Board of Selectmen - 444 (02/02/2021)

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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

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