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HomeMy WebLinkAboutNursing Home Proposal Review 10-24-07 Nursing Home Proposal Review Committee - October 24, 2007 Page 1 of 3 St. Croix County * Wisconsin AGENDA - NURSING HOME PROPOSAL REVIEW COMMITTEE ST CROIX COUNTY NOTICE OF COMMITTEE MEETING ST. CROIX COUNTY NURSING HOME County Map PROPOSAL REVIEW COMMITTEE October 24, 2007 at 9:oo A.M. (Board Room, St. Croix County DHHS Building, New Richmond, WI) CALL TO ORDER REVIEW OF AGENDA CONSENT AGENDA DATE OF NEXT MEETING - OLD AND NEW BUSINESS 1. Review of other proposals /alternatives for future operation of the Nursing Home 2. Follow up with City of New Richmond correspondence regarding the future operation of the Nursing Home. 3. Committee's definition of serving Medicaid including level of acuity 4. Recommendation to County Board on closed session ADJOURN (Items may be taken in different order) **Additions /Changes /Corrections MINUTES NURSING HOME PROPOSAL REVIEW COMMITTEE OCTOBER 24, 2007 The St. Croix County Nursing Home Review Committee met on October 24, 2007 at the St. Croix County Government Center. MEMBERS PRESENT: Esther Wentz, Chair Gordon Awsumb John Borup Tom Callisch Dr. Glenn Hoberg Stan Krueger MEMBERS ABSENT: Don Jordan, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Connie Sarauer, Director of Nursing- Nursing Home William Van Offeren, Nursing Home Administrator http://172.17.128.87/Commiftee/Minutes/2007/HHS/nhlO2407.htm 2/17/2011 Nursing Home Proposal Review Committee - October 24, 2007 Page 2 of 3 Malva Sirek, Secretary OTHERS PRESENT: Brian Purtell, DeWitt, Ross and Stevens Law Firm (via phone) Bradley Raaths, DeWitt, Ross and Stevens Law Firm (via phone) Chuck Whiting, Administrative Coordinator Buck Malick, County Board Chair Dave Schnitzler, City of New Richmond Dennis Horner, City of New Richmond Kim Dupre Loyla Waskul Norm Matzek Julie Speer Lois Satterlund Florine Rondeau Gail Winship Wentz called the meeting to order at 9:oo AM noting the meeting was properly and legally publicized. Consent Agenda: Motion by Borup, seconded by Krueger to adopt the agenda. Carried unanimously. Motion by Krueger, seconded by Borup to approve the minutes of 10 /10 /07. Carried unanimously. REVIEW OF OTHER PROPOSALS /ALTERNATIVES FOR FUTURE OPERATION OF THE NURSING HOME Purtell said since the last meeting Ecumen has expressed interest in the nursing home. They have a variety of services available. Purtell forwarded packets describing services offered and what the company has done. Johnson will make copies and forward to committee members. Purtell recommended meeting with each of the vendors in about three weeks. The vendors Purtell would be scheduling with at this time would be Health Dimensions, Presbyterian Homes, and Ecumen. The consensus of the committee was to meet on Friday, November 16, 2007, with a time to be determined by Purtell. The committee will meet with each vendor separately. It was recommended the committee conduct part of the meeting in closed session when negotiating with each vendor. FOLLOW UP WITH CITY OF NEW RICHMOND CORRESPONDENCE REGARDING THE FUTURE OPERATION OF THE NURSING HOME A letter from the committee chair was sent to the City of New Richmond requesting clarification of what the City of New Richmond would be able to propose for the future operation of the Nursing Home. A response was received from David Schnitzler, Mayor of the City of New Richmond. The City has gone on record opposing the sale of the nursing home but keeping it as a County-run facility. That is still their position but if that is not economically viable, the City would support a County partnership with another entity as long as the County Health and Human Services and the Nursing Home remain in New Richmond. However, because of budget constraints and many ongoing projects, the City of New Richmond is not prepared to make a proposal to the County regarding the Nursing Home. Purtell was questioned as to the information received from Health Dimensions (HD) regarding the location they are proposing for a new building for the Nursing Home. Purtell said this will need to be discussed later. Schnitzler and Horner expressed appreciation for being invited to this meeting and being kept informed. COMMITTEE'S DEFINITION OF SERVING MEDICAID INCLUDING LEVEL OF ACUITY Definitions of Intensive Skilled Nursing Services (ISN), Skilled Nursing or Rehabilitation Services (SNF), and Intermediate Nursing Care (ICF) care levels were distributed to committee members along with a report on payor sources for residents. The level of care of residents and payor source fluctuates in the facility. Currently the census is 67 with 62 at SNF level, four at ISN and one at Intermediate Nursing Care (ICF -t). For payor source the averages for the past eight months are 68% are Medicaid, 24% are private pay, and 8% are Medicare. Awsumb indicated vendors have been made aware of the County's desire to provide care on a first come, first serve basis. This is not an issue in Minnesota due to rate equalization (private pay and Medicaid rates are the same). Wisconsin does not have this policy in place. Awsumb indicated the facility does not follow the first come, first service policy for admissions to the Nursing Home currently. Residents are evaluated to determine if the facility is able to meet the medical and behavior needs and that behaviors of referrals will not put current residents at risk before they are accepted for admission. Purtell indicated adding conditions to vendors, such as first come, first serve, will come with a price. If conditions are placed on vendors for level of Medicaid and level of acuity, staff voiced concerns regarding monitoring that the conditions are met. Sarauer indicated a full time person would have to be employed to http: // 172.17.128.87/ Committee /Minutes /2007/HHS /nh102407.htm 2/17/2011 Nursing Home Proposal Review Committee - December 12, 2007 Page 3 of 3 Seven yes, motion passed. The committee entered closed session at 1:40 PM. Motion A motion was introduced by Borup, seconded by Krueger, and unanimously adopted: That the Committee reconvene in open session. The Committee reconvened in open session at 2:45 PM. Chair Wentz announced a brief recess. The committee recessed from 2:45 PM to 2:57 PM. REVIEW NEGOTIATED PROPOSALS As proposals would impact employees, Awsumb raised a question again about how many employees would be affected by decisions made regarding future operations. Johnson indicated that he will coordinate with Human Resources to get information. Options around early retirement would need to include Human Resources as well. Wentz indicated the committee must decide what information, if any, will be released. It was suggested that the two options be released with some modifications in the cover letter from Purtell. Release of the information now was discussed as a preferred method and then further exploration of alternatives could be pursued dependent on County Board actions. Motion A motion was introduced by Borup, seconded by Caflisch, and unanimously adopted: That the Committee release the two preliminary proposals today. Krueger and Jordan left the meeting at To8 PM. The market study and previous powerpoint that was presented to the County Board will be provided to the supervisors at the December 18th meeting. Malick asked for feedback from the supervisors on how to handle public input on December 18 Malick referenced the bylaws require that a person must be recognized by their supervisor to address the County Board. Discussion occurred on time per person, limitations on repeat comments, alternating those that are for or against various options. Wentz commented that it will be important to let people speak. Awsumb commented that this has already been done at previous meetings. Borup questioned if it is the County Board Chair's hope that enough information is available on the 18 to move forward with a decision on direction, either one proposal or another. Discussion occurred on authority of a committee to pursue planning —if not this body, then who? Marzolf questioned if a representative from Larson /Allen should be present to review the market study. Wentz did not know if that was possible. Johnson commented that this discussion on the future of the Nursing Home has been in process since approximately September of 2oo6, when the Health and Human Services Board did not approve the Nursing Home budget. Several options have been reviewed and it is hoped that the County Board sets some course of action soon so residents, families, and staff are not left continuing to wonder about the future of the Health Care Center. This does not mean a decision must be made on the 18 of December, but this should be addressed soon. Dr. Hoberg questioned that he thought this Committee was to accumulate facts and make a recommendation to the County Board to set direction. Malick commented that nothing would preclude the Committee from doing just that. Wentz commented that the Committee should present proposals. Wentz adjourned the meeting. Time: 3:20 PM n1„ CARMICHAEL ROAD , HUDSON wl sal „ c , 7 1.: \ST UPDATE: 00 L 2010 DISCLAIMER http: //172.17.128.87 / Committee /Minutes /2007/HHS /nhl2l2O7.htm 2/17/2011 Nursing Home Proposal Review Committee - October 24, 2007 Page 3 of 3 monitor that conditions are being met if it is even possible to monitor. It would be possible to monitor cost reports but this would occur after the fact and would not cover all areas. Resident level of care changes would make it difficult to monitor also. Purtell indicated Presbyterian Homes (PH) has indicated an interest in purchasing the beds as part of their master plan for a campus and only want 5o beds. They are not interested in taking over the facility or taking St. Croix Health Center residents. Benchmarks are set and requirements need to be met to receive enhanced capital reimbursement rates, which include serving a certain percentage of Medicaid and Medicare residents. Purtell indicated it may be possible to get credit for giving up beds previously but there will have to be discussion with DHFS, Dave Lund for clarification if the significant reduction in beds has already been met. However, there are other conditions that need to be met to receive enhanced capital reimbursement rates. Purtell indicated negotiations will need to include some qualifying language for the future of the nursing home and continued services to the financially indigent population. He indicated a lot could change in the future with factors such as Family Care implementation, etc. RECOMMENDATION TO COUNTY BOARD ON CLOSED SESSION Johnson brought forward a resolution from the committee to the County Board to enter closed session. Motion A motion was introduced by Krueger, seconded by Borup, and unanimously adopted: That the committee approves to change the wording in the resolution from two entities to any entities. Motion A motion was introduced by Caflisch, seconded by Krueger, and unanimously adopted: That the committee approves the following resolution: RESOLUTION AUTHORIZING NURSING HOME PROPOSAL REVIEW COMMITTEE TO MEET IN CLOSED SESSION Resolution No. St. Croix County, Wisconsin WHEREAS, on September 18 th , 2007, the St. Croix County Board of Supervisors appointed a new Nursing Home Proposal Review Committee to consider new options for the possible future disposition of the County Nursing Home; and WHEREAS, the St. Croix County Board of Supervisors passed a motion requiring meetings of the Nursing Home Proposal Review Committee to be held in open session unless the Health and Human Services Board or the County Board authorized meetings to be held in closed session; and WHEREAS, legal counsel representing the County in discussions with entities interested in the future operation of the County Nursing Home recommends that the Nursing Home Proposal Review Committee meet in closed session with any entities to negotiate final terms of proposals. THEREFORE, BE IT RESOLVED by the St. Croix County Board of Supervisors that the Nursing Home Proposal Review Committee is authorized to conduct meetings in closed session pursuant to Wisconsin Statute§ 19.85 0) (e) to negotiate with any entities the final terms of proposals for the future operation of the Nursing Home. It was requested that vendors come forward with their best offer for the meeting on November 16. It is anticipated Purtell and Raaths will be here in person for the meeting on November 16 Purtell and Raaths will structure the meeting discussions and set up the meeting format. Committee members are encouraged to ask questions. The meeting will be an open meeting with a probable closed session with each vendor to negotiate with each vendor separately. Motion A motion was introduced by Caflisch, seconded by Borup, and unanimously adopted: That the meeting be adjourned. 1,01 CARMICHAI:I. ROAD I It11DSO,v wl 54 016 715;386.46o0 LAS I' UPDAT is Oct 1, 2010 DISCL UTMER I http://172.17.128.87/Committee/Minutes/2007/HHS/nhIO2407.htm 2/17/2011