Health Care Center Committee

DATE: September 7, 2006

PRESENT: Arthur Carlson, Linda Borleske, Henry Netzinger, Paul Endres, Jeanne Leeck, Administrator.

ABSENT: Catherine Horenberger

OTHERS PRESENT: Kathy Schauf, Carol Gasser and Marty Krueger

1. Called to order at 6:00 p.m. by Art Carlson. The open meeting law requirements were met.
2. Motion by Borleske, second by Netzinger to adopt the agenda.
   Motion carried.
3. Motion by Netzinger, second by Endres to approve the minutes of the previous meetings.
   Motion carried.
4. Communications. None.
5. Public Comment. None.
6. Jeanne reviewed the 2007 budget information with the board. Highlights include the closing of the FDD Unit on October 1 which will result in a reduction of direct care staff, as well as a reduction in revenues. Some departments have been restructured, utility costs are expected to increase, and budgeted revenue for Medicare Part B therapies is expected to be less in 2007. This budget includes the $15M for capital outlay funded by bond proceeds for construction of a new HCC. The only areas going up in this year's budget are labor and fuel costs. We continue to look at several ways to lessen our reliance on the tax levy. Paul agreed to attend the budget review which is on the 13th of September.
   Motion by Endres, second by Borleske to approve the budget request for 2007.
   Motion carried.
7. Review of private pay rates. Jeanne explained the differences between private pay rates for area nursing homes and explained the need to look at our current rates.
   Motion by Endres, second by Netzinger to increase the private pay rates by $10 beginning with the November billing.
   Motion carried.
8. Discussion and consideration of a resolution to approve an anonymous donation to SCHCC. Jeanne read the resolution and explained that the family wished to remain anonymous.
   Motion by Netzinger, second by Borleske to approve the resolution accepting the anonymous donation to the Sauk County Health Care Center.
   Motion carried.
9. Monthly donations. Jeanne reviewed the donations for the month.
   Motion by Borleske, second by Netzinger to accept the donations for the month in the amount of $31,269.00.
   Motion carried.
10. Administrator's Report. Invoice training is ongoing. We have received a more current billing for the bus and have responded. Have asked the Benefit Club to discuss the current processes and have as yet received no response. Census is currently at 110. Borleske asked for general information regarding admissions, discharges, payor source, etc. to have on a monthly basis. FDD unit has two residents still awaiting discharge, one is set for mid September and the last resident, who is a Sauk County Resident, has no set date. A reduction in the bed tax reflecting the 4 delicensed beds should be reflected in the September tax. The down sizing money after closure is expected at the end of the year. Ongoing project is reviewing our other contracts. We are gathering information for the organizational analysis of the facility. Reviewed statistics available on the nursing home compare web site. Quality indicators are compared for various nursing homes. Bill received a commendation for correctly completing the information required by the DNR for the Waste Water Treatment Plant. Expect State Survey at any time. Cheryl will have two staff attending sanitation training. Housekeeping has gone through a staff reduction and so are spending less time in non-patient related areas. With paychecks tomorrow will be offering employees small tokens of thanks for the extra time and effort they have been putting in lately for our residents. Kathy and Marty will be here tomorrow morning to meet with department heads regarding the interim plans for the business office and personnel.
11. Personnel Department Report. Jeanne reviewed the status of job vacancies and employee recruitment activities that have occurred over the past month.
12. Business Office Report. Carol reported that the staff is working hard to keep up on billing. Continues to work with staff with the goal of doing as much cross training as possible and is compiling a list of staff duties.
    Motion by Borleske, second by Netzinger to approve the vouchers in the amount of $98,536.22
    Motion carried.
13. Continuum of Care update. Next regular meeting is scheduled for October 10. Kathy is working on the RFP for hiring architect etc. Also will follow up with survey information and where the group may want to visit. Friday a meeting with WIPFLi is scheduled so they may begin the operational analysis of the HCC.
14. Next meeting: October 5 at 6:00 p.m.
15. Motion by Netzinger, second by Borleske to adjourn.
    Motion carried.

Respectfully Submitted: Paul Endres, Secretary