Académique Documents
Professionnel Documents
Culture Documents
The briefing session by WDVA staff for Board, Council and Committee members
commenced at 12:30 pm. The Pledge of Allegiance was recited.
Chairman Moran called upon Joe Campbell who introduced Mr. Carter Doering of
Brookfield, a veteran responsible for getting the City of Brookfield to fly the POW flag 24-7
and for bringing the Vietnam Memorial Wall to Brookfield. Acting Secretary Kloster
recognized Milwaukee County Acting CVSO, Jim Duff; Robert A. Cocroft, Center for
Veterans Issues; Dennis Bohen, Bureau Director of the Claims Office in Milwaukee; and
Jimmy Stewart, WDVA Chief Legal Counsel.
2
costs for the 30 bed program and will also include the addition of eight rooms for
veterans under single room occupancy (SRO).
• For the spring semester, through July 31, the Department received 1,512
veterans education grant applications, approved 1,023, denied 210, and 279 are
still being worked.
• The Personal Loan Program (PLP) volume was $428,710 in June and $911,809
in July.
• Volume in the Home Improvement Loan Program (HILP) was at $128,300 in
June and $232,891 in July.
• The Home Loan Program volume was $6.8 million for June and $7.5 million for
July—up from $4.7 million in the month of May.
• The Veterans Trust Fund (VTF) delinquency rate was at 2.20% in June and
2.18% in July.
• Mr. Black is in the process of putting together a process action team for the
Assistance to Needy Veterans Grant Program.
Mr. Moen asked that of the 1,512 VetEd applications, how many were graduate
or undergraduate. It was noted that the program is for undergraduates only. Mr. Moen
asked for reasons why 210 were denied. Mr. Black said the major reason was pre
application.
Mr. Andersen asked if there is an increase in home loans because of the interest
rates. Mr. Black said yes, along with the Department’s aggressive marketing plan. Mr.
Black said if we continue to distribute the bonding funds at the current rate, we will be
out of money in the program by October. The Acting Secretary and the Office of Budget
and Planning have met with Capital Finance to work on plans to try to recycle or
refinance some of the current bonds and utilize the prepayments from those bonds.
Commandant Crowley reported that the King Home census was 707 at the end
of July. There are 42 vacancies and of that number, 18 vacancies are in the historic
cottage district. There are 71 pending applications in various stages of development.
The average time from receipt of application to date of admission is 63 days. The acuity
of care level remains high.
3
Construction Projects at King: The water supply well production project (well #2)
is in the process of drilling. It is anticipated that well #2 will come on line in July 2008
and at that time the Home will discontinue its reliance on water from Rainbow Lake.
The resident ceiling lifts project is approaching the 35% point on the design. This will
allow for patient lifts for members in need of assistance and make it safer for the
caregiver. The grant application is on the VA’s priority list; however, the funds have not
yet been set aside. The Olson Hall domestic water piping replacement project is at the
35% point on the design. The grant application is on the VA’s priority list; the grant
would be approximately $975,000, however, funds are not currently set aside. Other
projects being considered are the replacement of the windows in Olson Hall and the
wandering resident monitoring system.
Major functions at the King Home: June 24, DAV King Day; July 4, Member
Council Independence Day Celebration; July 22, VFW King Day; August 11, the annual
Green Bay AMVETS King Bicycle Tour; August 12, American Legion King Day
(changed from their traditional Father’s Day visit).
Mr. Crowley said that a bill was passed in December and signed into law by the
President authorizing the federal VA to pay for the full cost of care for veterans who
have a 70% or greater service-connected disability rating and are residing in state
veterans’ homes. The federal VA is in the final stages of writing rules to cover per diem
payment for these severely service-connected disabled veterans to be able to reside in
state veterans homes and have their cost of care paid by the federal VA.
Ms. Hoppe asked about the special care unit and its high demand. Can that unit
be expanded if we go for federal funding at the VA level? Mr. Crowley said the
Alzheimer’s and special care unit are typically full with a waiting list for admission. That
is one of the things that will be addressed in the operations report and he will report
back in the not too distant future.
Acting Commandant Wistrom said that as of August 16, 2007 the Union Grove
campus census is 163. The skilled nursing facility has 58 members with 19 applicants
fully processed and waiting for admittance. Due to preparations for the upcoming room
conversion in Fairchild and Shemanske, the overall assisted living census has
decreased from 110 to 105. Union Grove continues to admit members into Gates Hall
and continues to accept new applications. The average length of time to process
applications for both the skilled nursing facility and assisted living is about 21 days from
the time a person first applies, but can be as short as 24 hours for hospital admissions.
The Union Grove Home currently has 191 employees with 81 positions yet to be
filled. When filled, 62%, or 168 of 272 total positions, will be direct care positions.
Bids are out for ten double rooms to be converted into 15 single rooms in
Fairchild and Shemanske Halls. All newly converted rooms, as well as the remaining
double rooms will be fitted with ADA compliant bathrooms and all the windows in both
buildings will be replaced. The construction could last nine to eighteen months. The
4
replacement of hot water heaters, water softeners and air handling units is scheduled as
well and a new grant amount is being submitted to the federal VA.
The annual Division of Quality Assurance survey for assisted living facilities was
completed: Gates—no citations; Shemanske—two minor deficiencies which have been
corrected, and Fairchild—awaiting final report but a verbal report indicates no citations.
The Home at Union Grove is fortunate to have two licensed administrators. Pat
Shaughnessy is the Deputy Commandant/Administrator. Pat has over 20 years
experience in healthcare, including nine years as a Nursing Home Administrator. Phil
Tremain is the Administrator of Health Services. Phil has 19 years experience as an
Administrator and nine years as a Director of Nursing.
5. Legislative Report
Mr. Hardie highlighted Assembly Bill 370 with regard to commercial driver license
testing for military license holders. There was a hearing on the bill this morning. The
Department testified on several bills that were before the Assembly Veterans
Committee. Assembly Bill 270, changing the members of the Council on Veterans
Programs passed the Assembly and had a hearing in the Senate Veterans Affairs
Committee.
The majority of the Department’s budget was passed by Joint Finance and was
not controversial among the Senate and Assembly. Mr. Hardie took some time to
discuss the variables of the budget as passed by the Joint Committee on Finance, the
Assembly and the Senate. Seven veteran related items have yet to be determined by
the budget conference committee:
Mr. Hardie reiterated that the Conference Committee has not come to an
agreement on the budget nor does it have a final version of the budget. To this point
5
the Committee has only agreed on 571 items which did include the essence of most of
WDVA’s budget items except for the seven items listed above.
Ms. Guthrie asked if there has been any discussion about utilizing federal GI
benefits. If you are going to school and it is already completely paid for by your federal
benefits, do you still get to tap into the state benefits. Can you get tuition remission and
then collect your Federal GI Bill for living expenses? Mr. Hardie said that the Wisconsin
GI Bill was never intended to mirror the Federal GI Bill; it was intended to help pay for
the full cost of education. The Wisconsin GI Bill currently waives the full cost of tuition
and fees at UW or Vocational Technical Colleges. If the veteran is still eligible for
Federal GI Bill benefits, that allows them to be able to pay for their living expenses and
for their books.
6. Financial Report
Mr. Abrahamsen reported that operating revenues for the King Home have
exceeded expenses resulting in an operating income of $1.7 million for the fiscal year.
As compared to fiscal year 2006, operating revenues were $18.2 million less, which
includes a $19.8 million decrease in Medical Assistance revenue and $1.4 million
increase in Medicare Part D revenue. Operating expenses were $4.4 million more
which is primarily due to increased personnel costs. Almost all of the decrease in
Medical Assistance payments is due to the fact that the King Home received $20.3
million in retro payments in fiscal year 2006 and only $541,100 in fiscal year 2007.
The $6.9 million “transferred out” includes two significant transfers that have
previously been discussed with the Board. First at the June 2007 Board meeting the
Board of Veterans Affairs approved the transfer of up to $1.2 million from Institutional
Operations to the Veterans Trust Fund. The actual amount transferred was
$1,131,149.51. The Department had estimated that it expected to transfer up to $6.4
million of funds from the King Home to the Union Grove Home at the close of the 2007
fiscal year. The actual amount of that transfer was $5,777,842.59. As a result of the
transfer, fund equity for the King Home decreased by $4.9 million to $47.5 million. The
June 30, 2007 cash balance was $17,747,387, an increase of $2.5 million over the
fiscal year 2006 balance.
6
Operating expenses for Union Grove totaled $12.5 million; an increase of $5.4
million over 2006 expenses and preliminary 2007 operating revenues totaled $6.3
million, an increase of $2.9 million over 2006. The preliminary net operating loss for
fiscal year 2007 was $6.2 million.
Total revenue of $5.7 million was transferred in from the King Home to offset
negative appropriation balances, as calculated on a statutory basis. The decrease to
Fund Equity after transfers was $679,234 for an ending balance of $21,644,430. The
preliminary year-end cash balance for the Union Grove Home, after transfers was
($194,076).
Assets in the Veterans Trust Fund (VTF) were $71.3 million as of June 30, 2007,
which is $6.5 million less than the balance as of June 30, 2006. The preliminary fiscal
year 2007 net loss before transfers was $7.89 million, which is $1.1 million less than the
$9 million loss for fiscal year 2006. Decreases in aids to individuals and organizations
of $900,000 and increases in investment earnings of $300,000 contributed to the
improved results. “Transfers in” totaling $1,320,974 included $1,131,149.51 transferred
from the King Home’s institutional operations pursuant to 2005 WI Act 468. The net
decrease to Fund Equity after transfers for 2007 was $6.6 million--$2.4 million less than
in fiscal year 2006. Cash uses exceeded cash receipts by $1.8 million for the fiscal year
resulting in a preliminary year-end cash balance of $27,231,649 which is about $3.5
million higher than the latest Veterans Trust Fund cash flow projections presented to the
Board in June.
Assets in the Mortgage Loan Repayment Fund (MLRF) totaled $411.8 million at
fiscal year end, which is a decrease of $6.5 million since June 30, 2006. Fund equity
decreased $2,266,331 as the result of a net operating loss of $7.9 million that was
offset, in part, by non-operating income of $5.6 million. The net loss was $2.4 million
less than the fiscal year 2006 loss for the fund. The cash balance in the MLRF was
$123,073,745 as of June 30, 2007, an $18.8 million increase over the fiscal year 2006
ending balance. The increase is due primarily to loan prepayments on hand. An $8
million special redemption, or prepayment call, of taxable bonds is now scheduled for
October 1.
The Veterans Trust Fund loan portfolio delinquency rate for July was 2.18%
overall, and 2.21% for the Personal Loan Program. The Primary Mortgage Loan
delinquency rate for June was 0.79%. Forty-five Primary Mortgage Loan applications
were received in July.
7. Recess/Adjournment
It was moved by Mr. Stenavich, seconded by Mr. Freedman and carried on a
voice vote that the Board Adjourn until 9:30 a.m. on August 17.
It was moved by Mr. Jackson, seconded by Mr. Stone and carried on a voice
vote that the CVSO Advisory Council stand in recess.
It was moved by Ms. Roddy, seconded by Mr. Heiliger and carried on a voice
vote that the Legislative and Program Review Committee stand in recess.
It was moved by Mr. Wendt, seconded by Mr. Walker and carried on a voice vote
that the Long Term Care Committee stand in recess.
It was moved by Mr. Gausmann, seconded by Mr. Richards and carried on a
voice vote that the Financial Committee stand in recess.
7
It was moved, seconded and carried on a voice vote that the Council on Veterans
Programs adjourn until 8:00 a.m. on August 17.
The time was 2:00 p.m.
8
MINUTES
CVSO ADVISORY COUNCIL
August 16, 2007
Milwaukee, Wisconsin
1
The meeting of the CVSO Advisory Council was called to order at 2:10 p.m. A quorum
was present.
Mr. Jackson offered the following corrections to the previously approved CVSO
Advisory Council minutes of April 19, 2007:
• Jim Young, Vernon CVSO, was no longer a member of the CVSO Advisory
Council in April.
• The special election portion should read--Mr. Stone nominated Mr. Solis for
Chair and the nomination was seconded by Mr. Grams.
• On page 2, second paragraph, “Mr. Jackson said that the issue is a matter of trust
and that WDVA currently receives forms that may have been altered.” The
essence of Mr. Jackson’s message was that if in fact WDVA receives forms that
are altered, it probably is a matter of trust and WDVA should contact those people
who sent in the forms. Mr. Jackson said he has no way of knowing what WDVA
receives.
It was moved by Mr. Stone, seconded by Mr. Benzinger and carried on a voice vote to amend
the previously approved April 19th CVSO Advisory Council minutes as noted above.
Mr. Jackson said that the CVSO Association position is that pre applications should be
eliminated. Mr. Kloster said that is the ultimate goal. The requirement for the pre
application is legislative and we would have to go forward with legislation to have it
removed from the statutes. WDVA has the ability to meet the goal through the
administrative code and that is the way we will proceed.
7. Discussion on Ken Black Letter of July 24 Regarding Assistance to Needy Veterans Grant
There was a letter sent out to all CVSO Advisory Council members addressing the
percentages as well as the code associated with the calculation of the subsistence piece. The
two issues were (1) income earned but paid after the disabling situation to apply for the ANV
grant, and (2) the specific reason for denials of ANV grants.
Mr. Black noted that he has been directed by Acting Secretary Kloster to convene an
Assistance to Needy Veterans (ANV) Grant process action team to relook the program and
determine what is needed to make it more user friendly. Mr. Mynyk recommended selecting
CVSOs from high activity counties that have seen many applications and denials to serve on
the process action team. Mr. Jackson asked that the leadership of the CVSO Association be
consulted when selecting CVSOs to serve on the process action team.
Mr. Grams asked if it would be possible to reflect the discussion on point number two
because it may take a while for the PAT to complete its study. Mr. Kloster will ask for a
Bulletin to be distributed to reflect that it is not a requirement to apply for VA health care in
order to receive the grant.
9. Accreditation of Service Officers through the National County Veterans Service Officer
Association
Mr. Perelman said that the Department agreed with the CVSOs and published a
procedure that would implement the decision that if people get National CVSO Association
training, then they will be accredited to WDVA.
10. What are CVSOs Doing to Provide Service to Transitioning Soldiers—John Solis
Mr. Mynyk said that all the CVSOs he polled at his southwest regional meeting do spend
time with these transitioning soldiers. Mr. Gausmann, Mr. Grams and Mr. Stone added
comments regarding the agenda item. Mr. Jackson suggested deferring the report by Mr.
Solis until he is able to attend the CVSO Advisory Council meeting. Mr. Jackson provided a
copy of the Veterans Benefits Administration, Department of Veterans Affairs “Fast Letter
07-09” with the subject matter: Claims Filed by Service Members Prior to Discharge.
Questions about the fast letter should be submitted to the
VAVBAWAS/CO/PREDISCHARGE mailbox.
Mr. Mynyk read the following results of a poll done by Mr. Solis: “We assist military
personnel in transition, normally on terminal leave, with information, completion of
applications for benefits, referrals, etc. and explain the VA process and how it will only go so
far until the certified copy of the discharge is provided. We do not refuse to assist personnel
who transition because they don’t have a discharge.”
Mr. Kloster said the Administrative Rule regarding the CVSO classes of counties that
listed the outdated pay ranges was made official and distributed by the Division of
Administration. That change is now in effect.
The Acting Secretary said that the US Department of Veterans Affairs published a
suicide prevention hotline letter and that letter with information about the hotline was
provided to the Councils and Committees. Everyone in the veterans community should
publish that information through its various publications. Ms. Hoppe asked for a Bulletin on
4
the suicide prevention hotline. Mr. Kloster said the information will be on the front page of
the Department’s publication, “Forward Veterans.”
Mr. Grams had a question on WDVA Form 2030--Request for Certification for
Wisconsin G.I. Bill Benefits and Residency for Tuition Purposes. Why is it necessary to ask
for a Social Security Number? Mr. Perelman said that was included through a request of the
two school systems. Mr. Perelman will investigate that issue and get back to Mr. Grams.
Mr. Jackson nominated Mark Grams for Vice Chairman. Mr. Stone seconded the
nomination. Mr. Mynyk asked for any other nominations. It was moved by Mr. Jackson and
seconded by Mr. Kaiser that the nominations be closed and that a unanimous vote be cast for
Mark Grams for Vice Chairman. The motion carried.
16. Adjournment
It was moved by Mr. Grams, seconded by Mr. Benzinger and carried on a voice vote to
adjourn the CVSO Advisory Council meeting, the time was 3:20 p.m.
Ted Mynyk
Vice Chairman
5
MINUTES
LEGISLATIVE AND PROGRAM REVIEW COMMITTEE
WISCONSIN DEPARTMENT OF VETERANS AFFAIRS
Meeting of August 16, 2007
1
1. Call to Order and Roll Call
The meeting of the Legislative and Program Review Committee was called to order at
3:25 p.m.; a quorum was present.
3. Approval of Minutes
It was moved by Mr. Heiliger, seconded by Mr. Miskulin and carried on a voice vote to
approve the minutes of the June 14, 2007 meeting.
Board Chairman Moran took this opportunity to present a plaque to Don Heiliger
commending him for his term as a member of the Board of Veterans Affairs.
4. Discussion and Action on the Pre-Application Requirement Process Action Team Report and
CVSO Resolution F002-06 Veterans Education Grant Pre-Enrollment Requirement
Mr. Freedman noted that the number of the CVSO Resolution should be F001-06. It was
moved by Mr. Thiers, seconded and carried on a voice vote that the Committee endorse the
CVSO Resolution F001-06 Veterans Education Grant Pre-Enrollment Requirement and refer
it to the Board.
It was moved by Mr. Mautz, seconded by Mr. Heiliger and carried on a voice vote to
recommend to the Board of Veterans Affairs that the Department be authorized to proceed
with the rule making process consistent with the Statement of Scope.
6. Action on DAV Resolutions 2007-02 Tax Exemptions for Goods and Services; 2007-04
Divorce and Compensation; 2007-05 Disabled Veterans Reduced Fees; 2007-07 State
Lottery Scratch Off Ticket “GI Dough”, and 2007-09 Wisconsin Veterans and Surviving
Spouse Property Tax Credit
It was moved by Mr. Lawrence, seconded by Mr. Weprinsky and carried on a voice vote
to receive and file DAV Resolution 2007-02—Tax Exemptions for Goods and Services.
It was moved by Mr. Berger, seconded by Mr. Furgal and carried on a voice vote to
receive and file DAV Resolution 2007-04—Divorce and Compensation.
It was moved by Mr. Weprinsky, seconded by Mr. Lawrence and carried on a voice vote
to receive and file DAV Resolution 2007-05—Disabled Veterans Reduced Fees.
2
It was moved by Mr. Mautz, seconded by Mr. Heiliger and carried on a voice vote to
receive and file DAV Resolution 2007-07—State Lottery Scratch Off Ticket “GI Dough”.
It was moved by Mr. Lawrence, seconded by Mr. Mautz and carried on a voice vote to
receive and file DAV Resolution 2007-09—Wisconsin Veterans and Surviving Spouse
Property Tax Credit.
8. Discussion and Action on the Need for Additional USDVA Vet Centers in Wisconsin
Mr. Freedman said that this is an issue that has come up in meetings with the
Department’s Advisory Panel on Post Traumatic Stress Disorder (PTSD). Wisconsin has
two Vet Centers, one in Madison and one in Milwaukee. The Central part of Wisconsin is
not well served as far as proximity to a Vet Center. Four is the average number of Vet
Centers for a state the approximate size and veteran population of Wisconsin. Mr. Freedman
asked that Committee members give some thought to the statistics provided to them and be
ready to discuss this issue in a more informed manner at the October meeting of the
Legislative and Program Review Committee. He would also like to discuss the possibility of
what would happen if a Vet Center was placed in Brown County and another in the
LaCrosse, Eau Claire area.
9. Discussion and Action on the Alleged Misuse of Personality Disorder Discharges by the U.S.
Department of Defense
Mr. Freedman said that they heard earlier from Congresswoman Moore’s aide that there
are legislative initiatives being introduced to deal with the issue of personality disorder
discharges by the U.S. Department of Defense. There was a letter written by a bi-partisan
group of 31 members of the U.S. Senate calling upon the Secretary of Defense to have an
independent investigation conducted regarding the use of personality disorder discharges.
Defense Department records indicate that over 22,500 personality disorder discharges have
been processed within the past six years. Being discharged on that basis has precluded most
of these veterans from being able to avail themselves of either DOD or VA medical care or
compensation.
Mr. Freedman will put this issue back on the agenda for the October meeting now that we
know there is legislation pending.
10. Discussion of Proposed State of Illinois Traumatic Brain Injury Testing Program for
Veterans
Mr. Freedman said this agenda item is for informational purposes. It is to apprise
Committee members of the program that has been proposed in the State of Illinois by both
the Governor and the Secretary of the Illinois Department of Veterans affairs. A testing
program was created to determine whether or not Illinois veterans are suffering from
traumatic brain injury as a result of their service in the military.
3
11. Secretary’s Matters
Mr. Kloster reported that the Museum Golf Fundraising Outing generated over $25,000
for Museum programs. The Museum was awarded a $3,000 grant from Dane County
Cultural Affairs for the Museum’s Forest Hills Cemetery tour in Madison. The Museum
completed its 7-7-7 Program, a noon lecture program by the archival staff. Programs have
been taped and are available to view on the WisconsinEye website. The Museum also
received a $3,700 donation from the Black Cat Club of the 13th Evacuation Hospital.
Mr. Kloster informed the veterans community that as set forth in the minutes of the 22
February 2006 Board meeting, once WDVA formally opens the new Northern Wisconsin
Center Veterans Assistance Program building, a ceremony will be conducted to rename that
building Klein Hall in honor of Bill Klein a former employee and friend of the Department.
15. Adjournment
It was moved by Mr. Thiers, seconded by Mr. Lawrence and carried on a voice vote to
adjourn the meeting; the time was 4:20 p.m.
Marvin Freedman
Chairman
4
MINUTES
LONG TERM CARE COMMITTEE
WISCONSIN DEPARTMENT OF VETERANS AFFAIRS
Meeting of August 16, 2007
1
1. Call to Order and Roll Call
The meeting of the Long Term Care Committee was called to order at 4:25 p.m., a
quorum was present.
3. Approval of Minutes
Acting Secretary Kloster noted changes to comments made by Ms. Holtan and Mr. Moen
that are reflected on Page 2 in the second paragraph of Agenda Item 7 of the Long Term Care
Committee minutes. It was moved by Mr. Walker, seconded by Ms. Meyer and carried
unanimously on a voice vote to approve the corrected minutes of the June 14, 2007
Committee meetings.
Mr. Crowley said the request in the budget for additional staffing that was approved by
the Secretary’s office and by the Board and forwarded to the Governor sought to address this
situation so that we could be staffed somewhat above the minimum requirement. This would
accomplish, hopefully, the elimination of forced overtime and minimize the cause of
voluntary overtime for the staff at King. There are no vacancies in the RN positions, one
vacancy in the LPN position, and 28 CNA positions are currently open; however, 16 people
were recruited for orientation the Tuesday after Labor Day.
2
Mr. Crowley will bring a report to the Long Term Care Committee’s next meeting on the
actual overtime worked in each of the nursing categories.
6. Secretary’s Matters
Mr. Kloster said the operational study is a critical item that the Department has been
trying to accomplish for some time. A Request for Proposal for an assessment of the Homes
operations and future operations at Chippewa Falls was issued on July 9 to over 380 vendors.
Tours of the Veterans Homes have been conducted for prospective vendors and questions
submitted by those vendors have already been answered. Proposals are due August 23rd. A
panel will evaluate those proposals, score them and the top scorers will be invited to an
interview. After the interviews the Department will give a notice of intent to award with an
expected start date on the contract of October 1st.
Mr. Wendt asked if the per diem payments from the VA to Union Grove from September
to May had ever been solved. Mr. Kloster said is has not yet been resolved by the federal
VA. However, we did not count that money in the financial report—it is a little over a half a
million dollars of potential loss because of a new interpretation. If notified that we are not
going to get that money, we intend to pursue any means available to appeal that decision.
Mr. Wendt’s second question was regarding VA per diem for 70% disabled veterans and
Mr. Kloster said that Deputy Secretary Mansfield is using all of his authority to get the rules
written to cover per diem payments for veterans who have a 70% or greater service-
connected disability rating and are residing in state veterans’ homes to have their cost of care
paid by the federal VA. The bill that was signed into law by the President says that the
effective date has to be retroactive to March 2007.
It was announced that Jackie Moore was selected to fill the position as the Deputy
Commandant of the Wisconsin Veterans Home-King.
7. Public Input
Yvonne Duesterhoeft, Jefferson CVSO, said that Union Grove has two licensed nursing
home administrators and only one at King. Mr. Crowley said that only one can be the
licensee of record and Jackie Moore is the licensee of record at King. There are two others
on the staff who are fully licensed as nursing home administrators. Ms. Duesterhoeft noted
that in Jefferson County the Administrator of the facility is the one with the license, how did
we come to the position where the Commandant isn’t the license holder? Mr. Moen said
there is nothing in the law that requires the Commandant to hold a nursing home
administrator’s license. Mr. Kloster said that the Commandant also has many constabulary
duties on the campus which is unique to our situation.
3
Board Chairman Moran and Acting Secretary Kloster presented a plaque to Ken Wendt,
commending him for his term as a member of the Board of Veterans Affairs.
10. Adjournment
It was moved by Mr. Kavanaugh, seconded by Mr. Walker and carried unanimously on a
voice vote to adjourn the meeting; the time was 5:10 p.m.
Rod Moen
Chairman
4
MINUTES
FINANCIAL COMMITTEE
WISCONSIN DEPARTMENT OF VETERANS AFFAIRS
Meeting of August 16, 2007
3. Approval of Minutes
It was moved, seconded, and carried unanimously on a voice vote to approve the minutes
of the June 14, 2007 Financial Committee meeting.
Mr. Perelman explained to the Committee the procurement process prior to contract,
involving a contract, post contract, the payment process and the fact that all procurement
1
transactions are subject to audit. His briefing covered both procurement and payment and in
the context of those two items he talked about contracting and consulting contracts.
Committee members received a handout of the slide presentation (copy attached to these
minutes).
Mr. Perelman was asked how much the Department has paid in prompt payment penalties
for failure to pay an invoice in a timely manner, and what discounts were earned for early
payment. He did not have that information at hand. Mr. Andersen asked that Mr. Perelman
report in October on the audits and internal controls from the fiscal side of the house.
6. Secretary’s Matters
Mr. Kloster said that the Department reviewed the loan interest rates and, based on the
marketing survey, will maintain the current interest rates for the Personal Loan Program and
the Home Improvement Loan Program.
The Acting Secretary met with Capital Finance to discuss remedies for the potential
outage in the Primary Mortgage Loan Repayment Fund. They are working on various
options to come up with a resolution.
7. Public Input
In answer to a committee member’s question, it was reported that the current rate of
interest earned on our investments with the State of Wisconsin Investment Board is 5.3%.
10. Adjournment
It was moved by Mr. Campbell, seconded by Mr. Stenavich and carried unanimously on a
voice vote to adjourn the meeting; the time was 5:40 p.m.
Bill Andersen
Chairman
2
Wisconsin Department of
Veterans Affairs
• Procurement Process
(Per WDVA FS-211)
• Payment Process
(Per WDVA FS-211 and FS-201)
Procurement Process Prior to Contract
Consulting Contracts
Donald Campbell and Fundraising 3,354 Seth Perelman Lack of necessary expertise in-house
Company Counsel concerning development.
Flaherty and Assoc Communications 23,570 Andrew Required assistance with specific projects,
Consulting Schuster e.g. IOU, WVH Marketing, speeches and pubs.
Colleen Morris Medicare 2,788 Pat Conducted MDS compliance training for
Consulting Shaughnessy skilled nursing staff.
Organizational Consulting on 8,300 Tom Rhatican Required an independent, 360 degree review
Development WVH King Mgmt of WVH management.
Consulting Survey
Virchow Krause and Co. King Nursing 19,595 Colleen Holtan Required independent, expert development of
Study (Acctng key assumptions, consultation on elements
Consulting) and formats of business plans, assessment of
nursing needs at WVH-King for FY 07/09
Biennial Budget, and review of business
plans.
Linda Gobis Legal Consulting 3,250 Bev Warzynski Required specialized independent review of
Services charting by RN/Attorney. One time only, not
ongoing.
Pending Consulting Contract
• FY 03 $24,163.88
• FY 04 $22,776.58
• FY 05 $54,393.22
• FY 06 $82,668.60
• FY 07 $60,856.56
Comments?
Questions?
MINUTES
COUNCIL ON VETERANS PROGRAMS
WISCONSIN DEPARTMENT OF VETERANS AFFAIRS
Meeting of August 17, 2007
5. Council Communications
Chairman Sorenson reminded all organizations to submit their 2005-07 Activities and
Membership Report to the Department of Veterans Affairs before September 30, 2007.
7. Kenneth Lee, MD, Chief of Spinal Cord Injury, Clement J. Zablocki VA Medical Center
Dr. Lee thanked the Council for its help in getting Congress to pass a $32 million funding
bill for a new spinal cord injury center in Milwaukee. Meetings have begun with the
architects and engineers to design the initial phase. There was a groundbreaking ceremony
on June 19th during the Wheelchair Games. On September 25th there will be a forum at the
Matousek Auditorium where the architects will show the public the space design. The
National PVA sends two architects to each meeting to represent the veterans’ side. Dr. Lee
thanked Congresswoman Moore who has led the way. The USDVA would like the project to
be move-in ready by December 2009.
Mr. Thiers suggested that Dr. Lee come to the veterans organizations for any “wish list”
items that the budget falls short on covering. The veteran community may be able to raise
additional funds on behalf of the spinal cord injury center. Dr. Lee said there is a shell of
1,000 square feet for which he may ask support to build the interior for the benefit of all
veterans.
2
of the Council on Veterans Programs by sending a letter to the Chairs of the Senate and
Assembly Veterans Committees showing support of their membership.
Mr. Kloster advised that he has an electronic copy of the US Department of Veterans
Affairs document announcing a 24-hour Suicide Prevention Hotline if anyone would like a
copy. The number is 1-800-273-TALK (1-800-273-8255). Mike Diaz has done an unofficial
translation of that document into Spanish if that is needed.
On February 22, 2006, the Board formally approved the naming of the new Veterans
Assistance Center building in Chippewa Falls as Klein Hall. Once that facility is up and
running, the Department will be announcing a time for its dedication.
Vera Roddy, UWV, thanked everyone for their generous donations to the clothing drive
for the Women Veterans Clothing Room. There will be an open house of the Clothing room
3
at the VA on September 20th. Secondly, a Women Veterans Conference is being held on
September 28-29 at Ft. McCoy.
Tim Thiers, AMVETS, said the AMVETS annual King weekend is September 14-15.
Also, the AMVETS Convention recognized Anthony Hardie with its State Legislative
Advocacy Award. The AMVET of the Year was Rich Calcut.
Paul Bialk, MCL, said that a project of the Veterans Board of the War Memorial is to
construct a memorial for the Purple Heart people from the State of Wisconsin; donations are
welcome. Secondly, the USO is undergoing a transition to the National Organization. The
USO will be able to help with a Fisher type house at the Milwaukee VA grounds.
Jerry Rabetski, PLAV, reminded everyone that the National Medal of Honor Society
Convention is being held in Green Bay, Wisconsin this September. They could use financial
support from all organizations. Mr. Alsteen said a fishing trip is being planned for these
Medal of Honor recipients and because of the fact that they are not residents of Wisconsin;
they will have to buy out-of-state resident fishing licenses. He asked if there is a way to have
the Department of Natural Resources waive those fees for one day.
Rich Cherone, MOPH, said their King Day is September 9th. He also thanked the
WDVA for helping MOPH put on the Purple Heart Day ceremony on August 7th.
Bud Mautz, American Legion, will be attending the National Convention in Reno. The
Auxiliary will be electing a lady from Waunakee, Wisconsin as its National Auxiliary
President, Jan Pulvermacher-Ryan.
Walter Peterson, American Ex-POWs, said they will hold their state convention on
August 22-23 at Plover.
Mr. Campbell brought to the attention of the Council some important new developments
with the enhanced use lease at the VA grounds in Milwaukee. The City of Milwaukee
Common Council three weeks ago suggested that sexual predators should be placed on the
VA grounds. It was fortunately tabled. Mr. Campbell said that the surgeon’s quarters was
restored two and a half years ago and houses 12-14 veteran preference individuals. It is not a
veteran housing project. There is a proposal asking the Wisconsin Senators and
Congressional Delegation to consider making Milwaukee a regional trauma center. They
asked for the cemetery to be expanded, not reopened. There are 37 acres of land which
would take care of over 15,000 new graves.
16. Adjournment
It was moved by Mr. Thiers, seconded by Mr. Mautz and carried on a voice vote to
adjourn, the time was 9:20 a.m.
Clif Sorenson
Chairman
5
BOARD MINUTES
WISCONSIN DEPARTMENT OF VETERANS AFFAIRS
Meeting of August 17, 2007
Milwaukee, Wisconsin
1
The meeting of the Board of Veterans Affairs was called to order at 9:40 a.m. The
Pledge of Allegiance was recited followed by a moment of silence. A quorum was
determined present after roll call of members.
3. Approval of Minutes
It was moved by Mr. Moen, seconded by Mr. Andersen and carried on a voice vote to
approve the minutes of the June 14-15 meetings.
It was moved by Mr. Stenavich, seconded and carried on a voice vote to approve the
minutes of the July 17, 2007 teleconference meeting of the Board.
Vice Chairman Freedman’s activity report: Attended the June 19th groundbreaking
ceremony of the Milwaukee VA Spinal Cord Center and the PVA National Wheelchair
Games opening ceremony. Represented the Board at a press conference on July 18th held
by the Lt. Governor in Madison concerning the GI Bill. Attended the Change of
Command ceremony for the Wisconsin Adjutant General on August 3rd. Col. Don
Dunbar will be taking over for General Wilkening on September 1st. On August 5th
WDVA did a presentation to Aleta Mercer, broadcasting coordinator for the Brewers.
Mr. Kloster and Mr. Freedman presented her with a plaque as the Mission Welcome
Home Coordinator for the year. Attended the August 7th Purple Heart Day 2007
ceremony in Madison. Mr. Freedman and Mr. Hardie co-chaired a meeting of the
WDVA’s PTSD Advisory Panel on August 10th and they hope to have reports and
recommendations filed by the October Board meeting.
Mr. Moen requested that the Chairman and Vice Chairman look at a more efficient
and economical way to provide the Board with information that it needs for the meetings.
2
Members spend much time organizing the various papers that get mailed and emailed to
them.
Ms. Guthrie thanked Mike Diaz for the tour of the Union Grove Veterans Home. In
July Ms. Guthrie represented the Board at a press conference with the Green Bay Packers
where they announced the sale of military support caps this year. She also attended
General Wilkening’s change of command ceremony. Ms. Guthrie is a member of the
PTSD panel. She will be attending the Women’s Veterans Conference in Ft. McCoy at
the end of next month.
Mr. Freedman said the Legislative and Program Review Committee met and took
action items which are also agenda items 9, 10, 11, 13 and 14 of the Board. Mr.
Freedman will bring the recommendations from the Committee to the Board during
discussion on those agenda items.
Mr. Moen said the Long Term Care Committee met and took no action that would
require Board consideration today. Mr. Moen said the committee heard reports on
concern about fire safety and a report on the staffing ratio. Mr. Moen received a report of
a couple of incidents which were self reported as required by state Administrative Rules.
Mr. Andersen said the Financial Committee met and took no action that would
require Board consideration today. The Committee heard two information briefings, one
on the contracting process and another on consulting contracts that are pending. For the
next Financial Committee meeting Mr. Andersen has asked for another information
briefing on the scheduled or unscheduled audits of financial documents.
Mr. Sorenson said the Council on Veterans Programs took no action that would
require Board consideration. The Council supported the Veterans Assistance Foundation
effort to become a member of the Council on Veterans Programs. The distribution of the
Council’s draft minutes will remain the same as the Board’s policy for distribution of
minutes.
Ms. Oshinski said that there has been publicity lately about the new 1-800 national
suicide prevention hotline. That can be accessed from anywhere in the country by any
veteran who may have ideas about hurting themselves or others.
3
The VA is taking strong steps to try and eliminate medication resistant infections that
can be acquired in hospitals. Since June 1st every person coming into the ICUs of
veterans’ hospitals in VISN 12 gets their nose swabbed for an immediate test to see if
they have any kind of medication resistant infection. Beginning October 1st anyone being
admitted to a VA hospital in VISN 12 will have their nose swabbed.
VISN 23 is opening a new CBOC in Bemidji, MN and they have opened the
Hayward, Wisconsin clinic that provides service to 250 veterans five days a week. They
are hoping that the Rice Lake Clinic will be open some time this fall.
VISN 12 has had significant turnover in its directors. Mr. Grippen and Mr. Stan
Johnson have moved, Janice Boss went to Wilksbury and Mr. Geraths went to Hines.
Debra Thompson has rejoined the Network and is at Madison. They are currently
interviewing candidates from around the country at Tomah and there is a pending
nomination for Iron Mountain.
Ms. Oshinski introduced Jean Bromley, who has been active with the Department of
Veterans Affairs, the homeless programs, long term care and King. She is the VISN 12
lead for the OIF OEF Program. In that capacity she works not only in Wisconsin but
across the Network to make sure that the full array of services are offered for our
returning veterans. Ms. Bromley gave a brief update on some new programs that are
provided for returning veterans. In VISN 12 they continue to expand the number of
combat veterans seen and in the first two quarters of FY 2007 they saw as many combat
veterans as in all of FY 2006. They have added additional case managers and program
managers at all of the facilities. All returning combat veterans receive traumatic brain
injury screening. Each site now has poly trauma teams so that if a veteran does screen
positively for being exposed to brain injury they then receive a full evaluation. There are
special training programs on eating disorders, particularly for women veterans. Another
new initiative is the implementation of quarterly focus groups throughout the VISN to get
feedback from returning combat veterans and their families about the services they are or
are not receiving.
Mr. Freedman was gratified to know about the establishment of the National Suicide
Prevention Hotline. He thanked Ms. Oshinski and Dr. Petzel for providing information
about the new mental health positions and breakdown. He asked if inpatient PTSD
treatment programs such as the one at Tomah only exist at 27 VA Hospitals nationally.
Ms. Oshinski said yes, and that most of that work is done outpatient. Mr. Freedman said
that the need for this type of a program is much greater than is evidenced by the
4
commitment of so few specialized PTSD inpatient treatment centers in the United States.
Do VISN 23 and 12 provide input and recommendations with regard to the need for new
Vet Centers within their respective VISNs and what role do they have with respect to
making recommendation on staffing? Ms. Oshinski said VISNs try to coordinate with
Vet Centers when they do training. Vet Centers are a completely separate function and
budget within the Veterans Health Administration. Mr. Freedman asked, with respect to
the wait list for mental health appointments—how are aggravated cases handled, where
someone needs immediate attention, is there a triage mechanism utilized in VISN 12?
Ms. Oshinski said if somebody walks in and needs help, they can be seen immediately.
There is no waiting when a person is in a situation where they may harm others or
themselves.
Mr. Campbell asked what VISN 12 is hearing about the enhanced use lease situation.
Ms. Oshinski said it has been very quiet since the City of Milwaukee pulled back. Mr.
Campbell said the VA has started a six or seven week program for Operation Iraqi
Freedom and their families that is conducted in the evenings, which is very convenient
for the veterans.
Results: Favorable responses were received by 88% of the residents at King and 87%
of the residents at Union Grove. Food was rated excellent or very good by 21% of the
residents at King and 23% of the residents at Union Grove. The majority of residents at
both homes found breakfast to be their most satisfying meal of the day. A plurality of the
residents identified supper as their least satisfying meal of the day. Food was rated poor
by 12% of the residents at King and 13% of the residents at Union Grove. The
temperature of the food was rated poor by 14% of the residents at Union Grove and 3%
of the residents at King.
Mr. Freedman asked to receive a copy of the survey itself. He also wanted a memo or
summary of the methodology used with the survey. Mr. Diaz said that Union Grove was
surveyed fairly quickly because of the smaller census, however this is an additional duty
for the staff to capture the responses, collect the surveys and tabulate them. Having the
survey done at the same time for the same meal is very time consuming. Mr. Freedman
suggested the need for an independent survey where it is not being conducted by staff
and management but by a neutral third party.
Mr. Andersen liked the idea that the survey would be done a couple of times a year
but it should be done by someone outside the Department. His understanding of a
creditable survey was at least 90% to 95% compliance. Mr. Diaz said our Department
5
statistician felt that our return rate of 67% was about what he expected from our fragile
population.
Mr. Moen talked about the rating “fair” and where does that fit on a scale of 1-10,
about a five? Mr. Diaz said the Department looked at “fair” as meeting standards. Mr.
Kloster said that each individual has their own standard for what they eat, however to
have over 850 standards, one for each resident; will never get us to an acceptable place.
There are a lot of choices available to each of us, however in an institutional setting; one
gets to eat what is being served for that day. We need to agree to have an acceptable
standard by which to measure what we’re doing.
Mr. Scollon added that the main meal of the day for nursing home residents is lunch.
He was impressed with the rate of return received with the WVH food survey. He noted
that the percent of the meal eaten should also be recorded.
Mr. Freedman asked if there will be CVSO involvement in the process action team.
Mr. Kloster said he has asked Mr. Black to come back with resources he needs to do this
job and County Veterans Service Officers will be a part of the team. Mr. Freedman
suggested that selection of CVSOs to serve on the process action team be made by the
Association.
9. Discussion and Action on the Pre-Application Requirement Process Action Team Report
and CVSO Resolution F001-06 Veterans Education Grant Pre-Enrollment Requirement
The detailed report of the Pre-Application Requirement Process Action Team found
that there were other ways to accomplish what the pre-application requirement set out to
do in theory. The conclusion was that the pre-application requirement was no longer
necessary. The challenge that is faced is that to completely do away with the pre-
application requirement would require statutory action better initiated after the current
budget passes. The issue would be better addressed now by Administrative Rule.
6
motion. Mr. Freedman said they are eliminating what was anticipated to be a way of
projecting costs of the VetEd Program. What the Process Action Team determined was
that there are other, more effective ways to estimate those costs and that the pre-
application requirement was not a desirable way to calculate those projections. Mr.
Kloster added that the essence is to eliminate the number of veterans who are disqualified
from receiving the grant because of the requirement of a pre-application and that is
addressed in the next agenda item of the Board. The motion carried unanimously on a
voice vote.
Mr. Freedman added that there have been hundreds of veterans denied reimbursement
because of this pre-application requirement, just because they didn’t file. Mr. Kloster
said that this program is one of the most expensive grant programs that the Department
has. In order to stay on budget, the Secretary was given the authority to adjust the
reimbursement rate on this grant to make it something less than 100%. Considering that
all schools do not start at the same time and without a forecasting tool, the Department
faces the dilemma of when to make that adjustment.
11. Action on DAV Resolutions 2007-02 Tax Exemptions for Goods and Services; 2007-04
Divorce and Compensation; 2007-05 Disabled Veterans Reduced Fees; 2007-07 State
Lottery Scratch Off Ticket “GI Dough”; and 2007-09 Wisconsin Veterans and Surviving
Spouse Property Tax Credit
Mr. Freedman said these DAV Resolutions came before the Legislative and Program
Review Committee. The first four resolutions were identical to DAV resolutions offered
in August of last year and both the Committee and the Board received and filed them at
that time and the Committee voted to receive and file them again this year. The fifth
resolution is a new resolution that was received and filed by the Committee for the reason
that the position reflected in this resolution, although it would expand the existing
veterans and surviving spouse property tax credit for the State of Wisconsin, reflects a
narrower scope than the position previously taken by both the Board and the Department.
It was moved by Mr. Freedman, seconded by Mr. Stenavich and carried on a voice
vote to receive and file all five of the DAV resolutions.
7
This item was included on the Board’s agenda in the event that the Legislature would
have completed its work on the budget. The budget has not passed, therefore, this agenda
item is moot.
13. Discussion and Action on the Need for Additional USDVA Vet Centers in Wisconsin
Mr. Freedman said this item was also on the agenda for the Legislative and Program
Review Committee. The Committee placed the subject matter on its next meeting agenda
for more detailed discussion. Background information was provided to the Committee
and the Board in their meeting packets. Wisconsin currently has two Vet Centers and
considering its veteran population and number of square miles, it should have two
additional Vet Centers. There were 23 new Vet Centers created nationally by the US
Department of Veterans Affairs and with the exception of Michigan, the Midwest did not
fare particularly well in receiving new Vet Centers. Mr. Freedman would like a more in-
depth discussion at the Board’s October meeting.
14. Discussion and Action on the Alleged Misuse of Personality Disorder Discharges by the
U.S. Department of Defense
Mr. Moran said that Mr. Freedman and the Legislative and Program Review
Committee will be doing additional work on this matter and will report to the Board at its
next meeting. Mr. Freedman added that there are various forms of legislation in the
process of being introduced such as H.R. 3167: Fair Mental Health Evaluation for
Returning Veterans Act to impose a temporary moratorium on the discharge of members
of the Armed Forces for personality disorder, except in certain specified cases.
It was moved by Mr. Moen, seconded by Mr. Andersen and carried on a voice vote to
adopt the establishment of a Board of Veterans Affairs’ Veterans Recognition Award.
8
17. Public Input
None
20. Adjournment
It was moved by Mr. Moen, seconded by Mr. Andersen and carried on a voice vote to
adjourn the meeting; the time was 12:07 p.m.
Pete Moran
Chairman