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 healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority.
AGENDA 7:30 AM – Meeting Open CEO Report Approval of Agenda and Minutes Action Items CLOSED SESSION Discussion Items Financials Adjournment Program Highlight
APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the, November 12, 2018 Meeting Agenda.”
APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the October 8, 2018 Meeting Minutes.”
CLOSED SESSION BOARD MEMBERS ONLY
CLOSED SESSION MOTION: “I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)
CLOSED SESSION - AGENDA MOTION: “ I, __________, move that the Board approve the November 12, 2018 Closed Session Agenda,”
CLOSED SESSION – MEETING MINUTES MOTION: “I, ___________, move that the Board approve the October 8, 2018 Closed Meeting Minutes.”
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)
CASH ON HAND $1,210,731.21 ACCOUNT RECIEVABLES MOTION: $3,229,338.87 “ As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of FINANCIAL REPORT September, 2018.”
COMTREA PROGRAM HIGHLIGHT presented by Doug Fesler, AVP Adult BH The Welcome Center • New location at 2310 North Truman Blvd, signage to come • Hired new youth assessor • Possible new hire for final adult assessor position • Building layout provides separate youth and adult waiting areas in line with being Trauma Informed
CEO REPORT FINANCIAL FOCUS UPDATE STATE ASSOCIATIONS DIVISIONAL UPDATES HRSA HEALTH DEPARTMENT PARTNERSHIP VOLUNTEERS
GROWTH REPORT – PRIMARY CARE OCT # of Work Days 23.00 # DAYS 23 Net Rev Per Visit PC 162.00 Weekly GOALS MTD Net Patient Rev/Visit 110.00 101 THRU 10/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET 86 Schedule Actual Actual PROJ PRIMARY CARE PROJ VAR VISITS > ACT MTD VISITS GOAL % GOAL REV BUD REV REV % VAR Schedule 10-Hr Day Actual 10-Hr Day 8-Hr Day 58 Dr. Turner 0.20 20.2 5.1 17.2 4.3 3.4 58 79 73% 9,396 178 Dr. Helton 1.00 101.0 25.3 86.0 21.5 17.2 178 396 45% 28,836 23 Dr. Ashraf 0.10 10.1 2.5 8.6 2.2 1.7 23 40 58% 3,726 232 Ashley Whitley 0.90 90.9 22.7 77.4 19.4 15.5 232 356 65% 37,584 331 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 331 396 84% 53,622 227 Amanda Sherwood 0.75 75.8 25.3 64.5 21.5 16.1 227 297 77% 36,774 151 Dr. Hampton 0.50 50.5 12.6 43.0 10.8 8.6 151 198 76% 24,462 28 Bess Lillimar-Stephens 0.10 10.1 2.5 8.6 2.2 1.7 28 40 71% 4,536 1,228 TOTALS 4.55 459.6 121.2 391.3 103.2 81.5 1,228 1,800 68% 198,936 249,227 -50,291 -20.18% Patient Revenue $135,080 85%
GROWTH REPORT – ORAL HEALTH / DENTIST Net Rev Per OH Visit 169.00 Weekly GOALS MONTH END FORECAST Net Patient Rev/Visit 150.00 75 THRU 10/31 Schedule 62 Actual Actual PROJ VISITS ORAL HEALTH VISITS FTE ACT MTD GOAL % GOAL PROJ REV Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day 3 Dr Suter 0.00 0.0 0.0 0.0 0.0 0.0 3 0 #DIV/0! 507 145 Dr. Garland 0.40 30.0 7.5 24.8 6.2 5.0 145 114 127% 24,505 75 Dr. Empkey 0.50 37.5 9.4 31.0 7.8 6.2 75 143 53% 12,675 156 Dr. Garrity 1.00 75.0 18.8 62.0 15.5 12.4 156 285 55% 26,364 109 Dr Blattel 0.75 56.3 14.1 46.5 11.6 9.3 109 214 51% 18,421 143 Dr. Landsford 1.00 75.0 18.8 62.0 15.5 12.4 143 285 50% 24,167 5 Dr. Mazuranic - PRN 0.00 0.0 0.0 0.0 0.0 0.0 5 0 #DIV/0! 845 1 Dr. Puisis - PRN 0.00 0.0 0.0 0.0 0.0 0.0 1 0 #DIV/0! 169 27 Dr. Greaves - PRN 0.00 0.0 0.0 0.0 0.0 0.0 27 0 #DIV/0! 4,563 141 Dr. Emily 1.00 75.0 18.8 62.0 15.5 12.4 141 285 49% 23,829 185 Dr. Taylor 1.00 75.0 18.8 62.0 15.5 12.4 185 285 65% 31,265 143 Dr. Lorenz 1.00 75.0 18.8 62.0 15.5 12.4 143 285 50% 24,167 234 Dr. Darling 1.00 75.0 18.8 62.0 15.5 12.4 234 285 82% 39,546 182 Dr. Mazoli 1.00 75.0 18.8 62.0 15.5 12.4 182 285 64% 30,758 272 Dr. Shakhnovich 1.00 75.0 18.8 62.0 15.5 12.4 272 285 95% 45,968 150 Dr. Cook [8/13 start] 0.75 56.3 14.1 46.5 11.6 9.3 150 214 70% 25,350 1,971 TOTALS 12.40 930.0 232.5 768.8 192.2 153.8 1,971 3,536 56% 333,099 Patient Revenue $295,650 83%
GROWTH REPORT – ORAL HEALTH / HYGENISTS Weekly GOALS MONTH END FORECAST # Pts 42 33 THRU 10/31 Schedule Schedule PROJ Schedul 10 Hr Actu 10 Hr OH - HYGIENISTS FTE e Day al Day ACT MTD VISITS GOAL % GOAL PROJ REV Sandy Holified 0.00 0.00 0.0 0.0 0.0 9 9 0 #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 0 #DIV/0! 9,802 140 Renee Blanken 0.75 31.50 7.9 24.8 6.2 140 114 123% 23,660 58 Ashley Wegener 0.50 21.00 5.3 16.5 4.1 58 76 76% 9,802 91 Angelica Miller 1.00 42.00 10.5 33.0 8.3 91 152 60% 15,379 0 Tiffany Grant - FMLA 0.00 0.00 0.0 0.0 0.0 0 0 #DIV/0! 0 120 Kate Poleos 1.00 42.00 10.5 33.0 8.3 120 152 79% 20,280 73 Elisha Krisher 1.00 42.00 10.5 33.0 8.3 73 152 48% 12,337 80 Rachel Klasek 1.00 42.00 10.5 33.0 8.3 80 152 53% 13,520 Lara Ehlhardt 0.00 0.00 0.0 0.0 0.0 0 0 0 #DIV/0! 0 702 TOTALS 6.05 254.1 63.5 199.7 49.9 702 918 76% 118,638 79% Patient Revenue $105,300 DENTAL REVENUE TOTALS GOAL THRU 10/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET PROJ REV/VIS PROJ BUD VAR VISITS #/WK ACT MTD GOAL IT REV REV 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
GROWTH REPORT – BH Net Rev Per BH Visit 345.77 Weekly GOALS 80% MONTH END FORECAST Net Patient Rev/Visit 210.66 75 THRU 10/31 60 Schedule Actual Actual PROJ VISITS BEHAVIORAL HEALTH FTE ACT MTD GOAL % GOAL PROJ REV Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day 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 17 Dr. P. Gurusiddaiya 0.20 15.0 3.8 12.4 3.1 2.5 17 57 30% 5,878 Dr. C.J. Jos 0.50 37.5 9.4 31.0 7.8 6.2 84 84 143 59% 29,045 30 Dr Daniel Murray 0.20 15.0 3.8 12.4 3.1 2.5 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 Dr. Gautum Rohatgi 1.00 75.0 18.8 62.0 15.5 12.4 163 163 285 57% 56,361 203 Dr. J. Vasireddy 1.00 75.0 18.8 62.0 15.5 12.4 203 285 71% 70,191 Patient Revenue Ashley Whitley 0.10 7.5 1.9 6.2 1.6 1.2 43 43 29 151% 14,868 19 Dr. Kamal (SLU) 0.10 7.5 1.9 6.2 1.6 1.2 19 29 67% 6,570 Dr. Ko (SLU) 0.10 7.5 1.9 6.2 1.6 1.2 24 24 29 84% 8,298 $271,119 Dr. Moebbi (SLU) 0.10 7.5 1.9 6.2 1.6 1.2 24 24 29 84% 8,298 46 Dr. Lucas (Genoa) 0.30 22.5 5.6 18.6 4.7 3.7 46 86 54% 15,905 Dr. Morel (Genoa) 0.15 11.3 2.8 9.3 2.3 1.9 60 60 43 140% 20,746 1,175 SUBTOTAL 6.95 521.3 130.3 430.9 107.7 86.2 1,175 1,982 59% 406,280 THRU BH REVENUE TOTALS 10/31 MONTH END FORECAST - BH REVENUE & BUDGET Net Rev Per BH Visit 345.77 Weekly GOALS 80% PROJ MONTH END FORECAST THRU REV/VI PROJ BUD VAR Net Patient Rev/Visit 210.66 50 10/31 VISITS 40.0 Schedule Actual Actual ACT MTD GOAL SIT REV REV REV % VAR PROJ BEHAVIORAL PROJ VISITS HEALTH FTE ACT MTD GOAL % GOAL REV Adult Psychiatry 1,175 1,175 1,982 59% 406,280 Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day 55 Dr. Lisa Delaney 0.65 48.8 12.2 40.3 10.1 8.1 55 185 30% 19,017 Child Psychiatry 112 112 414 27% 38,726 57 0.80 60.0 15.0 49.6 12.4 9.9 57 228 25% 19,709 Christine Reynolds (APN) 326,94 118,06 112 Total 1,287 1,287 2,396 54% 445,006 6 0 36.11% SUBTOTAL 1.45 108.8 27.2 89.9 22.5 18.0 112 414 27% 38,726
CEO REPORT STATE ASSOCIATIONS
DIVISIONAL UPDATES Update te o on Foundation B Board P Proposal ORAL HEALTH PRIMARY CARE BEHAVIORAL HEALTH PSYCHIATRY
CEO REPORT HRSA MONTHLY QUALITY IMPROVEMENT/ASSURANCE CLINICAL Katy November YES NO NA ANNUAL REVIEW a. QI/QA Program Policies 1 b. Designee to Oversee QI/QA Program 1 c. QI/QA Procedures or Processes 1 QUALITY IMPROVEMENT d. Quarterly Assessments of Clinician Care 1 / ASSURANCE e. Retrievable Health Records 1 f. Confidentiality of Patient Information 1 TOTAL 6 0 0 100% % CONFLICT OF INTEREST FISCAL Lisa NovemberYES NO NA CONFLICT OF INTEREST Wigger a. Standards of Conduct 1 b. Standards for Organizational Conflicts of 1 Interest c. Dissemination of Standards of Conduct 1 d. Adherence to Standards of Conduct 1 TOTAL 4 0 0 100% %
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