Continuum of Care Planning Committee


DATE: APRIL 25, 2006

MEMBERS PRESENT: Scott Alexander, Al Dippel, Paul Endres, Joan Fordham, Lowell Haugen, Judith Stoeckmann

ABSENT: Linda Borleske

OTHERS PRESENT: Bill Orth, Jeanne Leeck, Kathy Schauf, Trish Vandre, Sue Bodendein, media

Meeting was called to order at 6:00 p.m. by Paul Endres. The open meeting law requirements were met.

Motion by Alexander, second by Dippel to adopt the agenda.
Motion carried.

Motion by Fordham, second by Stoeckmann to approve the minutes.
Motion carried.

Public comment.

None.

Communication.

None

Continue discussion regarding goals and objectives.

Kathy sent members a summary of Resolution 09-06 establishing this committee, goals from the last meeting, services/gaps chart from last committee and the goals established by that committee.

Reviewed goal statements. Number two was changed to read the goal is to service those individuals in the long term care network in need of service but because of financial restrictions/behavioral reasons are unable to receive the level of care they need elsewhere. While not competing with other facilities, we need to remain the "safety net" by meeting our responsibilities to that population.

General discussion of payor mix to make the facility financially viable. All pay sources have to be exhausted before can qualify for MA. Need to consider the "right" capacity for the market to be served but being aware of having excess beds which loose money. Discussion has to include the number of "difficult" residents we would be willing/able to care for.

Need to make sure we look at the continuum of care/gaps while considering the stream of services for elderly and disabled.

Also need to include statement that we will balance service with cost to minimize impact to tax payers. Need to be responsive to taxpayers as well as residents.

Survey Instrument

Only change made was to add a date for statistics - December 31, 2005. Will follow up with phone call. Also will list Primary Payer Mix - Medicare, Medicaid and Private and ask for their definition of private by %. To be sent to other nursing homes.

Time Line/Task List

No changes

Updates

Functional group update from Bill Orth.

Service gaps to be considered by this committee in the planning process. Information, meals, personal activities of daily living, nursing (supportive home care), outpatient therapies, adult cay care, inpatient rehab, CBRF and RCAC, adult family homes, nursing home, dementia, hospice, dental - traveling dentist.

Operational review/analysis

Operational Analysis of the HCC - Schenck Study - done in 1995 will be shared with the committee. Researching possible templates for RFP and found Dane County's to be close to what we are looking for. Still waiting for more information from other counties. Will have a rough draft of the RFP at the next meeting.

Next meeting will again be looking at goals, operational analysis, survey form to review. A copy of gaps in service was requested. Need to coordinate decisions of this committee with the Long Term Care Initiative and we should let the full board know why the recommendations may be delayed. Next meeting May 9, at 6:00 p.m.

Motion by Borleske, second by Dippel to adjourn.
Motion carried.

Respectfully submitted: Joan Fordham, Secretary, Continuum of Care Planning Committee