Continuum of Care Planning


DATE: October 10, 2006

MEMBERS PRESENT: Scott Alexander, Paul Endres, Joan Fordham, Al Dippel, Judith Stoeckmann, Linda Borleske

ABSENT: Lowell Haugen

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

Meeting was called to order at 6:05 p.m. by Paul Endres. The open meeting law requirements were met.

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

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

Public comment.

None

Communication.

Kathy indicated that the functional group is talking more about ADRC development. Discussed having the Executive/Legislative Committee present a resolution that would assign the Continuum of Care Planning Committee with the task of taking over the policy piece of the ADRC. This would also include extending the deadline for this committee to December of 2007. This would be handled as a major policy decision with presentation at one board meeting and decisions made the next month. Committee agreed with this plan.

Consideration of draft RFP for architectural design services, and procedures for evaluation team. Kathy indicated that there are still some questions and is waiting to meet with Tim Stieve regarding this. Judith questioned whether this was the right time to discuss architectural design services. Per Kathy, the RFP will direct the winning bidder to look at a number of things related to building a facility including all of the studies we have done such as Keefe, the other Continuum of Care Committees, WIPFLi report, etc. They will assist in the design plan for services, location, etc. Bill indicated that the state ADRC allocation is in the current budget planning so will know the allocation when that passes - late summer of 2007. Care management piece will be later but will know more next spring. Current RFP includes looking at services/gaps etc. Time frame for study will have to be looked at. Aging building and continued problems that poses to the county is also a concern. Expect this to be interactive process with meetings with employees of the facility, other county managers who provide the other pieces of service and also with this committee.

Decisions regarding what to do with the existing site will also have to be a part of this process. Also need to be cognizant of the window of opportunity in our debt schedule. Maintenance team at the facility has done a commendable job of keeping things going, but it is a very difficult task. The longer we go the more problematic this will become. The nursing home will not be affected as much by LTC redesign as will those in the community, per Bill. By the time the nursing home gets residents they need to be in a nursing home but won't need as many licensed beds. Kathy asked members to look over the RFP and get questions/concerns to her within the next two weeks. The original resolution stated one of the goals of the committee was to plan for the development of the continuum of long term care leading to facility construction. At various points along the way the issues will be put before the full board for decision making. Kathy will construct a detailed timeline in the RFP. Would like it finalized to be sent out the beginning of November.

Will be identifying who the evaluation team will be and included an evaluation form for the project. Would like to have the list narrowed down and then have actual presentations by the vendors before a decision is made.

Updates

Bill summarized the handout. Report covers the gaps identified by the previous Cont. of Care Committee and recommendations made by Department Head Functional Group. The second page consists of other service gap areas which were discussed to discern the role the county should play in addressing the gap. Current goal is to use the list to inform consultants of what we have been discussing and to work this into their recommendations. List is informational only at this time. Was decided to provide some items in writing to the board on a regular basis as a part of Paul's report. Items on the list will continue to be addressed by relevant committees.

Long Term Care Redesign update

Proposed allocations for the ADRC are out in the biannual budget and for Sauk County is $509,000. Trish is working with the SW Consortium to develop regional structures to share resources. Tax levy issue regarding family care funding was discussed and will be proposed to the governor for approval. Will go with the SW Consortium for the ADRC but may not for the CMO. The Older American Act has been reauthorized and there is money included for ADRC Development

Committee goals and objectives

If you have any changes to goals/objectives document let Kathy know. Will take that summary, functional group discussions, gap sheets and next steps and make up a document for the board.

Timeline/Task List

Was updated for board members in the packet sent out. Will incorporate timeline into document for the board. Will plan on presenting this to the board at the November meeting. WIPFLi summary will be presented to the board at a special meeting sometime before the normal November board meeting. Paul attended the County convention in LaCrosse and heard a presentation by Brian Schoeneck of WAHSA. Passed out some copies of his report. Felt it would be beneficial for this committee to hear him as well as the supervisor from Eau Claire. Time will be allocated for these presentations along with the WIPFLi presentation to the full board in early November.

Bill mentioned that there will be a presentation by the Wisconsin Counties Association on November 9 at the Kalahari for County Board Members to discuss LTC redesign.

November County Board meeting is on November 14 so this committee will meet tentatively on the 21.

Next meeting date will be Tuesday, October 24, at 6:00 p.m.

Motion by Stoeckmann , second by Alexander to adjourn.
Motion carried.

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