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Care Managment Organization (CMO)

Minutes

A meeting of the Care Management Organization (CMO) Governing Board convened at 6:01 p.m. on Monday, July 9, 2007, at the Portland Street Annex with the following members present:

BOYKE, Absent RADTKE, Absent

GARRISON-BRUDEN, 6:01 p.m. to 8:02 p.m. RIES, 6:01 p.m. to 8:02 p.m.

GOLDSMITH, 6:01 p.m. to 8:02 p.m. STENZ, 6:01 p.m. to 8:02 p.m.

KLAWITTER, 6:01 p.m. to 8:02 p.m. WESTEMEIER, 6:01 p.m. to 8:02 p.m.

MOELY, 6:23 p.m. to 8:02 p.m.

Also present: Allen Buechel (County Exec), Larry Debbert (CMO), Bob Goebel (DSS/CMO), Kay Krause (CMO), Jim Meisinger (CMO), Deb Rathermel (CMO), Ellen Sorensen (Dir of Admin), Jeanne Velie (DSS/CMO)

Guests present: Georgiann Fromke (Lifeline Services), Steve Kirschner (ARC)

1. Chair Judy Goldsmith called the meeting to order at 6:01 p.m.

2. Approve Minutes of the May 14, 2007, Meeting

Motion to approve minutes was made by Dan Klawitter.

Seconded by Brenda Garrison-Bruden.

Motion carried.

3 Program Updates

A. County Website

Chad Glaser from Fond du Lac County Information Systems gave a demonstration of the new county website. The anticipated public launch date is August 9, 2007.

B. Pathways to Independence Grant

Deb Rathermel reported that CCO has received a signed contract from the State. The grant will promote access to employment activities for people with developmental disabilities. There are three categories which will be pursued; self-employment or alternatives to standard employment, job co-op, and businesses and the community at large.

4. Provider/Consumer/Citizen Input

Steve Kirschner stated that providers would be interested in the CMO budget timeline and working with the CMO on their budget for January 1, 2008.

5. Financial Reports

The Income Statement and the Balance Sheet for the period ending 5/31/2007 were discussed by Bob Goebel. On the Income Statement he called attention to the Net Income for Year-to-Date Jan-May 2007 and the Current Month Actual Over Required/Fully Funded on the Balance Sheet.

There was some discussion on the CMO interest. This is not a revenue item; it is booked as a payable to the county. A formal proposal has not been written and submitted about what to do with the interest yet.

There were questions about the money that was raised independently for respite. Jeanne Velie will bring a report dealing with that next month.

Motion to approve the financial reports was made by Todd Moely.

Seconded by Dan Klawitter.

Motion carried.

6. County Board Resolution on Agency Staffing

Jim discussed the rationale behind the new staff positions. Changes will be made to the resolution.

Motion to approve the positions was made by Todd Moely.

Seconded by Dennis Stenz.

Motion carried.

7. Provider Network

The CMO has recently been involved in three important areas with providers. Firstly along with DCP through a regional crisis grant we sponsored David Pitonyak who spoke to direct care staff. Mr. Pitonyak is world-renowned in his field of expertise, helping people with developmental disabilities. Secondly the PALS program has found a new location which is handicap accessible. And lastly, the Substitute Care Utilization Workgroup has been meeting to discuss members who enroll already in substitute care.

8 Director’s Report

A. Cost Per Day Per Member YTD 2007 Covering Budget and Actual through April 2007.

There has been an increase in the PMPD costs. Management and staff have been searching for why. There is no one reason. There has been an increase in acuity, members have more needs, units being used have increased, substitute care use has risen, some provider increases were higher than anticipated, and there is a 3-5 year managed care cycle in which you have profitable years and non-profitable years. There are 30 more members in skilled nursing facilities than a year ago. The number of members above 80 is going up. Dennis Stenz requested that the expensive cases be pulled out of the PMPD report.

PMPD only reflects service expenses; it doesn’t reflect the increased income. Despite the increased costs, the CMO is still profitable. Jim will ask Bob to produce a monthly revenue and expenses graph. The July graph of LTCFS will be mailed to the CMO Board members.

B. Enrollment/Disenrollments Report for January through June 2007.

Jim explained that there were 27 new enrollments in June and 13 disenrollments. The ending membership was 1013.

C. Staffing Update for January through June 2007.

Jim discussed the staffing report for January through June 2007.

D. Statewide Long-Term Care Expansion

Fond du Lac is continuing to meet with Manitowoc and Winnebago counties. We are looking at a corporate type model. Jim is starting to write the actual RFP so that when the State puts out the RFP we will be ready to go.

Motion to accept the Director’s Report was made by Todd Moely.

Seconded by Dennis Stenz

Motion carried.

9. Next Meeting

The next meeting will be held Monday, September 10, 2007, at 6 p.m. at the Portland Street Annex.

10. Future Agenda Items

County Website

Lifespan Respite

Lifespan Expenditures

Pathways to Independence

11. Adjourn

Motion to adjourn was made by Shirley Ries.

Seconded by Todd Moely.

Motion carried.

Meeting adjourned at 8:02 p.m.

Recorded by:

Mary Stephenson on 7/9/2007

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