There may be alternative sources of funding for the Greater Bristol Visiting Nurse Association’s charity program.
Mayor Art Ward said Friday that he believes that U.S. Rep. John Larson, the East Hartford Democrat whose district includes Bristol, may be able to steer the group to new sources of revenue.
“There might be an alternate source of funding for them,” Ward said.
The mayor, the VNA and Larson’s staff plan to meet Tuesday to explore options, the mayor said.
“It’s definitely worth exploring,” Ward said.
The city wiped out $70,000 worth of aid to the nonprofit this year – leaving just $100 in its budget for the VNA – as part of an effort to pare spending and hold down property taxes.
The move shocked VNA officials, who are as a consequence eyeing a big reduction in the free and reduced price care they can offer to the city’s poor.
The organization provides well child clinics that offer immunizations to uninsured children and hundreds of home care visits to the city’s indigent or underinsured to try to help them remain in their homes.
Ward said the VNA, celebrating its 100th anniversary this year, performs “a great service and I think it’s invaluable to the community.”
But, he said, the city can’t come up with aid for the group this year.
Municipal officials have asked the VNA to dip into its $1.5 million rainy day fund to cover the lost revenue this year, but the association’s leaders said that doing so would be fiscally irresponsible.
The city itself has more than $17 million in its rainy day fund. It didn’t tap into the cash for its budget this year because finance officials said that touching the money would hurt Bristol’s credit rating and ultimately cost taxpayers more.
Ward said the city would review its funding for the VNA during the next budget cycle in the spring and might be able to restore the help.But, he said, it would be better if the state or federal government stepped in to fill the gap since they have far more resources to bring to bear.
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Copyright 2008. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com
Showing posts with label VNA. Show all posts
Showing posts with label VNA. Show all posts
July 11, 2008
July 9, 2008
Bristol to poor and sick: we can't help you
Claiming the city is struggling financially, city councilors refused this week to reconsider a decision to wipe out the city’s $70,000 contribution to the Greater Bristol Visiting Nurse Association.The move may mean that the nonprofit VNA will cease offering free or reduced price care to chronically ill poor people in Bristol.
“We’re really at a loss about what to say to the Bristol community,” said Maryellen Frele, the acting chief operating officer of the association.
Mayor Art Ward hailed the century-old group’s work but insisted that it could tap into its $1.5 million in reserves to make up for the virtual depletion of city aid this year – a move that VNA officials said would be fiscally irresponsible and could jeopardize their existence down the road.
Ward said that slashing the aid offered by the city to just $100 was “an economic action that had to be taken” as part of an effort to reduce spending and hold down property taxes.
“Our backs are up against the wall,” Ward said.
But Ruth Tubbs, a Bristol resident, said that people need access to visiting nurses.
Tubbs said she’s had a visiting nurse for three years.
“She’s always there and she’s always taking care of me,” Tubbs said. “I have had the best care that anyone could give me.”
“What are we going to do?” Tubbs asked.
City councilors and Ward said they want the VNA to shoulder the cost this year and then, with luck, the city can renew its commitment to help in 2009.
Ward said Wednesday that he’s scheduled a meeting next week between the city, the VNA and the office of U.S. Rep. John Larson, the East Hartford Democrat whose 1st District includes Bristol, to see if any additional funding may be available from other sources.
Anne Dolson, the association’s president, said the VNA is facing a shortfall already this year and can’t be expected to pick up the entire tab for nearly $300,000 worth of free and reduced cost care for the poor.
“Historically, the burden of providing for indigent care has rested with the city,” Frele said. “It is the city’s responsibility to provide for its indigent, not the VNA’s responsibility.”
“In this time when the average person is suffering from serious economic constraints, it is unconscionable for the city of Bristol to turn its back on its poor and deny them home health care,” Frele said.
Yet city leaders said they have no choice.
City Councilor Ken Cockayne said he spoke this week to an 85-year-old resident who’s facing a $1,200 property tax increase. He asked how he could tell that man to pay more in order to subsidize someone else’s health care.
“What are you going to say to seniors who need home health care?” Frele answered, adding that the VNA doesn’t have the resources to subsidize care the city has traditionally paid for.
City Councilor Frank Nicastro said the problems facing the VNA are “just the tip of the iceberg” as a sinking economy leaves government at all levels pinching pennies to try to cope with the downturn.
Nicastro said that nobody is happy about the cut to the VNA “but it had to be done.”
Comptroller Glenn Klocko, who initially recommended the cut, said that the nonprofit’s budget information showed it had a $200,000 surplus in the previous year. It also listed a contribution of $17,000 from the United Way in its books but never mentioned Bristol’s much larger donation, he said.
Klocko said the city can’t subsidize every worthwhile organization that asks for money.
Frele said that her association’s income goes up and down depending on reimbursement rates for its care, but that it’s looking at a $50,000 loss this year.
She said the available assets in its rainy day fund would only cover three months of operation, money it may need someday if there’s a changeover in the way the government handles visiting nurse care.
Frele said that if the VNA begins dipping into its reserves, the day may come “when we have to close our doors.”
Tom Morrow, the director of the Bristol Community Organization, said Wednesday he doesn’t know what will happen to the VNA’s patients if the group ceases serving the uninsured poor.
“I don’t know of any other resource that these folks could turn to,” Morrow said.
Who loses out?
Though the Greater Bristol Visiting Nurse Association can’t disclose specific information about its patients, officials described in general terms a recent case referred to the organization by Bristol Hospital.
A 53-year-old widow was left without income or insurance after her husband dropped dead in front of her eyes, Maryellen Frele, the acting chief operating officer of the association, said.
As a result, she couldn’t buy her diabetes medication, “which gradually put her into diabetic ketoacidosis, the first step toward a diabetic coma,” Frele said.
At Bristol Hospital, the woman got treatment and doctors switched her from oral medication to injectable insulin.
Before discharging the widow, the hospital asked the VNA if it would take her on since she lacked insurance, Frele said.
Because her diabetes posed a “high risk,” Frele said, the nonprofit agreed.
“The patient required home health for skilled nursing assessment and teaching so that the patient’s diabetes would stabilize and she would become independent in her diabetes management,” Frele said.
“This patient is typical of the kinds of Bristol community residents who are referred to the VNA because they have no insurance, but are in dire need of home health services,” Frele said.
It’s likely, though, the group is going to refuse similar cases in the weeks and months ahead because of the city’s decision to slice its aid.
There appears to be noplace else for people who need the help to turn.
Update on Thursday: Here's a PDF of the Bristol VNA's Form 990 for 2006, which lays out most of its finances at that point.
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Copyright 2008. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com
“We’re really at a loss about what to say to the Bristol community,” said Maryellen Frele, the acting chief operating officer of the association.
Mayor Art Ward hailed the century-old group’s work but insisted that it could tap into its $1.5 million in reserves to make up for the virtual depletion of city aid this year – a move that VNA officials said would be fiscally irresponsible and could jeopardize their existence down the road.
Ward said that slashing the aid offered by the city to just $100 was “an economic action that had to be taken” as part of an effort to reduce spending and hold down property taxes.
“Our backs are up against the wall,” Ward said.
But Ruth Tubbs, a Bristol resident, said that people need access to visiting nurses.
Tubbs said she’s had a visiting nurse for three years.
“She’s always there and she’s always taking care of me,” Tubbs said. “I have had the best care that anyone could give me.”
“What are we going to do?” Tubbs asked.
City councilors and Ward said they want the VNA to shoulder the cost this year and then, with luck, the city can renew its commitment to help in 2009.
Ward said Wednesday that he’s scheduled a meeting next week between the city, the VNA and the office of U.S. Rep. John Larson, the East Hartford Democrat whose 1st District includes Bristol, to see if any additional funding may be available from other sources.
Anne Dolson, the association’s president, said the VNA is facing a shortfall already this year and can’t be expected to pick up the entire tab for nearly $300,000 worth of free and reduced cost care for the poor.
“Historically, the burden of providing for indigent care has rested with the city,” Frele said. “It is the city’s responsibility to provide for its indigent, not the VNA’s responsibility.”
“In this time when the average person is suffering from serious economic constraints, it is unconscionable for the city of Bristol to turn its back on its poor and deny them home health care,” Frele said.
Yet city leaders said they have no choice.
City Councilor Ken Cockayne said he spoke this week to an 85-year-old resident who’s facing a $1,200 property tax increase. He asked how he could tell that man to pay more in order to subsidize someone else’s health care.
“What are you going to say to seniors who need home health care?” Frele answered, adding that the VNA doesn’t have the resources to subsidize care the city has traditionally paid for.
City Councilor Frank Nicastro said the problems facing the VNA are “just the tip of the iceberg” as a sinking economy leaves government at all levels pinching pennies to try to cope with the downturn.
Nicastro said that nobody is happy about the cut to the VNA “but it had to be done.”
Comptroller Glenn Klocko, who initially recommended the cut, said that the nonprofit’s budget information showed it had a $200,000 surplus in the previous year. It also listed a contribution of $17,000 from the United Way in its books but never mentioned Bristol’s much larger donation, he said.
Klocko said the city can’t subsidize every worthwhile organization that asks for money.
Frele said that her association’s income goes up and down depending on reimbursement rates for its care, but that it’s looking at a $50,000 loss this year.
She said the available assets in its rainy day fund would only cover three months of operation, money it may need someday if there’s a changeover in the way the government handles visiting nurse care.
Frele said that if the VNA begins dipping into its reserves, the day may come “when we have to close our doors.”
Tom Morrow, the director of the Bristol Community Organization, said Wednesday he doesn’t know what will happen to the VNA’s patients if the group ceases serving the uninsured poor.
“I don’t know of any other resource that these folks could turn to,” Morrow said.
Who loses out?
Though the Greater Bristol Visiting Nurse Association can’t disclose specific information about its patients, officials described in general terms a recent case referred to the organization by Bristol Hospital.
A 53-year-old widow was left without income or insurance after her husband dropped dead in front of her eyes, Maryellen Frele, the acting chief operating officer of the association, said.
As a result, she couldn’t buy her diabetes medication, “which gradually put her into diabetic ketoacidosis, the first step toward a diabetic coma,” Frele said.
At Bristol Hospital, the woman got treatment and doctors switched her from oral medication to injectable insulin.
Before discharging the widow, the hospital asked the VNA if it would take her on since she lacked insurance, Frele said.
Because her diabetes posed a “high risk,” Frele said, the nonprofit agreed.
“The patient required home health for skilled nursing assessment and teaching so that the patient’s diabetes would stabilize and she would become independent in her diabetes management,” Frele said.
“This patient is typical of the kinds of Bristol community residents who are referred to the VNA because they have no insurance, but are in dire need of home health services,” Frele said.
It’s likely, though, the group is going to refuse similar cases in the weeks and months ahead because of the city’s decision to slice its aid.
There appears to be noplace else for people who need the help to turn.
Update on Thursday: Here's a PDF of the Bristol VNA's Form 990 for 2006, which lays out most of its finances at that point.
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Copyright 2008. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com
June 28, 2008
City budget cuts has "grave consequences" for the sick and poor, nursing assocation says
The Greater Bristol Visiting Nurse Association called a last-minute $70,000 cut in the contribution it receives from the city “grossly disturbing” and likely to create “a devastating effect” on patients it serves.The city’s decision “to just about wipe away our current allocation” after half a century of support will have “grave consequences” for the poor people the money has long helped the nursing group serve, said Anne Dolson, the association’s president.
Dolson said the century-old nonprofit already faces a deficit this year of as much as $50,000 and can’t afford to continue providing services to the indigent if the city’s donation drops to just $100.
Though the group pleaded for the city to restore the funding, Mayor Art Ward said he’s “not sure that we can” reverse the decision now that the budget for the coming fiscal year is finished.
“We’ll take it under advisement,” said Roald Erling, vice chairman of the city’s Board of Finance.
The nursing group said it plans to tell patients and the community about the cuts in the hope of creating a groundswell of support that will convince political leaders to find the cash needed to pay for well-child clinics, nursing visits for chronically ill but poor elderly patients and others.
“We can’t do it without your help,” said Maryellen Frele, the acting chief operating officer of the association.
City officials said that in their quest to lower the mill rate, they drastically cut the VNA because it possesses a $1.5 million reserve fund, enough to allow it to cope with a one-year decrease by City Hall.
But the association’s leaders said the money in its rainy day fund is badly needed so it can deal with changes in the medical field, including greater use of costly technology.
Tapping the cash, said Frele, “would be fiscally irresponsible of us.”
As it is, she said, the group provided $194,000 worth of care to people who could not pay last year and expects to lose $280,000 on care for the poor this year.
“Our current community is really suffering,” Frele said, and the need for free and reduced cost care has never been higher.
The nursing association said there are three groups of city residents who will get clobbered if the city money isn’t restored: elderly patients with limited incomes, mentally ill patients who lack insurance and in-home care for mothers with newborns and children of the poor who need immunizations.
Frele said there is a growing need to care for mentally ill people in their homes to make sure they get their medicine. Without that care, she said, some will turn to crime and wind up in prison, costing society far more than the nursing care they need.
The group said it also hopes to have more well-child clinics to help families that fall through the insurance cracks get the medical attention that children require, including immunization for potentially deadly diseases. There have been four clinics this year. Ten are needed next year, the group said.
There are at least 11 patients in Bristol who have been receiving free nursing in their homes for more than five years, the association said.
Disrupting their care will “most likely precipitate an inpatient hospitalization for the chronically ill elderly,” Dolson said in a letter, which basically shifts the expense from the city to Bristol Hospital.
It isn’t clear what options the nonprofit has to pressure the city to increase aid, but it’s possible that association officials may try to convince city councilors to take action to help.
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Copyright 2008. All rights reserved.
Contact Steve Collins at scollins@bristolpress.com
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