Board Meeting June 17, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

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Board Meeting June 17, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

Board Meeting June 17, 2019 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 931 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, M O 63010 AGENDA 7:30 AM Meeting Open CEO Report Approval of Agenda and


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SLIDE 1

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 931 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

June 17, 2019

FACEBOOK

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

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SLIDE 2

AGENDA

CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financials Program Highlight Mission Statement Annual Presentation Approvals

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SLIDE 3

MOTION:

“I, ______, move that the Board approve the, June 17, 2019 Meeting Agenda.”

APPROVAL OF AGENDA

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SLIDE 4

MOTION:

“I, ______, move that the Board approve the May 13, 2019 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

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SLIDE 5

CLOSED SESSION

BOARD MEMBERS ONLY

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SLIDE 6

CLOSED SESSION

MOTION:

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

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SLIDE 7

CLOSED SESSION - AGENDA

MOTION:

“ I, __________, move that the Board approve the June 17, 2019 Closed Session Agenda,”

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SLIDE 8

CLOSED SESSION – MEETING MINUTES

MOTION:

“I, ___________, move that the Board approve the May 13, 2019 Closed Meeting Minutes.”

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SLIDE 9

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)

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SLIDE 10

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.

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SLIDE 11

“As a member of the Finance

Committee, I _________, move that the Board approve the financials for the month of April, 2019.” ACCOUNT RECIEVABLES

$4,792,549

FINANCIAL REPORT CASH ON HAND

$1,224,245.09

MOTION:

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SLIDE 12

I received a call today from a patient who wanted to give praise to Dr. Cook and Abbey from the walk in yesterday.

“She said she was very nervous and in a lot of pain; they both put her at ease and were very kind to her. It was the best dental experience she ever had.”

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SLIDE 13

GROWTH REPORT

BEHAVIORAL HEALTH – MAY 2019

CEO REPORT

Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75

Schedule

60

Actual Actual

THRU 5/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE Hrs/Wk Schedule 10 Hr Day

Actual 10 Hr Day

8-Hr Day

ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours Ivy Alwell (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 206 206 264 78% 71,229 Wk 1 10 Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 133 133 264 50% 45,987 Wk 2

  • Dr. P. Gurusiddaiya

0.10 8.00 7.5 1.9 6.0 1.5 1.2 17 17 26 64% 5,878 Wk 3 32

  • Dr. C.J. Jos

0.50 20.00 37.5 9.4 30.0 7.5 6.0 60 60 132 45% 20,746 Wk 4 55 Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 51 51 53 97% 17,634 Wk 5 30 Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 192 192 264 73% 66,388 TOTAL 127

  • Dr. Gautum Rohatgi

0.50 20.00 37.5 9.4 30.0 7.5 6.0 118 118 132 89% 40,801

  • Dr. J. Vasireddy

1.00 40.00 75.0 18.8 60.0 15.0 12.0 185 185 264 70% 63,967 Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 80 80 132 61% 27,662

  • Dr. Lucas (Genoa)

0.30 12.00 22.5 5.6 18.0 4.5 3.6 54 54 79 68% 18,672

  • Dr. Morel (Genoa)

0.30 12.00 22.5 5.6 18.0 4.5 3.6 38 38 79 48% 13,139 SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 78 78 148 53% 26,970 Kamal, Moebbi, Boules 7.50 0.0 0.0 #DIV/0!

  • Dr. Bhattacharya (SLU)

#DIV/0! #DIV/0! SUBTOTAL 7.16 290.00 537.0 134.3 429.6 107.4 85.9 1,212 1,212 1,890 419,073

PRODUCTIVITY minus PTO

64%

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SLIDE 14

GROWTH REPORT

BEHAVIORAL HEALTH – MAY 2019

CEO REPORT

PTO Hours Net Rev Per BH Visit 345.77 Weekly GOALS 80% Wk 1 Net Patient Rev/Visit 210.66 50

Schedule

40.0

Actual Actual

THRU 5/31 MONTH END FORECAST Wk 2 BEHAVIORAL HEALTH FTE

Schedu le 10 Hr Day Actual 10 Hr Day

8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL PROJ REV Wk 3

  • Dr. Lisa Delaney

0.60 30.0 7.5 24.0 6.0 4.8 111 111 106 105% 38,380 Wk 4 0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! Wk 5 SUBTOTAL 0.60 30.0 7.5 24.0 6.0 4.8 111 111 106 105% 38,380 TOTAL

PRODUCTIVITY minus PTO

105% THRU 5/31 BH REVENUE TOTALS MONTH END FORECAST - BH REVENUE & BUDGET ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,212 1,212 1,890 64% 419,073 Child Psychiatry 111 111 106 105% 38,380 Total 1,323 1,323 1,996 66% 457,454 326,946 130,508 39.92%

Patient Revenue $278,703

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SLIDE 15

GROWTH REPORT

PRIMARY CARE – MAY 2019

CEO REPORT

MAY # of Work Days 22.00 Net Rev Per Visit PC 162.00 Weekly GOALS # DAYS MTD 22 Net Patient Rev/Visit 110.00 101

Schedule

86

Actual Actual

THRU 5/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS FTE

Schedule 10-Hr Day Actual

10-Hr Day 8-Hr Day

ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR

  • Dr. Helton

1.00 101.0 25.3 86.0 21.5 17.2 243 243 378 64% 39,366 Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 65 65 189 34% 10,530 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 205 205 378 54% 33,210 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 183 183 284 64% 29,646

  • Dr. Hampton

0.50 50.5 16.8 43.0 14.3 10.8 111 111 189 59% 17,982 Bess Lillimar-Stephens 1.00 101.0 25.3 86.0 21.5 17.2 203 203 378 54% 32,886

  • Dr. Ashraf

0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! TOTALS 4.75 479.8 124.1 408.5 105.7 83.9 1,010 1,010 1,797 56% 163,620 249,227

  • 85,607
  • 34.35%

PRODUCTIVITY minus PTO

59% PTO Hours 96.0

Patient Revenue $111,100

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SLIDE 16

GROWTH REPORT

ORAL HEALTH – MAY 2019

CEO REPORT

HD Reimbursement 90.00 PTO Hours - Net Rev Per OH Visit 169.00 Weekly GOALS Net Patient Rev/Visit 150.00 75

Schedule

62

Actual Actual

THRU 5/31 MONTH END FORECAST ORAL HEALTH VISITS FTE Schedul e 10 Hr Day Actual 10 Hr Day

8-Hr Day

ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours

  • Dr. Garland

0.50 37.5 9.4 31.0 7.8 6.2 72 72 136 53% 12,168 Wk 1 0.0

  • Dr. Empkey

0.50 37.5 9.4 31.0 7.8 6.2 195 195 136 143% 32,955 Wk 2 46.0

  • Dr. Garrity

1.00 75.0 18.8 62.0 15.5 12.4 147 147 273 54% 24,843 Wk 3 25.0 Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 150 150 273 55% 25,350 Wk 4 41.0

  • Dr. Mazuranic - PRN

0.00 0.0 0.0 0.0 0.0 0.0 11 11 #DIV/0! 1,859 Wk 5 30.0

  • Dr. Greaves - PRN/FMLA

0.00 0.0 0.0 0.0 0.0 0.0 13 13 #DIV/0! 2,197 142

  • Dr. Emily

1.00 75.0 18.8 62.0 15.5 12.4 173 173 273 63% 29,237

  • Dr. Taylor

1.00 75.0 18.8 62.0 15.5 12.4 187 187 273 69% 31,603

  • Dr. Darling

1.00 75.0 18.8 62.0 15.5 12.4 216 216 273 79% 36,504

  • Dr. Mazzoli

1.00 75.0 18.8 62.0 15.5 12.4 211 211 273 77% 35,659

  • Dr. Shakhnovich

1.00 75.0 18.8 62.0 15.5 12.4 219 219 273 80% 37,011

  • Dr. Cook

1.00 75.0 18.8 62.0 15.5 12.4 252 252 273 92% 42,588 0.0 0.0 0.0 0.0 0.0 #DIV/0! #DIV/0! TOTALS 9.00 675.0 168.8 558.0 139.5 111.6 1,846 1,846 2,455 75% 311,974 PRODUCTIVITY minus PTO 80%

Patient Revenue $276,900

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SLIDE 17

GROWTH REPORT

ORAL HEALTH / HYGIENISTS – MAY 2019

CEO REPORT

Ramp Up in June Weekly GOALS PTO Hours - # Pts 42 Schedule 33 Schedule THRU 5/31 MONTH END FORECAST OH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day ACT MTD PROJ VISITS GOAL % GOAL PROJ REV PTO Hours Sandy Holified 0.00 0.00 0.0 0.0 0.0 4 4 #DIV/0! 676 Wk 1 20.0 Suzanne Seawel 0.50 21.00 5.3 16.5 4.1 52 52 73 72% 8,788 Wk 2 40.0 Renee Blanken 0.50 21.00 5.3 16.5 4.1 24 24 73 33% 4,056 Wk 3 40.0 Ashley Wegener-FMLA 0.00 0.00 0.0 0.0 0.0 #DIV/0! Wk 4 30.0 Angelica Miller 0.50 21.00 5.3 16.5 4.1 46 46 73 63% 7,774 Wk 5 0.0 Elisha Krisher 1.00 42.00 10.5 33.0 8.3 52 52 145 36% 8,788 TOTAL 130.0 Rachel Klasek 0.82

school based

34.44 8.6 27.1 6.8 59 59 119 50% 9,971 Gina Baker 1.00 42.00 10.5 33.0 8.3 84 84 145 58% 14,196 Jodi Stotler 0.82

school based

34.44 8.6 27.1 6.8 56 56 119 47% 9,464 Micki Stafko 0.00 0.50 0.00 0.0 0.0 0.0 41 41 #DIV/0! 6,929 Jessica Arnbruster 0.00 0.50 0.00 0.0 0.0 0.0 38 38 #DIV/0! 6,422 TOTALS 5.14 215.9 54.0 169.6 42.4 456 456 746 61% 77,064

PRODUCTIVITY minus PTO 79% 74%

Patient Revenue $68,400

DENTAL REVENUE TOTALS GOAL THRU 5/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET

#/WK ACT MTD PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR Dentists 1,846 1,846 2,455 82% 311,974 Hygienists 456 456 746 61% 77,064 Total 2,302 2,302 3,202 77% 389,038 573,270

  • 184,232
  • 32.14%
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SLIDE 18

FEDERAL AND STATE ASSOCIATIONS

CEO REPORT

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SLIDE 19

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATES

BEHAVIORAL HEALTH

PSYCHIATRY

CEO REPORT

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HRSA

CEO REPORT

  • OSV Preparations – July 23-25, 2019
  • PR Monthly Review - Budget

BUDGET FISCAL Amy Rhodes June YES NO NA

  • a. Annual Budgeting for Scope of Project

1

  • b. Revenue Sources

1

  • c. Allocation of Federal and Non-Federal Funds

1

  • d. Other Lines of Business

TOTAL 3 % 100%

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SLIDE 21

BOARD MEMBERS USING FQHC SERVICES 2019

50%

Of Board Members are using FQHC Services

50%

Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51% 50% 50%

JUNE

CEO REPORT

There are appointments scheduled in the next 2 weeks that should increase this percentage to 63% and in to compliance.

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SLIDE 22

MONTHLY GRANT UPDATE

CEO REPORT

Funding Entity Program Recipient Description Amt Requested on Pending Grants Status

Anthem Foundation TWT One Time Funding – Program Support

$10,000 Application submitted this month - Pending

Jefferson Foundation BH Medication Support for Opioid Use Disorder

$57,000.00 Denied

Incarnate Word Foundation TWT Additional Training Classes

$3,900.00 Pending – No updates

  • St. Francois County United

Way CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary

$5000.00 Accepted amount still unknown

United to End Bullying Grant TWT One – Time Funding

$3,000.00 Pending – No updates

Note this list only includes those grants that are still pending or had been applied for/awarded or declined during the current month

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SLIDE 23

VOLUNTEERS

CEO REPORT

Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY TOTAL HOURS A Safe Place 56 12 22 42 23 21 5 11 13 8 8 221 CAC 24 172 33 17 8 6 8 23 21 20 9 332 PSR 36 36 Employees 14 46 47 34 22 12 7 41 24 21 27 268 Board Members 76 66 81 102 68 63 56 39 92 69 74 786 Adult and C&Y Div. 11 9 29 86 19 17 74 134 64 105 95 638 Tails with Tales 46 36 138 91 89 80 55 123 129 121 908 Job Shadowing 33 63 82 64 17 24 39 41 42 34 439 TOTAL Hours:

227 374 413 454 293 216 229 410 384 422 247 3628

Note the numbers above are missing hours from TWT those will be included next month

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SLIDE 24

ANNUAL PRESENTATION APPROVALS REQUIRES A VOTE ANNUALLY

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SLIDE 25

MOTION:

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

ANNUAL PRESENTATION APPROVALS FY 2020 BUDGET

Presented to the Board on June 13th, 2019

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SLIDE 26

MOTION:

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

ANNUAL PRESENTATION APPROVALS FY 2020 STRATEGIC PLAN

Presented to the Board on June 13th, 2019

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SLIDE 27

MOTION:

“I, ______, move that the Board approve the 3 YEAR Strategic Plan with the FY 2020 updates as presented.”

ANNUAL PRESENTATION APPROVALS 3 YR STRATEGIC PLAN (2018-2020)

WITH FY 2020 UPDATES

Presented to the Board on June 13th, 2019

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SLIDE 28

MOTION:

Motions on slides to follow

ANNUAL PRESENTATION APPROVALS APPROVAL OF GOVERNANCE, SERVICE AND SPECIAL PROJECT MANUALS

Link with all updates and chart provided to the board ahead of time

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SLIDE 29

MOTION:

“I, ______, move that the Board approve the following governance manuals

as presented, (Must read the full list in the motion) G1 Admin Management Legal Requirements, G2 Continuous Quality Improvement, G2 Appendix Performance and Quality Improvement Operations Plan, G3 Governance, G4 HR Credentialing and Privileging Policy/Procedures -Appendix 4.6, G4 Employee Handbook-HR Appendix, G4 Human Resources, G5 Quality of Service Environment, G5 Health And Safety Manual Appendix, G6 Financial Risk Management Manual w Appendices, G7 Training and Supervision Manual, G8 Intake Assessment-Service Planning Manual, G9 Service Delivery Manual, G10 Behavior Management Manual, G11 Behavioral Health Medical Manual, G11 Primary Care Medical Manual, G11 Oral Health Services Medical Manual, G11 Keaton Center Assisted Living Facility Medical Operations Manual, G14 Community Relations-Development, G15 Information Technology Manual, G17 Volunteer Program Manual.”

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SLIDE 30

MOTION:

“I, ______, move that the Board approve the following service/program

manuals as presented, (Must read the full list in the motion)

S2 Mental Health Manual - Youth and Children Services, S3 CPRC Adult Psychosocial Rehab Program, S3 CPR-Jr Psychosocial Psychiatric Rehab Services Manual, S4 Safe Access-Exchange Program, S5 CPRC Adult Out Pt Case Management, S5 Youth Targeted Case Management Manual Case Management Services, S6 CSTAR Adolescent Substance Abuse Services Manual, S6 Adult Sub Abuse Services/Drug Court, S9 Healthcare Home Manual, S11 Intern Training Manual, S12 A Safe Place Manual, S24 PSR Adult Day Treatment, S25 Specialized Services Drop in Center Addendum to S24, S26 Keaton Assisted Living Facility Manual Group Living Services, S30 Social Advocacy Services CAC, S31 Housing Department Manual Addendum to S3, S38 Supportive Parents Manual w Kids in Divorce Supported, S38 In School Services Manual Prevention and Support Services and Tails with Tales Policy Procedure Manual.”

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SLIDE 31

ACTION ITEMS

REQUIRES A VOTE

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SLIDE 32

MOTION:

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

APPROVAL

Leadership Council Reports

Emailed to Board

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SLIDE 33

Re-written Finance Manual

  • Cash Management Policy – NEW (Expanded from a simple paragraph in old manual)
  • Operating Reserves – NEW – places guidelines on COMTREA Board & Staff of maintaining a

healthy cash reserves

  • Billing and Collections – Expanded to include HRSA guidelines in regards to collections, also allows

the utilization of Collection Agencies and Financial Assistance for Individuals Served

  • Purchasing Policy – Expanded to include tighter guidelines in alignment with HRSA guidelines for

purchasing using federal funds. Expansion/definition of Approval levels and authorization to purchase

  • Expense Reimbursement Policy – NEW – guidelines to reimburse employees for business travel

and misc expenses. – Does include guidelines and amounts for Board travel.

  • Timekeeping Policy - NEW – includes updated Time and Effort Reporting guidelines
  • Grant Reporting Policy – NEW – establishes guidelines for tracking and reporting all HRSA (or other

granting sources) revenues and expenditures.

All other policies within the manual have just been cleaned up and/or expanded upon to meet the requirements of new Accounting Standards issued this past year and HRSA’s new 18 Management Controls issued recently by the Department of Financial

  • Integrity. This will be reviewed during our Site Review and HRSA could at any point require a separate Financial Capacity Review

(separate from site review), if deemed necessary.

Highlight of Changes:

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SLIDE 34

MOTION:

“I, ______, move that the Board approve the Revised Finance Manual as presented.”

APPROVAL

Revised Finance Manual

Emailed to Board

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SLIDE 35

MOTION:

“I, ______, move that the Board approve the Revised Hours of Operation as presented.”

APPROVAL

Revised Hours of Operation

Emailed to Board

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SLIDE 36

MOTION:

“I, ______, move that the Board approve ______________ as discussed and presented in the board closed session.”

APPROVAL

Bridle Ridge ***If an approval is needed***

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SLIDE 37

MOTION:

“I, ______, move that the Board approve the COMTREA CHNA as presented.”

APPROVAL

Approval COMTREA CHNA

Printed copy provided to the Board on June 13, 2019

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SLIDE 38

MOTION:

“I, ______, move that the Board approve the Annual Staff Survey as presented.”

APPROVAL

Approval Annual Staff Survey

Provided via email in the board packet

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SLIDE 39
  • Q3. How did you hear about us?

Returned 418 Returned 456

improving

Returned 478 Returned 100

Answer Choices (Select all that apply) Family/Friend 38.28% 160 Family/Friend 39.56% 163 Family/Friend 37.47% 163 28.72% 27 Newspaper 0.48% 2 Newspaper 0.97% 4 Newspaper 0.00% 0.00% Radio 0.00% 0 Radio 0.73% 3 Radio 0.23% 1 0.00% Website 6.22% 26 Website 5.83% 24 Website 6.44% 28 4.26% 4 Referral 30.14% 126 Referral 29.85% 123 Referral 31.26% 136 29.79% 28 Facebook (Oct 2018 renamed Social Media) 1.20% 5 Social Media 1.46% 6 Social Media 0.69% 3 0.00% Billboard 0.72% 3 Billboard 0.97% 4 Billboard 1.38% 6 0.00% Insurance Company 5.50% 23 Insurance 4.61% 19 Insurance 5.29% 23 1.06% 1 Event (added Oct 2018) 0.72% 3 Event 22.33% 92 Event 0.46% 2 1.06% 1 Other 23.68% 99 Other 1.21% 5 Other 21.15% 92 42.55% 40

Good and Great Responses only

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

94.04%

426

96.26%

438

95.13%

450 87.78% 79

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

took to get this appointment? 88.05%

398

91.13%

411

89.79%

422 NA NA

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

in the waiting room? 87.94%

394

90.75%

402

87.50%

413 NA NA

  • Q7. Do you feel the services you receive are

affordable? 89.56%

403

90.68%

409

88.06%

413 NA NA Responses 4/2019 Welcome Center Responses 4/2019 Welcome Center Responses 10/2018 Responses 10/2018 Responses 4/2019 All Discipline Offices Responses 4/2019 All Discipline Offices Responses 1/2019 Responses 1/2019

Quarterly Patient Satisfaction Survey Comparisons

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SLIDE 40

Patient Satisfaction Survey Comparisons

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

to your questions?

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 goals? 90.57%

365

91.91%

375

90.87%

408 NA NA

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

you receive?

Not used

  • Q11. What is the likelihood of referring your

friends/family to us? 94.25%

377

93.95%

373

91.53%

411 80.90% 72

New-The staff listen to what I say I need. 94.62%

422

93.76%

421

92.74%

434 NA NA

New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me. 87.22%

389

88.42%

397

86.08%

402 NA NA

New-Did you find the facility clean and inviting? 96.21%

431

97.14%

440

95.97%

452 95.51% 85

New-Did you feel safe coming to your appointment (lighting, parking, etc)? 97.55%

439

97.57%

441

95.34%

450 89.77% 79

New-The services provided here certainly address my concerns and needs. 92.84%

376

95.78%

385

92.02%

415 NA NA

NEW Was this a good location for you? Welcome Center only 4/8/2019 added.

76.40% 68

  • Q12. Do you consider COMTREA your regular

place to come for care? Answer Choices Yes 91.33% 358 93.78% 362 92.43 403 No 8.67% 34 6.22% 24 7.57% 33 Answered 392 Answered 386 Answered 436 Skipped 68 Skipped 70 Skipped 42

  • Q13. Why were you here today?

Answer Choices Primary Care 26.77% 106 15.84% 61 10.44% 43 Dental Care 15.91% 63 11.69% 45 15.05% 62 Behavioral Health 46.97% 186 55.58% 214 61.41% 253 New-How would you like to be contacted for appointment reminders? 95.20% 398

418 total responses 88.1 401 456 total responses

Text 29.65% 118 25.69% 103 48.30% 213 Call 64.32% 256 72.07% 289 39.68% 175 Email 5.28% 21 1.75% 7 2.27% 10 Postcard 0.75% 3 0.50% 2 0.68% 3

Responses 10/2018 Responses 1/2019 Responses 10/2018 Responses 1/2019 Responses 1/2019 Responses 1/2019

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SLIDE 41

MOTION:

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

APPROVAL

Approval Quarterly Patient Satisfaction Survey Results

Full Survey provided via email in the board packet

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SLIDE 42

MOTION:

“I, ______, move that the Board approve Dennis Gannon as a board member with the effective date of January 1, 2019 as presented.”

APPROVAL

Approval Dennis Gannon

Effective January 1, 2019 County Executive position on JCCMHFB

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SLIDE 43

CREDENTIALING & PRIVILEGING

Current Staff Re-Privileged (during the month of May 2019)

Name Title Division Status Ayers, Brenna Dental Assistant I OH Full time Bailey, Glenna CSS Barry, Daniel

Counselor-CSTAR Adolescent

BH Full time Blanken, Renee Lead Dental Hygienist OH Full time Blattel, Ellen Dental II OH Full time Briesacher, Rachel CSS BH Full time Cissell, Kelly School Liasion BH Full time D'Angelo, Miranda Dade, Mike CSS BH Full time Dulany, Kerri CSS BH Eschman, Rebecca G'Sell, Tonja School Liasion BH Full time Hardin, Cathleen Medical Assistant BH Full time Haynes, Donald Heizer, Jennifer Nurse Care Manager HCH Full time Hutson, Hutson Lead Dental Assistant OH Full time Justus, Patricia Counselor - ADA BH Full time Theresa Kerperien Kid, Kevin Therapist II - NCAT BH Full time Lofrano, Lauren Counselor - ADA BH Full time McComish, Stacy Therapist - CCM Health BH Full time Name Title Division Status McKay, Linda CSS BH Full time Maley, Natalie Evaluation Crisis Intervention Specialist BH Part time Manhart, Megan CSS BH Full time Manzini-Pace, Lisa Therapist - Youth BH Part time Morganfield, Lawrence Novotny, Marcia Lead Dental Assistant OH Full time Pennycook, Elizabeth CSS BH Full time Phillips, Rita Dental Assistant I OH Full time Pope, Derek CSS BH Full time Prendergast, Katie Coordinator-CSTAR Assessment BH Full time Reaves, Elaine Medical Assistant - PC PC Full time Roig, Benjamin Rudolph, Rebecca Therapist - Youth BH Full time Rushing, Tony Sokolic, Anthony VP - Children & Youth BH Full time Thompson, Cheri Lead Dental Assistant OH Full time Trueman, Ashley Therapist - Youth BH Full time Vitale, Megan AVP - Children & Youth BH Full time Whitley, Ashley Nurse Practitioner PC Full time

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SLIDE 44

CREDENTIALING & PRIVILEGING

New Staff / Interns Requiring Privileging (during the month of May 2019)

MOTION: “I, ______, move that the Board accept the May 2019 Credentialing & Privileging Report as presented.”

Name Title Division Status Stafko-Douglass, Micki Dental Hygienist II Oral Health Full time

INTERNS

Perkins, Timothy Nurse Practitioner Primary Care Part time

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SLIDE 45

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 drills on using

CPR and Narcan

  • Daily Huddle Forms
  • Clinician Best Practices

Discussion

  • Drug Formulary Committee
  • Language Needs –

translation of forms and new LAMP contract

  • Individuals Served

Breakdown

  • Suggestion Boxes
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SLIDE 46

QIQA REPORT – MPCA Clinical Quality Award

Run Date 5/28/2019

MPCA Clinical Quality Awards ran 5/28/2019 Name Target Result Change Child Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6% Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7% Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9% Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1% Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2% Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7% Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2% Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5% Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0% Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7% BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3% Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0% Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%

MPCA Clinical Quality Awards ran 5/28/2019 Name Target Result Change Child Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6% Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7% Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9% Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1% Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2% Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7% Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2% Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5% Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0% Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7% BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3% Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0% Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%
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QIQA REPORT – HRSA Clinical Performance Measures

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

MOTION:

Run Date 5/28/2019

DRVS HRSA Clinical Performance Measures ran 5/28/2019 Name Target Result Change IVD Aspirin Use (NQF 0068) 75.0% 93.5% 9.5% Asthma Self Management Plan (NQF 0036 modified) 33.0% 25.0% 8.3% Use of Appropriate Medications for Asthma Ages 18-64 (NQF 0036 modified) 92.0% 100.0% 0.0% Diabetes Tobacco Use Assessment and Cessation (NQF 0059 modified) 95.0% 88.9% 0.6% HbA1c Poor Control > 9.0% (HEDIS CDC) 27.0% 31.1% 9.4% HIV Linkage to Care (UDS) 50.0% 0.0% 0.0% Colorectal Cancer Screening (NQF 0034) 50.0% 56.0% 6.3% Child Weight Screening / BMI / Nutritional /Physical Activity Counseling (NQF 0024 modified) 20.0% 75.9% 17.3% Annual Dental Visit (HEDIS ADV) 20.0% 19.2% 11.5% Child Dental Sealant (CMS 277) 50.0% 0.0% 0.0% CAD Lipid Therapy 96.0% 100.0% 6.2% Prenatal Init Visit in First Trimester at Health Center (UDS) 95.0% 0.0% 50.0% Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 60.0% 91.3% 16.7% Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 60.0% 88.0% 4.5%

DRVS HRSA Clinical Performance Measures ran 5/28/2019 Name Target Result Change IVD Aspirin Use (NQF 0068) 75.0% 93.5% 9.5% Asthma Self Management Plan (NQF 0036 modified) 33.0% 25.0% 8.3% Use of Appropriate Medications for Asthma Ages 18-64 (NQF 0036 modified) 92.0% 100.0% 0.0% Diabetes Tobacco Use Assessment and Cessation (NQF 0059 modified) 95.0% 88.9% 0.6% HbA1c Poor Control > 9.0% (HEDIS CDC) 27.0% 31.1% 9.4% HIV Linkage to Care (UDS) 50.0% 0.0% 0.0% Colorectal Cancer Screening (NQF 0034) 50.0% 56.0% 6.3% Child Weight Screening / BMI / Nutritional /Physical Activity Counseling (NQF 0024 modified) 20.0% 75.9% 17.3% Annual Dental Visit (HEDIS ADV) 20.0% 19.2% 11.5% Child Dental Sealant (CMS 277) 50.0% 0.0% 0.0% CAD Lipid Therapy 96.0% 100.0% 6.2% Prenatal Init Visit in First Trimester at Health Center (UDS) 95.0% 0.0% 50.0% Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 60.0% 91.3% 16.7% Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 60.0% 88.0% 4.5%
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DISCUSSION ITEMS

INFORMATIONAL

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MONTHLY REPORT TO THE BOARD

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

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BOARD MEMBER INFO

BOARD RECRUITMENT

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BOARD MEMBER INFORMATION

BOARD FORMS

  • BOARD ASSESSMENT
  • CONFLICT OF INTEREST
  • SELF ASSESSMENT

BOARD RECRUITMENT

  • POTENTIAL MEMBERS

Please make sure you complete ALL annual board forms and send back to Lisa ASAP so our files are complete

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Event Name Date Where Benefiting Contact Info

House of Fashion Fashion Show Sunday July, 14 2019 Oak Valley Golf Course & Resort Pevely, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 The Love Liner Play July 26 – 28 2019 Faith Community Church House Spring, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 CAC Golf Tournament Friday August, 16 2019 Oak Valley Golf Course & Resort Pevely, MO CAC Kathy Carr kcarr@comtrea.org 636-584-0222 Purple for a Purpose 5K Saturday September, 21 2019 Crystal City Park Crystal City, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 Black Light Bingo Saturday October, 5 2019 Meramec/Arnold Elks Club Imperial, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 Mardi Gras Saturday February, 1 2020 TBD ASP Kim Elbl kelbl@comtrea.org 636-232-2330

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OLD BUSINESS

FOR DISCUSSION

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NEXT SCHEDULED BOARD MEETING

MONDAY, JULY 15, 2019

Note: This is the 3rd Monday due to the July 4th holiday

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ADJOURNMENT

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

MOTION:

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