Representative Town Meeting Budget and Special Meeting - DAY 2 (linked)

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TOWN OF wATERFORD
GENERAL FUND
2023 - 2024 PROPOSED BUDGET
DEPT/AGENCY: 10133 PUBLIC HEALTH NURSING SERVICE
ACTUAL 2023/2024
2021/2022 2022/2023 EXPEND & DEPT/ Department | Department
ACTUAL 2022/2023 ADDITIONAL/ {ENCUMBASOF| AGENCY Request $ Request %
LINE ITEM DESCRIPTION EXPENDED RTM APPROP, TRANSFERS 1/1/23 REQUEST Increase Increase
CONTRACTED OUTSIDE AGENCIES
58010 PUBLIC HEALTH NURSING 18,225 26,000 25,911 (89) -0.34%
SUBTOTAL 18,225 26,000 i) 25,911 (89) ~0.34%
DEPARTMENT TOTAL 18,225 26,000 0 25,911 (89) -0.34%

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_ TOWN OF WATERFORD
FY2024 BUDGET REQUEST
DEPARTMENT:
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC.
BUDGET NARRATIVEs—TOWN OF WATERFORD
July 1, 2023- June 30, 2024
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 $83. This is an increase of $4.00 per clinic hour (5%). The home health skilled
visit charge was increased to our published charge of $180 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. The CVS and Stop and Shop clinics were stopped this past
year due to lack of participation. ,
We would like to propose increasing hours to the Waterford AHEPA for foot care clinics at the request of the
Program Director and residents. Proper foot care for patients with vascular conditions and diabetes
population, is paramount in keeping them well and out of the hospital. Vascular conditions and Diabetes are
common and debilitating conditions in our aging population that can lead to amputations, pain and lack of
mobility. :
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.

TOWN OF WATERFORD
FY2024 BUDGET REQUEST
DEPARTMENT:
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.
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TOWN OF WATERFORD
-FY2024 BUDGET REQUEST
_ DEPARTMENT: _
Visiting Nurse Association of Southeastern Connecticut
Proposed Service for the Town of Waterford
July 1, 2023 - June 30, 2024
Program Estimated Estimated Service Program Cost
Units Cost
Screening 24 hours $83 /hour Nurse Managed $1,992.00
Clinics/Health Ed Clinics
Community Center} 69 hours $83 /hour Nurse Managed $5,727.00
Hours (Senior Clinic
Center)
Foot Clinics 24 hours $83/hour Nurse Managed $1,992.00
AHEPA Clinic 4 hours
every other
NEW* month
Homecare forthe |As needed but [$180 /visit Skilled) Homecare visits $16,200.00
indigent/ not to exceed Health as needed within
Health Promotion | budget visits budget-6/month
Total Request $ 25,911.00

TOWN OF WATERFORD —
FY2024 BUDGET REQUEST
DEPARTMENT:
\Town of Waterford
(Proposed July 2022 - june 2023 Budget
_jand year over Year Actuals
|Description 2020-2021 = 2024-2022 2022 - 2023 2022 - 2023 2023 - 2024
Actual Actual Budget Projected Actual Proposed Budget
‘Public Health Nursin $ 27,820.00 $ 22,655.00 $ 26,000.00 $ 22,922.00 $ "25,911.00