Board of Selectmen Regular Budget Meeting Materials (linked)

f \
{ \
TOWN OF WATERFORD
GENERAL FUND
2021-2022 PROPOSED BUDGET
DEPT/AGENCY: 10133 PUBLIC HEALTH NURSING SERVICE
cle Poe | Actua | 202202) ff 2021/2022 -
| 2019/2020 | 2020/2021 | 2020/21 EXPEND & | DEPT/ 21/2022 | Department | Department] RECOMMENDED] === |)
LINE Se ee ACTUAL | RIM | ADDITIONAL/ ENCUMB AS | AGENCY |APPROVED| Request$ | Request% | BD OF BOS Request| BOS: Request
ITEM DESCRIPTION. ~ EXPENDED | APPROP. | TRANSFERS: |: OF 1/1/21 - REQUEST {| BD/COMM. | Increasé | Increaxe SELECTMEN.. -|°-$ Increase’ |. % Increaxe
CONTRACTED OUTSIDE AGENCIES
58010 JPUBLIC HEALTH NURSING 25,830 27,820 2,520 27,820 0 0.00%
: SUBTOTAL 25,830 27,820 2,520]: 27,820 =O} 0 0.00% 0}
|
DEPARTMENT TOTAL 25,830 27,820 2,520] 27,820]. 0 0 “0.00%. 0

VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC.
BUDGET NARRATIVE—TOWN OF WATERFORD
July 1, 2021 June 30, 2022
We annually estimate the expenditure for services for those residents who are uninsured and cannot afford to pay for care
with their own funds. This may change during the fiscal year if the agency receives additional grant money or donations
for indigent care. It may also change if an individual’s insurance changes during the year. 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
charge for the service to the town is the same hourly charge as in the comparison towns and in all the towns where the
VNA provides service. The difference in the budget total is based on the amount of service that the town provides
through the VNA to its residents. For instance, the East Lyme budget does not include the same level of health promotion
and indigent care as Waterford, because there is not the same level of need for the service in that area. The hourly charge
is $75. This is an increase of $1.50 per clinic hour (2%).
We believe we will be able to resume services at the previous level once the COVID-19 vaccine has been offered widely.
The submitted budget represents a level amount of clinic service.
The VNA of Southeastern Connecticut is committed to providing a cost-efficient service 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, JCAHO-accredited 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 Irene Miller.
Indigent Care/Health Promotion
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. Some Medicaid waiver programs are helping elderly stay at home with the
assistance of Personal Care Attendants instead of the Home Health Aides previously provided through VNASC.

Visiting Nurse Association of Southeastern Connecticut
Proposed Service for the Town of Waterford
July 1, 2021-June 30, 2022
Program Estimated Estimated Service Program Cost
Units Cost
Screening 48 hours $75 /hour Multiple sites 3,600
Clinics/Health Ed
Flu Clinics 8 hours $75 /hour Multiple Sites 600
Senior Center 64 hours $75 /hour Nurse Managed 4,800
Hours Clinic
Homecare forthe | Asneeded but | $75 /hour Health | Homecare visits 19,000
indigent/ not to exceed Promotion visits | as needed within
Health Promotion | budget and indigent care | budget
Total Request $28,000

9EL‘8ZE‘ST
TET‘EVO'LT
T9S‘VT6‘LT
8EE'6L8'9T
9LS‘OLT'v
€£9'ZTL'E
ZLO‘vEO'
SZ8‘089‘E
69€‘TOT
779‘06
TS8€‘66
SvL'68
6T9‘9T
067‘TT
€67'9T
SLT'TT
€TE‘LVT
90L'68
v@e‘@vT
8T8‘88
000‘00S
000‘00S
000‘00S
000‘00S
Lvl‘98
797'V9
ves‘Z8
979‘€9
099‘S28
9S€'VSS
G88‘Tv8
L98'80S
6VE'TE
783'6
vvT‘O€E
98L'6
vOEILS
G96‘7LE
SETS
7L7‘69E
66r‘800'T
080‘SEL
ZLT‘800'T
708‘LZL
GEe'T
60€'T
v87'T
967'T
0
97T‘VOL
0
vST‘Z69
8v9‘9ZT v9S‘TZT VOT ‘VZT O9€‘OZT
O9T ‘SST ‘VT 86r‘OEE ET 60S ‘088‘ET €TS‘S6T‘ET
6ELVSL S76‘V16 OvV6‘6EL 998‘S06
67L‘9LE €L7‘SOE VSL'89€ OSZ7‘ZOE
90€‘ZE0‘Z L70‘688'T LSv‘766'T vZE‘0L8‘T
G9E‘0S LS¢'vv LLE‘6V 6T8‘EV
006‘7S9 L60‘EES 650‘779 6T8‘L7S
SLT‘6TZ‘OT L€0‘L6S5‘6 Z08‘8T0‘OT LT0‘70S‘6
payewiys9y
TZ/0€/9-02/T/ZL
yo3png
jenqoy
anuanay
[e}OL
anuaray
ZunesadoC
J9YI1O
[E}OL
suolynqijU0D
(Saounos
|v)
anuUaAaY
solutfD
diyssauyed
Ajlwey
asuny
SWeIZO1d
[OOUIS
J9YIO
JO@
UOpud]
MeN
AjuQ
UMOL
YOOIGAeS
PIO
AjUQ
UMOL
UO}SUIUOIS
40d
73
UMOL
PAOPaze
AA
AjUQ
UMOL
UOWZUIUOIS
“N
Od
98
UMO]
aWAT
ysey
quawAegd
sninwiys
jelads
sjues5/suonepuno4
anuanay
Jualied
JEN
saoinosay
JOIUaS
ssOlD
anig
1999
adUeINSU]
9}CALd
PIEDIPIAI
SNUDADY
BdAJVs
1USHed
JON
0€/60
3A4