RTM Budget Agenda - DAY 2 (linked)

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VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC.
BUDGET NARRATIVEs—TOWN OF WATERFORD
July 1, 2024- June 30, 2025
We annually estimate the expenditure for services for those residents who are uninsured and cannot afford to pay for care with
their own fund. Our near-term and far-term plans are the same. We will continue to offer the clinics and services to the
residents at the same level. As always, we will to seek outside funds through a direct mail campaign and grant proposals to assist
in providing visits to residents.
The budget for VNASC service is divided in two programs: clinic services and health promotion/indigent care. The hourly
charge is $87.15. This is an increase of $4.15 per clinic hour (5%). The home health skilled visit charge is $175 per nursing
visit. We had to increase our rates as we are bound to collective bargaining agreements for our RN staff. Salaries and benefits
have increased and are projected to increase again in the coming year. Salary and benefit increases were necessary due to the
serious nursing shortage healthcare is experiencing at this time.
The VNA of Southeastern Connecticut is committed to providing healthcare services to the town at an appropriate level.
Any reduction of the budget below the current level will result in fewer services to the residents. A reduction in services
would be a decision made by Waterford's governing body.
The agency is a state-licensed, Medicare-certified, home care organization. VNASC is governed by a community board
of directors and is an affiliate of L+M Healthcare and Yale New Haven Health. Our Board Chairperson is Shanna Reels.
Indigent Care/Health Promotion
VNASC has been holding blood pressure clinics at the Waterford AHEPA and the Community Center to promote wellness in
the Waterford Community. We have also been holding foot clinics.
Home visits to residents at risk for handicapping conditions or hospitalizations are made under consultation with
the family physician. A plan is established to assist the resident to remain safely at home,
Home healthcare services including nursing, therapies, home health aide and social workers are provided under a plan of care
when the resident is uninsured or underinsured and meets the financial criteria for free or subsidized care.
There is a continued need for assistance with care for those who are struggling to stay independent at home. The need for free
care has reduced in the past few years due to the greater use of CT expanded Medicaid. At this time it is unknown whether the
expansion will continue.
Visiting Nurse Association of Southeastern Connecticut
Proposed Service for the Town of Waterford
July 1, 2024 - June 30, 2025

Program Estimated Estimated Service Program Cost
Units Cost
Screening 24 hours $87.15 /hour Nurse Managed $2,091.60
Clinics/Health Ed Clinics
Community Center| 69 hours $87.15 /hour Nurse Managed $6,013.35
Hours (Senior Clinic
Center)
Foot Clinics 24 hours $87.15/hour Nurse Managed $2,091.60
AHEPA Clinic 4 hours
every other
month
Homecare for the | As needed not $175/Visit Skilled Home $16.100.00
indigent to exceed Health Visits
budget
Total Request $ 26,296.55

Town of Waterford
Proposed July 2024 - June 2025 Budget
and year over Year Actuals
2021-2022 2022 - 2023 2022 - 2023 2023 - 2024 2024 - 2025
Description Actual Budget Projected Actual Proposed Budget Proposed Budget
Public Health Nursing $ 22,655.00 $26,000.00 $ 22,922.00 $ 25,911.00: |'S 26,296.55

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