Continuum of Care Planning and Board of Trustees


DATE: April 24, 2007

MEMBERS PRESENT: Paul Endres, Joan Fordham, Al Dippel, Judith Stoeckmann, Lowell Haugen, Terri Langer, Linda Borleske, Scott Alexander, Arthur Carlson, William Higgins

MEMBERS ABSENT: Larry Schroeder, Henry Netzinger

OTHERS PRESENT: Kathy Schauf, Ken West, Marty Krueger, Trish Vandre, Sue Hebel

Meeting was called to order at 7:00 p.m. by Joan Fordham. Open meeting law requirements were met.

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

Motion by Alexander, second by Borleske to approve the minutes with one correction.
Motion carried.

Motion by Endres, second by Dippel to nominate Joan Fordham to be chairperson for this meeting, that nominations be closed and a unanimous ballot cast.
Motion carried.

No public comment.

No communication.

Architect Rick Moore from Horty Elving indicated that they are working on three main tasks; deciding on the site, programming and size. Reviewed some information from the Keefe study and the 80 bed recommendation with discussion following. West indicated that if we take a "locked unit" of 10 - 15 beds out of the 80 nursing home beds that would make the nursing home too small to serve our population. Recommended that we build a Continuum of Care Campus which would include the nursing home and other services such as assisted living, CBRF etc. We should design with future expansion in mind but not build more than can be filled. Discussion followed regarding the usage of nursing home space for the ADRC and the consensus was that some flexible office space is needed, but that the main office will remain in Baraboo.

Locked unit was discussed. West indicated that some facilities were not able to keep their larger units (20) filled and lost money. Human Services has on a regular basis 1 or 2 geriatric residents at Mendota and four in other facilities. Medical Assistance is currently paying. Have to have more staff with more training for locked units and can not move staff from the nursing home to the locked unit. Architect asked West to come up with some numbers regarding the cost of having a locked unit, perhaps a unit of 8 residents. Actual cost to Human Services would also be helpful to know. Losses from the locked unit will be incurred by the Health Care Center, West questioned whether losses would be covered by the HCC budget. Will continue with Medicare Rehab Unit and perhaps increase the size. Kitchen services were discussed. Decided not to provide Meals on Wheels from the HCC but possibly provide special diets. Possibly looking at having outpatient therapy. Was decided that we should provide some outpatient therapy and thus increase the size of the therapy area. Hospice/end of life care is already being provided and would be more easily provided with mostly private rooms. Will be a "dental suite" for the traveling dentist and possible other providers. Will be an "examining" room for Physicians.

Group also has to decide the quality of building to build. How far into the future do we want this to last. Was decided to have some bariatric rooms. Sites were discussed. Four sites were eliminated for various reasons including too much terrain or too small. Are considering four other sites one of which is the current site. Are still gathering information and weighing pros and cons. Carlson asked that the architect present costs to build an 80 bed and 100 bed facility. The architect agreed.

Looking at the June 19 County Board meeting for the resolution. At that time will need to know the site, size and services and also will create a building committee. The resolution will be sponsored by both of these committees.

Next meeting date is May 8 at 6:00 p.m. The May 22nd meeting will be joint.
Motion by Carlson, second by Borleske to adjourn.
Motion carried.

Respectfully submitted: Al Dippel, Secretary, Continuum of Care Planning Committee