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

Board Meeting February 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 Financials Adjournment Program Highlight

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

APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the January 14, 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 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)

CASH ON HAND $1,847,454.76 ACCOUNT RECIEVABLES MOTION: $3,737,348.26 “ As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of FINANCIAL REPORT December, 2018.”

PROGRAM HIGHLIGHT CEO REPORT Presented by Sue Curfman BOARD AUTHORITY

“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 CEO REPORT DIVISION PRODUCTION - JANUARY 2019 Division Production Week 1 Week 2 Week 3 Week 4 Week 5 Month Ave Revenue Revenue Forecast Budget Profit / (Loss) % Profit / (Loss) Clinical Access Hours Jan 1-4 Jan 7-11 Jan. 14-18 Jan. 21-25 Jan. 28-31 Per Visit Month End Forecast 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 ASSOCIATIONS CEO REPORT

DIVISIONAL UPDATES CEO REPORT ORAL HEALTH PRIMARY CARE BEHAVIORAL HEALTH PSYCHIATRY

HRSA CEO REPORT MONTHLY REVIEW REQUIRED AND ADDITIONAL HEALTH SERVICES CLINICAL Amy Rhodes February YES NO NA a. Providing and Documenting Services within Scope of Project 1 b. Ensuring Access for Limited English 1 Proficient Patients c. Providing Culturally Appropriate Care 1 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 CEO REPORT FQHC SERVICES 41% Of Board Members are using FQHC FEBRUARY 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 A SAFE PLACE THE GRANTS BELOW WERE AWARDED FOR THIS YEAR: Grant Program Funding Entity Amt Awarded Length of Grant Start Date End Date Expected $ FY19 changed to DSS (Dept of VOCA / Shelter A Safe Place (501) Social Services) 10/18 $ 318,402.89 2yr 10/1/2017 9/30/2019 $ 156,969.76 DVSS-STATE (Domestic DHSS (Dept of Health & Violence Shelter & Services) A Safe Place (501) Senior Services) $ 84,368.87 1 yr 7/1/2018 6/30/2019 $ 84,368.87 DVSS-FEDERAL (Domestic DHSS (Dept of Health & Violence Shelter & Services) A Safe Place (501) Senior Services) $ 14,514.72 1 yr 7/1/2018 6/30/2019 $ 14,514.72 DVSS-EMERGENCY (Domestic DHSS (Dept of Health & Violence Shelter & Services) A Safe Place (501) Senior Services) $ 10,304.38 1 yr 7/1/2018 6/30/2019 $ 10,304.38 DVSS-Sexual Violence (Domestic Violence Shelter & DHSS (Dept of Health & Services) A Safe Place (501) Senior Services) $ 4,404.25 1 yr 7/1/2018 6/30/2019 $ 4,404.25

MONTHLY GRANT UPDATE CEO REPORT CAC THE GRANTS BELOW WERE AWARDED FOR THIS YEAR: DSS (Dept. of Social Children's Division CAC (701, 703, 705) 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 DPS (Dept of Public Safety) then turned over to Department of Social Serv Oct VOCA / CAC CAC (701, 703, 705) 2018 $ 504,329.22 2 yr 10/1/2017 9/30/2019 $ 266,160.69

MONTHLY GRANT UPDATE CEO REPORT OTHER PROGRAMS THE GRANTS BELOW WERE AWARDED FOR THIS YEAR: Community Support BHN (Behavioral Health EPICC Worker ( ) Network) / DMH $ 69,187.00 1 Yr 5/1/2018 4/30/2019 $ 57,655.00 Mo Coalition for Primary MPCA (MO Primary Care Health Care w/ Dept of Social Association) Adult Outpatient Services $ 45,095.00 1 yr 7/1/2018 5/31/2019 $ 45,095.00 Federal Home Loan Bank of AHP (Affordable Home Project) MHHP At A Safe Place Des Moines IA $ 160,000.00 1yr 1/1/2019 12/31/2019 $ - J E and L E Mabee Mabee Grant MHHP At A Safe Place 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 CEO REPORT AND HOURS OF OPERATION Valley • Behavioral Health, Dental and Primary Care Central Admissions • Monday-Friday 7:30am-6pm • Monday-Friday 7:30am-5:00pm Fox Arnold • Dental • Behavioral Heath and Primary Care • Monday-7:30am-8pm & Tuesday-Friday 7:30am-6:00pm • Monday-Thursday 8:30a-6:30p, Friday 8:30a-5p MAP clinic Festus • Dental • Behavioral Health • Monday-Friday 7:30a-6p (subject to change) • Monday-Thursday 8:00a-7:30p, Friday 8:00a-5p Dunklin Northwest (High Ridge) • Behavioral Health and Dental • Behavioral Heath • Tuesday 7:30am-6pm, Wed 7:30am-6:00pm (Dental) 10:00am- • Monday-Thursday 8:30-7, Friday 8:30-5p 5:30p (BH), Thursday 7:30am-6:00pm (BH hours subject to change) Hickory - • Behavioral Health, Dental and Primary Care Treatment court • Monday-Friday 7:30am-6:00 pm • Behavioral Health • Monday-Thursday 8am-7pm High Ridge Family Medical (Emerson) • Primary Care Twin City Dental • Mon & Tues 7:30am- 7:00pm, Wed Thurs and Friday • Dental 7:30am-5:00pm • Mon 7:30a-6p, Tues, Wed, & Thurs 7:30-4p, Fri 7:30-2:00pm)

VOLUNTEERS CEO 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 24 283 216 365 384 368 274 199 155 1961 TOTAL Hours: