Board Meeting December 9, 2019 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation
Board Meeting December 9, 2019 LOCATION PHONE NUMBER WEBSITE FACEBOOK 227 Main Street +1 636 931 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Festus, MO 63028 AGENDA 7:30 AM Meeting Open CEO Report Approval of Agenda and
227 Main Street Festus, MO 63028
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:
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Presented by
MOTION: “As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of October, 2019.”
“Ashleigh McGrath is great, she listens she's thorough she shows she cares.” “I get the treatment that I need. It's a lifeline for me” “They were patient with me. When I got my teeth pulled.” “Affordable, great to work with, staff that ACTUALLY listens.” “I like how hard the staff works to meet the needs of the patients.” “They are great! They answer any questions, show compassion, and are very nice and i really care about everyone that work on me they really seem to care and help you.”
~ Client comments from the October Patient Satisfaction Survey
BEHAVIORAL HEALTH – NOVEMBER 2019
BEHAVIORAL HEALTH - ADULT
Bonus Full time Hours per week Eligible Scheduled Patient Hours of Work Hours ADJ GOAL ACTUAL % GOAL ≥ 70%
Ivy Alwell (APN) 275 111 40% Bitzer, Maria (APN) 344 181 53%
172 124 72% Dr Daniel Murray 73 34 46% Kelly Ratz (APN) 321 206 64%
174 104 60%
321 214 67%
110 65 59% Ashley Whitley 220 116 53% SLU Docs (Kamal, Moebbi, Boules, Dr. B) 206 26 13% Equivalent of 3 work days/week
2218 1181 53%
BEHAVIORAL HEALTH – NOVEMBER 2019
BEHAVIORAL HEALTH - CHILD/YOUTH
Bonus Full time Hours per week Eligible Scheduled Patient Hours of Work Hours ADJ GOAL ACTUAL % GOAL ≥ 70%
152 116 76%
91 66 72%
104 103 99%
347 285 82%
INTEGRATED STAFF Ashley Whitley 291.47 158.00 54%
PRIMARY CARE – NOVEMBER 2019
Scheduled Patient Hours of Work Hours ADJ GOAL ACTUAL % GOAL ≥ 70% Ashley Whitley 71 42 59% Ashleigh McGrath 330 248 75% Amanda Sherwood 241 186 77%
184 152 83% Bess Lillimar-Stephens 264 152 58% Kelly Nichols pt. care 10/15 344 181 53%
#DIV/0!
#DIV/0!
55 #DIV/0! TOTALS 1679 1,123 67%
ORAL HEALTH – NOVEMBER 2019
ORAL HEALTH - DENTISTS Scheduled Patient Hours of Work Hours # days MTD 19
Full time Hours per week THRU 11/01 MONTH END FORECAST ACT MTD PROJ VISITS GOAL % GOAL PROJ REV
72 72 118 61% 12,168
43 43 118 37% 7,267
254 254 236 108% 42,926
229 229 236 97% 38,701
220 220 236 93% 37,180
215 215 236 91% 36,335
134 134 236 57% 22,646
115 115 236 49% 19,435
20 20 118 17% 3,380 TOTALS 1,384 1,384 1,826 76% 233,896
ORAL HEALTH / HYGIENISTS – NOVEMBER 2019
ORAL HEALTH HYGIENISTS # days MTD 19 Full time Hours per week THRU 11/01 MONTH END FORECAST ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Sandy Holifield 17 17 63 27% 2,873 Renee Blanken 82 82 94 87% 13,858 Ashley Wegener 20 20 63 32% 3,380 Angelica Miller 29 29 63 46% 4,901 Elisha Krisher 110 110 125 88% 18,590 Rachel Klasek 106 106 125 85% 17,914 Gina Baker 103 103 125 82% 17,407 Jodi Stotler #DIV/0! Micki Stafko 62 62 125 49% 10,478 Jessica Armbruster #DIV/0! TOTALS 529 529 784 67% 89,401
PRIMARY CARE ORAL HEALTH
BH/PSYCHIATRY
HRSA Information - FY 2020 Noncompeting Continuation (BPR) Progress Report Approval – will be
submitted by Friday, December 13, 2019. In addition the change of scope will be submitted for the closure of Twin City Dental.
HRSA PR Monthly Review 100% Compliant
SLIDING FEE DISCOUNT PROGRAM
FISCAL Amy Rhodes December YES NO NA
1
1
1
1
1
1
1
1
1
1
1
TOTAL 11 % 100%
FINANCIAL MANAGEMENT AND ACCOUNTING SYSTEMS
FISCAL Amy Rhodes December YES NO
Systems 1
1
Procedures 1
1
1 TOTAL 5
Of Board Members are using FQHC Services
Board Members NOT utilizing FQHC Services
HRSA REQUIRES 51% OF THE BOARD TO BE CONSUMERS
CURRENTLY IN COMPLIANCE
Funding Entity Program Recipient Description Amt Requested on Pending Grants Status
CCP Grant (Crisis Counseling Program Immediate Services Program) BH For 2 part-time positions 20 hours a week
Unknown at this time The term and amount of this grant is not known yet
Franklin County Community Resource Board CAC Requested for the Family Advocate Position- $25,500 and for the Prevention Specialist $52,762.50. This is a 18 month grant cycle January 2020-June 2021.
$25,500 $52,762.50 No updates at this time
Franklin County United Way CAC Currently working on the application for this funding
$13,600 No updates at this time
Saigh Foundation TWT for No More Bullying! Program One – Time Funding
$5635 In Review – January Notification
VOCA Grants – 2 year grants
ASP, CAC and MHHP Two year grants. A Safe Place and CAC are sustaining grants and the Mary’s House of Hope is a new grant to cover operational costs. If awarded the grants would start October 1, 2019 through September 30, 2021.
2019 through September 30, 2021) a 20% match is required of $76,284.
2019 through September 30, 2021) a 20% match is required of $120,829 Notified grants awarded for ASP and CAC however less than usual, grant was not awarded for MHOH Operational costs
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 TOTAL HOURS A Safe Place 9 19 8 9
45
CAC 8 10 2 6
26
Employees 12 6 19 11
48
Board Members 84 58 99 120 71
432
Adult and C&Y Div. 59 34 93
186
Tails with Tales 55 108 88 113 153
517
Job Shadowing 7 25 58 48
138
TOTAL Hours:
210 230 334 320 298 1392
MOTION:
Emailed to Board
MOTION:
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MOTION:
Current Staff Re-Privileged (during the month of November 2019) New Staff / Interns Requiring Privileging (during the month of November 2019)
MOTION:
“I, ______, move that the Board accept the November 2019 Credentialing & Privileging Report as presented.”
Name Title Division Baugh, Madalyn Case Manager-Youth ERE BH Novotny, Megan Case Manager- Therapist BH Rapisardo, Suzanne Case Manager- Therapist BH Stueckroth, Ellen Case Manager- Therapist BH Whitwell, Kristin Counselor - ADA BH Withouse, Sara CSS BH Name Title Division Bernard, Stacy Therapist BH Couch, Makenzie CSS BH Hayat, Murtaza Physician PC Swope, Susan Physician PC
Name Target Result Numerator Denominator Exclusions BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 78.0% 82.0% 219 267 4 Care Coordination (MPCA PCHH) 75.0% 47.4% 9 19 Care Coordination 3-17 (MPCA PCHH) 0.0% Care Coordination 18+ (MPCA PCHH) 47.4% 9 19 Child Weight Screening / BMI (NQF 0024) 85.0% 92.9% 13 14 Child Weight Screening / Nutritional Counseling (NQF 0024) 70.0% 78.6% 11 14 Child Weight Screening / Physical Activity (NQF 0024) 60.0% 71.4% 10 14 Diabetes A1c < 8 (NQF 0059 modified) 65.0% 62.7% 69 110 Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 27.3% 30 110 Diabetes BP < 140/90 (NQF 0059 modified) 70.0% 85.5% 94 110 Hypertension Controlling High Blood Pressure (NQF 0018) 66.0% 91.4% 148 162 3 SBIRT Substance Abuse Screening and Follow Up (MPCA PCHH) 70.0% 75.4% 196 260 11 SBIRT Drug Use (MPCA PCHH) 12.0% 27 225 SBIRT Excessive Drinking (MPCA PCHH) 6.5% 16 245 Screening for Depression and Follow-Up Plan (NQF 0418) 80.0% 75.3% 73 97 185 Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 42.9% 3 7 5 Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 77.8% 70 90 180 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 96.0% 121 126 4 Use of Appropriate Medications for Asthma 75.0% 92.9% 13 14 5 Use of Appropriate Medications for Asthma Ages 5-11 (NQF 0036 modified) 0.0% Use of Appropriate Medications for Asthma Ages 12-18 (NQF 0036 modified) 0.0% Use of Appropriate Medications for Asthma Ages 19-50 (NQF 0036 modified) 92.3% 12 13 3 Use of Appropriate Medications for Asthma Ages 51-64 (NQF 0036 modified) 100.0% 1 1 2
Care Coordination has increased 22% since last October, but we are still trying to reach our goal of 75%. The difficulty to meet this measure is to contact the patient within 3 days from discharge. While we now may know as soon as they are discharged, it is difficult to reach the patient in the required 3 days. Diabetes A1C >9 or untested Last year in October we were meeting the measure at 25%, currently we are at 27% and striving to reduce to at least 25%. In August you can see we were up to 30% but have started to slowly decrease. Point of care testing in the office has helped to reduce this number. Diabetes BP <140/90 We are exceeding our goal of 70% at 85%. Last October we were at 78% so we have increased 7%. Our Medical Assistants have started checking blood pressure after intake questions in order to give our patients time to settle in after walking to room to get a more accurate BP.
UDS Diabetes: Hemoglobin A1c Poor Control (Diabetic Patients with HbA1c >9%) or No Test During Year.
The Health Center provides the total number of diabetic patients and the baseline diabetes measure. Then, the health center provides an updated measure in percentages on a quarterly basis. Total number of diabetic patients as of: Date: 8/1/2019 Baseline diabetes measure Date: 8/1/2019 Report 1 measure Date: 11/1/2019 Report 2 measure Date: 2/1/2020 Report 3 measure Date: 5/1/2020 Report 4 measure Date: 8/1/2020
590 patients 35.8% 33.8% 595 Patients
By August, 2020, COMTREA will decrease the percentage of 90 selected empaneled patients with a Hemoglobin A1c >9 or untested from 100% to 33%.
reported quarter went from 100% to 77%, this reflects a 23% decrease in those individuals who are untested or having a Hemoglobin A1c > 9.
additional care management efforts. By August, 2020, COMTREA will increase the percentage of diabetic patients who have been referred to the dietitian from 5.4% to 15%
reported quarter went from 5.4% to 8.74%, a 3.3% increase in the amount of dietitian related referrals for diabetic individuals served. By August, 2020, COMTREA will increase the percentage of diabetic patients who were assessed for depression and had a follow-up plan documented, from 83% to 90%.
reported period reflected a 3.8% decrease form 83% to 79.2%.
currently being reviewed to improve this measure.
Primary Care Clinicians completed 100% of their 2020 Quarter 1 Peer Reviews.
regards to the question: Appropriate pt education and risk reeducation well documented with new diagnosis and or preventative need F/U appropriate and
the clinician the deficiency and education will be provided.
Questions for Survey:
1. Chief complaint present and concise 2. Review of systems/symptoms present, appropriate and thorough 3. Smoking status and appropriate follow-up documented 4. Medication allergies reviewed 5. Medication list reviewed and updated 6. Physical exam appropriate, though and well documented 7. Review of recent studies, results, consults documented an incorporated into visit as indicated 8. Diagnosis reasonable and consistent with hx, available data and
documented 9. Treatment Plan appropriate, in accordance with evidence based best practices as well documented. Consultation with collaborator or specialist if indicated. If procedure perfumed is there an informed consent completed prior to performing the procedure. 10. Diagnostic plan adequate and if indicated, appropriate lab and or referrals ordered and well documented 11. Appropriate pt education and risk reduction well documented 12. Appropriate p education and risk reeducation well documented with new diagnosis and or preventative need F/U appropriate and documented 13. Billed at appropriate level. Ancillary services included on super bill All Questions are answered with a YES/NO/NA
Total Cost per Patient-3rd year $495 $495 $632.13 Medical Cost per Patient-3rd year $118 (per visit) $118 (per visit) $224.21 Change in net assets to expense ratio-3rd year 5% 5% 2% (before sale of Bridle Ridge loss) Working Capital to monthly expense ratio-3rd year 1.9 1.9 3.67 Long term debt to equity ratio-3rd year 0 .11
in red indicate that we are not at
the cash and that is good.
term debt is also good at this time.
MOTION: “I, ___, move that the Board approve the November 2019 QIQA Coordinating Council Report.”
Face-to-Face Individuals Seen July 8-19, 2019 Face-to- Face Individuals Seen Oct 7-18, 2019 Number of Surveys Turned In Percent Surveys Turned In
Face Percent of Total Surveys Turned in of Surveys Received A Safe Place 3 5 0.00% 0.00% COMTREA - Arnold 599 529 30 5.67% 6.45% COMTREA - Festus 591 553 78 14.10% 16.77% COMTREA - Gravois Road - High Ridge 204 163 33 20.25% 7.10% COMTREA Health Center at the Valley 199 343 11 3.21% 2.37% COMTREA . - Court Services - Hillsboro 38 38 23 60.53% 4.95% COMTREA Welcome Center 92 80 69 86.25% 14.84% COMTREA Twin City Dental Center 80 0.00% High Ridge Family Medical Center 226 261 83 31.80% 17.85% Hickory Plaza Health Center 430 472 116 24.58% 24.95% MAP Mobile Dental Center 112 154 0.00% 0.00% Fox Dental Health Center 194 168 22 13.10% 4.73% Total 2768 2766 465 16.81% 465
Low return rate in Arnold
Returned Total Received 578/2876* 478 100 399 136 Answer Choices (Select all that apply) Responses 4/2019 All Discipline Offices Responses 4/2019 Welcome Center Responses 10/2019 All Discipline Offices Responses 10/2019 Welcome Center
Family/Friend 37.47% 163 28.72% 27 38.34% 143 26.87% 18 Newspaper 0.00% 0.00% 0.80% 3 1.49% 1 Radio 0.23% 1 0.00% 0.80% 3 1.49% 1 Website 6.44% 28 4.26% 4 8.58% 32 8.96% 6 Referral 31.26% 136 29.79% 28 26.54% 99 29.85% 20 Facebook (Oct 2018 renamed Social Media) 0.69% 3 0.00% 0.54% 2 1.49% 1 Billboard 1.38% 6 0.00% 0.27% 1 1.49% 1 Insurance Company 5.29% 23 1.06% 1 5.36% 20 1.49% 1 Event (added Oct 2018) 0.46% 2 1.06% 1 0.27% 1 0.00% Other 21.15% 92 42.55% 40 24.66% 92 43.28% 29
Responses 4/2019 All Discipline Offices Responses 4/2019 Welcome Center Responses 10/2019 All Discipline Offices Responses 10/2019 Welcome Center
95.13%
450 87.78% 79
98.24%
391 91.18% 124
this appointment? 89.79%
422 NA NA
87.53%
344 NA NA
waiting room? 87.50%
413 NA NA
90.64%
358 NA NA
88.06%
413 NA NA
92.13%
363 NA NA
questions?
wellness goals? 90.87%
408 NA NA
94.04%
347 NA NA
receive?
us? 91.53%
411 80.90% 72
95.08%
348 95.59% 65
New-The staff listen to what I say I need. 92.74%
434NA NA
95.16%374
NA NA
New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me. 86.08%
402 NA NA
90.56%
3555 NA NA
New-Did you find the facility clean and inviting? 95.97%
452 95.51% 85
98.23%
388 100.00% 136
New-Did you feel safe coming to your appointment (lighting, parking, etc)? 95.34%
450 89.77% 79
97.23%
387 100.00% 136
New-The services provided here certainly address my concerns and needs. 92.02%
415 NA NA
94.02%
346 NA NA
NEW Was this a good location for you? Welcome Center only 4/8/2019 added.
76.40% 68 74.36% 52
care? Answer Choices Responses 4/2019 Responses 10/2019 Yes 92.43 403 96.56 337 No 7.57% 33 3.44% 12 Answered 436Answered 349 Skipped 42Skipped 50
Answer Choices Responses 4/2019 Responses 10/2019 Primary Care 10.44% 43 27.91% 96 Dental Care 15.05% 62 16.28% 56 Behavioral Health 61.41% 253 42.73% 147 New-How would you like to be contacted for appointment reminders? Answer Choices Responses 4/2019 Responses 10/2019 Text 48.30% 213 47.50% 171 Call 39.68% 175 12.50% 45 Email 2.27% 10 2.22% 8 Postcard 0.68% 3 1.11% 4 Other (Please specifiy) 36.67% 132
MOTION:
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
McAlister’s Adult Emergency Help Fund
Tuesday December 10 2019 McAlister’s Arnold, MO ABH Clients Kim Elbl kelbl@comtrea.org 636-232-2330
Music Trivia
Saturday January 25 2020 TBC Venue Pevely, MO TWT Laura Casey lcasey@comtrea.org
Mardi Gras
Saturday February 1 2020 Corpus Christi Center Imperial, MO ASP Kim Elbl kelbl@comtrea.org 636-232-2330
Champions for Children Horse Races
Saturday February 22 2020 John B. Busch Brewery Washington, MO CAC Kathy Carr KCarr@comtrea.org
Stand-up for Kids Comedy Show
Friday April 3 2020 Twin Oaks Vineyard Farmington, MO CAC Kathy Carr KCarr@comtrea.org
Annual Un-Gala
Saturday April 25 2020 Meramec/Arnold Elks Club Imperial, MO TWT Laura Casey lcasey@comtrea.org
Western Trivia
Friday June 05 2020 Frederick’s Festus, Mo Co-Worker Help Fund Committee Kim Elbl kelbl@comtrea.org 636-232-2330
BOARD – SECRETARY
“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/