board meeting - comtrea › files › board › june 2018 board...turner, patty vanek) sue. ongoing....
Post on 05-Jul-2020
2 Views
Preview:
TRANSCRIPT
21 Municipal DriveArnold, M O 63010
LOCATION+1 636 933 2700
PHONE NUMBERwww.comtrea.org
WEBSITE
Board MeetingJune 18, 2018
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.
AGENDA7:30 AM – Meeting Open
Approval of Agenda and Minutes
CLOSED SESSION
Financials
CEO Report
Action Items
Discussion Items
Adjournment
MOTION:
“I, ______, move that the Board approve the June 18, 2018 Meeting Agenda.”
APPROVAL OF AGENDA
MOTION:
“I, ______, move that the Board approve the May 14, 2018 Meeting Minutes.”
APPROVAL OFMEETING MINUTES
“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:
FINANCIAL FOCUS UPDATE ADVOCACY UPDATE DIVISIONAL UPDATES HRSA FY 2019 STRATEGIC PLANNING
PROCESS VOLUNTEERS
CEO REPORT
GROWTH REPORT – PRIMARY CARENet 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 >
Schedule
10-Hr Day Actual
10-Hr Day VISITS % GOAL
AVE/DAY
REVENUE 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% 40,089Ashley Whitley (ADD BH) 0.90 82.8 20.7 68.4 17.1 61 89% 15.3 10,126 61
320287 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% 27,8880.0 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 0 #DIV/0! 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
5 178,44956,85
6 31.86%
83%Patient
Revenue$140,333
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 5/04MONTH END FORECAST
ORAL HEALTH-DENTISTS FTE
Schedule 10 Hr Day Actual
10 Hr Day VISITS % GOAL AVE/DAY
REVENUE 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 0 0 0 0 #DIV/0! 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
GROWTH REPORT – ORAL HEALTH / HYGENISTSWeekly GOALS
# Pts 42 Schedule 33 Schedule WEEK ONE [5/01 - 5/05] THRU 5/04 MONTH END FORECASTOH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day VISITS % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REVSandy Holified 0.10 4.20 1.1 3.3 0.8 0 0% 0.0 0 0 0 14 0% 0Suzanne Seawel 0.80 33.60 8.4 26.4 6.6 15 57% 3.0 3,375 15 79 111 71% 17,719Anna Kloeppel 0.20 8.40 2.1 6.6 1.7 3 45% 0.6 675 3 16 28 57% 3,544Amanda Govreau 0.80 33.60 8.4 26.4 6.6 5 19% 1.0 1,125 5 26 111 24% 5,906Renee Blanken 0.75 31.50 7.9 24.8 6.2 0 0% 0.0 0 0 0 104 0% 0Ashley Wegener 0.25 10.50 2.6 8.3 2.1 3 36% 0.6 675 3 16 35 45% 3,544Angelica Miller 1.00 42.00 10.5 33.0 8.3 9 27% 1.8 2,025 9 47 139 34% 10,631Tiffany Grant 0.50 21.00 5.3 16.5 4.1 25 152% 5.0 5,625 25 131 69 189% 29,531Kate Poleos 0.75 31.50 7.9 24.8 6.2 0 0% 0.0 0 0 0 104 0% 0
0.00 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 0 #DIV/0! 00.00 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 0 #DIV/0! 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 & BUDGETPROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR
1,118 1,628 69% 251,606315 714 44% 70,875
1,433 2,341 61% 322,481 454,880 -132,399 -29.11%Patient
Revenue 161,957
CASH FLOW ACTION PLAN# ACTION STEP OWNER Apr-181 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-182 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 oversight. 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 on 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.
CASH FLOW ACTION PLAN, cont.# ACTION STEP OWNER Apr-183 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 on 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-184 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 or 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.
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 Review1
b. Update of Needs Assessment 1TOTAL 2 0 0
% 100%CONTINUITY OF CARE AND HOSPITAL ADMITTING CLINICAL Sue
CurfmanMay YES NO NA
a. Documentation of Hospital Admitting Privileges or Arrangements 1
b. Procedures for Hospitalized Patients 1c. Post-Hospitalization Tracking and Follow-up 1
TOTAL 3 0 0
% 100%
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 COMPLIANCE
FY 2019 STRATEGIC PLANNINGFISCAL 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
EXTERNAL STAKEHOLDER SURVEY - PERFORMANCE
PERFORMANCE MEASURES (EXTERNAL STAKEHOLDERS) -Scores calculated w/o "Not Applicable" Rating Measures 2018 - All
Responses %
Stro
ngly
Agre
e or
Ag
ree 2017 - All
Responses %
Stro
ngly
Agre
e or
Ag
ree % Change in
SA/A in 2018 over PY
2016 - All Responses %
St
rong
ly Ag
ree
or
Agre
e % Change in SA/A in 2017
over PYTOTAL 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 0
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 organization 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 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% 0 0%
Not Applicable 36 19 13
EXTERNAL STAKEHOLDER SURVEY – PERFORMANCE, CONTINUEDPERFORMANCE MEASURES (EXTERNAL STAKEHOLDERS) - Scores calculated w/o "Not Applicable" Rating Measures 2018 - All
Responses %
Stro
ngly
Agre
e or
Agre
e 2017 - All Responses %
St
rong
ly Ag
ree o
r Ag
ree % Change in
SA/A in 2018 over PY
2016 - All Responses %
St
rong
ly Ag
ree o
r Ag
ree % Change in
SA/A in 2017 over 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 organizations
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 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% 0 0%
Not Applicable 33 14 13
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 over prior year
YES NO YES NO YES NOPrimary medical care for children/youth/adults
79 11 75 2714%
27 8-4%88% 12% 74% 26% 77% 23%
Dental care for children/youth/adults 84 6 73 2922%
30 5-14%93% 7% 72% 28% 86% 14%
Integrated care delivery for medical, dental and behavioral health.
80 10N/A N/A89% 11%
Co-occurring/Integrated Tx service for SA & mental disorder
82 8 78 2415%
31 4-12%91% 9% 76% 24% 89% 11%
Residential treatment for adult alcohol/substance abuse
77 25N/A
19 1621%75% 25% 54% 46%
Out-patient counseling 84 6 91 114%
34 1-8%93% 7% 89% 11% 97% 3%
Residential tx for adolescent alcohol or other substance abuse
85 17N/A
31 4-5%83% 17% 89% 11%
CSTAR substance Abuse 84 6 88 147%
34 2-8%93% 7% 86% 14% 94% 6%
“A Safe Place” shelter for domestic violence
82 8 88 145%
28 88%91% 9% 86% 14% 78% 22%
Keaton ALF for persons with serious and persistent mental illness
57 33 60 414%
9 2734%63% 37% 59% 41% 25% 75%
Supportive Parents court-ordered program
58 32 65 360%
17 1917%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 2212%
35 3-14%90% 10% 78% 22% 92% 8%
Psychosocial Rehabilitation Program (PSR) 64 26 52 4920%
15 2110%71% 29% 51% 49% 42% 58%
DWI Court (SROP – serious repeat offender program)
59 31 75 26-9%
22 1413%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 1511%48% 52% 69% 31% 58% 42%
Adult Drug Court 69 21 71 285%
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 4113%
24 12-8%72% 28% 59% 41% 67% 33%
Hospital and ED intervention/ diversion services
58 32 43 5721%
10 2615%64% 36% 43% 57% 28% 72%
Disease Management and Care Coordination 54 36 33 6727%
8 2811%60% 40% 33% 67% 22% 78%
Tails with Tails program/canine program 80 10N/A N/A89% 11%
School Liaisons to assist in Jefferson County Schools
80 10N/A N/A89% 11%
VOLUNTEER REPORTLocation JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS
Bridle Ridge 68 102 24 28 12 8 0 0 0 0 242
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. 0 0 0 0 0 0 0 0 0 0 0
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 0 0 76 182 191 59 68 118 60 89 843
TOTAL Hours: 284 641 441 496 485 277 290 444 357 424 0 0 4139
MOTION:
“I, ______, move that the Board approve the April 2018 Leadership Reports to the Board.”
APPROVALLeadership Council Reports
Emailed to Board
MOTION:
“I, ______, move that the Board approve the CEO Evaluation signed 04/30/18 as presented.
APPROVALCEO Evaluation
Discussed in the Closed Session, Approval must be done in Open Session
MOTION:
“I, ______, move that the Board approve the FY 2019 Board Calendar as presented.
APPROVALFY 2019 Board Meeting Calendar
Additional Copy provided
MOTION:
“I, ______, move that the Board approve the continuation of Schowalter & Jabouri, P.C. for the purpose of audit services.
APPROVALAudit Services
TOTAL COSTS: $39,500
MOTION:
“I, ______, move that the Board approve the awarding of Schowalter & Jabouri, P.C. the contract for Cost Report Services.”
APPROVALCost Report Services
TOTAL COSTS: $1,500
MOTION:
“I, ______, move that the Board approve to discontinue the staff insurance reimbursement benefit as of June 30, 2018.
APPROVALStaff Insurance Reimbursement
Benefit Elimination
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 7.2.6 Exempt Employees as presented.”
APPROVALRevision –HR Policy
“7.2.6 Exempt Employees”
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 7.2.7 Non-Exempt Employees as presented.”
APPROVALRevision –HR Policy
“7.2.7 Non-Exempt Employees”
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 10.2 Attendance as presented.”
APPROVALRevision –HR Policy“10.2 Attendance”
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 10.2.1 Charging Leave as presented.”
APPROVALRevision –HR Policy
“10.2.1 Charging Leave”
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 12.2.2 to 12.2.1 Non Exempt Employees.”
APPROVALRevision –HR Policy
“12.2.2 to 12.2.1 Non Exempt Employees”
MOTION:
“I, ______, move that the Board approve the revisions of HR Policy 14.4.2 Reporting as presented.”
APPROVALRevision –HR Policy“14.4.2 Reporting”
Employee Abuse, Harassment or Grievance Policy
MOTION:
“I, ______, move that the Board approve the deletion of HR Policies 12.4, 12.4.1, 12.4.2, 12.4.3, 12.4.4 and the original 12.2.1 as presented.”
APPROVALDeletion –HR Policy
“12.4, 12.4.1, 12.4.2, 12.4.3, 12.4.4 and the original 12.2.1”
MOTION:
“I, ______, move that the Board approve the revision of MED 35 Med Refill Policy for the G11 Medical Manual as presented.”
APPROVALRevision G11 Medical Manual“MED 35 Med Refill Policy”
CREDENTIALING & PRIVILEGINGNew 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 DivisionAmanda Sherwood Nurse Practitioner PCMelissa Hollrah Intensive In-Home Specialist BHMonica Beauchamp Community Support Specialist BHRachael Bersdale VP - Adult Behavioral Health BHRachel Pourchot AVP - Adult Behavioral Health BH
Judy Jennewein School Liaison BHMelanie Hampton Pediatrician PCJeffrey 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.”
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.
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 2018Result 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 indicates quality measure target achieved
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
top related