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Deputy Secretary Briefing

Wisconsin Department of Veterans Affairs

May 4th, 2010


Agenda
Morning

OFFICE OF THE SECRETARY


 9:00 – Secretary Ken Black
 9:05 – Executive Assistant - José León
DIVISION OF VETERANS BENEFITS
 9:10 – Employment and Training Section - Joe Bertalan
 9:30 – Bureau of Claims - William Kloster
 9:50 – Bureau of Veterans Benefits - Chris Schuldes
 10:10 – Bureau of State Veterans Cemeteries - Mark Mathwig
BREAK 10:30 – 10:40
 10:40 – Division of Veterans Benefits - James Bond
DIVISION OF ADMINISTRATION
 11:00 – Bureau of Fiscal Services - Randy Krueger
 11:20 – Bureau of Administrative Services - Amy Franke
 11:40 – Bureau of Information Systems - Chris Apfelbeck
LUNCH 12:00 – 12:45
Agenda
Afternoon

DIVISION OF ADMINISTRATION (Cont)


 12:45 – Division of Administration - Tony Cappozzo
OFFICE OF POLICY, PLANNING, AND BUDGET
 1:05 – Office of Policy, Planning, and Budget - Colleen Holtan
WISCONSIN VETERANS MUSEUM
 1:25 – Wisconsin Veterans Museum - Michael Telzrow
DIVISION OF VETERANS HOMES
 1:45 – Wisconsin Veterans Home King - Jackie Moore
BREAK 2:05 – 2:15
 2:15 – Wisconsin Veterans Home Union Grove - Randy Nitschke
Q & A – 2:35 TO 2:50 (Patrick Shaughnessy will be presenting)
Secretary Ken Black
ADJOURNMENT 3:00
Deputy Secretary Briefing

José M. León Jr.


Executive Assistant

May 4, 2010
Executive Assistant
My Role

 Legislative inquiries

 Legislative liaison

 Legislative updates

 Representing the agency


Questions?
Comments?
Deputy Secretary Briefing

Division of Veterans Benefits

May 4, 2010
DIVISION OF VETERANS BENEFITS
Includes:

 BUREAU OF CLAIMS
 BUREAU OF STATE VETERANS BENEFITS
 BUREAU OF STATE VETERANS CEMETERIES
 EMPLOYMENT AND TRAINING SECTION
EMPLOYMENT AND TRAINING SECTION

Joe Bertalan, Section Chief


Veterans Training & Education Section
EMPLOYMENT AND TRAINING SECTION

 Veterans Education (VetEd) Reimbursement Grant


 State Approving Agency
 Troops to Teachers
 Dislocated Veterans Program
 Campus Open Houses
EMPLOYMENT AND TRAINING SECTION

Veterans’ Ed. (VetEd) Reimbursement Grant


 Reimburses 100% tuition and eligible fees up to the UW-Madison rate per
credit hour

 Eligible schools: Academic institutions approved by the Wisc. Educational


Approval Board (EAB) or WDVA’s State Approving Agency (SAA)

 Amount of benefit depends on length of active duty -- up to eight semesters


or 120 credits

 Used by veterans ineligible for the Wisconsin GI Bill (entered from another
state) or by veterans attending a private school

 Fiscal 2010 YTD:


- Budget: $1.9M (34% or $650,000 remains)
- Serviced 748 applications to date

 Staffing: 1 FTE plus seasonal assistance from other staff


EMPLOYMENT AND TRAINING SECTION

State Approving Agency (SAA)


 Inspect, approve and supervise educational/training programs
taught at Wisconsin Institutions of Higher Learning, aviation
schools, correspondence schools and Non-College Degree
programs; programs must meet educational, vocational and
professional objectives
 Contractual obligations with VA: program approval, supervision of
schools/training institutions, technical assistance, outreach, liaison
and contract compliance; investigative responsibilities with
questionable schools at direction of VA and DoEd
 Staff: 3.5 FTE and 2 part-time LTE
 FFY 2010: 140 active schools – 54 inactive schools
 Budget (Contract with VA): $277,160 plus supplemental revenue
 Monetary value to Wisconsin of the federal GI Bills: ~ $75,000,000
EMPLOYMENT AND TRAINING SECTION
Troops To Teacher – TTT

 Provide guidance and information on Wisconsin and


Minnesota certification requirements, teacher training
programs and employment opportunities
 Eligibility: retired veterans and members of the Selective
Reserves
 Benefits for participants:
- $5K Stipend – to pay teacher certification costs; recipients teach for
three years in approved districts
- $10K Bonus – for participants who teach for three years in approved
schools
- Note: Pending legislation may expand eligibility and benefits

 Staff: 1 FTE
 Budget (Contract with DoEd/EOD): $101,900
EMPLOYMENT AND TRAINING SECTION
Dislocated Veteran Worker Program

 Coordinate benefits presentations for veterans and


spouses being laid-off due to reductions-in-force (RIF) or
plant closings

 Presentations:
- Staffing: CVSOs provide local coverage statewide; WDVA
backs-up events in proximity to Madison area
- Provide benefits overview, brochures and booklets
- Schedule follow-up meetings with a CVSO

 YTD FY2010: served veterans/spouses at 16


companies; 20% of total workforce were veterans or
spouses of veterans
EMPLOYMENT AND TRAINING SECTION
Campus Open Houses

 Goal: Identify student-veterans who are unaware of


benefits and connect them with available benefits
providers

 Half-day outreach to students attending Wisconsin


post-secondary schools

 WDVA coordinates with schools to bring staff from:


CVSOs, VA Medical Centers, NG Family Assistance,
VA Vet Centers, ESGR, VA Vocational Rehab. &
Employment, Vets Employment and others

 Since 1/2008: 36 events have connected with 2,000


veterans
EMPLOYMENT AND TRAINING SECTION
Recently Separated Veterans Program (RSVP)

 Monthly mailing to veterans recently discharged from AD


and returning to Wisconsin; averages about 500 mailings
per month

 Packet includes: Secretary’s letter, Depleted Uranium


letter, Military Families in Transition (B0110), OEF/OIF
POCs at VA Medical Centers, TTT, and State Programs
and Services for Wisconsin Veterans (B0100)

 Names and addresses are shared with: Armed Forces


recruiters, VA Medical Centers in Wisconsin, Job
Centers, Oneida Nation, VA Vet Centers and CVSOs
EMPLOYMENT AND TRAINING SECTION
Challenges

 VetEd Grant Program – two rule changes:


- implemented 1/2010: applications now due 60 days after the
start of the semester
- potential new rule: allow payment for up to eleven credits per
semester for fulltime studies after a veteran has been out of AD for
more than ten years

 RSVP – pending decision to shift to new format for


mailing to veterans returning from AD

 Campus Open Houses – scheduling about ten campus


events for Fall 2010
BUREAU OF CLAIMS

Bill Kloster, Director


Bureau of Claims
BUREAU OF CLAIMS

 Wisconsin Veterans, spouses and dependants


received over $744 million in Federal VA
Compensation and Pension benefits in 2008

 Almost 53,000 WI Veterans have a VA disability rating

 The Claims Bureau provides services to veterans who


are filing for disabilities by representing them through
a Power of Attorney
BUREAU OF CLAIMS

 Personnel
 Bureau Director
 8 Claims Officers
 Administrative Supervisor
 5 Administrative Support

 Supplies and services budget $20,100

 The Bureau Director is also administers the VSO Service


Grant
BUREAU OF CLAIMS

 Challenges

 Increasing need for assistance


 Federal VA estimates 22% increase in applications
 GWOT soldiers are returning with more difficult conditions

 Lack of automation

 Experience and Training


BUREAU OF STATE VETERANS BENEFITS

Chris Schuldes, Director


Bureau of State Veterans Benefits
BUREAU OF STATE VETERANS BENEFITS

 Loans
 Grants
 Outreach
BUREAU OF STATE VETERANS BENEFITS
Assistance To Needy Veterans Grant Program
ANVG

Health Care Aid * Subsistence Aid

 Annual budget: $921.7k Annual budget: $172k


 Staff: 2 FTE Staff: 2 FTE Applications
 Applications received received fiscal YTD: 93
fiscal YTD: 382 Replacement of lost of
 Payment of dental, vision income due to illness, injury
and hearing care or natural disaster
* Temporary Funding Outage
Declared in March 2010
BUREAU OF STATE VETERANS BENEFITS
Assistance To Needy Veterans Grant Program

Type of Aid\Benefit
Impending Limits *
•Dental $4,250*
•Hearing $3,950*
•Vision $400*

•Subsistence $3,000

*$7,500 combined lifetime limit


BUREAU OF STATE VETERANS BENEFITS
Retraining Grant Program

 Annual budget: $210k


 Staff: 2 FTE (same as ANVG)
 Applications received fiscal YTD: 16
 Recently unemployed or underemployed veterans may
receive up to $3,000 per year for a maximum of 2 years,
if they demonstrate a financial need while being trained
for employment
BUREAU OF STATE VETERANS BENEFITS
County Veterans Service Office\Tribal Veterans
Service Office Grants

CVSO GRANTS
 Annual Budget: $765.5K
 Staff: 2
 Annual Applications: 72
TVSO GRANTS
 Annual Budget: $68K
 Staff: 2
 Annual Applications: 8
BUREAU OF STATE VETERANS BENEFITS

County Transportation Services Grant Program

 Annual budget: $100K


 Staff: 2 FTE (same as ANVG & RTG)
 Counties receiving grants in FY 2010: 38
 Partial reimbursement of county expenses to transport
veterans to VA hospital and clinics
 Counties regularly serviced by the Disabled American
Veterans (DAV) are not eligible
BUREAU OF STATE VETERANS BENEFITS

Wisconsin Disabled American Veterans Grant

Annual grant to Wisconsin Department of Disabled


American Veterans to help transport state veterans to
Federal VA medical appointments

Budget: $100K
Staff: 2
BUREAU OF STATE VETERANS BENEFITS

Veterans Loan Programs


 Staff: 8 FTE

 Home Loan Program


- Volume fiscal YTD: $9,566,358
- Loans approved: 56
- Remaining funding: $0

 Home Improvement Loan Program


- Volume fiscal YTD: $360,843
- Loans approved: 16
- Remaining funding: $115,157

 Personal Loan Program


- Volume fiscal YTD: $2,356,689
- Loans approved: 155
- Budget: $5,000,000
BUREAU OF STATE VETERANS BENEFITS
Home Loan Program *

 30 year fixed interest rate


 5% down
 No private mortgage insurance
 No funding fees
 No points or pre-payment penalties
 All veterans receive the same rate
 Must have left active duty (federal service) within 25
years to qualify
* Funding outage was declared in November 2009
BUREAU OF STATE VETERANS BENEFITS
Home Improvement Loan Program
HILP

 Low fixed interest rates from 5.85%


 Borrow up to 90% of home equity
 Terms from 5 to 15 years
 Must be used to improve residence
 All veterans receive the same rate
BUREAU OF STATE VETERANS BENEFITS
Personal Loan Program
PLP

 Low fixed interest rates from 5.85%


 Mortgage secured loans to $25,000
 Guarantor secured loans to $5,000
 Terms from 3 to 10 years
 Defer education loans up to 5 years
 All veterans receive the same rate
BUREAU OF STATE VETERANS BENEFITS

OUTREACH\MISSION WELCOME HOME

Provide statewide outreach to Wisconsin veterans, their


families and stakeholders. Coordinate and attend re-
integrations, demobilizations and other veterans events.
Agency liaison to CVSO\TVSO community, WI GI Bill
and Property Tax Credit.

STAFF: 3
BUREAU OF STATE VETERANS BENEFITS

National Guard Reintegration & Reserve


Demobilization Services
 Provide benefits information to NG and Reserve members
returning from active duty
 For NG: WDVA partners with WDMA during Phase I
Reintegration
 For Reserves: WDVA gives presentations and/or staffs
benefits table
 Process:
- Drill weekend 30-90 days after returning to the state
- Families (spouses, children and parents) often involved
- Local armories, resort hotel or Ft. McCoy
- Assign multiple WDVA staff when dealing with larger units
- Greatest interest: How to pay for education using the Montgomery,
Post-9/11 and Wisconsin GI Bills? How to transfer to dependents?
 Served over 11,700 troops in 60 units since 2003
BUREAU OF STATE VETERANS BENEFITS
Wisconsin GI Bill

For Veterans
- Lifetime benefit: no income cap, no limit on level of study

For Dependents
- Veteran must have a VA service-connected disability (SCD) of at
least 30% or died in line of duty or from a SCD
- Qualifying dependents: 100% remission of standard academic
tuition and segregated fees (UWS)/material fees (TCS) - Not other
fees
- Spouse: Ten year delimitating date (From when veteran’s first
effective date of 30% or greater.)
- Children: at least 17 and not yet 26 years old
BUREAU OF STATE VETERANS BENEFITS
Wisconsin GI Bill

 Remission (waiver) of tuition/fees for veterans and


dependents for up to 8 semesters or 128 credits at UW
campuses or Wisconsin Technical Colleges (WTCS)
 Eligibility: Must have been a Wisconsin resident when
entering active duty; character of service and active duty
service requirements apply
 WDVA certifies veteran status to the UW or Technical
College
 Benefit is administered by UW and Technical Colleges
 This program is entirely separate from the federal GI
Bills (Montgomery GI Bill and Post-9/11 GI Bill) and
WDVA’s education programs, yet all programs impact
how a veteran can use other state and federal programs.
BUREAU OF STATE VETERANS BENEFITS
Challenges

 Obtain adequate funding for PML and HILP loan


programs
 Develop new loan products and funding sources to
generate income for the Veterans Trust Fund and
Mortgage Loan Repayment Fund
 Expand outreach services
 Maintain adequate funding of ANVG-Health Care Aid
Bureau of State Veterans Cemeteries

Mark Mathwig, Director


Bureau of State Veterans Cemeteries
Bureau of State Veterans Cemeteries

 Cemeteries
 Military Funeral Honors (MFH)
 Veterans Assistance Program (VAP)
Bureau of State Veterans Cemeteries

 Burial for veterans, spouses and dependents at three state


veterans’ cemeteries: (Spooner, Union Grove, King)

 Burials: 1,175 per year; (781 of the 1,175 burials at SWVMC)

 Budgets/Personnel:
-NWVMC (Spooner): $373,493; 5 FTEs

-SWVMC (Union Grove): $704,600; 10 FTEs, 3 LTEs


-CWVMC (King): $42,400, Staff – King Home maintenance personnel
Bureau of State Veterans Cemeteries

 Revenues:
-$300 plot allowance from USDVA for the burial of all veterans
-$550 WDVA fee for burial of spouses and dependents
-GPR: $25,000 yearly to CWVMC, no other state funding
 Eligibility: Similar to VA’s National Cemetery
Administration (NCA), but includes Wisconsin state
residency requirement

 Burial Options: Casket, Urn Garden, Columbarium or


Scattering Garden

 FY 10/11 initiatives: $5.3 million expansion at SWVMC


 Phase IIIa: $1.4 million for new columbarium (1,792 niches).
 Phase IIIb: $3.9 million for 4,782 added crypts on 19 newly
developed acres
Bureau of State Veterans Cemeteries
Military Funeral Honors Program

 Coordinate Military Funeral Honors for veterans and


families throughout the state; provide MFH stipend to
Veterans Service Organizations (VSO) to provide
Honors.
 Budgets/Personnel: $461,421; 11 FTE, 1 LTE
 Operations: Honors are coordinated from the central
office. MFH Teams are located at the three state
veterans cemeteries.
 MFHs provided: FY 09 – 5,963.
 MFH Stipend Budget: $240,900; VSO reimbursement
$25 or $50 stipend.
 MFHs provided by WDVA teams in FY 09 – 1140
Bureau of State Veterans Cemeteries
Veterans Assistance Program – VAP

 The VAP provides housing and services for up to 100


homeless veterans nightly

 Discharge review services to upgrade military discharges

 Benefits services to incarcerated veterans

 Women Veterans Programs

 Walk-in services at the Milwaukee Service Center and


Central Office in Madison
Bureau of State Veterans Cemeteries

Veterans Assistance Program – VAP


 Fiscal 2009:
- Budget - $1.89M; $723K VTF; $1.17M Federal per Diem
- 100 VAP Transitional Housing beds in program including King
(26), Union Grove (30), Fort McCoy (14), and Chippewa Falls (30)
- 292 Incarcerated Veteran Contacts; 581 Discharge Review
Requests; 370 Medals and Records Requests
- 2,829 served at the Milwaukee Service Center; 4,088 at Central
Office
- Creation of revenue source for WDVA – up to $75,600 per year
for 8 Single Room Occupancy (SRO) at Union Grove and 10 at
Chippewa Falls
Bureau of State Veterans Cemeteries

Veterans Assistance Hot Issues


 Management and Operation of Northern Center
 Achieving sufficient number of residents over 25
 3rd year of running program with LTEs, either turn over to contractor or
make LTEs project position employees
 Purchase/Lease of new Vans (All vehicles have over 200K miles)
 Utility Costs
 Non self sustaining with current per diem from USDVA, we must have a
legislative appropriation to continue to operate this program.
 Mothballing Cottage 1 at Southern Wisconsin Center
 Opposed by Wisconsin State Historical Society.
 Saves $25,000/year
 Southern and Northern Center Escalating Utility Costs
 WDVA and Contractor Concern.
 Move off campus and give program to Contractor in their own facility.
 Letter to and response by Administrator of Division of State Facilities
(DSF), David Helbach.
Bureau of State Veterans Cemeteries
Cemetery Challenges

 SWVMC Phase III Expansion Project


 Additional 3 FTE manning required after expansion.
 Local Inscription Program Grant
 Pre-positioned blank headstones.
 Inscribed on site and No cost to state.
 Capitol project request for SWVMC, Small project request
for NWVMC.
 State Cemeteries Grant Program Operations and
Maintenance Grant
 $5 Million grant program being developed by USDVA/NCA.
 Program statement has been prepared for headstone resetting and
realignment or SWVMC with an approximate cost of $175 Thousand.
DIVISION OF VETERANS BENEFITS
Division's primary responsibility:

 Providing outreach, programs and services to Veterans


to ensure they receive the benefits to which they are
entitled

 Developing, coordinating, administering, and maintaining


state programs and services that provide health,
educational, economic, and social assistance and lasting
memorialization, in supplement and complement to
those provided by the federal government
DIVISION OF VETERANS BENEFITS

Proposed Draft Division Reorganization


DIVISION OF VETERANS BENEFITS
DIVISION OF VETERANS BENEFITS
DIVISION OF VETERANS BENEFITS

Unapproved Draft Org Chart 4/26/10


Questions?
Comments?
Deputy Secretary Briefing

Division of Administration

May 4, 2010
Bureau of Fiscal Services
Mission

The Mission of the Bureau of Fiscal Services is to deliver high levels of


financial services, as well as maintaining high levels of internal controls,
compliance, and review procedures for all WDVA financial operations
Bureau of Fiscal Services
Organizational Chart
DEPARTMENT OF VETERANS AFFAIRS
DIVISION OF ADMINISTRATION
BUREAU OF FISCAL SERVICES DIVISION OF VETERANS HOMES
BUREAUS OF FINANCIAL SERVICES
King
BUREAU OF FISCAL SERVICES
Financial Management Supv
Stead, Stephen – Director 305118
Financial Manager
Krueger, Randall - Director 007068
Union Grove
Financial Management Supv
Wiberg, Kenneth 333313

GENERAL ACCOUNTING SECTION Auditor-Adv Accountant-Adv PROGRAM ACCOUNTING SECTION


Kurtenbach, Paul
Vacant 335859
335859 Warnken, Laurie 040911
Financial Program Supv Financial Program Supv
Koprowski, Hope 005897 Pullum, Bill 014927

Accountant - Senior Accountant - Journey


Schweiger, John 307888 Ruffin, Jerry 011777

Financial Spec 5 Financial Spec 4


Grinnell, Laurie 007146 Kampfer, Raquel 077453
Newman, Leslie 081714
Financial Spec 4 Sorge, Rhonda 302613
Vacant
Danyeur, Benny 017576

Financial Spec 3
Danyeur,
Vacant Benny 300961

October 2009
ORGCHART\DVAM13.VSD (10-05) M-13
Bureau of Fiscal Services
Program Areas Supported

 Accounts Payable processing: operating costs; travel vouchers; loan


and grant disbursements
 Accounts Receivable / Receipts processing
 Loan Accounting, Servicing and Credit Bureau reporting
 Maintain WARS, WDVA’s internal budget tracking and control system
 Responsibility for internal controls and compliance for fiscal transactions
 Pre-audit and Post-audit of financial transactions
 Financial reporting to internal and external customers
Bureau of Fiscal Services
Compliance Auditor

 A compliance auditor position was recently added to the Finance staff.


 This position will be responsible for reviewing the effectiveness and
efficiency of agency operations, the reliability of financial reporting,
compliance with laws and to develop a compliance program for financial
reporting
 Auditor is currently reviewing the Department’s Internal Control Plan as
well as a Risk Management strategy for the Department.
Bureau of Fiscal Services
Quarterly Budget Reviews

 Implementation is in process for an internal budget review procedure to provide


a uniform and consistent methodology to compare budget authority to projected
expenditures for department programs.
 This procedure will also provide a systematic method to identify and discuss
budgetary issues and concerns.
 Budget and expenditure files for each Division will be created.
 Budget review objectives:
 Discuss summary data by appropriation line to address potential budget
problems
 Discuss planned budget alternatives
 Discuss suggested solutions
 Discuss status of new budget initiatives
 Discuss any other budgetary issues
 Reviews will be completed on a scheduled quarterly basis or as requested by
the Office of the Secretary.
Division of Administration
Mission and Responsibilities

The Division of Administration is a service division


consisting of 54.5 staff whose primary responsibility is to
provide support to WDVA’s program areas and staff for
the following core business functions:
 Finance
 Human Resources
 Payroll and Benefits
 Information Technology
Included in these core business functions are
responsibilities for risk management, employment
relations, records management, veterans’ eligibility
determination, open records requests, facilities
management, building and safety, purchasing and fleet
management.
Division of Administration
Organizational Chart
DEPARTMENT OF VETERANS AFFAIRS
DIVISION OF ADMINISTRATION

DIVISION OF ADMINISTRATION
Executive Staff Assistant
Mauger, Katherine 50% 032490 Administrative Manager
Cappozzo, Anthony – Administrator 011134

BUREAU OF BUREAU OF BUREAU OF


ADMINISTRATIVE SERVICES FISCAL SERVICES INFORMATION SYSTEMS

Human Resources Mgr Financial Mgr Mgt Information Mgr


Franke, Amy – Director 003018 Krueger, Randall – Director 007068 Apfelbeck, Christopher-Director 301871

Office of the Administrator


Office of the Administrator
Bureau of Administrative Services
1.5 15.0
2.0

Bureau of Administrative
Bureau of FiscalServices
Services 15.0 13.0
Bureau of Information Systems 28.0
Bureau of Fiscal Services 13.0 58.0
Bureau of Information Systems 25.0
54.5

February 2010
ORGCHART\DVAM07.VSD (02-22) M-07
Bureau of Administrative Services
Mission

The Mission of the Bureau of Administrative Services is to provide


effective management, direction and guidance for human resource,
payroll and benefit and program activities in support of WDVA’s
strategic and operational goals and strategies
Bureau of Administrative Services
Organizational Chart
Bureau of Administrative Services
Consolidation of State Agency
Human Resources

 Transfer of Agency Human Resource and Payroll/Benefits FTE positions


to the Office of State Employment Relations (OSER).
 The Department of Administration (DOA) speculates significant
improvements in efficiencies and cost-effectiveness.
 This will affect 15.50 WDVA staff.
 Joint Committee on Finance is requiring DOA to develop a proposal for
this consolidation and transfer of positions. This proposal will go under a
14-day passive review and approval process.
 Other non-cabinet agencies are exempt from consolidation: Department
of Employee Trust Funds; Investment Board; Justice and Public
Instruction.
 Amy Franke, HR Director, and I will have an exemption request for this
consolidation completed for internal review by mid-May.
Bureau of Administrative Services
OSER’S Annual Assessment
for Operational Funding

 The 2009-11 Biennial Budget converted OSER operations and staff


funding from General Program Revenue (GPR) to Program Revenue (PR)
funding source.
 This is an annual assessment.
 On March 25, agencies received their share of the FY10 $5.4 million
statewide assessment.
 WDVA’s FY10 assessment is $124,224 and will be allocated at the
appropriation level.
 An encumbrance of funds will be created with eventual payment to DOA.
 In the meantime, WDVA will express concerns to OSER regarding the
timing of this assessment, raise accountability issues, as well as the
cost/benefit of the services provided by OSER.
Bureau of Administrative Services
DOA’s Centralized Position Review (CPR) System

 The CPR system is a DOA initiative started on 10/24/2008 with no


known sunset date.
 All staffing transactions for FTE, LTE, transfers and project positions
must go through this process.
 A justification is prepared by the agency hiring manager and goes
through an internal WDVA review and approval by WDVA’s Secretary.
 Upon internal approval, this justification is forwarded to the DOA
Secretary for approval.
 Upon DOA approval, staffing action may be started.
 Planning on the part of the hiring manager is critical as this CPR
process may add 3 weeks or more to the recruitment process.
Bureau of Administrative Services
State Workers Furlough System

 In effect over the course of the 2009 – 2011 biennium


 One of the measures implemented by the Governor’s Office to
address the $6.6 billion state budget deficit over the 2009 – 2011
biennium
 Requires all represented and non-represented state employee
hours of work to be reduced by 64 hours (8 days) each of the next
two fiscal years.
 The reduction will be for a total of 128 hours (16 days) over the
course of the 2009 – 2011 biennium
Bureau of Administrative Services
Agency Reorganization

 WDVA’s current organization will be reviewed for efficiencies to be


gained by a reorganization.
 Human Resources will provide a briefing to the Agency Leadership
Team regarding the reorganization process and timelines.
 Some reorganization activities need DOA and budgeting approval.
 A reorganization timeline and priority recommendation will be
prepared for the Office of the Secretary’s review and approval.
Bureau of Information Systems
Mission

The Mission is to provide information technology resources in support


of WDVA’s strategic and operational strategies. This IT support
includes customer support (Help Desk, web page administration, IT
training), technical support (network and desktop) and application
development support.
Bureau of Information Systems
Organizational Chart
DEPARTMENT OF VETERANS AFFAIRS
DIVISION OF ADMINISTRATION
BUREAU OF INFORMATION SYSTEMS

BUREAU OF INFORMATION SYSTEMS

Mgt Information Manager


Apfelbeck, Christopher 301871

KING SUPPORT SECTION SYSTEMS SUPPORT SECTION

IS Supervisor 2 IS Supervisor 2
Vacant 030261 Vacant 307978

SYSTEMS DEVELOPMENT UNIT TECHNICAL SUPPORT UNIT Customer Support Unit


IS Network Services Senior IS Systems Dev Services Specialist IS Network Services Specialist IS Technical Services Senior
Gibbs, Bruce 043880 Renoos, Steven 300958 Berge, Beth 301561 Voeck, Stuart 301873
Sievert, Michael 327898 Wrensch-Cwirla, Sharon 071364
IS Systems Dev Serv Cons/Admn IS Systems Dev Services Senior
Kluck, Gary 320708 Braker, Alan 307979 IS Technical Services Specialist IS Compre Supp Tech-Senior
Harris, Darryle 305741 McGarvey, James 327900 Emery, Karen 038897
IS Data Services Specialist Harrison, Randolph 030256
Wroblewski, Pamela 322247 Shay, Audrey 015545 IS Technical Services Senior IS Network Supp Tech-Inter
Soleimani, Mark 327897 Lesh, Pam 042981
IS Comprehensive Services Senior Trieloff, Debbie 077975
Garza, Ricardo 028623
IS Technical Services Professional
IS Technical Services Specialist Sobczak, Cindy 333929
Pamperin, Jared 327896

IS Technical Services Senior


Barber, Vicki 310029

IS Technical Services Prof


Vergauwen, James 327875
Shear, Robert 27875E
September 2009
M-14
ORGCHART\DVAM14.VSD (09-25)
Bureau of Information Systems
Website Re-design

 WDVA’s website was launched in 1997 with the last major re-design
completed in 2005.
 A re-design team was recently formed representing each Division, as
well as, both of the Homes.
 A kick-off meeting was held on April 23, 2010.
 Recommendations for the Website re-design, as well as, a project
timeline will be forthcoming.
Bureau of Information Systems
IT Committee

 WDVA has an IT Committee that meets on a semi-annual basis to


identify new projects and to make project priority recommendations to
the Office of the Secretary.
 The IT Committee’s scheduled to meet in the months of June and
December.
 Every Division and Office, including both of the Homes are represented
on the IT Committee.
 The IT Committee helps to reduce contention for IT resources through
this project prioritization process.
Bureau of Information Systems
Basefile Imaging System

 Expenditure authority received in the FY2008-09 biennial budget for


$690,000 to image 288,000 basefiles (5.8 million pieces of paper):
 $90,000 for computer hardware and software
 $600,000 ($300,000 in each fiscal year) for temporary staffing to perform
document imaging tasks
 Project start date: January 2008
 Scope Change: On 2/15/2008, the project scope changed to image
only new and active basefiles. The rationale was to reduce
expenditures for the project. There was also a cost/benefit question
as to whether it was cost effective to image inactive basefiles, as they
are rarely accessed by staff.
Bureau of Information Systems
Basefile Imaging System

 Project highlights:
 Basefiles can be retrieved in VBATS ( a WDVA developed software
application) so that paper basefiles no longer need to leave the
Records area
 As of 4/20/10, nearly 46,500 basefiles have been scanned.
 Use of temporary staff to do imaging will end approximately January
2011. In the future, existing WDVA staff will be transitioned into
performing the document imaging functions
Questions?
Comments?
Deputy Secretary Briefing

Office of Policy, Planning and Budget


Colleen Holtan, Director

May 4, 2010
Office of Policy, Planning and Budget

DEPARTMENT OF VETERANS AFFAIRS


OFFICE OF POLICY, PLANNING & BUDGET
SECRETARY
Black, Kenneth

DEPUTY SECRETARY
Vacant

EXECUTIVE ASSISTANT
Policy Initiatives Advisor – Exec.
Schuster, Andrew 036402 Unclassified
Leon, Jose 036748

Office of Policy, Planning & Budget


Policy Initiatives Advisor- Exec.
Administrative Mgr. Kleinsteiber, Larry 041099
Abrahamsen, Kenneth 028544

Finance/Internal Audit Budget & Policy Analyst Agency - Program & Planning Analyst Adv
Adv. Baumann, Jeffrey 010338
DVA Finance and Bond Officer Eubanks, Zolonda 032753
Holtan, Colleen 302019 Mattix, Susan 313837

February 2010
ORGCHART\DVAM03.VSD (02-22) M-03
Office of Policy, Planning and Budget
Mission

 To develop, monitor and manage the department’s


annual and biennial operating and capital budgets;
 To provide financial, policy and statistical analysis of
department programs; and
 To maintain effective working relationships with the
State Budget Office, Legislative Fiscal Bureau and
federal VA officials.
Office of Policy, Planning and Budget
Operating Policy and Budget Analyst
Zolonda Eubanks

 Major Responsibilities:
 Establish annual operating budgets for central office;
 Prepare s.13.10 and s.16.515 requests
 Prepare and submit appropriation increase and transfer
transactions to DOA State Budget Office for approval
 Prepare fiscal estimates and bill analyses as requested by
the State Budget Office
Office of Policy, Planning and Budget
Operating Policy and Budget Analyst
Zolonda Eubanks

 Major Responsibilities, continued:


 Prepare biweekly salary projections
 Permanent salaries
 LTE salaries
 Overtime
 Monitor position vacancies/new hires for central office
 Reconcile Position Management Information System (PMIS)
with payroll
Office of Policy, Planning and Budget
Operating Policy and Budget Analyst
Zolonda Eubanks

 Major Responsibilities, continued:


 Coordinate setting up federal grant budgets
 Monitor grant and gift/bequests budgets
 Biennial budget development
Office of Policy, Planning and Budget
Operating Policy and Budget Analyst
Zolonda Eubanks

 Current Projects:
 Loading annual operating budgets into WiSMART
 Preparing Fringe Benefit Supplement Requests
 Preparing salary projections
 Budget training
 Biennial budget development
Office of Policy, Planning and Budget
Capital Policy and Budget Analysts
Susan Mattix and Dale Koebke

 Major Responsibilities:
 Oversee and coordinate development of the department’s
biennial capital (construction) budget.
 Oversee and coordinate development of the department’s
six-year and long range preservation plan.
 Coordinate with program staff to develop program
statements and project requests for the department’s major
capital projects.
Office of Policy, Planning and Budget
Capital Policy and Budget Analysts
Susan Mattix and Dale Koebke

 Major Responsibilities, continued:


 Develop estimated budgets, timelines and comprehensive
plans for capital budget projects
 Prepare agency requests for submission to the State
Building Commission (SBC)
 Present agency requests for approval at SBC
 Develop and manage assigned construction projects from
their inception through completion
Office of Policy, Planning and Budget
Capital Policy and Budget Analysts
Susan Mattix and Dale Koebke

 Major Responsibilities, continued:


 Serve as Department’s primary contact in planning and
construction meetings for assigned projects.
 Monitor capital project budgets
 Coordinate submission and monitoring of USDVA State
Home Construction Grants with Policy Initiatives Advisor
 Submit and monitor USDVA State Cemetery Grants
Office of Policy, Planning and Budget
Capital Policy and Budget Analyst
Susan Mattix

 Assigned Major Projects:


WVH-KING
 Wandering Member System $2.62M
 Olson Hall Window Replacement $2.10M
 Olson/Stordock Bathing Rooms $2.45M
 Campus Site Work $2.30M
 New Chiller and Cooling Tower $ 925K
 Water Tower Painting $ 346K
 MacArthur Hall Re-roof $ 321K
Office of Policy, Planning and Budget
Capital Policy and Budget Analyst
Susan Mattix
 Assigned Major Projects:
WVH-Union Grove/SWC
 Campus Water Distribution and
Sanitary Sewer Repairs $2.66M
 Electrical Upgrade Phase II $1.83M

Southern Wisconsin Veterans Memorial Cemetery


 Preset Crypt Expansion,
New Committal Shelter $3.89M
Office of Policy, Planning and Budget
Capital Policy and Budget Analyst
Dale Koebke

 Assigned Major Projects:


 WVH-Chippewa Falls $20.0M
 Museum Preservation Facility $30.0M
 Museum Historical Center $131 M
Office of Policy, Planning and Budget
Policy Initiatives Advisor
Larry Kleinsteiber

 Major Responsibilities:
 Identify veterans home capital projects that may qualify for
state home construction grants from the U.S. Department of
Veterans Affairs
 Develop grant pre-applications and applications for eligible
capital projects
 Coordinate the completion of all VA requirements for state
home construction grants where funds are set aside, to
include meeting all required time frames
Office of Policy, Planning and Budget
Policy Initiatives Advisor
Larry Kleinsteiber

 Major Responsibilities, continued:


 Coordinate with DVA and DSF project managers, A/Es, State
Budget Office and Governor’s office, as needed, to insure
they provide necessary documentation required by VA for
state home construction grants
 Brief executive leadership and the Board of Veterans Affairs,
as needed, regarding the state home construction grant
program
Office of Policy, Planning and Budget
Policy Initiatives Advisor
Larry Kleinsteiber

 Major Responsibilities, continued:


 Work with National Association of State Veterans Homes to
learn about/advance issues with VA that state veterans
homes
 Maintain effective working relationship with federal VA
officials in VISNs 12 and 23
 Coordinate annual review and renewal of sharing agreement
for leased space in Wallace Hall on WVH-UG Campus by the
Milwaukee VA Medical Center
Office of Policy, Planning and Budget
Policy Initiatives Advisor
Larry Kleinsteiber

 Major Responsibilities, continued:


 Report information to Wisconsin’s Office of Recovery and
Reinvestment (ORR) on capital projects funded by VA with
Recovery Act funds
 Coordinate VAMC involvement in WDVA Supermarkets

 Prepare Long Term Care Committee capital report


Office of Policy, Planning and Budget
Policy Initiatives Advisor
Larry Kleinsteiber

 Major Projects:
 Develop grant pre-applications/applications for VA FFY2011
Priority List
 Completion of requirements for projects with VA funds set
aside
 Preparation of ARRA Accountability Plan
 Quarterly Reporting to ORR on ARRA Funded Projects
Office of Policy, Planning and Budget
Program and Planning Analyst
Jeff Baumann

 Major Responsibilities:
 Collection and analysis of demographic data concerning
Wisconsin veterans and veteran benefit usage.
 Create large databases of relevant statistics to keep informed
of current trends.
 Obtain, review, and analyze various data, for use in analyzing
the effect on program operations.
Office of Policy, Planning and Budget
Program and Planning Analyst
Jeff Baumann

 Major Responsibilities, continued:


 Provision of fiscal and policy analysis to determine effect of
program changes on agency operations and veterans needs.
 Create fiscal estimates, analyses, and reports on proposed
changes to determine effect on WDVA operations.
 Prepare demand analyses and projected fund outages for the
Primary Mortgage Loan to anticipate and rectify fund shortages.
Office of Policy, Planning and Budget
Program and Planning Analyst
Jeff Baumann

 Major Responsibilities, continued:


 Research of long-range and strategic planning initiatives to
meet the needs of Wisconsin veterans
 Based on statistical analysis, propose new programs,
modifications of existing programs, eligibility changes, and
procedural changes in current programs
 Prepare recommendations and means of financing previously
unmet needs of veterans and veteran dependents.
Office of Policy, Planning and Budget
Program and Planning Analyst
Jeff Baumann

 Major Projects:
 Long-term demand analysis in support of developing facility
investment plan for veterans homes.
 Update of stress test for the assisted living facility at Union
Grove.
 Assistance with biennial budget
Office of Policy, Planning and Budget
DVA Finance and Bond Officer
Vacant

 Major Responsibilities:
 Provide senior management and the Board of Veterans
Affairs with timely financial data and analysis for decision
making in accordance with fiduciary responsibilities
 Coordinate the timing and sizing of bond issuances based on
market conditions and program demand
Office of Policy, Planning and Budget
DVA Finance and Bond Officer
Vacant

 Major Responsibilities, continued :


 Devise strategies, including the utilization of extraordinary
redemption provisions to minimize negative arbitrage
 Coordinate tax law compliance with Capital Finance, State
Bond and Tax Counsel, and the state’s quantitative analysis
firm
 Provide internal audit services to the Office of the Secretary
as requested
Office of Policy, Planning and Budget
DVA Finance and Bond Officer
Vacant

 Major Responsibilities, continued :


 Assist in the development of the biennial budget by preparing
cash flow projections and revenue and expenditure balance
reports
Office of Policy, Planning and Budget
DVA Finance and Bond Officer
Vacant

 Major Projects:
 Prepare financial statements for the Board
 Update assumptions and projected cash flow for the
Veterans Trust Fund
 Work with the state’s quantitative analysis firm to update
assumptions and projected cash flow for the Mortgage Loan
Repayment Fund
 Coordinate extraordinary redemptions
Office of Policy, Planning and Budget
DVA Finance and Bond Officer
Vacant

 Major Projects, continued:


 Review care rates developed by Homes for compliance with
statutory requirements
 Assist Homes administrator in resolution of accounts
receivable balances at WVH-UG
 Financial projections for proposed veterans Home at
Chippewa Falls
 Liaison to the Legislative Audit Bureau for the audit of the
Wisconsin Veterans Homes
Office of Policy, Planning and Budget

VTF Ending Cash Balances


2009 Wisconsin Act 28, Adjusted for FY10 PLP Disbursements

$40,000,000

$30,000,000

$20,000,000

$10,000,000

$0

($10,000,000)

($20,000,000)
FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21 FY22 FY23 FY24 FY25
Office of Policy, Planning and Budget

MLRF Projected Cash Balances

$80,000,000

$70,000,000

$60,000,000

$50,000,000

$40,000,000

$30,000,000

$20,000,000

$10,000,000

$0

($10,000,000)

($20,000,000)
5/1/09

5/1/10

11/1/10

5/1/11

5/1/12

11/1/12

5/1/13

5/1/14

11/1/14

11/1/15

5/1/16

11/1/16

11/1/17

5/1/18

11/1/18

11/1/19

5/1/21

11/1/21

5/1/23

11/1/23

5/1/25

11/1/25
11/1/09

11/1/11

11/1/13

5/1/15

5/1/17

5/1/19

5/1/20

11/1/20

5/1/22

11/1/22

5/1/24

11/1/24
General Fund Cash Insurance Reserve Cash Required Insurance Reserve
Office of Policy, Planning and Budget
Office of Policy, Planning and Budget
Questions?
Comments?
Deputy Secretary Briefing

Wisconsin Veterans Museum


An Educational Activity of the Wisconsin
Department of Veterans Affairs

Michael Telzrow, Director


Wisconsin Veterans Museum
Mission

Commemorate, acknowledge, and affirm the role of


Wisconsin veterans in America’s military. (Wis.
Statutes 45.014)
Achieved through instructive exhibits and educational
programs
WVM serves as a reminder of the importance of
memory
Wisconsin Veterans Museum
Institutional History

 1901 – State established a museum in the Capitol


building to honor CW-era Wisc. veterans and those
serving in “any subsequent war.” (Chap. 125. Wis..
Laws, 1901)
 Grand Army of the Republic operated the facility until
1945 when newly est. WDVA assumed control.
Wisconsin Veterans Museum
Institutional History

 Development of new museum began in 1990 when a


lease was secured at 30 West Mifflin.

 New Wisconsin Veterans Museum opened in June 1993.

 Awarded AAM re-accreditation 3/2010. Unbroken record


since 1974.
Wisconsin Veterans Museum
Museum Administration

 Michael Telzrow, Director

 Lynnette Wolfe, Assistant Director

 Ensure fulfillment of the Museum’s mission

 Demonstrate leadership, sustain public support, expand


through partnerships
Wisconsin Veterans Museum
Facilities

 WVM occupies four floors


 10,000 sf first floor exhibit space
 11,000 sf, basement collections storage and processing
 1,800 sf 2nd floor office space
 3,140 sf 2nd floor Ed. Center
 3rd floor Research Center/NG Exhibit
Wisconsin Veterans Museum
Satellite Museums

 Marden Center at Veterans Home in King, Wisconsin


(approx. 2,000 sf.)

 Assumed control of the Wisconsin National Guard


Museum at Volk Field in 1999 (approx 2,800 sf.)
Wisconsin Veterans Museum
Organizational Chart
DEPARTMENT OF VETERANS AFFAIRS
WISCONSIN VETERANS MUSEUMS
SECRETARY
EXECUTIVE ASSISTANT
Black, Kenneth

DEPUTY SECRETARY Unclassified


Leon, Jose 036748
Vacant

Wisconsin Veterans Museums


Executive Staff Assistant
Tranchita, JoAnn 028348
Director, WI Veterans Museums
Temporary Assignment
Telzrow, Michael 034203

Assistant Director, Veterans


Museums Archivist
Wolfe, Lynnette 035899 Martinson, Gayle 327795
Horton, Russell 320769

Curator Marketing Specialist Curator


Lent, Eric 80% 327796 Museum Gift Shop Mgr Brewster, William 320768
Zickuhr, Kristine 322252 Lawson, Gregory 318225 Vacant 320767

Marketing Specialist
Kollath, Jeffrey 327793

Communications Specialist-Sr
Carlson, Jennifer 325992

February 2010
ORGCHART\DVAM06.VSD (02-22) M-06
Wisconsin Veterans Museum
Programs/Exhibits

 Develop and promote educational programs that support


our mission

 How? Instructive public programs & exhibits, lectures,


publications, teacher in-services, living history, etc
Wisconsin Veterans Museum
Archives & Research Center

 Acquires, preserves, organizes manuscripts, photos,


books, periodicals, maps, film, etc.

 Oversees Veterans Oral History project

 Provides a unique service to Wisconsin Veterans by


collecting their stories
Wisconsin Veterans Museum
Collections

 Acquisition, cataloging, conservation and storage of 3-


dimensional artifacts

 Manage, preserve and safeguard the Museum’s artifact


collection numbering 22,000 objects

 Made accessible for public research and exhibit


purposes
Wisconsin Veterans Museum
Museum Store

 Supports the Museum by making available merchandise


that is substantially related to the Museum’s educational
mission
Wisconsin Veterans Museum
WVM Foundation

 501 (c)3 corporation chartered by the State of Wisconsin


for the sole purpose of assisting the Wisconsin Veterans
Museum in raising funds for acquisitions, exhibits and
programs.

 Publishes quarterly newsletter The Bugle

 A fifteen member Board of Directors oversees the


Foundation.
Wisconsin Veterans Museum
WVMF Special Events

 Annual WVM Foundation Gala – Net average profit -


$10K

 Annual WVM Foundation Golf Outing – Net average


profit - $17K
Wisconsin Veterans Museum
Museum Attendance

 FY 2004 – 82,685
 FY 2005 – 90,569
 FY 2006 – 98,477
 FY 2007 – 100,271
 FY 2008 – 105,771
 FY 2009 – 93,574 (flood)
 Includes, Programs, outreach, school/group and walk-in
Wisconsin Veterans Museum
JPSF

 $25 million Joint Preservation Storage Facility housing


archives and collections of WVM and WHS
 Located on ten acre site at Central Wisconsin Center,
Troy Drive
 DOA owned building – WVM/WHS as tenants
 80,000 sf, WVM to occupy approx. 26,000
 Estimated move costs over $1mil
 WVM Capital Equipment costs est. 2009-2001 Biennium
was $5.7mil – General fund supported – (entire project
must be funded by general funds)
Wisconsin Veterans Museum
History Center Complex

 Co-location with WHS on the Square


 20,000 sf of WVM exhibit space
 3,000 sf WVM research center
 WDVA Administrative Offices
 $131 million project
 Staff currently responding to program verification
requests from Potter Lawson
 2003 Wisconsin Act 129 – “The State may contract
public debt in an amount not to exceed $30,000,000 for
this purpose.”
Q&A
Deputy Secretary Briefing

Wisconsin Veterans Home


King

May 4, 2010
Welcome to the Wisconsin
Veterans Home at King
Wisconsin Veterans Home King
Overview

1. Who we are

2. What we do

3. Looking ahead to the


future
Wisconsin Veterans Home King
State and Federal Regulations

1. HFS 132, Wisconsin Administrative Code


2. Chapter 50, Wisconsin Statutes
3. CFR 38 Part 51
4. Chapter 45 Wisconsin Statutes
5. VA 6 Wisconsin Administrative Code
6. Life Safety Codes
7. HIPAA
Wisconsin Veterans Home King
Staffing

King employs approximately 900 employees including


permanent and LTE staff

About 500 of the staff are


nursing employees

King has very low turnover compared to


most nursing homes
Wisconsin Veterans Home King
King Senior Leadership
Wisconsin Veterans Home King
Residents are Referred to as Members
& Members are why we are here!

King has 721 skilled nursing beds and 28


domiciliary beds (cottage district)
TOTAL WVH RESIDENTS BY COUNTY
ACTUALS AS OF January 2010
16=entered from out of State
0 1
150 Miles
1 1
6
3 2
2 3
11
5 100 Miles 2
0 2 4
12 8
1 5
0 2 8
0
1 16 50 Miles7 3
0 2
4
0 0
0 39 84 40
2 2 18 48
7 23 10 9
48
5 12
5 7 5 8 3
2
1 8 5
7 6 6
1
0 35 8 20 47
1
6
0 0 11 5
0
Wisconsin Veterans Home King
Who Does King Serve
1. Demographics
a) 250+WWII, 130+Korean Conflict, 90+Vietnam, 57
Other
b) Longest length of residency is over 35 years
c) Youngest are in 30’s & oldest are over 100
d) 53 couples (106 members) living @ King
e) 514 single members
f) 62 members with spouse living in the community

2. Socio-economics:
a) Average social security is $981 per month
b) Average member contribution $2279 per month
c) MA dependent – King 83.5% (industry 64%)

3. About 1/3 of our members have no spouse or


children for a support system
Wisconsin Veterans Home King
Why We Need Veterans Homes

1. “I Owe You! It’s part of our deal!”


a) Veterans have made many sacrifices
b) Veterans have unique issues
2. Estimated that 128,000 veterans over age 65 will live in
WI in year 2030
3. Factors increasing the need for Long Term Care (LTC) for
Veterans
a) Increased life spans
b) Fewer informal caregivers
c) Baby Boomers
d) Alzheimer’s/Dementia increasing incidence needed
e) Special Health needs  PTSD, Substance Abuse, Multiple
chronic illnesses etc
4. Decreased availability of LTC due to regulatory
requirements & low reimbursement rates
Wisconsin Veterans Home King
Differences from Other Nursing Homes

1. Male to female ratio


a) Industry 70% female
b) King 78% male
2. Age range: 30’s to 100+

3. Veterans mental health issues: PTSD, substance abuse, etc.


4. Largest Nursing Home in the State of Wisconsin
5. King is like a military base or college campus
most “nursing homes” do not have miles of roads/sidewalks, 24/7
Security/Safety, pontoon boats, theater, bowling alley, dentist, power
plant, full transportation fleet, etc
6. Receives higher Medicaid reimbursement as well as VA per diem
payments
7. Staff values providing service back to our Veterans
8. Strong sense of “community” on the King campus
Wisconsin Veterans Home King
Why Veterans Choose King

1. Reputation & History


2. Location
a) Lake front campus
b) Geographically centered
3. “Camaraderie” of Military
4. Veteran and community support
a) Donations, donations, donations
b) Volunteers – 53,492 hours
c) Sponsored events
Wisconsin Veterans Home King
Why Veterans Choose King (con’t)

5. All inclusive care on-site at no additional cost


a) comprehensive physician services
b) complete dental
c) pharmacy
d) ancillary services
1. Lab
2. X-ray
3. Therapies – Physical, Occupational, Speech
4. Barber and beauty shop
5. Transportation - Medical and recreational
Wisconsin Veterans Home King
Why Veterans Choose King (con’t)
Activities – Extensive on & off campus

Commissary
Wisconsin Veterans Home King
Why Veterans Choose King (con’t)

6. Economics – Additional Income Opportunities & No


Hidden Expenses!
a) VA Per Diem payments for cost of care to veterans -- $2358 a
month FY 10
b) Aid and Attendance Pensions for War Time Veterans – More
personal spending money
c) Work Therapy Program for members
1. Up to $200 a month
2. Promotes self esteem & maintain highest functioning level

Based on 2008 Data


Wisconsin Veterans Home King
King’s Working Goals: Striving for Excellence

1. Continue Culture Change Progress


a) Improve the dining experience
b) Focus on person-centered care and specific needs of
members with Alzheimer’s and dementia diagnosis
c) Update furniture in member living areas
2. Upgrade facilities
a) Create a 20 year facility plan
b) Start process for a new member residence hall (industry
standard--single rooms with toilet)
3. Increase the census
a) Shorten the admissions process
b) Reduce the amount of paperwork
c) Enhance marketing and outreach
4. Improve Long-Term Planning
a) Initiate electronic medical record coordination efforts
b) Evaluate expenditures and revenue areas of opportunity
c) Look for areas to partner with Union Grove and Chippewa Falls
Wisconsin Veterans Home King
Consolidated Services – King and Union Grove

Working together saves money

Medications – King packages medications for Union Grove


Food – King’s Central Kitchen prepares meals for both facilities
Items are trucked to Union Grove three days/week
Wisconsin Veterans Home King
Infrastructure Projects

2010…
1. Streets, curbs & sidewalks throughout the facility will be repaired
2. OH & SH bathing areas & nursing stations will be upgraded
3. OH windows will be replaced
4. Some exterior lighting will be replaced

Just about done


1. Safe Member Handling—Ceiling lifts in about 30% of rooms
2. King/Union Grove Facility Assessments
Completed
1. Pharmacy renovated
2. OH Water Pipe Replacement
3. Marden Entrance had pavement replaced
4. Conversion from use of lake water to 100% well water
5. Laundry Equipment Replacement--Energy Efficient
Wisconsin Veterans Home King
Thoughts for the Future

1. Increase focus on specialized medical care units


a) Alzheimer’s/Dementia  increase capability
b) Mental Health/PTSD/TBI  add capability
2. Decommission the 28 cottage beds for use at other
WDVA locations
3. Maximize culture change & upgrade facilities
4. Work together to gain efficiencies
Questions?
Comments?
Deputy Secretary Briefing

WISCONSIN VETERANS HOME


UNION GROVE

May 4, 2010
Wisconsin Veterans Home Union Grove
Campus Overview

 Nursing Home - Boland Hall 120 beds


 Assisted Living
 Gates Hall 42 bed RCAC (Residential Care
Apartment Complex)
 Shemankse Hall 41 bed CBRF (Community Based
Residential Facility)
 Fairchild Hall 40 bed Memory Care CBRF

 Employees – 220
 Share Campus with DHS and DOC
 Size – about 20 acres and 6 buildings, approx 250,000
sq ft
Wisconsin Veterans Home Union Grove
Financial

 Current Census and Trends – Boland Hall = 99%


Occupancy, AL’s = 72% occupancy.
 FY10 budget projections – positive in BH, challenged in
AL’s unless we get our occupancy up to 95% . Expense
control is favorable as of March 31, 2010.
 New financial checks and balances are in place…quarterly
financial meetings are held with all Dept. Heads, and
monthly status updates forwarded for their feedback.
Members are now screened on admission for all possible
benefits (i.e. VA pension, Aid and Attendance).
Wisconsin Veteran Home - Union Grove
Comparison - YTD March 31, 2010 to Prior Year
Wisconsin Veterans Home Union Grove
Financial

FY10 Budget Status As of 03/31/10 (75%)


WVH - Union Grove-Supplies & Services
AL
142690, 9%

447855.02, 29%

947701.98, 62%

Encumbered YTD Expended Uncommitted


Wisconsin Veterans Home Union Grove
Financial

FY10 Budget Status As of 03/31/10 (75%)


WVH - Union Grove-Supplies & Services
SNF
620856, 21%

703667.495, 23%

1686929.505, 56%

Encumbered YTD Expended Uncommitted


Wisconsin Veterans Home Union Grove

Personnel
 Current staffing level is at 94% filled, with LTE’s included
we are at 100% filled.
 Key positions filled in last 12 months –Finance Director,
Senior Accountant, HR Director, HR Assistant, Payroll
Benefits Coordinator, Food Services Manager, Volunteer
Coordinator, Nursing Supervisor, Social Worker-Senior
and Marketing Specialist.
 Increased staff accountability has led to a reduction in
absences by approx. 70%.
Wisconsin Veterans Home Union Grove
Programs and Services

 Reorganization of Activity Therapy in AL’s – result was an increased volume of


activities and increased staff accountability… difficult change but the end result was
that members are happier; staff has adjusted.
 New Medicaid Dental Services on campus – will save approximately $50K in FY10.
(Previous dentist would not accept Medicaid patients so we ended up paying the
dental bills for Medicaid members).
 Aid to Indigent Veterans Program – suspension/action plan (was projected to
overspend in FY10 so we suspended. Action plan = new AIV policy was approved by
Board of Veterans Affairs at April 2010 Board Meeting.
 Achievement of Family Care Provider status completed, currently under
consideration for feasibility.
 New Restorative Nursing Program in Boland Hall was implemented on January 18,
2010.
 Implemented new Pharmacy Services provided by King on July 1, 2009 – expecting
to save approximately $200K in FY 10. Also increased revenue will be captured for
facility through billing of Medicare Part D by King pharmacy.
 Improved relations with CVSO’s, VSO’s and Recreation Committee.
 All 72 Pathways recommendations were implemented as of January 2010.
(Standardization of policies and procedures between King and UG will be ongoing
for some time).
Wisconsin Veterans Home Union Grove
Technology

 Implemented electronic medication administration records


system at Boland Hall– helps reduce medication errors.
 Secured computer access to Zablocki’s electronic medical
records (CPRS) to improve quality of care. WVH-UG staff
and attending physicians now have immediate access to
consult results at VA Zablocki Medical Center to expedite
medical interventions.
 As of April 2010, Boland Hall Skilled Nursing Facility has
implemented state-of-the-art Electronic Pyxis Medication
Administration System. Comments from the Nursing staff
regarding the Pyxis system include, “Love it,…much less
paperwork…no faxing….saves time….reduces chance of
medication errors….effective and safe control of narcotics
and contingency medications”.
Wisconsin Veterans Home Union Grove
Facility Improvements Completed

 Renovated and converted 20 double rooms to 15 single


rooms at both Fairchild and Shemanske Halls.
 Completed installation of new stand-alone electrical
switching equipment for WVH-UG. When SWC looses
power…we don’t.
 Installed new movie sound system in basement of
Boland Hall – per Member council request.
Wisconsin Veterans Home Union Grove
Facility Improvements Projected in FY10

 Slated to start interior upgrades (dining rooms and living


rooms) and exterior upgrades (patios) at Fairchild and
Shemanske Halls in Summer/Fall 2010 subject to
availability of Federal funding.
 Parking expansion in Spring 2010 subject to availability
of Federal funding.
Wisconsin Veterans Home Union Grove
Facility Improvements Denied

 Connectors – risk factor to members.


 Sidewalk expansion – risk factor to members.
 Garage/Storage – allows for protection of assets from
elements.
Wisconsin Veterans Home Union Grove
Regulatory and Quality

 CMS’s new 5 star rating system – brief explanation.


 Boland Hall continues to achieve 5 stars for the last 5
quarters (only 15% of 15,000 nursing homes nationally
have achieved this.)
 Implementation of “70% rule” – implications=
approximately $116,000/year expense with 7 members
currently qualifying.
Wisconsin Veterans Home Union Grove
Risk Management

 Completed internal audit of all contracts – in full


compliance with state (DOA) contracting requirements.
 Initiated standardization of policies and procedures with
King to mitigate risk (PAT teams).
 Installed new door security systems at Gates Hall and
Shemanske Hall.
 Implemented new technologies to reduce risk. (i.e.
Electronic Medication Administration Records, Pyxis).
Wisconsin Veterans Home Union Grove
Strategic Plan

S TR E N G TH S W E A K N E S S E S O P P O R T U N IT IE S TH R E A TS
C arin g an d c o m p e te n t s taff C a m p u s lo c a tio n s p e rip h e ra l to m a in s tre a m m a rk e t M u tu a l e x c h an g e o f id e a s an d b e s t p ra c tic e s b e tw e e n G r o w th o f m e m b e r s c o v e r e d u n d e r n e w "7 0 % r u l e "
H ig h s ta f f to m e m b e r r a tio s T w o o f th r e e a s s is te d livin g fa c ilitie s a re o ld a n d in U G a n d K in g R is k to m e m b e rs p o s e d b y la c k s id e w a lk s a n d e n c lo s e d
S tro n g vo lu n te e r a n d d o n a tio n s u p p o rt fr o m V e te ra n s n e e d o f u p g ra d in g ( S h e m a n s k e a n d F a irc h ild H all - S ta n d a rd iz a tio n o f p o lic ie s a n d p ro c e d u r e s b e tw e e n U G c o n n e c to rs b e tw e e n b u ild in g s
S e r vic e O r g a n iz a tio n s a n d c o m m u n ity M e m o ry C are ) & K in g w ill h e lp m itig a te ris k O v e r u s e o f "f o r c e d o v e r t im e " l e a d i n g t o e m p lo y e e
S ta te -o f-th e -a rt fa c ilitie s a t B o la n d H a ll ( S N F a n d V e t e r a n 's s p o u s e s d o n o t h a v e a c c e s s t o s a m e f i n a n c i a l C o n tin u e c u lm in a tio n o f c lin ic a l, C O -H R a n d fin a n c ia l re te n tio n p ro b le m s
G ate s H a ll ( R C A C ) b e n e f its a s ve te ra n s to c o ve r th e c o s t o f th e ir c a r e (A L ) s y s te m s to g a in e ffic ie n c ie s P e n d in g M e d ic a re c u ts w ith fu ll im p le m e n tatio n o f
G e n e ro u s M e d ic a id re im b u r s e m e n t le ve ls fo r ve te ra n s C u r re n t p o s itio n a u th o rity d o e s n o t c o ve r re p la c e m e n t In c o n ju n c tio n w ith th e u n io n a n d H R , d e v e lo p a n d p ilo t M D S 3 .0 i n O c t . 2 0 1 0
F e d e ral V A p e r D ie m s fa c to r le a d in g to s tra in e d r e la tio n s h ip s w ith u n io n s s c h e d u lin g p ro g ra m w ith th e g o a l o f r e d u c in g fo rc e d M is c o n c e p tio n s a b o u t th e C o o k C h ill p ro c e s s le a d in g
B o l a n d H a l l ( S N F ) c o n s i s t e n t l y r a t e d "F i v e S t a r s " b y F in an c e d e p a rtm e n t is u n d e rs ta ffe d le a d in g to a c c o u n ts o ve r tim e a n d s c h e d u lin g p a rt-tim e s ta ff u p to fu ll-tim e to m e m b e rs d is s a tis fa c tio n
C M S re c e iva b le c h a lle n g e s ho urs.
F u ll c o n tin u u m o f c a re o n o n e c a m p u s F a c i l i t y l a c k s s t o r a g e f o r c a p i t a l i n v e s t m e n t s ( i .e . f o u r C r e a t e a s ta f f i n g f l o a t p o o l t o a l l e v i a t e "o v e r
b u s e s /va n s , m a in te n a n c e tr a c to r s /e q u ip m e n t s c h e d u lin g " o f s ta ff
E ve ry c o n c e rn o u r m e m b e r s e x p re s s is a n o p p o rtu n ity
fo r im p ro ve m e n t

V isio n M issio n V alu e S tate m e n t

O u r C on ce p t fo r th e Fu tu re W h a t M a t t e r s M o s t T o W V H -U G
T o b e th e be s t a t ca r in g fo r o u r W h y W e E x is t O u r n a tio n s h e r o e s
N a t io n s ' h e r o e s s e r v in g a s a n T o s e r v e th o s e w h o s e r v e d a s w e p io n e e r O u r c o m pe te n t a n d c a r in g e m p lo y e e s
e x e m p la r y m o d e l to a ll v e te r a n s a n e n v ir o n m e n t o f e x c e lle n c e in t h e T h e tr u s t o f a ll ve te r a n s g r o u p s
p r o v is io n o f r e s id e n t ia l a n d h e a lt h c a r e O u r c o m m itm e n t to pr o fe s s io n a lis m
H o m e s a cro s s th e co u n try.
s e r v ic e s H o n o r , r e s p e c t a n d d i g n ity o f th e ve te r a n
T h e e ffic ie n t a n d w is e u s e o f r e s o u r c e s
A " c a n -d o " a tti tu d e

H o w w e w ill a c h ie v e o u r m is s io n a n d a d v a n c e t o w a r d s o u r v is io n ( d e c is iv e p o in t s )

P u b lis h & p r o m o t e o w n e r s h ip o f W V H - U G m is s io n , Im p l e m e n t b e s t p r a c t i c e s i n p a r t n e r s h i p w i t h M a x im i z e r e im b u r s e m e n t s a n d g e n e r a t e n e w
S e c u r e a f u ll c o m p li m e n t o f W V H - U G s ta ff Id e n t if y / t r a c k a n d m in im iz e c o s t s
v is io n & v a lu e s W V H - K in g so u rce s o f re ve n u e

W h a t S p e c if ic a lly C a n W e D o ? S t r a t e g ic Im p e r a t iv e s o r A c t io n P la n s

M a x i m i z e t h e Q u a li t y o f C a r e & Q u a l i t y o f E n h a n c e C o m m u n ic a tio n and E n s u r e a v a i la b l e r e s o u r c e s a r e u s e d G r o w a n d p r o te c t b u s in e s s / in v e s t i n th e


V a lu e , S u p p o r t a n d d e v e l o p o u r e m p l o y e e s
L if e f o r o u r V e te r a n s & th e ir S p o u s e s P a r tn e r s h ip s w i s e ly f u tu r e

I n c o l la b o r a t i o n w i t h W V H - K i n g D e v e lo p a s t a n d a r d i z e d a t t e n d a n c e C o n tin u e p a r tn e r s h i p w ith W V H - K i n g to C o n t i n u e t o e n h a n c e m o n t h ly f i n a n c i a l P r o m o t e a n d m a r k e t W V H - U G t o a ll o u r
d e t e r m i n e a n d i m p le m e n t b e s t p r a c t i c e s p o li c y f o r th e H o m e s w h i c h i m p r o v e s r e f i n e n e w p h a r m a c y d e li v e r y s y s t e m r e p o r t s / a n d q u a r t e r ly f a c e - t o - f a c e s t a k e h o ld e r s t o g r o w f i n a n c i a l a n d
t o e n h a n c e q u a li t y o f c a r e r e te n ti o n , m i n i m i z e s a b s e n te e i s m a n d f i n a n c i a l r e v i e w s w i t h a ll d e p a r t m e n t in - k in d s u p p o r t f o r th e c a m p u s
s u b s e q u e n t d i s c i p li n e s h e a d s to i n s u r e w i s e u s e o f r e s o u r c e s
I n te g r a t e M D S 3 . 0 i n to e x i s t i n g q u a li t y I m p le m e n t S i lv e r C h a i r a u t o m a t e d s t a f f C o n t i n u e s t a n d a r d i z a t i o n o f p o li c y & I n c r e a s e c a m p u s w i d e c e n s u s to 9 5 % S t r e a m li n e a d m i s s i o n p r o c e s s t o
i m p r o v e m e n t i n i t i a t i v e s , p o li c i e s , a n d t r a i n i n g a n d d e v e lo p m e n t p r o g r a m t o p r o c e d u r e s w i th W V H - K i n g to m i ti g a te oc c upan c y b y D e c em ber 2010 in c r e a s e M e d ic a r e c e n s u s , C a s e M ix
p ro c e d u re s e n h a n c e e m p lo y e e s k i l l b a s e a n d r is k I n d e x ( C M I ) a n d th u s e n h a n c e
p e r s o n a l g r o w th r e i m b u r s e m e n t le v e ls
U p d a te p h a r m a c y p o li c y & p r o c e d u r e s t o D e v e l o p a n d i m p le m e n t p r o g r a m s t o W o r k c lo s e ly w i t h a ll i n t e r n a l a n d e x t e r n a l A c h i e v e c a m p u s - w i d e b r e a k e v e n s ta tu s S e c u r e f u n d i n g t o b u i ld g a r a g e / s to r a g e
r e f le c t c h a n g e s i n n e w p h a r m a c y s y s t e m i m p r o v e e m p lo y e e r e t e n ti o n c u s to m e r s to i m p r o v e c o m m u n i c a ti o n in F Y 1 1 b u i ld i n g t o p r o t e c t c a p i t a l i n v e s t m e n t s
w ith W V H - K in g a n d r e s p o n s e t i m e r e la t e d t o ( i . e . f o u r b u s e s , v a n s , tr a c to r s a n d
te r m i n a t i o n s , F M L A a n d d i s c i p li n e s e q u ip m e n t)
C o n ti n u e to u p d a te I n f e c ti o n C o n tr o l I m p r o v e in te r v i e w a n d o r i e n ta tio n P a r tn e r w i th th e F e d e r a l V A M e d ic a l I m p le m e n t a c a m p u s - w i d e a p p r o a c h t o F u lly i m p l e m e n t A R a c t i o n p l a n
P o l i c y & P r o c e d u r e s t o r e f l e c t e v o lv i n g p r o c e s s e s t o e n h a n c e e m p lo y e e C e n t e r ( Z a b lo c k i ) t o i n te g r a t e t h e i r " r o o t m i n i m i z e d u p li c a t i o n o f s c a r c e r e s o u r c e s
C D C a n d D H S g u i d e li n e s r e te n ti o n c a u s e a n a ly s i s " p r o c e s s i n to o u r Q u a li t y
Im p r o ve m e n t p r o g r a m
S e c u r e f e d e r a l f u n d i n g t o b u i ld A c t i v e ly s u p p o r t , i n t e r n a l p r o m o t i o n s ,
c o n n e c t o r s b e t w e e n b u i ld i n g s t o r e d u c e s t a f f d e v e lo p m e n t a n d h i r i n g o f d i s a b l e d
r i s k t o m e m b e r s a n d e n h a n c e q u a li t y o f v e te r a n s
li f e
Questions?
Comments?
Question & Answer Session
Closing Remarks

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