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HomeMy WebLinkAbout03 02 2017 Ad Hoc Health Center Construction Minutes MEETING MINUTES AD HOC HEALTH CENTER CONSTRUCTION COMMITTEE March 2, 2017 3:00 PM Health and Rehab Center- Room 128 (Great Room) Health and Rehab Center Room 128 - 1445 N 4th St., New Richmond, Wisconsin CALL TO ORDER The March 2, 2017 meeting of the Ad-Hoc Health Center Construction Committee was called to order at approximately 3:00 PM by Committee Chair Dave Peterson. ROLL CALL Attendee Name Organization Title Status Arrived David Peterson St. Croix County Supervisor Present Agnes Ring St. Croix County Supervisor Present Deb Rasmussen St. Croix County Committee Member Present Roy Sjoberg St. Croix County Supervisor Present 3:01 PM Daniel Hansen St. Croix County Supervisor Present Judy Achterhof St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present 3:02 PM Suzanne Van Mele St. Croix County Committee Member Present Scottie Ard St. Croix County Committee Member Present Others in Attendance: Nursing Home Administrator Sandy Hackenmueller, Health and Human Services Director Fred Johnson, County Administrator Pat Thompson, Finance Director Bob Mittet, County Board Chair Roger Larson, Randy LaFaive from Market & Johnson, Facilities Director Jim Elsbury, Supervisor Dave Ostness, SCC Operations Manager Ken Witt, Rick Moore and Cesar Lugones from Horty Elving & Wold APPROVAL OF MINUTES 1. Ad Hoc Health Center Construction Committee – Regular Meeting – January 4, 2017 3:00 PM Chair Peterson asked if after review of the January 4, 2017 minutes of the Ad-Hoc Health Center Construction Committee Meeting if there is any editing needed. With no changes noted, minutes were accepted by Chair Peterson, no vote. RESULT: ACCEPTED PUBLIC COMMENT Chair Peterson opened the meeting to public comment for items on or off the agenda. No public comment. BUSINESS ITEMS 1. St. Croix Health Center Construction Project Budget Report Administrator Thompson informed the committee that the budget is running very close with limited funds left in the contingency. There are a couple of items pending decisions; the boilers are questionable and may need replacement as well as the unknowns with the roof until demolition begins. Estimates for the boilers are being gathered but aren't in the original budget. This was an item considered early on with the hope being we could make due with the current boilers, but this issue has recently been brought to light as a concern. Financial options are being looked at and engineers are addressing it. When cost details are available they will be brought back to the committee. The project can continue to move forward while the boiler issue is worked on, but a decision needs to be made by end of March so if new boilers are ordered they can acquired and installed prior to the end of the project. Questions were raised and discussion had regarding replacement versus repair of the boilers and the financial options potentially available. Fiscal Manger Bob Mittet reviewed the budget document with the committee and highlighted a few areas. RESULT: DISCUSSED 2. St. Croix County Health Center Facility Building Site Activity and Project Schedule Report Randy LaFaive from Market & Johnson provided an update on the project. He reports it is still on schedule to finish by June 30th. The big task comes next Monday as they will be into the building services building and working outside on water line connections, and shutting the kitchen down as well as working on HVAC. Next the existing roof will be removed and the new HVAC installation work begins. Plans are that by the end of April the mechanical services are run and completed so work can be done installing carpeting and doing the finishing touches. LaFaive provided a couple of other updates as well and reminded the committee that this is a remodel job and everyone has worked hard to address issues and save dollars. Regarding the switch gear replacement that was discussed a last meeting, the numbers came in less than anticipated and it is on order. This worked out really well and shouldn't effect the project. The water damage outside really hasn't been addressed as it has been cold. By the end of March early April there will be more opportunity to view this issue and some of the contingency has been allocated for the potential repairs. The pool is done and ready to go and is on to phase 2 with Hydroworks coming the week of the 13th of March to install the liner and begin to train therapy staff and facilities. Hopefully by March 20th we will have water in it, though it needs to run and be used for 2 weeks prior to being certified. State regulation changes effected the pool budget which in turn has effected the contingency fund. Randy will clarify pool budget at next meeting. On a positive note, during the demolition, 209 tons of material was taken out most of which was able to be recycled. RESULT: DISCUSSED 3. Kitty Rhoades Memorial Memory Care Center Community Based Residential Facility Licensure Update Health and Rehab Center Administrator Sandy Hackenmeuller shared highlights on this agenda item. The Surveyor was on site and reviewed everything on February 23rd, they found everything to be in order, and on Feb. 28th we were officially licensed! Hackenmueller is working on 4 admissions and coordinating intake and staffing for this. She also reviewed with the committee the timeline, delays, and process that has taken place in becoming licensed. The Community Based Residential Facility (CBRF) licensure application will be submitted next week for the 40 bed facility. The final stamp of approval cannot be done until the building is completed, but the application can be there and ready for approval so it can then be sent on to the State. When the entire project is complete we will have 3 licenses, one for the skilled nursing 50 bed unit, one for the 10 bed Kitty Rhoades Memorial Memory Care Center, and one for Orchard View the 40 bed CBRF. RESULT: DISCUSSED 4. Medicaid Waiver Funding for the Kitty Rhoades Memorial Memory Care Center Health and Human Services (HHS) Director Fred Johnson updated the committee regarding the heightened scrutiny issue. Plans to resubmit the request for heightened scrutiny is likely to be in April of 2017 for the 10 bed Kitty Rhoades Memorial Memory Care Center at which time it is expected to be operational and occupied by beneficiaries receiving services there. To assist in review of the draft submittal a February 27, 2017 conference call with Wisconsin Department of Health Services (WDHS) was completed. Initial feedback was obtained but a subsequent conference call is planned to be scheduled in late March 2017 at which time the WDHS expects to have an update from the state workgroup that is addressing Wisconsin requirements for heightened scrutiny. Waiting on this second submittal is planned until after this conference call. The heightened scrutiny documents have been updated and are being reviewed so they are ready for submittal as soon as possible following the next conference call. The state transition document is also available and will be emailed to the committee for their review. The next steps after submittal will be Secretary Seemeyer forwarding to Centers for Medicare and Medicaid Services (CMS) with her recommendation. We will need to submit a third time for the 40 bed when it is completed and serving residents. Supervisor Sjoberg shared that he has been in touch with Senator Baldwin, and would like a transcript or report of today's previous discussion, so to reach out to Baldwin's office again regarding the continued issues regarding heightened scrutiny. HHS Director Johnson shared that a previous request to Senator Baldwin was made to her for assistance in getting response from CMS and that other outreach occurred when Resolution 51, that was approved by the County Board of Supervisors, was sent to Congressional and State Legislators with still no response. The resolution is asking that CMS treat us like everyone else and give us until March of 2019, like the other facilities that were existing prior to March of 2014, to meet home and community based waiver guidelines. Currently since our facility is new we have different expectations, needing to show upon opening on day one we are home and community based eligible. HHS Director Johnson will follow up and coordinate with Supervisor Sjoberg to contact Senator Baldwin's office. During the meeting Supervisor Sjoberg received a call for Senator Baldwin's office and was informed that someone has been assigned to this matter in Madison. Supervisor Hanson shared he has constituents as well as other Supervisors asking questions and being critical of this project that he would like to have a consistent answer for. Other Supervisors shared the same sentiment and concern. HHS Director Johnson will work on drafting a "white paper" of talking points and facts that can be provided to this Committee as well as the County Board of Supervisors at the next meeting. Discussion had on what level of care and type of services that are planned for the Kitty Rhoades Memorial Memory Care Center. Due to the heightened scrutiny issue the only pay source we have is through private pay. We don't want to mix populations in that small unit, so plan to serve only memory care residents, not residents with behavioral needs. When the 40 bed facility is completed we can then transfer these residents (per a transfer agreement) to the 2nd floor of that facility which is planned for caring for residents dealing with dementia, and then begin to transition the Kitty Rhoades Memorial Memory Care Center to crisis a stabilization unit which is what it was originally planned for. We are addressing the issue the best that we can and want to get the doors open and start serving residents, so we can then apply for the home and community based waiver thus allowing us to take Medicare as a pay source. Currently we cannot become eligible for the waiver until we are serving people. Discussion had on further ways to do outreach and follow up. Hackenmueller shared that Leading Age continues to work on this issue as well. Supervisor Ring and others committee members complimented the good work being done and will continue to support these efforts however they can. Administrator Thompson asked that committee members continue their outreach and make any contacts that they can to local and state legislators. HHS Director Johnson shared that Brian Purtell is currently our best resource and maybe Mr. Purtell could be scheduled to meet with this committee. HHS Director Johnson will look into this. RESULT: DISCUSSED 5. 2017 St. Croix County Health and Rehab Center Approved Budget Compared to 2017 Wipfli Financial Forecast Health and Human Services Director Fred Johnson along with Finance Director Bob Mittet reviewed the Wipfli forecast. The area that was highlighted was the revenue for the Dementia Crisis Stabilization Unit. The variance is due to the inability to take in residents because of the delay in licensing and the heightened scrutiny issue. RESULT: DISCUSSED 6. Future Ad Hoc Health Center Construction Committee Meeting Schedule Administrator Thompson will reach out if needed, but plan for March 30th at 3:00 PM. RESULT: DISCUSSED 7. Ad Hoc Health Center Construction Committee Site Tour Several of the committee members toured the renovation site. After the tour the meeting will be adjourned. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS No requests at this time. Administrator Thompson will bring additional boiler information to this committee at the next meeting. ANNOUNCEMENTS & CORRESPONDENCE No announcements. ADJOURN After the tour the Ad-Hoc Health Center Construction Committee will adjourn. The tour was completed at approximately 5:15. DATE OF NEXT MEETING March 30, 2017 at 3:00PM at the Health and Rehab Center in New Richmond.