Health Care Center Committee

DATE: November 2, 2006

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

OTHERS PRESENT: Michelle Koehler, Kathy Schauf, Carol Thompson and Marty Krueger

1. Called to order at 9:00 a.m. by Art Carlson. The open meeting law requirements were met.
2. Motion by Borleske, second by Endres to adopt the agenda. Motion carried.
3. Motion by Netzinger, second by Endres to approve the minutes of the previous meeting.
   Motion carried.

   Paul noted that Chairman Krueger was in attendance as a participating and voting member of the board.

4. Public comment. None
5. Communications - Schauf/Krueger

   Non-represented Grievance Procedure. Goal is to show that non represented employees have a clear grievance procedure in place.Discussion followed.

   Board Development. Propose to create additional opportunities for discussion and reporting on major issues that come before the full board. Issues would be classified as major, significant or routine. Routine items - decided upon as they arise; significant issues - topic is discussed at one meeting with a decision made at the next meeting; and major issues - require a separate county board meeting for open discussion. Training would be held for department heads on writing more effective resolutions and for supervisors on resolution review processes. Committee chair training would include resolution presentation skills, incorporating public comment at committee meetings without circumventing the process and valuing staff time at meetings. A reporting format for the full board for major or significant issues was also presented.

6. Consideration of request to surrender 24 nursing home beds. Krueger indicated that he was at the WIPFLi exit interview and one recommendation was delicensing 24 beds. Recommendation was presented to the Finance Committee as a cost saving consideration. Jeanne indicated that we could surrender 24 beds and have 110 licensed beds. If we keep the number at 105 we can bill MA for bedhold and would see some savings with lowered bed tax. Question was raised as to whether or not we can sell the beds. Jeanne will look into that possibility.

   Motion by Netzinger, second by Endres to reduce the number of licensed beds to 110 either through sale or surrender.
   Motion Carried.

7. Discussion of WIPFLi suggestions. Jeanne indicated that some of the suggestions had been previously discussed, and are now being considered more seriously. Some clerical-type duties in the nursing department will be given to the nursing Administrative Assistant. Changes are being made to the phone system and nurse call system to streamline those areas. Looking to get access for all appropriate staff to the MDS data entry system. Also looking at changing some of the resident areas in the building.
8. Monthly donations. Jeanne reviewed the donations for the month.

   Motion by Krueger, second by Borleske to accept the donations for the month in the amount of $1996.92.
   Motion carried.

9. Administrator's Report. Fdd Unit is officially closed with all residents placed. Working on downsizing to 110 beds. The outsourcing companies have completed their interviews and we have sent them more information as requested. Union and Administration will be presenting the "on-call" process to staff at a general staffing meeting mid-month. We will also be discussing some of the efficiencies that are being looked into from the WIPFLi suggestions and to update staff on the Continuum of Care Committee progress. Safe Halloween was very successful and had 510 children in attendance. Staff are working hard on upcoming holiday plans. We expect state survey at any time. We are reviewing options with Respiratory Therapy provider to look at cost effectiveness; reviewing durable medical equipment billing processes; reviewing and meeting with Therapy provider to review service provision and current contract; and reviewing food service providers. Census is at 107 with a waiting list for long and short term beds. Resident statistics were provided, per Borleske's request.
10. Personnel Department Report. Michelle reviewed the status of job vacancies and employee recruitment activities that have occurred over the past month. Plans on looking more closely at the FMLA's here.
11. Business Office Report. Carol reported that the business office functions are continuing to move forward. Melyx is still working to set up the Medicare Advantage billings. Three department heads are now entering their own AP vouchers. Upcoming changes in MA billing have caused some questions however Melyx assured us that the program is fully capable of handling changes as they arise. Krueger and other board members commended Carol and the business office staff.

    Motion by Krueger, second by Borleske to approve the vouchers in the amount of $90,360.34
    Motion carried.

12. Continuum of Care update. RFP for architectural services has been pushed back at the request of some members of the committee. Felt the WIPFLi report may impact the RFP. In the process of setting up site visits to Richland and Columbia Counties. Plan is to visit both facilities in one day. WIPFLi will be making a separate presentation to the HCC and Continuum of Care Committees at 4:00 p.m. on December 5th with the full board/public presentation at 6:00 p.m. Will attempt to get the written report to supervisors on December 1. The next Continuum of Care meeting is on November 21.

    Borleske posed a question to Krueger regarding the proposed Resolution appointing a Board of Trustees to oversee the Health Care Center. Since the item was not on the agenda for discussion he suggested the committee attend the Executive and Legislative meeting to be held on Monday, November 6 at 9:00 a.m. Endres asked that the item be placed on the December agenda for the HCC Committee.

13. Next meeting: December 8 at 8:30 a.m.
14. Motion by Borleske, second by Netzinger to adjourn.
    Motion carried.

Respectfully Submitted: Paul Endres, Secretary