Official County Seal of DeKalb County Illlinois Government
DeKalb County, Illinois

Minutes of the
Operating Board of Directors
DeKalb County Rehab & Nursing Center

January 23, 2002

Present:  Directors Stromborg, Heinisch, Kirby, Richter, Crain, Wilson

Absent/Excused: Director Casella

 

Also Present: Incoming Director Tobias, C. Anderson, P. Anderson, Scavotto, Bockman

 

The meeting was called to order by Crain at 7:00 am. A quorum was present.

 

Minutes: The minutes of the previous meeting were approved as submitted. Motion Kirby, second Richter, unanimous.

 

Old Business:  None

 

New Business:

Management Report – Quality Improvement, Corporate Compliance

Michele Green reviewed the quarterly QI indicators and findings. Extended discussion regarding UTIs ensued with there being ample evidence that the clinical protocols implemented to reduce UTI experience and improve Bowel & Bladder outcomes are having a positive effect. In regard to the high scores for pressure scores, Michele will revisit the data and provide a written analysis at the next meeting.

Physician billing issues are resolving rapidly. We are continuing to follow the compliance work plan and are making steady progress in all areas except chart audits. Resident satisfaction this quarter was excellent.

HIPAA compliance continues. With the transaction and code sets, we are, to a great extent, dependent upon our vendors. Our goal remains being certified as HIPAA-compliant by April of 2003.

Management Report – Operations

Scavotto reviewed the December financials as well as the November year-end performance. All revenue and expense factors were within normal limits. There is the distinct possibility that we will experience significant reductions in government reimbursement. In the Medicare program, increases granted last year are about to expire and, if they are not continued, may represent lost revenue amounting to $180-$200k. In the Medicaid program, reductions through the newly-initiated IOC program (Inspection of Care) are certain to reduce Medicaid revenues; the exact extent is unknown. Staff is continuing to monitor the development of the IOC program, last used by Illinois in 1993. The effect of the IOC program on DCRNC will be the extensive documentation; we anticipate that the outcome will be lower revenues with no trade-off in expense.

Scavotto reviewed the township situation and reviewed the township meeting of January 22.

 

Next Meeting Date: 

            March 20, 2002


All present expressed their gratitude to Gary Crain and to Veronica Casella for five dedicated years of service on the Operating Board.


Respectfully submitted,

 

 

Catherine Anderson
Recording Secretary

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