--000000000000241e0206275f1042 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable I think we can probably try that, but the state might ask about us having clients in those counties. Can you provide all the counties that would make it contiguous? On Wed, Nov 20, 2024 at 3:41=E2=80=AFPM Timothy Thomas wrot= e: > Can we request approval in all counties that require us to make it > contiguous? > > On Wed, Nov 20, 2024 at 4:33=E2=80=AFPM Amanda Fults > wrote: > >> Below is the message from the state so I don't believe they will approve >> our application if the counties are not contiguous. >> >> Please visit our website=E2=80=99s forms section for guidance in submitt= ing a >> removal or request additional geographical areas and the required form. = *Please >> note, if requesting additional counties, the requested counties must be >> contiguous to the currently approved counties in order to consider the >> request.* >> >> >> https://dph.illinois.gov/topics-services/health-care-regulation/health-c= are-facilities/home-services.html >> >> >> >> Please consider bookmarking the IDPH Website to your internet browser=E2= =80=99s >> favorites for quick access in the future. >> >> >> >> Regards, >> >> Rani Harms, MSN, RN >> >> Home Services & Home Nursing Program Supervisor >> >> IDPH, Division of Health Care Facilities & Programs >> >> 525 West Jefferson St., 4th Floor >> >> Springfield, IL. 62761 >> >> >> On Wed, Nov 20, 2024 at 3:30=E2=80=AFPM Timothy Thomas w= rote: >> >>> Can we still try? It doesn't make operational sense for an office in >>> Chicago to service the whole state. >>> >>> On Wed, Nov 20, 2024 at 3:21=E2=80=AFPM Emily Swackhamer >> emily.swackhamer@thekey.com> wrote: >>> >>>> What a bummer. None are anywhere close. Thank you for all of the help. >>>> >>>> On Wed, Nov 20, 2024 at 2:03=E2=80=AFPM Amanda Fults >>>> wrote: >>>> >>>>> Here are the current counties on our license: >>>>> Cook >>>>> >>>>> DuPage >>>>> >>>>> Will >>>>> >>>>> Kendall >>>>> >>>>> Grundy >>>>> >>>>> Lake >>>>> >>>>> Kane >>>>> >>>>> McHenry >>>>> >>>>> DeKalb >>>>> >>>>> >>>>> On Wed, Nov 20, 2024 at 2:02=E2=80=AFPM Diane Mockenhaupt >>>> dmockenhaupt@thekey.com> wrote: >>>>> >>>>>> There are probably 300 or more miles in between my >>>>>> southernmost county and downstate counties. >>>>>> >>>>>> Diane >>>>>> >>>>>> On Wed, Nov 20, 2024 at 2:00=E2=80=AFPM Emily Swackhamer >>>>> emily.swackhamer@thekey.com> wrote: >>>>>> >>>>>>> I=E2=80=99m not sure what the furthest county south is that is curr= ently >>>>>>> licensed for IL..but I highly doubt it. These are the southernmost = counties >>>>>>> right on the boarder or IL and MO >>>>>>> >>>>>>> On Wed, Nov 20, 2024 at 1:44=E2=80=AFPM Amanda Fults >>>>>> amanda.fults@thekey.com> wrote: >>>>>>> >>>>>>>> Ugh, none of them are? Hmm then I don't believe the state will >>>>>>>> approve the request. :( >>>>>>>> >>>>>>>> On Wed, Nov 20, 2024 at 1:42=E2=80=AFPM Emily Swackhamer >>>>>>> emily.swackhamer@thekey.com> wrote: >>>>>>>> >>>>>>>>> These counties are not contiguous unfortunately. >>>>>>>>> >>>>>>>>> On Wed, Nov 20, 2024 at 1:39=E2=80=AFPM Amanda Fults >>>>>>>> amanda.fults@thekey.com> wrote: >>>>>>>>> >>>>>>>>>> Additionally, please confirm that the requested additional >>>>>>>>>> counties are contiguous to our current approved counties, otherw= ise the >>>>>>>>>> state will not approve. >>>>>>>>>> >>>>>>>>>> On Wed, Nov 20, 2024 at 1:30=E2=80=AFPM Emily Swackhamer >>>>>>>>> emily.swackhamer@thekey.com> wrote: >>>>>>>>>> >>>>>>>>>>> Thank you Amanda! >>>>>>>>>>> >>>>>>>>>>> On Wed, Nov 20, 2024 at 1:29=E2=80=AFPM Amanda Fults >>>>>>>>>> amanda.fults@thekey.com> wrote: >>>>>>>>>>> >>>>>>>>>>>> Hi Team, >>>>>>>>>>>> Here is what I put together for 3-5. Let me know if it makes >>>>>>>>>>>> sense and aligns with our practices or if sections need to be = revised. >>>>>>>>>>>> >>>>>>>>>>>> 1. How administration will manage the added service area for >>>>>>>>>>>> staff assignment and supervisionThe agency will implement a >>>>>>>>>>>> structured management system to ensure the efficient assignmen= t and >>>>>>>>>>>> supervision of staff within the expanded service area: >>>>>>>>>>>> >>>>>>>>>>>> - Staffing Plan: The agency will assess the staff-to-client >>>>>>>>>>>> ratio in the added area and hire additional personnel if ne= cessary to >>>>>>>>>>>> maintain quality service delivery. >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> - Technology Integration: The agency will use its >>>>>>>>>>>> scheduling software to assign staff based on client needs, = geographic >>>>>>>>>>>> proximity, and staff availability. This system ensures mini= mal travel time >>>>>>>>>>>> and optimal coverage. >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> - Supervisory Framework: The agency will designate regional >>>>>>>>>>>> supervisors for the added service area, ensuring consistent= oversight of >>>>>>>>>>>> caregivers and regular communication with the main office. = These >>>>>>>>>>>> su