Board Meeting June 18, 2018 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

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Board Meeting June 18, 2018 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

Board Meeting June 18, 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


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SLIDE 1

21 Municipal Drive Arnold, M O 63010

LOCATION

+1 636 933 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

June 18, 2018

FACEBOOK

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

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SLIDE 2

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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SLIDE 3

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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SLIDE 4

MOTION:

“I, ______, move that the Board approve the June 18, 2018 Meeting Agenda.”

APPROVAL OF AGENDA

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SLIDE 5

MOTION:

“I, ______, move that the Board approve the May 14, 2018 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

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SLIDE 6

CLOSED SESSION

BOARD MEMBERS ONLY

  • REAL ESTATE
  • PERSONNEL
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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 March, 2018.” ACCOUNT RECIEVABLES

$3,947,041.39

FINANCIAL REPORT CASH ON HAND

$1,580,257.81

MOTION:

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SLIDE 8
  • FINANCIAL FOCUS UPDATE
  • ADVOCACY UPDATE
  • DIVISIONAL UPDATES
  • HRSA
  • FY 2019 STRATEGIC PLANNING

PROCESS

  • VOLUNTEERS

CEO REPORT

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SLIDE 9

GROWTH REPORTS CASH FLOW ACTION PLAN

CEO REPORT

FINANCIAL FOCUS UPDATE

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SLIDE 10

GROWTH REPORT – PRIMARY CARE

Net Revenue Per Visit PC 166.00 Weekly GOALS # DAYS MTD 4 Net Patient Rev/Visit 99.00 92

Schedule

76

Actual

WEEK ONE [5/01 - 5/05] THRU 5/04 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET PRIMARY CARE VISITS > Sched ule 10-Hr Day Actual

10-Hr Day VISITS

% GOAL AVE/ DAY REVEN UE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR

  • Dr. Turner

0.50 46.0 11.5 38.0 9.5 19 50% 4.8 3,154 19 100 16,559

  • Dr. Helton

1.00 92.0 23.0 76.0 19.0 46 61% 11.5 7,636 46 242 319 76% 40,089 Ashley Whitley (ADD BH) 0.90 82.8 20.7 68.4 17.1 61 89% 15.3 10,126 61 320 287 111% 53,162 Ashleigh McGrath 1.00 92.0 23.0 76.0 19.0 61 80% 15.3 10,126 61 320 319 100% 53,162 Amanda Sherwood 0.75 69.0 17.3 57.0 14.3 51 89% 12.8 8,466 51 268 239 112% 44,447

  • Dr. Hampton

0.50 46.0 11.5 38.0 9.5 32 84% 8.0 5,312 32 168 160 105% 27,888 0.0 0.0 0.0 0.0 #DIV/0! 0.0 #DIV/0! TOTALS 4.15 427.8 107.0 353.4 88.4 270 76% 67.5 44,820 270 1,418 1,325 107% 235,30 5 178,449 56,85 6 31.86% 83% Patient Revenue $140,333

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SLIDE 11

GROWTH REPORT – ORAL HEALTH / DENTIST

Net Rev Per Dental Visit 225.00 Weekly GOALS Net Patient Rev/Visit 113.00 75

Schedule

62

Schedule

WEEK ONE [5/01 - 5/05] THRU 5/04 MONTH END FORECAST ORAL HEALTH- DENTISTS FTE

Schedul e 10 Hr Day Actual 10 Hr Day

VISITS % GOAL AVE/DAY REVENU E ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Dr Suter 0.30 22.5 5.6 18.6 4.7 19 102% 3.8 4,275 19 100 78 128% 22,444

  • Dr. Garland

0.75 56.3 14.1 46.5 11.6 16 34% 3.2 3,600 16 84 195 43% 18,900

  • Dr. Empkey

0.50 37.5 9.4 31.0 7.8 26 84% 5.2 5,850 26 137 130 105% 30,713

  • Dr. Garrity

0.80 60.0 15.0 49.6 12.4 25 50% 5.0 5,625 25 131 208 63% 29,531 Dr Blattel 0.80 60.0 15.0 49.6 12.4 23 46% 4.6 5,175 23 121 208 58% 27,169

  • Dr. Landsford

1.00 75.0 18.8 62.0 15.5 25 40% 5.0 5,625 25 131 260 50% 29,531

  • Dr. Mazuranic

0.30 22.5 5.6 18.6 4.7 5 27% 1.0 1,125 5 26 78 34% 5,906

  • Dr. Desamero

0.50 37.5 9.4 31.0 7.8 14 45% 2.8 3,150 14 74 130 56% 16,538

  • Dr. Puisis

1.00 75.0 18.8 62.0 15.5 50 81% 10.0 11,250 50 263 260 101% 59,063

  • Dr. Greaves

0.30 22.5 5.6 18.6 4.7 10 54% 2.0 2,250 10 53 78 67% 11,813 0.0 0.0 0.0 0.0 #DIV/0! 0.0 #DIV/0! TOTALS 6.25 468.8 117.2 387.5 96.9 213 55% 42.6 47,925 213 1,118 1,628 69% 251,606 83% Patient Revenue $126,362

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SLIDE 12

GROWTH REPORT – ORAL HEALTH / HYGENISTS

Weekly GOALS # Pts 42

Schedule

33

Schedule

WEEK ONE [5/01 - 5/05] THRU 5/04 MONTH END FORECAST OH - HYGIENISTS FTE

Schedule 10 Hr Day Actual 10 Hr Day

VISITS % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Sandy Holified 0.10 4.20 1.1 3.3 0.8 0% 0.0 14 0% Suzanne Seawel 0.80 33.60 8.4 26.4 6.6 15 57% 3.0 3,375 15 79 111 71% 17,719 Anna Kloeppel 0.20 8.40 2.1 6.6 1.7 3 45% 0.6 675 3 16 28 57% 3,544 Amanda Govreau 0.80 33.60 8.4 26.4 6.6 5 19% 1.0 1,125 5 26 111 24% 5,906 Renee Blanken 0.75 31.50 7.9 24.8 6.2 0% 0.0 104 0% Ashley Wegener 0.25 10.50 2.6 8.3 2.1 3 36% 0.6 675 3 16 35 45% 3,544 Angelica Miller 1.00 42.00 10.5 33.0 8.3 9 27% 1.8 2,025 9 47 139 34% 10,631 Tiffany Grant 0.50 21.00 5.3 16.5 4.1 25 152% 5.0 5,625 25 131 69 189% 29,531 Kate Poleos 0.75 31.50 7.9 24.8 6.2 0% 0.0 104 0% 0.00 0.0 0.0 0.0 #DIV/0! 0.0 #DIV/0! 0.00 0.0 0.0 0.0 #DIV/0! 0.0 #DIV/0! TOTALS 5.15 216.3 54.1 170.0 42.5 60 35% 12.0 13,500 60 315 714 44% 70,875 79% Patient Revenue $35,595

MONTH END FORECAST - DENTAL REVENUE & BUDGET

PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR 1,118 1,628 69% 251,606 315 714 44% 70,875 1,433 2,341 61% 322,481 454,880 -132,399 -29.11% Patient Revenue 161,957

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SLIDE 13

CASH FLOW ACTION PLAN

# ACTION STEP OWNER Apr-18

1 Develop a "Growth Report" with publication

each Tuesday that records the units of service (visits) each for Primary Care and Oral Health. The run rate for each week will be used to forecast the revenue at the month-to-date run

  • rate. This report will be reviewed with weekly

alignment steps. Sue The Growth Report has been designed and implemented with publication each Tues. to Leadership Council, Practice Managers for Primary Care & Oral Health, and Finance Committee. (a) Develop the Growth Report format Sue Developed 4/06 with revisions over the next two weeks with its current format. (b) Produce the number units of service for the prior week that is due to Sue by noon each Monday. Darlene; Nicole Compliance with meeting this expectation by the Practice Managers, Darlene Herrell for PC and Nicole Bollinger for OH. (c) Obtain the revenue production for the prior week and send to Sue by noon each Monday. Amy Report revised to use net revenue per visit to forecast the revenue MTD and month end. CEO & CFO worked together to derive the conservative rate based on an annual trend. (d) Populate the Growth report and distribute by 3 PM each Tuesday to Leadership Council, Primary Care and Dental Leadership. Sue Distributed per plan. (e) Review of the Growth report by C-Team with assessment of ongoing progress, or lack of, and alignment steps. Sue, Amy, Lisa, Margo C-Team meets weekly on Mondays to review of Growth Report, Cash Flow report and other measures as part of financial management. # ACTION STEP OWNER Apr-18

2 Primary Care Action Plan with 4 key action

steps that is reported on with weekly updates and in-depth review at MORs, which are scheduled the 4th Monday of each month. Darlene Prior Action plan revised to focus on 4 key initiatives with inclusion of Office Managers in the implementation and

  • versight. Scheduled call each Friday

to review progress and daily email/calls as needed. (a) Inclusion of the Primary Action Plan with this Improvement Plan. Sue Completed. (b) Weekly review with Darlene Herrell (Primary Care Operations Manager) on Fridays at 7:30 AM. Sue Ongoing. (c) Monthly review and alignment discussions with Primary Care Leadership (Darlene Herrell, Dr. Turner, Patty Vanek) Sue

  • Ongoing. Dr. Turner has added one

additional hours (20 per week) for seeing patients. Ongoing discussions

  • n collocation of primary care

providers at the BH clinics. Plan to have NP, Ashley Whitley at Arnold

  • eff. 7/1. We have moved Dr.

Hampton to The Valley after Jill was terminated and patient visits are increasing. (d) Reduction in staff - one NP effective 4/06/18 HR Completed. (e) Add one day additional treatment to Dr. Turner's schedule Sue Completed. (f) Continue with enhanced marketing plan. Kim; Liz Two meetings this month with Nathanael (Marketing) and Primary

  • Care. Outcomes are updated

brochures and input for the social media postings.

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SLIDE 14

CASH FLOW ACTION PLAN, cont.

# ACTION STEP OWNER Apr-18

3 Oral Health Action Plan with monthly

projection that outlines the dates for each of the five dentists joining the agency and the corresponding increase in visits and revenues.

  • Dr. Garland;

Nicole Bollinger The six dentist positions have been filled with all dentists onboarding between 5/21 and 8/13. Forecast developed by Dr.. Garland and Dr. Suter with review by the C-Team. (a) Expectation for positive contribution margin and weekly monitoring through the Growth Report and weekly call with Nicole. Sue Dental Leadership working towards fulfillment of this expectation, which is tied to dentists onboard and at

  • capacity. Scheduling for each dentist

will begin prior to each start date. (b) Flex the additional expenses incurred with the Dunklin SBHC with use of existing equipment when possible. Amy This is a component of the work plan. (c) No further expansion; get our current sites performing at expectation when fully staffed. Sue; All Communicated to Dental Leadership and C-Team holding to accountability. (d) HR to revise/expand operational workflows to ensure all providers are credentialed and privileged the day each one starts. Donna Workflow revisions completed and start date in the offer letter contingent

  • n provider’s submission of

credentialing and privileging paperwork by specified date. If not received, start date will be changed to allow full opportunity for provider to be credentialed at the start date. (e) Schedule patients in advance so provider starts with a schedule of patients. Amanda Integrated as part of the new process. # ACTION STEP OWNER Apr-18

4 Strategic Planning and 2019 FY Budget

Sue; Amy (a) Deep dive analysis into requested positions and verification of need; review current roles and determine needs of the business and re-alignment. Sue, Amy, Lisa, Margo In process. (b) Determine which positions could be eliminated

  • r reduced in the FY2019 Budget based on the

changing needs of the business. Sue, Amy, Lisa, Margo In process. (c) Review the ratio of Medical Assistants to Providers and determine best practice ratio with implementation and consistency across divisions. Patty, Margo, Dr. Garland Review completed for Primary Care with average of 1.5 per provider, which is minimum for optimal practice and rooming two patients at each appointment time. (d) Assess treatment time percentages for Clinical Leadership and any changes given the needs of the business. Sue, Amy, Lisa, Margo To be discussed. (e) Identify opportunities for a more "lean" Administrative support. Sue, Amy, Lisa, Margo In process.

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SLIDE 15

ADVOCACY

LEGISLATIVE EVENT JUNE 19

CEO REPORT

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SLIDE 16

PRIMARY CARE ORAL HEALTH

DIVISIONAL UPDATES

BEHAVIORAL HEALTH

PSYCHIATRY

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CEO REPORT

  • MONTHLY

ANNUAL REVIEW

− NEEDS ASSESSMENT − CONTINUITY OF CARE

Site Visit Protocol Section and Demonstrating Compliance Elements HRSA Primary Reviewer COMTREA - Delegated To Month Review Compliance Demonstrated? NEEDS ASSESSMENT

GOVERNANCE /ADMIN

Sue Curfman May YES NO NA

  • a. Service Area Identification and Annual Review

1

  • b. Update of Needs Assessment

1 TOTAL 2 % 100% CONTINUITY OF CARE AND HOSPITAL ADMITTING CLINICAL Sue Curfman May YES NO NA

  • a. Documentation of Hospital Admitting Privileges or

Arrangements 1

  • b. Procedures for Hospitalized Patients

1

  • c. Post-Hospitalization Tracking and Follow-up

1 TOTAL 3 % 100%

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SLIDE 18

BOARD MEMBERS USING FQHC SERVICES

2018

53%

Of Board Members are using FQHC Services

47%

Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%

53% 47%

APRIL IN C COMPLIANCE CE

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SLIDE 19

FY 2019 STRATEGIC PLANNING

FISCAL YEAR 2019 STRATEGIC PLANNING SCHEDULE

STATUS DATE TASK 3/28/18 Distribution of Stakeholder questionnaires, both internal and external, along with the Annual Report. Request for feedback by 4/20/18. Lisa Wigger 4/06/18 C-Team review of 3-year strategic plan (Fiscal Years 2018 – 2020) with review of draft 2019 goals and action steps. Sue, Amy, Margo, Lisa R. 5/07/18 Strategic planning retreat with Leadership Council. Sue & L.C. 5/16/18 All Employee Open Forum 2019 Strategic Planning Sue 5/1718 – 6/06/18 Finalize draft FY 2019 Strategic Plan with integration of feedback and priority needs from multiple inputs.

Sue & Lisa W

6/07/18 Review of draft FY 2018 Strategic plan with Executive Subcommittee of the Board Sue 6/19/18 Presentation of the FY 2018 Strategic Plan and Budget Board & LC

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EXTERNAL STAKEHOLDER SURVEY - PERFORMANCE

PERFORMANCE MEASURES (EXTERNAL STAKEHOLDERS) - Scores calculated w/o "Not Applicable" Rating Measures 2018 - All Responses % Strongly Agree or Agree 2017 - All Responses % Strongly Agree or Agree % Change in SA/A in 2018

  • ver PY

2016 - All Responses % Strongly Agree or Agree % Change in SA/A in 2017

  • ver PY

TOTAL REPORTING 89 89 38

The mission and successes of COMTREA are effectively communicated

Strongly Agree 27 34% 79% 19 24% 82%

  • 4%

7 18% 63% 19% Agree 36 45% 46 58% 17 45% Disagree 12 15% 10 13% 12 32% Strongly Disagree 5 6% 4 5% 2 5% Not Applicable 10 3

Satisfied or highly satisfied with being a COMTREA community partner.

Strongly Agree 41 47% 80% 22 28% 83%

  • 2%

6 16% 65% 18% Agree 29 33% 44 55% 18 49% Disagree 10 11% 12 15% 8 22% Strongly Disagree 7 8% 2 3% 5 14% Not Applicable 14 2 1

Education and training of COMTREA services for your

  • rganization and/or community

Strongly Agree 17 24% 75% 15 19% 69% 5% 3 9% 59% 10% Agree 36 51% 39 50% 16 50% Disagree 11 15% 22 28% 11 34% Strongly Disagree 7 10% 2 3% 2 6% Not Applicable 19 3 6

Access to services in a timely manner

Strongly Agree 17 27% 61% 10 14% 68%

  • 7%

4 11% 44% 23% Agree 22 34% 40 54% 12 33% Disagree 10 16% 17 23% 8 22% Strongly Disagree 15 23% 7 9% 12 33% Not Applicable 26 8 2

Ensuring that the physical health needs of clients in our care are met

Strongly Agree 16 30% 81% 10 16% 84%

  • 3%

4 14% 89%

  • 5%

Agree 27 51% 44 69% 21 75% Disagree 5 9% 10 16% 2 7% Strongly Disagree 5 9% 0% 1 4% Not Applicable 36 17 10

Ensuring that mental health needs/substance use treatment needs of clients in our care are met

Strongly Agree 17 25% 69% 11 15% 77%

  • 8%

6 16% 65% 13% Agree 30 44% 44 62% 18 49% Disagree 14 21% 12 17% 8 22% Strongly Disagree 7 10% 4 6% 5 14% Not Applicable 22 10 1

Ensuring that the oral health needs of clients in our care are met

Strongly Agree 21 36% 83% 15 25% 87%

  • 4%

7 28% 96%

  • 9%

Agree 28 47% 38 62% 17 68% Disagree 7 12% 8 13% 1 4% Strongly Disagree 3 5% 0% 0% Not Applicable 36 19 13

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SLIDE 21

EXTERNAL STAKEHOLDER SURVEY – PERFORMANCE, CONTINUED

PERFORMANCE MEASURES (EXTERNAL STAKEHOLDERS) - Scores calculated w/o "Not Applicable" Rating Measures 2018 - All Responses % Strongly Agree or Agree 2017 - All Responses % Strongly Agree or Agree % Change in SA/A in 2018

  • ver PY

2016 - All Responses % Strongly Agree or Agree % Change in SA/A in 2017

  • ver PY

TOTAL REPORTING 89 89 38 Providing a range of support services needed by clients and their families Strongly Agree 25 34% 86% 16 21% 87% 0% 8 24% 71% 16% Agree 38 52% 49 65% 16 47% Disagree 6 8% 8 11% 7 21% Strongly Disagree 4 5% 2 3% 3 9% Not Applicable 17 5 4 Responding to you/your organization’s concerns Strongly Agree 20 29% 71% 18 24% 81%

  • 10%

6 16% 59% 22% Agree 29 42% 43 57% 16 43% Disagree 13 19% 9 12% 9 24% Strongly Disagree 7 10% 5 7% 6 16% Not Applicable 21 6 1 Providing staff who are well-trained and knowledgeable Strongly Agree 29 38% 83% 20 26% 92%

  • 9%

6 17% 74% 18% Agree 35 45% 51 66% 20 57% Disagree 12 16% 4 5% 5 14% Strongly Disagree 1 1% 2 3% 4 11% Not Applicable 13 6 3 Coordinating services with other agencies or community

  • rganizations

Strongly Agree 23 35% 80% 20 25% 86%

  • 6%

9 26% 71% 15% Agree 29 45% 49 61% 16 46% Disagree 8 12% 8 10% 7 20% Strongly Disagree 5 8% 3 4% 3 9% Not Applicable 25 3 3 Clients, family members and/or community partners are treated with respect Strongly Agree 30 38% 90% 23 29% 92%

  • 2%

15 41% 89% 3% Agree 41 52% 49 63% 18 49% Disagree 6 8% 5 6% 4 11% Strongly Disagree 2 3% 1 1% 0% Not Applicable 11 4 1 Access to information on the COMTREA website Strongly Agree 17 36% 85% 19 28% 91%

  • 6%

6 24% 88% 3% Agree 23 49% 43 63% 16 64% Disagree 3 6% 6 9% 3 12% Strongly Disagree 4 9% 0% 0% Not Applicable 33 14 13

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SLIDE 22

EXTERNAL STAKEHOLDER SURVEY - AWARENESS

AWARENESS OF SERVICES - EXTERNAL STAKEHOLDERS

2018 Total Responses - 90 2017 Total Responses - 102 % Change in YES in 2018 over prior year 2016 Total Responses - 35 % Change in YES in 2017

  • ver

prior year YES NO YES NO YES NO Primary medical care for children/youth/adults 79 11 75 27 14% 27 8

  • 4%

88% 12% 74% 26% 77% 23% Dental care for children/youth/adults 84 6 73 29 22% 30 5

  • 14%

93% 7% 72% 28% 86% 14% Integrated care delivery for medical, dental and behavioral health. 80 10 N/A N/A 89% 11% Co-occurring/Integrated Tx service for SA & mental disorder 82 8 78 24 15% 31 4

  • 12%

91% 9% 76% 24% 89% 11% Residential treatment for adult alcohol/substance abuse 77 25 N/A 19 16 21% 75% 25% 54% 46% Out-patient counseling 84 6 91 11 4% 34 1

  • 8%

93% 7% 89% 11% 97% 3% Residential tx for adolescent alcohol or

  • ther substance abuse

85 17 N/A 31 4

  • 5%

83% 17% 89% 11%

CSTAR substance Abuse

84 6 88 14 7% 34 2

  • 8%

93% 7% 86% 14% 94% 6% “A Safe Place” shelter for domestic violence 82 8 88 14 5% 28 8 8% 91% 9% 86% 14% 78% 22% Keaton ALF for persons with serious and persistent mental illness 57 33 60 41 4% 9 27 34% 63% 37% 59% 41% 25% 75% Supportive Parents court-ordered program 58 32 65 36 0% 17 19 17% 64% 36% 64% 36% 47% 53%

AWARENESS OF SERVICES - EXTERNAL STAKEHOLDERS

2018 Total Responses - 90 2017 Total Responses - 102 % Change in YES in 2018 over prior year 2016 Total Responses - 35 % Change in YES in 2017 over prior year YES NO YES NO YES NO Community Psychiatric Rehabilitation 68 22 81 20

  • 5%

30 6

  • 3%

76% 24% 80% 20% 83% 17% OP, both office and community based, case management 81 9 79 22 12% 35 3

  • 14%

90% 10% 78% 22% 92% 8% Psychosocial Rehabilitation Program (PSR) 64 26 52 49 20% 15 21 10% 71% 29% 51% 49% 42% 58% DWI Court (SROP – serious repeat offender program) 59 31 75 26

  • 9%

22 14 13% 66% 34% 74% 26% 61% 39% Family Drug Court 65 25 85 16

  • 12%

32 4

  • 5%

72% 28% 84% 16% 89% 11% Motivational Probation, formerly known as Juvenile Drug Court 55 35 78 23

  • 16%

34 2

  • 17%

61% 39% 77% 23% 94% 6% Veterans Court 43 47 70 31

  • 22%

21 15 11% 48% 52% 69% 31% 58% 42% Adult Drug Court 69 21 71 28 5% 28 8

  • 6%

77% 23% 72% 28% 78% 22% Children’s Advocacy Center 73 17 81 18

  • 1%

32 4

  • 7%

81% 19% 82% 18% 89% 11% Crime Victim Services: adding Court & Community Victim Advocacy 65 25 59 41 13% 24 12

  • 8%

72% 28% 59% 41% 67% 33% Hospital and ED intervention/ diversion services 58 32 43 57 21% 10 26 15% 64% 36% 43% 57% 28% 72% Disease Management and Care Coordination 54 36 33 67 27% 8 28 11% 60% 40% 33% 67% 22% 78% Tails with Tails program/canine program 80 10 N/A N/A 89% 11% School Liaisons to assist in Jefferson County Schools 80 10 N/A N/A 89% 11%

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SLIDE 23

VOLUNTEER REPORT

Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS Bridle Ridge 68 102 24 28 12 8 242 A Safe Place 5 38 6 8 8 6 10 72 8 8 169 CAC 21 164 29 16 19 9 14 76 18 29 395 Employees 19 21 39 31 38 30 38 55 67 43 381 Board Members 78 74 76 131 84 71 72 45 94 87 812 Adult and C&Y Div. Tails with Tales 22 26 37 51 121 84 82 63 84 81 651 Community Events 71 216 154 49 12 10 6 15 26 87 646 Job Shadowing 76 182 191 59 68 118 60 89 843 TOTAL Hours:

284 641 441 496 485 277 290 444 357 424

4139

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SLIDE 24

ACTION ITEMS

REQUIRES A VOTE

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SLIDE 25

MOTION:

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

APPROVAL

Leadership Council Reports

Emailed to Board

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SLIDE 26

MOTION:

“I, ______, move that the Board approve the CEO Evaluation signed 04/30/18 as presented.

APPROVAL

CEO Evaluation

Discussed in the Closed Session, Approval must be done in Open Session

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SLIDE 27

MOTION:

“I, ______, move that the Board approve the FY 2019 Board Calendar as presented.

APPROVAL

FY 2019 Board Meeting Calendar

Additional Copy provided

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SLIDE 28

MOTION:

“I, ______, move that the Board approve the continuation of Schowalter & Jabouri, P.C. for the purpose of audit services.

APPROVAL

Audit Services

TOTAL COSTS: $39,500

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SLIDE 29

MOTION:

“I, ______, move that the Board approve the awarding of Schowalter & Jabouri, P.C. the contract for Cost Report Services.”

APPROVAL

Cost Report Services

TOTAL COSTS: $1,500

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SLIDE 30

MOTION:

“I, ______, move that the Board approve to discontinue the staff insurance reimbursement benefit as of June 30, 2018.

APPROVAL

Staff Insurance Reimbursement Benefit Elimination

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SLIDE 31

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 7.2.6 Exempt Employees as presented.”

APPROVAL

Revision –HR Policy “7.2.6 Exempt Employees”

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SLIDE 32

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 7.2.7 Non-Exempt Employees as presented.”

APPROVAL

Revision –HR Policy “7.2.7 Non-Exempt Employees”

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SLIDE 33

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 10.2 Attendance as presented.”

APPROVAL

Revision –HR Policy “10.2 Attendance”

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SLIDE 34

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 10.2.1 Charging Leave as presented.”

APPROVAL

Revision –HR Policy “10.2.1 Charging Leave”

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SLIDE 35

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 12.2.2 to 12.2.1 Non Exempt Employees.”

APPROVAL

Revision –HR Policy “12.2.2 to 12.2.1 Non Exempt Employees”

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SLIDE 36

MOTION:

“I, ______, move that the Board approve the revisions of HR Policy 14.4.2 Reporting as presented.”

APPROVAL

Revision –HR Policy “14.4.2 Reporting”

Employee Abuse, Harassment or Grievance Policy

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SLIDE 37

MOTION:

“I, ______, move that the Board approve the deletion

  • f HR Policies 12.4, 12.4.1, 12.4.2, 12.4.3, 12.4.4 and

the original 12.2.1 as presented.”

APPROVAL

Deletion –HR Policy “12.4, 12.4.1, 12.4.2, 12.4.3, 12.4.4 and the original 12.2.1”

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SLIDE 38

MOTION:

“I, ______, move that the Board approve the revision

  • f MED 35 Med Refill Policy for the G11 Medical

Manual as presented.”

APPROVAL

Revision G11 Medical Manual “MED 35 Med Refill Policy”

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SLIDE 39

CREDENTIALING & PRIVILEGING

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

Name Title Division Hope Clark Resident Assistant BH

Taylor Kennedy

Dentist OH

Brian Darling

Pediatric Dentist OH

Emily Kennedy

Dentist OH

Christine Reynolds

Advanced Practice Nurse BH Name Title Division

Amanda Sherwood

Nurse Practitioner PC Melissa Hollrah Intensive In-Home Specialist BH

Monica Beauchamp

Community Support Specialist BH

Rachael Bersdale

VP - Adult Behavioral Health BH

Rachel Pourchot

AVP - Adult Behavioral Health BH

Judy Jennewein

School Liaison BH

Melanie Hampton

Pediatrician PC

Jeffrey Best

Community Case Manager/Therapist BH

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

MOTION:

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

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SLIDE 40

QIQA REPORT

  • Continue to work on improvement to the peer review process. Some health insurance partners are

requiring quarterly peer review updates. Katy is monitoring and addressing as issues / concerns / questions come up. Need to have consistency prior to go live with electronic peer reviews.

  • Discussed how/what to share on the TVs located in the Physician Offices. Jump drives will be provided to

all locations with pre-loaded loops to share information on chronic disease, patient survey results, etc.

  • Opioid Dispensing Monitoring: Dr. Turner has implemented a process to review prescribing practices and

address outliers / issues with the prescribing physician. Dr. Turner also will be discussing this in the Primary Care Provider meeting.

  • Darlene, Katy, and Patty did a fantastic job of completing the QIAQ website! The new site has a link to

launch the tracking tools for PDSA’s and Quality Measures.

  • Review of quality measures shows positive trend for all tracked items
  • IT IS IMPERATIVE THAT WE HAVE INCREASED BOARD USAGE OF COMTREA’S

SERVICES! We have to maintain at least 51% of board members within a rolling 2 years to be using / or

have used Comtrea’s services.

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SLIDE 41

QIQA REPORT - MPCA QUALITY MEASURES

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

MOTION:

Name Target Result Mar 2018 Result Apr 2018 Result Trailing Year Mar 2018 Result Trailing Year Apr 2018 Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 82% 78% 77.0% 78% Child Weight Screening / BMI (NQF 0024) 50.0% 96.8% 97.8% 97.0% 96.7% Child Weight Screening / Nutritional Counseling (NQF 0024) 15.0% 62.9% 67.4% 62.3% 63.1% Child Weight Screening / Physical Activity (NQF 0024) 8.0% 46.0% 57.6% 34.8% 36.5% Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 97.1% 96.2% 96.4% 96.2% Cervical Cancer Screening (NQF 0032) 60.0% 42.4% 43.0% 36.8% 37.1% Colorectal Cancer Screening (NQF 0034) 40.0% 53% 43.1% 42.3% 42.3% Use of Appropriate Medications for Asthma (NQF 0036) 75.0% 100.0% 75.0% 84.6% 79.3% Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 22.4% 31.1% 36.0% 37.3% Screening for Clinical Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 2.3% 67.2% 77.8% 52.4% 52.2% Screening for Clinical Depression and Follow-Up Plan 18+ yrs (NQF 0418) 2.4% 85.9% 82.7% 76.4% 75.7% BMI Screening and Follow-Up 18+ Years – 2 BMI Ranges (NQF 0421 – CMS69v4) 75.0% 85.7% 84.0% 83.6% 83.2%

TEAL color i indi ndicates q es qua uality measu sure t e target achi hieved ed

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SLIDE 42

DISCUSSION ITEMS

INFORMATIONAL

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SLIDE 43

MONTHLY REPORT TO THE BOARD

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

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SLIDE 44

BOARD MEMBER

RECRUITMENT

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SLIDE 45

OLD BUSINESS

FOR DISCUSSION

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SLIDE 46

NEXT SCHEDULED BOARD MEETING

  • THURSDAY, JUNE 14TH 7:30AM -10:00AM

Full Board Strategic Planning & Budget Overview

  • MONDAY, JUNE 18TH 7:30AM

Regular Board Meeting

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SLIDE 47

ADJOURNMENT

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

MOTION:

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SLIDE 48

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