Health Care Center Board of Trustees


DATE: September 4, 2008

PRESENT: Arthur Carlson, William Higgins, Linda Borleske, Terri Langer

ABSENT: Paul Endres, Larry Schroeder

OTHERS PRESENT: Kim Gochanour, Penny Clary, Liz Miller, staff

1. Called to order at 5:30 p.m. by Linda Borleske. The open meeting law requirements were met.

2. Motion by Netzinger, second by Langer to adopt the amended agenda. Motion carried.

3. Motion by Higgins, second by Carlson to approve the minutes of the previous meeting. Motion carried.

4. Public comment.

5. Communication.

6. Consideration of a resolution authorizing continuation of the Supplemental Payment/Certified Public Expenditure Program for county nursing homes. Kim Gochanour explained the old Intergovernmental Transfer Program (IGT) and the new version. The resolution, in essence, represents a statutory change so the $37.1M in revenues (previously a statutory cap) represents a minimum payment to county homes, not a cap. The resolution also calls for the state to work with county nursing homes on a plan to increase payments to counties over a five-year period. This resolution will be presented at Executive and Legislative Committee and the full county board in October.

Motion by Netzinger, second by Carlson to approve the resolution to support legislation for continuation of the Supplemental Payment/Certified Public Expenditure Program for county nursing homes. Motion carried.

7. Business office report and voucher review. Penny Clary highlighted items of interest. Several departments, including housekeeping and dietary, are showing marked decreases in expenditures. We are generally doing well. Department Heads are taking a serious look at their budgets and being proactive in keeping costs down. Bill Higgins indicated that he was appreciative of the hard work of the managers to keep the budget in control and asked if a letter of commendation to the department heads would be appropriate. A letter will be drawn up and given to board members for signature.

Motion by Langer, second by Carlson to approve the vouchers in the amount of $99,449.53. Motion carried.

8. Kim Gochanour, Administrator, updated the board on department activities for the month. Administration has been continuing to focus on A/R, recruiting and hiring CNA's, hired social worker, reviewed policies and procedures, prepared 2009 budget, and continued ECS implementation. Attended WACH board meeting and WCA seminar on county government. Monthly activities of each department were summarized. We currently have one female bed open and two open on the dementia unit. Briefly discussed budget program cost schedule. Decided to schedule another meeting for next week to thoroughly discuss budget issues and the private pay rate adjustment. Members also signed the HIPAA Policy/Procedure form discussed at the last meeting.

8. Donations for the month.

Motion by Carlson, second by Netzinger to accept the donations for the month in the amount of $2234.68. Motion carried.

10. Transfer of bus to SCHCC. Liz Miller of the Benefit Club signed papers to allow the Health Care Center to lease and eventually purchase the Ford/Goshen bus. The Benefit Club members were invited to the ground breaking ceremony and were thanked for all of their efforts on behalf of our residents. Some discussion followed regarding the dispersal of Benefit Foundation funds to the Health Care Center.

11. Next meeting date will be September 11 at 5:30 p.m. for the special budget meeting. Regular meeting will be held on October 2, 2008 at 5:30 p.m.

Motion by Carlson, second by Higgins to adjourn. Motion carried.

Linda Borleske, Vice-Chairperson