Board Meeting and to those who have served in the past, we honor - - PowerPoint PPT Presentation
To those in uniform serving today Board Meeting and to those who have served in the past, we honor you today November 11, 2019 and every day. LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 931 2700 www.comtrea.org
21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
https://www.facebook.com/COMTREA/
To those in uniform serving today and to those who have served in the past, we honor you today and every day.
CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financial Review Program Highlight Mission Statement
MOTION:
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MOTION:
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MOTION:
MOTION: “As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of September, 2019.”
This year Fox High School is one of the many schools we are serving in the Fox District due to their loss of STL counseling. Our school liaison Jenna Flater is new to the program (not COMTREA) and received praise from the Assistant Principal recently.
“Jenna, I just wanted to thank you, from all of us, for doing such a tremendous job and being such an awesome and much needed resource for our students!! We are so lucky to have you!!”
Gina Buehner, Assistant Principal Fox High School Home of the WARRIORS
BEHAVIORAL HEALTH – OCTOBER 2019
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75
Schedule
60
Actual Actual
MONTH END FORECAST BEHAVIORAL HEALTH FTE Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day PROJ VISITS GOAL % GOAL PROJ REV Ivy Alwell (APN) 1.00 75.0 18.8 60.0 15.0 12.0 205 276 74% 70,883 Bitzer, Maria (APN) 1.00 75.0 18.8 60.0 15.0 12.0 166 276 60% 57,398
0.50 37.5 9.4 30.0 7.5 6.0 111 138 80% 38,380 Dr Daniel Murray 0.20 15.0 3.8 12.0 3.0 2.4 39 55 71% 13,485 Kelly Ratz (APN) 1.00 75.0 18.8 60.0 15.0 12.0 191 276 69% 66,042
0.50 37.5 9.4 30.0 7.5 6.0 58 138 42% 20,055
1.00 75.0 18.8 60.0 15.0 12.0 226 276 82% 78,144
0.30 22.5 5.6 18.0 4.5 3.6 84 83 101% 29,045 Ashley Whitley 0.75 56.3 14.1 45.0 11.3 9.0 97 207 47% 33,540 SLU Docs 0.56 42.0 10.5 33.6 8.4 6.7 69 155 45% 23,858 Kamal, Moebbi, Boules 0.0 0.0 0.0 0.0 0.0 #DIV/0!
SUBTOTAL 6.81 510.8 127.7 408.6 102.2 81.7 1,246 1,880 66% 430,829 PRODUCTIVITY minus PTO 102.15 80% 78% ADULT BH PTO Hours Wk 1 46.0 Wk 2 70.0 Wk 3 103.5 Wk 4 53.0 Wk 5 10.0 282.5
BEHAVIORAL HEALTH – OCTOBER 2019
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 50
Schedule
40.0
Actual Actual
MONTH END FORECAST BEHAVIORAL HEALTH FTE
Schedule 10 Hr Day Actual 10 Hr Day
8-Hr Day
PROJ VISITS GOAL % GOAL
PROJ REV
0.50 25.0 6.3 20.0 5.0 4.0 105 92 114%
36,306
0.30 22.5 5.6 18.0 4.5 3.6 57 83 69%
19,709
0.30 22.5 5.6 18.0 4.5 3.6 85 83 103%
29,390
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! SUBTOTAL 1.10 70.0 17.5 56.0 14.0 11.2 247 258 96%
85,405
PRODUCTIVITY minus PTO
80% 96% BH REVENUE TOTALS GOAL MONTH END FORECAST - BH REVENUE & BUDGET #/WK PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,246 1,880 66% 430,829 Child Psychiatry 247 258 96% 85,405 Total 1,493 2,137 70% 516,235 326,946 189,289 57.90%
Patient Revenue $314,515
CHILD BH PTO Hours Wk 1 0.0 Wk 2 0.0 Wk 3 0.0 Wk 4 0.0 Wk 5
PRIMARY CARE – OCTOBER 2019
Oct # of Work Days 23.00 Net Rev Per Visit PC 162.00 Weekly GOALS 23 Net Patient Rev/Visit 110.00 101
Schedule
86
Actual Actual
MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS >
Schedule 10-Hr Day Actual
10-Hr Day 8-Hr Day PROJ VISITS
GOAL % GOAL PROJ REV BUD REV VAR REV % VAR
0.80 80.8 20.2 68.8 17.2 13.8 226 316 71% 36,612 Ashley Whitley 0.25 25.3 6.3 21.5 5.4 4.3 33 99 33% 5,346 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 299 396 76% 48,438 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 237 297 80% 38,394
0.50 50.5 16.8 43.0 14.3 10.8 149 198 75% 24,138 Bess Lillimar-Stephens 1.00 101.0 25.3 86.0 21.5 17.2 222 396 56% 35,964 Kelly Nichols pt. care 10/15 0.25 25.3 6.3 21.5 5.4 4.3 71 99 72% 11,502
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! TOTALS 4.55 459.6 119.1 391.3 101.4 80.4 1,237 1,800 69% 200,394 250,087
PRODUCTIVITY minus PTO
329 70%
Patient Revenue $136,070
PRIMARY CARE PTO Wk 1 0.0 Wk 2 11.0 Wk 3 0.0 PRIMARY CARE PTO Wk 4 14.0 Wk 5 12.0 37.0
ORAL HEALTH – OCTOBER 2019
Net Rev Per OH Visit 169.00 Weekly GOALS Net Patient Rev/Visit 150.00 75
Schedule
62
Actual Actual
MONTH END FORECAST ORAL HEALTH VISITS FTE
Schedule 10 Hr Day Actual 10 Hr Day
8-Hr Day
PROJ VISITS GOAL % GOAL PROJ REV
0.50 37.5 9.4 31.0 7.8 6.2 69 143 48% 11,661
0.50 37.5 9.4 31.0 7.8 6.2 141 143 99% 23,829
1.00 75.0 18.8 62.0 15.5 12.4 282 285 99% 47,658
1.00 75.0 18.8 62.0 15.5 12.4 284 285 100% 47,996
1.00 75.0 18.8 62.0 15.5 12.4 322 285 113% 54,418
1.00 75.0 18.8 62.0 15.5 12.4 280 285 98% 47,320
1.00 75.0 18.8 62.0 15.5 12.4 120 285 42% 20,280
1.00 75.0 18.8 62.0 15.5 12.4 106 285 37% 17,914
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0!
0.00 45 #DIV/0! 7,605
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0!
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! Dr Blattel 0.25 18.8 4.7 15.5 3.9 3.1 51 71 72% 8,619
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! TOTALS 7.25 543.8 135.9 449.5 112.4 89.9 1,700 2,068 82% 287,300
PRODUCTIVITY minus PTO
83% 82% DENTIST PTO Hours Wk 1 30.0 Wk 2 10.0 Wk 3 16.0 Wk 4 20.0 Wk 5 5.0 81
ORAL HEALTH / HYGIENISTS – OCTOBER 2019
Weekly GOALS # Pts 42
Schedule
33
Schedule
MONTH END FORECAST OH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day PROJ VISITS GOAL % GOAL PROJ REV Sandy Holifield 0.00 0.0 0.0 0.0 12 #DIV/0! 2,028 Renee Blanken 0.75 31.50 7.9 24.8 6.2 154 114 135% 26,026 Ashley Wegener 0.5 21.00 5.3 16.5 4.1 47 76 62% 7,943 Angelica Miller 0.5 21.00 5.3 16.5 4.1 45 76 59% 7,605 Elisha Krisher 1 42.00 10.5 33.0 8.3 123 152 81% 20,787 Rachel Klasek 1 42.00 10.5 33.0 8.3 143 152 94% 24,167 Gina Baker 1 42.00 10.5 33.0 8.3 123 152 81% 20,787 Jodi Stotler 0.00 0.0 0.0 0.0 #DIV/0! Micki Stafko 1 42.00 10.5 33.0 8.3 94 152 62% 15,886 Jessica Armbruster 0.00 0.0 0.0 0.0 #DIV/0! TOTALS 5.75 241.5 60.4 189.8 47.4 741 873 85% 125,229 PRODUCTIVITY minus PTO 79% 94%
Patient Revenue $111,150
HYGIENIST PTO Hours Wk 1 0.0 Wk 2 10.0 Wk 3 11.0 Wk 4 42.1 Wk 5 20.0 83
DENTAL REVENUE TOTALS GOAL MONTH END FORECAST - DENTAL REVENUE & BUDGET #/WK PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR Dentists 1,700 2,068 82% 287,300 Hygienists 741 873 85% 125,229 Total 2,441 2,941 83% 412,529 577,017
Patient Revenue $255,000
PRIMARY CARE ORAL HEALTH
BH/PSYCHIATRY
HRSA Information - FY 2020 Noncompeting Continuation (BPR) Progress Report (In Progress will need to
be approved at the December 9, 2019 meeting for submission on December 13, 2019)
HRSA PR Monthly Review 100% Compliant
QUALITY IMPROVEMENT/ASSURANCE CLINICAL Patty Vanek; Katy Murray November YES NO NA
1
1
1
1
1
1 TOTAL 6 % 100%
CONFLICT OF INTEREST FISCAL Lisa Wigger November YES NO NA
1
1
1
1 TOTAL 4 % 100%
Site Visit Protocol FTCA Section and Demonstrating Compliance CLINICAL Amy Rhodes November YES NO NA RISK MANAGEMENT
1 CLAIMS MANAGEMENT
1 TOTAL 2 % 100%
Quality Improvement / Conflict of Interest / FTCA
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
HRSA REQUIRES 51% OF THE BOARD TO BE CONSUMERS
CURRENTLY IN COMPLIANCE
Funding Entity Program Recipient Description Amt Requested on Pending Grants Status
AHAP Tax Credits MHOH Tax credits to award donors 55% of their donation for the Mary’s House of Hope Transitional Housing project.
$200,000 Awarded the $200,000 good until April 30, 2020
Franklin County Community Resource Board CAC Requested for the Family Advocate Position- $25,500 and for the Prevention Specialist $52,762.50. This is a 18 month grant cycle January 2020-June 2021.
$25,500 $52,762.50 No updates at this time
Franklin County United Way CAC Currently working on the application for this funding
$13,600 No updates at this time
Saigh Foundation TWT for No More Bullying! Program One – Time Funding
$5635 In Review – January Notification
VOCA Grants – 2 year grants
ASP, CAC and MHHP Two year grants. A Safe Place and CAC are sustaining grants and the Mary’s House of Hope is a new grant to cover
would start October 1, 2019 through September 30, 2021. Amounts vary by program Notified grants awarded for ASP and CAC however less than usual, grant was not awarded for MHOH Operational costs
Note te t this l list only i includes t those g grants ts that a t are still pending o g or had b been a applied f for / / awarded or d declined d during t g the c curre rent mon month
(FY: 2020-2021)
Location JULY AUG SEPT OCT TOTAL HOURS A Safe Place 9 19 8 36 CAC 8 10 2 20 Employees 12 6 19 37 Board Members 84 58 99 120 361 Adult and C&Y Div. 59 34 93 186 Tails with Tales 55 108 88 113 364 Job Shadowing 7 25 52 84 TOTAL Hours:
210 230 334 314 1088
MOTION:
Emailed to Board
REQUEST TO HIRE A FULL TIME FLOAT DENTAL ASSISTANT
POSITION SUMMARY Dental Assistant to cover for DA call outs. DA would work Monday - Friday, 8 hour shifts (8am to 4:30pm) to cover all dental clinics with the Hickory clinic as the homebase. Provide quality care and services to patients by assisting dentists and other staff in a variety of patient care, office and laboratory duties. Assist in the efficiency and productivity of patient flow through timely, accurate and professional preparation
Support dentist and dental hygienist in community outreach, education, and portable delivery of dental treatment. SALARY (LISTED IN BOARD PACKET THAT WAS EMAILED TO YOU)
BUDGET IMPACT This position will help to cover for staff call outs and lost monthly production because of closing ops.
Current Plan Impact RATIONALE
We have lost close to $78,000 (production) monthly because of the DA shortage and DA call outs. Office Management have a spreadsheet that has data from 9/23 to current tracking DA call offs.
MOTION:
Current Staff Re-Privileged (during the month of October 2019) New Staff / Interns Requiring Privileging (during the month of October 2019)
MOTION:
“I, ______, move that the Board accept the October 2019 Credentialing & Privileging Report as presented.”
Name Title Division Allgire, Ashley Lead Dental Assistant OH Autry, Daniel Dentist OH Borah, Heather AVP - Adult BH Coffelt, Jessica SA/EP BH Couch, Makenzie CSS BH Hanock, Tamara Community Support Specialist BH Horn, Dashia Dental Assistant OH Kahle, Jessica Crisis Intervention Specialist PC Kos, Denita Certified Medical Assistant BH McCauley, Dawn Outreach Case Manager BH Mowery, Nicole
Supported Employment Supervisor
BH Perren, Madelyn Dental Assistant OH Purchase, Keela Medical Assistant BH Name Title Division Allwell, Ivy Advanced Practice Nurse Psych Hurtgen, Chad ADA Technician BH Kluge, Catherine Open Access Assessor BH Pehle, Teresa Nurse Care Manager HCH Rohatgi, Gautam Chief Medical Officer Psych Tate, Melissa Therapist - child & family BH Whitley, Ashley Nurse Practitioner PC Williams, Melinda LPN PC Withouse, Sara Community Support Specialist BH
Quality Measures CY2019 Department Regulator TARGET Month July 2019 Month August 2019 Month September 2019 Preventive Dental Service Utilization- Increase % of preventive dental services delivered in the calendar year by 20% for patients age 1-20 Dental Dental 80% 72% 72% 77% Percentage of children, age 0-20 years, who have had tooth decay or cavities during the measurement period. NQF not applicable CMS eCOM 75v5.1 Dental Dental-MPCA Measures 70% 62% 60% 64% Percentage of children, age 0-20 years, who received fluoride varnish application during the measurement period. NQF not applicable CMS eCOM 74v6.1 Dental Dental-MPCA Measures 70% 55% 56% 63% Percentage of children, 6 through 9 years of age, at moderate to high risk for caries who received a sealant on a permanent first molar during the measurement period (Required Measure) Dental HRSA SAC
Target percentages have now been added to the dental quality measures.
The most recent HR report reflects the top two reasons people stay are:
The two areas that need to be evaluated are:
The highest turnover is with:
October Trailing Year UDS Report
Table 6B Trend Comparison TY 10/23/19 TY 10/23/19 TY 10/23/19 2018 YR 2018 YR 2018 Num Den % Num Den % Childhood Immunization 3 46 7% 6 48 13% Cervical Cancer Screening 647 1,454 44% 677 1597 42% Weight Assessment Children and Adolescents 482 728 66% 253 886 29% Adult Weight Screening 2,652 3,118 85% 3070 3432 89% Tobacco Screening and Cessation Intervention 1,868 2,052 91% 1794 2520 71% Use of Appropriate Medications for Asthma 50 55 91% 35 37 95% Statin Therapy with Cardiovascular Disease 618 692 89% 518 595 87% Anithrombic Therapy an Ischemic Vascular Disease 134 171 78% 130 167 78% Colorectal Cancer Screening 553 1,271 44% 607 1306 46% Deprssion Screening and Follow-Up 1,434 2,150 67% 1597 2445 65% Table 7 Trend Comparison TY 10/23/19 TY 10/23/19 TY 10/23/19 2018 YR 2018 YR 2018 Num Den % Num Den % Hypertension 961 1207 80% 854 1157 74% Diabetes 196 587 33% 206 539 38%
dropped from the 2018 UDS reporting
immunizations is the flu vaccination, with flu season starting PC plans to see an increase in this measure and hopefully bringing measure back up to the previous year’s reporting.
Weight Assessments and Follow-up for children and adolescents by about 37%. A lot of this is due to mapping and document workflow improvements.
the Hemoglobin A1c or untested measure for those individuals with diabetes. Primary Care is now reporting in the 33% range, which places them in around the 50th percentile for the state.
MOTION: “I, ___, move that the Board approve the October 2019 QIQA Coordinating Council Report.”
MONTHLY SUBCOMMITTEE REPORTS TO THE BOARD
Build lding and nd Ground unds Fund Fundraising & & Capital al C Campai aign MHOH C Committee Upda pdate
Event Name Date Where Benefiting Contact Info
Toyota Supra Raffle
Ongoing until Black Friday Twin City Toyota Herculaneum, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330
Winter Games Minute To Win It
Saturday December 7 2019 Frederick’s Festus, Mo Co-Worker Help Fund Committee Kim Elbl kelbl@comtrea.org 636-232-2330
McAlister’s Adult Emergency Help Fund
Tuesday December 10 2019 McAlister’s Arnold, MO ABH Clients Kim Elbl kelbl@comtrea.org 636-232-2330
Music Trivia
Saturday January 25 2020 TBC Venue Pevely, MO TWT Laura Casey lcasey@comtrea.org
Mardi Gras
Saturday February 1 2020 Corpus Christi Center Imperial, MO ASP Kim Elbl kelbl@comtrea.org 636-232-2330
Champions for Children Horse Races
Saturday February 22 2020 John B. Busch Brewery Washington, MO CAC Kathy Carr KCarr@comtrea.org
Stand-up for Kids Comedy Show
Friday April 3 2020 Twin Oaks Vineyard Farmington, MO CAC Kathy Carr KCarr@comtrea.org
Annual Un-Gala
Saturday April 25 2020 Meramec/Arnold Elks Club Imperial, MO TWT Laura Casey lcasey@comtrea.org
Western Trivia
Friday June 05 2020 Frederick’s Festus, Mo Co-Worker Help Fund Committee Kim Elbl kelbl@comtrea.org 636-232-2330
BOARD – SECRETARY
Don’t Forget!
JCCMHFB meets TODAY and next month
“With no further business to discuss, I, ______, move that the Board adjourn.”
MOTION:
21 Municipal Drive Arnold, MO 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE FACEBOOK
https://www.facebook.com/COMTREA/