McLean County Times

McLean County Times

Friday, February 28, 2020

McLean County Health Committee met December 2

By Michael Abella | Jan 17, 2020

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McLean County Health Committee met Jan. 2.

Here is the minutes provided by the committee:

The Health Committee of the McLean County Board met on Monday, December 2, 2019 at 4:30 p.m. at the Government Center Building 115 E. Washington Street, Room 400 Bloomington, IL.

Members Present: Chairman Susan Schafer, Members: Carlo Robustelli, George Wendt, Randall Martin, Catherine Metsker and Sharon Chung

Members Absent: Member George Gordon,

Other Members Present: None

Staff Present: Ms. Camille Rodriguez, County Administrator; Mr. Eric Schmitt Assistant County Administrator; Ms. Cassy Taylor, Assistant County Administrator; Ms. Jessica Woods, First Assistant State’s Attorney – Civil Division, Ms. Julie Morlock, Recording Secretary

Department Heads/ Elected Officials Present: Ms. Tammy Brooks, Interim Administrator Health Department; Mr. Jason Tabb, Juvenile Detention Center Director; Ms. Cindy Wegner, McLean County Nursing Home Director; Ms. Trisha Malott, Behavioral Health Coordinating Council Supervisor

Others Present: Diane Cochran, Director of Nursing, McLean County Nursing Home

Chairman Schafer called the meeting to order at 4:30 p.m. and declared a quorum.

Chairman Schafer presented the minutes from the November 4, 2019 regular and November 8, 2019 special meetings for approval.

Motion by Chung/Robustelli to approve the minutes from the November 4, 2019 regular and November 8, 2019 special meetings.

Motion carried.

Chairman Schafer confirmed there were no members of the public to appear before the Committee.

Chairman Schafer indicated Ms. Michelle Welch, Adult Detention Center was not present, but her report was in the packet. Mr. Jason Tabb, Juvenile Detention Center came forward and presented his report. Chairman Schafer asked if there were questions; hearing none, she thanked him. Ms. Schafer indicated they were going to have tour of jail medical but since the general public could not go through, she asked each member to contact the Sheriff directly and set up a tour and the Committee would discuss at the February meeting.

Chairman Schafer asked for a motion to go into CLOSED SESSION pursuant to section 2 (c)(1) of the Open Meetings Act (5 ILCS 120/2(c)(1)) to discuss the appointment, employment, compensation, discipline, performance, or dismissal of specific employees of the public body or legal counsel for the public body, including hearing testimony on a complaint lodged against an employee of the public body or against legal counsel for the public body to determine its validity.

Motion by Martin/Wendt made a motion to go into CLOSED SESSION pursuant to section 2 (c)(1) of the Open Meetings Act (5 ILCS 120/2(c)(1)) to discuss the appointment, employment, compensation, discipline, performance, or dismissal of specific employees of the public body or legal counsel for the public body, including hearing testimony on a complaint lodged against an employee of the public body or against legal counsel for the public body to determine its validity.

Motion Carried.

The Health Committee entered closed session at 4:38 p.m. The Health Committee returned to open session at 4:53 p.m.

Chairman Schafer presented for action a request to approve a request for extended leave in the Health Department.

Motion by Wendt/Robustelli recommended approval of the request for extended leave in the Health Department.

Motion Carried.

Ms. Tammy Brooks, Health Department Interim Administrator presented her monthly reports to the Committee. Mr. Robustelli stated a constituent had indicated McLean County does not do inspections after the initial state inspection of tattoo parlors and asked if she could provide information regarding inspections of tattoo parlors. Ms. Brooks indicated she would. Ms. Brooks stated they provided almost 3,000 flu vaccines and staff was happy with the way the clinics went and final numbers would be provided next month. Ms. Metsker stated she would like to see more Health Department/McLean County signage at the flu clinics as she felt it went well and they should get the positive recognition. Ms. Brooks indicated that one of the larger employers in town does not allow them to state who they are. Ms. Schafer updated the Committee and let them know the Board of Health might be approving a new Director at their next meeting. Chairman Schafer ask if there were any questions or comments for Ms. Brooks, hearing none, she thanked her.

Ms. Cindy Wegner, Director, Nursing Home presented an action plan and her monthly reports. Ms. Wegner introduced her Director of Nursing, Diane Cochran. Ms. Wegner indicated the action plan is the first phase of a strategic plan they are working on with Administration and is to heightened awareness on three areas identified during survey and to address ongoing concern about increasing census in the facility. Ms. Wegner stated as managers they are required to go to conferences and outside educational sessions to keep up to date on regulatory updates and continuing education credits. Ms. Wegner went over first area of the action plan - quality measures and overall resident care where they identified residents with three or more indicators on the CASPER report. She stated nurse management would work with floor staff about ongoing changes, do quality assurance checks with the staff and use an auditing tool to show steps taken and improvements achieved.

Ms. Wegner indicated the second part of the plan is increasing the monthly census to 100+ including an average of 6 Medicare A patients. She said in addition to working with marketing and their internal admission person and nurse liaison they would continue to work with ACO representative from OSF. She also discussed memory unit plans and indicated OSF is eager to help. She said OSF wants the Nursing Home to be able to take acute, long term care, memory care and Medicaid population. Mr. Robustelli said monthly census of 100+ was used for budget, but in the blue ribbon plan they said 110 or 115 was needed to be sustainable and asked why that higher number not being used in plan. Ms. Wegner stated wanted to under promise and over deliver, but goal is to be where the blue-ribbon panel has stated we need to be. Mr. Robustelli stated he felt important to differentiate between budget planning and action plan and set higher goal. Ms. Metsker agreed with Mr. Robustelli as the Action Plan needs to challenge us. She stated she appreciated relationship with OSF but asked about status with Advocate. Ms. Wegner stated we have not gotten any further with Advocate. Ms. Metsker asked what Administration, or the Blue-Ribbon Panel might do to assist. Ms. Wegner stated Blue Ribbon Panel meeting coming up and Advocate rep will be there and will discuss at that time as at last meeting they were waiting on a nurse practitioner. Ms. Metsker asked her to pursue that outside of the quarterly meetings if possible as there is an immediate need. Ms. Schafer also reminded them takes 6 months to get person certified.

Ms. Wegner stated they want to correct med errors and discussed med errors sited. She stated they would be issuing an RFP for new pharmacy and hoped new pharmacy and facility system with more checks and balances system in place electronically will help eliminate med err rate. Ms. Metsker asked what the monitoring tool is. Ms. Cochran discussed the Abacus system and using the same checklist paper form the State uses for our observations. Ms. Metsker asked if it could become electronic. Discussion about how to make it electronic to help reduce duplication of work and possibility for error. Mr. Martin asked about window for IDPH coming back. Ms. Wegner indicated normal window is June to August for survey.

Ms. Wegner stated last area focusing on is life safety code standards, building maintenance and safety drills. She said they have an electronic system called TELS that maintains all the buildings equipment that reminds them of the checks that need to be completed. She stated they were also working with Farnsworth to complete other updates brought forth during the survey. Ms. Metsker asked her to confirm survey and revisit dates and if they those revisit dates can be requested. Ms. Wegner confirmed can be requested. Ms. Metsker asked if once completed we could take in Medicare patients again. Ms. Wegner indicated they received a phone call today from IDPH where and provided the document IDPH needed so should be completed as of today. Ms. Schafer asked if it would be beneficial to decertify some of the beds as we change mix of beds to target patient count that will help be sustainable. Mr. Wendt said he did not think that we would want to do that because if a private pay room is not being used, we could take in Medicare or Medicaid to receive some income. He said he did not feel we would want to lose the 150-bed certification as he did not see a financial benefit to decertification. Ms. Wegner agreed with Mr. Wendt and said only benefit would be the lowering of bed fee/tax. Ms. Metsker questioned bed tax since we are not required to pay tax. Mr. Schmitt indicated that while it is commonly called that, but it is a licensure or administrative fee. Chairman Schafer asked if there were other questions on the action plan, hearing none she asked if there were questions on the monthly reports. Ms. Metsker asked how many residents could have been admitted to the Nursing Home in the month of November for Medicare. Ms. Wegner indicated approximately 6 patients. Chairman Schafer asked if there were any further questions or comments; hearing none, she thanked her.

Mr. Schmitt provided an update on the Farnsworth work that was being done at the Nursing Home.

Ms. Rodriguez went over the new positions hired and indicated she had nothing further for the Committee.

Ms. Schafer indicated that next was a closed session but asked if the Committee would agree to proceed with the rest of the agenda before closed session. Committee was agreeable.

Chairman Schafer indicated the next meeting would be on Monday, January 6, 2020 at 4:30 p.m. Chairman Schafer then presented for approval Nursing Home bills with a prepaid total $177,719.63.

Motion by Chung/Robustelli to approve prepaid bills for the Nursing Home as presented.

Motion carried.

Motion by Robustelli/Martin to approve prepaid bills for the Developmental Disability Board as presented.

Motion carried.

Chairman Schafer presented for approval bills for Jail Medical and JDC Medical with a prepaid total of $21,083.78

Motion by Robustelli/Chung to approve prepaid bills for Jail Medical and JDC Medical as presented.

Motion carried.

Chairman Schafer presented for approval bills for the Board of Health with a prepaid total of $140,920.96.

Motion by Martin/Robustelli to approve prepaid bills for the Board of Health as presented.

Motion carried.

Chairman Schafer asked for a motion to go into CLOSED SESSION pursuant to section 2 (c)(1) of the Open Meetings Act (5 ILCS 120/2(c)(1)) to discuss the appointment, employment, compensation, discipline, performance, or dismissal of specific employees of the public body or legal counsel for the public body, including hearing testimony on a complaint lodged against an employee of the public body or against legal counsel for the public body to determine its validity.

Motion by Metsker/Robustelli to go into CLOSED SESSION pursuant to section 2 (c)(1) of the Open Meetings Act (5 ILCS 120/2(c)(1)) to discuss the appointment, employment, compensation, discipline, performance, or dismissal of specific employees of the public body or legal counsel for the public body, including hearing testimony on a complaint lodged against an employee of the public body or against legal counsel for the public body to determine its validity.

Motion Carried.

Health Committee entered closed session at 5:25 p.m. Health Committee entered open session at 6:15 p.m.

Chairman Schafer asked if there was any additional business to come before the Committee; hearing nothing, she asked for a motion to adjourn

Motion by Robustelli/Chung to adjourn the December 2019 Health Committee meeting.

Motion Carried.

Health Committee meeting adjourned at 6:15 p.m.

https://www.mcleancountyil.gov/ArchiveCenter/ViewFile/Item/7067

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McLean County Health Department