board meeting - comtrea
TRANSCRIPT
21 Municipal DriveArnold, M O 63010
LOCATION+1 636 933 2700
PHONE NUMBERwww.comtrea.org
WEBSITE
Board MeetingMarch 11, 2019
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.
AGENDA
CEO Report
Action Items
Discussion Items
Adjournment
7:30 AM – Meeting Open
Approval of Agenda and Minutes
CLOSED SESSION
Financials
Program Highlight
Please note that the JCCMHFB will meet directly after the COMTREA Board today.
MOTION:
“I, ______, move that the Board approve the, March 11, 2019 Meeting Agenda.”
APPROVAL OF AGENDA
MOTION:
“I, ______, move that the Board approve the February 11, 2019 Meeting Minutes.”
APPROVAL OFMEETING MINUTES
CLOSED SESSION
BOARD MEMBERS ONLY
CLOSED SESSIONMOTION:
“I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)
CLOSED SESSION - AGENDAMOTION:
“ 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
Peer Recovery Coach Role Presented by
Colton Baker
CEO REPORT
“As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of January, 2018.”
ACCOUNT RECIEVABLES$4,002,100.14
FINANCIAL REPORT
CASH ON HAND$1,485,299.40
MOTION:
“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 DIVISION PRODUCTION – FEBRUARY 2019
CEO REPORT
Division ProductionClinical Access
Hours
Week 1Feb. 1
Week 2Feb. 4-8
Week 3Feb. 11-
15
Week 4Feb. 18-
22
Week 5Feb. 25-
28
Revenue Per Visit
Revenue Forecast
Month End
Budget Profit / (Loss)
Forecast
% Profit / (Loss)
ForecastPrimary Care 70% 64% 58% 58% 62% $162.00 $163,944 $249,227 ($85,283) (34.22%)
Minus PTO 65% 63% 62% NA
Oral Health -Dentists
86% 67% 63% 58% 73% $169.00 $355,780 $573,270 ($217,490) (37.94%)
Minus PTO % 70% 65% 60% 77%
Oral Health -Hygienists
73% 62% 35% 44% 58%
Minus PTO 87% 47% 45% NA
Behavioral Health -Adult
66% 75% 62% 62% 65% $345.77 $441,548 $326,946 $114,602 35.05%
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 ASSOCIATIONSCEO REPORT
PRIMARY CARE ORAL HEALTH
DIVISIONAL UPDATES
BEHAVIORAL HEALTH PSYCHIATRY
CEO REPORT
HRSA MONTHLY REVIEW
CEO REPORT
Note: During the recent MOCK Survey there was questions that came up on Privileging Records. This is being worked on further as a result.
CLINICAL STAFFING CLINICAL Donna Harris Brekel
March YES NO NA
a. Staffing to Provide Scope of Services Xb. Staffing to Ensure Reasonable Patient Access Xc. Procedures for Review of Credentials Xd. Procedures for Review of Privileges Xe. Credentialing and Privileging Records Xf. Credentialing and Privileging of Contracted or Referral Providers X
TOTAL 3 2 1%
KEY MANAGEMENT STAFF GOVERNANCE/ADMIN Donna Harris Brekel
March YES NO NA
a. Composition and Functions of Key Management Staff Xb. Documentation for Key Management Staff Positions Xc. Process for Filling Key Management Vacancies Xd. CEO Responsibilities Xe. HRSA Approval for Project Director/CEO Changes X
TOTAL 5 0 0% 100%
BOARD MEMBERS USING FQHC SERVICES
2019
41% Of Board Members are using FQHC Services
59% Board Members NOT utilizing FQHC Services
HRSA REQUIRES
51%
41%59%
MARCH
OUT OF COMPLIANCE
WE MUST INCREASE the 41% to a minimum of 51%
CEO REPORT
MONTHLY GRANT UPDATECEO REPORT
Funding Entity Program Recipient Description
Amt Requested on Pending
GrantsFranklin County Community Resource Board
CAC-Union-Prevention Program
One – Time Funding $7775.00
Franklin County Community Resource Board
CAC-Union-Therapy One – Time Funding $2038.95
Jefferson Foundation BH Medication Support for Opioid Use Disorder $57,000.00Jefferson Foundation ASP Conflict/Violence Prevention Education Program for
students in Jefferson County$50,000.00
Incarnate Word Foundation TWT Additional Training Classes $3,900.00Missouri Housing Development Commission
ASP MHOH AHAP-050 (Affordable Housing Assistance Program) Tax Credits of $200,000
$200,000.00
St. Francois County United Way CAC-Farmington Partial Funding for our Forensic Interviewer’s Salary
$5000.00
Grants Applied for that were denied this month
Henry Schein Global Product Donation Program OH Products that the company donates
THE FOLLOWING GRANTS WERE APPLIED FOR THIS MONTH:
VOLUNTEERSCEO REPORT
Location JULY AUG SEPT OCT NOV DEC JAN FEB TOTAL 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
TOTAL Hours: 216 365 384 368 274 199 155 276 2237
ACTION ITEMS
REQUIRES A VOTE
MOTION:
“I, ______, move that the Board approve the February 2019 Leadership Reports to the Board.”
APPROVALLeadership Council Reports
Emailed to Board
MOTION:
“I, ______, move that the Board approve the unbudgeted cost for completing the Tuck Pointing as presented in the Bid.”
APPROVALTuck Pointing Bid
MOTION:
“I, ______, move that the Board approve the nomination of Dr. Caron Daughtery as the Finance Chair.”
APPROVALDr. Caron Daughtery – Finance Chair
PATIENT SATISFACTION SURVEYQ3. How did you hear about us? Returned 664 Returned 610 Returned 418 Returned 456
Answer ChoicesFamily/Friend 34.95% 194 36.19% 194 38.28% 160 39.56% 163Newspaper 0.90% 5 1.68% 9 0.48% 2 0.97% 4Radio 0.18% 1 0.19% 1 0.00% 0 0.73% 3Website 2.70% 15 3.73% 20 6.22% 26 5.83% 24Referral 36.40% 202 32.65% 175 30.14% 126 29.85% 123Facebook (Oct 2018 renamed Social Media) 0.00% 0 0.37% 2 1.20% 5 Social Media 1.46% 6Billboard 0.18% 1 0.19% 1 0.72% 3 0.97% 4Insurance Company 2.88% 16 5.04% 27 5.50% 23 4.61% 19Other 21.80% 121 25.00% 134 23.68% 99 1.21% 5Event (added Oct 2018) 0.72% 3 22.33% 92
44 skipped
Responses 1/2019Responses 10/2018Responses 2017 Responses 3/2018
PATIENT SATISFACTION SURVEYGood and Great Responses only
Q4. How nice and helpful are the staff to you? 94.49% 617 97.02% 587 94.04% 426 96.26% 438Q5. How satisfied are you with the length of time it took to get this appointment? 83.69% 549 87.62% 531 88.05% 398 91.13% 411Q6. How satisfied are you with the length of time in the waiting room? 83.95% 549 86.03% 517 87.94% 394 90.75% 402Q7. Do you feel the services you receive are affordable? 87.54% 569 89.47% 535 89.56% 403 90.68% 409
Q8. How well does your provide and/or staff listen to your questions? 90.20% 589 92.73% 561
TI repharased "The staff listen to what I say I need." see below
Q9. How well does staff talk to you about your health and wellness? 88.93% 178 90.88% 142 90.57% 365 91.91% 375Q10. How happy are you with the overall service(s) you receive? 91.54% 595 94.67% 569 Not usedQ11. What is the likelihood of referring your friends/family to us? 90.26% 584 93.41% 553 94.25% 377 93.95% 373New-The staff listen to what I say I need. New 94.62% 422 93.76% 421New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me. New 87.22% 389 88.42% 397New-Did you find the facility clean and inviting? New 96.21% 431 97.14% 440New-Did you feel safe coming to your appointment (lighting, parking, etc)? New 97.55% 439 97.57% 441New-The services provided here certainly address my concerns and needs. New 92.84% 376 95.78% 385
Responses 1/2019Responses 10/2018Responses 2017 Responses 3/2018
Good and Great Responses only
Q4. How nice and helpful are the staff to you? 94.49% 617 97.02% 587 94.04% 426 96.26% 438Q5. How satisfied are you with the length of time it took to get this appointment? 83.69% 549 87.62% 531 88.05% 398 91.13% 411Q6. How satisfied are you with the length of time in the waiting room? 83.95% 549 86.03% 517 87.94% 394 90.75% 402Q7. Do you feel the services you receive are affordable? 87.54% 569 89.47% 535 89.56% 403 90.68% 409
Q8. How well does your provide and/or staff listen to your questions? 90.20% 589 92.73% 561
TI repharased "The staff listen to what I say I need." see below
Q9. How well does staff talk to you about your health and wellness? 88.93% 178 90.88% 142 90.57% 365 91.91% 375Q10. How happy are you with the overall service(s) you receive? 91.54% 595 94.67% 569 Not usedQ11. What is the likelihood of referring your friends/family to us? 90.26% 584 93.41% 553 94.25% 377 93.95% 373New-The staff listen to what I say I need. New 94.62% 422 93.76% 421New-In deciding about my recovery plans, I feel like I am in chagre and the staff are there to help me. New 87.22% 389 88.42% 397New-Did you find the facility clean and inviting? New 96.21% 431 97.14% 440New-Did you feel safe coming to your appointment (lighting, parking, etc)? New 97.55% 439 97.57% 441New-The services provided here certainly address my concerns and needs. New 92.84% 376 95.78% 385
Responses 1/2019Responses 10/2018Responses 2017 Responses 3/2018
MOTION:
“I, ______, move that the Board approve the January 2019 Patient Satisfaction Survey as presented.”
APPROVALJanuary 2019 Patient Satisfaction Survey
The full survey with all comments was provided in the February Leadership Report
MOTION:
“I, ______, move that the Board approve the FY 2020 Board Calendar as presented.”
APPROVALFY 2020 Board Calendar
The list of meeting dates is provided in your printedItems for todays meeting.
QIQA REPORT
As board members, I encourage you to utilize COMTREA services.This shows confidence in our providers, as well as being a HRSA requirement
• Primary Care PDSA – Nutritional Counseling for Child Weight Screenings
• Primary Care – Diabetes Screening / finger stick• Oral Health – increase in patient count due to call in software• Verbiage changes
• Client/Patient served TO Individuals Served• EMR/EHR TO just EH
• Patient Board Member Count – utilizing Primary Care as an urgent care for the appointment
QIQA REPORT – MPCA Clinical Quality Award
“I, ___, move that the Board approve the February 2019 QIQA Coordinating Council Report.”
MOTION:
DISCUSSION ITEMS
INFORMATIONAL
JCCMHFB Updateby
Beth Diveley, JCCMHFB Chair
MIZZOU STUDYabout
FQHC Boards
MONTHLY REPORT TO THE BOARD
Building and Grounds
FundraisingASP Committee
Update
Event Name Date Where Benefitting Contact Info
Galactic Trivia Night FridayMarch 23
Elks ClubFestus, MO
Mary’s House of Hope at A Safe Place
Kristy Neuman [email protected]
On the Red Carpet SaturdayMarch 30
Weingarten Vineyard Ste. Genevieve, MO
CAC Kathy Carr [email protected]
Furry Tales Do Come True SaturdayApril 13
Elks ClubFestus, MO
TWT Laura [email protected]
Designer Hand Bag Bingo FridayMay 3
Villa Antonio Winery MHOH atASP
636-232-2330Hawaiian Luau Trivia Night! Friday
May 31 TBC VenuePevely, MO
Co-Worker Help Fund Katy [email protected]
House of Fashion SundayJuly 14
Oak ValleyPevely, MO
MHOH atASP
636-232-2330CAC Golf Tournament Friday
August 16Oak Valley Golf Course & Resort
Pevely, MOCAC Kathy Carr
OLD BUSINESS
FOR DISCUSSION
BOARD MEMBER INFO
BOARD RECRUITMENT
NEXT SCHEDULED BOARD MEETING
MONDAY, APRIL 8, 2019
ADJOURNMENT
“With no further business to discuss, I, ______, move that the Board adjourn.”
MOTION:
21 Municipal DriveArnold, M O 63010
LOCATION+1 636 933 2700
PHONE NUMBERwww.comtrea.org
WEBSITE FACEBOOKhttps://www.facebook.com/COMTREA/