21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
Board Meeting
May 13, 2019
https://www.facebook.com/COMTREA/
Board Meeting May 13, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting May 13, 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
21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
https://www.facebook.com/COMTREA/
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:
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.
Presented by Laura Bilsland & Rachael Bersdale “COMTREA saved my life.” “COMTREA saved my life, I was a productive member of society. I was clean for seven years.” “I was so sick, I called up here and talked to my counselor, she got me right in. She got me the help I needed.”
“Coming here keeps me accountable.”
“I’ve never seen anyone offer healthcare the way COMTREA does.”
“So welcoming.” “IT’S NICE TO KNOW YOU CAN COME HERE AND GET A COUPLE THINGS DONE [COLOCATION].” “You can tell they care.” “So friendly.” “COMTREA “adds structure to my life.” “I went with a friend [to the Welcome Center], she struggles with depression. We had to go two days but we got it done…It was good.”
Committee, I _________, move that the Board approve the financials for the month of March, 2019.” ACCOUNT RECIEVABLES
MOTION:
BEHAVIORAL HEALTH - APRIL 2019
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75
Schedule
60
Actual Actual
THRU 4/30 MONTH END FORECAST BEHAVIORAL HEALTH FTE Hrs/Wk
Schedul e 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 12.0 168 168 264 64% 58,089 Wk 1 15 Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 137 137 264 52% 47,370 Wk 2 16
0.20 8.00 15.0 3.8 12.0 3.0 2.4 27 27 53 51% 9,336 Wk 3 68
0.50 20.00 37.5 9.4 30.0 7.5 6.0 89 89 132 67% 30,774 Wk 4 18 Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 19 19 53 36% 6,570 Wk 5 51 Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 155 155 264 59% 53,594 TOTAL 167
0.50 20.00 37.5 9.4 30.0 7.5 6.0 138 138 132 105% 47,716
1.00 40.00 75.0 18.8 60.0 15.0 12.0 220 220 264 83% 76,069 Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 100 100 132 76% 34,577
0.30 12.00 22.5 5.6 18.0 4.5 3.6 54 54 79 68% 18,672
0.30 12.00 22.5 5.6 18.0 4.5 3.6 68 68 79 86% 23,512 SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 61 61 148 41% 21,092 Kamal, Moebbi, Boules 7.50 0.0 0.0
SUBTOTAL 7.26 290.00 544.5 136.1 435.6 108.9 87.1 1,236 1,236 1,917 427,372
PRODUCTIVITY minus PTO
64% 0.56 71%
Patient Revenue $286,498
BEHAVIORAL HEALTH - APRIL 2019
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 4/30 MONTH END FORECAST Wk 2 BEHAVIORAL HEALTH FTE
Schedul e 10 Hr Day Actual 10 Hr Day 8-Hr Day
ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Wk 3
0.60 30.0 7.5 24.0 6.0 4.8 124 124 106 117% 42,875 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 4.8 124 124 106 117% 42,875 TOTAL
PRODUCTIVITY minus PTO
117% PTO Hours
TOTALS MONTH END FORECAST - BH REVENUE & BUDGET ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,236 1,236 1,917 64% 427,372 Child Psychiatry 124 124 106 117% 42,875 Total 1,360 1,360 2,022 67% 470,247 326,946 143,301 43.83%
Patient Revenue $286,498
PRIMARY CARE – APRIL 2019
April # 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 4/30
MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS FTE
Schedul e 10-Hr Day Actual 10-Hr Day 8-Hr Day ACT MTD
PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR
1.00 101.0 25.3 86.0 21.5 17.2 241 241 378 64% 39,042 Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 103 103 189 54% 16,686 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 247 247 378 65% 40,014 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 163 163 284 57% 26,406
0.50 50.5 16.8 43.0 14.3 10.8 118 118 189 62% 19,116 Bess Lillimar- Stephens 1.00 101.0 25.3 86.0 21.5 17.2 194 194 378 51% 31,428
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 1,066 1,066 1,797 59% 172,692 249,227 -76,535 -30.71%
PRODUCTIVITY minus PTO
62% PTO Hours 78.5
Patient Revenue $117,260
ORAL HEALTH – APRIL 2019
HD Reimbursement 90.00 Net Rev Per OH Visit 169.00 Weekly GOALS Net Patient Rev/Visit 150.00 75
Schedule 62 Actual Actual
THRU 4/30 MONTH END FORECAST ORAL HEALTH VISITS FTE
Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day
ACT MTD HD PROJ VISITS PROJ HD GOAL % GOAL PROJ REV PTO Hours Dr Suter 0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! Wk 1 10.0
0.50 37.5 9.4 31.0 7.8 6.2 118 118 136 87% 19,942 Wk 2 5.0
0.50 37.5 9.4 31.0 7.8 6.2 119 119 136 87% 20,111 Wk 3 0.0
1.00 75.0 18.8 62.0 15.5 12.4 186 10 186 10 273 68% 32,334 Wk 4 94.0 Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 187 10 187 10 273 69% 32,503 Wk 5 40.0
0.50 37.5 9.4 31.0 7.8 6.2 91 91 136 67% 15,379 TOTAL 149.0
0.00 0.0 0.0 0.0 0.0 0.0 15 15 #DIV/0! 2,535
0.00 0.0 0.0 0.0 0.0 0.0 #DIV/0! HD Hours FTE < Visits
1.00 75.0 18.8 62.0 15.5 12.4 129 20 129 20 273 47% 23,601 Wk 1 10.00 15.5
1.00 75.0 18.8 62.0 15.5 12.4 155 10 155 10 273 57% 27,095 Wk 2 30.00 46.5
1.00 75.0 18.8 62.0 15.5 12.4 151 10 151 10 273 55% 26,419 Wk 3 20.00 31.0
1.00 75.0 18.8 62.0 15.5 12.4 255 255 273 93% 43,095 Wk 4 20.00 31.0
1.00 75.0 18.8 62.0 15.5 12.4 215 10 215 10 273 79% 37,235 Wk 5 10.00 15.5
1.00 75.0 18.8 62.0 15.5 12.4 227 227 273 83% 38,363 TOTAL 90.00 139.5
1.00 75.0 18.8 62.0 15.5 12.4 195 20 195 20 273 71% 34,755 288.50 TOTALS 10.50 787.5 196.9 651.0 162.8 130.2 2,043 90 2,043 90 2,864 75% 353,367
PRODUCTIVITY minus PTO Visit reduction by HD FTE support
2,725 79%
(Visit reduction + PTO)
Weekly GOALS
PTO Hours -
Patient Revenue $306,450
ORAL HEALTH / HYGIENISTS – APRIL 2019
Weekly GOALS # Pts 42
Schedule
33
Schedule
THRU 4/30 MONTH END FORECAST OH - HYGIENISTS FTE
Schedul e 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 0.0 Suzanne Seawel 1.00 42.00 10.5 33.0 8.3 104 104 145 72% 17,576 Wk 2 10.0 Renee Blanken 0.75 31.50 7.9 24.8 6.2 50 50 109 46% 8,450 Wk 3 20.0 Ashley Wegener-FMLA 0.00 0.00 0.0 0.0 0.0 #DIV/0! Wk 4 20.0 Angelica Miller 1.00 42.00 10.5 33.0 8.3 63 63 145 43% 10,647 Wk 5 0.0 Elisha Krisher 1.00 42.00 10.5 33.0 8.3 64 64 145 44% 10,816 TOTAL 50.0 Rachel Klasek 1.00 42.00 10.5 33.0 8.3 59 59 145 41% 9,971 Gina Baker 1.00 42.00 10.5 33.0 8.3 114 114 145 79% 19,266 Jodi Stotler 1.00 42.00 10.5 33.0 8.3 68 68 11,492 TOTALS 6.75 283.5 70.9 222.8 55.7 526 526 835 63% 88,894
PRODUCTIVITY minus PTO
79% 67% 79% PTO Hours
Patient Revenue $78,900
DENTAL REVENUE TOTALS GOAL THRU 4/30 MONTH END FORECAST - DENTAL REVENUE & BUDGET #/WK ACT MTD PROJ VISITS GOAL REV/VISI T PROJ REV BUD REV VAR REV % VAR Dentists 2,043 2,043 2,864 77% 353,367 Hygienists 526 526 835 63% 88,894 Total 2,569 2,569 3,699 73% 442,261 573,270
PRIMARY CARE ORAL HEALTH
BEHAVIORAL HEALTH
PSYCHIATRY
Form A – Add Premier Dental Column II and III Form 5C – Add Home & Community visits for BH Consultant (to be covered under FTCA)
340B Drug Pricing – Dunklin Health Center
MONTHLY REVIEW
NEEDS ASSESSMENT GOVERNANCE/ ADMIN Sue Curfman May YES NO NA
1
1 TOTAL 2 % 100% CONTINUITY OF CARE AND HOSPITAL ADMITTING CLINICAL Sue Curfman May YES NO NA
Arrangements 1
1
1 TOTAL 3 % 100%
0% 0% 0% 0% Not Using Using Services
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
MAY
Funding Entity Program Recipient Description Amt Requested on Pending Grants Status
Franklin County Community Resource Board CAC-Union- Prevention Program One – Time Funding
$7775.00 Awarded
Franklin County Community Resource Board CAC-Union- Therapy One – Time Funding
$2038.95 Awarded
Jefferson Foundation BH Medication Support for Opioid Use Disorder
$57,000.00 Pending
Jefferson Foundation ASP Conflict/Violence Prevention Education Program for students in Jefferson County
$50,000.00 Denied
Incarnate Word Foundation TWT Additional Training Classes
$3,900.00 Pending
Missouri Housing Development Commission ASP MHOH AHAP-050 (Affordable Housing Assistance Program) Tax Credits of $200,000
$200,000.00 Awarded $200,000 in 55% tax credits
Way CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary
$5000.00 Accepted amount unknown
United to End Bullying Grant TWT One – Time Funding
$3,000.00 Pending
Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR TOTAL HOURS A Safe Place 56 12 22 42 23 21 5 11 13 8 213 CAC 24 172 33 17 8 6 8 23 21 20 332 PSR 36 36 Employees 14 46 47 34 22 12 7 41 24 21 268 Board Members 76 66 81 102 68 63 56 39 92 69 712 Adult and C&Y Div. 11 9 29 86 19 17 74 134 64 105 548 Tails with Tales 46 36 138 91 89 80 55 123 129 121 908 Job Shadowing 33 63 82 64 17 24 39 41 42 405 TOTAL Hours:
227 374 413 454 293 216 229 410 384 422 3422
MOTION:
Emailed to Board
MOTION:
MOTION:
Total Federal Funding Requested - $238,522.00
MOTION:
Total Federal Funding Requested - $145,000
MOTION:
FY2019 Q3
STRATEGIC PLAN UPDATES
FISCAL YEAR 2019 STRATEGIC PLAN QUARTERLY REVIEW STATS PILLAR Q.1 Q.2 Q.3 Mission & Collaboration # Indicators 7 7 7 # Action Steps 21 21 21 # Action Steps Initiated 19 20 21 % Steps Initiated 90% 95% 100% Engagement & Leadership # Indicators 8 8 8 # Action Steps 31 31 31 # Action Steps Initiated 27 30 31 % Steps Initiated 87% 97% 100% Accountability & Sustainability # Indicators 11 11 11 # Action Steps 29 29 29 # Action Steps Initiated 25 26 27 % Steps Initiated 86% 90% 93% Integration # Indicators 9 9 9 # Action Steps 18 18 18 # Action Steps Initiated 17 18 18 % Steps Initiated 94% 100% 100% TOTAL # Indicators 35 35 35 # Action Steps 99 99 99 # Action Steps Initiated 88 94 97 % Steps Initiated 89% 95% 98%
100% 100% 100%
MOTION:
MOTION:
Approval of Quarterly Risk Management Update
No Critical Incidents this Quarter
Discussions this quarter revolved around release of records/information under federal guidelines and changes to COMTREA guidelines. No official patient grievances or employee grievances Minor patient complaints handled directly and promptly Review of Health & Safety incidents indicated additional training may be needed for needle sticks and possibly some safe driving training. Malpractice training was completed by March 31, 2019 for all
100%
New Staff / Interns Requiring Privileging (during the month of April 2019) Current Staff Re-Privileged (during the month of April 2019)
MOTION: “I, ______, move that the Board accept the April 2019 Credentialing & Privileging Report as presented.”
Name Title Division Status Jessica Armbruster Dental Hygienist II OH FT Danielle Hawkins Nurse Care Manager PC PT Samantha Mueller Medical Assistant PC FT Dawn Ortega Youth Therapist BH FT Cellie Robinson Medical Services Manager PC FT Name Title Division Status Sandra Holifield Oral Health Outreach Manager OH FT Krista Hutson Nurse Care Manager HCH FT Jennifer Loretta AVP - SAEP BH FT Jessica Thomas Therapist I - NCAT BH FT
Shelby Wilfong
CSS BH FT
As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement
process across the 3 disciplines
focus – the start of the point in care testing may of attributed to this
Medicaid
meeting, there was discussion on whether some of the participants from the patient focus groups could be potential board members
“I, ___, move that the Board approve the April 2019 QIQA Coordinating Council Report.”
MOTION:
Name Target Result Change Child Weight Screening / BMI (NQF 0024) 50.0% 96.4% 0.7% Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 58.1% 5.9% Child Weight Screening / Physical Activity (NQF 0024) 25.0% 43.5% 6.2% Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.2% 2.0% Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 57.8% 8.9% Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 73.1% 0.4% Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 43.5% 0.2% Cervical Cancer Screening (NQF 0032) 60.0% 43.4% 0.4% Colorectal Cancer Screening (NQF 0034) 40.0% 45.1% 0.9% Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 84.3% 5.9% BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 89.9% 0.5% Use of Appropriate Medications for Asthma 75.0% 93.9% 1.0% Statin Therapy for the Prevention and Treatment of Cardiovascular D 75.0% 88.3% 0.7%
Validation Period:TY April 2019
Build lding and nd Ground unds Fund Fundraising ASP C Committee Upda pdate
Event Name Date Where Benefiting Contact Info
Tropical Trivia Friday May, 31 2019 TBC Venue Pevely, MO Co-Worker Help Fund Katy Murray kmurray@comtrea.org 636 321-0114 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
BOARD RECRUITMENT
Full Board Strategic Planning And Budget Overview
Full Board Meeting – Annual Meeting Approvals
“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/