Board of Selectmen - 69 (02/02/2022)

TOWN OF WATERFORD
GENERAL FUND
2022-2023 PROPOSED BUDGETT
DEPT/AGENCY: 
10133 
PUBLIC HEALTH NURSING SERVICE
CONTRACTED OUTSIDEAGENCIES 
=
(1,820) 
-6.54%
58010 
PUBLIC HEALTH NURSING
DEPARTMENT TOTAL 
joo} = (1,820) 
6.54%

VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC.
BUDGET NARRATIVEs—TOWN OF WATERFORD
July 1, 2022 June 30, 2023
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 $79. This is an increase of $4.00 per clinic hour (5%). The home health skilled visit charge was
increased to our published charge of $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.
We are gradually resuming services at our clinic sites since the number of COVID-19 vaccinated individuals has
been favorable in the Southeastern CT region. The submitted budget represents a level amount of clinic service.
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
Maria Martinez.
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 al 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, 2022 - June 30, 2023
Program 
Estimated 
Estimated 
Service 
Program Cost
Units. 
Cost
Screening 
66 hours 
$79 /hour 
Multiple sites 
5,214
Clinics/Health Ed
Flu/Pnew/Clinics | 8 hours 
$79 /hour 
Multiple Sites 
632
Senior Center 
74 hours 
$79 /hour 
Nurse Managed 
7,742
Hours 
Clinic
Homecare for the | As needed but 
|$175 /visit Skilled) Homecare visits 
12,412
indigent/ 
not to exceed 
Health 
as needed within
Health Promotion | budget 
visits 
budget-6/month
Total Request $26,000

Town of Waterford Services
Actual - Budget - Request
Actual 
Budget 
Projected 
Requested
2020/2021 
2021/2022 
2021//2022 
2022/2023
$ 
27,820.00 
28,000.00 
25,206.00 | $ 
26,000.00