21 Municipal Drive Arnold, M O 63010
LOCATION
+1 636 933 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
Board Meeting
April 8, 2019
https://www.facebook.com/COMTREA/
Board Meeting April 8, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting April 8, 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 healthcare
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:
Presented by Sue Curfman
HRSA
Committee, I _________, move that the Board approve the financials for the month of February, 2018.” ACCOUNT RECIEVABLES
MOTION:
Patients love Dr. Garrity and Dr. Mazzoli. Yesterday afternoon we had a couple patients in treatment and I heard someone crying. I wasn’t sure what was going on until I heard the patient thanking everyone. He was so appreciative of the work they had done. He said his seven year old daughter has never seen him smile. He was so excited with the work that was done yesterday he was smiling and in tears. It’s things like this that make me want to come into work every day. We have such great Doctors and Dental Assistants on MAP that are great at what they do and compassionate about their work!
DIVISION PRODUCTION – MARCH 2019
Division Production Clinical Access Hours Week 1 March 1 Week 2
Week 3
15 Week 4
22 Week 5
29 Budget Revenue Forecast Profit / (Loss) Forecast Primary Care 58% 68% 68% 38% 69% $249,227 $170,424 ($78,803)
Minus PTO 69% 70% 44% 70%
Oral Health - Dentists 50% 70% 63% 71% 78% $573,270 $401.355 ($171,915)
Minus PTO 69% 76% 66% 72% 81%
Oral Health - Hygienists 21% 47% 54% 70% 57%
Minus PTO 69% 58% 75% 59%
Behavioral Health - Adult 44% 69% 63% 50% 69% $326,946 $421,839 $94,893
Minus PTO
72% 72% 57% 74% Child Psych. 0% 121% 154% 33% 35%
BEHAVIORAL HEALTH - MARCH 2019
Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient Rev/Visit 210.66 75
Schedule
60
Actual Actual
THRU 3/31 MONTH END FORECAST BEHAVIORAL HEALTH FTE Hrs/W k
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 12.0 167 167 252 66% 57,744 Wk 1 Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 122 122 252 48% 42,184 Wk 2 16
0.20 8.00 15.0 3.8 12.0 3.0 2.4 9 9 50 18% 3,112 Wk 3 53
0.50 20.00 37.5 9.4 30.0 7.5 6.0 84 84 126 67% 29,045 Wk 4 55 Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 38 38 50 75% 13,139 Wk 5 32 Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 188 188 252 75% 65,005 TOTAL 155
0.50 20.00 37.5 9.4 30.0 7.5 6.0 72 72 126 57% 24,895
1.00 40.00 75.0 18.8 60.0 15.0 12.0 196 196 252 78% 67,771 Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 95 95 126 75% 32,848
0.30 12.00 22.5 5.6 18.0 4.5 3.6 62 62 76 82% 21,438
0.30 12.00 22.5 5.6 18.0 4.5 3.6 49 49 76 65% 16,943 SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 49 49 141 35% 16,943 Kamal, Moebbi, Boules 0.0 0.0
SUBTOTAL 7.26 282.50 544.5 136.1 435.6 108.9 87.1 1,131 1,131 1,830 391,066
PRODUCTIVITY minus PTO
62%
BEHAVIORAL HEALTH - MARCH 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 3/31 MONTH END FORECAST Wk 2 BEHAVIORAL HEALTH FTE
Schedu le 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 89 89 101 88% 30,774 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 89 89 101 88% 30,774 TOTAL
PRODUCTIVITY minus PTO
88% PTO Hours - BH REVENUE TOTALS MONTH END FORECAST - BH REVENUE & BUDGET ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR Adult Psychiatry 1,131 1,131 1,830 62% 391,066 Child Psychiatry 89 89 101 88% 30,774 Total 1,220 1,220 1,930 63% 421,839 326,946 94,893 29.02%
Patient Revenue $257,005
PRIMARY CARE – MARCH 2019
March # of Work Days 21.00 Net Rev Per Visit PC 162.00 Weekly GOALS # DAYS MTD 21 Net Patient Rev/Visit 110.00 101
Schedule
86
Actual Actual
THRU 3/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS FTE
Schedu le 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 17.2 201 201 361 56% 32,562 Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 105 105 181 58% 17,010 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 238 238 361 66% 38,556 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 147 147 271 54% 23,814
0.50 50.5 16.8 43.0 14.3 10.8 157 157 181 87% 25,434 Bess Lillimar- Stephens 1.00 101.0 25.3 86.0 21.5 17.2 204 204 361 56% 33,048
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 1,052 1,052 1,716 61% 170,424 249,227 -78,803 -31.62%
PRODUCTIVITY minus PTO
64% PTO Hours 78.0
Patient Revenue $115,720
ORAL HEALTH – MARCH 2019
HD Reimbursement 90.00 30 PTO Hours
Weekly GOALS Net Patient Rev/Visit 150.00 75
Schedule 62 Actual Actual
THRU 3/31 MONTH END FORECAST ORAL HEALTH VISITS FTE
Schedul e 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 1 1 #DIV/0! 169 Wk 1 10.0
0.50 37.5 9.4 31.0 7.8 6.2 56 56 130 43% 9,464 Wk 2 47.0
0.50 37.5 9.4 31.0 7.8 6.2 97 97 130 75% 16,393 Wk 3 22.0
1.00 75.0 18.8 62.0 15.5 12.4 134 134 260 51% 22,646 Wk 4 10.0 Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 136 30 136 30 260 52% 25,684 Wk 5 20.0
1.00 75.0 18.8 62.0 15.5 12.4 158 20 158 20 260 61% 28,502 TOTAL 109.0
0.00 0.0 0.0 0.0 0.0 0.0 22 22 #DIV/0! 3,718
PRN/FMLA 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 12.4 188 20 188 20 260 72% 33,572 Wk 1 10.00 15.5
1.00 75.0 18.8 62.0 15.5 12.4 142 20 142 20 260 55% 25,798 Wk 2 30.00 46.5
1.00 75.0 18.8 62.0 15.5 12.4 127 20 127 20 260 49% 23,263 Wk 3 40.00 62.0
1.00 75.0 18.8 62.0 15.5 12.4 289 289 260 111% 48,841 Wk 4 30.00 46.5
1.00 75.0 18.8 62.0 15.5 12.4 198 20 198 20 260 76% 35,262 Wk 5 40.00 62.0
1.00 75.0 18.8 62.0 15.5 12.4 151 10 151 10 260 58% 26,419 TOTAL 150.00 232.5
1.00 75.0 18.8 62.0 15.5 12.4 153 10 153 10 260 59% 26,757 341.50 TOTALS 11.00 825.0 206.3 682.0 170.5 136.4 1,852 150 1,852 150 2,864 70% 326,488
PRODUCTIVITY minus PTO Visit reduction by HD FTE support
2,632 73%
(Visit reduction + PTO)
Patient Revenue $277,800
ORAL HEALTH / HYGIENISTS – MARCH 2019
Patient Revenue $66,450
Weekly GOALS # Pts 42
Schedule
33
Schedule
THRU 3/31 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 1 1 #DIV/0! 169 Wk 1 0.0 Suzanne Seawel 1.00 42.00 10.5 33.0 8.3 91 91 139 66% 15,379 Wk 2 0.0 Renee Blanken 0.75 31.50 7.9 24.8 6.2 52 52 104 50% 8,788 Wk 3 12.5 Ashley Wegener- FMLA 0.00 0.00 0.0 0.0 0.0 3 3 #DIV/0! 507 Wk 4 12.0 Angelica Miller 1.00 42.00 10.5 33.0 8.3 55 55 139 40% 9,295 Wk 5 Elisha Krisher 1.00 42.00 10.5 33.0 8.3 72 72 139 52% 12,168 TOTAL 24.5 Rachel Klasek 1.00 42.00 10.5 33.0 8.3 61 61 139 44% 10,309 Gina Baker 1.00 42.00 10.5 33.0 8.3 108 108 139 78% 18,252 TOTALS 5.75 241.5 60.4 189.8 47.4 443 443 797 56% 74,867
PRODUCTIVITY minus PTO
79% 57% 79% PTO Hours - DENTAL REVENUE TOTALS GOAL THRU 3/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET #/WK ACT MTD PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR Dentists 1,852 1,852 2,864 70% 326,488 Hygienists 443 443 797 56% 74,867 Total 2,295 2,295 3,661 66% 401,355 573,270
PRIMARY CARE ORAL HEALTH
BEHAVIORAL HEALTH
PSYCHIATRY
Quarterly Update
HRSA – Oral Health Infrastructure Grant (Budget Period Sept 1, 2019 – April 30, 2021)– this is a two-tier submission process, meaning there are 2 steps to make this happen HRSA – Integrated Behavioral Health Services (IBHS) (Budget period Sept 1, 2019 – April 30, 2020) – this is an invitation application process.
AWARD NO: 5 H80CS241050800
MONTHLY REVIEW
ACCESSIBLE LOCATIONS AND HOURS OF OPERATION GOVERNANCE/ADMI N Amanda Beffa April YES NO NA
1
1
1 TOTAL 3 % 100%
COVERAGE FOR MEDICAL EMERGENCIES DURING AND AFTER HOURS CLINICAL
PC-Patty; BH - Margo Pigg; OH -
April YES NO NA
Hours of Operation 1
Operation 1
1
1 TOTAL 4 % 100%
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
47% 53%
APRIL
OU OUT OF OF COM OMPLIANCE
WE MUST INCREASE the 47% to a minimum of 51%
BOARD COMPOSITION
The health center has bylaws or other relevant documents that require the board to be composed4as follows:
board members prescribed;
24 months that generated a health center visit, where both the service and the site where the service was received are within the HRSA-approved scope of project;
center in terms of demographic factors, such as race, ethnicity, and gender;
center’s service area;
income from the health care industry6; and
Funding Entity Program Recipient Description
Amt Requested on Pending Grants
Franklin County Community Resource Board CAC-Union-Prevention Program One – Time Funding
$7775.00
Franklin County Community Resource Board CAC-Union-Therapy One – Time Funding
$2038.95
Jefferson Foundation BH Medication Support for Opioid Use Disorder
$57,000.00
Jefferson Foundation ASP Conflict/Violence Prevention Education Program for students in Jefferson County
$50,000.00
Incarnate Word Foundation TWT Additional Training Classes
$3,900.00
Missouri Housing Development Commission ASP MHOH AHAP-050 (Affordable Housing Assistance Program) Tax Credits of $200,000
$200,000.00
CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary
$5000.00
Grants Applied for that were denied this month We are still waiting to hear on the following grants:
Funding Entity Program Recipient Description
Amt Requested on Pending Grants
United to End Bullying Grant TWT One – Time Funding
$3,000.00
The following grants were applied for this past month:
Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS A Safe Place 56 12 22 42 23 21 5 11 13 205 CAC 24 172 33 17 8 6 8 23 21 312 Employees 14 46 47 34 22 12 7 41 24 247 Board Members 76 66 81 102 68 63 56 39 82 633 Adult and C&Y Div. 3 3 3 9 3 3 14 29 10 77 Tails with Tales 46 36 138 91 89 80 55 123 129 787 Job Shadowing 33 63 82 64 17 24 39 41 363 TOTAL Hours:
219 368 387 377 277 202 169 305 320 2624
MOTION:
Emailed to Board
PERFORMANCE MEASURES - Scores calculated w/o "NA"
Rating Measures 2019 All Responses % Strongly Agree or Agree % Change in SA/A in 2019FY 2019 Stakeholder Survey – 3 yr Trend Performance
FY 2019 Stakeholder Survey – 3 yr Trend Performance, continued
Responding to you/your
Strongly Agree 14 16% 82% 11% 20 29% 71%
18 24% 81% 22% 6 16% 59% Agree 59 66% 29 42% 43 57% 16 43% Disagree 15 17% 13 19% 9 12% 9 24% Strongly Disagree 1 1% 7 10% 5 7% 6 16% Not Applicable 39 21 6 1 Providing staff who are well- trained and knowledgeable Strongly Agree 30 28% 91% 8% 29 38% 83%
20 26% 92% 18% 6 17% 74% Agree 67 63% 35 45% 51 66% 20 57% Disagree 9 8% 12 16% 4 5% 5 14% Strongly Disagree 1 1% 1 1% 2 3% 4 11% Not Applicable 21 13 6 3 Coordinating services with other agencies or community
Strongly Agree 21 21% 91% 11% 23 35% 80%
20 25% 86% 15% 9 26% 71% Agree 68 69% 29 45% 49 61% 16 46% Disagree 8 8% 8 12% 8 10% 7 20% Strongly Disagree 1 1% 5 8% 3 4% 3 9% Not Applicable 30 25 3 3 Clients, family members and/or community partners are treated with respect Strongly Agree 39 36% 96% 6% 30 38% 90%
23 29% 92% 3% 15 41% 89% Agree 65 60% 41 52% 49 63% 18 49% Disagree 4 4% 6 8% 5 6% 4 11% Strongly Disagree 0% 2 3% 1 1% 0% Not Applicable 20 11 4 1 Access to information on the COMTREA website Strongly Agree 21 23% 97% 12% 17 36% 85%
19 28% 91% 3% 6 24% 88% Agree 67 74% 23 49% 43 63% 16 64% Disagree 3 3% 3 6% 6 9% 3 12% Strongly Disagree 0% 4 9% 0% 0% Not Applicable 37 33 14 13
PERFORMANCE MEASURES - Scores calculated w/o "NA"
Rating Measures 2019 All Responses % Strongly Agree or Agree % Change in SA/A in 2019MOTION:
New Staff / Interns Requiring Privileging (during the month of March 2019) Current Staff Re-Privileged (during the month of March 2019)
MOTION: “I, ______, move that the Board accept the March 2019 Credentialing & Privileging Report as presented.”
Name Title Division Status Gower, Christina AVP - Adult BH Behavioral Health Full time Nass, Heather CSS II Behavioral Health Full time Stotler, Jodi Dental Hygienist II Oral Health Part time
Wade-Mahoney, Elizabeth
Telehealth Doctor Behavioral Health
INTERNS Sweetin, Justin
FNP Primary Care Part time Name Title Division Status Hunter, Jeanane Youth Therapist Behavioral Health Full time Empkey, John Dentist Oral Health Part time
As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement
have been held and information gathered will be reported at the May Board Meeting
diabetes A1C measures
with the mobile program
reported monthly at the QIQA meetings
“I, ___, move that the Board approve the March 2019 QIQA Coordinating Council Report.”
MOTION:
Build lding and nd Ground unds Fund Fundraising ASP C Committee Upda pdate
Event Name Date Where Benefitting Contact Info
Furry Tales Do Come True Saturday April 13 Elks Club Festus, MO TWT Laura Casey lcasey@comtrea.org Designer Hand Bag Bingo Friday May 3 Villa Antonio Winery MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 Hawaiian Luau Trivia Night! Friday May 31 TBC Venue Pevely, MO Co-Worker Help Fund Katy Murray kmurray@comtrea.org House of Fashion Sunday July 14 Oak Valley Pevely, MO MHOH at ASP Kim Elbl kelbl@comtrea.org 636-232-2330 CAC Golf Tournament Friday August 16 Oak Valley Golf Course & Resort Pevely, MO CAC Kathy Carr kcarr@comtrea.org
BOARD RECRUITMENT CEO PERFORMANCE EVALUATION
“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/