Peoria Standard

Fulton County Health Committee met April 30.

Here is the minutes provided by the Committee:

1. Call to Order (Meeting called to order by Health Committee Chairman Hensley at 4:30pm)

2. Roll Call (Chairman Hensley present; Mr. Hamm present; Mr. Taylor present; Ms. Hoke present; Ms. Kessel present; quorum noted as being present; County Board Chairman Bucher present; Clayberg Facility Administrator Perez and Clayberg Business Office Manager Keime, also present)

3. Call for Additions/Deletions To and Approval of the Agenda (Chairman Hensley entertained a motion to approve the meeting’s agenda as originally composed; Mr. Hamm gave initial approval; Ms. Hoke seconded; all aye)

4. Announcements, Communications and Correspondence (Clayberg Facility Administrator Perez gave updates to facility events and operations; facility activity events discussed; staff from the Brown Zoo in Smithfield, Illinois, came and brought animals for the facility residents; the Pekin, Illinois, area Accordion Players Club also came to the facility and also performed for the facility residents; it was noted that the Clayberg facility’s Activity Calendar for the new month was discussed as now being available for the Committee members to review each month; National Nursing Home Week for the Clayberg facility was discussed; Mother’s Day was noted as being the start date for that week; other staff recognition events discussed including National Nurses’ Week in May and the upcoming National C.N.A. Week in June)

5. Public Remarks:

Members of the Public who wish to address the Board must provide the Chairperson with prior written notice of their intent to speak. The written notice shall identify the name and address of the speaker, as well as a short statement indicating the speaker’s topic. Each citizen is limited to five (5) minutes. Citizen’s remarks shall not exceed 30 minutes per meeting:

(none)

6. Review of Minutes from Meeting (Committee reviewed minutes from the April 2018 Meeting of the Health Committee; Chairman Hensley submitted for a motion to accept the minutes from the previous month’s meeting as read; Mr. Taylor gave initial approval; Mr. Hemm seconded; all aye)

7. Claims/Review of Accounts’ Payable Items (Clayberg Business Office Manager Keime noted that there were still some outstanding accounts’ payable items that would still come in that week that would have to be paid; a question was posed as to what the Iron Mountain vendor was; cable television bill and the water bill were noted as not having been received yet; Mr. Perez noted that the facility’s “subscriptions” budget and “marketing” budget were currently over budget and would be compensated with other facility budgets; Ms. Hoke questioned as to how much marketing would continue to be done with a lower facility census; Mr. Perez responded by confirming that certain marketing efforts would be decreased proportionately per facility census; costs across the board were noted as coming, as well; it was noted, too, that Clayberg facility staff members’ use of vacation time to cover hours cut due to a lower facility census would be ended; Ms. Hoke requested a report for the next month’s meeting showing how many hours were cut per department due to facility census; Mr. Hensley noted work done by Otto Baum Company would be associated with the “Capital Improvement” budget; other capital improvement costs and bond-related costs were discussed; Ms. Hoke questioned cost from a E.L. Pruitt vendor; Ms. Hoke motioned to pay all submitted accounts’ payable; Mr. Taylor seconded; all aye; signature page was given to all Committee members to sign)

8. Transfer of Funds (Mr. Perez had already noted pending appropriation transfers for certain Clayberg facility budgets)

9. Immediate Emergency Appropriations (none)

10. Resolutions for Board Meeting (none)

11. Chairman’s Report

1. Updates of Clayberg Facility Bond-Financed Physical Therapy Addition Project Presented by Staff of Phillips & Associates Inc. (It was noted that no staff from Phillips and Associates Inc., Architectural Firm were able to be represented at the meeting; Mr. Hensley would still give report as to past, current, or pending Clayberg facility construction projects; he discussed requirement for easement to be obtained from current property owner nearby Clayberg facility for a power pole to be installed by Ameren Illinois; a $500.00 amount was discussed regarding the property owner, a Mr. Arnett; Mr. Bucher noted there being an easement in “the air”, but that one would be needed for the property on the ground; Mr. Hensley noted processes and frustrations involved in obtaining easement; easement was ultimately obtained; easement processes noted as possibly setting project overall approximately two weeks; concerns discussed lining of power cable when working with it; new power pole installation discussed; Ameren will now, going forward, have an easement; Ms. Hoke questioned status of land survey; Mr. Hensley noted that it was still in progress; new facility addition was noted by Mr. Perez to be 1,600 sq. ft.; the $500.00 cost to obtain easement was discussed further)

12. Old Business

1. Discussion/Action: Financial Update

1. Admissions/Census – Previous Month’s Data Review (data from April 2018 reviewed; ups and downs discussed; low census noted to be affecting all facilities in the area; Mr. Hensley noted that families are trying to keep their loved ones at home as much as possible; Mr. Taylor noted the changing nature of life; he noted other economic indicators within Fulton County; other layoffs)

2. Aging – Previous Month’s Data Review (Ms. Keime reviewed overall aging for facility; she discussed a lawsuit against the State regarding Medicaid pending processes; other Medicaid admissions expected; issues regarding areas or sites for Medicaid processing noted throughout the State; Ms. Hoke asked how many current Medicaid pending cases facility currently has; frustrations discussed with Medicaid processing; Ms. Hoke gave additional information regarding Managed Care Medicaid programs; contracting with Managed Care insurers discussed; managed care Medicaid programs discussed as being on hold; Mr. Hensley reported issues involving pharmacies operating in Illinois that bill to Managed Care Medicaid programs; he gave further commentary regarding Medicaid program; Ms. Keime noted change in Medicaid rate)

3. Staffing – Previous Month’s Data Review (Mr. Perez noted that there is currently no one to be hired; staffing cuts continue per facility census; a new, more detailed report would be provided to the Committee as to actual staffing cuts starting in the June 2018 Health Committee Meeting)

4. Medicare Payments Received – Previous Month’s Data Review (Ms. Keime discussed Medicare payments received; trying to keep current with billing)

13. New Business

1. Discussion/Action: Regulatory Update

1. Centers for Medicare and Medicaid Star Rating System Review (Mr. Perez gave report to the Health Committee regarding the facility’s current 5-Star rating system assigned to all U.S. nursing homes; difficulties noted regarding reporting of correct data from CMS’ system; 3-section breakdown for 5-Star rating system explained; health surveys, quality measures, and staffing reporting explained; Mr. Taylor gave commentary regarding quality measures and where that data comes from; Ms. Hoke communicated concerns regarding nursing care in the facility; Mr. Hensley gave commentary; Committee members reported many compliments regarding the quality of the Clayberg facility; Ms. Kessel noted regional partnerships with various healthcare agencies to potentially benefit the Clayberg facility;

2. Illinois Department of Healthcare and Family Services

1. 1st Medicaid Integrity Audit Update (Ms. Keime gave updates as to remaining Medicaid Integrity Audit; communications discussed between Medicaid officials and Ms. Keime; difficulties discussed regarding locating documentation requested by the Medicaid auditors)

14. Executive Session (none)

15. Adjournment (Mr. Hensley noted that the next meeting would be June 4th; Ms. Kessel discussed new opioid training by the S.I.U. School of Medicine; Chairman Hensley entertained a motion to adjourn the meeting; Mr. Hamm gave initial approval; Ms. Kessel seconded; all aye; meeting adjourned at approximately 5:42 pm)

https://www.fultonco.org/april-30-2018-health-committee-meeting-minutes/