Board Meeting January 13, 2020 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

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Board Meeting January 13, 2020 LOCATION PHONE NUMBER WEBSITE - - PowerPoint PPT Presentation

Board Meeting January 13, 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


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21 Municipal Drive Arnold, MO 63010

LOCATION

+1 636 931 2700

PHONE NUMBER

www.comtrea.org

WEBSITE

Board Meeting

January 13, 2020

FACEBOOK

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

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AGENDA

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

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MOTION:

“I, ______, move that the Board approve the, January 13, 2020 Meeting Agenda.”

APPROVAL OF AGENDA

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MOTION:

“I, ______, move that the Board approve the December 9, 2019 Meeting Minutes.”

APPROVAL OF MEETING MINUTES

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CLOSED SESSION

BOARD MEMBERS ONLY

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CLOSED SESSION

MOTION:

“I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)

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CLOSED SESSION - AGENDA

MOTION:

“ I, __________, move that the Board approve the January 13, 2020 Closed Session Agenda,”

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CLOSED SESSION – MEETING MINUTES

MOTION:

“I, ___________, move that the Board approve the December 9, 2019 Closed Meeting Minutes.”

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CLOSED SESSION – ADJOURNMENT

MOTION:

“I, ___________, move that the Board adjourn from closed session and enter back into Open Session.” (All others must agree by Voice Vote)

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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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MONTHLY HIGHLIGHT

Treatment Court

Presented by

Beth Kreminski, AVP Adult BH

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WHAT IS TREATMENT COURT?

Treatment Court is an alternative sentencing court for individuals who have become involved in the court system, either by criminal charges or a finding of child abuse and/or neglect. Our four courts are: Adult, Family, Veteran, and DWI. Through our programs, individuals are often able to avoid incarceration, obtain treatment, continue to work and pay taxes, take care of their families, and contribute to society in a meaningful way.

  • Court participants attend individual

and group therapy and are also accountable to a probation officer or children’s division, they have to call a UA testing line daily, attend court weekly, and engage in community self-help meetings and face many

  • ther rigorous requirements.
  • Individuals are required to have

negative drug and alcohol screens, stable self-sufficient housing, gainful employment, rebuild family and other supportive relationships, and obtain transportation just a few short months after being involved in active substance use.

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TREATMENT COURT FUNDING

75 People were enrolled in the Treatment Court Programs

2019

  • Treatment is mainly funded by DMH

DMH

  • Our medically-assisted treatment is billed

through OSCA (office of state court administrators).

OSCA

  • Community partners have established a 501

(c) (3), Veterans and Alternative Treatment Court Foundation, that help meet housing, medical and transportation needs of the individuals served.

Community Partners

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TREATMENT COURT SUCCESS STORY

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TREATMENT COURT

BARRIERS TREATMENT COURT ENCOUNTERS INCLUDE: Working with the courts is tough. Our counselors are COMTREA staff, however, they work very closely with the judges, court administrator and clerk, prosecutor’s office, sheriff’s office, probation, VA, juvenile office and children’s division. Those community partners don’t always view treatment in the same way we view treatment. We are continually grooming these relationships and actively working to improve communication across the teams.

An individual generally gets into the Treatment Court program by a referral. These referrals come from:

  • Attorneys
  • Probation
  • the VA
  • the prosecutor’s office
  • juvenile office or children’s division to the

Treatment Court Administrator Referrals are processed with the prosecutor or juvenile officer to determine if they will be agreeable to an alternative sentencing court.

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FINANCIAL REPORT

MOTION: “As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of November, 2019.”

CASH ON HAND $1,910,875.73 ACCOUNT RECEIVABLES $3,777,276.62

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Mercy recognizes TWT program, therapy dog Emma

Emma was walking the track with a patient but suddenly stopped and refused to proceed. The patient continued along without Emma, but before the patient completed another lap, she began to recognize chest discomfort. Therapy Services Cardiac Rehab staff responded to the patient and managed the situation. It is believed that Emma realized that something wasn’t right with the patient and was trying to alert

  • thers. The Therapy Services Cardiac Rehab department

presented a medal to Emma for recognizing the patient in need.

Emma with Physical Therapist Carla Raidt

Tails with Tales therapy dog Emma stepped up her game by providing more than just good cheer and comfort last week in the Therapy Services Cardiac Rehab outpatient gym.

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GROWTH REPORT

BEHAVIORAL HEALTH – DECEMBER 2019

CEO REPORT

Full time Hours per week 40 Contracted Scheduled Patient Hours of Work Hours 90% Work Hours ADJ GOAL ACTUAL % GOAL Ivy Alwell (APN) 1.00 40.00 197 111 56% Bitzer, Maria (APN) 1.00 40.00 351 148 42%

  • Dr. C.J. Jos

0.50 20.00 166 91 55% Dr Daniel Murray 0.00 0.00 38 #DIV/0! Kelly Ratz (APN) 1.00 40.00 296 182 61%

  • Dr. Gautum Rohatgi

0.50 20.00 139 40 29%

  • Dr. J. Vasireddy

1.00 40.00 310 210 68%

  • Dr. Morel (Genoa)

0.30 12.00 85 43 51% Ashley Whitley 0.75 30.00 195 116 59% SLU Docs (Kamal, Moebbi, Boules, Dr. B) 0.56 22.40 206 77 37% Equivalent of 3 work days/week 0.00 0.00 0.00 0.00 TOTALS 6.61 264.40 1945 1056 54%

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GROWTH REPORT

BEHAVIORAL HEALTH – DECEMBER 2019

CEO REPORT

Full time Hours per week 40 Contracted Scheduled Patient Hours of Work Hours 85% Work Hours ADJ GOAL ACTUAL % GOAL

  • Dr. Lisa Delaney

0.50 20.00 195 87 45%

  • Dr. Lucas (Genoa)

0.30 12.00 104 78 75%

  • Dr. Wade Mahoney

0.30 12.00 104 109 104% 0.00 1.10 44.00 403 274 68% Ashley Whitley 0.91 36.40 242.08 165.00 68%

INTEGRATED STAFF

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GROWTH REPORT

PRIMARY CARE – DECEMBER 2019

CEO REPORT

Full time Hours per week 40 Contracted Scheduled Patient Hours of Work Hours 90% Work Hours ADJ GOAL ACTUAL % GOAL Ashley Whitley 0.16 6.40 47 49 104% Ashleigh McGrath 1.00 40.00 252 199 79% Amanda Sherwood 0.75 30.00 202 129 64%

  • Dr. Hampton

0.50 20.00 171 133 78% Bess Lillimar-Stephens 1.00 40.00 325 206 63% Kelly Nichols pt. care 10/15 0.875 35.00 289 168 58%

  • Dr. Swopes (start 12/16/19)

1.00 40.00 356 9 3%

  • Dr. Hayat (start 1/06/20)

#DIV/0!

  • Dr. Ashraf

0.00 0.00 85 #DIV/0! TOTALS 5.29 211.40 1642 978 60%

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GROWTH REPORT

ORAL HEALTH – DECEMBER 2019

CEO REPORT

Full time Hours per week 40.00 Work Hours FTE ADJ GOAL ACTUAL % GOAL

  • Dr. Garland

0.50 20.00 95 15 16%

  • Dr. Empkey

0.50 20.00 127 104 82%

  • Dr. Darling

1.00 40.00 226 176 78%

  • Dr. Mazzoli

1.00 40.00 208 185 89%

  • Dr. Shakhnovich

1.00 40.00 228 172 75%

  • Dr. Cook

1.00 40.00 233 151 65%

  • Dr. Invencion

1.00 40.00 214 104 49%

  • Dr. Aquino

1.00 40.00 226 90 40%

  • Dr. Autry (32 hrs in Jan - M-W-Th)

0.50 20.00 124 65 52%

  • Dr. A. Greaves - PRN

0.00 0.00 #DIV/0!

  • Dr. M. Greaves - PRN

0.00 0.00 55 #DIV/0! Dr Blattel 0.25 10.00 64 0% 0.00 0.00 #DIV/0! 0.00 0.00 #DIV/0! 0.00 0.00 #DIV/0! TOTALS 7.75 310.00 1,744 1,117 64%

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GROWTH REPORT

ORAL HEALTH / HYGIENISTS – DECEMBER 2019

CEO REPORT

ORAL HEALTH HYGIENISTS Full time Hours per week 40.00 Work Hours FTE ADJ GOAL ACTUAL % GOAL Sandy Holifield 0.5 20.00 52 4 8% Renee Blanken 0.75 30.00 81 106 131% Ashley Wegener 0.5 20.00 54 21 39% Angelica Miller 0.5 20.00 65 31 48% Elisha Krisher 1 40.00 114 85 74% Rachel Klasek 1 40.00 114 91 80% Gina Baker 1 40.00 111 90 81% Jodi Stotler 0.00 #DIV/0! Micki Stafko 0.6 24.00 80 0% Jessica Armbruster 0.00 #DIV/0! TOTALS 5.85 234.00 671 428 64%

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FEDERAL AND STATE ASSOCIATIONS ADVOCACY AND COMMUNITY INVOLVEMENT CEO REPORT

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PRIMARY CARE ORAL HEALTH

DIVISIONAL/DEPARTMENT UPDATES

BH/PSYCHIATRY

CEO REPORT

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HRSA Information – Add Welcome Center under Scope (approval during action items) HRSA PR Monthly Review

CEO REPORT

PROGRAM MONITORING AND DATA REPORTING SYSTEMS FISCAL OR GOVERNANCE/ADMIN Lisa Rothweiler January YES NO NA

  • a. Collecting and Organizing Data

1

  • b. Data-Based Reports

1 TOTAL 2 % 100

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BOARD MEMBERS USING FQHC SERVICES

Of Board Members are using FQHC Services

47% %

Board Members NOT utilizing FQHC Services

HRSA REQUIRES 51% OF THE BOARD TO BE CONSUMERS

53%

CEO REPORT JANUARY 2020

CURRENTLY IN COMPLIANCE

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MONTHLY GRANT UPDATE

CEO REPORT

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 Awarded -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 Awarded full grant Franklin County United Way CAC Currently working on the application for this funding $13,600 No updates at this time, their board meets on the 14th Saigh Foundation TWT for No More Bullying! Program One – Time Funding $5635 In Review – January Notification 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

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VOLUNTEERS

CEO REPORT

(FY: 2020-2021)

Location JULY AUG SEPT OCT NOV DEC TOTAL HOURS A Safe Place 9 19 8 9 14 59 CAC 8 10 2 6 2 28 Employees 12 6 19 11 11 59 Board Members 84 58 99 120 71 60 492 Adult and C&Y Div. 48 40 71 140 32 26 357 Tails with Tales 55 108 88 113 153 65 582 Job Shadowing 7 25 58 48 11 149 TOTAL Hours:

199 236 312 460 330 189 1726

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ACTION ITEMS

REQUIRES A VOTE

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MOTION:

“I, ______, move that the Board approve the December 2019 Leadership Reports to the Board.”

APPROVAL

Leadership Council Reports

Emailed to Board

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MOTION:

“I, ______, move that the Board approve the change of scope adding the Welcome Center / Psychiatry services as presented.”

APPROVAL

Change of Scope Addition Welcome Center - Psychiatry

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MOTION:

“I, ______, move that the Board approve the revisions to G6 Financial Manual 6.7 Payment Practices as presented.”

APPROVAL

Revised G6 FIN Manual

FIN 6.7 Payment Practices

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CREDENTIALING & PRIVILEGING

Current Staff Re-Privileged (during the month of December 2019) New Staff / Interns Requiring Privileging (during the month of December 2019)

MOTION:

“I, ______, move that the Board accept the December 2019 Credentialing & Privileging Report as presented.”

Name Title Division Brinkley, Crystal Medical Assistant Primary Care Gassier, Britney LPN Primary Care White, Princess Resident Assistant Behavioral Health Name Title Division Bowden, Mary Medcical Assistant Behavioral Health Budding, William Counselor - ADA Behavioral Health Greaves, Audrey Dentist Oral Health Kreminski, Beth AVP - Adult BH Behavioral Health Lane, Nicholas CSS Behavioral Health Morel, Rachel Telepysch doctor Psychiatry Owen, Rhonda Case Manager - Therapist Behavioral Health Pascoe, Shelby Counselor - ADA Behavioral Health Reese, Amy Medical Assistant Primary Care Staley, Gina Intensive In-home Specialist Behavioral Health

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QIQA REPORT

  • December Focus
  • BH
  • Board Member Count (53%)
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Behavioral Health Focus – Clinical Measures

CCBHC: Performance Measures Report Results October 2019

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Behavioral Health Focus: Peer Reviews

  • 27 BH Peer Reviews were completed for 1st Qtr FY 2020. Initial and Annual

Assessments and Treatment Plans were compared for Best Practice requirements

  • Initial Assessments had 2 areas to review; Thoroughness of Assessment

and DMH Diagnosis Consistent with Assessment. All Annual Assessment were consistent with Best practices.

  • Treatment Plans that accompanied the Initial Assessments had 7 out of 10

areas needing review, e.g. goals, services and documentation. Treatment Plans that accompanied the Annual Assessments had 2 out of 10 areas needing review, e.g. follow-up/discharge and needed risk assessments. Of the 27 reviews, 9 were identified as High Risk Individuals

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PATIENT FOCUS GROUP OCTOBER 2019

LAURA BILSLAND / CHRISTINA GOWER

Overview

  • History and Process
  • 3 Groups, 3 Sites
  • 18 Adults - 18 Individuals Served
  • Great Feedback Overall!

Topics

  • Programming (Dental, Primary Care, Behavioral Health)
  • Access to programming
  • Care Coordination
  • Continuity of Care

Feedback

  • + Supportive
  • + Staff are friendly and really care
  • + Feel respected by staff
  • + Good communication, smooth referral process
  • + Attentive to needs
  • Wait times on referrals
  • Additional services requested (MH support groups, anger management, food assistance,

Dietician services)

  • Suggestions (coffee in waiting room)

Response

  • Individual client needs and easy to address concerns were resolved immediately
  • Program and staff feedback will be sent to supervisors

1 Service 39% 2 33% 3 28% 1 Service 2 3 BH 10 50% PC 30% DEN 20% BH PC DEN

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PATIENT FOCUS GROUP OCTOBER 2019

 “I could not ask for better help-I have been in Behavioral Health for a year and two months and I have accomplished so much!”  “I get so much more than what I got when I was living in facilities”  “More attentive to what I need, Comtrea spends more time with me, it’s above and beyond anything I could have expected.”  “DBT counselor did an awesome job.”  “More support groups would be nice.”  “Keaton Center is a good program.”  “Day program is awesome, I learn a lot!”  “I get respect from my doctor; handshake, eye contact, I have not got this elsewhere”.  “Respect is huge! Everyone listens and really cares and respects what I have to say.”

Male 56% Female 44% Male Female White 100% White

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QIQA REPORT As board members, I encourage you to utilize COMTREA services. This shows confidence in our providers, as well as being a HRSA requirement

MOTION: “I, ___, move that the Board approve the December 2019 QIQA Coordinating Council Report.”

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DISCUSSION ITEMS

INFORMATIONAL

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MONTHLY SUBCOMMITTEE REPORTS TO THE BOARD

Build lding and nd Ground unds Fund Fundraising & & Capital al C Campai aign MHOH C Committee Upda pdate

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TRANSITIONAL HOUSING

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TRANSITIONAL HOUSING

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Event Name Date Where Benefiting Contact Info

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 Flashback to 1979 Trivia Night Mary’s B-Day Bash Saturday March 21 2020 Festus Elks MHOH Kim Elbl kelbl@comtrea.org 636-232-2330 Stand-up for Kids Comedy Show Friday April 3 2020 Twin Oaks Vineyard Farmington, MO CAC Kathy Carr KCarr@comtrea.org Woofstock Annual Un-Gala Saturday April 25 2020 Meramec/Arnold Elks Club Imperial, MO TWT Laura Casey lcasey@comtrea.org Designer Bag Bingo Friday May 1 2020 TBD MHOH Kim Elbl kelbl@comtrea.org 636-232-2330 Western Trivia Friday June 05 2020 Frederick’s Festus, Mo Co-Worker Help Fund Committee Kim Elbl kelbl@comtrea.org 636-232-2330

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BOARD MEMBER INFO

  • BETH MCDANIEL CHANGE TO

BOARD SECRETARY

  • OPEN POSITION ON EXECUTIVE

BOARD – TREASURER

  • BOARD RECRUITMENT
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OLD BUSINESS

FOR DISCUSSION

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NEXT SCHEDULED BOARD MEETING

MONDAY, February 10, 2020 ARNOLD LOCATION

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ADJOURNMENT

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

MOTION:

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21 Municipal Drive Arnold, MO 63010

LOCATION

+1 636 931 2700

PHONE NUMBER

www.comtrea.org

WEBSITE FACEBOOK

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