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Minutes
Operating Board of Directors
DeKalb County Rehab & Nursing Center
March 11, 2009

Present: Directors Andersen, Klein, Kloster, Turner, Dillman
Absent Directors: Casella
Also Present: Scavotto, Bockman, C. Anderson

Vice Chair Kloster called the meeting to order at 7:00 am.
A quorum was established and the agenda was approved as submitted (Motion Andersen (second Dillman, unanimous).

The minutes were approved as submitted (Motion Klein, Turner, unanimous)

Old Business: None

New Business

Management Report: Scavotto reviewed operations and expected year-end results for 2008. There are some outstanding balance issues remaining for 2008; these will be closed out this week and the Business Office will begin on 2009. This is several months ahead of last year’s schedule.

Census in January was strong, consistent with our average level of 178. February and March saw some periods of low census, particularly in Medicare.

The restructuring of the IGT was introduced. This is a long-anticipated event. Scavotto reviewed the broad parameters of the restructuring. C. Anderson reported on the state of negotiations with AFSCME including the possibility of introducing an incentive arrangement based on coding and reimbursement improvements.

Compliance: C. Anderson presented the CMS 5-Star Rating System and went over the implications for coding and quality documentation.

Next Meeting: May 13, 2009

Meeting adjourned at 7:45 AM. (Motion Klein, second Andersen, unanimous).

Respectfully submitted.

Michael Scavotto
Recording Secretary

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