Board Meeting March 12, 2018 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

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Board Meeting March 12, 2018 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

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Board Meeting March 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

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21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 933 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

March 12, 2018

FACEBOOK

https://www.facebook.com/COMTREA/

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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.

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AGENDA

7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financials CEO Report Action Items Discussion Items Adjournment

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MOTION:

“I, ______, move that the Board approve the March 12, 2018 Meeting Agenda.”

APPROVAL OF AGENDA

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SLIDE 5

MOTION:

“I, ______, move that the Board approve the February 12, 2018 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

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CLOSED SESSION

BOARD MEMBERS ONLY

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SLIDE 7

“As a member of the Finance

Committee, I _________, move that the Board approve the financials for the month of January, 2018.” ACCOUNT RECIEVABLES

$3,771,215.84

FINANCIAL REPORT CASH ON HAND

$1,048,113.91

MOTION:

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SLIDE 8

METRICS REPORTING STATE AND FEDERAL BUDGET UPDATES MEDIA/MARKETING UPDATE DIVISIONAL UPDATES

CEO REPORT

SURVEY RESPONSES HRSA VOLUNTEER REPORT

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SLIDE 9

REVENUE CYCLE DASHBOARD

REVENUE CYCLE DASHBOARD BENCHMARK CASH BALANCE Due each Friday 2/23/18 3/2/18 3/9/18 BofA Operating 110,699.87 178,514.66 81,262.27 US Bank - Athena Payments 180,820.87 204,706.71 8,373.75 Eagle Bank - Savings 26,724.55 26,724.55 26,724.55 BofA Savings 32,353.38 26,168.50 9,397.67 Commerce - Money Market 31,963.93 31,963.93 55,459.80 Sub-Total 382,562.60 468,078.35 181,218.04 Eagle Bank - Escrow 36,679.25 36,679.25 36,679.25 Certificate of Deposits 830,216.62 830,216.62 830,216.62 TOTAL CASH ACCOUNTS 1,249,458.47 1,334,974.22 1,048,113.91 CURRENT ACCTS RECEIVABLE 3,849,781.54 3,650,882.55 3,771,215.84 Weekly AR Collections % CASH to A/R 55% or higher 32.46% 36.57% 27.79%

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SLIDE 10

FEDERAL UPDATES STATE UPDATES

CEO REPORT

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SLIDE 11

CEO REPORT

MEDIA/MARKETING UPDATE

  • Opioid 2018

Conference

  • United Way –

Black Out

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SLIDE 12

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATES

  • Open Access
  • Focus Clinics
  • Qualis

Consulting Update

  • Transition of

Dental Director

  • Dentist/Staffing

Shortage

BEHAVIORAL HEALTH

PSYCHIATRY

  • Open Access
  • Update on DMH

Straight Allocation Shortfall & Plans

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SLIDE 13

PATIENT SATISFACTION SURVEY

0.9449 0.8369 0.8395 0.8754 0.902 0.8893 0.9154 0.9026 0.9702 0.8762 0.8603 0.8947 0.9273 0.9088 0.9467 0.9341 0.75 0.8 0.85 0.9 0.95 1

  • Q4. How nice and

helpful are the staff to you?

  • Q5. How satisfied

are you with the length of time it took to get this appointment?

  • Q6. How satisfied

are you with the length of time in the waiting room?

  • Q7. Do you feel

the services you receive are affordable?

  • Q8. How well does

your provide and/or staff listen to your questions?

  • Q9. How well does

staff talk to you about your health and wellness?

  • Q10. How happy

are you with the

  • verall service(s)

you receive?

  • Q11. What is the

likelihood of referring your friends/family to us?

Per-Cent Response- All Offices

Service Survey Qu Questions

Bi-Annual Patient Satisfaction Survey

  • Sept. 2017
  • Jan. 2018
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SLIDE 14

STAFF SATISFACTION SURVEY

Area / Domain of Employee Engagement

Above National Norm Same as National Norm Below National Norm Point Variance from Norm

Employment Engagement Survey - Response Summary 72 10 33 188 Percent 63% 9% 29% Above/At National Norm 71% Breakout by Area Job Satisfaction Indicators 4 3 11

  • 40

Percent 22% 17% 61% Above/At National Norm 39% Culture Indicators 25 5 8 61 Percent 66% 13% 21% Above/At National Norm 79% Senior Management Indicators 11 1 40 Percent 92% 0% 8% Above/At National Norm 92%

Area / Domain of Employee Engagement

Above National Norm Same as National Norm Below National Norm Point Variance from Norm

Middle Management Indicators 7 42 Percent 100% 0% 0% Above/At National Norm 100% Direct Management Indicators 11 117 Percent 100% 0% 0% Above/At National Norm 100% Communication Indicators 7 1 6 10 Percent 50% 7% 43% Above/At National Norm 57% Commitment Indicators 6 1 2

  • 3

Percent 67% 11% 22% Above/At National Norm 78% Compensation Indicators 1 5

  • 46

Percent 17% 0% 83% Above/At National Norm 17%

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SLIDE 15

CEO REPORT

HRSA Pending Items

  • SAC Application
  • Hillsboro

Treatment Center

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SLIDE 16

BOARD MEMBERS USING FQHC SERVICES

2018

47%

Of Board Members are using FQHC Services

53%

Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%

COMPLIANCE

47% 53%

MARCH

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VOLUNTEER REPORT

Location JULY AUG SEPT OCT NOV DEC JAN FEB TOTAL HOURS Bridle Ridge 68 102 24 28 12 8 242 A Safe Place 5 38 6 8 8 6 10 6 87 CAC 21 164 29 16 19 9 14 76 348 Employees 19 21 39 31 38 30 38 55 271 Board Members 78 74 76 131 84 71 72 45 631 Adult and C&Y Div. Tails with Tales 22 26 37 51 121 84 82 63 486 Community Events 71 216 154 49 12 10 6 15 533 Job Shadowing 76 182 191 59 68 118 694 TOTAL Hours:

284 641 441 496 485 277 290 378 3292

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ACTION ITEMS

REQUIRES A VOTE

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MOTION:

“I, ______, move that the Board approve the February 2018 Leadership Reports to the Board.”

APPROVAL

Leadership Council Reports

Emailed to Board

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MOTION:

“I, ______, move that the Board approve the addition of the unbudgeted position of office associate for the Northwest Office.”

APPROVAL

New Position Approval

1 FTE Office Associate – Northwest Office

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SLIDE 21

MOTION:

“I, ______, move that the Board approve the addition of the unbudgeted position of 1.5 FTE

  • ffice associate for Open Access.”

APPROVAL

New Position(s) Approval

1.5 FTE Office Associates – Open Access Festus

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SLIDE 22

MOTION:

“I, ______, move that the Board approve the revised Financial Assistance Policy from G6.4 Financial Operations/9. Billing Fee Collection”

APPROVAL

G6.4 Financial Operations

  • 9. Billing Fee Collection

“Financial Assistance Policy”

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MOTION:

“I, ______, move that the Board approve the revised Human Resources Policy 11.4 Paid Investigatory Leave.”

APPROVAL

Revised HR Policy – 11.4 Paid Investigatory Leave

Simplified procedures and took out replication of Corrective Action Policy.

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SLIDE 24

CREDENTIALING & PRIVILEGING

Current Staff Re-Privileged (during the month of February 2018)

“I, ______, move that the Board accept the February 2018 Credentialing & Privileging Report as presented.” MOTION:

Name Title Division Amy Hall Child & Youth Therapist BH Maria Bitzer Psychiatric Mental Health Nurse Practitioner BH Pamela Weaver Open Access Assessor BH Carrie Porter Family Support Provider BH Kayla Tuck-Bragg Dental Assistant OH

New Staff / Interns Requiring Privileging (during the month of February 2018)

Name Title Division Courtney Garland Vice President of Oral Health Clinics OH Tim Fasnacht Community Case Manager BH Melissa Craig ADA Counselor BH Gary Gendron DMH Case Manager BH Erika Shanks Medical Assistant PC

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SLIDE 25

QIQA REPORT

PDSA Cycles

Dropping of primary care claims to be done by billing department.

Improvement Noted

Monthly Focus:

  • Human Resources

Job average 2-4yrs

  • Finance

13,318 Unduplicated Patients 48,127 Patient Visits

  • MPCA Quality Measures

Gold Award Level 2/2018

(see Matrix on next slide)

  • ACO Networking

Reduction of Lab Costs across the agency NEXT MONTH’S FOCUS IS: PRIMARY CARE

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QIQA REPORT - MPCA QUALITY MEASURES

“I, ___, move that the Board approve the February 2018 QIQA Coordinating Council Report.”

MOTION:

Clinical Quality Award 2018 Measure Target Month February 2018 Quarter Trailing Year

Hypertension Controlling High Blood Pressure (NQF 0018) 55.0 % above

78.8 % 82.0 % 77.0 %

Child Weight Screening / BMI (NQF 0024) 50.0 % above

98.1 % 97.8 % 97.0 %

Child Weight Screening / Nutritional Counseling (NQF 0024) 15.0 % above

59.0 % 67.4 % 62.3 %

Child Weight Screening / Physical Activity (NQF 0024) 8.0 % above

36.2 % 40.2 % 34.8 %

Tobacco Use: Screening and Cessation (NQF 0028) 80.0 % above

97.4 % 97.5 % 96.2 %

Cervical Cancer Screening (NQF 0032) NQF 0034 50-75 60.0 % above

40.8 % 42.9 % 37.9 %

Colorectal Cancer Screening (NQF 0034) 40.0 % above

48.5 % 52.8 % 42.6 %

Use of Appropriate Medications for Asthma (NQF 0036) 75.0 % above

100.0 % 92.9 % 82.6 %

Diabetes A1c > 9 or Untested (NQF 0059) 25.0 % below

27.1 % 26.2 % 33.4 %

Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 2.3 % above

66.0 % 54.5 % 51.5 %

Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 2.4 % above

85.0 % 84.5 % 77.2 %

BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v5) 75.0 % above

86.2 % 81.4 % 83.7 %

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SLIDE 27

DISCUSSION ITEMS

INFORMATIONAL

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MONTHLY REPORT TO THE BOARD

Build lding and nd Ground nds Capital al C Campai aign Market eting & & Eve vents

  • Bids for Northwest
  • B Building
  • Future Dunklin Build

Marc rch 24 24th Mary’s House of Hope Trivia Night April 2 il 21st

st

TwT Mission Paws-able CAC Dance – Farmington April 2 il 26th Take Back the Night

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BOARD MEMBER

RECRUITMENT

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OLD BUSINESS

FOR DISCUSSION

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PRESENTATION

Mark Stringer

Director, Missouri Department of Mental Health

Nora Brock, MS, LPC

Director of Adult Community Treatment, Division of Behavioral Health

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NEXT SCHEDULED BOARD MEETING

MONDAY, APRIL 9, 2018

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SLIDE 33

ADJOURNMENT

“With no further business to discuss, I, ______, move that the Board adjourn.”

MOTION:

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SLIDE 34

Quarterly Meeting JCCMHFB

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SLIDE 35

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 933 2700

PHONE NUMBER

www.comtrea.org

WEBSITE FACEBOOK

https://www.facebook.com/COMTREA/