Board Meeting March 9, 2020 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting March 9, 2020 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 931 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, MO 63010 AGENDA 7:30 AM Meeting Open CEO Report Approval of Agenda and
21 Municipal Drive Arnold, MO 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE
https://www.facebook.com/COMTREA/
CEO Report Action Items Discussion Items Adjournment 7:30 AM – Meeting Open Approval of Agenda and Minutes CLOSED SESSION Financial Review Program Highlight Mission Statement
MOTION:
MOTION:
Presented by
instructions
(pulpotomies) procedures
Premier Dental Anesthesia Supplies Training needed for providers and assistants Approval by State Inspectors for facility 2019 numbers: ~$208,000 in production on 238 patients
in Pediatric Dentistry Circles
Greater St. Louis Area Pediatric Dental Study Club Missouri Academy of Pediatric Dentistry Greater St. Louis Dental Society American Academy of Pediatric Dentistry American Board of Pediatric Dentistry
INCREASED EFFICIENCY
versus 2-3 for general dentists
dental offices IMPROVED CARE
dentists
based care following the guidelines of the American Academy
PATIENT ADVOCACY
neglect cases to state
touch with resources for insurance coverage and access to care
MOTION: “As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of January 2020.”
Love your support of special needs kids
“I wanted to send a quick note saying how much I admire your support of special needs kids, no matter the nature of their disability. We have a few children with physical and cognitive disabilities in our neighborhood play group, so I’ve kept information on hand to make sure *every* child feels included.”
BEHAVIORAL HEALTH ADULT– FEBRUARY 2020
Scheduled Actual
PTO- TRAINING
Month Totals Full time Hours per week 40 Contracted # 20 min Actual Units Total MONTH END PERFORMANCE Scheduled Patient Hours of Work Hours 90% Work Hours units 85% Visit Units % of Goal ADJ GOAL
ACTUAL
% GOAL Ivy Alwell (APN) 1.00 40.00 108.00 91.80 192 52% 40.00 275 192 70% Bitzer, Maria (APN) 1.00 40.00 108.00 91.80 147 40% 0.00 367 147 40%
0.50 20.00 54.00 45.90 96 52% 15.00 149 96 64% Dr Daniel Murray 0.00 0.00 0.00 0.00 #DIV/0! 0.00 #DIV/0! Kelly Ratz (APN) 1.00 40.00 108.00 91.80 200 54% 4.50 357 200 56%
0.50 20.00 54.00 45.90 49 27% 48.00 129 49 38%
1.00 40.00 108.00 91.80 212 58% 35.00 287 212 74%
0.30 12.00 32.40 27.54 61 55% 1.40 107 61 57% Ashley Whitley 0.10 4.00 10.80 9.18 16 44% 10.00 34 16 48% SLU Docs (Kamal, Moebbi, Boules, Dr. B) 0.56 22.40 60.48 51.41 66 32% 30.00 66 #DIV/0! Equivalent of 3 work days/week 0.00 0.00 #DIV/0! 0.00 0.00 #DIV/0! 5.96 238.40 643.68 547.13 1,039 47% 183.90 1705 1039 61%
BEHAVIORAL HEALTH CHILD – FEBRUARY 2020
Scheduled Actual
PTO- TRAININ G-LEAVE Month Totals Full time Hours per week 40 Contracted # 20 min Actual Units Total MONTH END PERFORMANCE Scheduled Patient Hours of Work Hours 85% Work Hours units 85% Visit Units % of Goal ADJ GOAL ACTUAL % GOAL
0.40 16.00 40.8 34.68 120 87% 0.00 139 120 87%
0.30 12.00 30.6 26.01 66 63% 0.00 104 66 63%
0.30 12.00 30.6 26.01 107 102% 0.00 104 107 102% 0.00 #DIV/0! 1.00 40.00 102.00 86.70 293 84% 0.00 347 293 84% Total Visit Types - Child/Youth & Adult
INTEGRATED STAFF
Scheduled Actual
PTO- TRAININ G-LEAVE Month Totals Full time Hours per week 40 Contracted # 20 min Actual Units Total MONTH END PERFORMANCE Scheduled Patient Hours of Work Hours 85% Work Hours units 85% Visit Units % of Goal ADJ GOAL ACTUAL % GOAL Ashley Whitley 0.26 10.40 28.08 23.87 27.00 28% 30.00 63.04 27.00 43%
PRIMARY CARE – FEBRUARY 2020
PER WEEK
PTO- TRAINING
Month Totals Work Weeks/Month
Sche duled Actual Avatar Ajd. % of Adj. Goal AVATAR Full time Hours per week 40 Contracted # 20 min Actual Units Total Monthly Goal MONTH END PERFORMANCE PC Adjust Scheduled Patient Hours of Work Hours 90% Work Hours units 85% Visit Units TOTALS ADJ GOAL ACTUA L % GOAL REV % GOAL Ashley Whitley 0.16 6.40 17.28 14.69 11 46 24% 20.00 29 11 37% 42% Ashleigh McGrath 1.00 40.00 108 91.80 183 286 64% 19.00 324 183 57% 60% Amanda Sherwood 0.75 30.00 81 68.85 157 215 73% 8.00 257 157 61% 65%
0.50 20.00 54 45.90 106 143 74% 0.00 184 106 58% 61% Bess Lillimar-Stephens (FMLA 1/02/2020) 0.00 0.00 0.00 #DIV/0! 0.00 #DIV/0! #DIV/0! Kelly Nichols pt. care 10/15 0.91 36.40 98.28 83.54 160 260 61% 7.50 318 160 50% 53%
HRS/WK 0.80 32.00 86.4 73.44 140 229 61% 2.00 290 140 48% 51%
HRS/WK 0.90 36.00 97.2 82.62 115 258 45% 16.17 297 115 39% 41%
0.00 0.00 0.00 #DIV/0! 0.00 #DIV/0! #DIV/0! TOTALS 5.02 200.80 542.1 6 460.84 872 1,437 61% 72.67 1699 872 51% 55%
ORAL HEALTH – FEBRUARY 2020
Scheduled Patient Hours of Work Hours 33.50 83.75% Weekly GOALS PTO- TRAINING
Month Totals Full time Hours per week 40.00 Work Hours 75 Schedule MONTH END FORECAST MONTH END PERFORMANCE FTE Schedul e 10 Hr Day % GOAL PROJ REV ADJ GOAL ACTUA L % GOAL
0.50 20.00 37.5 9.4 82% 17,238 14.00 113 102 90%
0.50 20.00 37.5 9.4 90% 18,759 4.00 121 111 92%
1.00 40.00 75.0 18.8 88% 37,011 24.00 211 219 104%
1.00 40.00 75.0 18.8 68% 28,561 24.00 211 169 80%
1.00 40.00 75.0 18.8 63% 26,195 4.00 242 155 64%
1.00 40.00 75.0 18.8 62% 25,857 5.00 240 153 64%
1.00 40.00 75.0 18.8 58% 24,505 4.00 242 145 60%
1.00 40.00 75.0 18.8 68% 28,561 4.00 242 169 70%
Th) 0.50 20.00 37.5 9.4 57% 11,999 4.00 121 71 59%
0.00 0.00 0.0 0.0 #DIV/0! 0.00 #DIV/0!
0.20 8.00 15.0 3.8 111% 9,295 0.00 50 55 111% Dr Blattel 0.00 0.00 0.0 0.0 #DIV/0! 0.00 #DIV/0! TOTALS 7.70 308.00 577.5 144.4 71% 227,981 91.00 1,792 1,349 75%
ORAL HEALTH / HYGIENISTS – FEBRUARY 2020
ORAL HEALTH HYGIENISTS Weekly GOALS
PTO- TRAINING- LEAVE Month Totals
Full time Hours per week 40.00 Work Hours 42
Schedule
MONTH END FORECAST MONTH END PERFORMANCE FTE Schedul e 10 Hr Day % GOAL PROJ REV ADJ GOAL ACTUA L % GOAL Sandy Holifield 0.5 20.00 21.0 5.3 120% 13,685 4.00 66 79 120% Renee Blanken 0.5 20.00 21.0 5.3 115% 13,165 4.00 66 76 115% Ashley Wegener 0.5 20.00 21.0 5.3 97% 11,086 4.00 66 64 97% Angelica Miller 0.5 20.00 21.0 5.3 98% 11,260 4.00 66 65 98% Elisha Krisher 1 40.00 42.0 10.5 77% 17,496 11.00 126 101 80% Rachel Klasek 1 40.00 42.0 10.5 70% 15,937 9.50 127 92 72% Gina Baker 1 40.00 42.0 10.5 85% 19,401 4.00 132 112 85% Jodi Stotler 0.00 0.0 0.0 #DIV/0! 0.00 #DIV/0! Micki Stafko 0.6 24.00 25.2 6.3 0% 0.00 81 0% Jessica Armbruster 0.00 0.0 0.0 #DIV/0! 0.00 #DIV/0! TOTALS 5.60 224.00 235.2 58.8 80% 102,030 40.50 731 589 81%
COMTREA SERVICES MAPPED
(refer to 11x17 MAP)
Primary
Behavioral Health Arnold / Festus / High Ridge Oral Health Hickory / SBHC Primary Care Emerson / (Peds Only) Hickory Plaza
Secondary
Behavioral Health (Psych) Hickory Plaza / SBHC Oral Health MAP Primary Care Arnold / Festus / Hickory Plaza
PRIMARY CARE ORAL HEALTH
BH/PSYCHIATRY
HRSA PR Monthly Review
CLINICAL STAFFING CLINICAL Katie Harman;
Kristy Neuman March YES NO NA
1
1
1
1 TOTAL 4 %
100%
KEY MANAGEMENT STAFF
GOVERNANCE/ADMIN
Katie Harman March YES NO NA
1
1
1
1
1 TOTAL 5 %
100%
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
HRSA REQUIRES 51% OF THE BOARD TO BE CONSUMERS
CURRENTLY OUT OF COMPLIANCE
Funding Entity Program Recipient Description Amt Requested on Pending Grants Status
Franklin County United Way CAC Currently working on the application for this funding $13,600 Awarded Walmart Grants MHOH Applied for (3) grants Unknown Awarded (1) Festus Walmart $2,000 / Denied (1) Waterloo Walmart and pending a 3rd
Note te t this l list only i includes t those g grants ts that a t are still pending o g or had b been a applied f for / / awarded or d declined d during t g the c curre rent mon month
(FY: 2020-2021)
Location JULY AUG SEPT OCT NOV DEC JAN FEB TOTAL HOURS A Safe Place 9 19 8 9 14 6 8 73 CAC 8 10 2 6 2 28 Employees 12 6 19 11 11 59 Board Members 84 58 99 120 71 60 68 73 633 Adult and C&Y Div. 48 40 71 140 32 26 357 Tails with Tales 55 108 88 113 153 65 80 77 739 Job Shadowing 7 25 58 48 11 11 53 213 TOTAL Hours:
199 236 312 460 330 189 165 211 2102
MOTION:
Emailed to Board February 28th, 2020
MOTION:
MOTION:
MOTION:
Sliding Fee A B C D E STANDARD CHARGE Category 0 - 100% of FPL 101 - 125% of FPL 126 - 150% of FPL 151 - 175% of FPL 175 - 200% of FPL 201 - 300% of FPL Family Size Monthly Income Yearly Income Monthly Income Yearly Income Monthly Income Yearly Income Monthly Income Yearly Income Monthly Income Yearly Income Monthly Income Yearly Income 1 $0 - $1,063 $0 - $12,760 $1,064 - $1,329 $12,761 - $15,950 $1,330 - $1,595 $15,951 - $19,140 $1,596 - $1,861 $19,141 - $22,330 $1,862 - $2,127 $22,331 - $25,520 $2,128 & Over $25,521 & Over 2 $0 - $1,437 $0 - $17,240 $1,438 - $1,796 $17,241 - $21,550 $1,797 - $2,155 $21,551 - $25,860 $2,156 - $2,514 $25,861 - $30,170 $2,515 - $2,873 $30,171 - $34,480 $2,874 & Over $34,481 & Over 3 $0 - $1,810 $0 - $21,720 $1,811 - $2,263 $21,721 - $27,150 $2,264 - $2,715 $27,151 - $32,580 $2,716 - $3,168 $32,581 - $38,010 $3,169 - $3,620 $38,011 - $43,440 $3,621 & Over $43,441 & Over 4 $0 - $2,183 $0 - $26,200 $2,184 - $2,729 $26,201 - $32,750 $2,730 - $3,275 $32,751 - $39,300 $3,276 - $3,821 $39,301 - $45,850 $3,822 - $4,367 $45,851 - $52,400 $4,368 & Over $52,401 & Over 5 $0 - $2,557 $0 - $30,680 $2,558 - $3,196 $30,681 - $38,350 $3,197 - $3,835 $38,351 - $46,020 $3,836 - $4,474 $46,021 - $53,690 $4,475 - $5,113 $53,691 - $61,360 $5,114 & Over $61,361 & Over 6 $0 - $2,930 $0 - $35,160 $2,931 - $3,663 $35,161 - $43,950 $3,664 - $4,395 $43,951 - $52,740 $4,396 - $5,128 $52,741 - $61,530 $5,129 - $5,860 $61,531 - $70,320 $5,861 & Over $70,321 & Over 7 $0 - $3,303 $0 - $39,640 $3,304 - $4,129 $39,641 - $49,550 $4,130 - $4,955 $49,551 - $59,460 $4,956 - $5,781 $59,461 - $69,370 $5,782 - $6,607 $69,371 - $79,280 $6,608 & Over $79,281 & Over 8 $0 - $3,677 $0 - $44,120 $3,678 - $4,596 $44,121 - $55,150 $4,597 - $5,515 $55,151 - $66,180 $5,516 - $6,434 $66,181 - $77,210 $6,435 - $7,353 $77,211 - $88,240 $7,354 & Over $88,241 & Over Each additional person add $373 $4,480 $374 $467 $4,481 $5,600 $468 $560 $5,601 $6,720 $468 $653 $6,721 $7,840 $468 $747 $7,841 $8,960 $748 $935 $8,961 Sliding Fee Category A B C D E $20 Charge $30 Charge $35 Charge $40 Charge $45 Charge Standard Charge PRIMARY CARE Discounted Charges include the office visit and a limited number of services and labs. New Pt. - 99203 - $190 ** Well Woman Exam - Pap test included in discounted fee
Final office visit charge determined The patient may have additional charges after the office visit based on the completed encounter by the Medical Provider after seeing Provider-Medicare Patient will be notified of additional charges prior to any procedures and/or labs. coding standards. Check Fee Schedule for Well Care Exam Fees-based on age Mental Health/Substance Abuse A B C D E $20 Charge $30 Charge $35 Charge $40 Charge $45 Charge Standard Charge Discounted Fee applies to Initial Evalution AND each Medication See Detail page Management Appointment with the Doctor. Charges apply for each individual counseling sessions. Other behavioral health service charges are listed on detail page DENTAL CARE A** B C D E $40/visit 30% of charges 40% of charges 45% of charges 50% of charges Plus lab fees **Note: Patients in this category are eligible for no fee dental services based upon availability. Lab fees include: crowns, root canals, dentures, etc. See separate fee schedule $125 - Limited Exam, 1 BW:PA:Pano , and 1 simple extraction, surgical extraction or filling any additional sameday treatment will be $50 for a simple extraction, $100 for a surgical extraction and $75 for an additional filling.
Good Thru January 31, 2021 [or unless otherwise
updated by Department of Health and Human Services]
MOTION:
MOTION:
Returned 399 Returned 216 136 Returned 76 Answer Choices (Select all that apply) Responses 10/2019 All Discipline Offices Responses 1/2020 All Discipline Offices Responses 10/2019 Welcome Center Only Responses 1/2020 Welcome Center Only Family/Friend Family/Friend 38.34% 143 32.63% 62 Family/Friend 26.87% 18 23.53% 16 Newspaper Newspaper 0.80% 3 0.53% 1 Newspaper 1.49% 1 0.00% Radio Radio 0.80% 3 0.00% Radio 1.49% 1 0.00% Website Website/Inter net Search 8.58% 32 5.79% 11 Website/Internet Search 8.96% 6 2.94% 2 Referral Referral 26.54% 99 30.53% 58 Referral 29.85% 20 42.65% 29 Facebook (Oct 2018 renamed Social Media) Social Media 0.54% 2 1.58% 3 Social Media 1.49% 1 0.00% Billboard Billboard 0.27% 1 0.53% 1 Billboard 1.49% 1 0.00% Insurance Company Insurance Company 5.36% 20 8.42% 16 Insurance Company 1.49% 1 0.00% Event (added Oct 2018) Event 0.27% 1 0.00% Event 0.00% 0.00% Other Other (please 24.66% 92 28.42% 54 Other (please specify) 43.28% 29 35.29% 24 specify)
Good and Great Responses only
Responses 10/2019 All Discipline Offices Responses 1/2020 All Discipline Offices Responses 10/2019 Welcome Center Responses 1/2020 Welcome Center
98.24%
391
97.18%
207 91.18% 124 98.68% 75
get this appointment? 87.53%
344
91.55%
195 NA NA NA NA
waiting room? 90.64%
358
92.05%
167 NA NA NA NA
92.13%
363
89.25%
191 NA NA NA NA
questions?
and wellness goals? 94.04%
347
91.09%
184 NA NA NA NA
receive?
us? 95.08%
348
95.54%
193 95.59% 65 97.33% 73
% WEN ENT U UP
% WEN ENT U UP
Responses 10/2019 All Discipline Offices Responses 1/2020 All Discipline Offices Responses 10/2019 Welcome Center Responses 1/2020 Welcome Center New-The staff listen to what I say I need. 95.16% 374 94.79% 200 NA NA NA NA New-In deciding about my recovery plans, I feel like I am in charge and the staff are there to help me. 90.56% 3555 87.32% 186 NA NA NA NA New-Did you find the facility clean and inviting? 98.23% 388 98.59% 210 100.00% 136 98.68% 75 New-Did you feel safe coming to your appointment (lighting, parking, etc)? 97.23% 387 98.12% 209 100.00% 136 98.68% 75 New-The services provided here certainly address my concerns and needs. 94.02% 346 95.53% 192 NA NA NA NA NEW Was this a good location for you? Welcome Center only 4/8/2019 added. 74.36% 52 81.33% 61
Answer Choices
Responses 10/2019 Responses 1/2020
Yes 96.56 337 94.33 183 No 3.44% 12 5.67% 11 Answered 349Answered 194 Skipped 50Skipped 22
Answer Choices
Responses 10/2019 Responses 1/2020
Primary Care 27.91% 96 8.74% 16 Dental Care 16.28% 56 27.87% 51 Behavioral Health 42.73% 147 33.33% 61 Substance Use 20.22% 33 Other 9.84% 18 New-How would you like to be contacted for appointment reminders? Text 47.50% 171 48.74% 97 Call 12.50% 45 16.58% 33 Email 2.22% 8 2.51% 5 Postcard 1.11% 4 1.01% 2 Other (Please specify) 36.67% 132 31.16% 62
% WEN ENT U UP
MOTION:
Current Staff Re-Privileged (during the month of February 2020) New Staff / Interns Requiring Privileging (during the month of February 2020)
MOTION:
“I, ______, move that the Board accept the February 2020 Credentialing & Privileging Report as presented.”
Name Title Division Bernard, Stacy Therapist BH Bhattacharyya, Anjan SLU Faculty Doctor Psych Cardinali, Mirranda Counselor - ADA BH Kluge, Catherine Open Access Assessor BH Pope, Elizabeth Counselor - ADA BH Reese, Amy MA PC Stueckroth, Ellen Therapist - Youth BH Zoellner, Melyssa Open Access Assessor BH Name Title Division Manning, Kimber Peer Specialist BH Nickelson, Ashley Dental Assistant OH Peterson, Melissa Dental Assistant OH
Measure 2020 Target Child Weight Screening/BMI (NQF 0024) 50.0% Child Weight Screening/Nutritional Counseling (NQF 0024) 25.0% Child Weight Screening/Physical Activity (NQF 0024) 25.0% Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% Screening for Clinical Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% Screening for Clinical Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% Diabetes A1c > 9 or Untested (NQF 0059) 25.0% Diabetes Eye Exam (NQF 0055) 25.0% Diabetes Foot Exam (NQF 0056) 50.0% Breast Cancer Screening NQF 2371 45.0% Cervical Cancer Screening (NQF 0032) 60.0% Colorectal Cancer Screening (NQF 0034) 40.0% Tobacco Use: Screening and Cessation (NQF 0028) 80.0% BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0%
Awards criteria, selected by the Missouri CHC Chief Medical Officers.
which is obtained by meeting all 12 selected measures.
measures were added: Breast Cancer Screening, Diabetes Foot Exam and Diabetes Eye Exam.
July 31st to August 31st.
PLATINUM (all 12 measures met) GOLD (10-11 measures met) SILVER (9 measures met) BRONZE (8 measures met)
MOTION: “I, ___, move that the Board approve the February 2020 QIQA Coordinating Council Report.”
MONTHLY SUBCOMMITTEE REPORTS TO THE BOARD
Build lding and nd Ground unds Fund Fundraising & & Capital al C Campai aign MHOH C Committee Upda pdate
Event Name Date Where Benefiting Contact Info
Mary’s 40th Birthday Bash Trivia Night Saturday March 21 2020 Festus Elks MHOH Kim Elbl kelbl@comtrea.org 636-232-2339 Stand-up for Kids Comedy Show Friday April 3 2020 Twin Oaks Vineyard Farmington, MO CAC Kelsey Christian kchristian@comtrea.org Woofstock Annual Un-Gala Saturday April 25 2020 Festus Elks Club Festus, MO TWT Laura Casey lcasey@comtrea.org Designer Bag Bingo Friday May 1 2020 Villa Antonio Winery Hillsboro, MO MHOH Kim Elbl kelbl@comtrea.org 636-232-2339 Pickleball Tournament Saturday May 30 2020 Jokerst Park Festus, MO MHOH Kim Elbl kelbl@comtrea.org 636-232-2339 Western Trivia Friday June 05 2020 Frederick’s Festus, Mo Co-Worker Help Fund Committee Kim Elbl kelbl@comtrea.org 636-232-2339 CAC Golf Tournament Friday August 14 2020 Oak Valley Golf Course CAC Kim Elbl kelbl@comtrea.org Blacklight Bingo Saturday October 3 2020 Imperial Elks MHOH Kim Elbl kelbl@comtrea.org 636-232-2339
Note: T The he J JCCMHFB w will meet di directly after t toda day’s m meeting ing!
“With no further business to discuss, I, ______, move that the Board adjourn.”
MOTION:
21 Municipal Drive Arnold, MO 63010
LOCATION
+1 636 931 2700
PHONE NUMBER
www.comtrea.org
WEBSITE FACEBOOK
https://www.facebook.com/COMTREA/