DATE: October 24, 2006
MEMBERS PRESENT: Paul Endres, Joan Fordham, Al Dippel, Judith Stoeckmann, Lowell Haugen, Linda Borleske
ABSENT: Scott Alexander
OTHERS PRESENT: Kathy Schauf, Jeanne Leeck, Trish Vandre, Sue Hubel, Marty Krueger
Meeting was called to order at 6:00 p.m. by Paul Endres. The open meeting law requirements were met.
Motion by Borleske, second by Haugen, to adopt the agenda.
Motion carried.
Endres requested that the minutes be changed to state "as late as summer of 2007" for budget passage instead of "fall of 2007".
Motion by Dippel , second by Haugen to approve the minutes of the previous
meeting with the change.
Motion carried.
Tom Kriegl indicated that he felt it is premature for this committee to take any action until the information in the WIPFLi report has been shared. He felt the whole board should know what is in that report before the budget is acted upon.
None.
Consideration of draft RFP for architectural design services, and procedures for evaluation team. Kathy made some recommendations for the evaluation team. Suggested members are Todd Liebman, Kerry Beghin, Kathy Schauf, Tim Stieve, Jeanne Leeck and two Continuum of Care Planning Committee members. This team would do the initial review and forward their recommendations on to this committee. From there a final group will be interviewed by this committee. Timeline will be changed as needed. Suggestions were made by this committee and staff and incorporated into the document.
Stoeckmann felt that this committee is moving too fast with the RFP. Since the WIPFLi Report has not been shared with anyone except Kathy and Marty she felt nothing should be done until the report is shared with this committee and the full board. Requested a meeting with the Continuum of Care Committee, the HCC Committee and WIPFLi before the presentation to the full board. Borleske agreed with the comments and also felt that we may want to make changes to the RFP after hearing the WIPFLi report. Stoeckmann also felt the report may impact what she may want to focus on while making site visits. Krueger indicated that there may be a mistaken impression about his knowledge of what the final report contains. He received "minor tidbits" of what the final report is going to be. The only solid idea of what is coming out of the report (he believes, since nothing is in writing yet) is that a new skilled nursing facility be built containing substantially fewer licensed beds. This will be acted upon as good financial management. Other small things were discussed but didn't feel that this committee was intentionally excluded from the meeting. Did not want to give out any other information piece meal because it didn't serve this committee or the investment of the county. The WIPFLi people did not feel they could present a complete and thorough report before December 5. If the report is ready in advance it will be given out to the board at that time. We could see if a separate report could be made to the HCC and Continuum of Care Committees. Kathy indicated that the exit interview was simply a recap with the consultants regarding their process, the timetable etc. and nothing actionable was shared.
Motion by Stoeckmann second by Borleske to continue the discussion on the RFP format after the Continuum of Care Committee and HCC Committee have had an opportunity to study the WIPFLi report and ask questions.
In reviewing the timeline it would still be possible to bond in the fall of 2007 if we pushed the RFP back 2 months. Kathy spoke with a representative of the Baird Company and he indicated that the ideal timing would be a decision to proceed by September of 2007 and borrowing could be done in the fourth quarter of 2007. She suggested that the committee could continue working on the RFP now and in the future the process could be stopped if desired. The work could continue while awaiting the WIPFLi report. Postponing the RFP until after the Community presentation on December 5 would tighten up the timeline substantially, however could still work for 2007 bonding. Would mean the initial screening could be done by mid February and the March County Board Meeting to vote on the contract. Borleske suggested the committee move forward with site visits.
Endres requested a roll call vote on the motion on the floor.
Roll Call Vote - Stoeckmann - Aye; Endres - Nay; Fordham - Aye; Borleske
- Aye; Dippel - Aye; Haugen - Aye. Total (5 Ayes - 1 Nay)
Motion Carried.
Kathy will put the RFP on the agenda for the December 12th. meeting. If the committee has any suggestions for the evaluation team pass those along as well as any other suggestions regarding the review process.
Consideration of site visits and questions. Stoeckmann indicated she would not be making any site visits until after she studies the WIPFLi information. Discussion followed regarding which facilities would be the most helpful to visit. Agreed that Richland County and Columbia County facilities should be visited. Kathy had some possible questions from previous meetings - 1. What ancillary services are provided and how do they dovetail with the skilled nursing facility? 2. What is the basis of your staffing patterns? 3. What is the levy impact, patient recruitment, payor mix and other fiscal impacts?
Fordham suggested that questions should be geared to the particular sites and that site visits could begin now. Committee felt four visits would be enough and if follow-ups were needed perhaps a conference call could be used. Endres suggested that a good question to ask in Richland County (being a Family Care County) would be how many residents are you paying for out of county services? Decided to visit as a group after the December 12th meeting. Tuesday and Wednesday were the best dates for most people. Kathy will set up the visits. Chairman Krueger asked what the reluctance of the committee was to making site visits in November? Fordham indicated that she would be comfortable visiting before the WIPFLi meeting as did other members (with the exception of Stoeckmann). Kathy will contact WIPFLi and see if the report could be done by November 21st. Group decided that they could schedule visits the third week in November and may visit Columbia and Richland County in the same day. Kathy will work out an itinerary for the visits. Fordham indicated she would like to know from the facilities what options they offer as far as room size/configuration and levels of care available. Also, what changes the facility would make if they could do it again. Jeanne will get a similar list from WAHSA.
Updates. Trish indicated that the discussions continue regarding ADRC. Local group has not met since this committee met last. ADRC will be established before the new HCC complex will be ready. The ADRC does not require a building to begin providing services.
Managed Care SW Consortium is considering structure and exploring options for governance.
Committee goals and objectives - Standing agenda item. No changes at this time.
Timeline/Task List - Kathy will amend the timeline based on tonight's meeting.
Next meeting date will be Tuesday, November 21, at 6:00 p.m. Will attempt to make this a joint meeting with the HCC Committee and WIPFLi.
Endres expressed the thought that the committee may disagree with each other but still respected each others' opinion.
Motion by Haugen, second by Borleske to adjourn.
Motion carried.
Respectfully submitted: Joan Fordham, Secretary, Continuum of Care Planning Committee