Board Meeting March 11, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

board meeting
SMART_READER_LITE
LIVE PREVIEW

Board Meeting March 11, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

Board Meeting March 11, 2019 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 933 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, M O 63010 OUR MISSION To lead in providing quality, comprehensive


slide-1
SLIDE 1

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 933 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

March 11, 2019

FACEBOOK

https://www.facebook.com/COMTREA/

slide-2
SLIDE 2

OUR MISSION

To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority.

slide-3
SLIDE 3

AGENDA

CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financials Program Highlight Please note that the JCCMHFB will meet directly after the COMTREA Board today.

slide-4
SLIDE 4

MOTION:

“I, ______, move that the Board approve the, March 11, 2019 Meeting Agenda.”

APPROVAL OF AGENDA

slide-5
SLIDE 5

MOTION:

“I, ______, move that the Board approve the February 11, 2019 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

slide-6
SLIDE 6

CLOSED SESSION

BOARD MEMBERS ONLY

slide-7
SLIDE 7

CLOSED SESSION

MOTION:

“I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)

slide-8
SLIDE 8

CLOSED SESSION - AGENDA

MOTION:

“ I, __________, move that the Board approve the March 11, 2019 Closed Session Agenda,”

slide-9
SLIDE 9

CLOSED SESSION – MEETING MINUTES

MOTION:

“I, ___________, move that the Board approve the February 11, 2019 Closed Meeting Minutes.”

slide-10
SLIDE 10

CLOSED SESSION – ADJOURNMENT

MOTION:

“I, ___________, move that the Board adjourn from closed session and enter back into Open Session.” (All others must agree by Voice Vote)

slide-11
SLIDE 11

PROGRAM HIGHLIGHT

Peer Recovery Coach Role

Pres esen ented ed b by y

Colton Baker

CEO REPORT

slide-12
SLIDE 12

“As a member of the Finance

Committee, I _________, move that the Board approve the financials for the month of January, 2018.” ACCOUNT RECIEVABLES

$4,002,100.14

FINANCIAL REPORT CASH ON HAND

$1,485,299.40

MOTION:

slide-13
SLIDE 13

“COMTREA has been a big help for me. Sara Brigg and Ivy Alwell have played a big part in my mental health and I could not succeed or be where I am with out them.”

slide-14
SLIDE 14

GROWTH REPORT

DIVISION PRODUCTION – FEBRUARY 2019

CEO REPORT

Division Production Clinical Access Hours Week 1

  • Feb. 1

Week 2

  • Feb. 4-8

Week 3

  • Feb. 11-

15 Week 4

  • Feb. 18-

22 Week 5

  • Feb. 25-

28 Revenue Per Visit Revenue Forecast Month End Budget Profit / (Loss) Forecast % Profit / (Loss) Forecast Primary Care 70% 64% 58% 58% 62% $162.00 $163,944 $249,227 ($85,283) (34.22%) Minus PTO 65% 63% 62% NA Oral Health - Dentists 86% 67% 63% 58% 73% $169.00 $355,780 $573,270 ($217,490) (37.94%) Minus PTO % 70% 65% 60% 77% Oral Health - Hygienists 73% 62% 35% 44% 58% Minus PTO 87% 47% 45% NA Behavioral Health - Adult 66% 75% 62% 62% 65% $345.77 $441,548 $326,946 $114,602 35.05% Minus PTO 77% 64% 65% 71% Child Psych. 0% 56% 73% 67% 73%

Week by week trending outcomes are reflected in the table ABOVE with improvements in each service line production. Production was impacted with several days of a winter mix that resulted in early closures and higher patient cancellations. Focus in March continues around patient access.

slide-15
SLIDE 15

STATE ASSOCIATIONS

CEO REPORT

slide-16
SLIDE 16

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATES

BEHAVIORAL HEALTH

PSYCHIATRY

CEO REPORT

slide-17
SLIDE 17

HRSA

MONTHLY REVIEW

CEO REPORT

Note: During the recent MOCK Survey there was questions that came up on Privileging Records. This is being worked on further as a result.

CLINICAL STAFFING CLINICAL Donna Harris Brekel March YES NO NA

  • a. Staffing to Provide Scope of Services

X

  • b. Staffing to Ensure Reasonable Patient Access

X

  • c. Procedures for Review of Credentials

X

  • d. Procedures for Review of Privileges

X

  • e. Credentialing and Privileging Records

X

  • f. Credentialing and Privileging of Contracted or Referral Providers

X TOTAL 3 2 1 % KEY MANAGEMENT STAFF GOVERNANCE/ADMIN Donna Harris Brekel March YES NO NA

  • a. Composition and Functions of Key Management Staff

X

  • b. Documentation for Key Management Staff Positions

X

  • c. Process for Filling Key Management Vacancies

X

  • d. CEO Responsibilities

X

  • e. HRSA Approval for Project Director/CEO Changes

X TOTAL 5 % 100%

slide-18
SLIDE 18

BOARD MEMBERS USING FQHC SERVICES 2019

41%

Of Board Members are using FQHC Services

59%

Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%

41% 59%

MARCH

OU OUT OF OF COM OMPLIANCE

WE MUST INCREASE the 41% to a minimum of 51%

CEO REPORT

slide-19
SLIDE 19

MONTHLY GRANT UPDATE

CEO REPORT

Funding Entity Program Recipient Description Amt Requested

  • n Pending

Grants Franklin County Community Resource Board CAC-Union- Prevention Program One – Time Funding $7775.00 Franklin County Community Resource Board CAC-Union-Therapy One – Time Funding $2038.95 Jefferson Foundation BH Medication Support for Opioid Use Disorder $57,000.00 Jefferson Foundation ASP Conflict/Violence Prevention Education Program for students in Jefferson County $50,000.00 Incarnate Word Foundation TWT Additional Training Classes $3,900.00 Missouri Housing Development Commission ASP MHOH AHAP-050 (Affordable Housing Assistance Program) Tax Credits of $200,000 $200,000.00

  • St. Francois County United Way

CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary $5000.00 Grants Applied for that were denied this month Henry Schein Global Product Donation Program OH Products that the company donates

THE FOLLOWING GRANTS WERE APPLIED FOR THIS MONTH:

slide-20
SLIDE 20

VOLUNTEERS

CEO REPORT

Location JULY AUG SEPT OCT NOV DEC JAN FEB TOTAL HOURS A Safe Place 56 12 22 42 23 21 5 11 192 CAC 24 172 33 17 8 6 8 23 291 Employees 14 46 47 34 22 12 7 41 223 Board Members 76 66 81 102 68 63 56 39 551 Adult and C&Y Div. Tails with Tales 46 36 138 91 89 80 55 123 658 Job Shadowing 33 63 82 64 17 24 39 322 TOTAL Hours:

216 365 384 368 274 199 155 276 2237

slide-21
SLIDE 21

ACTION ITEMS

REQUIRES A VOTE

slide-22
SLIDE 22

MOTION:

“I, ______, move that the Board approve the February 2019 Leadership Reports to the Board.”

APPROVAL

Leadership Council Reports

Emailed to Board

slide-23
SLIDE 23

MOTION:

“I, ______, move that the Board approve the unbudgeted cost for completing the Tuck Pointing as presented in the Bid.”

APPROVAL

Tuck Pointing Bid

slide-24
SLIDE 24

MOTION:

“I, ______, move that the Board approve the nomination of Dr. Caron Daughtery as the Finance Chair.”

APPROVAL

  • Dr. Caron Daughtery – Finance Chair
slide-25
SLIDE 25

PATIENT SATISFACTION SURVEY

  • Q3. How did you hear about us?

Returned 664 Returned 610 Returned 418 Returned 456

Answer Choices Family/Friend 34.95% 194 36.19% 194 38.28% 160 39.56% 163 Newspaper 0.90% 5 1.68% 9 0.48% 2 0.97% 4 Radio 0.18% 1 0.19% 1 0.00% 0.73% 3 Website 2.70% 15 3.73% 20 6.22% 26 5.83% 24 Referral 36.40% 202 32.65% 175 30.14% 126 29.85% 123 Facebook (Oct 2018 renamed Social Media) 0.00% 0.37% 2 1.20% 5 Social Media 1.46% 6 Billboard 0.18% 1 0.19% 1 0.72% 3 0.97% 4 Insurance Company 2.88% 16 5.04% 27 5.50% 23 4.61% 19 Other 21.80% 121 25.00% 134 23.68% 99 1.21% 5 Event (added Oct 2018) 0.72% 3 22.33% 92 44 skipped Responses 1/2019 Responses 10/2018 Responses 2017 Responses 3/2018

slide-26
SLIDE 26

PATIENT SATISFACTION SURVEY

Good and Great Responses only

  • Q4. How nice and helpful are the staff to you?

94.49%

617

97.02%

587

94.04%

426

96.26%

438

  • Q5. How satisfied are you with the length of time it

took to get this appointment? 83.69%

549

87.62%

531

88.05%

398

91.13%

411

  • Q6. How satisfied are you with the length of time

in the waiting room? 83.95%

549

86.03%

517

87.94%

394

90.75%

402

  • Q7. Do you feel the services you receive are

affordable? 87.54%

569

89.47%

535

89.56%

403

90.68%

409

  • Q8. How well does your provide and/or staff listen

to your questions? 90.20%

589

92.73%

561 TI repharased "The staff listen to what I say I need." see below

  • Q9. How well does staff talk to you about your

health and wellness? 88.93%

178

90.88%

142

90.57%

365

91.91%

375

  • Q10. How happy are you with the overall service(s)

you receive? 91.54%

595

94.67%

569 Not used

  • Q11. What is the likelihood of referring your

friends/family to us? 90.26%

584

93.41%

553

94.25%

377

93.95%

373

New-The staff listen to what I say I need.

New

94.62%

422

93.76%

421

New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me.

New

87.22%

389

88.42%

397

New-Did you find the facility clean and inviting?

New

96.21%

431

97.14%

440

New-Did you feel safe coming to your appointment (lighting, parking, etc)?

New

97.55%

439

97.57%

441

New-The services provided here certainly address my concerns and needs.

New

92.84%

376

95.78%

385 Responses 1/2019 Responses 10/2018

Responses 2017

Responses 3/2018

Good and Great Responses only
  • Q4. How nice and helpful are the staff to you?
94.49% 617 97.02% 587 94.04% 426 96.26% 438
  • Q5. How satisfied are you with the length of time it
took to get this appointment? 83.69% 549 87.62% 531 88.05% 398 91.13% 411
  • Q6. How satisfied are you with the length of time
in the waiting room? 83.95% 549 86.03% 517 87.94% 394 90.75% 402
  • Q7. Do you feel the services you receive are
affordable? 87.54% 569 89.47% 535 89.56% 403 90.68% 409
  • Q8. How well does your provide and/or staff listen
to your questions? 90.20% 589 92.73% 561 TI repharased "The staff listen to what I say I need." see below
  • Q9. How well does staff talk to you about your
health and wellness? 88.93% 178 90.88% 142 90.57% 365 91.91% 375
  • Q10. How happy are you with the overall service(s)
you receive? 91.54% 595 94.67% 569 Not used
  • Q11. What is the likelihood of referring your
friends/family to us? 90.26% 584 93.41% 553 94.25% 377 93.95% 373 New-The staff listen to what I say I need. New 94.62% 422 93.76% 421 New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me. New 87.22% 389 88.42% 397 New-Did you find the facility clean and inviting? New 96.21% 431 97.14% 440 New-Did you feel safe coming to your appointment (lighting, parking, etc)? New 97.55% 439 97.57% 441 New-The services provided here certainly address my concerns and needs. New 92.84% 376 95.78% 385 Responses 1/2019 Responses 10/2018 Responses 2017 Responses 3/2018
slide-27
SLIDE 27

MOTION:

“I, ______, move that the Board approve the January 2019 Patient Satisfaction Survey as presented.”

APPROVAL

January 2019 Patient Satisfaction Survey

The full survey with all comments was provided in the February Leadership Report

slide-28
SLIDE 28

MOTION:

“I, ______, move that the Board approve the FY 2020 Board Calendar as presented.”

APPROVAL

FY 2020 Board Calendar

The list of meeting dates is provided in your printed Items for todays meeting.

slide-29
SLIDE 29

QIQA REPORT

As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement

  • Primary Care PDSA – Nutritional Counseling for Child Weight

Screenings

  • Primary Care – Diabetes Screening / finger stick
  • Oral Health – increase in patient count due to call in software
  • Verbiage changes
  • Client/Patient served TO Individuals Served
  • EMR/EHR TO just EH
  • Patient Board Member Count – utilizing Primary Care as an urgent

care for the appointment

slide-30
SLIDE 30

QIQA REPORT – MPCA Clinical Quality Award

“I, ___, move that the Board approve the February 2019 QIQA Coordinating Council Report.”

MOTION:

slide-31
SLIDE 31

DISCUSSION ITEMS

INFORMATIONAL

slide-32
SLIDE 32

JCCMHFB Update by Beth Diveley, JCCMHFB Chair

slide-33
SLIDE 33

MIZZOU STUDY

about FQHC Boards

slide-34
SLIDE 34

MONTHLY REPORT TO THE BOARD

Build lding and nd Ground unds Fund Fundraising ASP C Committee Upda pdate

slide-35
SLIDE 35

Event Name Date Where Benefitting Contact Info

Galactic Trivia Night Friday March 23 Elks Club Festus, MO Mary’s House of Hope at A Safe Place Kristy Neuman kneuman@comtrea.org On the Red Carpet Saturday March 30 Weingarten Vineyard

  • Ste. Genevieve, MO

CAC Kathy Carr kcarr@comtrea.org Furry Tales Do Come True Saturday April 13 Elks Club Festus, MO TWT Laura Casey lcasey@comtrea.org Designer Hand Bag Bingo Friday May 3 Villa Antonio Winery MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 Hawaiian Luau Trivia Night! Friday May 31 TBC Venue Pevely, MO Co-Worker Help Fund Katy Murray kmurray@comtrea.org House of Fashion Sunday July 14 Oak Valley Pevely, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 CAC Golf Tournament Friday August 16 Oak Valley Golf Course & Resort Pevely, MO CAC Kathy Carr kcarr@comtrea.org

slide-36
SLIDE 36

OLD BUSINESS

FOR DISCUSSION

slide-37
SLIDE 37

BOARD MEMBER INFO

BOARD RECRUITMENT

slide-38
SLIDE 38

NEXT SCHEDULED BOARD MEETING

MONDAY, APRIL 8, 2019

slide-39
SLIDE 39

ADJOURNMENT

“With no further business to discuss, I, ______, move that the Board adjourn.”

MOTION:

slide-40
SLIDE 40

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 933 2700

PHONE NUMBER

www.comtrea.org

WEBSITE FACEBOOK

https://www.facebook.com/COMTREA/