Board Meeting - COMTREA 2019 Board... · 2019. 3. 19. · support the dedicated professionals who...
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21 Municipal Drive Arnold, M O 63010 LOCATION +1 636 933 2700 PHONE NUMBER www.comtrea.org WEBSITE Board Meeting February 11, 2019 FACEBOOK https://www.facebook.com/COMTREA/
Transcript of Board Meeting - COMTREA 2019 Board... · 2019. 3. 19. · support the dedicated professionals who...
21 Municipal DriveArnold, M O 63010
LOCATION+1 636 933 2700
PHONE NUMBERwww.comtrea.org
WEBSITE
Board MeetingFebruary 11, 2019
FACEBOOKhttps://www.facebook.com/COMTREA/
OUR MISSIONTo 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.
AGENDA
CEO Report
Action Items
Discussion Items
Adjournment
7:30 AM – Meeting Open
Approval of Agenda and Minutes
CLOSED SESSION
Financials
Program Highlight
MOTION:
“I, ______, move that the Board approve the, February 11, 2019 Meeting Agenda.”
APPROVAL OF AGENDA
MOTION:
“I, ______, move that the Board approve the January 14, 2019 Meeting Minutes.”
APPROVAL OFMEETING MINUTES
CLOSED SESSION
BOARD MEMBERS ONLY
CLOSED SESSIONMOTION:
“I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)
CLOSED SESSION - AGENDAMOTION:
“ I, __________, move that the Board approve the February 11, 2019 Closed Session Agenda,”
CLOSED SESSION – MEETING MINUTES
MOTION:
“I, ___________, move that the Board approve the January 14, 2019 Closed Meeting Minutes.”
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)
“As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of December, 2018.”
ACCOUNT RECIEVABLES$3,737,348.26
FINANCIAL REPORT
CASH ON HAND$1,847,454.76
MOTION:
PROGRAM HIGHLIGHTPresented by Sue Curfman
BOARD AUTHORITY
CEO REPORT
“Dr. Lorenz is exemplary. He makes me feel
comfortable at times when I normally would be nervous. and his restoration work is
top notch. I am truly grateful to be in such good
hands. I recommend COMTREA to everyone.”
GROWTH REPORT DIVISION PRODUCTION - JANUARY 2019
CEO REPORT
Division ProductionClinical Access Hours
Week 1Jan 1-4
Week 2Jan 7-11
Week 3Jan. 14-18
Week 4Jan. 21-25
Week 5Jan. 28-31
Month Ave Revenue Per Visit
Revenue Forecast Month End
Budget Profit / (Loss) Forecast
% Profit / (Loss) Forecast
Primary Care 41% 63% 60% 75% 77% 61% $162.00 $181,116 $249,227 ($68,111) (27.33%)
Minus PTO 64% NA NA 62%
Oral Health - Dentists 72% 71% 72% 70% 59% 71% $169.00 $467,024 $573,270 ($106,246) (18.53%)
Minus PTO 73% 72% 73% NA 62% 74%
Oral Health - Hygienists 56% 86% 62% 83% 86% 78%
Minus PTO 90% 67% NA 89% 85%
Behavioral Health - Adult 44% 66% 65% 57% 49% 59% $345.77 $421,839 $326,946 $94,893 29.02%
Minus PTO 55% 69% 66% 59% 53% 64%
Child Psych. 57% 83% 83% 78% 56% 78%
STATE ASSOCIATIONSCEO REPORT
PRIMARY CARE ORAL HEALTH
DIVISIONAL UPDATES
BEHAVIORAL HEALTH PSYCHIATRY
CEO REPORT
HRSA MONTHLY REVIEW
CEO REPORT
REQUIRED AND ADDITIONAL HEALTH SERVICES CLINICAL Amy Rhodes February YES NO NA
a. Providing and Documenting Services within Scope of Project 1b. Ensuring Access for Limited English Proficient Patients 1
c. Providing Culturally Appropriate Care1
TOTAL 2 1 0
% 67
Note: During the recent MOCK Survey there was questions that came up on ensuring access for limited English proficient patients. This is being reviewed further as a result.
BOARD MEMBERS USING FQHC SERVICES
2019
41% Of Board Members are using FQHC Services
59% Board Members NOT utilizing FQHC Services
HRSA REQUIRES
51%
41%59%
FEBRUARYOUT OF COMPLIANCE
WE MUST INCREASE the 41% to a minimum of 51%
CEO REPORT
MONTHLY GRANT UPDATEA SAFE PLACECEO REPORT
Grant Program Funding Entity Amt Awarded Length of Grant Start Date End Date Expected $ FY19
VOCA / Shelter A Safe Place (501)changed to DSS (Dept of Social Services) 10/18 $ 318,402.89 2yr 10/1/2017 9/30/2019 $ 156,969.76
DVSS-STATE (Domestic Violence Shelter & Services) A Safe Place (501)
DHSS (Dept of Health & Senior Services) $ 84,368.87 1 yr 7/1/2018 6/30/2019 $ 84,368.87
DVSS-FEDERAL (Domestic Violence Shelter & Services) A Safe Place (501)
DHSS (Dept of Health & Senior Services) $ 14,514.72 1 yr 7/1/2018 6/30/2019 $ 14,514.72
DVSS-EMERGENCY (Domestic Violence Shelter & Services) A Safe Place (501)
DHSS (Dept of Health & Senior Services) $ 10,304.38 1 yr 7/1/2018 6/30/2019 $ 10,304.38
DVSS-Sexual Violence (Domestic Violence Shelter & Services) A Safe Place (501)
DHSS (Dept of Health & Senior Services) $ 4,404.25 1 yr 7/1/2018 6/30/2019 $ 4,404.25
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
MONTHLY GRANT UPDATECACCEO REPORT
Children's Division CAC (701, 703, 705)DSS (Dept. of Social Services) $ 248,873.33 1 yr 6/1/2018 5/31/2019 $ 228,133.88
NCA (National Children's Alliance) CAC-Festus (701) Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 NCA (National Children's Alliance) CAC-Farmington Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 NCA (National Children's Alliance) CAC-Union (703) Mo KidsFirst $ 5,424.89 1 yr 1/1/2019 12/31/2019 $ 5,424.89 United Way of St. Francois County CAC-Farmington (705) United Way-St. Francois $ 3,000.00 1 yr 1/1/2019 12/31/2019 $ 3,000.00
United Way of Franklin County CAC-Union (703) United Way Franklin $ 13,400.00 1 yr 1/1/2019 12/31/2019 $ 13,400.00 FCCRB (Franklin County Community Resource Board)-Prevention Spec. CAC-Union (703) Franklin Co. Sales Tax $ 36,192.00 1 yr 1/1/2019 12/31/2019 $ 36,192.00 FCCRB (Franklin County Community Resource Board)-Family Advocate CAC-Union (703) Franklin Co. Sales Tax $ 24,128.00 1 yr 1/1/2019 12/31/2019 $ 24,128.00
VOCA / CAC CAC (701, 703, 705)
DPS (Dept of Public Safety) then turned over to Department of Social Serv Oct 2018 $ 504,329.22 2 yr 10/1/2017 9/30/2019 $ 266,160.69
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
MONTHLY GRANT UPDATEOTHER PROGRAMS
CEO REPORT
THE GRANTS BELOW WERE AWARDED FOR THIS YEAR:
EPICCCommunity Support Worker ( )
BHN (Behavioral Health Network) / DMH $ 69,187.00 1 Yr 5/1/2018 4/30/2019 $ 57,655.00
MPCA (MO Primary Care Association) Adult Outpatient
Mo Coalition for Primary Health Care w/ Dept of Social Services $ 45,095.00 1 yr 7/1/2018 5/31/2019 $ 45,095.00
AHP (Affordable Home Project) MHHP At A Safe PlaceFederal Home Loan Bank of Des Moines IA $ 160,000.00 1yr 1/1/2019 12/31/2019 $ -
Mabee Grant MHHP At A Safe PlaceJ E and L E Mabee Foundation, Inc. $ 300,000.00 $ -
United Way St. Louis TWT, Youth United Way St. Louis $ 68,989.00 1 yr 1/1/2019 12/31/2019 $ 34,494.50
LOCATIONS, SERVICE LINES AND HOURS OF OPERATIONCEO REPORT
Central Admissions• Monday-Friday 7:30am-5:00pm
Arnold• Behavioral Heath and Primary Care • Monday-Thursday 8:30a-6:30p, Friday 8:30a-5p
Festus• Behavioral Health • Monday-Thursday 8:00a-7:30p, Friday 8:00a-5p
Northwest (High Ridge)• Behavioral Heath • Monday-Thursday 8:30-7, Friday 8:30-5p
Hickory-• Behavioral Health, Dental and Primary Care • Monday-Friday 7:30am-6:00 pm
High Ridge Family Medical (Emerson)• Primary Care• Mon & Tues 7:30am- 7:00pm, Wed Thurs and Friday
7:30am-5:00pm
Valley• Behavioral Health, Dental and Primary Care• Monday-Friday 7:30am-6pm
Fox• Dental• Monday-7:30am-8pm & Tuesday-Friday 7:30am-6:00pm
MAP clinic• Dental• Monday-Friday 7:30a-6p (subject to change)
Dunklin• Behavioral Health and Dental• Tuesday 7:30am-6pm, Wed 7:30am-6:00pm (Dental) 10:00am-
5:30p (BH), Thursday 7:30am-6:00pm (BH hours subject to change)
Treatment court• Behavioral Health • Monday-Thursday 8am-7pm
Twin City Dental• Dental • Mon 7:30a-6p, Tues, Wed, & Thurs 7:30-4p, Fri 7:30-2:00pm)
VOLUNTEERSCEO REPORT
Location JULY AUG SEPT OCT NOV DEC JAN TOTAL HOURS
A Safe Place 56 12 22 42 23 21 5 181
CAC 24 172 33 17 8 6 8 268
Employees 14 46 47 34 22 12 7 182
Board Members 76 66 81 102 68 63 56 512
Adult and C&Y Div. 0 0 0 0 0 0 0 0
Tails with Tales 46 36 138 91 89 80 55 535
Job Shadowing 0 33 63 82 64 17 24 283
TOTAL Hours: 216 365 384 368 274 199 155 1961
BRAG MOMENTCEO REPORTFor the last three weeks Primary Care (1/6 - 1/26/2019) has been leading the way, among the other reporting FQHCs in the state, with closing patient care gaps or Point of Care Alerts.
Point of Care Alerts are defined as any alerts that are able to be closed by the end of the visit. Alerts requiring an outside test, procedure/action, or lab result that take longer than the day of the visit to be completed (i.e. colorectal cancer screening, diabetes eye exam,) are not considered POC alerts and are not included in this measure.POC alerts included in this measure:
A1c, Alcohol Screening, Aspirin, Asthma Severity, AUDIT, BMI, BMI %, BMI & F/U, BP, Depression Follow Up, Depression Screen, Fall Risk Screen, Flu - Seasonal, Flu < 3, Foot Geri Exam, Identity, Lipid Lower Rx, Nutritional Counsel, Orientation, PCV >= 65, Phys Act, Prenatal, Self Mgmt Plan, Sub Use Screen, Tetanus Cess, Tobacco Screen, Violence Screen, Zoster
COMTREA
ACTION ITEMS
REQUIRES A VOTE
MOTION:
“I, ______, move that the Board approve the January 2019 Leadership Reports to the Board.”
APPROVALLeadership Council Reports
Emailed to Board
MOTION:
“I, ______, move that the Board approve the updated Fee Schedules as presented.”
APPROVALNew Fee Schedule
Provided in your full packet that was emailed
Q2 STRATEGIC PLAN UPDATEFISCAL YEAR 2019 STRATEGIC PLAN QUARTERLY REVIEW STATSPILLAR Q.1 Q.2 Q.3 Q.4Mission & Collaboration
# Indicators 7 7# Action Steps 21 21# Action Steps Initiated 19 20
% Steps Initiated 90% 95% #DIV/0! #DIV/0!Engagement & Leadership
# Indicators 8 8# Action Steps 31 31# Action Steps Initiated 27 30
% Steps Initiated 87% 97% #DIV/0! #DIV/0!Accountability & Sustainability
# Indicators 11 11# Action Steps 29 29# Action Steps Initiated 25 26
% Steps Initiated 86% 90% #DIV/0! #DIV/0!Integration
# Indicators 9 9# Action Steps 18 18# Action Steps Initiated 17 18
% Steps Initiated 94% 100% #DIV/0! #DIV/0!TOTAL
# Indicators 35 35# Action Steps 99 99# Action Steps Initiated 88 94
% Steps Initiated 89% 95% #DIV/0! #DIV/0!
The full plan update was
provided in the electronic packet.
MOTION:
“I, ______, move that the Board approve the Q2 Strategic Plan Update as presented.”
APPROVALQ2 Strategic Plan
Update
QUARTERLY RISK MANAGEMENT REPORT
Risk management had 2 potential critical incidents since November.
Area Incident
Dental Patient was referred to oral surgery to complete tooth extraction that could not be completed in the office. Services were completed with success.
Medical Patient has filed a complaint regarding treatment of care and additional cost related to hospitalization. Claim has been reviewed by Chief Medical Officer.
MOTION:
“I, ______, move that the Board approve the Quarterly Risk Management Report as presented.”
APPROVALQuarterly
Risk Management Report
ASP COMMITTEENOMINATIONS
Mark Mertens, Chair Jerry Rogers, COMTREA Board Kathy Ellis, COMTREA Board Kelley Steffens, COMTREA Board Martha Maxwell, COMTREA Board Sylvia Daniels, COMTREA Board /
MHOH Kristy Neuman, COMTREA Staff /
MHOH Lisa Rothweiler, COMTREA Staff Cindy Vessell, COMTREA Staff Barb Tenholder, COMTREA Staff
Wendy Harris, COMTREA Staff –provides financial reports
Kim Elbl, COMTREA Staff Sue Curfman, COMTREA Staff Lisa Wigger, COMTREA Staff –
provides notetaking Terry Crank, Community Member Ben Wanner, Community Member Josh Earls, Community Member Bruce Stoliar, Community Member
MOTION:
“I, ______, move that the Board approve the ASP Committee Nominations as presented.”
APPROVALASP Committee Nominations
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
Opioid prescribing history for Behavioral Health and Primary Care clinicians are scheduled to be printed and now reviewed by Dr. Rohatgi Chief Medical Officer on a monthly basis.
Primary Care presented two PDSAs for testing an implemented change to improve Emergency Room high utilizers and increasing those diabetic individuals who remain untested for their Hemoglobin A1C levels.
This month the QI/QA focus was on Dental and HR. Family Advisory Council will have a relaunching with plans to increase the
recruiting efforts for a diverse group of participants across all three divisions.
QIQA REPORT - MPCA QUALITY MEASURES
“I, ___, move that the Board approve the January 2019 QIQA Coordinating Council Report.”
MOTION:
DISCUSSION ITEMS
INFORMATIONAL
Discussion of JCCMHFB By-Laws
MONTHLY REPORT TO THE BOARD
Building and Grounds Fundraising & Capital Campaign
• Status of 2nd
Floor B Building
• MHOH Building –Site Prep
• Update on Campaign Awards
• Mardi Gras Update
• Upcoming Fundraisers
Event Name Date Where Benefitting Contact Info
Champions for Children SaturdayFebruary, 23
2019
KC HallWashington, MO
CAC Kathy Carr [email protected]
Galactic Trivia Night SaturdayMarch 23
2019
Elks ClubFestus, MO
Mary’s House of Hope at A Safe
Place
Kristy Neuman [email protected]
On the Red Carpet SaturdayMarch, 30
2019
Weingarten Vineyard Ste. Genevieve, MO
CAC Kathy Carr [email protected]
Furry Tales Do Come True SaturdayApril, 13
2019
Elks ClubFestus, MO
TWT Laura [email protected]
Designer Hand Bag Bingo FridayMay 32019
Villa Antonio Winery MHOH atASP
636-232-2330Hawaiian Luau Trivia Night! Friday
May, 312018
TBC VenuePevely, MO
Co-Worker Help Fund
OLD BUSINESS
FOR DISCUSSION
BOARD MEMBER INFO
BOARD RECRUITMENT
NEXT SCHEDULED BOARD MEETING
MONDAY, MARCH 11, 2019
Reminder:The JCCMHFB will meet directly after the March COMTREA Board meeting
ADJOURNMENT
“With no further business to discuss, I, ______, move that the Board adjourn.”
MOTION:
21 Municipal DriveArnold, M O 63010
LOCATION+1 636 933 2700
PHONE NUMBERwww.comtrea.org
WEBSITE FACEBOOKhttps://www.facebook.com/COMTREA/
