CMO ADVISORY COMMITTEE MEETING

 

Tuesday, June 12, 2007

1407 St. Andrew Street
La Crosse, WI  54603

12:00 p.m.

 

MEMBERS PRESENT:

Rhonda Staats, Audrey Kader, Deb Newquist

MEMBERS ABSENT:

Thelma Richert, Michael Heal, Mike DeYoe, Brad Pfaff

OTHERS PRESENT:

Pat Killeen, Sue Larson, Carole Anderson

 

CALL TO ORDER

Audrey Kader called the meeting to order at 12:00 p.m.

 

APPROVAL OF MINUTES

Approval of March 13, 2007 minutes. The minutes were reviewed and accepted as circulated.

 

ADMINISTRATOR’S REPORT

The CMO will take a request for the hiring of additional staff, to the Health & Human Services Board and then to the full County Board requesting: two social workers, one nurse and one supervisor and a network development specialist. This is in recognition of continued increase in enrollment and a need to strengthen the infrastructure of the organization. The CMO has recently rented an additional 2400 square feet within the La Crosse Footwear building. This footage will serve as three additional conference rooms. Current CMO membership is 1780.  The State is requiring that the CMO begin doing member screens as early as November 1, 2007, which involves training of all social work staff by the Aging & Disability Resource Center.

 

UPDATE ON REGIONALIZATION

A powerpoint presentation was given to CMO staff on June 6 which offered an update on regionalization, and outlines the direction of the Consortium.  This was handed out for the Advisory Committee to review.  This will be a long term care district and will operate a managed care organization. Development of the board will have one representative from each county which will be appointed by the county board chair or the county administrator. The State has issued a request for proposal (RFP) which is currently being developed with TMG consulting firm (The Management Group.)

 

There will be two ADRC (Aging & Disability Resource Center) offices, informally called ADRC North and ADRC South. Trempealeau will be the lead county for North, and La Crosse will become the lead county for South. The date set for implementation of the MCO is January 2008. Other counties within the consortium will be brought in on a staggered basis throughout the next two years. Projections show total membership will be roughly doubled, will have approximately 200 employees, and a $90 million dollar budget. A ramp-up plan is being developed, which includes providers and staff needs.  It was suggested that ADRC gather data on residency issues and bring to the next meeting.  A new long term care council will be strictly advisory. What replaces the CMO Advisory Committee will be decided upon by the new governing body.

 

 

 

CMO FISCAL REPORT – FIRST QUARTER of 2007

The financial review shows a positive margin of $843,000 which brings reserves to $3.5 million.  The CMO met their solvency requirements in December 2006. The state has instructed the CMO to use excess funds to ramp up the new long term care district.

 

CMO QUARTERLY REPORT

This report contains media reporting and member stories, critical incidents, suspected incidents of fraud and abuse, of which there were none during the first quarter of 2007. Additional data will be analyzed by CMO Leadership for any trends. Critical Incidents are anything that are indicative of the potential of harm. Processes have been improved to make the reporting system easier.

 

COMPLAINTS AND GRIEVANCES

No increases seen in these areas. There were seven during the first quarter of 2007, which the result of denial of services.      

 

ANNUAL QUALITY REVIEW PRELIMINARY REPORT

The CMO received the report back from the State the first part of June which lists various items of improvement such as policies and improvement projects. Sue Larson announced her retirement effective July 19, 2007.

 

OTHER BUSINESS

2007 Meeting Dates:  March 13, June 12, September 11, December 11

 

NEXT MEETING AGENDA ITEMS

 

Next meeting: September 11, 2007 12:00 pm

 

Meeting adjourned at 1:25 p.m.   

 

The above minutes may be approved, amended, or corrected at the next Committee meeting.

 

Carole Anderson, Recorder