Board Meeting March 9, 2020 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 931 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, MO 63010
AGENDA 7:30 AM – Meeting Open CEO Report Approval of Agenda and Minutes Action Items CLOSED SESSION Discussion Items Mission Statement Adjournment Program Highlight Financial Review
APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the, March 9, 2020 Meeting Agenda.”
APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the February 10, 2020 Meeting Minutes.”
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.
Pediatric Dentistry Presented by MONTHLY Dr. Brian Darling HIGHLIGHT
New Policies/Procedures Protective stabilization Treatment under general anesthesia Consent Preoperative and post-operative instructions Increased supplies SSCs, space maintainers, endodontic (pulpotomies) procedures 2018 – 268 SSCs and I did 181 2019 – 754 SSCs and I did 706
Early Childhood Caries
General Anesthesia Treatment Premier Dental Anesthesia Supplies Training needed for providers and assistants Approval by State Inspectors for facility 2019 numbers: ~$208,000 in production on 238 patients
Representation for COMTREA in Pediatric Dentistry Circles Greater St. Louis Area Pediatric Dental Study Club Missouri Academy of Pediatric Dentistry Greater St. Louis Dental Society American Academy of Pediatric Dentistry American Board of Pediatric Dentistry
No More Referring Patients Out Less patients “lost in the system” Less patients lost to follow-up or who do not follow-up Able to see more patients with special needs Able to see more patients with challenging cases
In the Clinic INCREASED IMPROVED PATIENT EFFICIENCY CARE ADVOCACY • Seeing 3-4 columns • Consultation from • GA coordinator of patients per day other COMTREA • Reporting potential versus 2-3 for dentists neglect cases to general dentists • More evidenced state • Referrals from other based care following • Getting patients in dental offices the guidelines of the touch with resources American Academy for insurance of Pediatric Dentistry coverage and access to care
FINANCIAL REPORT CASH ON HAND $2,649,857.46 ACCOUNT RECEIVABLES $4,257,269.44 “As a member of the Finance Committee, I MOTION: _________, move that the Board approve the financials for the month of January 2020.”
Love your support of special needs kids “I wanted to send a quick note saying how much I admire your support of special needs kids, no matter the nature of their disability. We have a few children with physical and cognitive disabilities in our neighborhood play group, so I’ve kept information on hand to make sure *every* child feels included.”
GROWTH REPORT CEO REPORT BEHAVIORAL HEALTH ADULT– FEBRUARY 2020 Scheduled Actual PTO- Actual TRAINING MONTH END Full time Hours per week 40 Contracted # 20 min Units Total PERFORMANCE -LEAVE Scheduled Patient Hours of Visit Month ADJ % Work Hours 90% Work Hours units 85% Units % of Goal Totals GOAL GOAL ACTUAL Ivy Alwell (APN) 1.00 40.00 108.00 91.80 192 52% 40.00 275 192 70% Bitzer, Maria (APN) 1.00 40.00 108.00 91.80 147 40% 0.00 367 147 40% Dr. C.J. Jos 0.50 20.00 54.00 45.90 96 52% 15.00 149 96 64% Dr Daniel Murray 0.00 0.00 0.00 0.00 0 #DIV/0! 0.00 0 0 #DIV/0! Kelly Ratz (APN) 1.00 40.00 108.00 91.80 200 54% 4.50 357 200 56% Dr. Gautum Rohatgi 0.50 20.00 54.00 45.90 49 27% 48.00 129 49 38% Dr. J. Vasireddy 1.00 40.00 108.00 91.80 212 58% 35.00 287 212 74% Dr. Morel (Genoa) 0.30 12.00 32.40 27.54 61 55% 1.40 107 61 57% Ashley Whitley 0.10 4.00 10.80 9.18 16 44% 10.00 34 16 48% SLU Docs (Kamal, Moebbi, Boules, Dr. B) 0.56 22.40 60.48 51.41 66 32% 30.00 0 66 #DIV/0! Equivalent of 3 work days/week 0.00 0.00 #DIV/0! 0.00 0.00 #DIV/0! 5.96 238.40 643.68 547.13 1,039 47% 183.90 1705 1039 61%
GROWTH REPORT CEO REPORT BEHAVIORAL HEALTH CHILD – FEBRUARY 2020 Scheduled Actual PTO- # 20 Actual MONTH END TRAININ Full time Hours per week 40 Contracted min Units Total G-LEAVE PERFORMANCE Scheduled Patient Hours of Visit % of Month ADJ % Work Hours 85% Work Hours units 85% Units Goal Totals GOAL ACTUAL GOAL Dr. Lisa Delaney 0.40 16.00 40.8 34.68 120 87% 0.00 139 120 87% Dr. Lucas (Genoa) 0.30 12.00 30.6 26.01 66 63% 0.00 104 66 63% Dr. Wade Mahoney 0.30 12.00 30.6 26.01 107 102% 0.00 104 107 102% 0.00 0 0 #DIV/0! 1.00 40.00 102.00 86.70 293 84% 0.00 347 293 84% Total Visit Types - Child/Youth & Adult INTEGRATED STAFF Scheduled Actual PTO- # 20 Actual TRAININ MONTH END Full time Hours per week 40 Contracted min Units Total PERFORMANCE G-LEAVE Scheduled Patient Hours of Visit % of Month ADJ % Work Hours 85% Work Hours units 85% Units Goal Totals GOAL ACTUAL GOAL Ashley Whitley 0.26 10.40 28.08 23.87 27.00 28% 30.00 63.04 27.00 43%
GROWTH REPORT CEO REPORT PRIMARY CARE – FEBRUARY 2020 PER WEEK PTO- Sche Avatar TRAINING duled Actual Ajd. % of AVATAR Work Weeks/Month -LEAVE # 20 Actual Monthly Adj. MONTH END PC Month Full time Hours per week 40 Contracted min Units Total Goal Goal Totals PERFORMANCE Adjust Scheduled Patient Hours of Visit ADJ ACTUA % REV % Work Hours 90% Work Hours units 85% Units TOTALS GOAL L GOAL GOAL Ashley Whitley 0.16 6.40 17.28 14.69 11 46 24% 20.00 29 11 37% 42% Ashleigh McGrath 1.00 40.00 108 91.80 183 286 64% 19.00 324 183 57% 60% Amanda Sherwood 0.75 30.00 81 68.85 157 215 73% 8.00 257 157 61% 65% Dr. Hampton 0.50 20.00 54 45.90 106 143 74% 0.00 184 106 58% 61% Bess Lillimar-Stephens (FMLA 1/02/2020) 0.00 0.00 0 0.00 0 0 #DIV/0! 0.00 0 0 #DIV/0! #DIV/0! Kelly Nichols pt. care 10/15 0.91 36.40 98.28 83.54 160 260 61% 7.50 318 160 50% 53% Dr. Swopes (start 12/16/19)-32 HRS/WK 0.80 32.00 86.4 73.44 140 229 61% 2.00 290 140 48% 51% Dr. Hayat (start 1/06/20)-36 HRS/WK 0.90 36.00 97.2 82.62 115 258 45% 16.17 297 115 39% 41% Dr. Ashraf 0.00 0.00 0 0.00 0 0 #DIV/0! 0.00 0 0 #DIV/0! #DIV/0! 542.1 TOTALS 5.02 200.80 6 460.84 872 1,437 61% 72.67 1699 872 51% 55%
GROWTH REPORT CEO REPORT ORAL HEALTH – FEBRUARY 2020 Scheduled Patient Hours of Work Hours 33.50 83.75% Weekly GOALS PTO- MONTH END TRAINING Full time Hours per week 40.00 Work Hours 75 Schedule MONTH END FORECAST -LEAVE PERFORMANCE Schedul 10 Hr PROJ Month ADJ ACTUA % FTE e Day % GOAL REV Totals GOAL L GOAL Dr. Garland 0.50 20.00 37.5 9.4 82% 17,238 14.00 113 102 90% Dr. Empkey 0.50 20.00 37.5 9.4 90% 18,759 4.00 121 111 92% Dr. Darling 1.00 40.00 75.0 18.8 88% 37,011 24.00 211 219 104% Dr. Mazzoli 1.00 40.00 75.0 18.8 68% 28,561 24.00 211 169 80% Dr. Shakhnovich 1.00 40.00 75.0 18.8 63% 26,195 4.00 242 155 64% Dr. Cook 1.00 40.00 75.0 18.8 62% 25,857 5.00 240 153 64% Dr. Invencion 1.00 40.00 75.0 18.8 58% 24,505 4.00 242 145 60% Dr. Aquino 1.00 40.00 75.0 18.8 68% 28,561 4.00 242 169 70% Dr. Autry (32 hrs in Mar - M-W- Th) 0.50 20.00 37.5 9.4 57% 11,999 4.00 121 71 59% Dr. A. Greaves - PRN 0.00 0.00 0.0 0.0 #DIV/0! 0 0.00 0 0 #DIV/0! Dr. M. Greaves - PRN 0.20 8.00 15.0 3.8 111% 9,295 0.00 50 55 111% Dr Blattel 0.00 0.00 0.0 0.0 #DIV/0! 0 0.00 0 0 #DIV/0! TOTALS 7.70 308.00 577.5 144.4 71% 227,981 91.00 1,792 1,349 75%
GROWTH REPORT CEO REPORT ORAL HEALTH / HYGIENISTS – FEBRUARY 2020 ORAL HEALTH HYGIENISTS Weekly GOALS PTO- MONTH END TRAINING- Full time Hours per week 40.00 Work Hours 42 MONTH END FORECAST PERFORMANCE Schedule LEAVE Schedul 10 Hr PROJ ADJ ACTUA % Month FTE e Day % GOAL REV Totals GOAL L GOAL Sandy Holifield 0.5 20.00 21.0 5.3 120% 13,685 4.00 66 79 120% Renee Blanken 0.5 20.00 21.0 5.3 115% 13,165 4.00 66 76 115% Ashley Wegener 0.5 20.00 21.0 5.3 97% 11,086 4.00 66 64 97% Angelica Miller 0.5 20.00 21.0 5.3 98% 11,260 4.00 66 65 98% Elisha Krisher 1 40.00 42.0 10.5 77% 17,496 11.00 126 101 80% Rachel Klasek 1 40.00 42.0 10.5 70% 15,937 9.50 127 92 72% Gina Baker 1 40.00 42.0 10.5 85% 19,401 4.00 132 112 85% Jodi Stotler 0 0.00 0.0 0.0 #DIV/0! 0 0.00 0 0 #DIV/0! Micki Stafko 0.6 24.00 25.2 6.3 0% 0 0.00 81 0 0% Jessica Armbruster 0.00 0.0 0.0 #DIV/0! 0 0.00 0 0 #DIV/0! TOTALS 5.60 224.00 235.2 58.8 80% 102,030 40.50 731 589 81%
CEO REPORT FEDERAL AND STATE ASSOCIATIONS ADVOCACY AND COMMUNITY INVOLVEMENT
SERVICE LINE ALIGNMENT AND CEO REPORT FINANCIAL SUSTAINABILITY COMTREA SERVICES MAPPED (refer to 11x17 MAP) Primary Secondary Behavioral Health Behavioral Health Arnold / Festus / High Ridge (Psych) Hickory Plaza / SBHC Oral Health Oral Health Hickory / SBHC MAP Primary Care Primary Care Emerson / (Peds Only) Hickory Arnold / Festus / Hickory Plaza Plaza
DIVISIONAL/DEPARTMENT CEO REPORT UPDATES BH/PSYCHIATRY PRIMARY CARE ORAL HEALTH
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