21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 933 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
Board Meeting
November 12, 2018
https://www.facebook.com/COMTREA/
Board Meeting November 12, 2018 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting November 12, 2018 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 September, 2018.” ACCOUNT RECIEVABLES
MOTION:
presented by Doug Fesler, AVP Adult BH
signage to come
position
and adult waiting areas in line with being Trauma Informed
PARTNERSHIP
OCT # of Work Days 23.00 Net Rev Per Visit PC 162.00 Weekly GOALS # DAYS MTD 23 Net Patient Rev/Visit 110.00 101
Schedule
86
Actual Actual
THRU 10/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS >
Schedule 10-Hr Day Actual
10-Hr Day 8-Hr Day
ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR
0.20 20.2 5.1 17.2 4.3 3.4 58 58 79 73% 9,396
1.00 101.0 25.3 86.0 21.5 17.2 178 178 396 45% 28,836
0.10 10.1 2.5 8.6 2.2 1.7 23 23 40 58% 3,726 Ashley Whitley 0.90 90.9 22.7 77.4 19.4 15.5 232 232 356 65% 37,584 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 331 331 396 84% 53,622 Amanda Sherwood 0.75 75.8 25.3 64.5 21.5 16.1 227 227 297 77% 36,774
0.50 50.5 12.6 43.0 10.8 8.6 151 151 198 76% 24,462 Bess Lillimar-Stephens 0.10 10.1 2.5 8.6 2.2 1.7 28 28 40 71% 4,536 TOTALS 4.55 459.6 121.2 391.3 103.2 81.5 1,228 1,228 1,800 68% 198,936 249,227
85%
Patient Revenue $135,080
Net Rev Per OH Visit 169.00 Weekly GOALS Net Patient Rev/Visit 150.00 75
Schedule 62 Actual Actual
THRU 10/31 MONTH END FORECAST ORAL HEALTH VISITS FTE
Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day
ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Dr Suter 0.00 0.0 0.0 0.0 0.0 0.0 3 3 #DIV/0! 507
0.40 30.0 7.5 24.8 6.2 5.0 145 145 114 127% 24,505
0.50 37.5 9.4 31.0 7.8 6.2 75 75 143 53% 12,675
1.00 75.0 18.8 62.0 15.5 12.4 156 156 285 55% 26,364 Dr Blattel 0.75 56.3 14.1 46.5 11.6 9.3 109 109 214 51% 18,421
1.00 75.0 18.8 62.0 15.5 12.4 143 143 285 50% 24,167
0.00 0.0 0.0 0.0 0.0 0.0 5 5 #DIV/0! 845
0.00 0.0 0.0 0.0 0.0 0.0 1 1 #DIV/0! 169
0.00 0.0 0.0 0.0 0.0 0.0 27 27 #DIV/0! 4,563
1.00 75.0 18.8 62.0 15.5 12.4 141 141 285 49% 23,829
1.00 75.0 18.8 62.0 15.5 12.4 185 185 285 65% 31,265
1.00 75.0 18.8 62.0 15.5 12.4 143 143 285 50% 24,167
1.00 75.0 18.8 62.0 15.5 12.4 234 234 285 82% 39,546
1.00 75.0 18.8 62.0 15.5 12.4 182 182 285 64% 30,758
1.00 75.0 18.8 62.0 15.5 12.4 272 272 285 95% 45,968
0.75 56.3 14.1 46.5 11.6 9.3 150 150 214 70% 25,350 TOTALS 12.40 930.0 232.5 768.8 192.2 153.8 1,971 1,971 3,536 56% 333,099 83%
Patient Revenue
$295,650
Weekly GOALS # Pts 42
Schedule
33
Schedule
THRU 10/31 MONTH END FORECAST OH - HYGIENISTS FTE Schedul e 10 Hr Day Actu al 10 Hr Day ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Sandy Holified 0.00 0.00 0.0 0.0 0.0 9 9 #DIV/0! 1,521 Suzanne Seawel 0.80 33.60 8.4 26.4 6.6 73 73 121 60% 12,337 Amanda Govreau 0.00 0.00 0.0 0.0 0.0 58 58 #DIV/0! 9,802 Renee Blanken 0.75 31.50 7.9 24.8 6.2 140 140 114 123% 23,660 Ashley Wegener 0.50 21.00 5.3 16.5 4.1 58 58 76 76% 9,802 Angelica Miller 1.00 42.00 10.5 33.0 8.3 91 91 152 60% 15,379 Tiffany Grant - FMLA 0.00 0.00 0.0 0.0 0.0 #DIV/0! Kate Poleos 1.00 42.00 10.5 33.0 8.3 120 120 152 79% 20,280 Elisha Krisher 1.00 42.00 10.5 33.0 8.3 73 73 152 48% 12,337 Rachel Klasek 1.00 42.00 10.5 33.0 8.3 80 80 152 53% 13,520 Lara Ehlhardt 0.00 0.00 0.0 0.0 0.0 #DIV/0! TOTALS 6.05 254.1 63.5 199.7 49.9 702 702 918 76% 118,638 79% Patient Revenue $105,300 DENTAL REVENUE TOTALS GOAL THRU 10/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET #/WK ACT MTD PROJ VISITS GOAL REV/VIS IT PROJ REV BUD REV VAR REV % VAR Dentists 1,971 1,971 3,536 56% 333,099 Hygienists 702 702 918 76% 118,638 Total 2,673 2,673 4,455 60% 451,737 573,270 -121,533 -21.20%
Patient Revenue $ 400,950
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75
Schedule60
Actual ActualTHRU 10/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE
Schedule 10 Hr Day Actual 10 Hr Day
8-Hr DayACT MTD PROJ VISITS GOAL % GOAL PROJ REV Ivy Alwell (APN) 1.00 75.0 18.8 62.0 15.5 12.4 181 181 285 63% 62,584 Bitzer, Maria (APN) 1.00 75.0 18.8 62.0 15.5 12.4 102 102 285 36% 35,269
0.20 15.0 3.8 12.4 3.1 2.5 17 17 57 30% 5,878
0.50 37.5 9.4 31.0 7.8 6.2 84 84 143 59% 29,045 Dr Daniel Murray 0.20 15.0 3.8 12.4 3.1 2.5 30 30 57 53% 10,373 Kelly Ratz (APN) 1.00 75.0 18.8 62.0 15.5 12.4 179 179 285 63% 61,893
1.00 75.0 18.8 62.0 15.5 12.4 163 163 285 57% 56,361
1.00 75.0 18.8 62.0 15.5 12.4 203 203 285 71% 70,191 Ashley Whitley 0.10 7.5 1.9 6.2 1.6 1.2 43 43 29 151% 14,868
0.10 7.5 1.9 6.2 1.6 1.2 19 19 29 67% 6,570
0.10 7.5 1.9 6.2 1.6 1.2 24 24 29 84% 8,298
0.10 7.5 1.9 6.2 1.6 1.2 24 24 29 84% 8,298
0.30 22.5 5.6 18.6 4.7 3.7 46 46 86 54% 15,905
0.15 11.3 2.8 9.3 2.3 1.9 60 60 43 140% 20,746 SUBTOTAL 6.95 521.3 130.3 430.9 107.7 86.2 1,175 1,175 1,982 59% 406,280
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 50
Schedule 40.0 Actual ActualTHRU 10/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE
Schedule 10 Hr Day Actual 10 Hr Day 8-Hr DayACT MTD PROJ VISITS GOAL % GOAL PROJ REV
0.65 48.8 12.2 40.3 10.1 8.1 55 55 185 30% 19,017
Christine Reynolds (APN)0.80 60.0 15.0 49.6 12.4 9.9 57 57 228 25% 19,709 SUBTOTAL 1.45 108.8 27.2 89.9 22.5 18.0 112 112 414 27% 38,726
BH REVENUE TOTALS THRU 10/31 MONTH END FORECAST - BH REVENUE & BUDGET ACT MTD PROJ VISITS GOAL REV/VI SIT PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,175 1,175 1,982 59% 406,280 Child Psychiatry 112 112 414 27% 38,726 Total 1,287 1,287 2,396 54% 445,006 326,94 6 118,06 36.11%
Patient Revenue
$271,119
PRIMARY CARE ORAL HEALTH
BEHAVIORAL HEALTH
PSYCHIATRY
Update te o
Board P Proposal
ANNUAL REVIEW
QUALITY IMPROVEMENT / ASSURANCE
QUALITY IMPROVEMENT/ASSURANCE CLINICAL Katy November YES NO NA
1
1
1
1
1
1 TOTAL 6 %
100%
CONFLICT OF INTEREST FISCAL Lisa Wigger NovemberYES NO NA
1
Interest 1
1
1 TOTAL 4 %
100%
CONFLICT OF INTEREST
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
53% 47%
NOVEMBER
IN C COMPLIANCE E
Note a e at the he end o nd of N Novem ember er thi his % d drops b s bel elow t the he 5 51% % again
Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS A Safe Place 56 12 22 42 132 CAC 24 172 33 17 246 Employees 14 46 47 34 141 Board Members 76 66 81 102 325 Adult and C&Y Div. Tails with Tales 46 36 138 91 311 Community Events 47 198 93 43 381 Job Shadowing 33 63 82 178 TOTAL Hours:
263 563 477 411 1714
MOTION:
Emailed to Board
FISCAL YEAR 2019 STRATEGIC PLAN QUARTERLY REVIEW STATS PILLAR Q.1 Q.2 Q.3 Q.4 Mission & Collaboration # Indicators 7 # Action Steps 21 # Action Steps Initiated 19 % Steps Initiated 90% #DIV/0! #DIV/0! #DIV/0! Engagement & Leadership # Indicators 8 # Action Steps 31 # Action Steps Initiated 27 % Steps Initiated 87% #DIV/0! #DIV/0! #DIV/0! Accountability & Sustainability # Indicators 11 # Action Steps 29 # Action Steps Initiated 25 % Steps Initiated 86% #DIV/0! #DIV/0! #DIV/0! Integration # Indicators 9 # Action Steps 18 # Action Steps Initiated 17 % Steps Initiated 94% #DIV/0! #DIV/0! #DIV/0! TOTAL # Indicators 35 # Action Steps 99 # Action Steps Initiated 88
% Steps Initiated 89%
#DIV/0! #DIV/0! #DIV/0!
MOTION:
MOTION:
Complete Budget included in the Board Packet emailed
MOTION:
RN Primary Care
MOTION:
PT Finance Accounting Technician
Risk Management & Critical Incidents
FY 2019 Q1 REPORT 1 Critical Incidents identified during the quarter, but no financial loss Defined critical incidents Proposal of Post Incident Drug Screening and Random Drug Screening policies.
A critical incident is an actual or alleged event or situation, occurring on COMTREA property or in the community, that creates significant risk of substantial or serious harm to the physical or mental health, safety, or well-being
Incidents are listed on the monthly Summary of Incidents Report and include, but are not limited to the examples listed below: Elopement (Residential). Vehicular accidents. Biohazardous accidents. Unauthorized use and/or possession of legal or illegal substances. Abuse (Mandatory Reporting). Neglect. (Mandatory Reporting) Suicide or attempted suicide. Sexual assault. Other sentinel events. Medication errors. Use of seclusion. Use of physical restraint . Incidents involving injury. Communicable disease. Violation of Infection control. Physical aggression or violence. Use and/or unauthorized possession of weapons . Wandering (Residential).
MOTION:
As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement
Improvement Model Form.
is waiting in waiting room
stay at COMTREA, as well as what items they feel COMTREA could improve.
improve participation due to providing colleagues with a sense of anonymity when completing
“I, ___, move that the Board approve the October 2018 QIQA Coordinating Council Report.”
MOTION:
Name Target Result Numerator Denominator Exclusions Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 77.1% 881 1143 7 Child Weight Screening / BMI (NQF 0024) 50.0% 96.1% 858 893 Child Weight Screening / Nutritional Counseling (NQF 0024) 15.0% 52.3% 467 893 Child Weight Screening / Physical Activity (NQF 0024) 8.0% 34.4% 307 893 Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 69.5% 1729 2488 Cervical Cancer Screening (NQF 0032) 60.0% 39.9% 635 1593 211 Colorectal Cancer Screening (NQF 0034) 40.0% 44.0% 572 1300 1 Use of Appropriate Medications for Asthma (NQF 0036) 75.0% 97.2% 35 36 13 Diabetes A1c > 9 or Untested (NQF 0059) 37.3% 200 536 Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 42.2% 174 412 66 Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 2.4% 70.2% 1488 2120 1312 BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v6) 75.0% 90.1% 3081 3421 63
Returned 664 Returned 610 Returned 418
Answer Choices
Responses 12/2017 Responses 3/2018 Responses 10/2018
Family/Friend 34.95% 194 36.19% 194 38.28% 160 Newspaper 0.90% 5 1.68% 9 0.48% 2 Radio 0.18% 1 0.19% 1 0.00% Website 2.70% 15 3.73% 20 6.22% 26 Referral 36.40% 202 32.65% 175 30.14% 126 Facebook (Oct 2018 renamed Social Media) 0.00% 0.37% 2 1.20% 5 Billboard 0.18% 1 0.19% 1 0.72% 3 Insurance Company 2.88% 16 5.04% 27 5.50% 23 Other 21.80% 121 25.00% 134 23.68% 99 Event (added Oct 2018) New 0.72% 3
Good and Great Responses only
Responses 2017 Responses 3/2018 Responses 10/2018
appointment?
room?
wellness?
94.49% 617 97.02% 587 83.69% 549 87.62% 531 83.95% 549 86.03% 517 87.54% 569 89.47% 535 90.20% 589 92.73% 561 88.93% 178 90.88% 142 91.54% 595 94.67% 569 90.26% 584 93.41% 553 94.04% 426 88.05% 398 87.94% 394 89.56% 403
TI REPHRASED
90.57% 365
NOT USED
94.25% 377
New Questions for 10/2018
New-The staff listen to what I say I need.
New
94.62%
422
New-In deciding about my recovery plans, I feel like I am in charge and the staff are there to help me.
New
87.22%
389
New-Did you find the facility clean and inviting?
New
96.21%
431
New-Did you feel safe coming to your appointment (lighting, parking, etc)?
New
97.55%
439
New-The services provided here certainly address my concerns and needs.
New
92.84%
376
Answer Choices Responses 2017 Responses 3/2018 Responses 10/2018 Yes 88.56% 534 92.63% 515 91.33% 358 No 11.44% 69 7.37% 41 8.67% 34 Answered 603 Answered 556 Answered 392 Skipped 61 Skipped 54 Skipped 68
Answer Choices Responses 2017 Responses 3/2018 Responses 10/2018 Primary Care 17.29% 107 29.39% 174 26.77% 106 Dental Care 16.80% 104 14.19% 84 15.91% 63 Behavioral Health 68.50% 424 56.42% 334 46.97% 186 New-How would you like to be contacted for appointment reminders?
New
95.20% 398 Text 29.65% 118 Call 64.32% 256 Email 5.28% 21 Postcard 0.75% 3
Build lding and nd Ground nds Capital al C Campai aign
Event Name Date Where Benefitting Contact Info
Gift Card Raffle Current Internal Co-Worker Help Fund kelbl@comtrea.org Merb’s Bionic Apples Current Internal CSTAR kprendergast@comtrea.org Acrylic Pour Sunday November, 11 2018 Cobblestone Frame and Art Gallery in Festus MHOH at ASP kelbl@comtrea.org Music Trivia Night Saturday January, 26 2019 TBC Venue Pevely, MO TWT Laura Casey lcasey@comtrea.org Mardi Gras Saturday February, 2 2019 Quality Inn Festus, MO A Safe Place Kim Elbl kelbl@comtrea.org 636-232-2330 Champions for Children Saturday February, 23 2019 KC Hall Washington, MO CAC Kathy Carr kcarr@comtrea.org Galactic Trivia Night Friday March 23 2019 Elks Club Festus, MO Mary’s House of Hope at A Safe Place Kristy Neuman kneuman@comtrea.org Furry Tales Do Come True Saturday April, 13 2019 Elks Club Festus, MO TWT Laura Casey lcasey@comtrea.org On the Red Carpet Saturday April, 27 2019 Twin Oaks Winery Farmington, MO CAC Kathy Carr kcarr@comtrea.org Hawaiian Luau Trivia Night! Friday May, 31 2018 TBC Venue Pevely, MO Co-Worker Help Fund kmurray@comtrea.org
Wednesday, December 12th Arrival 5pm, Dinner 5:30pm SSM Conference Center
“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/