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									                             Questions from Tours of Veterans Homes
                                          July 19, 2007
                      Wisconsin Veterans Home at Union Grove, 10:00 a.m., CT
                          Wisconsin Veterans Home at King, 3:00 p.m., CT


Question: Who may be admitted to the Veterans Home?
Answer:   Eligibility for membership in the Veterans Homes is defined in s. 45.51, Wis. Stats.

Question: What is the number of single and double rooms (in the skilled nursing facility)?
Answer:
                              Veterans           Licensed         Single    Double
                               Home              Building         Rooms     Rooms
                            WVH-King         Olson Hall            152        24
                            WVH-King         Stordock Hall         152        24
                            WVH-King         MacArthur Hall        88         14
                            WVH-King         Ainsworth Hall        157        24
                            WVH-UG           Boland Hall           110        5

Question: What is the number of beds in the Alzheimer Care Unit?
Answer:   There are 46 beds in the Alzheimer Care Unit in Ainsworth Hall at WVH-King and 20 beds in
          Boland Hall at WVH-UG.

Question: Is the census in Boland Hall still 48?
Answer:   As of the tour date the census was 48. The current census is 54.

Question: Is there a waiting list for Boland Hall? How many people are on the list?
Answer:   There is a waiting list of approximately 35 people.

Question: What is the census at WVH-King?
Answer:   The current census at WVH-King is 707, distributed as follows:

                                           Building                Census
                                  Ainsworth Hall                     198
                                  MacArthur Hall                     111
                                  Olson Hall                         192
                                  Stordock Hall                      196
                                    Total SNF Census                 697
                                  Cottages                            10
                                    Total Campus Census              707

Question: What are the age and capacity of each of the assisted living buildings?
Answer:
                                                                         Capacity
                          Building       Built    Renovated        Licensed   As Used
                      Fairchild Hall     1967        2001             43          40
                      Gates Hall         2004    Not Applicable       42          40
                      Shemanske Hall     1967        2001             43          40

Question: What is the census in the Assisted Living buildings?
Answer:   The census in each of the buildings is as follows: Fairchild Hall - 31; Gates Hall - 38; and
          Shemanske Hall - 38. The census in Fairchild and Shemanske is being drawn down in
          anticipation of the room conversion project.




                                                 Page 1 of 5
                             Questions from Tours of Veterans Homes
                                          July 19, 2007
                      Wisconsin Veterans Home at Union Grove, 10:00 a.m., CT
                          Wisconsin Veterans Home at King, 3:00 p.m., CT


Question: What is the anticipated completion date of the room conversion project?
Answer:   The project, which is anticipated to start by the end of October, may take as long as 24
          months if renovations are made one wing at a time. The number of wings that can be
          renovated at a time is dependent on the building census.

Question: How will the Operational and Financial Assessment of Wisconsin Veterans Homes be
          impacted by the room conversion projects in Fairchild and Shemanske Halls?
Answer:   The post-completion room configurations and counts for Fairchild and Shemanske Halls will
          serve as the baseline for completion of the technical requirements.

                                                      Pre-Conversion    Post-Conversion
                     Veterans      Assisted Living   Single   Double    Single   Double
                      Home            Building       Rooms Rooms        Rooms    Rooms
                  WVH-UG          Fairchild Hall       27        8        33        2
                  WVH-UG          Shemanske Hall       27        8        30        4

Question: Has a copy of the current staffing plan for Boland Hall been provided?
Answer:   No. The contractor will have access to staffing plans.

Question: What is the communication system between staff at Boland Hall?
Answer:   A portable telephone system is used by caregivers and nurses. The phones are part of the
          nurse call system. When a member uses a call cord for assistance the portable phone rings
          and indicate which room is requesting assistance. The phones also give staff the ability to
          talk to the members to determine needs prior to going to the room and can be used by staff to
          call other staff for assistance and questions.

Question: What is the format of medical records? Paper or Electronic?
Answer:   At WVH-UG records are being transitioned from paper to electronic with approximately half
          completed at this time. It is anticipated that all records will be electronic within the next
          twelve months. At WVH-King all records are electronic.

Question: What software is used for medical records?
Answer:   Electronic Chart System (ECS) from American Data is used by the Veterans Homes.

Question: What is the acuity (at Boland Hall)?
Answer:   Based on ECS, the case mix index in Boland Hall is currently 1.09.

Question: Who is the Director of Nursing for Boland Hall?
Answer:   The name of the Director of Nursing for Boland Hall is not necessary for preparation of a
          response to the Request for Proposal. The contractor will have access to employees of the
          Veterans Homes to the extent necessary to accomplish the technical requirements.

Question: Who is the MDS Coordinator for Boland Hall?
Answer:   The name of the MDS Coordinator for Boland Hall is not necessary for preparation of a
          response to the Request for Proposal. The contractor will have access to employees of the
          Veterans Homes to the extent necessary to accomplish the technical requirements.

Question: Does WVH-UG contract for therapy services?
Answer:   Yes, WVH-UG contracts for its therapy services.



                                               Page 2 of 5
                           Questions from Tours of Veterans Homes
                                        July 19, 2007
                    Wisconsin Veterans Home at Union Grove, 10:00 a.m., CT
                        Wisconsin Veterans Home at King, 3:00 p.m., CT


Question: What types of therapy are provided?
Answer:   Physical therapy, occupational therapy and speech therapy are provided.

Question: Does WVH-UG provide both inpatient and outpatient therapy?
Answer:   WVH-UG provides inpatient therapy only. WVH-UG’s contract therapy service provides
          outpatient therapy to members residing in the assisted living facilities.

Question: Who provides pharmacy services for Boland Hall?
Answer:   WVH-UG contracts for pharmacy services with a local pharmacy.

Question: How much time is the Medical Director on-site at WVH-King?
Answer:   WVH-King has a full-time on staff, on site Medical Director.

Question: What is the number of employees by department (i.e., organizational unit)?
Answer:   The number of employees by organizational unit is shown below. Please note, however, that
          the numbers for WVH-UG do not include positions that are authorized, but have not been
          filled.

                               Wisconsin Veterans Home-King
                                       Organizational Unit                       FTE
                      Administration                                               5.0
                      Bureau of Financial Services                                 9.5
                      Bureau of Personnel Services                                 5.5
                      Bureau of Admission & Discharge Services                     4.0
                      Bureau of Engineering/Physical Plant Services               72.0
                      Data Processing Support Unit                                 8.0
                      Bureau of Materials Management Services                     11.0
                      Bureau of Medical Services                                  36.3
                      Bureau of Nursing Services                                 442.0
                      Bureau of Activities Services                               16.0
                      Bureau of Social Services                                   18.5
                      Bureau of Dietary Services                                  74.0
                      Bureau of Security                                          10.5
                      Occupational Health Services Section                         1.0
                      Risk Management Section                                      1.0
                      Transportation & Laundry Section                             8.0
                      Special Services Section                                     4.0

                           Wisconsin Veterans Home-Union Grove
                                                                                     1
                                        Organizational Unit                     FTE
                       Administration                                               5.0
                       Bureau of Financial Services                                 5.5
                       Bureau of Personnel Services                                 3.0
                       Bureau of Admission & Discharge Services                     2.0
                       Bureau of Engineering/Physical Plant Services              17.0
                       Bureau of Nursing Services                               110.0
                       Bureau of Activities Services                                9.0
                       Bureau of Social Services                                    3.0
                       Bureau of Dietary Services                                 24.0
                     1
                       Does not include FTE Positions authorized but never filled .



                                                 Page 3 of 5
                            Questions from Tours of Veterans Homes
                                         July 19, 2007
                     Wisconsin Veterans Home at Union Grove, 10:00 a.m., CT
                         Wisconsin Veterans Home at King, 3:00 p.m., CT




Question: How many employees are covered by collective bargaining agreements?
Answer:   Veterans Homes’ employees other than those in supervisory or management positions or
          administrative support positions whose jobs deal with information and/or transactions that is
          the subject of labor/management relations or which can be grieved are covered by collective
          bargaining agreements. There are 712 such employees at WVH-King and 163 at WVH-UG.

Question: Is the cook/chill method of food preparation used for the entire WVH-King campus?
Answer:   Yes.

Question: How many meals are prepared daily at WVH-King?
Answer:   Approximately 2,500 meals are prepared daily, including those sent in bulk to WVH-UG.

Question: Is there always an alternate meal choice?
Answer:   Yes, an alternative is always available.

Question: Is all cooking for WVH-UG done at King?
Answer:   Yes, with the exception of breakfast in the Assisted Living buildings at WVH-UG. Cooked-to-
          order breakfast is prepared and provided in Gates Hall, Fairchild Hall and Shemanske Hall.

Question: How frequently are meals delivered to WVH-UG?
Answer:   Meals are delivered to WVH-UG three times per week on Monday, Wednesday and Friday.

Question: At WVH-UG, does cook/chill food come from King?
Answer:   Yes. It comes in bulk, is repackaged and re-thermed at WVH-UG.

Question: Do the Veterans Homes feed staff?
Answer:   At WVH-UG, no. At WVH-King employees can purchase a tray and those held over for an
          unanticipated shift get a free tray per the union contract.

Question: Do Assisted Living residents pay extra for cooked-to-order breakfast?
Answer:   No, it is included in the daily rate.

Question: What are the rates for Assisted Living at WVH-UG?
Answer:   Current daily rates for Assisted Living are as follows:

                                     Level of Care          Daily Rate
                              Level A Veteran                    $70.00
                              Level B Veteran                    $76.00
                              Level C Veteran                    $84.00
                              MCU A Veteran                      $99.00
                              MCU B Veteran                     $106.00
                              MCU C Veteran                     $113.00
                              Level A Surv Spouse                $70.00
                              Level B Surv Spouse                $76.00
                              Level C Surv Spouse                $84.00
                              Level A Spouse (double)            $37.00
                              Level B Spouse (double)            $37.00
                              Level C Spouse (double)            $37.00



                                              Page 4 of 5
                             Questions from Tours of Veterans Homes
                                          July 19, 2007
                      Wisconsin Veterans Home at Union Grove, 10:00 a.m., CT
                          Wisconsin Veterans Home at King, 3:00 p.m., CT



Question: What is the payer mix for WVH-UG (Boland Hall)? WVH-King?
Answer:   The payer mix for FY2007 was as follows:

                                             WVH-King                   WVH-UG
                   Payer Source       Member Days     % Total    Member Days     % Total
                Private Pay                  34,526      13.4%          3,836      34.3%
                Medicaid                    220,591      85.5%          6,628      59.3%
                Medicare Part A                   0       0.0%            713       6.4%
                Hospice                       2,781       1.1%              0       0.0%
                   Total                    257,898     100.0%         11,177     100.0%

Question: Can a copy of the most recent Medicaid Cost Report be provided?
Answer:   The contractor will have access to the Medicaid Cost Report to the extent necessary to
          accomplish the technical requirements.

Question: Are reports from PATs (Process Action Teams) available?
Answer:   There are no Veterans Homes’ related PATs in progress at this time.

Question: Is the business plan done? If not, when is it expected to be completed?
Answer:   The business plan is expected to be completed around the estimated contract start date for
          the RFP.

Question: Is Virchow, Krause (& Company, LLP) preparing the business plan?
Answer:   Virchow, Krause & Company, LLP (VK) is not preparing the business plan. The Department
          of Veterans Affairs contracted with VK for: facilitation of the development of key assumptions;
          consultation regarding the expected elements and format of the business plan; and post-
          completion review of the Homes’ business plan to ensure the expected elements are
          presented in the recommended format. Preparation of the content of the Veterans Homes
          business plan, which is ongoing, rests solely with the Department.

Question: Is Virchow, Krause (& Company, LLP) expected to bid on the RFP? Wouldn’t Virchow
          Krause (& Company, LLP) have a competitive advantage in this RFP because of its
          work on the business plan?
Answer:   The Department cannot say whether VK is expected to bid on the RFP as it has had no
          contact with VK regarding the RFP. Further, while the Department believes that access to
          the business plan would not provide a competitive advantage to a potential proposer, it has
          not and will not submit the Veterans Homes’ business plan to VK for the post-completion
          review until after the date proposals are due from vendors.




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