Board Meeting February 11, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting February 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
21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 933 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
https://www.facebook.com/COMTREA/
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.
CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financials Program Highlight
MOTION:
MOTION:
MOTION:
MOTION:
MOTION:
MOTION:
Committee, I _________, move that the Board approve the financials for the month of December, 2018.” ACCOUNT RECIEVABLES
MOTION:
Presented by Sue Curfman
DIVISION PRODUCTION - JANUARY 2019
Division Production Clinical Access Hours Week 1 Jan 1-4 Week 2 Jan 7-11 Week 3
Week 4
Week 5
Month Ave Revenue Per Visit Revenue Forecast Month End Budget Profit / (Loss) Forecast % Profit / (Loss) Forecast Primary Care 41% 63% 60% 75% 77% 61% $162.00 $181,116 $249,227 ($68,111) (27.33%)
Minus PTO 64% NA NA 62%
Oral Health - Dentists 72% 71% 72% 70% 59% 71% $169.00 $467,024 $573,270 ($106,246) (18.53%)
Minus PTO 73% 72% 73% NA 62% 74%
Oral Health - Hygienists 56% 86% 62% 83% 86% 78%
Minus PTO 90% 67% NA 89% 85%
Behavioral Health - Adult 44% 66% 65% 57% 49% 59% $345.77 $421,839 $326,946 $94,893 29.02%
Minus PTO
55% 69% 66% 59% 53% 64% Child Psych. 57% 83% 83% 78% 56% 78%
PRIMARY CARE ORAL HEALTH
BEHAVIORAL HEALTH
PSYCHIATRY
MONTHLY REVIEW
REQUIRED AND ADDITIONAL HEALTH SERVICES CLINICAL Amy Rhodes February YES NO NA
within Scope of Project 1
Proficient Patients 1
1 TOTAL 2 1 % 67
Note: During the recent MOCK Survey there was questions that came up on ensuring access for limited English proficient patients. This is being reviewed further as a result.
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
41% 59%
FEBRUARY
OU OUT OF OF COM OMPLIANCE
WE MUST INCREASE the 41% to a minimum of 51%
Grant Program Funding Entity Amt Awarded Length of Grant Start Date End Date Expected $ FY19 VOCA / Shelter A Safe Place (501) changed to DSS (Dept of Social Services) 10/18 $ 318,402.89 2yr 10/1/2017 9/30/2019 $ 156,969.76 DVSS-STATE (Domestic Violence Shelter & Services) A Safe Place (501) DHSS (Dept of Health & Senior Services) $ 84,368.87 1 yr 7/1/2018 6/30/2019 $ 84,368.87 DVSS-FEDERAL (Domestic Violence Shelter & Services) A Safe Place (501) DHSS (Dept of Health & Senior Services) $ 14,514.72 1 yr 7/1/2018 6/30/2019 $ 14,514.72 DVSS-EMERGENCY (Domestic Violence Shelter & Services) A Safe Place (501) DHSS (Dept of Health & Senior Services) $ 10,304.38 1 yr 7/1/2018 6/30/2019 $ 10,304.38 DVSS-Sexual Violence (Domestic Violence Shelter & Services) A Safe Place (501) DHSS (Dept of Health & Senior Services) $ 4,404.25 1 yr 7/1/2018 6/30/2019 $ 4,404.25
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
Children's Division CAC (701, 703, 705) DSS (Dept. of Social Services) $ 248,873.33 1 yr 6/1/2018 5/31/2019 $ 228,133.88 NCA (National Children's Alliance) CAC-Festus (701) Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 NCA (National Children's Alliance) CAC-Farmington Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 NCA (National Children's Alliance) CAC-Union (703) Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 United Way of St. Francois County CAC-Farmington (705) United Way-St. Francois $ 3,000.00 1 yr 1/1/2019 12/31/2019 $ 3,000.00 United Way of Franklin County CAC-Union (703) United Way Franklin $ 13,400.00 1 yr 1/1/2019 12/31/2019 $ 13,400.00 FCCRB (Franklin County Community Resource Board)- Prevention Spec. CAC-Union (703) Franklin Co. Sales Tax $ 36,192.00 1 yr 1/1/2019 12/31/2019 $ 36,192.00 FCCRB (Franklin County Community Resource Board)- Family Advocate CAC-Union (703) Franklin Co. Sales Tax $ 24,128.00 1 yr 1/1/2019 12/31/2019 $ 24,128.00 VOCA / CAC CAC (701, 703, 705) DPS (Dept of Public Safety) then turned over to Department of Social Serv Oct 2018 $ 504,329.22 2 yr 10/1/2017 9/30/2019 $ 266,160.69
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
OTHER PROGRAMS
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
EPICC Community Support Worker ( ) BHN (Behavioral Health Network) / DMH $ 69,187.00 1 Yr 5/1/2018 4/30/2019 $ 57,655.00 MPCA (MO Primary Care Association) Adult Outpatient Mo Coalition for Primary Health Care w/ Dept of Social Services $ 45,095.00 1 yr 7/1/2018 5/31/2019 $ 45,095.00 AHP (Affordable Home Project) MHHP At A Safe Place Federal Home Loan Bank of Des Moines IA $ 160,000.00 1yr 1/1/2019 12/31/2019 $ - Mabee Grant MHHP At A Safe Place J E and L E Mabee Foundation, Inc. $ 300,000.00 $ - United Way St. Louis TWT, Youth United Way St. Louis $ 68,989.00 1 yr 1/1/2019 12/31/2019 $ 34,494.50
LOCATIONS, SERVICE LINES
AND HOURS OF OPERATION
Central Admissions
Arnold
Festus
Northwest (High Ridge)
Hickory-
High Ridge Family Medical (Emerson)
7:30am-5:00pm Valley
Fox
MAP clinic
Dunklin
5:30p (BH), Thursday 7:30am-6:00pm (BH hours subject to change) Treatment court
Twin City Dental
Location JULY AUG SEPT OCT NOV DEC JAN TOTAL HOURS A Safe Place 56 12 22 42 23 21 5 181 CAC 24 172 33 17 8 6 8 268 Employees 14 46 47 34 22 12 7 182 Board Members 76 66 81 102 68 63 56 512 Adult and C&Y Div. Tails with Tales 46 36 138 91 89 80 55 535 Job Shadowing 33 63 82 64 17 24 283 TOTAL Hours:
216 365 384 368 274 199 155 1961
For the last three weeks Primary Care (1/6 - 1/26/2019) has been leading the way, among the other reporting FQHCs in the state, with closing patient care gaps or Point of Care Alerts. Point of Care Alerts are defined as any alerts that are able to be closed by the end of the visit. Alerts requiring an
result that take longer than the day of the visit to be completed (i.e. colorectal cancer screening, diabetes eye exam,) are not considered POC alerts and are not included in this measure. POC alerts included in this measure:
A1c, Alcohol Screening, Aspirin, Asthma Severity, AUDIT, BMI, BMI %, BMI & F/U, BP, Depression Follow Up, Depression Screen, Fall Risk Screen, Flu - Seasonal, Flu < 3, Foot Geri Exam, Identity, Lipid Lower Rx, Nutritional Counsel, Orientation, PCV >= 65, Phys Act, Prenatal, Self Mgmt Plan, Sub Use Screen, Tetanus Cess, Tobacco Screen, Violence Screen, Zoster
CO COMTREA
MOTION:
Emailed to Board
MOTION:
Provided in your full packet that was emailed
FISCAL YEAR 2019 STRATEGIC PLAN QUARTERLY REVIEW STATS PILLAR Q.1 Q.2 Q.3 Q.4 Mission & Collaboration # Indicators 7 7 # Action Steps 21 21 # Action Steps Initiated 19 20 % Steps Initiated 90% 95% #DIV/0! #DIV/0! Engagement & Leadership # Indicators 8 8 # Action Steps 31 31 # Action Steps Initiated 27 30 % Steps Initiated 87% 97% #DIV/0! #DIV/0! Accountability & Sustainability # Indicators 11 11 # Action Steps 29 29 # Action Steps Initiated 25 26 % Steps Initiated 86% 90% #DIV/0! #DIV/0! Integration # Indicators 9 9 # Action Steps 18 18 # Action Steps Initiated 17 18 % Steps Initiated 94% 100% #DIV/0! #DIV/0! TOTAL # Indicators 35 35 # Action Steps 99 99 # Action Steps Initiated 88 94 % Steps Initiated 89% 95% #DIV/0! #DIV/0!
MOTION:
Risk management had 2 potential critical incidents since November.
Area Incident
Dental Patient was referred to oral surgery to complete tooth extraction that could not be completed in the
Medical Patient has filed a complaint regarding treatment of care and additional cost related to hospitalization. Claim has been reviewed by Chief Medical Officer.
MOTION:
Mark Mertens, Chair Jerry Rogers, COMTREA Board Kathy Ellis, COMTREA Board Kelley Steffens, COMTREA Board Martha Maxwell, COMTREA Board Sylvia Daniels, COMTREA Board / MHOH Kristy Neuman, COMTREA Staff / MHOH Lisa Rothweiler, COMTREA Staff Cindy Vessell, COMTREA Staff Barb Tenholder, COMTREA Staff Wendy Harris, COMTREA Staff – provides financial reports Kim Elbl, COMTREA Staff Sue Curfman, COMTREA Staff Lisa Wigger, COMTREA Staff – provides notetaking Terry Crank, Community Member Ben Wanner, Community Member Josh Earls, Community Member Bruce Stoliar, Community Member
MOTION:
As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement
Opioid prescribing history for Behavioral Health and Primary Care clinicians are scheduled to be printed and now reviewed by Dr. Rohatgi Chief Medical Officer on a monthly basis. Primary Care presented two PDSAs for testing an implemented change to improve Emergency Room high utilizers and increasing those diabetic individuals who remain untested for their Hemoglobin A1C levels. This month the QI/QA focus was on Dental and HR. Family Advisory Council will have a relaunching with plans to increase the recruiting efforts for a diverse group of participants across all three divisions.
“I, ___, move that the Board approve the January 2019 QIQA Coordinating Council Report.”
MOTION:
Build lding and nd Ground nds Fund Fundraising & & Capit pital l Campaign
Floor B Building
Building – Site Prep
Campaign Awards
Update
Fundraisers
Event Name Date Where Benefitting Contact Info
Champions for Children Saturday February, 23 2019 KC Hall Washington, MO CAC Kathy Carr kcarr@comtrea.org Galactic Trivia Night Saturday March 23 2019 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 2019 Weingarten Vineyard
CAC Kathy Carr kcarr@comtrea.org Furry Tales Do Come True Saturday April, 13 2019 Elks Club Festus, MO TWT Laura Casey lcasey@comtrea.org Designer Hand Bag Bingo Friday May 3 2019 Villa Antonio Winery MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 Hawaiian Luau Trivia Night! Friday May, 31 2018 TBC Venue Pevely, MO Co-Worker Help Fund kmurray@comtrea.org
Reminder: The JCCMHFB will meet directly after the March COMTREA Board meeting
“With no further business to discuss, I, ______, move that the Board adjourn.”
MOTION:
21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 933 2700
PHONE NUMBER
www.comtrea.org
WEBSITE FACEBOOK
https://www.facebook.com/COMTREA/