Board Meeting March 11, 2019 LOCATION PHONE NUMBER WEBSITE - PowerPoint PPT Presentation

Board Meeting March 11, 2019 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 933 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, M O 63010

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.

AGENDA 7:30 AM – Meeting Open CEO Report Approval of Agenda and Minutes Action Items CLOSED SESSION Discussion Items Program Highlight Adjournment Financials Please note that the JCCMHFB will meet directly after the COMTREA Board today.

APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the, March 11, 2019 Meeting Agenda.”

APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the February 11, 2019 Meeting Minutes.”

CLOSED SESSION BOARD MEMBERS ONLY

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

CLOSED SESSION - AGENDA MOTION: “ I, __________, move that the Board approve the March 11, 2019 Closed Session Agenda,”

CLOSED SESSION – MEETING MINUTES MOTION: “I, ___________, move that the Board approve the February 11, 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)

PROGRAM HIGHLIGHT CEO REPORT Peer Recovery Coach Role Pres esen ented ed b by y Colton Baker

CASH ON HAND $1,485,299.40 ACCOUNT RECIEVABLES $4,002,100.14 MOTION: “ As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of FINANCIAL REPORT January, 2018.”

“COMTREA has been a big help for me. Sara Brigg and Ivy Alwell have played a big part in my mental health and I could not succeed or be where I am with out them.”

GROWTH REPORT CEO REPORT DIVISION PRODUCTION – FEBRUARY 2019 Division Production Week 1 Week 2 Week 3 Week 4 Week 5 Revenue Revenue Budget Profit / % Profit / Clinical Access Feb. 1 Feb. 4-8 Feb. 11- Feb. 18- Feb. 25- Per Visit Forecast (Loss) (Loss) Hours 15 22 28 Month End Forecast Forecast Primary Care 70% 64% 58% 58% 62% $162.00 $163,944 $249,227 ($85,283) (34.22%) Minus PTO 65% 63% 62% NA Oral Health - 86% 67% 63% 58% 73% $169.00 $355,780 $573,270 ($217,490) (37.94%) Dentists Minus PTO % 70% 65% 60% 77% Oral Health - 73% 62% 35% 44% 58% Hygienists Minus PTO 87% 47% 45% NA Behavioral Health - 66% 75% 62% 62% 65% $345.77 $441,548 $326,946 $114,602 35.05% Adult Minus PTO 77% 64% 65% 71% Child Psych. 0% 56% 73% 67% 73% Week by week trending outcomes are reflected in the table ABOVE with improvements in each service line production. Production was impacted with several days of a winter mix that resulted in early closures and higher patient cancellations. Focus in March continues around patient access.

STATE ASSOCIATIONS CEO REPORT

DIVISIONAL UPDATES CEO REPORT ORAL HEALTH PRIMARY CARE BEHAVIORAL HEALTH PSYCHIATRY

HRSA CEO REPORT MONTHLY REVIEW CLINICAL STAFFING CLINICAL Donna Harris March YES NO NA Brekel a. Staffing to Provide Scope of Services X b. Staffing to Ensure Reasonable Patient Access X c. Procedures for Review of Credentials X d. Procedures for Review of Privileges X e. Credentialing and Privileging Records X f. Credentialing and Privileging of Contracted or Referral Providers X TOTAL 3 2 1 % KEY MANAGEMENT STAFF GOVERNANCE/ADMIN Donna March YES NO NA Harris Brekel a. Composition and Functions of Key Management Staff X b. Documentation for Key Management Staff Positions X c. Process for Filling Key Management Vacancies X d. CEO Responsibilities X e. HRSA Approval for Project Director/CEO Changes X TOTAL 5 0 0 % 100% Note: During the recent MOCK Survey there was questions that came up on Privileging Records. This is being worked on further as a result.

BOARD MEMBERS USING CEO REPORT FQHC SERVICES 41% Of Board Members are using FQHC MARCH Services 41% OUT OF OU OF COM OMPLIANCE 2019 59% 59% HRSA Board Members REQUIRES NOT utilizing FQHC 51% Services WE MUST INCREASE the 41% to a minimum of 51%

MONTHLY GRANT UPDATE CEO REPORT Amt THE FOLLOWING GRANTS WERE APPLIED FOR THIS MONTH: Requested on Pending Funding Entity Program Recipient Description Grants Franklin County Community Resource CAC-Union- One – Time Funding $7775.00 Board Prevention Program Franklin County Community Resource CAC-Union-Therapy One – Time Funding $2038.95 Board Jefferson Foundation BH Medication Support for Opioid Use Disorder $57,000.00 Jefferson Foundation ASP Conflict/Violence Prevention Education Program for $50,000.00 students in Jefferson County Incarnate Word Foundation TWT Additional Training Classes $3,900.00 ASP MHOH AHAP-050 (Affordable Housing Assistance $200,000.00 Missouri Housing Development Program) Tax Credits of $200,000 Commission St. Francois County United Way CAC-Farmington Partial Funding for our Forensic Interviewer’s $5000.00 Salary Grants Applied for that were denied this month Henry Schein Global Product Donation Program OH Products that the company donates

VOLUNTEERS CEO REPORT TOTAL Location JULY AUG SEPT OCT NOV DEC JAN FEB HOURS A Safe Place 56 12 22 42 23 21 5 11 192 CAC 24 172 33 17 8 6 8 23 291 Employees 14 46 47 34 22 12 7 41 223 Board Members 76 66 81 102 68 63 56 39 551 Adult and C&Y Div. 0 0 0 0 0 0 0 0 0 Tails with Tales 46 36 138 91 89 80 55 123 658 Job Shadowing 0 33 63 82 64 17 24 39 322 216 365 384 368 274 199 155 276 2237 TOTAL Hours:

ACTION ITEMS REQUIRES A VOTE

APPROVAL Leadership Council Reports Emailed to Board MOTION: “I, ______, move that the Board approve the February 2019 Leadership Reports to the Board.”

APPROVAL Tuck Pointing Bid MOTION: “I, ______, move that the Board approve the unbudgeted cost for completing the Tuck Pointing as presented in the Bid.”

APPROVAL Dr. Caron Daughtery – Finance Chair MOTION: “I, ______, move that the Board approve the nomination of Dr. Caron Daughtery as the Finance Chair.”

PATIENT SATISFACTION SURVEY Q3. How did you hear about us? Returned 664 Returned 610 Returned 418 Returned 456 Answer Choices Responses 2017 Responses 3/2018 Responses 10/2018 Responses 1/2019 Family/Friend 34.95% 194 36.19% 194 38.28% 160 39.56% 163 Newspaper 0.90% 5 1.68% 9 0.48% 2 0.97% 4 Radio 0.18% 1 0.19% 1 0.00% 0 0.73% 3 Website 2.70% 15 3.73% 20 6.22% 26 5.83% 24 Referral 36.40% 202 32.65% 175 30.14% 126 29.85% 123 Facebook (Oct 2018 renamed Social Media) 0.00% 0 0.37% 2 1.20% 5 Social Media 1.46% 6 Billboard 0.18% 1 0.19% 1 0.72% 3 0.97% 4 Insurance Company 2.88% 16 5.04% 27 5.50% 23 4.61% 19 Other 21.80% 121 25.00% 134 23.68% 99 1.21% 5 Event (added Oct 2018) 0.72% 3 22.33% 92 44 skipped