Board Meeting March 12, 2018 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 Approval of Agenda and Minutes CLOSED SESSION Financials CEO Report Action Items Discussion Items Adjournment
APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the March 12, 2018 Meeting Agenda.”
APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the February 12, 2018 Meeting Minutes.”
CLOSED SESSION BOARD MEMBERS ONLY
CASH ON HAND $1,048,113.91 ACCOUNT RECIEVABLES MOTION: $3,771,215.84 “ As a member of the Finance Committee, I _________, move that the Board approve the FINANCIAL REPORT financials for the month of January, 2018.”
CEO REPORT METRICS REPORTING STATE AND FEDERAL BUDGET UPDATES MEDIA/MARKETING UPDATE DIVISIONAL UPDATES SURVEY RESPONSES HRSA VOLUNTEER REPORT
REVENUE CYCLE DASHBOARD REVENUE CYCLE DASHBOARD BENCHMARK CASH BALANCE Due each Friday 2/23/18 3/2/18 3/9/18 BofA Operating 110,699.87 178,514.66 81,262.27 US Bank - Athena Payments 180,820.87 204,706.71 8,373.75 Eagle Bank - Savings 26,724.55 26,724.55 26,724.55 BofA Savings 32,353.38 26,168.50 9,397.67 Commerce - Money Market 31,963.93 31,963.93 55,459.80 Sub-Total 382,562.60 468,078.35 181,218.04 Eagle Bank - Escrow 36,679.25 36,679.25 36,679.25 Certificate of Deposits 830,216.62 830,216.62 830,216.62 TOTAL CASH ACCOUNTS 1,249,458.47 1,334,974.22 1,048,113.91 CURRENT ACCTS RECEIVABLE 3,849,781.54 3,650,882.55 3,771,215.84 Weekly AR Collections % CASH to A/R 55% or higher 32.46% 36.57% 27.79%
CEO REPORT FEDERAL UPDATES STATE UPDATES
CEO REPORT MEDIA/MARKETING UPDATE Opioid 2018 Conference United Way – Black Out
DIVISIONAL UPDATES PRIMARY CARE ORAL HEALTH BEHAVIORAL HEALTH PSYCHIATRY Transition of Open Access Open Access Focus Clinics Dental Director Update on DMH Dentist/Staffing Qualis Straight Shortage Consulting Allocation Update Shortfall & Plans
PATIENT SATISFACTION SURVEY Bi-Annual Patient Satisfaction Survey 1 Per-Cent Response- All Offices 0.9702 0.9467 0.9341 0.95 0.9273 0.9088 0.9449 0.8947 0.9 0.8762 0.9154 0.8603 0.8754 0.9026 0.902 0.8893 0.85 0.8395 Sept. 2017 0.8369 0.8 Jan. 2018 0.75 Q4. How nice and Q5. How satisfied Q6. How satisfied Q7. Do you feel Q8. How well does Q9. How well does Q10. How happy Q11. What is the helpful are the are you with the are you with the the services you your provide staff talk to you are you with the likelihood of staff to you? length of time it length of time in receive are and/or staff listen about your health overall service(s) referring your took to get this the waiting room? affordable? to your questions? and wellness? you receive? friends/family to appointment? us? Service Survey Qu Questions
STAFF SATISFACTION SURVEY Same Point Same Point Above Below Above Below Area / Domain of Employee Area / Domain of Employee as Variance as Variance National National National National Engagement National from Engagement National from Norm Norm Norm Norm Norm Norm Norm Norm Employment Engagement Middle Management Indicators 7 0 0 42 Survey - Response Summary 72 10 33 188 Percent 100% 0% 0% Percent 63% 9% 29% Above/At National Norm 100% Above/At National Norm 71% Direct Management Indicators 11 0 0 117 Percent 100% 0% 0% Breakout by Area Above/At National Norm 100% Job Satisfaction Indicators 4 3 11 -40 Percent 22% 17% 61% Communication Indicators 7 1 6 10 Above/At National Norm 39% Percent 50% 7% 43% Above/At National Norm 57% Culture Indicators 25 5 8 61 Percent 66% 13% 21% Commitment Indicators 6 1 2 -3 Above/At National Norm 79% Percent 67% 11% 22% Above/At National Norm 78% Senior Management Indicators 11 0 1 40 Compensation Indicators 1 0 5 -46 Percent 92% 0% 8% Percent 17% 0% 83% Above/At National Norm 92% Above/At National Norm 17%
CEO REPORT HRSA Pending Items SAC Application Hillsboro Treatment Center
BOARD MEMBERS USING FQHC SERVICES 47% Of Board Members are using FQHC MARCH Services 47% 53% 2018 53% HRSA Board Members REQUIRES NOT utilizing FQHC 51% Services COMPLIANCE
VOLUNTEER REPORT TOTAL Location JULY AUG SEPT OCT NOV DEC JAN FEB HOURS Bridle Ridge 242 68 102 24 28 12 8 0 0 A Safe Place 5 38 6 8 8 6 10 6 87 CAC 21 164 29 16 19 9 14 76 348 Employees 271 19 21 39 31 38 30 38 55 Board Members 78 74 76 131 84 71 72 45 631 Adult and C&Y Div. 0 0 0 0 0 0 0 0 0 Tails with Tales 486 22 26 37 51 121 84 82 63 Community Events 71 216 154 49 12 10 6 15 533 Job Shadowing 0 0 76 182 191 59 68 118 694 284 641 441 496 485 277 290 378 3292 TOTAL Hours:
ACTION ITEMS REQUIRES A VOTE
APPROVAL Leadership Council Reports Emailed to Board MOTION: “I, ______, move that the Board approve the February 2018 Leadership Reports to the Board.”
APPROVAL New Position Approval 1 FTE Office Associate – Northwest Office MOTION: “I, ______, move that the Board approve the addition of the unbudgeted position of office associate for the Northwest Office.”
APPROVAL New Position(s) Approval 1.5 FTE Office Associates – Open Access Festus MOTION: “I, ______, move that the Board approve the addition of the unbudgeted position of 1.5 FTE office associate for Open Access.”
APPROVAL G6.4 Financial Operations 9. Billing Fee Collection “Financial Assistance Policy” MOTION: “I, ______, move that the Board approve the revised Financial Assistance Policy from G6.4 Financial Operations/9. Billing Fee Collection”
APPROVAL Revised HR Policy – 11.4 Paid Investigatory Leave Simplified procedures and took out replication of Corrective Action Policy. MOTION: “I, ______, move that the Board approve the revised Human Resources Policy 11.4 Paid Investigatory Leave.”
CREDENTIALING & PRIVILEGING New Staff / Interns Requiring Privileging Current Staff Re-Privileged (during the month of February 2018) (during the month of February 2018) Name Title Division Name Title Division Amy Hall Child & Youth Therapist BH Vice President of Oral Health Psychiatric Mental Health Clinics Courtney Garland OH Maria Bitzer Nurse Practitioner BH Tim Fasnacht Community Case Manager BH Pamela Weaver Open Access Assessor BH Melissa Craig ADA Counselor BH Carrie Porter Family Support Provider BH Gary Gendron DMH Case Manager BH Kayla Tuck-Bragg Dental Assistant OH Erika Shanks Medical Assistant PC MOTION: “I, ______, move that the Board accept the February 2018 Credentialing & Privileging Report as presented.”
Monthly Focus: QIQA REPORT Human Resources PDSA Cycles Job average 2-4yrs Dropping of primary Finance care claims to be done 13,318 Unduplicated Patients by billing department. 48,127 Patient Visits Improvement Noted MPCA Quality Measures Gold Award Level 2/2018 (see Matrix on next slide) NEXT MONTH’S FOCUS IS: ACO Networking PRIMARY CARE Reduction of Lab Costs across the agency
QIQA REPORT - MPCA QUALITY MEASURES Month Clinical Quality Award 2018 February Quarter Trailing Year 2018 Measure Target 78.8 % 82.0 % 77.0 % Hypertension Controlling High Blood Pressure (NQF 0018) 55.0 % above 98.1 % 97.8 % 97.0 % Child Weight Screening / BMI (NQF 0024) 50.0 % above 59.0 % 67.4 % 62.3 % Child Weight Screening / Nutritional Counseling (NQF 0024) 15.0 % above 36.2 % 40.2 % 34.8 % Child Weight Screening / Physical Activity (NQF 0024) 8.0 % above 97.4 % 97.5 % 96.2 % Tobacco Use: Screening and Cessation (NQF 0028) 80.0 % above 40.8 % 42.9 % 37.9 % Cervical Cancer Screening (NQF 0032) NQF 0034 50-75 60.0 % above 48.5 % 52.8 % 42.6 % Colorectal Cancer Screening (NQF 0034) 40.0 % above 100.0 % 92.9 % 82.6 % Use of Appropriate Medications for Asthma (NQF 0036) 75.0 % above 27.1 % 26.2 % 33.4 % Diabetes A1c > 9 or Untested (NQF 0059) 25.0 % below 66.0 % 54.5 % 51.5 % Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 2.3 % above 85.0 % 84.5 % 77.2 % Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 2.4 % above 86.2 % 81.4 % 83.7 % BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v5) 75.0 % above “I, ___, move that the Board approve the February MOTION: 2018 QIQA Coordinating Council Report.”
DISCUSSION ITEMS INFORMATIONAL
MONTHLY REPORT TO THE BOARD Marc rch 24 24 th • Bids for Northwest Mary’s House of Hope Trivia • B Building Night • Future Dunklin Build il 21 st st April 2 TwT Mission Paws-able CAC Dance – Farmington il 26 th April 2 Take Back the Night Build lding and nd Ground nds Capital al C Campai aign Market eting & & Eve vents
BOARD MEMBER RECRUITMENT
OLD BUSINESS FOR DISCUSSION
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