21 Municipal DriveArnold, M O 63010

LOCATION+1 636 931 2700

PHONE NUMBERwww.comtrea.org

WEBSITE

Board MeetingAugust 12, 2019

FACEBOOKhttps://www.facebook.com/COMTREA/

AGENDA

CEO Report

Action Items

Discussion Items

Adjournment

7:30 AM – Meeting Open

Approval of Agenda and Minutes

CLOSED SESSION

Financial Review

Program Highlight

Mission Statement

MOTION:

“I, ______, move that the Board approve the, August 12, 2019 Meeting Agenda.”

APPROVAL OF AGENDA

MOTION:

“I, ______, move that the Board approve the July 15, 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 August 12, 2019 Closed Session Agenda,”

CLOSED SESSION – MEETING MINUTESMOTION:

“I, ___________, move that the Board approve the July 15, 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)

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.

11

PROGRAM HIGHLIGHT

Community Discussion and

Education Sessions

“As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of June, 2019.”

ACCOUNT RECIEVABLES$3,491,373.70

FINANCIAL REPORT

CASH ON HAND$1,938,422.59

MOTION:

“Dr. Rohatgi has been my psychiatrist for over 10 years and he is great!”

~ From a ClientSuggestion Box, Northwest

GROWTH REPORT BEHAVIORAL HEALTH – JULY 2019

CEO REPORTNet Rev Per BH Visit 345.77 Weekly GOALS 80%Net Patient Rev/Visit 210.66 75 Schedule 60 Actual Actual THRU 7/31 MONTH END FORECAST

BEHAVIORAL HEALTH FTE Hrs/WkSchedule

10 Hr Day Actual

10 Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL

PROJ REV PTO Hours

Ivy Alwell (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 107 107 264 41% 36,997 Wk 1 94.5Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 156 156 264 59% 53,940 Wk 2 19.0Dr. C.J. Jos 0.50 20.00 37.5 9.4 30.0 7.5 6.0 121 121 132 92% 41,838 Wk 3 28.0Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 17 17 53 32% 5,878 Wk 4 112.0Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 130 130 264 49% 44,950 Wk 5 42.5Dr. Gautum Rohatgi 0.50 20.00 37.5 9.4 30.0 7.5 6.0 88 88 132 67% 30,428 296Dr. J. Vasireddy 1.00 40.00 75.0 18.8 60.0 15.0 12.0 240 240 264 91% 82,985Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 115 115 132 87% 39,764Dr. Lucas (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 54 54 79 68% 18,672Dr. Morel (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 79 79 79 100% 27,316Dr. Wade Mahoney 0.30 12.00 22.5 5.6 18.0 4.5 3.6 30 30 79 38% 10,373SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 52 52 148 35% 17,980Kamal, Moebbi, Boules 0.0 0.0 0.0 0.0 0.0Dr. Bhattacharya (SLU) 7.47 0.0 0.0 0.0 0.0 0.0Dr. Wade Mahoney- July

0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0SUBTOTAL 8.02 ###### 601.5 150.4 481.2 120.3 96.2 1,189 1,189 2,117 56% 411,121

PRODUCTIVITY minus PTO

120.30 80% 65%

GROWTH REPORT BEHAVIORAL HEALTH – JULY 2019

CEO REPORT

Net Rev Per BH Visit 345.77 Weekly GOALS 80%

Net Patient Rev/Visit 210.66 50 Schedule 40.0 Actual Actual THRU 7/31MONTH END FORECAST

BEHAVIORAL HEALTH FTE

Schedule

10 Hr Day Actual

10 Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL % GOAL

PROJ REV

Dr. Lisa Delaney 0.50 25.0 6.3 20.0 5.0 4.0 90 90 88 102% 31,1190.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0

SUBTOTAL 0.50 25.0 6.3 20.0 5.0 4.0 90 90 88 102% 31,119

PRODUCTIVITY minus PTO 80% 102%

PTO Hours -

BH REVENUE TOTALS GOAL MONTH END FORECAST - BH REVENUE & BUDGET

#/WK ACT MTDPROJ VISITS GOAL % GOAL

PROJ REV

BUD REV

VAR REV % VAR

Adult Psychiatry 1,189 1,189 2,117 56% 411,121Child Psychiatry 90 90 88 102% 31,119Total 1,279 1,279 2,205 58% 442,240 326,946 115,294 35.26%

Patient Revenue $269,434

GROWTH REPORT PRIMARY CARE – JULY 2019

CEO REPORTJULY # of Work Days 22.00

Net Rev Per Visit PC 162.00 Weekly GOALS# DAYS

MTD22

Net Patient Rev/Visit 110.00 101 Schedule 86 Actual ActualTHRU 7/31

MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET

PRIMARY CARE VISITS >

Schedule

10-Hr Day Actual 10-Hr Day 8-Hr Day ACT MTD

PROJ VISITS GOAL

% GOAL

PROJ REV

BUD REV

VAR REV % VAR

Dr. Helton 0.90 90.9 22.7 77.4 19.4 15.5 156 156 341 46% 25,272Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 65 65 189 34% 10,530Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 249 249 378 66% 40,338Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 233 233 284 82% 37,746Dr. Hampton 0.50 50.5 16.8 43.0 14.3 10.8 59 59 189 31% 9,558Bess Lillimar-Stephens 1.00 101.0 25.3 86.0 21.5 17.2 222

222378 59% 35,964

Dr. Ashraf 0.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0TOTALS 4.65 469.7 121.6 399.9 103.6 82.1 984 984 1,760 56% 159,408 250,087 -90,679 -36.26%

PRODUCTIVITY minus PTO 61%

PTO Hours

MTD - 149Patient Revenue $108,240

GROWTH REPORT ORAL HEALTH – JULY 2019

CEO REPORTNet Rev Per OH Visit 169.00 Weekly GOALSNet Patient Rev/Visit 150.00 75 Schedule 62 Actual Actual THRU 7/31 MONTH END FORECAST

ORAL HEALTH VISITS FTE Schedul

e 10 Hr Day Actual 10 Hr Day 8-Hr Day ACT MTDPROJ VISITS GOAL % GOAL

PROJ REV PTO Hours

Dr. Garland 0.50 37.5 9.4 31.0 7.8 6.2 132 132 136 97% 22,308 Wk 1 20.0Dr. Empkey 0.50 37.5 9.4 31.0 7.8 6.2 116 116 136 85% 19,604 Wk 2 10.0Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 201 201 273 74% 33,969 Wk 3 10.0Dr. Mazuranic - PRN 0.00 0.0 0.0 0.0 0.0 0.0 25 25 0 #DIV/0! 4,225 Wk 4 60.0Dr. Greaves - PRN 0.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0 Wk 5 50.0Dr. Emily 1.00 75.0 18.8 62.0 15.5 12.4 165 165 273 60% 27,885 150Dr. Taylor 1.00 75.0 18.8 62.0 15.5 12.4 196 196 273 72% 33,124Dr. Darling 1.00 75.0 18.8 62.0 15.5 12.4 264 264 273 97% 44,616Dr. Mazzoli 1.00 75.0 18.8 62.0 15.5 12.4 260 260 273 95% 43,940Dr. Shakhnovich 1.00 75.0 18.8 62.0 15.5 12.4 154 154 273 56% 26,026Dr. Cook 1.00 75.0 18.8 62.0 15.5 12.4 270 270 273 99% 45,630

Dr. Invencion - July Start 0.20 15.0 3.8 12.4 3.1 2.5 26

2655 48% 4,394

Dr. Alquino - July Start 0.20 15.0 3.8 12.4 3.1 2.5 24 24 55 44% 4,0560.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 00.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0

TOTALS 8.40 630.0 157.5 520.8 130.2 104.2 1,833 1,833 2,292 80% 309,777PRODUCTIVITY minus PTO 86%

Patient Revenue $274,950

Ramp Up in July

Weekly GOALS

# Pts 42 Schedule 33 Schedule THRU 7/31MONTH END FORECAST

OH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day ACT MTDPROJ VISITS

GOAL % GOAL PROJ REV PTO HoursSandy Holifield 0 0.00 0.0 0.0 0.0 4 4 0 #DIV/0! 676 Wk 1 30.0Renee Blanken 0.5 21.00 5.3 16.5 4.1 27 27 73 37% 4,563 Wk 2 0.0Ashley Wegener 0.5 21.00 5.3 16.5 4.1 37 37 73 51% 6,253 Wk 3 0.0Angelica Miller 0.5 21.00 5.3 16.5 4.1 29 29 73 40% 4,901 Wk 4 0.0Elisha Krisher 1 42.00 10.5 33.0 8.3 34 34 145 23% 5,746 Wk 5 5.0

Rachel Klasek 0 Summer off 0.00 0.0 0.0 0.0 0

00 #DIV/0! 0 35

Gina Baker 1 42.00 10.5 33.0 8.3 117 117 145 81% 19,773

Jodi Stotler 0 Summer off 0.00 0.0 0.0 0.0 16

160 #DIV/0! 2,704

Micki Stafko (new hire) 1 42.00 10.5 33.0 8.3 93 93 145 64% 15,717

Jessica Armbruster (new hire)1.00 42.00 10.5 33.0 8.3 86

86145 59% 14,534

TOTALS 5.50 231.0 57.8 181.5 45.4 443 443 799 55% 74,867

PRODUCTIVITY minus PTO 58%

GROWTH REPORT ORAL HEALTH / HYGIENISTS – JULY 2019

CEO REPORT

Patient Revenue $66,450

DENTAL REVENUE TOTALS GOAL THRU 7/31 MONTH END FORECAST - DENTAL REVENUE & BUDGET

#/WK ACT MTDPROJ VISITS

GOAL REV/VISIT PROJ REV BUD REV VAR REV % VARDentists 1,833 1,833 2,292 80% 309,777Hygienists 443 443 799 55% 74,867Total 2,276 2,276 3,090 74% 384,644 577,017 -192,373 -33.34%

Fulltime Hrs per Week 40.00Patient

Revenue 341,400

FEDERAL AND STATE ASSOCIATIONSADVOCACY AND COMMUNITY INVOLVEMENT

CEO REPORT

PRIMARY CARE ORAL HEALTH

DIVISIONAL/DEPARTMENT UPDATES

BH/PSYCHIATRY

CEO REPORT

Update on Visit OutcomePlan of Correction for the items identified during the OSV includes:

• For Form 5A – anytime a new contract is considered, we need to assure that form 5A is reviewed during contract review.

• For Form 5B – anytime we change “standard” hours at a clinic, we need to review form 5B. Any new sites will need to have Medicare & NPI numbers added as they are operational. If we close a site, we will need to complete a CIS for form 5B.

• Credentialing & Privileging – a sample personnel file is being created to identify necessary documentation and examples. Additionally, all new hires documentation will be reviewed prior to NHO to assure all documentation is in place. This will need to have the support of leadership as it is our intention that no employee is to start until all such documentation is received.

CEO REPORT

HRSA NOA’s Received• HRSA NOA for SUDMH H80CS24105-08-01• HRSA NOA H80CS24105-08-02• HRSA NOA H80CS24105-08-03

HRSA PR Monthly Review

• Skipped for month of August due to OSV

CEO REPORT

BOARD MEMBERS USING FQHC SERVICES

2019

56% Of Board Members are using FQHC Services

44% Board Members NOT utilizing FQHC Services

HRSA REQUIRES

51%56% 44%

AUGUST

CEO REPORT

MONTHLY GRANT UPDATECEO REPORT

Funding EntityProgram Recipient Description

Amt Requested on Pending Grants Status

Anthem Foundation TWT One Time Funding – Program Support $10,000 Denied

DVSS Grant - Shelter ASP Comes from Dept of SS and is used for the Shelter – the award amount is $2,780.83 less than FY19

$110,811.42 Awarded July 1, 2019

Incarnate Word Foundation TWT Additional Training Classes $3,900.00 Denied

United to End Bullying Grant TWT One – Time Funding $3,000.00 Awarded – amount is still unknown

VOCA Grants – 2 year grants ASP, CAC andMHHP

ASP requested $418,166.85, CAC and MHHPare still working on the application amount, the grants will be two years 10/19 – 9/21

Pending Due Aug 14th

CAC Union FCCRB Grant CAC Working on the application Pending Due Aug 26th

Note this list only includes those grants that are still pending or had been applied for / awarded or declined during the current month

VOLUNTEERSCEO REPORT(FY: 2019-2020)

Location JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUN TOTAL HOURS

A Safe Place 0

CAC 0

PSR 0

Employees 12

Board Members 84

Adult and C&Y Div. 0

Tails with Tales 55

Job Shadowing 0

TOTAL Hours: 151 151

ACTION ITEMS

REQUIRES A VOTE

MOTION:

“I, ______, move that the Board approve the July 2019 Leadership Reports to the Board.”

APPROVALLeadership Council Reports

Emailed to Board

MOTION:

“I, ______, move that the Board approve the updates presented to the HRSA Form 5A and 5B.”

APPROVALHRSA Form 5 Changes

• Form 5A has been updated with CIS00091266 (screenings – column III added, prenatal care – column III added, & Pharmaceutical Services – column I added)

• Form 5A has been updated with CIS00091272 (Intrapartum Care (Labor & Delivery) – column II deleted)

• Form 5A has been updated with CIS00092605 (Postpartum Care – column II deleted)

• Form 5B has been updated with CIS00091327 (all Medicare & NPI numbers have been added to sites)

MOTION:

“I, ______, move that the Board approve the updated Bylaws that include the definition of Health Care Setting as presented.”

APPROVALBoard Bylaws Revision

•Added how COMTREA will define Healthcare setting

MOTION:

“I, ______, move that the Board approve the nomination of Beth McDaniel to the Executive Board as Treasurer as presented.”

APPROVALExecutive Board

•Beth McDaniel - Treasurer

CREDENTIALING & PRIVILEGINGCurrent Staff Re-Privileged

(during the month of July 2019)New Staff / Interns Requiring Privileging

(during the month of July 2019)

MOTION:“I, ______, move that the Board accept the

July 2019 Credentialing & Privileging Report as presented.”

Name Title DivisionEvans, Sarah Dental Assistant I OHAquiino, Aldrin Dentist OH

INTERNS/RESIDENTS

Alizadeh, Ali Psychiatry Resident PsychGrysman, Noam Psychiatry Resident PsychMarathe, Himani Psychiatry Resident PsychWroble, Julian BH Intern BH

Name Title DivisionCardinali, Mirranda Counselor - ADA BHCole, Tina Residential Assistant Keaton CenterHaselhorst, Elizabeth Residential Assistant BHHayes, Christian Clinical Systems Manager PCHulvey, Adrianne PSR Assistant I BHLucas, Jennifer Office Clinical Manager BH

Montgomery, JamieCoordinator - Patient Care HCH BH

Puckett, Lisa PSR Assistant/Bus Driver BHRose, Pamela Residential Assistant BHSanders, Heath Behavioral Health Therapist BHSlazinik, Hailey Keaton Center BHStahl, Cassandra Coordinator-Dental Supply AdminTat, Stephanie Dental Assistant I OHTodd, Kimberlee Residential Assistant Keaton Center

QIQA REPORT – July Focus Area - HRMPCA Clinical Quality Awards ran 5/28/2019Name Target Result ChangeChild Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6%Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7%Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9%Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1%Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2%Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7%Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2%Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5%Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0%Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7%BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3%Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0%Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%

Relocation, 4, 12%

Workload, 0, 0%

Better Pay/ Benefits, 6, 19%

Medical Reasons, 2, 6%

No Growth Opportunity, 2, 6%

Supervisor Access/Relationship

, 0, 0%Retirement, 2, 6%

Negative/Change of Work Environment,

6, 19%

Not a good fit for position, 1, 3%

Closer to home, 4, 13%

Other, 5, 16%

VOLUNTARY TURNOVER REASONS

QIQA REPORT – DENTAL FOCUSMPCA Clinical Quality Awards ran 5/28/2019Name Target Result ChangeChild Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6%Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7%Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9%Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1%Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2%Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7%Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2%Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5%Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0%Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7%BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3%Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0%Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%

Measure 1 - We are seeing more adult patients while school is out and this is causing the decline of preventive dental services for patients 1 to 20. Once the school year starts back up I believe this measure will increase.

Measure 2 – This measure has stayed around 68%. I believe this is due to lack of oral health education throughout the county.

Measure 3 - We are seeing more adult patients while school is out and this is causing the decline of for patients who receive fluoride varnish 0 to 20. Once the school year starts back up I believe this measure will increase.

QIQA REPORT – SAC Clinical MeasuresMPCA Clinical Quality Awards ran 5/28/2019Name Target Result ChangeChild Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6%Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7%Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9%Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1%Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2%Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7%Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2%Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5%Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0%Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7%BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3%Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0%Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%

2017 Service Are Competition Clinical Performance - DRVSName Target Result Numerator Denominator Result Numerator Denominator

BMI Screening and Fol low-Up 18-64 Years (NQF 0421 – CMS69v4) 87.0% 86.0% 2778 3232 65.6% 3119 4757Asthma Sel f Management Plan (NQF 0036 modi fied) 33.0% 28.6% 14 49 3.8% 1 26Chi ld Weight / BMI / Nutri tional /Phy Activi ty Cns lng (NQF 0024 mo 20.0% 44.4% 374 842 24.4% 300 1227CAD Lipid Therapy 96.0% 89.2% 74 83 86.0% 43 50Colorecta l Cancer Screening (NQF 0034) 50.0% 46.1% 619 1342 32.2% 563 1746Hypertens ion Control l ing High Blood Pressure (NQF 0018) 80.0% 77.3% 915 1184 72.3% 855 1182Screening for Depress ion and Fol low-Up Plan 12-17 yrs (NQF 0418) 60.0% 61.1% 228 373 45.2% 219 484Screening for Depress ion and Fol low-Up Plan 18+ yrs (NQF 0418) 60.0% 74.9% 1493 1992 69.4% 1645 2370HIV Linkage to Care (UDS) 50.0% 0.0% 0 0 100.0% 1 1HbA1c Poor Control > 9.0% (HEDIS CDC) 27.0% 35.6% 198 556 46.3% 291 629Cervica l Cancer Screening - Pap Only (NQF 0032 – CMS124v4) 48.0% 38.8% 603 1556 24.5% 600 2444Chi ldhood Immunization Status (NQF 0038) 50.0% 11.1% 5 45 12.7% 8 63Diabetes Tobacco Use Assessment and Cessation (NQF 0059 modi 95.0% 83.6% 489 585 93.3% 528 566Use of Appropriate Medications for Asthma Ages 18-64 (NQF 0036 92.0% 88.9% 40 45 87.0% 20 23IVD Aspirin Use (NQF 0068) 75.0% 80.4% 144 179 61.4% 127 207

TY June 2019 Year 2017

Results

2017 Service Are Competition Clinical Performance - DRVSTY June 2019Year 2017

NameTargetResultNumeratorDenominatorResultNumeratorDenominator

BMI Screening and Follow-Up 18-64 Years (NQF 0421 – CMS69v4)87.0%86.0%2778323265.6%31194757

Asthma Self Management Plan (NQF 0036 modified)33.0%28.6%14493.8%126

Child Weight / BMI / Nutritional /Phy Activity Cnslng (NQF 0024 modified)20.0%44.4%37484224.4%3001227

CAD Lipid Therapy96.0%89.2%748386.0%4350

Colorectal Cancer Screening (NQF 0034)50.0%46.1%619134232.2%5631746

Hypertension Controlling High Blood Pressure (NQF 0018)80.0%77.3%915118472.3%8551182

Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418)60.0%61.1%22837345.2%219484

Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418)60.0%74.9%1493199269.4%16452370

HIV Linkage to Care (UDS)50.0%0.0%00100.0%11

HbA1c Poor Control > 9.0% (HEDIS CDC)27.0%35.6%19855646.3%291629

Cervical Cancer Screening - Pap Only (NQF 0032 – CMS124v4)48.0%38.8%603155624.5%6002444

Childhood Immunization Status (NQF 0038)50.0%11.1%54512.7%863

Diabetes Tobacco Use Assessment and Cessation (NQF 0059 modified)95.0%83.6%48958593.3%528566

Use of Appropriate Medications for Asthma Ages 18-64 (NQF 0036 modified)92.0%88.9%404587.0%2023

IVD Aspirin Use (NQF 0068)75.0%80.4%14417961.4%127207

Filters

Created by: Patty VanekCreated on: 7/20/2019 12:22:21 PM

FilterValue

4Cut ProviderAll

Baseline PeriodNone

Care ManagerAll

CentersComtrea

CohortAll

Drvs Service LinesAll

EthnicityAll

Gender IdentityAll

Homelessness StatusAll

LanguageAll

LocationAll

Location RoleRendering

Migrant StatusAll

Observation TypesAll

Patient DiagnosisAll

Patient GroupsAll

Patient PayerAll

Patient RiskAll

Patient Risk ScoreAll

Patient Uds Financial ClassAll

PeriodTY June 2019

Pisq ResponseAll

PlansAll

ProviderAll

Provider RoleUsual

RaceAll

Race EthnicityAll

Rendering Provider TypeAll

SDOH CountAll

Sdoh TriggerAll

Sex At BirthAll

Sexual OrientationAll

About

Comtrea HRSA SAC Clinical Measures 2017 Validation Period:TY June 2019

Report Definition:CustomScorecards - HRSA SAC Clinical Measures 2017

Informational

Azara Healthcare LLC. All rights reserved

QIQA REPORT – Primary Care Patient Experience SurveyMPCA Clinical Quality Awards ran 5/28/2019Name Target Result ChangeChild Weight Screening / BMI (NQF 0024) 50.0% 96.4% 1.6%Child Weight Screening / Nutritional Counseling (NQF 0024) 25.0% 60.9% 10.7%Child Weight Screening / Physical Activity (NQF 0024) 25.0% 46.9% 12.9%Hypertension Controlling High Blood Pressure (NQF 0018) 55.0% 78.4% 4.1%Screening for Depression and Follow-Up Plan 12-17 yrs (NQF 0418) 3.0% 58.9% 13.2%Screening for Depression and Follow-Up Plan 18+ yrs (NQF 0418) 3.0% 74.1% 1.7%Diabetes A1c > 9 or Untested (NQF 0059) 25.0% 39.7% 1.2%Cervical Cancer Screening (NQF 0032) 60.0% 43.5% 0.5%Colorectal Cancer Screening (NQF 0034) 40.0% 45.3% 1.0%Tobacco Use: Screening and Cessation (NQF 0028) 80.0% 86.0% 11.7%BMI Screening and Follow-Up 18+ Years (NQF 0421/eCQM 69v7) 75.0% 88.8% 1.3%Use of Appropriate Medications for Asthma 75.0% 93.6% 1.0%Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.0% 88.9% 1.5%

One of primary care’s main areas of focus since the last survey was to increase the amount of patient centered goals for those individuals served. Primary care has also worked on developing improved and easily accepted and attainable nursing care plans to help assist individuals in meeting their health goals. In the 2017 and 2018 Primary Care Patient Experience Survey there was a reported 74% response of individuals who stated that someone within the office had talked to them about specific goals for their health. This year’s survey reflects that Hickory Plaza (Hillsboro) stayed about the same with 76% responding yes, and Emerson (High Ridge) showed a response of over 86%, which met the desired goal.

Matching what was found in the Jefferson County Needs Assessment that COMTREA participated in, approximately 23% of the individuals served faced some level of transportation related barriers according to the survey. This will be a key area Primary Care will focus continue to focus us.

In the last 12 months, how often did this provider’s office talk with you about specific goals for your health?

Answer Choices ResponsesYes 83.60% 265No 16.40% 52

Do you feel the services you received are affordable?Answer Choices Responses

Yes 97.90% 326No 2.10% 7

Did you find our hours of operations convenient?Answer Choices Responses

Yes 98.52% 333No 1.48% 5

What hours do you prefer?

Answer Choices Responses

Before 8:30 am 19.88% 66

After 6:30 pm 4.22% 14Business hours 9am-5pm 69.88% 232

Saturday 6.02% 20

How much do transportation-related challenges prevent you from being seen by your provider?

Answer Choices ResponsesNot at all 76.95% 257A little bit 17.96% 60Quite a bit 3.89% 13A tremendous amount 1.20% 4

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

• HR Turnover • Dental Measures• 2019 Primary Care Patient

Experience SurveyThe Primary Care Patient Experience Survey was completed in July with three additional questions to assess accessibility experiences related to hours of operation and transportation barriers.

• Service Area Competition Clinical Measures

• Provider Survey A Provider Survey was performed with a goal to improve the work life of COMTREA health care providers and prevent provider burnout. There will be continued one-on-one interviews, and a small committee will discuss possible interventions for areas were there can be improvements made. This will be led by Dr. Rohatgi, Patty Vanek, and an HR representative.

MOTION:“I, ___, move that the Board approve the

July 2019 QIQA Coordinating Council Report.”

DISCUSSION ITEMS

INFORMATIONAL

MONTHLY SUBCOMMITTEE REPORTS TO THE BOARD

Building and Grounds

Fundraising & Capital Campaign

MHOH Committee Update

BOARD MEMBER INFO

MPCA ANNUAL CONFERENCEOCTOBER 10-11, 2019

Topics include: • Servant Leadership• Illicit Drugs: A Crisis of the Heart• Panel discussion: staff incentives• How to Develop a Dental Sealant Program• Thyroid Disease-Pearls and Pitfall• Connecting Access & Quality Part One: Decreasing

No-Show Rate and Third Next Available Appointment• Connecting Access & Quality Part Two: Absorbing

Additional Patients in the Clinic while Reducing Burnout

• Community Water Fluoridation – Truth vs Fiction• Risk Management for FQHCs Including Managing a

Potentially Compensable Event ("PCE")• Advanced Practice Providers: Identifying Trends and

Risks• Hot Topics in HIV for Primary Care Providers• Chronic Kidney Disease: Diabetes, Hypertension and

Primary Care• Board roles in oversight• Leading People Through Transition• The Emerging Crisis of Osteoporosis: An Overview of

Current Management Strategies• Continuing the Medicare Conversation in 2019• In Case of Emergency, Break Glass: Management of

Medical Emergencies in the Dental Office• Strategies to Optimize Team-Based Care• CEO Succession Planning• And More!

BOARD MEMBER INFO

BOARD RECRUITMENT

OLD BUSINESS

FOR DISCUSSION

Event Name Date

Toyota Supra Raffle SaturdayAugust, 10

2019

CAC Golf Tournament

FridayAugust, 16

2019

Summer Sizzler Golf Tournament

SaturdaySeptember, 7

2019

Jefferson County Rotary Club Golf

Tournament

FridaySeptember, 20

2019

Event Name Date

Purple for a Purpose 5K

SaturdaySeptember, 21

2019

Motorcycles on Main SaturdaySeptember, 28

2019

Black Light Bingo SaturdayOctober, 5

2019

TWT Dueling Piano Event

Friday October, 18

2019

Mardi Gras SaturdayFebruary, 1

2020

NEXT SCHEDULED BOARD MEETING

MONDAY, SEPTEMBER 9, 2019

Don’t Forget!The JCCMHFB will meet immediately after the September COMTREA Board Meeting

ADJOURNMENT

“With no further business to discuss, I, ______, move that the Board adjourn.”

MOTION:

21 Municipal DriveArnold, MO 63010

LOCATION+1 636 931 2700

PHONE NUMBERwww.comtrea.org

WEBSITE FACEBOOKhttps://www.facebook.com/COMTREA/

Slide Number 1Slide Number 2Slide Number 3Slide Number 4CLOSED SESSIONSlide Number 6Slide Number 7Slide Number 8Slide Number 9OUR MISSIONSlide Number 12Slide Number 13GROWTH REPORT �BEHAVIORAL HEALTH – JULY 2019GROWTH REPORT �BEHAVIORAL HEALTH – JULY 2019GROWTH REPORT �PRIMARY CARE – JULY 2019GROWTH REPORT �ORAL HEALTH – JULY 2019GROWTH REPORT �ORAL HEALTH / HYGIENISTS – JULY 2019FEDERAL AND STATE ASSOCIATIONS�ADVOCACY AND COMMUNITY INVOLVEMENTDIVISIONAL/DEPARTMENT UPDATESSlide Number 21Slide Number 22BOARD MEMBERS USING �FQHC SERVICESMONTHLY GRANT UPDATE�VOLUNTEERSACTION ITEMSSlide Number 27Slide Number 28Slide Number 29Slide Number 30CREDENTIALING & PRIVILEGINGSlide Number 32Slide Number 33Slide Number 34Slide Number 35Slide Number 36DISCUSSION ITEMSMONTHLY SUBCOMMITTEE REPORTS �TO THE BOARDBOARD MEMBER INFOBOARD MEMBER INFOOLD BUSINESSSlide Number 42NEXT SCHEDULED �BOARD MEETINGADJOURNMENTSlide Number 45