nursing home beds and the relationship to community options money. Jeanne explained that nursing home beds that are closed or sold free up some community options money to be used for community placements. If the beds are bought by another facility no options money is available. State is encouraging downsizing of nursing homes by making one time funds available. Is similar program to the new demonstration project which also encourages downsizing. Goal is to list 5 - 6 different scenarios and discuss them in detail. Example alternatives would include the development of an Aging Resource Center as a centralized entry point for services. These are already in the process of being developed. State looking at several counties working together and designating one regional agency to be the funding branch for the group. Joan F. suggested requesting scenarios from interested parties such as Human Services, Health Department etc., and studying Jeanne's scenarios. Kathy agreed as did the committee. Kathy will ask for scenarios from different departments and will get them in the mail to committee members before the meeting on November 22. Since guests are coming for that meeting may have to put off the discussion of the submitted scenarios until the next meeting in December. Discussion followed regarding the possibility of needing to have more meetings before the proposal will be ready for the county board. Paul indicated we will deal with that if it happens. Other committee members handed in their scenarios also.

9. Next meetings will be on November 22, December 15 and 29 all at 6:00 p.m.
10. Motion by Earl, second by Borleske to adjourn.
    Motion carried.

Respectfully Submitted: Joan Fordham, Secretary