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Board of Managers meeting

October 17, 2012

AGENDA Item C1

Approve minutes for the following meetings of the Central Health Board of Managers:

a. August 13, 2012; and b. August 22, 2012

MINUTES OF MEETING – AUGUST 13, 2012 CENTRAL HEALTH

BOARD OF MANAGERS On Monday, August 13, 2012, a Special Called Meeting of the Central Health Board of Managers convened in open session at 4:07 p.m. in the Training Room of the Central Health Administrative Offices located at 1111 E. Cesar Chavez Street, Austin, Texas 78702. Clerk for the meeting was Ms. Shanna Willner. ___________________________________________________________________________________ Board of Managers present: Chairperson Mendoza, Vice-Chairperson Rodriguez, Manager Hudson, Manager Lightsey, Manager Coopwood, and Manager Daniel.

REGULAR AGENDA

1. Discuss and take appropriate action on Central Health’s Fiscal Year 2013 Budget,

including the tax rate, reserves policies, and service expansion items affecting Central Health’s Fiscal Year 2013 budget and strategic objectives.

Clerk’s Notes: John Stephens, Chief Financial Officer, discussed the approval and ratification

process for Central Health’s Fiscal Year 2013 Budget and the associated tax rate. 2. Receive and discuss information related to a possible November 6, 2012 Tax Ratification

Election by Central Health. Clerk’s Notes: At 4:10 p.m., Chairperson Mendoza announced that the Board would convene in closed session to discuss agenda item 2 under Section 551.071 of the Texas Government Code, Consultation with Attorney. Chairperson Mendoza announced that the Board would convene in closed session to discuss agenda item 3 under Section 551.071 of the Texas Government Code, Consultation with Attorney and Section 551.085 of the Texas Government Code, Deliberation of Governing Board of Certain Providers of Health Care Services. Vice-Chairperson Rodriguez left the meeting at 5:16 p.m. The Board convened in open session at 5:44 p.m. No action was taken on Item 2. 3. Discuss and take appropriate action on Academic Medicine, Senator Watson’s “10 in 10”

Initiative, including University Medical Center at Brackenridge and the 1115 Medicaid Waiver, and other community partnerships.

Clerk’s Notes: The Board convened in open session at 5:44 p.m. No action was taken on Item 3. 4. Confirm the next regular Board meeting date, time, and location. Clerk’s Notes: Chairperson Mendoza announced the next regularly scheduled meeting on Wednesday, August 15, 2012, at 5:30 p.m., in the Board Room, Central Health Administrative Offices 1111 E. Cesar Chavez Street, Austin, Texas 78702. Manager Coopwood moved that the Board adjourn the meeting. Manager Hudson seconded the motion.

Chairperson Rosie Mendoza For Vice-Chairperson Frank Rodriguez Absent Treasurer Brenda Coleman-Beattie Absent Secretary Anthony Haley Absent

Manager Tom Coopwood For Manager Clarke Heidrick Absent Manager Katrina Daniel For Manager Rebecca Lightsey For Manager Lynne Hudson For The meeting was adjourned at 5:46 p.m. Rosie Mendoza, CPA, Chairperson Central Health Board of Managers ATTESTED TO BY: Anthony Haley, Secretary Central Health Board of Managers

August 22, 2012 – Board of Managers Meeting Minutes

MINUTES OF MEETING – AUGUST 22, 2012 CENTRAL HEALTH

BOARD OF MANAGERS On Wednesday, August 22, 2012, a meeting of the Central Health Board of Managers convened in open session at 5:54 p.m. in the Board Room of the Central Health Administrative Offices located at 1111 E. Cesar Chavez Street, Austin, Texas 78702. Clerk for the meeting was Ms. Shanna Willner. ______________________________________________________________________________________ Board of Managers present: Chairperson Mendoza, Treasurer Coleman-Beattie, Manager Coopwood, Manager Lightsey, and Manager Heidrick.

REGULAR AGENDA 1. Receive, discuss, and take appropriate action on the 1115 Medicaid Waiver, including:

a. An update on Regional Healthcare Partnership (RHP) planning; b. Proposed Delivery System Reform Incentive Payment (DSRIP) projects and other Community Care

Collaborative projects from Berkeley Research Group and Seton Healthcare Family; and c. Appoint a RHP delegate to serve on the executive committee of RHP Region 7.

Clerk’s Notes: The meeting was convened when a quorum of the Board was present. Mr. Wallace introduced Dr. Andy Agwunobi, a Director with the Berkeley Research Group (BRG), who spoke to the Board about the projects that Central Health should focus on as part of the Delivery System Reform Incentive Projects (DSRIP) menu. He noted that there were four areas of projects that should be included; behavioral health, specialty care, care coordination, and high utilizers of care, such as those with chronic diseases. Dr. Agwunobi noted that Central Health planned to create an Integrated Delivery System (IDS) called the Community Care Collaborative (CCC) to implement the DSRIP projects and thereby to transform care delivery for the target population. He explained that the CCC is itself, a DSRIP project. The CCC will be organized as a non-profit 501(c) 3 entity. Dr. Agwunobi then reviewed the process in creating the project list with the community’s stakeholders. Manager Daniel joined the meeting at 6:24 p.m. Mr. Wallace introduced Mr. Travis Froehlich, Senior Vice President and Chief Strategy Officer for Seton Healthcare Family. Mr. Froehlich discussed the function and data-based premise of the CCC, explaining that its purpose would be to increase access to primary care, decrease reliance on costly and less effective in-patient care and dependence on emergency services, and more closely manage the care of patients with multiple chronic diseases. According to Mr. Froehlich, this would occur through increasing access to outpatient clinics which would contain both primary and strategic specialty care practitioners in one building. He stated that the CCC would develop specialty care provider centers where a patient could better manage disease care by seeing multiple providers in one setting. Ultimately, according to Mr. Froehlich, the CCC is designed to provide improved care navigation and the designs are based on pilot programs. Finally, Mr. Froehlich explained that behavioral health is an integral part of medicine and must be coordinated into all parts of the patients’ physical care. Mr. Froehlich, expressed his belief that ultimately, the CCC would cut costs, improve outcomes, focus on the patients who are the most sick, and treat patients and families who are happier with how they are receiving care. The presenters responded to questions from the Board. Chairperson Mendoza stated that Item 1c would be postponed and taken up at the September 5, 2012 meeting. 2. Confirm the next regular Board meeting date, time, and location. Clerk’s Notes: Chairperson Mendoza announced the next regularly scheduled meeting on Wednesday, September 5, 2012 at 5:30 p.m., in the Board Room, Central Health Administrative Offices 1111 E. Cesar Chavez, Austin, Texas 78702.

August 22, 2012 – Board of Managers Meeting Minutes

Also, Chairperson Mendoza announced that Central Health would host a Public Hearing on the Delivery System Reform Incentive Projects on Thursday, August 30, 2012 at 6:00 p.m. at the Central Health Administrative Offices 1111 E. Cesar Chavez, Austin, Texas 78702. Manager Heidrick moved that the Board adjourn the meeting. Manager Daniel seconded the motion. Chairperson Rosie Mendoza For Vice-Chairperson Frank Rodriguez Absent Treasurer Brenda Coleman-Beattie For Secretary Anthony Haley Absent

Manager Tom Coopwood For Manager Clarke Heidrick For Manager Katrina Daniel For Manager Rebecca Lightsey For Manager Lynne Hudson Absent The meeting was adjourned at 7:41 p.m. Rosie Mendoza, CPA, Chairperson Central Health Board of Managers ATTESTED TO BY: Anthony Haley, Secretary Central Health Board of Managers


October 17, 2012

AGENDA Item C2

Receive the September 2012 Investment Report and ratify Central Health investments for September 2012.


October 17, 2012

AGENDA Item C3

Approve the appointment of Managers Rodriguez, Heidrick, Lightsey and Hudson to the ad hoc Nominations Committee to nominate the Central Health Board of Managers officers for 2013.

DAVID A. ESCAMILLA C O U N T Y AT T O R N E Y

S T E P H E N H . C A P E L L E

F I R S T A S S I S T A N T

J A M E S W . C O L L I N S E X E C U T I V E A S S I S T A N T

M A I L I N G A D D R E S S :

P . O . B O X 1 7 4 8 A U S T I N , T E X A S 7 8 7 6 7

( 5 1 2 ) 8 5 4 - 9 5 1 3

F A X : ( 5 1 2 ) 8 5 4 - 4 8 0 8

HEALTH SERVICES DIVISION

B E T H D E V E R Y , R N , J D D I R E C T O R †

P R E M A G R E G E R S O N †

A S S I S T A N T C O U N T Y A T T O R N E Y

† M e m b e r o f t h e C o l l e g e o f t h e S t a t e B a r o f T e x a s

3 1 4 W . 1 1 T H , S T R E E T G R A N G E R B L D G . , S U I T E 4 2 0

A U S T I N , T E X A S 7 8 7 0 1

MEMORANDUM

To: Central Health Board of Managers

cc: Patricia A. Young Brown, President and CEO

From: Beth Devery, Director, Health Services Division, Travis County Attorney’s Office

Date: October 12, 2012

Re: Consent Agenda Item C3: Approve the appointment of Managers Rodriguez, Heidrick, Lightsey and Hudson to the ad hoc Nominations Committee to nominate the Central Health Board of Managers officers for 2013.

Pursuant to Section 6.5 of the Central Health Bylaws, the members of the Board elect from among themselves a Chairperson, Vice-Chairperson, and Treasurer and appoint a Secretary. Nominations for these positions can be made from the floor by Board members at a regular meeting of the Board or by a special committee established for the purpose of making nominations. In the past, the Board has approved a panel of Board members to serve on an ad hoc Nominations Committee, which then recommends candidates to the full Board. This agenda item would create an ad hoc Nominations Committee, which would include Managers Rodriguez, Heidrick, Lightsey and Hudson. It is anticipated that at the December 12, 2012 Board of Managers meeting, the ad hoc Nominations Committee will recommend a slate of candidates to the full Board for consideration for the 2013 Board of Managers officer positions.


October 17, 2012

AGENDA Item 1

Receive and discuss a presentation from the City of Austin on the Community Health Assessment/Community Health Improvement Plan (CHA/CHIP).

Austin/Travis County Community Health Improvement Planning

October 17, 2012

Central Health Board of Managers

Presented by:Shannon JonesChair of Austin/Travis County CHA CHIP Steering Committee

Today’s Presentation

Background

Key themes

Priority Issues and Focus Areas

Background

Austin/Travis County HHSD selected by the Robert Wood Johnson Foundation and the National Association of County and City Health Officials to complete a model community health improvement process

A/TCHHSD is one of 12 Local Health Departments (LHD) in the nation to be selected

The only LHD to apply under a general approach

Unique community * strong intergovernmental, hospital, and academic collaboration * dedicated local public health system * committed community organizations and many partners/stakeholders

CHA = Community Health Assessment

CHIP = Community Health Improvement Plan

Public Health Accreditation

National Voluntary Public Health Accreditation to Launch in Fall of 2011

– Standards and Measures based on the 10 Essential Public Health Services

To Apply for Public Health Accreditation, the following are required:

– Agency strategic plan

– Community health status report

– Community health improvement plan

Vision: Healthy People are the Foundation of our Thriving Community

Mission: Our community – individuals and organizations (public, private, non-profit) – works together to create a healthy and sustainable Austin/Travis County

Vision and Mission

Goals of the Assessment

Examine the current health status across Austin/Travis County

Explore current health concerns among residents

Identify community strengths, resources, forces of change, and gaps in services

Methods

Reviewed existing data sources (national, state and local) to examine indicators:

Demographics

Social and Physical Environment

Health Behaviors and Outcomes

Health Care Access and Resources

Methods

Over 300 participants engaged through forums, focus groups, and interviews:

4 community forums

14 focus groups

28 key informant interviews

Findings from 25 key informant interviews conducted for the Central Health Connection Leader Dialogue Series

Priority Sectors

Economic Development/BusinessPhilanthropicPublic SafetyFaith Community Behavioral and Mental HealthHospital/Health CareCulture/ArtsGovernment/Political

Health PromotionEducationHousingAsian Americans Blacks/African Americans Latinos/HispanicsAging/Elderly/ DisabledParentsImmigrants/Refugees

Key Themes from the CHA

Disparities and wide variation in demographics and socioeconomic status

Needs of growing Latino/Hispanic population

Limited transportation options, including walkability

Insufficient mental health services to meet increasing demand

Key Themes from the CHA

Chronic conditions and related health behaviors (physical activity, healthy eating, obesity)

Access to primary care, especially among vulnerable populations

Prevention focus in health care services and programs

Strategic, coordinated, and collaborative approach to address health issues

CHIP Priority Areas & Workgroups

Health Improvement Priorities and Workgroups

1. Chronic Disease, focus on obesity

2. Built Environment, Access to Healthy Foods

3. Built Environment, Transportation

4. Access to Primary Care and Mental/Behavioral Health, focus on Navigating the Healthcare System

Note: Health education/literacy was selected as a key cross-cutting strategy for all priorities and focus areas.

Timeline

Item / Activity Timeline

CHA Report drafted July – August 2012

CHA Presentations to PublicCity Hall Council Chambers

July 26th

CHIP Workgroups August 17th

August 31st

September 14th

September 28th

October 12th

Draft CHIP November – December 2012

CHIP Presentations to Public February - March 2013

Questions

Thank you!

For Information and Reports on Austin/Travis County Community Health Improvement Planning, visit

www.austintexas.gov/healthforum


October 17, 2012

AGENDA Item 2

Receive and discuss a report of the September 2012 financial statements for Central Health.

September 2012 Monthly Financial Statements – draft/unaudited Page 1 of 4

Statement of Revenues, Expenses and Changes in Net Assets September draft � 12 months, 100% of the fiscal year.

Operating Revenues

Additional rent – $23.7 million for the year, 87% of the FY2012 budget of $27.3 million. For the month of September, the $8.5 million in additional rent revenue consists of – (a) $6.1 million recognition of revenue for Central Health’s share of 1115 Waiver IGTs received in April, May, and June. (b) $2.4 million reclassification to revenue (rather than a reduction of healthcare expense) of an August entry for the amount due from Seton for Dell Children’s Hospital for the nine months of October 2011 through June 2012. Operating lease (base rent) – $1.12 million for the year is 97% of the 2012 budget of $1.56 million. The month of September shows $(4,780,276), which backs out 2 months of base rent revenue previously recognized for July and August at $2,527,220 per month, and replaces that rent with 3 months (July, August, and September) at $91,388 per month. Operating Expenses

Healthcare delivery – $7.76 million for the month and $96.3 million for the year, 95% of the annual budget of $101.6 million. Note: $7.76 million for the month of September is $5.3 million in healthcare delivery spending, plus the effect of the $2.4 million restatement of Dell Children’s Hospital revenue (described above). $5.3 million in healthcare delivery spending for September is consistent with other months of fiscal year 2012. Healthcare expense for the month includes $354k accrued for amounts due to Seton for charity care.

Salaries & Benefits – $277k for the month and $4.3 million for the year, 83% of $5.16 million budget (well within the annual budget).


Other Purchased Goods & Services – $1.5 million for the month and $3.89 million for the year, 100.6% of $3.87 million budget. $1.2 million of the costs in September were $496k in costs accrued for the tax ratification election (Travis County election division $360k; voter mailouts $136k); $447k in consulting costs (primarily for the 1115 Waiver project); and $260k in legal services (primarily for the 1115 Waiver project). Depreciation expense - $222k for the month and $2.7 million for the year, 96% of $2.8 million budget. Non Operating Revenues (Expenses) Through September � nonoperating revenues, net of expense, are 103.96% of annual budget. Tax Revenue – $76.27 million for the year, 101.6% of annual budget of $75.07 million. September tax revenues were $891k – $55k in taxes collected and $836k in accrued revenue for 2012 in closing out our property tax accounts for the year (we recognize revenue at the end of the year on an accrual basis, rather than a cash basis). Tobacco Settlement – (unchanged) – received $1.9M net revenue in April, $600k more than budgeted.

Investment Income – $101k in September investment income consisted of $26k for the month, plus a year-end mark-to-market adjustment of $74k in the value of the securities portfolio (from $51k below market at 9/30/11 to $23k above market at 9/30/12). For the year, $445k in investment income, 55% of annual budget of $800k. Interest expense for $16M certificates of obligation – $39k interest expense accrued for the month and $438k for the year, per debt agreements. Issuance costs, certificates of obligation – $15.5k expense for September, our year-end entry to record this year’s share of the $232k issuance costs for the Series 2011 Certificates of Obligation. Intergovernmental and other revenue – nominal activity for the month, $4k auction proceeds for excess/obsolete property. Change in net assets

The decrease in net assets of $(5.1) million for the month is the normal pattern for this part of the year.


Statement of Net Assets ( balance sheet ) Current Assets

Cash balance of $102k is the balance in the operating bank account. Cash balance in the Medicaid UPL account – $12k. Short-term investments – the District had $104.3 million in investments at the end of the month. Investments are separated into current assets of $81.66 million, and noncurrent assets of $15.08 million restricted for future Sendero paid-in capital and $7.54 million restricted for capital acquisition. Ad valorem taxes receivable – $621k balance is composed of total taxes receivable of $1.8M, offset by estimates of doubtful collections ($1.2M), plus $15k due from Travis County for taxes collected at month-end but remitted to Central Health in the following month.

Other Receivables – major components of this $9.05 million balance are $6.9 million receivable for a DSH IGT sent on September 21; $66k in interest receivable; $266k due from Sendero for payroll and other costs paid by Central Health; and $1.82 million due from CommUnityCare – short term – there is another $4 million in a long-term receivable from CommUnityCare in the noncurrent asset section.

Prepaid expenses – major components of this $481k balance include $167k Seton mobile mammography van; $216k unamortized issuance costs for certificates of obligation; $40k prepaid insurance and other accounts; and $58k in refundable deposits. Noncurrent assets

Cash and investments restricted for capital acquisition – $7.5 million balance consists of $4.4 million in short-term securities restricted for capital acquisition and $3.1 million invested from the 2011 series certificates of obligation construction account. Investments restricted for future Sendero paid-in capital – (unchanged) $15.1 million. Sendero paid-in capital – (unchanged) – $14 million. Working capital advance to CommUnityCare – (unchanged) – $4 million. Capital assets, net of accumulated depreciation – $117.7 million.


Liabilities

Accounts payable – Components of this $5.3 million balance are $1.69 million due to Seton ($819k charity care and $871k tobacco settlement); $174k in MAP checks issued and outstanding; $394k election costs payable to Travis County and $137k to others; $1.63 million in vendor and provider payables at month end; and $1.27 million in estimated costs incurred but not yet reported by healthcare providers. Salaries and benefits payable – $471k estimated liability for salary costs not yet paid at month end, plus the value of accrued leave balances. Debt service payable, short term – $948 balance is $910k principal due within one year (due March 1, 2013), plus accrued interest payable of $38k. Deferred tax revenue – $0 balance reflects that current year tax accounts have been closed out in preparation for 2013 tax year. Debt service payable, long term – $14.16 million balance is $16 million Series 2011 certificates of obligation, less $930k principal matured and paid to bondholders on March 1, 2012, less $910k short-term principal due to bondholders within one year (due on March 1, 2013). Net assets

Unrestricted net assets – $108 million. Series 2011 certificates of obligation construction account – $3 million. Investment in capital assets – $118 million. Total net assets – $229 million

Travis County Healthcare District

Statement of Revenues and Expenditures

From 9/1/2012 Through 9/30/2012

(In Whole Numbers)

MonthActual - This

Year to DateActual - Fiscal

Year TotalBudget - Fiscal

BudgetAnnual

Percent of

Year to DateActual - Prior

Operating revenues:

Lease revenue - additional rent 8,531,864 23,707,921 27,353,875 86.67% 28,439,915

Lease revenue - base rent (4,780,276) 1,116,236 1,155,396 96.61% 1,155,396

Total Operating revenues: 3,751,588 24,824,157 28,509,271 87.07% 29,595,311

Operating expenses:

Health care delivery 7,763,198 96,355,235 101,614,006 94.82% 94,391,804

Salaries and benefits 277,576 4,297,485 5,160,845 83.27% 5,526,007

Other purchased goods and services 1,507,603 3,888,982 3,867,225 100.56% 4,203,236

Depreciation 222,689 2,692,289 2,800,000 96.15% 2,456,333

Total Operating expenses: 9,771,067 107,233,992 113,442,076 94.53% 106,577,381

Operating income (loss) (6,019,478) (82,409,835) (84,932,805) 97.02% (76,982,071)

Nonoperating revenues (expenses):

Ad valorem tax revenue 891,328 76,268,211 75,073,380 101.59% 68,533,623

Tax assessment and collection expense (84,633) (713,118) (882,178) 80.83% (788,431)

Tobacco settlement revenue, net 0 1,902,732 1,300,000 146.36% 1,641,354

Investment income 100,651 445,586 800,000 55.69% 387,549

Interest expense, certificates of obligation (38,673) (437,800) (510,884) 85.69% (42,532)

Issuance costs, certificates of obligation (15,494) (15,494) (15,494) 99.99% (0)

Intergovernmental and other revenue 4,158 1,312,289 0 0.00% 12,498,498

Total Nonoperating revenues (expenses): 857,337 78,762,407 75,764,824 103.96% 82,230,061

Changes in net assets (5,162,142) (3,647,428) (9,167,981) 39.78% 5,247,991

Date: 10/9/12 04:46:53 PM A2012 Income Statement Page: 1


Balance Sheet

As of 9/30/2012

(In Whole Numbers)

Current Year Prior Year

Assets

Current Assets

Cash and cash equivalents 101,747 45,979

Cash in Medicaid UPL account 12,083 10,111

Short-term investments 81,712,709 117,255,537

Ad valorem taxes receivable 621,349 357,919

Other receivables 9,049,155 5,854,719

Prepaid expenses 481,138 343,487

Total Current Assets 91,978,181 123,867,751

Noncurrent cash and investments

Restricted for capital acquisition 7,536,042 9,221,960

Restricted for future Sendero paid in capital 15,083,000 0

Sendero paid in capital 14,000,000 1,500,000

Working capital advance to CommUnityCare 4,000,000 4,000,000

Total Noncurrent cash and investments 40,619,042 14,721,960

Capital Assets

Land 10,345,124 10,345,124

Buildings and improvements 95,045,672 91,529,328

Equipment and furniture 3,813,778 3,091,089

Construction in progress 25,618,703 25,587,632

Less accumulated depreciation (17,117,384) (14,426,517)

Total Capital Assets 117,705,893 116,126,655

Total Assets 250,303,116 254,716,366

Liabilities

Current Liabilities

Accounts payable 5,299,369 5,034,540

Salaries and benefits payable 471,538 522,760

Debt service payable, short-term 948,673 1,018,102

Deferred tax revenue 0 0

Total Current Liabilities 6,719,580 6,575,402

Noncurrent Liabilities

Debt service payable, long-term 14,160,000 15,070,000

Total Liabilities 20,879,580 21,645,402

Net Assets

Unrestricted 108,578,277 112,073,689

Series 2011 CO Construction Account 3,139,365 5,786,004

Investment in Capital Assets 117,705,893 115,211,270

Total Net Assets 229,423,536 233,070,964

Liabilities and Net Assets 250,303,116 254,716,366

Date: 10/9/12 02:16:24 PM A2012 Statement of Net Assets Page: 1


Comparative Budget Report - Operating Expenses

From 9/1/2012 Through 9/30/2012

(In Whole Numbers)

Year to DateActual - Fiscal

Year TotalBudget - Fiscal

Annual BudgetPercent of

RemainderBudget -

Healthcare delivery

FFS-Primary Care 50,861,931 54,948,169 92.56% 4,086,238

FFS-Specialty Care 1,133,245 1,388,277 81.62% 255,032

FFS-Mental Health 7,035,060 8,190,319 85.89% 1,155,259

FFS-Pharmacy 5,701,569 4,563,195 124.94% (1,138,374)

FFS-Dental 633,522 596,711 106.16% (36,811)

Private Regional UPL IGT 24,000,000 24,000,000 100.00% 0

Medical Administration 4,105,574 4,341,035 94.57% 235,461

Claims Administration 2,884,335 2,682,300 107.53% (202,035)

Medical Expansions - Enhancements 0 904,000 0.00% 904,000

Total Healthcare delivery 96,355,235 101,614,006 94.82% 5,258,771

Salaries and benefits 4,297,485 5,160,845 83.27% 863,360

Other purchased goods and services 3,888,982 3,867,225 100.56% (21,757)

Depreciation 2,692,289 2,800,000 96.15% 107,711

Total operating expenses 107,233,992 113,442,076 94.52% 6,208,084

Date: 10/9/12 02:12:43 PM A2012 Comparative Budget Report Page: 1

Central Health

Annual Budget RecapFor the fiscal year ended September 30, 2012

(draft/unaudited)

FY 2012

ACTUALS

APPROVED

BUDGET

$

VARIANCE

%

VARIANCE

Operating revenues:

Lease revenue - additional rent 23,707,921 27,353,875

Lease revenue - base rent 1,116,236 1,155,396

Total Operating revenues: 24,824,157 28,509,271 (3,685,114) -12.93%

Operating expenses:

Health care delivery 96,355,235 101,614,006

Salaries and benefits 4,297,485 5,160,845

Other purchased goods and services 3,888,982 3,867,225

Depreciation 2,692,289 2,800,000

Total Operating expenses: 107,233,992 113,442,076 6,208,084 5.47%

Operating income (loss) (82,409,835) (84,932,805) 2,522,970 -2.97%

Nonoperating revenues (expenses):

Ad valorem tax revenue 76,268,211 75,073,380

Tax assessment and collection expense (713,118) (882,178)

Tobacco settlement revenue, net 1,902,732 1,300,000

Investment income 445,586 800,000

Interest expense, certificates of obligation (437,800) (510,884)

Issuance costs, certificates of obligation (15,494) (15,494)

Intergovernmental and other revenue 1,312,289 -

Total Nonoperating revenues (expenses): 78,762,407 75,764,824 2,997,583 3.96%

Changes in net assets (3,647,428) (9,167,981) 5,520,553 60.22%

Other budgeted uses:

Add back depreciation for non-financial use 2,692,289 2,800,000 107,711

Principal portion of FY2012 debt service budget (930,000) (930,000) -

Sendero paid-in capital (12,500,000) (12,500,000) -

Total contribution from reserves (14,385,139) (19,797,981) 5,628,264 28.43%

*

* Agrees to Fiscal Year 2012 Approved Budget

Sources of Funds, "Contributions from Reserves"

T:\Accounting\Month End\FY2012\September 2012\Financials - SEP2012\ActiveSet2\4 SEP2012 Annual Budget Recap.xls Page 1 / 1


October 17, 2012

AGENDA Item 3

Discuss and take appropriate action on leasing new space for eligibility staff.1

Central Health Request for Board of Mangers Consideration

October 17, 2012 Agenda Item #3: Discuss and take appropriate action on leasing new space for eligibility staff. Recommended Board Action: Approve the lease for the Central Health Northeast Eligibility Office.

Strategic Direction: Increase access to healthcare for residents of Travis County

Resource Impact: Funding is available in FY 2013 budget.

Anticipated Result: This office will allow continued access for Central Health eligibility services in the northeast corridor of Travis County.

Summary: The lease for the Eligibility Services office at the Springdale shopping terminates in late October. The owner of the property intends to use the space for a large retail provider. Negotiations are proceeding for a 90 day hold over to allow time to obtain a new office for Central Health staff. The proposed site for the new office is 6633 Hwy 290, approximately 2-3 miles from the current location. The scope of services provided at this office will be MAP enrollment and application assistance for CHIP/Medicaid, Monday through Friday from 8:00 a.m. to 5:00 p.m. An estimated 96 to 128 appointments will be available daily. Other services provided at this same location is the African American Youth Resource Center which does adult and youth counseling and educational services, youth mentoring, tutoring, leadership skills, life skills, and job search assistance. The term of the proposed lease is 60 months at $15.50 per SF, full service. Required build out should be completed within 70 days. Annual lease expense is $30,302. Board Committee Coordination: COMMITTEE CHAIR COMMENTS DATE

CONSIDEREDBudget & Finance Brenda Coleman-

Beattie, M.A. 10/11/2012

Board of Managers Rosie Mendoza, C.P.A.


October 17, 2012

AGENDA Item 4

Receive and discuss the CEO’s report on the following Central Health activities: (a) procurement activity; (b) current communications/outreach statistics; (c) the Medical Access Program (MAP), including enrollment and activities; and (d) quarterly service update.

Central Health Procurement Activity Report

Page 1 of 2

Through its purchasing policy (PUR1-001), the Board of Managers has authorized Central Health President and CEO to execute Central Health contracts with a value of less than $100,000 without requiring board action or approval and to execute certain contracts on its behalf that meet the pre-authorization criteria outlined in policy.

Table 1: Contract actions greater than $25,000 from September 5, 2012 through October 9, 2012

CONTRACT ACTION

VENDOR NAME DESCRIPTION OF CONTRACT AMOUNT NOTES / COMMENTS

PO 883 JN Morgan & Associates East Austin CHC Renovation

Ultra Sound Equipment $109,200

PO 884 Austin Business Furniture East Austin CHC Renovation

Furniture $8,206

PO 885 Business Interior by Staples East Austin CHC Renovation

Furniture $30,627

PO 887 & PO 889

Products Unlimited East Austin CHC Renovation

Medical Equipment & Furniture $77,493

PO 888 MMS East Austin CHC Renovation

Medical Equipment $16,359

PO 890 McKesson East Austin CHC Renovation

Medical Equipment $133,479

PO 895 Tech Depot East Austin CHC Renovation

Technical - TV $8,329

PO 896 Dale Cornibe AV Production Service

Board Meeting Production Service $4,800 Annual Contract

PO 897 Summit East Austin CHC Renovation

Technical - AV $3,590

PO 898 & PO 900

Grainger East Austin CHC Renovation

Equipment $6,496

PO 908 TRINI Construction Builder, LLC East Austin CHC Renovation

Installation of Medical and Equipment $4,645

PO 913 & PO 914

Aerotek Temporary Staffing CH – Administration

$9,131

PO 915 CDW East Austin CHC Renovation

Technical – Computers $48,263

PO 924 Dr. DeAndrae Alexander

Affordable Denture Dental Prosthetic $92,000 replacement for Dr. Chudej

Central Health Procurement Activity Report

Page 2 of 2

Conflict-of-Interest Statement Information:

Chapter 176 of the Local Government Code requires that local government officers file a conflict-of-interest statement disclosing certain relationships with a vendor within seven (7) days of becoming aware of facts that give rise to the conflict. Central Health has contracted with the following new vendors:

JN Morgan & Associates

Products Unlimited*

MMS

Business Interior by Staples

Dale Cornibe

TRINI Construction Builder, LLC*

Aerotek

Dr. DeAndrae Alexander

Please ensure that you have no conflict-of-interest with this vendor that would require the filing of a conflict-of-interest statement. You do not need to do anything if you have no conflict. Completed conflict-of-interest statements should be filed with the Central Health Purchasing Assistant (Tena Southwell). If you have any questions about whether you have a conflict, please contact Prema Gregerson. * Denotes HUB Certified Vendor Debarment and Suspension List: Prior to awarding any contracts, state agencies and qualified local government purchasing entities are reminded to check the list of vendors excluded from doing business at the federal and state level by utilizing the following resources:

Federal Excluded Persons List System (EPLS) at http://www.epls.gov. Office of Texas Comptroller at http://www.window.state.tx.us/procurement/prog/vendor_performance/debarred/

Additionally, in compliance with Executive Order #13224 - "Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit or Support Terrorism," state agencies are responsible for ensuring they do not enter into transactions or issue payments to those individuals or organizations identified in the

Office of Foreign Assets Control list of Specially Designated Nationals (SDN) and Blocked Persons. The list may be found at http://www.ustreas.gov/offices/enforcement/ofac/sdn/.

The vendors listed on the Procurement Activity Report are not on the above mentioned Debarment and Suspension Lists.

http://www.epls.gov/

http://www.window.state.tx.us/procurement/prog/vendor_performance/debarred/

http://www.ustreas.gov/offices/enforcement/ofac/sdn/

1

Communications/Outreach Report

September - October 2012 Events

Date Topic/Audience Presenter ~# in Attendance

10/11 Overview/Annieʼs List Rebecca Lightsey 50

10/10 Overview & 1115 Waiver/Literacy Coalition of Central Texas

Carlos Femat, Katie Coburn 55

10/9 Overview/Austin Business Womenʼs Assoc. Carlos Femat 12

10/2 Overview & panel Q&A/UT Quest Christie Garbe 325

9/26 Overview/Wells Fargo Executives Rosie Mendoza Christie Garbe 10

9/26 Woman to Woman Breakfast Rosie Mendoza

Trish Young Brown

10

9/24 1115 Waiver/NAMI Membership Meeting Ellen Richards 35

9/19 Woman to Woman Breakfast Rosie Mendoza

Trish Young Brown

8

9/18 Sustainable Healthcare Mission/US Green Building Assoc., Austin Chapter Christie Garbe 100

9/17 Overview and medical school/CAN Community Council Carlos Femat 22

9/16 Overview and panel discussion/League of Women Voters Clarke Heidrick 75

9/13 Overview/One Voice Public Policy Committee Christie Garbe,

Ann-Marie Price, Rebecca Lightsey

20

9/11 Conversation with Concordia University Board about changing healthcare landscape in the region

Tom Coopwood, Trish Young

Brown 12

9/11 Overview/South Austin Civic Club Clarke Heidrick, Christie Garbe 25

9/10 Overview/Orgs. of Central East Austin Neighborhood Assoc.

Rosie Mendoza, Christie Garbe 15

9/10 Overview/University Area Rotary Club Dr. Coopwood,

Trish Young Brown

30

9/9 Information table at Salud es Vida Health Fest/Travis County Expo Center

Carlos Femat, Eligibility

Services staff, Sendero health

Plans staff

25,000

2

9/7 Information table & networking/Austin Woman Magazine 10th Anniversary Luncheon

Rosie Mendoza, Trish Young

Brown, Christie Garbe, Ellen

Richards, Carlos Femat, Rachael

Cortez

550

9/6 Overview/Austin Area Urban League Trish & Anthony Haley 20

Central Health Web Site Statistics

Month Visits

Unique Visitors

Page Views *

Bounce Rate

** Time on

Site Top 3 Pages

Sept. 6,945 5,190 18,088 56.69% 2:10 1)medical_assistance_program –

27.44% 2)centralhealth.net –14.75%

3)about_us – 7.39%

Aug. 9,366 6,945 24,972 56.08% 1:59 1)medical_assistance_program – 23.32%

2)centralhealth.net – 16.45% 3)about_us – 7.78%

Eligibility Web Site Statistics

Month Visits

Unique Visitors

Page Views*

Bounce Rate

Time on Site Top 3 Pages

Sept. 1,351 1,128 5,345 21.84% 3:07

1)CHeligibility.net – 29.54% 2)am_i_eligible – 18.99%

3)success – 14.54%

Aug. 1,571 1,268 5,953 23.04% 3:00

1)CHeligibility.net – 32.62% 2)am_i_eligible – 17.84%

3)success – 13.69% Earned Media

10/11/12 Austin Chronicle Med School Campaign Goes High-Speed

10/11/12 Community Impact News Coffee With Impact: Patricia Young Brown

10/10/12 Community Impact News Engage Breakfast tackles local, state, federal politics in first of series

10/10/12 Statesman Supporters of tax increase for medical school in Austin raising far more money than opponents

10/8/12 Statesman Officials make final push to register voters before Tuesday deadline

10/8/12 In Fact Daily Endorsing the other Prop. 1

10/6/12 Statesman Sky-high trauma fees stun some ER patients

10/6/12 Statesman Crowded ballot leaves some concerned that voters wonʼt scroll to bottom

10/5/12 Statesman Central Health tax hike would pay for low-income womenʼs health

3

Ongoing Projects & Events MAP Web site development, MAP enrollee handbook, Central Health Web site development, tax ratification election materials and notifications

programs

10/5/12 In Fact Daily Women leaders speak out in support of Prop. 1 to improve health care

10/4/12 Fox News Austin Voters will consider tax hike for Austin medical school

9/29/12 KXAN Prop. 1 could improve health care

9/28/12 Statesman St. Davidʼs chief gives qualified support to medical school, tax increase

9/28/12 KXAN Tax increase stirs med school debate

9/27/12 Statesman Medicaid waiver may bring in federal dollars for health initiatives

9/27/12 Statesman Watson takes glory, risks on medical school

9/24/12 Statesman Rice, Farmer, Taylor, Jenkins: Say 'yes' to Prop 1

9/23/12 Statesman Zimmerman, Falk: Say "no" to a medical school

9/21/12 Austin Business Journal Austin's medical school: The big players and what's next

9/14/12 In Fact Daily And then there's the anti-medical school PAC…

9/14/12 The Austin Chronicle The Med School Solution

9/13/12 Statesman As state money dries up, health plan gets $750,000 from Central Health

9/12/12 Statesman 400 doctors say they support a tax increase for medical school services in Austin

9/10/12 Statesman Opposition group formed to fight Central Health's proposed tax increase

22,23722,339

23,02623,325

22,959

23,69423,961 23,713

23,611 23,700 23,61623,775

23,528

20000

22500

25000

27500

30000

Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12

Full Benefit MAP Enrollment

Enrollment as of the 1st of Every Month

Quarterly Service ReportFiscal Year 2012, Quarter 3

October 17, 2012

Larry Wallace, VP of Service Delivery

✚ Call Center

✚ Eligibility Services✚ MAP Enrollment✚ State Application Assistance

✚ Healthcare Services✚ Primary Care✚ Specialty Care✚ Emergency✚ Inpatient

✚ Healthcare Expenditures

Overview

FY2012 Q3 Quarterly Report 2

Call Center


Source: United Way, reported as of July 2012

0%

25%

50%

75%

100%

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Cal

ls H

andl

ed

Call Center: United Way

# of Calls Handled % of Offered Calls Handled

2:00

4:00

6:00

8:00

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Tim

e (M

inut

es)

Average Call Handle Time Average Answer Wait Time

Eligibility Services


*

Source: Network Sciences, enrollment as of 1st of each month Source: Insure-a-Kid, reported as of July 2012

Average 45 day lag time from submittal to enrollment;FY12 Q3 enrollment may still be in process.

Includes MAP enrollees with full benefits(Outpatient, Emergency, Inpatient, Dental, and Pharmacy).

-

7,000

14,000

21,000

28,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

MAP Enrollment

Avg Monthly Enrollment

-

200

400

600

800

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

State Application Assistance(Medicaid and CHIP)

Applications Submitted Enrolled

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.

Includes patients with all payor sources at CommUnityCareas well as MAP and Unfunded patients at Contracted Providers.

-

25,000

50,000

75,000

100,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Visi

tsTotal Primary Care Visits:

CommUnityCare + Contracted Providers

Medical Visits BH Visits Dental Visits

Healthcare Services


Source: TCMAP Mediview for FY11, Valence and CHC NextGen Dental for FY12 Source: Unfunded claims submitted to Sendero through July 2012. Data pulled on 9/12/12

* Due to the lag in billing and time to adjudicate claims, additional Unfunded claims have been retroactively audited to Oct 2011 MAP claims for recent months may be received in the future. and are therefore slighly lower than previous reports.

-

7,000

14,000

21,000

28,000

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Visi

ts

Primary Care Visits for MAP Enrollees:CommUnityCare + Contracted Providers

Medical BH Dental MAP Enrollees MAP Enrollees

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Visi

ts

Primary Care Visits for Unfunded:Contracted Providers

Medical Behavioral Health

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.Source: SHPMAP and TCMAP Mediview for FY11, Valence for FY12; Data pulled on 9/12/12

Includes outpatient specialty care visits at UMC Brackenridge,CommUnityCare, Austin Cancer Center, and Vision providers.

0

7,000

14,000

21,000

28,000

-

1,500

3,000

4,500

6,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Spec

ialty

Car

e Vi

sits

Specialty Care Visits for MAP EnrolleesSpecialty Care Visits MAP Enrollees

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.Source: SHPMAP for FY11, Valence for FY12; Data pulled on 9/12/12

-

7,000

14,000

21,000

28,000

-

2,000

4,000

6,000

8,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Emer

genc

y Vi

sits

Emergency Room Visitsfor MAP Enrollees

Emergency Room Visits MAP Enrollees

-

7,000

14,000

21,000

28,000

-

250

500

750

1,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Adm

issi

ons

Inpatient Medical / Surgical Admissionsfor MAP Enrollees

Inpatient Admissions MAP Enrollees

Healthcare Services


Source: ATCIC, reported as of August 2012

Includes Seton Shoal Creek, Austin Lakes Hospital, and Austin State Hospital.

-

200

400

600

800

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Adm

issi

ons

Inpatient Psychiatric Hospital Admissionsfor Unfunded Patients

Austin State Hospital (State Paid)Private Hospitals (State Paid)Private Hospitals (CH Paid)

-

25

50

75

100

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Enco

unte

rs

Inpatient Psychiatric Alternativesfor Unfunded Patients

Respite ProgramPartial Hospitalization ProgramIntensive Outpatient Program


Provider Annual Budget Expenditures &Accruals

% of BudgetExpended

Primary Care $ 46,394,613 $ 35,056,470 76%Blackstock Family Health Center (M, BH) $ 262,045 $ 186,486 71%CommUnityCare (M, BH, D) $ 37,193,926 $ 28,795,444 77%El Buen Samaritano (M, BH) $ 1,800,000 $ 1,396,933 78%LoneStar Circle of Care (M, BH) $ 4,364,995 $ 3,087,209 71%NextCare (Urgent Care) (M) $ 166,000 $ 120,746 73%Paul Bass Internal Medicine Clinic (M, BH) $ 709,647 $ 359,492 51%People’s Community Clinic (M, BH) $ 1,398,000 $ 1,030,950 74%Planned Parenthood (M) * $ 400,000 $ 23,009 6%Volunteer HealthCare (M) $ 100,000 $ 56,201 56%Specialty Care $ 2,084,988 $ 1,213,741 58%Austin Cancer Centers $ 334,000 $ 138,150 41%Dental Specialty Care $ 296,711 $ 349,072 118%Capital Area Dental Foundation $ 300,000 $ 93,469 31%Eye Disease/ Screening: Multiple Providers $ 235,277 $ 175,165 74%Multiple Specialties: Paul Bass Clinic $ 462,000 $ 188,233 41%Orthotics and Prosthetics: Multiple Providers $ 27,000 $ 19,269 71%Project Access (M) $ 330,000 $ 247,500 75%Medical Services $ 100,000 $ 2,882 3%Hospital Services $ 32,451,734 $ 28,679,550 88%General Medical Hospital: Seton Healthcare Network $ 4,251,734 $ 3,188,800 75%General Medical Hospital: Seton/TCHD Medicaid $ 24,000,000 $ 24,000,000 100%Front Steps $ 300,000 $ 190,750 64%Women’s Health Services: AWH / St. David's $ 3,900,000 $ 1,300,000 33%Mental Health Services $ 8,190,319 $ 4,440,798 54%ATCIC $ 7,925,319 $ 4,246,625 54%SIMS Foundation (BH) $ 265,000 $ 194,173 73%Pharmacy Services $ 4,391,525 $ 4,595,124 105%MedImpact $ 4,391,525 $ 4,595,124 105%Emergency Transportation $ 396,822 $ 273,000 69%City of Austin EMS $ 396,822 $ 273,000 69%

All Contracted Service ProvidersAll $ 93,910,001 $ 74,258,683 79%

Healthcare Expenditures

M = primary medical careD = primary dental careBH = primary behavioral health care

* Planned Parenthood contract beganDecember 2011.

1

Quarterly Service ReportFiscal Year 2012, Quarter 3

October 17, 2012

Larry Wallace, VP of Service Delivery

✚ Call Center

✚ Eligibility Services✚ MAP Enrollment✚ State Application Assistance

✚ Healthcare Services✚ Primary Care✚ Specialty Care✚ Emergency✚ Inpatient

✚ Healthcare Expenditures

Overview


2

Call Center


Source: United Way, reported as of July 2012

0%

25%

50%

75%

100%

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Cal

ls H

andl

ed

Call Center: United Way

# of Calls Handled % of Offered Calls Handled

2:00

4:00

6:00

8:00

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Tim

e (M

inut

es)

Average Call Handle Time Average Answer Wait Time

Eligibility Services


*

Source: Network Sciences, enrollment as of 1st of each month Source: Insure-a-Kid, reported as of July 2012

Average 45 day lag time from submittal to enrollment;FY12 Q3 enrollment may still be in process.

Includes MAP enrollees with full benefits(Outpatient, Emergency, Inpatient, Dental, and Pharmacy).

-

7,000

14,000

21,000

28,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

MAP Enrollment

Avg Monthly Enrollment

-

200

400

600

800

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

State Application Assistance(Medicaid and CHIP)

Applications Submitted Enrolled

3

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.

Includes patients with all payor sources at CommUnityCareas well as MAP and Unfunded patients at Contracted Providers.

-

25,000

50,000

75,000

100,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Visi

ts

Total Primary Care Visits:CommUnityCare + Contracted Providers

Medical Visits BH Visits Dental Visits

Healthcare Services


Source: TCMAP Mediview for FY11, Valence and CHC NextGen Dental for FY12 Source: Unfunded claims submitted to Sendero through July 2012. Data pulled on 9/12/12

* Due to the lag in billing and time to adjudicate claims, additional Unfunded claims have been retroactively audited to Oct 2011 MAP claims for recent months may be received in the future. and are therefore slighly lower than previous reports.

-

7,000

14,000

21,000

28,000

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Visi

ts

Primary Care Visits for MAP Enrollees:CommUnityCare + Contracted Providers

Medical BH Dental MAP Enrollees MAP Enrollees

-

10,000

20,000

30,000

40,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Visi

ts

Primary Care Visits for Unfunded:Contracted Providers

Medical Behavioral Health

4

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.Source: SHPMAP and TCMAP Mediview for FY11, Valence for FY12; Data pulled on 9/12/12

Includes outpatient specialty care visits at UMC Brackenridge,CommUnityCare, Austin Cancer Center, and Vision providers.

0

7,000

14,000

21,000

28,000

-

1,500

3,000

4,500

6,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Spec

ialty

Car

e Vi

sits

Specialty Care Visits for MAP EnrolleesSpecialty Care Visits MAP Enrollees

Healthcare Services


* Due to the lag in billing and time to adjudicate claims, additional MAP claims for recent months may be received in the future.Source: SHPMAP for FY11, Valence for FY12; Data pulled on 9/12/12

-

7,000

14,000

21,000

28,000

-

2,000

4,000

6,000

8,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Emer

genc

y Vi

sits

Emergency Room Visitsfor MAP Enrollees

Emergency Room Visits MAP Enrollees

-

7,000

14,000

21,000

28,000

-

250

500

750

1,000

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3*

Adm

issi

ons

Inpatient Medical / Surgical Admissionsfor MAP Enrollees

Inpatient Admissions MAP Enrollees

5

Healthcare Services


Source: ATCIC, reported as of August 2012

Includes Seton Shoal Creek, Austin Lakes Hospital, and Austin State Hospital.

-

200

400

600

800

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3

Adm

issi

ons

Inpatient Psychiatric Hospital Admissionsfor Unfunded Patients

Austin State Hospital (State Paid)Private Hospitals (State Paid)Private Hospitals (CH Paid)

-

25

50

75

100

FY11 Q4 FY12 Q1 FY12 Q2 FY12 Q3En

coun

ters

Inpatient Psychiatric Alternativesfor Unfunded Patients

Respite ProgramPartial Hospitalization ProgramIntensive Outpatient Program


Provider Annual Budget Expenditures &Accruals

% of BudgetExpended

Primary Care $ 46,394,613 $ 35,056,470 76%Blackstock Family Health Center (M, BH) $ 262,045 $ 186,486 71%CommUnityCare (M, BH, D) $ 37,193,926 $ 28,795,444 77%El Buen Samaritano (M, BH) $ 1,800,000 $ 1,396,933 78%LoneStar Circle of Care (M, BH) $ 4,364,995 $ 3,087,209 71%NextCare (Urgent Care) (M) $ 166,000 $ 120,746 73%Paul Bass Internal Medicine Clinic (M, BH) $ 709,647 $ 359,492 51%People’s Community Clinic (M, BH) $ 1,398,000 $ 1,030,950 74%Planned Parenthood (M) * $ 400,000 $ 23,009 6%Volunteer HealthCare (M) $ 100,000 $ 56,201 56%Specialty Care $ 2,084,988 $ 1,213,741 58%Austin Cancer Centers $ 334,000 $ 138,150 41%Dental Specialty Care $ 296,711 $ 349,072 118%Capital Area Dental Foundation $ 300,000 $ 93,469 31%Eye Disease/ Screening: Multiple Providers $ 235,277 $ 175,165 74%Multiple Specialties: Paul Bass Clinic $ 462,000 $ 188,233 41%Orthotics and Prosthetics: Multiple Providers $ 27,000 $ 19,269 71%Project Access (M) $ 330,000 $ 247,500 75%Medical Services $ 100,000 $ 2,882 3%Hospital Services $ 32,451,734 $ 28,679,550 88%General Medical Hospital: Seton Healthcare Network $ 4,251,734 $ 3,188,800 75%General Medical Hospital: Seton/TCHD Medicaid $ 24,000,000 $ 24,000,000 100%Front Steps $ 300,000 $ 190,750 64%Women’s Health Services: AWH / St. David's $ 3,900,000 $ 1,300,000 33%Mental Health Services $ 8,190,319 $ 4,440,798 54%ATCIC $ 7,925,319 $ 4,246,625 54%SIMS Foundation (BH) $ 265,000 $ 194,173 73%Pharmacy Services $ 4,391,525 $ 4,595,124 105%MedImpact $ 4,391,525 $ 4,595,124 105%Emergency Transportation $ 396,822 $ 273,000 69%City of Austin EMS $ 396,822 $ 273,000 69%

All Contracted Service ProvidersAll $ 93,910,001 $ 74,258,683 79%

Healthcare Expenditures

M = primary medical careD = primary dental careBH = primary behavioral health care

* Planned Parenthood contract beganDecember 2011.


October 17, 2012

AGENDA Item 5 (NO BACKUP)

Receive and discuss reports from the Board committees: Budget and Finance Committee; Performance Improvement Subcommitee; and ad hoc UMCB/Academic Medicine Committee.


October 17, 2012


Discuss and take appropriate action on the following:¹

a. Academic Medicine, Senator Watson’s “10 in 10” Initiative, and University Medical Center at Brackenridge, including other interrelated community partnerships; and

b. The 1115 Medicaid Waiver, including an update on the development of the Community Care Collaborative (CCC)/Integrated Delivery System (IDS).


October 17, 2012


Confirm the next regular Board meeting date, time, and location.

board of managers meeting - central health · latinos/hispanics ... insufficient mental health...

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