Continuum of Care Planning


DATE: September 8, 2006

MEMBERS PRESENT: Scott Alexander, Paul Endres, Judith Stoeckmann, Joan Fordham

MEMBERS ABSENT: Al Dippel, Linda Borleske, Lowell Haugen

OTHERS PRESENT: Jeanne Leeck, Kathy Schauf, Trish Vandre, Bev Muhlenbeck, Carol Gasser, WIPFLi representatives; Jim Wesson, Rob Schlicht, Barb Gunderson and Mary Jo Graham.

Meeting was called to order at 1:30 p.m. by Paul Endres. The open meeting law requirements were met.

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

Welcome and introductions by WIPFLi. Those present were Jim Wesson, Partner; Rob Schlicht, Manager; Barbara Gunderson, Director Healthcare Operations; and Mary Jo Graham, Director Healthcare Operations.

Goal for today's meeting is to have interactive dialogue with this committee to make sure everything is covered, that the MOU is clear and what the committee wants. Fordham stated that this is the third committee to deal with these issues. The community came out clearly for staying in the nursing home business however committee wants to make sure that the facility is operated in the most efficient way that it can with an eye for the future of long term care in this state. The WIPFLi team needs to understand what the "mission" is for the facility and what populations are served.

We want to maximize the care in the most appropriate setting at a reasonable cost. Still see ourselves providing 24 hour skilled nursing care at the end of the continuum but still aren't sure what additional services we may end up providing. We currently serve the elderly and disabled - Medicare, Medicaid and private pay. This committee compiled a chart of services provided for the elderly and disabled and who currently provides that service. We share the provision of services with other local nursing homes however tend to serve a population that they don't regularly serve - safety net. Family Care focus of the state will also have an impact on what and how we provide for our residents. Also requested some analysis of how all county health programs interrelate and where services overlap, however, the focus should be on the nursing home analysis. Kathy indicated moving to a team model would be another goal. Options will be given as well as some things which should to be done immediately.

Time Line needs to be adjusted. Looking to be complete by the end of October rather than October 1 as originally stated. Committee agreed that this would be acceptable. Mary Jo and Barbara would like to be on-site for three days. Kathy will be the contact person. Will be at the Health Care Center on September 25 and 26 with the third day in Baraboo meeting with other departments. Would like an all-staff meeting to introduce themselves and answer questions. Prefer staff come to them at a central location. Would like some time at the end for an exit meeting. Barbara has an educational presentation of nationwide trends which can be used for CEU's if we would like. Will discuss that possibility later.

Rob and Jim will work mainly from their offices with information provided.

Kathy will do a summary for the Continuum of Care Committee. Final report to the full board will be at the November meeting.

Next Continuum of Care Meeting will be October 10, 2006 at 6:00 p.m.
Motion by Alexander, second by Stoeckmann to adjourn.
Motion carried.

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