New hospital will not offer inpatient psychiatric treatment
Podcast Episode
Kyle Geissler talks with Janesville Gazette reporter Ann Marie Ames about the costs of taking care of psychiatric patients in Rock County.
JANESVILLE The Dean/St. Mary’s hospital proposed for Janesville’s southeast side will not provide inpatient psychiatric treatment, spokesman Steve Van Dinter said.
That’s not going to help Rock County with its exploding budget for residents needing inpatient psychiatric care.
Rock County is on pace to spend more than twice what it budgeted in 2008 to send residents to inpatient psychiatric treatment facilities such as Mendota or Winnebago mental health facilities, human services Director Charmian Klyve said.
More local, inpatient facilities that take Medical Assistance would help, Klyve said. But the proposed hospital will not have inpatient psychiatric facilities, and Mercy spokesman Rich Gruber said the inpatient psychiatric services at Mercy are not for everyone.
The county is currently running $1.6 million over budget and at this pace will spend $3.1 million in 2008 to keep people in treatment facilities, Klyve said.
That’s up from the $2.8 million estimate county officials shared with The Janesville Gazette in early June.
The county budgeted $1.5 million for inpatient psychiatric treatment in 2008, she said.
“We are taking steps in a variety of areas to decrease this amount for calendar year 2008,” Klyve said.
Having more local, inpatient psychiatric facilities that accept Medical Assistance as payment could save Rock County a lot of money, Klyve said.
Local facilities also would improve care by letting patients keep in touch with their families and community, she said.
Mercy hospital has a 12-bed inpatient unit with beds for detox and psychiatric treatment, Gruber said.
Freestanding psychiatric facilities such as Mendota or Winnebago don’t accept medical assistance, Klyve said, so the county has to pay the tab for residents to be treated there, Klyve said. Psychiatric facilities located in a general hospital facility such as at Mercy do qualify for Medical Assistance, she said.
Klyve said the county frequently considers Mercy as an option for patients needing inpatient psychiatric treatment, but Mercy’s not an option for everyone.
Mercy is set up to treat psychiatric patients who check in voluntarily, Gruber said. Police put many of the county’s patients who need inpatient treatment on an involuntary, emergency mental health hold for their own protection.
That means Mercy can’t take them, Gruber said. If the county wants to send more patients to Mercy, it would take a service agreement between the two organizations, he said.
“That would be the nature of the discussion that would have to happen to have additional resources available locally,” Gruber said.
Dean Health System and SSM Health Care of Wisconsin, the parent company of St. Mary’s, have announced they will build a $140 million hospital and medical campus on 50 acres that Dean bought in 2000 on the southeast corner of Highway 11 and Interstate 90/39.
The 50-bed hospital and adjacent physician office complex is scheduled to open in 2010.
County wants to expand Jackson House
To combat an exploding budget, the Rock County Human Services Department is looking to expand services that help people transition from a mental health crisis back to their daily lives.
The county is $1.6 million over its $1.5 million 2008 budget to send residents to inpatient psychiatric treatment at facilities such as Mendota or Winnebago mental health facilities, said human services Director Charmian Klyve.
One thing that could help the county avoid spending $1,000 per patient per day to send residents out of county for services would be to expand services provided at Jackson House, an intermediate care facility at 21 S. Jackson St., Janesville. The county is interested in upgrading the services from the eight-bed Jackson House to a 14-bed facility in the 1900 block of North Washington Street.
The buildings formerly were a senior living community and have been vacant for 18 months.
Tellurian of Madison is contracted by the county to provide services at Jackson House. Tellurian would apply for state licenses and for the building lease if the project moves forward.
Officials are meeting this week to continue talks about moving the service, Klyve said.

Jul 2, 2009 at 1:58 a.m.
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Nov 9, 2008 at 11:04 a.m.
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Anything with Mercy Hospital or any mercy care facility is a joke!!!!!
I hope when Deans hospital goes up, mercy hospital goes under. It is the worst hospital and i wouldn't go there for ANYTHING now or ever.
Aug 30, 2008 at 2:42 p.m.
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why dosent rock and walworth county get together and build a psych facility they are both having the same problem.
Aug 8, 2008 at 6:28 a.m.
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Mooshoo,
In your comment you brought up the point Mercy has turned its back on the Elderly and Mentally Ill, missing from your list is the Terminally Ill.-They are also closing Haven House Hospice Residence,the only one of its kind in the area.
Aug 6, 2008 at 8:51 p.m.
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Mercy is mostly for short term Depression patients. They are not setup for many types of Mental Health issues. When it was said "not for everyone" I think this is what was meant.
Aug 6, 2008 at 7:53 p.m.
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I'm sorry LOVEISGOOD why dont you practice what your name preaches? I think you to can benefit from some psychiatric treatment yourself, maybe it is all that ethenol your smelling causing your lack of good taste. Dont pretend to know me your not in my league
Aug 6, 2008 at 6:35 p.m.
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Folks, regardless of what the Mercy propaganda machine tells you, competition is a good thing. Mercy Spokesperson Gruper tells us that Mercy is willing to consider a service agreement for treating the mentally ill. Betcha Dean is willing to do the same at a lower profit margin. Who would benefit from such a deal? The mentally ill and tax payers. The down side is that it might mean smaller bonuses for Mercy upper management.
Aug 6, 2008 at 1:31 p.m.
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I have a couple of comments about Mercy, as a patient and former employee. This doesn't have anything to do with the mental health issue, but the insurance issue.
When I worked for Mercy as a receptionist, we would have people come in off the street wanting to be seen by a doctor during regular office hours. One very wonderful doctor would often squeeze a patient into his schedule....if the patient had insurance. The doctor wants to get paid for his work, and I can't blame him for that, but if you didn't have insurance we were told to tell the patient to come back for urgent care with $60 in cash in order to be seen or sent to another provider.
Now as a patient of Mercy, I don't have many complaints, but there is one. My husband was called to active duty and we went from having insurance through his employer to having Tricare (military insurance). My doctor almost refused to continue on as my doctor because Tricare is so slow at paying. He said it was worse dealing with Tricare than it was Medicaid. I was very upset and put up a bit of a stink and he decided to keep me on. He said he didn't take patients that had Tricare. Needless to say, he is no longer my doctor ;) He had poor bedside manner. What a slap in the face to have your husband deployed and have your long-time doctor say he doesn't want you as a patient anymore because your insurance is lousy. :(
Aug 6, 2008 at 1:08 p.m.
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What a shame ! I think cardtrader could really benifit from this service !!!!!!!!
Aug 6, 2008 at 12:47 p.m.
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I don't dislike corporations, I don't dislike non-profits like Mercy. I dislike the Mercy management team that has run amok and turned its back on the community. It is the fault of the do nothing, take no leadership Board of Directors has allowed management to lose focus on serving the medical needs of the community.
Aug 6, 2008 at 12:43 p.m.
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It seems to me that these conditions have existed for quite some time and the outcome was perfectly predictable. It's only now, when it comes to crunch time, that we see that Charmian Klyve's obsession with cutting costs by cutting services does the county more harm than good.
Realistic budget planning, instead of her mindless gutting of the budget would have prevented this embarassment. And I hope she is embarassed.
Aug 6, 2008 at 9:05 a.m.
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Unidentified...you do have a point. I understand that Mercy needs to make money in order to stay open, but then I would like them to say that in their comments, rather than saying that "Mercy isn't for everyone" They tiptoe around the issue, while I know for fact that the minute they hear the patient does not have insurance, it's pretty much an automatic "refer to the county" situation
Aug 6, 2008 at 8:17 a.m.
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It’s funny to me that the people in this town seem to hate corporations. It doesn’t matter if they don’t make money (GM) or actually turn a profit (Mercy). On the other hand, the people in this town also wonder why there aren’t enough jobs; interesting correlation.
Aug 5, 2008 at 7:08 p.m.
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This really is not that complicated as I understand it. The State Psych Hospitals do not take Medical Assistance payments because it does not cover cost. Instead, the County pays the State $1,000 a day to treat the mentally mentally ill because Mercy Spokesperson "Rich Gruber said the inpatient psychiatric services at Mercy are not for everyone". Translation: Mercy only admits mentally ill patients with money.
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Some of you have taken exception of my harsh criticism of Mercy lately. I quote Scott Angus comments from the 8/3/08 Sunday Editorial "Mercy Health System is not a private business. It's essentially community owned, and it's nonprofit, meaning it receives tax benefits." This so called community owned hospital has decided to turn its back on the elderly, disabled and mentally ill living in Janesville. It is unconscionable and the Board of Directors ought to be ashamed for letting this happen.
Aug 5, 2008 at 4:45 p.m.
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Let's look at the fact that Mercy rarely takes uninsured people either...that is a big part of the issue. People who are hospitalized through the county often do not have insurance and Mercy historically will not make any type of agreement for hospitalizing uninsured people. And for the record, Mercy CAN take people that are involuntarily detained.
Aug 5, 2008 at 2:20 p.m.
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I know, I know, goodness gracious if we were to learn anything from Illinois, BUT Singer Mental Health Hospital northwest of Rockford (just outside the city limits) is state-operated. Also, it is where the vast majority of those of public assistance go for inpatient treatment.
Having worked at an outpatient mental health clinic in Rockford, I know it is very frustrating to try getting patients into the "regular" hospitals because the medical assistance coverage is not as good as "regular" insurance carriers.
So, the vast majority get sent to Singer. Meanwhile, a police officer (if needed), a case manager from the agency I worked, AND the social worker at the hospital are tied up until we were able to get it all situated and call for, usually a Winnebago County Sherriff's office (because it is outside the city of Rockford limits, by like two feet), transportation from the hospital or the agency to Singer.
The process is a horrible headache, but it was much easier than the process I see going on here in Rock County.
Aug 5, 2008 at 12:38 p.m.
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sannio, the reason is limited federal funding of the Medicaid program in the mental health arena, a shortcoming that has existed for decades. BadgerCare itself specifically provides only for day treatment and outpatient treatment.
http://dhs.wisconsin.gov/Medicaid/update...
Aug 5, 2008 at 11:13 a.m.
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I'm surprised a state run facility like Mendota doesn't take medical assistance. I would have thought that is mandatory.
If I was $1.6 million over on a $1.5 million budget I'd get fired. Who's getting fired here?
I think $1000/day for in-patient mental health care is exorbitant, if not downright criminal.
Aug 5, 2008 at 10:47 a.m.
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Any idea how many of these patients would have been stabilized overnight in the Rock County Detox Unit before Klyve and the County Board of Supervisors eliminated that service? Once again, I remind everyone that Klyve and the board ignored those in the know. Anticipating to finish the year $1.6 million over budget is not acceptable.
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