Draft Resolution 09-06

• " . . . that a Continuum of Care Planning Committee be formed to continue developing strategies to address gaps identified within the continuum by working with existing oversight committees and departments;
• "incorporate citizen and staff participation as appropriate as they formulate recommendations;
• proceed with the requisite planning for the development of the continuum of long term care through the construction of a facility that will incorporate a skilled nursing function and may provide for: Dementia beds; respite / crisis beds; adult day care; county prepared home delivered meals; home based therapies; assisted living; affordable housing; or other services as appropriate;
• study the services that should be provided within this facility, develop recommendations regarding appropriate business models for the facility to incorporate best practices, and make recommendations for design;
• conduct an operational analysis of the existing facility to identify changes to the business model consistent with the realignment of service provision;
• that the Continuum of Care Planning Committee incorporate evaluation design as an essential component of program design;
• that the Continuum of Care Planning Committee report their recommendations concerning services to be provided, potential site, number of beds, and other related information to the Board of Supervisors by December, 2006.

Goals (draft from flip chart)

• It is intended that this facility will not compete with other nursing homes within Sauk County, but provide serves those with behavioral and medical issues that cannot be dealt with in other venues. It is intended that this facility will fill a gap for those with no other resource, as well as being an enhancement to the options available to Human Services. County services are not intended to replace other services offered within the county.
• Any practice best handled by privates should be handled there.
• Right capacity for the market to be served, balancing the concern over excess capacity and competition for beds.
• Efforts consistent with state plans
• Consider stream of services for elderly and disabled for an integrated and coordinated service model, understanding that knowing what to provide is as important as knowing what not to provide.
• Balancing service with cost to minimize impact to Sauk County taxpayers.
  

Goals (from previous committee work)

• Fostering and providing an integrated seamless service model that spans the continuum.
• Enhancing individual functioning and quality of life.
• Fostering and providing programs consistent with meeting targeted needs.
• Meeting all federal and state mandates.
• Creating effective and efficient programing that is flexible, responsive, fiscally responsible and sustainable.
• Identifying areas for enhanced programming, and maximization of resources.
• Development of social capital. Social capital is defined as "the resources available to individuals and groups through their social connections to communities" (Cannuscio, Block, & Kawachi, p. 395). It is access to this social capital which enables people to live "productive, independent and fulfilling lives" (p. 395). Service models that are integrated with vital community resources hold the most promise for creating social capital.